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Paul Howard

@paulhoward.bsky.social
1.3K followers 1K following 188 posts

Consultant in Palliative Medicine (Isle of Wight, UK); Palliative Care Formulary Editor (neuropharmacology sections)

PostsRepliesMedia
Reposted by Paul Howard
Prem Sikka @premnsikka.bsky.social · 24/09/2026
This chart published by the Economics Laboratory, shows that the UK social spending is 23% of GDP, covers NHS, social security and support services. It is a useful rebutal to neoliberals calling for cuts to the NHS, state pension and other benefits. www.linkedin.com/posts/charto...
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The Tennessee Holler @thetnholler.bsky.social · 23/09/2026
🔥This is how it’s done. Imagine if every anti-immigrant fearmongering liar was grilled like this. #ShowMeTheStats #GetYourPhoneOut 🏴󠁧󠁢󠁳󠁣󠁴󠁿 (h/t @ukcameraman.bsky.social )
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Sunder Katwala (sundersays) @sundersays.bsky.social · 19/09/2026
Former PM Rishi Sunak in the Sunday Times challenges the rise of ethno-nationalism in British politics, as an argument within the right about Britishness being about ancestry, DNA and ethnicity www.thetimes.com/article/e89d...
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SE16mss @se16mss.bsky.social · 14/09/2026
As is now routine, BBC News leading the app with uncritical, verbatim propaganda from Reform. WHEN is #OFCOM going to stop this ludicrous bias?
Lead story from BBC News app: “Tice says government trying to ‘retrospectively change rules’ as Reform receives £72m…”
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Rachel Howard @rachel-h-iow.bsky.social · 13/09/2026
This is a routine part of my discussion with patients. These medicines are associated with memory problems which may not be reversible when you stop them. The foundation of shared decision making.
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Dame Rainbow Warrior @damerainbowwarrior.bsky.social · 11/09/2026
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Alex von Tunzelmann @alexvont.bsky.social · 10/09/2026
If you feel like donating to the RNLI, here’s a link. I just have. Their minimum donation is £2: I think it might be nice for them to receive a lot of donations this week, even if they’re mostly very modest. Just so they know a lot of people out here appreciate their work. 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.
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Reposted by Paul Howard
Robert Shrimsley @robertshrimsley.bsky.social · 10/09/2026
It's hard to think of anything less British than the morons doing this to the heroic RNLI
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Paul Howard @paulhoward.bsky.social · 06/09/2026
Palliative care clinicians commonly rotate to a different opioid when the 1st is ineffective or poorly tolerated. This is based largely on theoretical differences and bedside experience. Here, we describe our experience of similarly rotating sodium channel blockers (SCBs) doi.org/10.1136/spca...
doi.org
Sodium channel blocker rotation for refractory neuropathic pain
Objectives To investigate the efficacy and safety of sodium channel blocker (SCB) rotation and/or combined use for neuropathic pain where the initial SCB is ineffective or poorly tolerated. Methods A...
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MapQuest @mapquest.com · 27/08/2026
We’re not changing it.
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Carole Cadwalladr @carolecadwalla.bsky.social · 23/08/2026
Here's Jason Arday's death - and the media's role in it - trending on social media, again. And yet it's *nowhere* in the mainstream media today. It's "fallen" out of the news cycle in the same way that Russian scientists "fall" out of windows. 🔗
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Mayor of London, Sadiq Khan @london.gov.uk · 19/08/2026
For years, London's children’s lungs lagged behind. Now they’re catching up. A major new study shows the ULEZ cut exposure to toxic NO₂ and reduced impaired lung function from 14% to 9%.
theguardian.com
Introducing Ulez was my hardest decision as mayor of London – but now we know its astonishing impact | Sadiq Khan
Critics said I was attacking motorists. It’s more important for me that the city’s children are no longer breathing dangerous levels of pollution, says London mayor Sadiq Khan
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Carole Cadwalladr @carolecadwalla.bsky.social · 17/08/2026
NEW: It was a digital lynching. And the media is never going to hold itself to account for the role it played in Jason Arday’s death. But there are things we can do. This is a practical guide based on my own experience. broligarchy.substack.com/p/a-digital-...
broligarchy.substack.com
A Digital Lynching
A practical guide for individuals and organisations when the mobs gather
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Good Law Project @goodlawproject.org · 15/08/2026
Dr Arday’s tragic death was the direct, foreseeable result of press harrassment, with racism playing a key role We're asking the prime minister to commission an immediate public inquiry ito ensure we never see a tragic death like Dr Arday's again goodlaw.social/n1ck
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George Monbiot @georgemonbiot.bsky.social · 15/08/2026
We need to show rightwing newspapers that actions have consequences. Add your name: goodlawproject.org/s/abb8a1
goodlawproject.org
Jason Arday: Demand a public inquiry now | Good Law Project
Commission an immediate public inquiry into how to ensure a responsible press given its contribution to Dr Arday’s tragic death.
