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James Bullion CBE

@jamesbullion.bsky.social
518 followers 366 following 46 posts

Former Chief Inspector of Adult Social Care and Integrated Care, CQC, former DASS Norfolk, Essex, past Adass President. Skills for Care Trustee. Poet. Guitarist.

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Reposted by James Bullion CBE
Local Government Association (LGA) @local.gov.uk · 30/12/2025
A huge congratulations to all of those on His Majesty The King’s New Year Honours List, in particular the councillors and officers recognised for going above and beyond in local government and championing their communities.
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James Bullion CBE @jamesbullion.bsky.social · 27/11/2025
Jane Townson calling for consolidation of LA home care purchasing and commissioning with fewer provider for more hours, and that it is not headline pay but shift patterns that will have more impact on fair pay. #ncasc25 @LGAcomms @1adass
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James Bullion CBE @jamesbullion.bsky.social · 27/11/2025
At the #ncasc25 today. Fair Pay Agreement - very clear principles and very technical in nature. DG Sally Warren asking the room to take a long term view of fairness. @clentonF reminding us the fairness has to reach across to self funders. @LGAcomms @1adass
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James Bullion CBE @jamesbullion.bsky.social · 26/11/2025
At the @NHSConfed ICS conference this morning discussing how LG Devolution & NHS reform fit together. Generous acknowledgement from Glen Burley on the dependencies between the two and the role of @LGAcomms in facilitating co production.
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James Bullion CBE @jamesbullion.bsky.social · 01/10/2025
www.adass.org.uk/leading-in-t... proud of @adass.bsky.social for taking this approach.
adass.org.uk
Leading in troubled times - ADASS
The President of ADASS, Jess McGregor, and Vice President, Phil Holmes, have today published a short statement about the challenges we all face and the standards we must maintain when leading adult so...
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James Bullion CBE @jamesbullion.bsky.social · 29/09/2025
@skinnock.bsky.social interesting from the msc today on a fourth shift desire of 'from fragmentation to integration'. For that we will need some attention to the infrastructure for social care, housing & health, with agreement on what is local, what is national, and what needs a Casey consensus.
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James Bullion CBE @jamesbullion.bsky.social · 06/08/2025
Holiday read. EP Thompson was absolutely core to my economics and history degree with his Making of the English Working Class etc, but also his modern politics and nuclear disarmament writing in the 1980s. This book distils and delights.
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James Bullion CBE @jamesbullion.bsky.social · 05/08/2025
Holiday read, Greuze; a moralist with a passion for lovely shoulders, and a self obsessed, impertinent, shoe kissing adorer, and hapless husband of an apparently embezzling wife, savings swiped by the revolution and died penniless, appropriately enough, in the Louvre.
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Reposted by James Bullion CBE
David Quantick @quantick.bsky.social · 05/08/2025
Possibly the greatest album launch in history, and a brilliant album. 40 today.
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James Bullion CBE @jamesbullion.bsky.social · 05/08/2025
Two iconic German cars in Bristol this morning.
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James Bullion CBE @jamesbullion.bsky.social · 05/08/2025
Holiday read. A dip in sort of book, with many good essays. As a lad I'd buy these sort of books as primers. This short Franklin essay on Tryants is still relevant. 'Trust not a single person with the government of your state'
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James Bullion CBE @jamesbullion.bsky.social · 03/07/2025
Welcome the boldness of the health plan. Not a plan about social care but it cannot work without social care. Welcome strengthening of @CQCProf - the regulator for health and for social care. Alignment & partnership between NHS , LAs, LGA is crucial.
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James Bullion CBE @jamesbullion.bsky.social · 18/05/2025
What an extraordinary sound live the Still House Plants bring, echoes of sonic youth, and mbv or low but really they are pretty unique.
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James Bullion CBE @jamesbullion.bsky.social · 16/05/2025
Apollo the tortoise in latest bid to escape....
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Reposted by James Bullion CBE
Alex Fox @alexfoxshared.bsky.social · 28/04/2025
We are working with @adass.bsky.social @socialcarefuture.bsky.social & LGA on recommendations for a new way to measure outcomes in adult social care. At Session on outcomes at @adass.bsky.social Pete Sidgwick says current surveys of people using support can be 25 pages long, so rarely completed.
