iiinova — where your digital self keeps evolving

Andrew Fenton @fentonaw.bsky.social · 21/07/2026

Many I hope. The rationale for the Oxfordshire changes was all about planning and infrastructure, creating a ‘Greater Oxford’. Nothing about the absurdity of moving to three depts of Social Care, three Children’s services, three Public Health teams etc. Crazy and wasteful.

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Chris Grey @chrisgrey.bsky.social · 12/06/2026

Despair. New post on my Brexit & Brexitism Blog about how politics is stuck whilst violence intensifies, how ‘the first lie wins’ in constructing political narratives, and how Brexit ruptured the 'cordon sanitaire'. Long and depressing read: chrisgreybrexitblog.blogspot.com/2026/06/desp...

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Royal College of Emergency Medicine @rcem.ac.uk · 08/06/2026

The estimated number of deaths linked to long waits in English Emergency Departments has surged almost tenfold over the last 10 years. This shocking statistic is from our State of Emergency Medicine in England report, which has been published today.

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Andrew Fenton @fentonaw.bsky.social · 14/05/2026

Well maybe there's a silver lining to the current political chaos - Wes Streeting resigns as Health Secretary; but most of the damage is already done or well underway.

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Andrew Fenton @fentonaw.bsky.social · 12/05/2026

He was to have been keynote speaker at the Kings Fund conference today on health inequalities, but pulled out ‘as it would be a distraction’

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Andrew Fenton @fentonaw.bsky.social · 12/05/2026

At the @thekingsfund.bsky.social Health Inequalities conference. Andy Burnham was to have been the keynote speaker, but for some reason has pulled out 😳

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Andrew Fenton @fentonaw.bsky.social · 15/04/2026

The proportion of the NHS budget spent on general practice has fallen to its lowest point in at least 10 years - figures in response to parliamentary Qu from @laylamoran.bsky.social. Fell from 9.2% in 2019/20 to 8.3% in '24/25. questions-statements.parliament.uk/written-ques... via @hsj.co.uk

questions-statements.parliament.uk

Written questions and answers - Written questions, answers and statements - UK Parliament

Information from UK Parliament on written questions & answers, written statements and daily reports.

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Andrew Fenton @fentonaw.bsky.social · 15/04/2026

and did you see this - tender notice published this month says NHSE is looking to pay £7m over two years for a “structured action learning programme and on-the-ground support” for integrated care boards’ strategic commissioning role. bidstats.uk/tenders/2026...

bidstats.uk

Strategic Commissioning Development Programme 26/27 & 27/28 [PIN]

Delivering the NHS 10-Year Plan depends fundamentally on restoring and strengthening commissioning. ... A Prior Information Notice by NHS England. Value £7M.

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steve the skeptic @policyskeptic.bsky.social · 23/02/2026

The single, most damning, criticism of Wes Streeting is this: (from www.hsj.co.uk/daily-insigh...). The evidence all says more managers is good for the NHS, but we'll ignore that because the public don't like it.

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Andrew Fenton @fentonaw.bsky.social · 13/01/2026

Wes Streeting at the @instituteforgovernment.org.uk this morning - very positive and confident over the rate of improvement to NHS performance; waiting lists, A&E waits, GP access & satisfaction. "Waiting times falling for first time in 15 years" - but doesn't comment on rate of change (modest)!

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Andrew Fenton @fentonaw.bsky.social · 13/01/2026

the loss of HW under-values the importance of advocacy - speaking with and up-for people impacted by health inequalities and exclusion; putting focus on 'patient power' alone enabled through tech is a recipe for exclusion.

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Andrew Fenton @fentonaw.bsky.social · 13/01/2026

The only 'theory of change' evident in Streeting's model is to cut 'bureaucracy' to fund and free-up the front-line, with tech thrown in. No evidence of how improvements to productivity and quality happen in reality. "Fewer checkers and more doers".

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Andrew Fenton @fentonaw.bsky.social · 13/01/2026

Wes Streeting at the @instituteforgovernment.org.uk puts great emphasis on NHS modernisation (against opposition), patient power, technology, and prevention. "The job of listening to patients can't be farmed out to an arms length body" ie HW @davewwest.bsky.social @stuarthoddinott.bsky.social

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Andrew Fenton @fentonaw.bsky.social · 11/01/2026

Fascinating. So in fact a hole in the ground isn’t. Or ‘when you’re in a hole stop digging’ should be ‘in a depression..’. Colloquial use doesn’t really align with the topological definitions.

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Andrew Fenton @fentonaw.bsky.social · 09/10/2025

Agree - the strong focus and clarity of the NHS work on healthcare inequalities since ‘21 is at risk of dilution and dissipation: the 10YHP doesn’t give confidence.