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Ian Dunt @iandunt.bsky.social · 29/07/2026
Burnham: "Social care in England is as unfair as American healthcare." It's a very good line.
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Mayor of London, Sadiq Khan @london.gov.uk · 26/07/2026
My thoughts are with everyone affected by the horrific attack in Berlin and their families. This appalling act of violence has no place in our society. London stands in solidarity with Berlin’s LGBTQ+ community. This is why Pride matters. Those who seek to spread hatred and division will never win.
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Tanja Bueltmann @tanjabueltmann.net · 20/07/2026
Unless this “honesty” involves the recognition that immigrants are *not* the root cause of the UK’s problems *but* actually a part of the solution to them, this will be completely pointless. I cannot stress this enough. www.theguardian.com/politics/202...
theguardian.com
Burnham to say UK must be honest about its challenges as he prepares to become PM
Labour leader will visit king to accept role on Monday and will start making cabinet appointments that afternoon
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Shaun Lintern @shaunlintern.bsky.social · 09/07/2026
Latest measles deaths data shows three deaths so far this year with 883 infections so far confirmed:
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Mayor of London, Sadiq Khan @london.gov.uk · 26/06/2026
This is remarkable.
Bar chart which shows y-axis running 0-8000, and x-axis showing years 2019 and 2024. For 2019, a light orange bar runs up to just over 6000, with a darker orange running up to 8000. For 2024, a green bar runs up to 4000, with a dark green running to about 5000. The text "40% lower" is on the lighter green bar. Text at the top of the graphic reads "Estimated air pollution deaths are down by around 40%. New analysis estimates deaths associated with air pollution in London reduced substantially between 2019 and 2024." Text at the bottom of the graphic reads "Note: darker shading shows estimated ranges. Data based on a comparison of estimated mortality burden using updated methods and a scenario-based analysis where only air pollution changes. Source: london.gov.uk/aqmortality". The Mayor of London logo sits in the bottom right-hand corner.
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Eric Topol @erictopol.bsky.social · 15/06/2026
3 new papers on Covid boosters today 1. Less major adverse cardiovascular events in US Veterans jamanetwork.com/journals/jam... 2. High effectiveness for older adults jamanetwork.com/journals/jam... 3. Improved outcomes across all adults jamanetwork.com/journals/jam...
jamanetwork.com
2024-2025 COVID-19 Vaccine and Major Adverse Cardiovascular Events Among US Veterans
This cohort study evaluates the effectiveness of the 2024-2025 COVID-19 vaccine against COVID-19–associated major adverse cardiovascular events.
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Olivier George @brainaddiction.bsky.social · 15/06/2026
Clever use of a complex behavioral task to show that BLA dopamine tracks emotional salience, not value or prediction error. Threat/Safety cues drive larger, sustained signals than reward/neutral cues. Dopamine in the BLA is very much different than in the striatum.
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Shaun Lintern @shaunlintern.bsky.social · 11/06/2026
🚨 Two children in England have died from measles this year. One child died from “acute measles” and another linked to the late effects of measles. So far this year there have been 736 cases compared with 959 cases for the whole of 2025.
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 02/06/2026
Tyneside folk: #CompassionateGateshead is asking for your experience of workplace support (or lack of), while caring for someone terminally ill or after their death. Responses before 12th June please. This questionnaire takes ~5mins. Please pass it on. forms.gle/aYf6DiD6TU5q...
forms.gle
Supporting Employees through Bereavement and Caring Responsibilities
Compassionate Gateshead is exploring how employers in Gateshead can be better supported to help employees returning to work after bereavement or during periods of (caring for someone with) a terminal ...
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Shaun Lintern @shaunlintern.bsky.social · 20/04/2025
🚨 INVESTIGATION: Private clinics delivering NHS cataract surgery face investigation over claims they have artificially inflated costs for the taxpayer, performed unnecessary operations and incentivised high-street optometrists to refer patients to them: www.thetimes.com/article/245f...
thetimes.com
Private cataract clinics investigated while making millions from NHS
Health service bosses fear price inflation and unnecessary operations are costing the taxpayer. Now a fraud unit is getting involved
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Good Law Project @goodlawproject.org · 30/05/2026
“An internal briefing prepared for NHS leaders in February 2026, seen by Democracy for Sale, says that even after ‘optimisation’, ‘processing time is reported as taking 4-5 minutes’ while similar processes take only ‘30 seconds’ with current systems.” goodlaw.social/i108
goodlaw.social
BREAKING: Palantir software is 10 times slower than NHS tools | Good Law Project
Palantir claims its software saves medics time they can spend on patient care, but an NHS leak shows the spy-tech firm’s products put doctors and nurses in the slow lane
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Shaun Lintern @shaunlintern.bsky.social · 28/05/2026
Celebrities, rich people and ex-prime ministers should not make health policy. Prostate cancer screening is just not as simple as some are making out. There are real harms caused when people are treated unnecessarily.
