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Neal Maskrey

@stokemacca.bsky.social
307 followers 132 following 73 posts

Former GP, then medicines and prescribing nationally in UK. Visiting Prof @ Keele Uni. Author of “Rebalancing Medicine”. Family, football, friends. Seeking individualised not industrialised medicine. All views my own.

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Neal Maskrey @stokemacca.bsky.social · 22/05/2026
bjgplife.com/the-gatekeep... bjgplife.com/the-gatekeep... Parts 3 & 4 of our Wizards and Gatekeepers parable are now out!! Enjoy!!
bjgplife.com
The gatekeepers and the wizards revisited (Part 4): The Wizard-Psychologist – BJGP Life
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Trisha Elliott @trishaelliott.bsky.social · 08/03/2026
The story of the Paper Boat was a blog I wrote back in 2018 for @gerisoc.bsky.social. It was an analogy that I found useful to explain to patients and families how difficult it can be to predict the future accurately. Now as I and my friends get older, I find myself sharing it once again. 🧵1/n
The story of the Paper Boat.

A British Geriatric Society blog from 2018. 
Let me know if you’d like the full text & I’ll send it to you.
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Neal Maskrey @stokemacca.bsky.social · 02/12/2025
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Alf Collins @alfcollins.bsky.social · 04/09/2025
Just watched the monstrous RFK in front of the Senate Finance Committee claiming he is ‘taking the politics out of science’ whilst doing the precise opposite. My God, the suffering and death that appalling man is wreaking.
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Sir David Haslam @david-haslam.bsky.social · 11/08/2025
My letter in today’s Times newspaper…
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Prof Christina Pagel @chrischirp.bsky.social · 20/06/2025
Now tagging Bea herself! @drelvey.bsky.social
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Morgan J Freeman @mjfree.bsky.social · 16/06/2025
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Neal Maskrey @stokemacca.bsky.social · 30/05/2025
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Neal Maskrey @stokemacca.bsky.social · 29/05/2025
A lot of blue sky. Happy Wednesday.
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Neal Maskrey @stokemacca.bsky.social · 12/05/2025
How can Labour possibly get to the stage where they get something like this so very wrong? Are they not getting good advice or don’t they listen to it?
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 11/05/2025
My father spent his final 3 years in an Elderly Mentally Infirm home. The care staff were from Uganda and worked impressively as a team. Dad received truly excellent care which retained his dignity and love of life despite worsening dementia. They came to his funeral, sang beautifully, hugged us. 😢
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Neal Maskrey @stokemacca.bsky.social · 12/05/2025
Madness is mild! I’ve a relative in a Care Home. I’d say 25% of the staff are recently arrived from overseas and they’re lovely and here. Whereas recruiting locally drew a blank. It’s frightening to think where we will be by the time / if we need care. We already know the NHS locally is 🥵😬
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Neal Maskrey @stokemacca.bsky.social · 12/05/2025
observer.co.uk/news/interna... Awful. How on earth was this allowed to happen? It feels like those of us who have spent their careers in public service are being made fools of. And it’s dangerous for democracy.
observer.co.uk
How the US president and his clan ushered in a new golden age of corruption | The Observer
The presidency and personal gain now go hand in hand – and no one has been able to do anything about it
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Farrukh @implausibleblog.bsky.social · 22/04/2025
As the news report that US Secretary of Defence Pete Hegseth had a second signal chat in which he shared detailed military plans with his family One wonders if he was inspired by Mission Gainsborough from this episode of Blackadder Goes Forth 👀
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Neal Maskrey @stokemacca.bsky.social · 14/04/2025
Have you ever seen anything like that? (Masters golf. Rory McIlroy. Grand slam at the 11th attempt. One of the greatest sporting days ever).
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Alf Collins @alfcollins.bsky.social · 21/03/2025
Totally. Until and unless guidelines and pathways are explicitly populated with decision points and choices, SDM is arguably a bit of a losing battle.
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Neal Maskrey @stokemacca.bsky.social · 21/03/2025
Once you start looking, it’s tramlines not guidelines everywhere. Inexorably leads to overdiagnosis and overtreatment.
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Mark Little @marklittle.bsky.social · 06/03/2025
"By flooding search results and web crawlers with pro-Kremlin falsehoods, the network is distorting how large language models process and present news and information” www.axios.com/2025/03/06/e...
axios.com
Exclusive: AI chatbots echo Russian disinformation, report warns
Bots from Microsoft, Google, OpenAI and others spew falsehoods.
