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Keith Grimes

@keithgrimes.bsky.social
620 followers 538 following 368 posts

Digital Health & Innovation Consultant and founder of Curistica. GP by background, I’m a doctor that practices medicine through the products I build, not the patients I see. Particularly interested in AI / GenAI & Governance informed Product Development.

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Keith Grimes @keithgrimes.bsky.social · 17/09/2026
Question for folk giving talks about AI, whatever field they’re in: have you noticed the change in the questions you’re being asked, skewing ever more existential and philosophical?
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Keith Grimes @keithgrimes.bsky.social · 11/09/2026
First wave of clinical AI negligence claims land in NHS: www.hsj.co.uk/patient-safe...
hsj.co.uk
Exclusive: First AI clinical negligence claims lodged
The NHS has received its first clinical negligence claims related to the use of artificial intelligence, HSJ can reveal.
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Ethan Mollick @emollick.bsky.social · 01/09/2026
This didn't take long... 😬
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Kuba Suder 🇵🇱🇺🇦 @mackuba.eu · 21/08/2026
FFS, this is so fucked… 😩 Would it kill the people here to not chase away any tech person who comes here and says something about AI?… I really want tech discussions and communities to hang out here and not on Elon's far-right playground 😐
Mike Masnick @masnick.com:
Multiple people I know have told me that they love the idea of Bluesky, and want it to succeed, but have abandoned it for X because the use agentic tools in their work and find them incredibly useful, and feel that any mention of their usage here leads to hate and ridicule.
I wouldn't bring this up if it was just one person, but it was multiple people since the beginning of August who mentioned in passing something to the effect of either "I'd spend more time on Bluesky if people weren't so anti-AI" *or* "As much as I hate to be there all the useful AI talk is on X."
I'm not saying it's anyone's responsibility to praise AI usage. I agree with much of the criticism of the tool. But for many, many people, it is a useful tech (I have talked about the ways I find it extraordinarily useful, only to have people here mock me, insisting my lived experience is a lie).
I am just noting that for all the people here who say that people should get off X and spend more time here, the reason I keep hearing from people in various circles who would *like* to do that, but don't, is the vociferous belief of many here that there are no possible positive uses of AI.
I'm not telling anyone what to do or what tech to use or what to like or not like. I'm just relaying that the reputation this place now has is one that a large segment of the population who are NOT fascists, saying they don't feel comfortable here because a main area of their interest is...
... considered worthy of being mocked and attacked. And even as I've explained that I've been able to have positive conversations about productive AI usage here with many of you, the reputation of the community here as insisting their own lived experience can't possibly be real has driven them away.
And the thing that tipped me over the edge to posting this here is that three of the people who told me things along these lines are all working on very real solutions to some of the problems of AI
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Health Services Safety Investigations Body (HSSIB) @hssib.bsky.social · 18/08/2026
🆕INTERIM REPORT ➡️Electronic patient record systems – electronic referrals for ongoing care: advice and guidance 📖Read the interim report: www.hssib.org.uk/patient-safe...
Cover image for an HSSIB interim report on electronic patient record systems. A healthcare professional in blue clinical clothing uses a laptop, overlaid with digital document and record icons representing electronic information sharing. The HSSIB logo appears in the top left. Text on the image reads: “New interim report: Electronic patient record systems – electronic referrals for ongoing care: advice and guidance.”
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852dude @852dude.bsky.social · 13/08/2026
Bro. People are cool as fuck.
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Keith Grimes @keithgrimes.bsky.social · 01/07/2026
With 4th July coming up, and it being the 250th anniversary, worth remembering what Thomas Paine, one of the founding fathers, said about accountability. (Photo taken outside Rights of Man pub in Lewes, East Sussex, where Thomas Paine lived and wrote for a while)
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Keith Grimes @keithgrimes.bsky.social · 23/06/2026
More detail on the Mythos/Fable saga: www.techspot.com/news/112854-...
techspot.com
Anthropic's Mythos AI reportedly cracked NSA classified systems in hours, that would explain the ban
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Keith Grimes @keithgrimes.bsky.social · 19/06/2026
Algae fans Live cam showing Trumps efforts in the pool www.earthcam.com/usa/dc/washi... Note also the “8647” scorched into the turf lower in the picture
earthcam.com
WAMO Cam
Explore America's capital from over 500 feet in the air with EarthCam's live streaming webcam embedded in the Washington Monument's pyramidion!
