iiinova — where your digital self keeps evolving

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 11/12/2025

Many of you will have seen our recent tribute to Professor Tim Draycott (1964–2025), a global leader in maternity safety whose work has saved countless lives. Today, we want to share how we at THIS Institute plan to ensure Tim’s vision lives on.

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Louise, Prof/Dr @louiselocock.bsky.social · 02/12/2025

This is what happens when people have better housing, nutrition, hygiene, treatment for infections and long term conditions etc. Oh and vaccines.

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Rosie Lindsay @rosielindsay.bsky.social · 01/12/2025

Really excited to announce the publication of our framework which has been informed by a combination of literature, stakeholder interviews, consultation and real-world usability testing.

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Graham Martin @instagraham.bsky.social · 20/11/2025

Trying to resolve a debate about the punctuation of my work address with colleagues, and Google's AI has been as helpful as one would expect.

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 03/11/2025

Even with support systems in place, many NHS staff still feel unsafe or unheard when raising concerns about quality and safety. Join Nnenna Osuji & Graham Martin as they unpack the barriers and explore what real change looks like. Register: ths.im/4nGd5wJ

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 29/10/2025

Patient safety specialists take NHS experience and blend it with expertise in safety theory to help manage safety risks. We examined their efforts to put their expertise into practice and how they worked with existing professional groups. Full paper: ths.im/47jOmI8 THIS summary: ths.im/47l8t8A

A clinician takes notes during a consultation with a patient sitting on a bed

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 29/10/2025

Check out this opportunity for an early career researcher to join our team and support an exciting programme of work on innovation and improvement in healthcare. ths.im/47snrKd

We're seeking a research associate/assistant in health services research (maternity cover)

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Kathryn Oliver @oliver-kathryn.bsky.social · 21/10/2025

Come along tomorrow to LSHTM, Keppel Street or online to hear me talk about why we do research, why it's not used, and how we might engineer the system to get better value for all of us... www.lshtm.ac.uk/newsevents/e...

lshtm.ac.uk

Is research really worth it? with Professor Kathryn Oliver | LSHTM

Research is something we spend a lot of money and time on — as individuals, organisations, and states. But is it worth it? Do we get bang for our buck? Who really benefits? And does research actually

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Margaret McCartney @mgtmccartney.bsky.social · 26/09/2025

sign up sign up come along to our first event 31st october or add yourself to our mailing list for a streamed section of the day. it's going to be excellent. no sponsorship, independent, and amazing people are coming medicine.st-andrews.ac.uk/centreforevi...

medicine.st-andrews.ac.uk

The Centre for Evidence and Values

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Judith Green @judegreen.bsky.social · 11/09/2025

UK sociologist of health? Next call for @fshi.bsky.social awards closes 30th october www.shifoundation.org.uk/schemes/

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 24/09/2025

THIS Space 2025 programme is now live! Join us virtually on 25 November. The event is free to attend, but booking is essential and space is limited. View the full programme and register here: ths.im/4nGd5wJ #THISspace2025

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Nuffield Trust @nuffieldtrust.org.uk · 28/08/2025

There are just three days left to apply to our Senior Fellow role... 🔍 If you can lead on projects at the forefront of research into health and social care, we'd love to hear from you. Take a look at our vacancy and apply by Sunday 31 August. #researchjobs www.nuffieldtrust.org.uk/job/senior-f...

nuffieldtrust.org.uk

Senior Fellow (SF05/25)

We are looking to recruit a Senior Fellow to lead on projects across a range of topics within health and care.

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Graham Martin @instagraham.bsky.social · 26/08/2025

We are recruiting! Are you an early or mid-career health services researcher with an interest in improving the quality of UK healthcare? This Research Associate or Assistant Research Professor role could be the one for you. Deadline 7 September. www.cam.ac.uk/jobs/researc...

cam.ac.uk

Research Associate/Assistant Research Professor (Fixed Term)

Funded by the Health Foundation, THIS Institute has a remit to advance research into how to improve the quality and safety of patient care. The institute hosts around 60 staff, consisting of

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Graham Martin @instagraham.bsky.social · 31/07/2025

Exciting research fellow role at the University of Edinburgh working with Martyn Pickersgill and colleagues on a timely and fascinating-sounding project on how health (mis)information is regulated across countries: www.jobs.ac.uk/job/DNY639/r...

jobs.ac.uk

Research Fellow at The University of Edinburgh

Apply for the Research Fellow role on jobs.ac.uk, the top job board for academic positions in higher education. View details and apply now.

