iiinova — where your digital self keeps evolving

Reposted by Lesley Smith

Eric Topol @erictopol.bsky.social · 30/09/2026

Exercise slowed epigenetic aging again. This time in a randomized controlled trial among breast cancer survivors. academic.oup.com/jnci/advance...

219741

Lesley Smith @lesleysmith.bsky.social · 29/09/2026

“It bears repeating that it is no longer ethical to assign individuals [affected by cancer] to not receive exercise” “It is time for health systems to fund and implement the care that we already know works” Great piece in @thelancetoncol.bsky.social www.thelancet.com/journals/lan...

thelancet.com

Exercise oncology: from trials and guidelines to routine clinical care

In oncology practice, there are trade-offs between quality of life and survival for many therapies. Similar trade-offs exist for drug reimbursement based on therapeutic effectiveness, affected populat...

000

Reposted by Lesley Smith

Breast Cancer Now @breastcancernow.bsky.social · 25/09/2026

In this week’s podcast episode, Laura speaks to Dani Binnington about the impact of a cancer-induced menopause and how significantly the menopause, especially after cancer, can affect so many aspects of life. Listen or watch now. www.youtube.com/watch?v=RDcgAjUKc-k

022

Lesley Smith @lesleysmith.bsky.social · 25/09/2026

Gorgeous day today in Richmond Park. An abundance of robins. The deer gathering for the rutting season. The magnificent oak trees. Squirrels scarpering around for acorns. Bike riders, horse riders, hikers, dog walkers, runners, wedding photography groups 📸 all enjoying the Autumn sun

100

Reposted by Lesley Smith

Tanita Tikaram @tanitatikaram.bsky.social · 23/09/2026

How I feel right now about the British/ 🇬🇧English( whatever) political landscape is that some one wrapped in a Union Jack could whack me over the head with a flag pole & the BBC would shove a microphone in my face asking why I provoked the attacker & the Home Sec would invite the attacker for tea .

271370380

Reposted by Lesley Smith

Cancer Therapy Advisor @cancertherapyadv.bsky.social · 22/09/2026

A study in Cancer analyzing 1,581 male childhood cancer survivors found many underestimate their long-term risk for sexual dysfunction, even after high-risk treatments. Find all the data here: bit.ly/3UZ8Jb3 #PediatricCancer #CancerCare

011

Reposted by Lesley Smith

PRDA @prda.org.uk · 17/09/2026

An important discussion at #PRDA26 this morning from Dr Claire Higham on prediction, prevention and management of radiotherapy related insufficiency fractures. Find the RadBone feasibility study here: bmjopen.bmj.com/content/12/6/e056600 #PelvicRadiationDisease #RRIF

011

Reposted by Lesley Smith

PRDA @prda.org.uk · 17/09/2026

Fascinating research being shared at #PRDA26 by Mr Ramesh Thurairaja, exploring the efficacy of RADA16 in the management of radiation cystitis. Emerging evidence is an important part of improving care for people living with Pelvic Radiation Disease. #PelvicRadiationDisease

011

Reposted by Lesley Smith

PRDA @prda.org.uk · 17/09/2026

Research and evidence are at the heart of #PRDA26. Prof. Stephen Radley is sharing results from the PRD e PAQ pilot study in Sheffield and exploring what this research could contribute to our understanding and management of Pelvic Radiation Disease. #PelvicRadiationDisease

011

Reposted by Lesley Smith

PRDA @prda.org.uk · 17/09/2026

Dr Lisa Durrant sharing the story of how a patient complaint helped lead to the development of a commissioned regional radiotherapy late effects service. A common thread at #PRDA26: the importance of patient experience and how it can help drive meaningful improvements in care.