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Dr Steve Taylor @drstevetaylor.bsky.social · 04/10/2025

Helpful to explain what £169/patient/year pays for (this is £40 less than 2015 in real terms funding & only £123 is patient care) 380million appts in GP practices - half with GPs But there is more to General Practice than just appts @rthonwesstreeting.bsky.social

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Sunder Katwala (sundersays) @sundersays.bsky.social · 02/10/2025

On Yom Kippur many Jewish people in Britain have their phones off to mark the holy day. As it ends at 723pm, some will hear the tragic Manchester news for the first time. At that time, please join many of us to send a message of solidarity to British Jews.Thanks Together coalition for proposing.

To everyone in Britain's Jewish Community: you are not alone.

We will not let hate or those who spread it win.

We stand with you.

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Andrew Fenton @fentonaw.bsky.social · 30/09/2025

Strangely muted response to this new report from the @healthfoundation.bsky.social on Labour's First Year on NHS / Health policy, largely critical (with good reason) and the first think-tank to come out highlighting lack of coherence and disruptive reorganisation. www.health.org.uk/publications...

health.org.uk

Labour’s first year

Our report looks at Labour's record so far and offers an overall assessment of government's reform agenda on the NHS and social care.

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Ian Dunt @iandunt.bsky.social · 14/09/2025

The far-right is in its pomp. We will have to fight for our values like never before. iandunt.substack.com/p/encounteri...

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Andrew Fenton @fentonaw.bsky.social · 09/07/2025

Excellent analysis here from @samfr.bsky.social on the 10yr-health plan. The benefit of having some distance from the inner workings of the NHS & think-tanks in its sphere is apparent. In summary: willing the NHS to improve with enthusiasm is not a remedy to deep short & long term challenges

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Prof Christina Pagel @chrischirp.bsky.social · 04/07/2025

Labour launched its NHS 10 year plan this week. Many have already written about it, esp on health care delivery. My latest post looks at the plans on the social determinants health - some good news, some gaps. The devil is in the delivery and reducing poverty. open.substack.com/pub/christin...

open.substack.com

Is it "Fit for the future"? The NHS 10-year plan and the social determinants of Health

Labour released its 10-year NHS plan this week - in this post I have a look at whether and how it deals with the social determinants of health

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Andrew Fenton @fentonaw.bsky.social · 03/07/2025

agree. I understand it won't be published on line until it's announced in Parliament later this morning.

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Andrew Fenton @fentonaw.bsky.social · 02/07/2025

Will the 10 Year Health Plan favour tech-driven Bio-Medicalisation? - follow the money to see where trade-offs are made in the 10YHP, with primary & community-centred care at risk of domination by technophile models. www.linkedin.com/pulse/10-yea...

linkedin.com

Will the 10 Year Health Plan favour tech-driven Bio-Medicalisation?

The #10YearPlan for the NHS is eagerly awaited and much trailed, with a number of forerunning announcements already made - such as reform of GP funding to help target more deprived communities, the cl...

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Andrew Fenton @fentonaw.bsky.social · 22/06/2025

Particularly timely given the technophile / biomedical approach propounded by Wes Streeting and worrying signs that the 10YHP will feature this heavily - whilst the ‘Health Mission’ and cross-dept strategy is nowhere to be seen.

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Dr Vanessa @hpsvanessa.bsky.social · 21/06/2025

the most basic, enduring plea from medicine: stop obsessing over tech solutions for tiny marginal returns when we haven't even mastered the basics of 19thC public health reform, let alone anything more sophisticated.

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Andrew Fenton @fentonaw.bsky.social · 17/06/2025

"Not for the first time then, health services will see significant funding increases without it feeling like a bonanza for the people who run or receive services." Siva Anandaciva in @thekingsfund.bsky.social blog with analysis of the Spending Review www.kingsfund.org.uk/insight-and-...

kingsfund.org.uk

What Does the 2025 Comprehensive Spending Review Mean For Health And Care | The King's Fund

Following the Comprehensive Spending Review, Siva Anandaciva unpacks the numbers to explore what they mean for health and care.

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Chris Ham @chrisham.bsky.social · 17/06/2025

its time to take prevention seriously and fully engage people in keeping healthy and using services wisely - this must be at the heart of the 10 year NHS plan. The road for increasing spending on a sickness service is running out

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Andrew Fenton @fentonaw.bsky.social · 15/06/2025

This by @shaunlintern.bsky.social describes well the perilous situation the NHS is in and the scale of the challenge to secure improvement, but like the Andrew Rawnsley piece in the Observer there is strangely no mention of the NHSE abolition and the major cuts and reorg of ICS, risking disruption.