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Beatriz Goulão @beatrizgoulao.bsky.social · 29/07/2025

Another great post fr @chrischirp.bsky.social focusing on @nihr.bsky.social HSDR funding to improve patient's and staff's experiences. Very proud to be involved, & to have the opportunity to work w and learn fr fab colleagues including @instagraham.bsky.social @katiejsheehan.bsky.social

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Graham Martin @instagraham.bsky.social · 19/07/2025

New opinion piece in @bmj.com by me and @janekohara.bsky.social: whither patient and staff voice in the NHS post-Dash? Decluttering the safety landscape is necessary but will NHS organisations listen to patients and staff without independent advocacy? www.bmj.com/content/390/...

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Graham Martin @instagraham.bsky.social · 18/07/2025

This isn't new but I'll feel better for bleeting it. Publisher: Congrats, we are pleased to accept your paper! <Months pass> Author: Please could I have an update? Publisher: <Months pass> Publisher: Check your proofs by TOMORROW (Saturday) or we'll publish an error-strewn version in your name.

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 30/06/2025

What can AI really do for healthcare improvement – and what’s still missing? In THIS Institute and Homerton College’s 2025 annual lecture, Niels Peek (@nielspeek.bsky.social) cuts through the AI hype. 🎥 Watch ‘Evidence-based healthcare innovation in the age of AI’ ths.im/4nl8uRh

Professor Niels Peek delivers a lecture at the Great Hall, Homerton College, while the audience listens attentively.

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Cristian Montenegro @crismontenegro.bsky.social · 14/07/2025

New article in Social Theory & Health, co-authored with @judegreen.bsky.social, open access. In a nutshell we argue that that lived-experience research is not the same as qualitative sociology in health research. The difference exists and matters. Read here: rdcu.be/evZ7F

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Jane O'Hara @janekohara.bsky.social · 11/07/2025

Wes Streeting has laid out bold plans for English maternity services - but will they work? Our @bmj.com opinion has now been published, exploring some ways that they might be enhanced. www.bmj.com/content/390/... Written with the fabulous @marydixonwoods.bsky.social @instagraham.bsky.social

bmj.com

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Professor Judith Smith @profjudithsmith.bsky.social · 07/07/2025

In case you missed it: my article for @uk.theconversation.com on theTen Year Health Plan for England. So many ideas (and some good ones at that) but precious little about how to implement them. #NHSPlan #FitForTheFuture #NHS #healthpolicy theconversation.com/nhs-ten-year...

theconversation.com

NHS ten-year plan for England: what’s in it and what’s needed to make it work

Ten-year NHS transformation hinges on funding and staff support.

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 03/07/2025

We welcome publication of the new 10-year health plan. We're here to build evidence in line with the plan through projects like: • Evaluating ambient voice technology and launching a new online community • Supporting design and planning of large-scale change programmes Find out more: ths.im/4laMCq3

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Karolina Kuberska @kkuberska.bsky.social · 30/06/2025

📢New publication📢 Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study doi.org/10.1080/1541... @instagraham.bsky.social @profhurst.bsky.social @monabafadhel.bsky.social

A diagram of clinicians’ considerations around offering rescue packs to patients discharged following COPD exacerbation
There are three nested ovals depicting different levels of considerations, with text inside.
The largest oval has the heading “Macro-level considerations” and includes three text boxes: antibiotic stewardship; preventing hospital admissions; and pressures in the NHS.
The middle oval has the heading “Meso-level considerations” and includes three text boxes: following national guidance and audit requirements; hospital clinicians’ access to patients’ primary care records; and local access to primary care.
The smallest oval has the heading “Micro-level considerations” and includes two text-boxes: patient’s self-management skills and empowering patients.