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Matthew Hodson @matthewhodson.bsky.social · 24/05/2026
Section 28 was passed on this day in 1988. It didn’t come out of nowhere. It came from a society where 75% of people thought homosexuality was wrong. It came from a society that believed ignorance was better for children than any knowledge of lesbian or gay lives. 🧵 1/16
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Stephen Bush @stephenkb.bsky.social · 22/05/2026
Not sure if this is one of my most rightwing or my most leftwing takes, but if you believe there is such a thing as “excessive profits” in a sector you really should just go ahead and insource the service you’re paying for:
thetimes.com
Social care providers may face caps on ‘excessive’ profits
Steve Reed, the local government secretary, says he will crack down on ‘unreasonable cost escalation’
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Shaun Lintern @shaunlintern.bsky.social · 17/05/2026
In research from the OECD group of developed countries, Britain ranks joint bottom for nursing pay when compared with the average UK wage.
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Paul Howard @paulhoward.bsky.social · 15/05/2026
@tflondon.bsky.social I left my laptop in a London blackcab yesterday (🤦‍♂️) The driver's dropped it back to the venue where I'd been speaking. What a kind man! Thank you so much
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 13/05/2026
INVITATION: The Art of Living & Dying Well Centre at St Marys University is seeking insights about awareness of practice of care at the end of life in diverse Faith Communities. All welcome. Sessions are online: May 15 May 21 June 1 Scan QR code or email: marianne.rozario@stmarys.ac.uk
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The Guardian @theguardian.com · 11/05/2026
Palantir’s access to identifiable NHS England patient data is ‘dangerous’, MPs say
theguardian.com
Palantir’s access to identifiable NHS England patient data is ‘dangerous’, MPs say
Decision made to grant US tech firm ‘unlimited access’ to data in project to build integrated platform, according to reports * UK politics live – latest updates MPs have warned that an NHS decision to grant Palantir access to identifiable patient information in its plan to use AI to improve the health service is “dangerous” and will fuel public fears that data privacy is not being prioritised. NHS England has allowed staff from the US tech firm and other contractors access to patient data before it has been pseudonymised, despite internal fears of a “risk of loss of public confidence”, the Financial Times reported. Continue reading...
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Pritesh Mistry @mustbemistry.bsky.social · 10/05/2026
There is understandable concern with potential risks of data sharing in the NHS. There is also actual & real harm that happens regularly because there isn’t enough NHS data sharing. Changes to improve data sharing for NHS & social care services will make real positive difference to people’s lives.
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Dr. Mar @boldnewme.bsky.social · 06/05/2026
🎯
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Paul Howard @paulhoward.bsky.social · 04/05/2026
Yet another economic analysis finding palliative care improves patient experience, reduces bed days and saves money. Cheaper and better - we're a solution to the funding crisis. Yet the NHS continues to cut our budgets. journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Specialist palliative care improves patient experience, reduces bed days and saves money: An economic modelling study of home- and hospital-based care - Peter May, Elham Nikram, Therese Johansson, Gem...
Background: High-quality evidence suggests that specialist palliative care reduces the odds of dying in hospital. The economic implications have not been establ...
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 03/05/2026
Geriatricians & physios: can you recommend videos to teach 1. Getting up from a fall 2. Practice exercises to build/maintain strength to get up after a fall. The faller has a sensory peripheral neuropathy affecting joint position sense but not fine touch or pain. Thanks! #falls
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Fred Guttenberg @fredguttenberg.bsky.social · 26/04/2026
If you were horrified watching elected leaders run & scramble because of gun violence, just imagine how my daughter Jaime felt in school running from an active shooter before she was killed. Now, become a part of the solution & only vote for people determined to address gun violence in America.
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 19/04/2026
@hayfestival.bsky.social April book club choice is Paul Kalanithi's When Breath Becomes Air. I'll be discussing the book with @drrachelclarke.com & Sarah Perry, both writers I admire enormously. Please join us online, Thursday 23rd : 7 - 8pm BST It's free: book for tix share.google/FOowlQLkNNzM...