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neilmcrowther @neilmcrowther.bsky.social · 02/05/2025
Gonna get lost under the news avalanche that is the local election results, but here are the 'Term of Reference' for Baroness Louise Casey's commission on adult social care. Bit of a cloudy soup I thought www.gov.uk/government/p...
gov.uk
Independent commission into adult social care: terms of reference
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James Bullion CBE @jamesbullion.bsky.social · 02/05/2025
Read this! Right that people drawing on care are core. Should be visionary, gather distinct models for teenagers, adults, & older people, be clear on quality, & what's local. On the fiscal constraint perhaps look at the balance/remix of current NHS & LA funds. @CQCProf @1adass
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James Bullion CBE @jamesbullion.bsky.social · 15/04/2025
Great evening with @cafewriters.bsky.social listening to Cat Woodward, Daryl Fraser and @leahpoet.bsky.social Such good readings and books to buy, and did open mic which I rarely do too.
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Richard Branson @richardbranson.bsky.social · 14/04/2025
"The security of the world is at stake." Well worth watching President Zelenskyy's interview on 60 Minutes www.cbsnews.com/news/ukraine...
cbsnews.com
Ukrainian President Volodymyr Zelenskyy: The 2025 60 Minutes Interview transcript
As Russia's war with Ukraine continues, President Volodymyr Zelenskyy sits down with Scott Pelley to discuss U.S. support for Ukraine, the war, the Oval Office meeting, and the latest attacks on civil...
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James Bullion CBE @jamesbullion.bsky.social · 14/04/2025
Worth seeing the Colin Self exhibition at @norwichcastle.bsky.social which I really connected to in the early 80s thinking about the potential for nuclear war and nuclear disarmament both of which were in the air it seemed. Great book by Georgia Bottinelli
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James Bullion CBE @jamesbullion.bsky.social · 13/04/2025
After 6 months wandering wild Apollo has turned up in the garden again. Luckily we have left the weeds for him.
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James Bullion CBE @jamesbullion.bsky.social · 13/04/2025
Holiday read 4; have seen some criticism that this was an arrogant account, but it's reflective and quite human, about obsession, and maths, and formative friendships. Well worth it.
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James Bullion CBE @jamesbullion.bsky.social · 12/04/2025
Holiday read; 3. For guitar geeks there is little better. They were truly great live at the Town and Country Club in the mid 80s. He comes across as difficult which is no surprise, and in the end saw ghosts. Like we all do. @nowjazznow
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James Bullion CBE @jamesbullion.bsky.social · 09/04/2025
2nd Holiday read (re-read really). How prayerful he was, in those times between the wars or when the bombs were falling in London. I particularly love 'what the thunder said' from the wasteland. All that dry rock seeking water, comfort. Poetry for these doubtful times no doubt.
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James Bullion CBE @jamesbullion.bsky.social · 08/04/2025
Shoved into an old charity shop book - the flu strategy in the December 1963 Daily Mirror was aspro, and go to bed. Note the archbish's advice that universities build not sophisticates but people whose knowledge goes with character and reverence for persons and the mind.
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Reposted by James Bullion CBE
David Brindle @brindled.bsky.social · 06/04/2025
On the day the employer’s NI rises kick in, on top of last week’s minimum pay increase, thoughts and prayers for fellow social care providers facing 10% higher costs and getting fee rises of less than half that from most councils
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David Hayden @seventydys.bsky.social · 07/04/2025
I have a new short story, titled 'Jenny and the Viking', coming in the summer issue @stingingfly.bsky.social, which is out in May. Excellent cover design by Eimear Gavin, with photography by Ronan McCall.
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James Bullion CBE @jamesbullion.bsky.social · 07/04/2025
Think of how powerful it could be if integrated with social care, and worth reflecting why the idea started with council funding which the NHS then picked up. Big clue on how prevention needs to work!
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James Bullion CBE @jamesbullion.bsky.social · 07/04/2025
Think of how powerful it could be if integrated with social care, and worth reflecting why the idea started with council funding which the NHS then picked up. Big clue on how prevention needs to work!
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James Bullion CBE @jamesbullion.bsky.social · 07/04/2025
First holiday read, found in Holt. The speeches of Harold Wilson in the first year of his government in 1964/5. Urgent economic steps to impose temporary tariffs and reduce the balance of trade deficit on goods 'we ought to be able to make for ourselves..' sound familiar?
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Reposted by James Bullion CBE
Richard Humphries @richardhumphries.bsky.social · 27/03/2025
What does the abolition of NHS England mean for #socialcare? Some brief thoughts from me….and @brindled.bsky.social
caremanagementmatters.co.uk
Into perspective: Does a change in NHS leadership renew opportunities for social care?
How should the newly appointed NHS England (NHSE) Chief Executive and NHSE Chair influence the role that social care plays in an effectively functioning health and care system.
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James Bullion CBE @jamesbullion.bsky.social · 27/03/2025
I think a thought through reform of bcf, including some new bcfs which tie together some continuing health support would be a positive, might extend free care, be preventative and give LAs more purchase. Bcf currently 20% of LA funds but just 5% of NHS.