011

Reposted by Lesley Smith

PRDA @prda.org.uk · 17/09/2026

Wonderful to hear from Robyn Bowman, sharing Between the Navel and the Knees, an award winning series of sexual function videos. A resource helping to open up conversations around sexual function and improve support for people affected by #PelvicRadiationDisease #PRDA26

011

Reposted by Lesley Smith

British Geriatrics Society @gerisoc.bsky.social · 15/09/2026

In the latest BGS blog, Anna Murray, Senior Programme Manager at Cheshire and Merseyside Cancer Alliance, shares an insight into the area’s Frailty in Cancer Programme and the Cheshire and Merseyside Frailty in Cancer Assessment and Management Guidance, endorsed by the BGS. buff.ly/adD95Zn

bgs.org.uk

The Cheshire and Merseyside Frailty in Cancer Programme: Working towards frailty-attuned cancer care | British Geriatrics Society

Anna Murray is a Senior Programme Manager works for Cheshire and Merseyside Cancer Alliance (CMCA). She currently leads the Frailty in Cancer Programme for the area, with clinical leadership from…

021

Reposted by Lesley Smith

Alasdair MacLullich @amaclullich.bsky.social · 12/09/2026

507 people with advanced lung cancer got palliative care either every four weeks, or only at key moments with regular checks in between. 2.4 visits against 4.7. Quality of life at six months was no worse. Days in hospice were lower: 19.5 against 34.6. pubmed.ncbi.nlm.nih.gov/388...

pubmed.ncbi.nlm.nih.gov

021

Reposted by Lesley Smith

Jen L, PhD @drjkyl.bsky.social · 11/09/2026

Difficult conversations in bladder cancer survivorship: Integrating mental health and intimacy into routine urologic care Bladder Cancer @journals.sagepub.com journals.sagepub.com/doi/10.1177/... #BCAN #cancercare #oncology #openaccess

012

Reposted by Lesley Smith

Marcus Chown @marcuschown.bsky.social · 10/09/2026

“Help! My children are drowning!” “Sorry, mate, you’re brown.” Who wants to live in a country where people don’t go to the rescue of men, women and children in danger of losing their lives? The racists do. Please support the wonderful RNLI rnli.org/support-us/g...

rnli.org

Donate to the RNLI and help save lives at sea

Your donations really make a difference. We depend on your generosity to educate people to stay safe and prevent tragedies on and offshore. Donate here.

819463

Lesley Smith @lesleysmith.bsky.social · 09/09/2026

Why not also use AI to prevent or reduce risk of cancer in the first place? 🤔 Or to support behaviour change after cancer treatment to help reduce side effects & risk of recurrence? 💪🏃‍♂️

020

Lesley Smith @lesleysmith.bsky.social · 09/09/2026

Fantastic blog by Hilly Webb-Peploe on the importance of psychological expertise in cancer care - that it should “no longer seen as the optional ‘cherry-on-top’, but the enabling and enriching ‘yeast’ embedded throughout cancer services” 👏 blogs.bmj.com/spcare/2026/... #CancerQualityOfLife

blogs.bmj.com

Psychological expertise in the national cancer plan: an implicit ingredient? – BMJ Supportive & Palliative Care

021

Reposted by Lesley Smith

Charlie Jones @charliepsych.bsky.social · 08/09/2026

A 'whole society' approach to healthcare & health, supported by decades of social policies. In Denmark 🇩🇰 You can't just 'fix the NHS' & expect similar outcomes. Denmark's approach is better.

Excerpt from article that says:

"...people tend to reach hospital in better shape than those in the UK. That difference comes from decades of social policies that support welfare, reduce inequality, improve housing and build a strong culture of prevention. By contrast, the UK has tried to use the NHS to treat its way out of deeper social and economic problems, even though no amount of NHS spending on its own can fix issues that start long before someone walks into a clinic."

2136

Reposted by Lesley Smith

John Sheridan RN @johnsheridanrn.bsky.social · 04/09/2026

NHS England is holding a webinar to share Dignity and Compassion developments. This webinar will look to: Share case studies and examples of best practice developed to improve quality and experience around dignity and compassion at the end-of-life

121

Reposted by Lesley Smith

Charlie Jones @charliepsych.bsky.social · 04/09/2026

The Channel 4 revelations might not immediately change the minds of people who vote Reform. But it absolutely should change the position of the media giving them so much air time. Outlets that continue to fawn to them expose themselves as having zero credibility.