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George Conway ⚖️🇺🇸 @gtconway.bsky.social · 06/03/2025
I see tomorrow is Friday. Is Friday going a tariff day, or a some-tariffs day, or a no-tariffs day? Or will it be some other kind of day, like an annex-Greenland day, or a Hannibal-Lecter-wants-to-have-you-for-dinner day, or an Arnold-Palmer-size day, or something else? I just can’t keep track.
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Peter Stefanovic @peterstefanovic.bsky.social · 05/03/2025
Absolutely shameful, utterly unforgivable www.reuters.com/world/us-cut...
reuters.com
US cuts off intelligence sharing with Ukraine, FT reports
The United States has cut off intelligence-sharing with Kyiv in a move that could seriously hamper the Ukrainian military's ability to target Russian forces, the Financial Times reported on Wednesday, citing officials familiar with the matter.
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Selvaseelan Selvarajah @drselvarajah.bsky.social · 04/03/2025
I taught my dog to play the trumpet on the London Underground. We went from Barking to Tooting in less than an hour. #dadjokes
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Neal Maskrey @stokemacca.bsky.social · 04/03/2025
Zelensky’s refusal to bow to Trump was a big factor in Trumps first impeachment. Why is mainstream media not talking about this?
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CW @whitworthce.bsky.social · 02/03/2025
youtu.be/D6ouyeycWk8?... It is time for this….
youtu.be
Love Actually - Prime Minister's speech
YouTube video by Danilo Balu
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David Oliver @mancunianmedic.bsky.social · 02/03/2025
www.theguardian.com/society/2025...
theguardian.com
‘We’re losing decades of our life to this illness’: long Covid patients on the fear of being forgotten
Five years on from March 2020, millions of people still face debilitating symptoms, with huge repercussions on public health and productivity. But politicians are starting to pretend the pandemic neve...
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Neal Maskrey @stokemacca.bsky.social · 01/03/2025
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The BMA @bma.org.uk · 28/02/2025
“This is going to take time to rebuild, but today’s starting point is promising” Our GP committee chair @drkatie.bsky.social speaking about the GP contract agreement on BBC Breakfast this morning. www.bma.org.uk/our-campaign...
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God @thegodshow.com · 14/02/2025
This wasn’t some liberal holdover. This wasn’t a career bureaucrat. This was someone Trump’s team installed. And even she couldn’t stomach what they were doing. She wasn’t alone. Five more federal prosecutors resigned in protest. Bless their courage!
thegodpodcast.com
Trump Appointed Prosecutor Quits In Defiance Of His Corruption
Read her bombshell resignation letter.
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Mike Galsworthy @mikegalsworthy.bsky.social · 10/02/2025
🔥 Well... this is now over 88,000 signatures! Just one final push to get it over that magic 100,000 and get a parliamentary debate? Why not! Link --> petition.parliament.uk/petitions/70...
Screenshot of petition  to join EU as full member.
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Helen Salisbury @helensalisbury.bsky.social · 04/02/2025
@trishgreenhalgh.bsky.social, queen of evidence, has done a systematic review of what scant research exists on Physician Associates in the UK. Great work.
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Phil Whitaker @pwhitakerwriter.medsky.social · 03/02/2025
The curious case of Sarah and her sinuses, and what it reveals about the lamentable wrong-headedness among the leadership of England's NHS. My piece in this week's @newstatesman.com www.newstatesman.com/politics/hea...
newstatesman.com
NHS England has no idea about GPs
Reform will only happen when the organisation confronts how lamentably wrong-headed it has been.
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Neal Maskrey @stokemacca.bsky.social · 03/02/2025
Happy Monday 👍
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Neal Maskrey @stokemacca.bsky.social · 15/01/2025
x.com/lucygoss/sta... This amazing woman is both an NHS oncologist and a world class endurance athlete. And whilst I’ve never met her, she seems like a lovely human being. Please support if you can. Thanks!
x.com
x.com
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PrescQIPP CIC @prescqipp.info · 09/01/2025
In tomorrow's #TalkingMeds, @jonathanunderhill.pharmsky.app welcomes Keele University Honorary Professor Neal Maskrey to discuss his new book, Rebalancing Medicine. Jonny and Neal also reflect on their careers and address how we can meet future healthcare challenges. @stokemacca.bsky.social
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Neal Maskrey @stokemacca.bsky.social · 07/01/2025
Consistent under-appreciation of what primary care can do and an over-estimation of the benefits of shiny bits of technology is a feature of at least the last 20 years of the NHS.