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Paul Howard @paulhoward.bsky.social · 19/04/2026
I start most palliative care consultations with "what's bothering you the most" NHS critics should know that the answer for my American colleagues is often "money". Since health insurance doesn't pay for all chemo, bankruptcy (eg mortgaging own home to pay for chemo) is common ("financial toxicity")
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Shaun Lintern @shaunlintern.bsky.social · 15/04/2026
"By moving money away from delivering care that generates health gains more cheaply to drugs that generate health gains at greater expense, the NHS could end up less able to improve overall health from the same budget" - @healthfoundation.bsky.social www.health.org.uk/features-and...
health.org.uk
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Institute for Public Policy Research @ippr.org · 13/04/2026
Would switching the NHS to an insurance model fix it? Our new research says no. 🎥 IPPR head of health, @sebrees1.bsky.social breaks down why changing the funding model is a distraction, and what would actually make a difference. 🔗 Read more: www.ippr.org/articles/bismarck-versus-beveridge-revisited
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Medical Journalists' Association @mja-uk.bsky.social · 14/04/2026
Private firms providing services to NHS made £1.6bn profit in two years, research finds www.theguardian.com/society/2026...
theguardian.com
Private firms providing services to NHS made £1.6bn profit in two years, research finds
Exclusive: MPs say profit-making levels in England are ‘scandalous’ and call for cap on amount private companies can make from NHS
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 07/04/2026
As guest editor of an EoL & palliative care special edition of @futurehealthj.bsky.social from @rcphysicians.bsky.social, it was important to me that a patient voice was given space. Mark has #MND (ALS). He wrote his entire article using eye-gaze technology. Read on ⬇️
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Paul Howard @paulhoward.bsky.social · 07/04/2026
#Ophthalmology query: do you see fewer eye injuries amongst clinicians since covid? Since Jeremy Hunt forgot to buy the PPE stockpile he'd promised, we bought/made our own as best we could. Since my garage is now awash with various visors, my eyes are better protected during DIY than ever before.
Me wearing a visor in front of raised veg beds I've just made
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Paul Howard @paulhoward.bsky.social · 05/04/2026
POLYANALGESIC TITRATION FOR OPIOID-REFRACTORY PAIN In pall care, conventional approach is serial monotherapy Non-opioid analgesics one at a time If partial response, add a 2nd; no response, switch to 2nd. But this takes time. Here we describe an alternative approach spcare.bmj.com/content/earl...
spcare.bmj.com
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 02/04/2026
Are we getting a skewed understanding of dying from the stories that gain media attention? I was delighted and honoured to be invited to close the day at End Well 2025. Here's my take. bit.ly/EndWellStory...
bit.ly
What We’ve Forgotten About “Ordinary Dying” | Dr. Kathryn Mannix | End Well 2025
For most of human history, dying was something people witnessed, understood, and supported at home. Today, many of us reach the end of life without ever having seen it. In this talk from End Well 2025, Dr. Kathryn Mannix explores how advances in medicine - while lifesaving - have also shaped a widespread misunderstanding of dying. When the only stories we hear are the hardest ones, it distorts what we expect. Through vivid examples and reflections from her decades in palliative care, she makes a case for something simple and urgent: we need to reclaim the stories of ordinary dying. Because storytelling is how we make sense of what we live through, and how we help others do the same. Subscribe to our channel: https://www.youtube.com/channel/UCfm6c70gpUVNvG_1AOE2d1Q?sub_confirmation=1 Share End Well videos on Facebook: https://www.facebook.com/endwellproject/ View End Well videos on Instagram: http://www.instagram.com/endwellproject Tweet End Well videos on Twitter: http://www.twitter.com/endwellproject Follow End Well on Linkedin: https://www.linkedin.com/company/18095550
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 28/03/2026
You can download @futurehealthj.bsky.social EoL Special here: sciencedirect.com/journal/futu... It's been a pleasure to work with all the contributors, and I'm very grateful to the referees who responded with such willingness to help shape the papers. Great team effort, everyone! 15/
sciencedirect.com
Future Healthcare Journal | Vol 13, Issue 1, March 2026 | ScienceDirect.com by Elsevier
Read the latest articles of Future Healthcare Journal at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature
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Dr Kathryn Mannix @drkathrynmannix.bsky.social · 28/03/2026
@donnawakefield.bsky.social @libbysallnow.bsky.social & colleagues envision Pall Medicine 2050: rapidly growing demand will continue, & new ways of working, in collaboration with communities, will be vital to meet the need. See their synthesis & ideas at sciencedirect.com/science/arti...
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