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Richard Humphries @richardhumphries.bsky.social · 13/03/2025
Much angst about abolishing NHSE. Yet in truth from the outset its alleged independence was more imagined than real. Absorption into DHSC is surely a more honest position. Though huge distraction (& other) costs.
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Re:State @re-state.bsky.social · 25/03/2025
📢NEW REPORT: DESIGNING A NEIGHBOURHOOD HEALTH SYSTEM Delivering on government's ambition of proactive, neighbourhood-centred care will require serious devolution of power and resources to local leaders. Our report offers a roadmap to help policymakers turn vision into reality.
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Richard Humphries @richardhumphries.bsky.social · 26/03/2025
For a more measured & independent assessment of the trend see this www.kingsfund.org.uk/insight-and-...
kingsfund.org.uk
Social Care 360: Providers | The King's Fund
We explore what happened to the number of care home places in 2023.
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Reposted by James Bullion CBE
Richard Humphries @richardhumphries.bsky.social · 26/03/2025
Actually Knight Frank there is not a ’critical’ need for more care home beds but for more support in people’s own homes & communities.
on.ft.com
Just 86 extra UK care home beds created in 2024, data shows
Declining availability highlights challenges for care home sector
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James Bullion CBE @jamesbullion.bsky.social · 26/03/2025
Stunning pub the brew society in #Leeds. In town for the Skills for Care board meeting. @skillsforcare.bsky.social
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James Bullion CBE @jamesbullion.bsky.social · 19/03/2025
They were giving these away at work. Obvs I have views about eating animals I shant proselytize about, but if we are now providing powdered protein bone broth for humans as a flavoured drink, it feels a bit livestock to me. This is a thing now is it?
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James Bullion CBE @jamesbullion.bsky.social · 19/03/2025
Lively and robust conversations at UK Care Show. if anyone feels that the care sector is not self sustaining, inventive and innovative they should come to one of these.
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James Bullion CBE @jamesbullion.bsky.social · 19/02/2025
Age discrimination is widespread. Our ageing population is most often presented as 'a burden', widespread use of 'the elderly' or 'frailty' and cliched pictures. Has real consequences. BBC News - MPs criticise 'wealth-hoarding' boomers stereotype BBC News - www.bbc.com/news/article...
bbc.com
MPs criticise 'wealth-hoarding' boomers stereotype as ageist
A report from the Commons' women and equalities committee says age discrimination is widespread.
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Reposted by James Bullion CBE
Richard Humphries @richardhumphries.bsky.social · 17/02/2025
The clearest explanation I’ve read of why council tax is such an offence to social justice
resolutionfoundation.org
Rising Council Tax bills and the spectre of the poll tax • Resolution Foundation
Local government finances have long been desperately strained, caught between a sharp squeeze in grants from the centre over the austerity years, and rising obligations to social care and special educ...
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Scott Galloway @profgalloway.com · 16/02/2025
That’s more like it.
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James Bullion CBE @jamesbullion.bsky.social · 13/02/2025
Credit to @BBCNewsnight @nadraahmed5 and @NationalCareAsc making the case for social care funding in its own right as @wesstreeting acknowledges. NHS capacity probs would be solved by more integrated #intermediatecare & reablement available beyond current '6 weeks' offer...
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James Bullion CBE @jamesbullion.bsky.social · 02/02/2025
Nature turning, walk in Trowse woods at Imbolc this morning.
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James Bullion CBE @jamesbullion.bsky.social · 01/02/2025
On the moon's shoulder
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James Bullion CBE @jamesbullion.bsky.social · 27/01/2025
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Municipal Dreams @municipaldreams.bsky.social · 12/01/2025
1/ Congratulations to Bradford, a worthy 2025 UK City of Culture. Described by its proud son, JB Priestley, as the 'most progressive place in the United Kingdom' before WW1, boasting a symphony orchestra, choral societies, two theatres, three daily newspapers.
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James Bullion CBE @jamesbullion.bsky.social · 12/01/2025
Lovely mooch around Whitlingham Lake this morning.
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Richard Humphries @richardhumphries.bsky.social · 06/01/2025
"I am afraid, Baroness Casey, that you will not be able to sort out social care without getting deep into the bowels of local government finance."
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Richard Humphries @richardhumphries.bsky.social · 03/01/2025
The central question for the government is whether it wants to learn from the history of #socialcare reform or repeat it. Reserving judgement until I’ve seen the detail 1/2
bbc.co.uk
National Care Service plans in pipeline for 2028, say ministers
The government announces first steps to creating a National Care Service - but the final report is several years away.
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