2536491

Reposted by Lesley Smith

Journal of the American Geriatrics Society (JAGS) @agsjournal.bsky.social · 31/08/2026

A telehealth geriatric assessment and management intervention increased approach-oriented coping among older adults with metastatic cancer. agsjournals.onlinelibrary.wiley.com…

022

Reposted by Lesley Smith

International Society of Geriatric Oncology (SIOG) @siogorg.bsky.social · 12/08/2026

Missed it live? The SIOG Webinar on geriatric assessment in routine cancer care is now on demand. loom.ly/QX6EvEA #GeriatricOncology #GeriOnc

022

Reposted by Lesley Smith

International Society of Geriatric Oncology (SIOG) @siogorg.bsky.social · 29/07/2026

What does bringing geriatric assessment into routine practice actually look like? This #SIOGwebinar on 5 August at 15:00 CEST has two clinicians sharing their experiences. Free, open to all. Register: loom.ly/svYTJsA #GeriatricOncology #GeriOnc

022

Lesley Smith @lesleysmith.bsky.social · 03/09/2026

📣 Free event on late effects of pelvic radiotherapy- great learning and networking opportunity. See you there!

000

Reposted by Lesley Smith

National Lung Cancer Audit @nlca-natcan.bsky.social · 02/09/2026

🎯 The intervention focuses on improving access to Lung Cancer Nurse Specialists (LCNS), helping to improve patient experience, treatment access, and outcomes.

011

Lesley Smith @lesleysmith.bsky.social · 29/08/2026

Am now retired from @england.nhs.uk through voluntary redundancy but it will not dim my passion for #LivingWithAndBeyondCancer. I remain as a trustee for @prda.org.uk a small but mighty charity working to improve quality of life for people with difficult chronic problems after pelvic radiotherapy 💙

130

Reposted by Lesley Smith

Royal College of Anaesthetists @rcoanews.bsky.social · 27/08/2026

Our Centre for Perioperative Care (CPOC) is seeking three Perioperative Local Leads per UK hospital. Interested clinicians & allied health professionals, apply here👉 ow.ly/hRAz50ZzovQ or contact CPOC@rcoa.ac.uk for further information. #Ansky #Medsky

011

Reposted by Lesley Smith

Royal College of Anaesthetists @rcoanews.bsky.social · 27/08/2026

Join the conversation on perioperative care, prehabilitation and rehabilitation 🗣️ Connect, learn, and share with Wessex Cancer Alliance, Centre for Perioperative Care (CPOC) & Macmillan Cancer Support. Q community brings together healthcare pros 👏 Join 👉 ow.ly/OBnG50ZA6a5 #Ansky #Medsky

Join our Perioperative Care – Prehabilitation Q Group!

031

Reposted by Lesley Smith

Sue Ryder @sueryder.bsky.social · 25/08/2026

Our Chief Executive @jamescsanderson.bsky.social Sanderson has shared his thoughts with @hsj.co.uk on the challenges facing Integrated Care Boards as they are increasingly asked to prioritise palliative and end-of-life care amid growing financial pressures. www.hsj.co.uk/policy-and-r... (paywall)

A quote reads "Nearly 200,000 people across the country don’t get the palliative care they need. I’m worried that after seeing the scale of the challenges facing ICBs, this new guidance and the evidence exposing the gaps in care could be seen as a burden for the system rather than an enabler to support wider priorities. Taking more palliative care into the community must be the future of the sector. It offers a cost-effective way to reach more people who need us, and it is where most people want to be cared for.To ensure everyone receives the right care, in the right place, at the right time, stronger integration between these new community services and the palliative care sector will be essential." Attributed to James Sanderson, Chief Executive at Sue Ryder

031

Reposted by Lesley Smith

Lung Cancer Europe @lungcancereurope.bsky.social · 25/08/2026

One week to go. Our Annual Reports have built more than a decade of evidence from people affected by #lungcancer across Europe. The survey for our 12th Report opens 1 September, focusing on quality of life and support needs. The more people who take part, the stronger the evidence. #LCSM