Screenshot of the paper's pdf.
Title: Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study
Authors: Karolina Kuberska, Graham Martin, John R. Hurst, Mona Bafadhel
Abstract
“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, rescue packs are guideline-recommended but not routinely offered on hospital discharge. They are, however, commonly prescribed by primary care teams. This study examined hospital-based respiratory clinicians’ views on offering patients rescue packs following hospitalisation for COPD exacerbations. We conducted 24 individual and joint semi-structured interviews via telephone or videocall with 30 clinicians (respiratory consultants, respiratory registrars and specialist nurses) in 20 UK hospitals to understand variation in practice around, and views on, offering rescue packs to discharged COPD patients. Interview data were analysed using the constant comparative method. Clinicians’ views on offering rescue packs were a mixture of concerns and recognition of potential benefits. Concerns included antimicrobial resistance, individual overuse of antibiotics, and potential side effects of steroids, especially in patients with poorer understanding of their own condition, with lower self-management skills, or who found it difficult to access primary care. Recognised benefits included the potential to prevent future exacerbations, empowering patients by supporting COPD self-management, and circumventing the difficulties of securing an urgent primary care appointment. There was a consensus that supporting patients in self-management of COPD was key to effective care. Given the increasing role of self-management for patients living with COPD, it is vital to ensure that patients are able to appropriately use rescue packs.

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Dr Jay Watts @shrinkatlarge.bsky.social · 16/06/2025

🎯 68% of PIP appeals are overturned in favor of disabled people - proving the system already wrongly denies support. Now they want to make it even harder to qualify. This isn't reform, it's institutionalized discrimination. #WelfareNotWarfare #TakingThePip

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 10/06/2025

We’re heading to #NHSConfedExpo 📦 📦 📦 Come find us at stand F80 near the Innovation Theatre & Speaker Studio to catch up on all things healthcare improvement, and grab a free copy from our series, Elements of Improving Quality and Safety in Healthcare.

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Oli Williams @oliwilliams.bsky.social · 15/05/2025

We're presenting our work on creating resources to support more effective, fair, and sustainable collaboration in health and social care in the @kingsnmpc.bsky.social Better Health & Care Hub Webinar Series: 5th June 1:00-2:00. Link to register 👇 - all welcome: www.tickettailor.com/events/bette...

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Oli Williams @oliwilliams.bsky.social · 15/05/2025

Our (@gmthomas.bsky.social Tanisha Spratt @amychandler.bsky.social) book went to print - very exciting! The @britsoci.bsky.social London MedSoc Study Group is hosting a launch event (thanks @twiterney.bsky.social) on 19 June 18:00-19:30. All welcome, register here: www.eventbrite.com/e/bsa-london...

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Nuffield Trust @nuffieldtrust.org.uk · 09/05/2025

NEW ANALYSIS explores how approaches to #AssistedDying vary internationally. The Nuffield Trust holds a neutral position on the legalisation of assisted dying in the UK. Our analysis reviews the evidence for jurisdictions where it has been implemented, to help inform debate. 🧵1/9 buff.ly/CTLXDjs

nuffieldtrust.org.uk

Diverging paths: How other countries have designed and implemented assisted dying

As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from…

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Karolina Kuberska @kkuberska.bsky.social · 09/05/2025

📢New publication alert 📢 @instagraham.bsky.social and I wrote a paper! What Is an Identifier Good for? Issues in Using Visual Identifiers to Improve Care for People With Dementia in Hospital doi.org/10.1111/jan....

Screenshot of the journal header with the paper title and authors:
DISCURSIVE PAPER
Open Access
What Is an Identifier Good for? Issues in Using Visual Identifiers to Improve Care for People With Dementia in Hospital
Karolina Kuberska, Graham Martin
First published: 08 May 2025 https://doi.org/10.1111/jan.17039
'ejournals@cambridge - find full text'

Aims
To examine practical, ethical, and organisational implications of the use of a key technology deployed in the care of hospitalised people with dementia—visual identifiers—through a comparative analysis with parallel interventions in other spheres of healthcare and social activity.
Design
Discursive paper
Methods
We contrast visual identification systems used for hospitalised patients with dementia with other, ostensibly similar, systems to understand how they differ in key characteristics: what they disclose, to whom and with what intended consequence
Results
Certain distinctive features of the ways identifier systems are used to improve dementia care appear particularly consequential for their impact. Given how much is expected of such identifiers, they are likely to fail at least a proportion of patients.
Conclusion
We argue that it is important to critically evaluate the interests served by visual identifiers, identifying the dimensions of quality they can enhance and those that may be negatively impacted.
Implications for the Profession and/or Patient Care
Visual identifiers for people with dementia can contribute to the ‘taskification’ of nursing care, implying that achieving person-centred care is a matter of following defined protocols rather than an emergent, relational, time-consuming process. Staff may end up prioritising risk avoidance and hospital routines (tasks that are measurable and auditable) rather than embracing the unpredictability of developing relationships with patients
Impact
Visual identifiers are a part of well-established strategies to improve hospital care for those with cognitive impairment. While these identifiers aim to prompt healthcare professionals to deliver individually tailored care, research suggests that they are unable to consistently ensure the desirable quality of care. Understanding influences on how they are deployed can help reshape the expectations placed on such low-tech interventions and inform more reflective use