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The Health Foundation @healthfoundation.bsky.social · 14/06/2025

What happened to the government’s health mission? Good health isn't just built in hospitals but shaped by living conditions - from adequate income to secure housing. Alex Kennedy outlines the need for a cross-government plan to improve health and reduce health inequalities⬇️ bit.ly/3TorQHg

'Creating a cross-government plan for health may not all be plain sailing: it will require difficult decisions. But to duck those decisions is a choice too – and one that is unlikely to end well.' Alex Kennedy, Policy and Engagement Manager in Healthy Lives
at the Health Foundation

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National Voices @nationalvoices.bsky.social · 09/06/2025

Our research is set to have a significant impact on NHS translation and interpreting service provision via @england.nhs.uk's new Improvement Framework. The emphasis on cultural sensitivity, digital exclusion and community partnership will be vital for high-quality services. 👉 tinyurl.com/yh63x3cb

tinyurl.com

The impact of real-word experiences in shaping translation and interpreting services

National Voices’ research into marginalised communities in need of translation and interpretation services is set to have significant impact on NHS service provision.

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Paula McGowan OBE @oliverscampaign.bsky.social · 18/05/2025

#Oliverscampaign @NHSEngland has published its Patient safety healthcare inequalities reduction framework designed to address unfair & avoidable differences in patient safety outcomes across population groups Olivers story has been included in appendix 1 www.england.nhs.uk/long-read/pa...

england.nhs.uk

NHS England » Patient safety healthcare inequalities reduction framework

Purpose This framework sets out 5 principles to reduce patient safety healthcare inequalities across the NHS. It outlines opportunities for implementation that local teams and ICBs can take up, as wel...

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Helen Salisbury @helensalisbury.bsky.social · 13/05/2025

'Just cutting a budget without a well thought-out plan doesn’t magically improve efficiency, and it’s very likely to disrupt the healthcare you were trying to deliver.' www.bmj.com/content/389/...

bmj.com

Helen Salisbury: Austerity and efficiency in the NHS

If you eat less you get thinner and have to tighten your belt. Of course, this isn’t always good for you—it depends on what your waist measurement was to begin with. A new round of belt tightening for...

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Helen Barnard @helenbarnard.bsky.social · 07/05/2025

Truly shocking. 700,000 people already in poverty to be pulled even deeper by record cuts to disability support. Internal government figures lay bare the real extent of the cruel damage these cuts will inflict. 1/4 www.theguardian.com/society/2025...

theguardian.com

Disability benefit cuts to hit 700,000 families already in poverty, DWP forecasts show

Exclusive: Internal government forecasts obtained by the Guardian reveal ‘truly shocking’ effects of planned cuts

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The King's Fund @thekingsfund.bsky.social · 06/05/2025

Welcome to all delegates joining us at our event today #KFHealthInequalities. Today's topics include: ✅ prevention ✅ from ‘power over' to ‘power with'. ✅ tackling racism and discrimination in the NHS ✅ empowering place-based partnerships buff.ly/qZ5T8LI

buff.ly

Health Inequalities Conference | The King's Fund

Join our in-person event to hear about the impact health inequalities are having on the nation's health and the ways to tackle them. Book your ticket today.

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Andrew Fenton @fentonaw.bsky.social · 04/05/2025

Looks important research findings which I’d love to read, but currently getting a broken link.

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Stephen Frost @sfrost.bsky.social · 02/05/2025

“If all SUVs were replaced with passenger cars, the number of pedestrians and cyclists killed in car crashes would decrease by an estimated 17% in the USA and by 8% in Europe. The number of child pedestrians and cyclists killed in car crashes would decrease by 27% in the USA and by 14% in Europe.”

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Mike Brannan @brannanm.bsky.social · 01/05/2025

Exciting opportunity as Health Inequalities Programme Manager for Barking & Dagenham Place HI prog (until Dec 2026) Coproduced across LA,NHS & VCSFE, programme incl 10 workstreams developing & testing new approaches Closes 14/5 Please share! www.lbbd.gov.uk/council-jobs...

lbbd.gov.uk

| London Borough of Barking and Dagenham

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Ross Lydall @rosslydall.bsky.social · 30/04/2025

Alarming research reveals the scale of the danger posed to pedestrians and cyclists - especially children - by "supersize" SUV cars www.standard.co.uk/news/transpo...

standard.co.uk

'Supersize SUVs much more likely to cause fatal injury to cyclists and pedestrians'

Sports utility vehicles account for more than half of new cars bought in UK

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Amy Gandon @amygandon.bsky.social · 24/04/2025

Delighted to have authored this report, launched today, busting one of the biggest myths in British politics. The public doesn't see action on public health as 'the nanny state'. In fact, they want bolder action - incl among key swing voters. This has major implications for policy & politics. 🧵

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Charlotte Augst @charlotteaugst.bsky.social · 25/04/2025

The power of politics to do good. Who would have thought it. It is so often about holding your nerve in the face of entirely predictable, self interested opposition.

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