051

Reposted by Lesley Smith

Pete Moore @paintoolkit.bsky.social · 25/08/2026

1st cancer Supported Self Management - Online Worldwide Conference 21st November 2026 How to register and more information www.eventbrite.co.uk/e/cancer-sup... #selfmgtliving #inspireselfmgt #prehab #cancerselfmgt #livingwellskillz Please share Thank you Pete

022

Reposted by Lesley Smith

Steve Peers @stevepeers.bsky.social · 21/08/2026

If you are an academic still on X, you are facilitating a guy who aims to destroy you

822977

Lesley Smith @lesleysmith.bsky.social · 21/08/2026

Fantastic to read about #LivingWithAndBeyondCancer achievements by @cmcanceralliance.bsky.social ⭐️⭐️⭐️⭐️⭐️ Amazing level of savings from Personalised Stratified Follow Up, which also translates into considerable savings in patient & carer time, travel costs and stress, not to mention CO2 👏👏

020

Reposted by Lesley Smith

Alf Collins @alfcollins.bsky.social · 20/08/2026

It continues to amaze me how much of healthcare relies on patients changing their behaviour, yet how little time is spent training healthcare professionals in behaviour change techniques. There is a pervasive sense of ‘if clinicians tell patients to……, they’ll just do it’

241

Reposted by Lesley Smith

Carole Cadwalladr @carolecadwalla.bsky.social · 20/08/2026

A professor writes: (Jason Stanley) The problem is that journalists failed to do basic journalism. Not a single reporter seems to have checked’ Jason Arday’s citations. The ‘quantifiable metrics’ of his work. Prof Stanley did: ‘Arday is easily comparable to the leading scholars in the field’

6126811065

Lesley Smith @lesleysmith.bsky.social · 20/08/2026

Excellent report showing the importance of psychological care as part of cancer care. As lung cancer survival continues to rise, more and more people will need support with #LivingWithAndBeyondCancer with the long term impacts of treatment on physical and mental health

010

Reposted by Lesley Smith

THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 19/08/2026

Are you a patient, carer or member of the public interested in sharing your experiences to improve healthcare? The recently launched Voice and Insight Panel is a simple way to learn about and contribute to research. Find out more and join: ths.im/4a4iZDt

Woman drinking a hot drink whilst doing some research on her laptop.

032

Reposted by Lesley Smith

Darren Newman @daznewman.bsky.social · 14/08/2026

If people have worked through the night to count votes because of a pointless by election you have caused then you should have the courage to stand on the platform and say thank you to them. #Clacton

1130373

Reposted by Lesley Smith

Count Binface @countbinface.bsky.social · 13/08/2026

Checkmate, Nige.

14778241990

Reposted by Lesley Smith

JAMA @jama.com · 08/08/2026

💡 JAMA Insights: #PhysicalActivity is an effective component of care for people with #chronic #medical conditions, and #clinician #communication can help support behavior change. ja.ma/4z5L5Ji

JAMA document titled 'Communicating With Patients About Physical Activity,' published Aug 6, 2026. It features a table with focus points and practical examples for discussing physical activity, covering topics like opening conversation, supportive communication, safe intensity, and behavior changes.

0117

Reposted by Lesley Smith

Count Binface @countbinface.bsky.social · 12/08/2026

For thousands of years, a solar eclipse has been a prophetic harbinger of a spectacular, epoch-making event. Just saying. #VoteBinface #Clacton

19972951570

Reposted by Lesley Smith

Jo Morrison @jomorrison.medsky.social · 11/08/2026

Dear BBCR4 news, why are you giving more air time to Trump and his antivax nonsense and repeating the false link with autism? Data show that this strengthens the fake news messaging. It’s irresponsible and not in the public interest #BBCNews @bbcrosatkins.bsky.social @bbcstever.bsky.social

051

Reposted by Lesley Smith

Henry Mance @henrymance.ft.com · 09/08/2026

Chris Hohn, billionaire hedge fund manager: ‘All these people who say we can't afford net zero - they're completely misunderstanding the gravity of the situation.' www.thetimes.com/article/de38...

281196463