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Graham Martin @instagraham.bsky.social · 09/05/2025

Signs you are an academic, an occasional series: You try to swipe the word 'stopcock' into your phone as you text a plumber, and it autocorrects to 'sociocultural'.

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Claire Hastings @clairehastings.bsky.social · 08/05/2025

I’m excited to share a podcast I took part in for THIS institute, we discuss why it’s so hard to do less in healthcare.You can find it on Spotify, Apple Poscast or Amazon music. Just search ‘listen to THIS’ I’m episode 6. Or here’s the link to the website www.thisinstitute.cam.ac.uk/podcast/why-...

thisinstitute.cam.ac.uk

Why is it so hard to do less in healthcare?

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Graham Martin @instagraham.bsky.social · 02/05/2025

Paper drafting phase 1: Write beautiful, closely knit sentences linking related ideas together through the judicious use of semi-colons. Paper drafting phase 2: Delete all the semi-colons and replace them with full stops.

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Jane O'Hara @janekohara.bsky.social · 25/04/2025

Super excited about this new podcast, brought to you by @yhpsrc.bsky.social, where I'll be talking to people who've shaped healthcare safety in the UK & beyond. The first episode is a corker - I sit down with @shaunlintern.bsky.social to talk about journalism, harm, and Staffordshire oatcakes... 👇

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Graham Martin @instagraham.bsky.social · 25/04/2025

Spam e-mails from predatory journals are getting racy.

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Graham Martin @instagraham.bsky.social · 24/04/2025

We've been looking forward to this! @nielspeek.bsky.social's @thisinstitute.cam.ac.uk / Homerton College lecture has begun.

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Dr Rachel Broady @drrachelbroady.bsky.social · 20/04/2025

UCU general secretary reposting 'the only good terf is a dead terf' placards. Good grief.

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Carolyn Johnston @drcjohn.bsky.social · 17/04/2025

We've been working over the last year to *really* understand the issues of timeliness in emergency general surgery.... @rcoa-cri.bsky.social @thisinstitute.cam.ac.uk

media.tenor.com

a man says houston we have a problem

ALT: a man says houston we have a problem

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Prof Naomi Fulop @profnaomifulop.bsky.social · 02/04/2025

Private Eye nails it again.

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Leonora Merry @leonoramerry.bsky.social · 02/04/2025

New findings out today, published by @nuffieldtrust.bsky.social and @thekingsfund.bsky.social from @natcen.bsky.social’s British Social Attitudes. TLDR: attitudes towards NHS are hardening - people are more dissatisfied and are despondent about waiting times 🧵

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Graham Martin @instagraham.bsky.social · 20/03/2025

This is an astonishing graph - quite apart from the issue of desirability, I think there's a big question of feasibility (and the scale of work required to try to make it happen).

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Leonora Merry @leonoramerry.bsky.social · 13/03/2025

Big day today for NHS finances: a "reset" meeting is taking place where health bosses are being asked to "get a grip" on their organisation's finances. Here's NHS finances supremo Sally Gainsbury on what the state of play is at the moment: 👇

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Graham Martin @instagraham.bsky.social · 13/03/2025

What this is: a stimulating and thought-provoking exercise to help the @thisinstitute.cam.ac.uk research team think through the pathways to impact of its work. What this DEFINITELY ISN'T: a thinly veiled excuse to spend time indulging in children's TV nostalgia and then impose it on my colleagues.

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THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 11/03/2025

Learning from mistakes is a crucial part of healthcare improvement and it’s easy to focus on negatives. But are we hindering progress? @instagraham.bsky.social, @janekohara.bsky.social & #THISFellows @helencrump.bsky.social & James McGowan discuss in a new episode of Listen to THIS ths.im/4hnAGyu

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