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Simon Willison @simonwillison.net · 12/06/2026
After two days with Claude Fable 5 the best way I can describe it is "relentlessly proactive" - here's an example where I dropped in a screenshot of a bug and it span up custom CORS Python servers and used pyobjc-framework-Quartz to capture screenshots simonwillison.net/2026/Jun/11/...
simonwillison.net
Claude Fable is relentlessly proactive
After two days of experience with Claude Fable 5 I think the best way to describe it is relentlessly proactive. It knows a whole lot of tricks and it will …
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Keith Grimes @keithgrimes.bsky.social · 09/06/2026
Claude Fable is loose
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Keith Grimes @keithgrimes.bsky.social · 25/05/2026
Just spectacular
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Keith Grimes @keithgrimes.bsky.social · 25/05/2026
Dexter enjoying some Stonehaven sunshine
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Keith Grimes @keithgrimes.bsky.social · 16/05/2026
Great day teaching at Bayes Business School today. AI of course. One interesting takeaway: we are likely to see AI competence become a significant social division, empowering those that can/will use it, and disadvantaging those that don’t. However - may be reversed in younger groups re education
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Keith Grimes @keithgrimes.bsky.social · 01/05/2026
The event is ORCA Innovate - can’t find them on Bsky
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Keith Grimes @keithgrimes.bsky.social · 01/05/2026
speaking at the @unboxed.co event today, safety and AI of course, and now onto some great pitches!!
unboxed.co
A service design and digital product development agency
We are a service design and digital product development agency. We create digital products and services that solve complex problems and have a positive impact on people's lives.
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Keith Grimes @keithgrimes.bsky.social · 12/04/2026
Viktor Orban concedes. Some more good news! One in the eye for JDV
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Craig @craig.nikolic.co.uk · 04/03/2025
A reminder that Scotland hated Trump before it was fashionable: www.youtube.com/watch?v=3pbT...
youtube.com
The Original Trump Haters | Full Frontal with Samantha Bee | TBS
YouTube video by Samantha Bee
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Craig @craig.nikolic.co.uk · 31/03/2026
Folks, can you not do April Fools' Day jokes on politics, pretty please? It's already seriously hard to tell parody from delusional politics and politicians, and often parody makes more sense. Just do them on non-politics subjects and in return I won't wish you a painful boil on the backside.
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Keith Grimes @keithgrimes.bsky.social · 28/02/2026
Spring begins to emerge in #Stonehaven
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Keith Grimes @keithgrimes.bsky.social · 20/02/2026
The march of the code assistants moves on: www.anthropic.com/news/claude-...
anthropic.com
Making frontier cybersecurity capabilities available to defenders
Claude Code Security is one step towards our goal of more secure codebases and a higher security baseline across the industry.
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Nick Pettigrew @nick-pettigrew.bsky.social · 08/02/2026
I'm convinced AI is our generation's radium - a discovery with genuinely useful applications in specific, controlled circumstances that we stupidly put in everything from kid's toys to toothpaste until we realised the harm far too late where future generations will ask if we were out of our minds.
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Keith Grimes @keithgrimes.bsky.social · 25/01/2026
It’s a fabulous adaptation btw: youtu.be/zymgtV99Rko?...
youtu.be
Watchmen | Official Tease | HBO
YouTube video by HBO
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Keith Grimes @keithgrimes.bsky.social · 25/01/2026
Is anyone *not* strict by the parallels between 2019 Watchmen adaptation (HBO) and current situation with masked ICE officers in US?
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Keith Grimes @keithgrimes.bsky.social · 03/01/2026
Night sky over Seaford, East Sussex
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Keith Grimes @keithgrimes.bsky.social · 16/12/2025
Watching Princess Bride because: 1) rob Reiner was a genius 2) Donald Trump is an arsehole
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Sung Kim @sungkim.bsky.social · 10/12/2025
One statistic that really surprised me is how sharply disability registration has risen at elite universities. At Brown and Harvard, more than 20% of undergraduates are registered as disabled. At Amherst, it’s 34%, and at Stanford, it's 38%.
theatlantic.com
Accommodation Nation
America’s colleges have an extra-time-on-tests problem.
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George Monbiot @georgemonbiot.bsky.social · 26/11/2025
If you're in Glasgow this Friday afternoon, I'm giving a talk. It's free and all are welcome: www.eventbrite.co.uk/e/a-talk-by-...
eventbrite.co.uk
A talk by George Monbiot: Capitalism, Power and Environmental Justice
George Monbiot will discuss some surprising histories of exploitation, and explore what a new radical politics might look like.
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Russ Jones @russincheshire.bsky.social · 11/11/2025
Good morning to all those people who wasted the last decade saying, "there's no point tackling climate change in the UK, because China." www.theguardian.com/world/2025/n...
theguardian.com
China’s CO2 emissions have been flat or falling for past 18 months, analysis finds
World’s biggest polluter on track to hit peak emissions target early but miss goal for cutting carbon intensity
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luokai @luok.ai · 17/10/2025
Claude just got “Skills”—modular folders that turn it into a specialist on demand. ⚙ Key stats Products: Apps, Code, API. Features: composable, portable, efficient, powerful (code exec). Use cases: Excel/PowerPoint/Word/PDF.
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Keith Grimes @keithgrimes.bsky.social · 26/09/2025
Anthropic models now available to Microsoft co-pilot users - great! Microsoft shipping data outside its secure cloud to do so, and losing all warranties re residency, copyright protection, etc, into the bargain - not great!
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Keith Grimes @keithgrimes.bsky.social · 03/09/2025
UK emergency messaging test this Sunday 7th at 3pm Anyone who has covert phone may need to take steps to avoid potential discovery, such as those in domestic violence situations educationhub.blog.gov.uk/2025/09/what...
educationhub.blog.gov.uk
What you need to know about the Emergency Alerts test on 7 September
The government will be testing the Emergency Alerts system this Sunday, and your phone is likely to make a loud noise even if it's on silent. Here's everything you need to know about what's happening ...
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Keith Grimes @keithgrimes.bsky.social · 28/08/2025
The two sides of living in a seaside town
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Keith Grimes @keithgrimes.bsky.social · 27/08/2025
Agentic browser plugins - very tempting, but also potentially very risky. Especially in healthcare context www.curistica.com/insights/age...
curistica.com
Agentic Browser Plugins in Healthcare: A warning — CURISTICA: a radical clinical innovation consultancy
Last night I received an email from Anthropic offering me the opportunity to join a waiting list for their new chrome plugin. It promises a great deal - an AI within the main tool I use to interact wi...
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Keith Grimes @keithgrimes.bsky.social · 12/08/2025
Now is an absolute golden age for Product Engineers.
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Sung Kim @sungkim.bsky.social · 12/08/2025
If your team already has a PM, encourage them to be a vibe coder. If not, hire one who can vibe code. A working prototype is invaluable for gathering user feedback. If you are a PM, learn to vibe code.
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Keith Grimes @keithgrimes.bsky.social · 11/08/2025
Is Chain-of-thought and “reasoning” merely a simulation of reasoning, and therefore constrained by pre-training data? arxiv.org/pdf/2508.01191
arxiv.org
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Keith Grimes @keithgrimes.bsky.social · 22/07/2025
Can confirm
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Keith Grimes @keithgrimes.bsky.social · 21/07/2025
I’m about 18 months into learning the alto saxophone, having never played an instrument or studied music before. It’s been a total joy - sharing because if you are wondering if and when you should learn to play something: don’t. Go for it.
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Helen Hughes @helenh49.bsky.social · 27/06/2025
A Trust in Cornwall said to their board that cyber security of health systems underwrites #patientsafety. Absolutely and an avoidable death sadly proves that 😥
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Keith Grimes @keithgrimes.bsky.social · 29/05/2025
For all me AI savvy followers, I’d welcome any links or refs to SotA eval approaches for translation using LLMs. It’s an area that seems to be a little stuck, but I could be looking in the wrong places
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Ethan Mollick @emollick.bsky.social · 13/05/2025
In September, 2024, physicians working with AI did better at the Healthbench doctor benchmark than either AI or physicians alone. With the release of o3 and GPT-4.1, AI answers are no longer improved on by physicians Error rates appear to be dropping for newer AI models. openai.com/index/health...
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Keith Grimes @keithgrimes.bsky.social · 10/05/2025
I’m new to the MCP game, but running Claude desktop with custom extensions has really opened my eyes to what can be achieved. Connected Notion, Gmail, and WhatsApp in short order. Wow
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Keith Grimes @keithgrimes.bsky.social · 05/05/2025
I’ve built a automated eval platform in 2 hours today. Something that would have been well beyond my capabilities pre-copilot, and even with help would have taken weeks. Incredible
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Keith Grimes @keithgrimes.bsky.social · 20/04/2025
Soggy walk with Maneesh Juneja, still a great way to start Easter Sunday
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Keith Grimes @keithgrimes.bsky.social · 07/04/2025
This is quite an affecting piece of writing, and something that will stay with me for a while. It speaks to that which we individually have control over, which is also nice in current times
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Keith Grimes @keithgrimes.bsky.social · 06/04/2025
It’s an incredible time to be building a startup
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Aaron Rupar @atrupar.com · 01/04/2025
"I don't want a Disney vacation of our history! I don't a whitewashed history, I don't want a homogenized history. Tell me the wretched truth about America, because that speaks to our greatness" -- 20 hours into his speech, Cory Booker is spitting absolute 🔥
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Ethan Mollick @emollick.bsky.social · 18/03/2025
So it looks like there's a third scaling law: you can make models better by (1) training them with more compute, by (2) having them "think" for longer about an answer, or by (now 3) generating large numbers of answers in parallel & picking good ones Both 2 & 3 seem to have lots of low-hanging fruit
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Keith Grimes @keithgrimes.bsky.social · 17/03/2025
This is a keen observation. Specific prompting techniques have become less valuable as the tech develops, but familiarity with the tools and the ability to clearly describe tasks is taking over
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