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Rebecca Payne @oohgpwales.bsky.social · 04/01/2025
Editor of the BJGP said this about our paper! “The authors have done us an enormous service and this is arguably one of the most important articles we have published in many years” V chuffed!
bjgp.org
The enshittification of general practice
It was Cory Doctorow, the author, who coined the term ‘enshittification’ when he used it to describe the evolution and, critically, the deterioration of tech platforms. In 2023 the American Dialect So...
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Neal Maskrey @stokemacca.bsky.social · 05/01/2025
Not much blue sky today😉
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Lesley Abravanel🥂🪩 @lesleyabravanel.bsky.social · 03/01/2025
👏👏👏👏👏👏👏👏👏
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Neal Maskrey @stokemacca.bsky.social · 25/12/2024
The Knitivity scene. 🥰
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Neal Maskrey @stokemacca.bsky.social · 24/12/2024
www.bmj.com/content/387/... Got to be a serious rebalancing of medicine for 21st Century. New readers start here.
bmj.com
Medical education fit for the future requires radical change
How we train future clinicians has the potential to radically and sustainably improve healthcare for everyone. Current medical education has an overt biomedical focus that does not engage enough on wi...
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Yalda @thatopinionatedgal.bsky.social · 20/12/2024
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Neal Maskrey @stokemacca.bsky.social · 20/12/2024
Hear hear. So long overdue.
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Prof Christina Pagel @chrischirp.bsky.social · 19/12/2024
Latest data out today. Essentially a tripledemic or quad-demic still not on the cards because covid low and RSV declining (slowly), but Flu is on a bad trajectory - exceeding last year's peak and no sign of slowing yet.
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Neal Maskrey @stokemacca.bsky.social · 19/12/2024
Sportsperson of the Year (UK) was Keely Hodgkinson. A worthy winner. But I’d still have given it to Jasmin Paris for the first woman ever finishing the Barclay Marathons. And she won the Spine Race outright in 2019 with an all time record beating all the men). And a FT job as a vet, two young kids 😳
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God @thegodshow.com · 19/12/2024
Instead of Canada becoming the 51st state, the US should consider becoming an 11th province. Americans would get universal healthcare, parental leave, sensible gun control and fries smothered in cheese curds and gravy.
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Neal Maskrey @stokemacca.bsky.social · 17/12/2024
The nurses in the anticoagulant clinic have been banned from dressing up as Santa’s elves this year. Apparently there’s a pixie ban.
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Neal Maskrey @stokemacca.bsky.social · 16/12/2024
bjgplife.com/rebalancing-... A completely lovely review of my book by the legendary Richard Lehman. £2.49 on Kindle, priced to be accessible to almost everyone. (I’m relying on Spielberg or Redford or Lady Gaga to pick up the film rights) 😉.
bjgplife.com
Rebalancing Medicine by Neal Maskrey
Rebalancing Medicine can seem an impossible task. This book describes, often from personal experience, how the political fashions of the last decades first facilitated and then debilitated the essenti
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Neal Maskrey @stokemacca.bsky.social · 16/12/2024
I planted a hedge today. And Percie (Van Robin) the almost tame assistant gardener lent a festive hand. ❤️
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Madre Swift Justice @madreswiftjustice.bsky.social · 15/12/2024
Western Australia
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Kai Kupferschmidt @kakape.bsky.social · 14/12/2024
Sadly, it’s a good time to once again share this amazing infographic that we ran at @science.org more than 7 years ago 🧪 #IDsky www.science.org/content/arti...
science.org
Here's the visual proof of why vaccines do more good than harm
See year by year how vaccines beat back nine dangerous infectious diseases
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Neal Maskrey @stokemacca.bsky.social · 14/12/2024
www.theauralapothecary.com/aural-apothe... Industrialised medicine has failed. Health systems around the world are struggling. John Seddon explains how health care can be rebalanced. The best hour of learning in many a year. A MUST listen. Especially for that nice Mr Streeting.
theauralapothecary.com
7.3 John Seddon - Saving the NHS through system change
Analysis of healthcare in UK & failed attempts to fix it with John Seddon, Vanguard MD. How do we unlearn, understand the system from the patient's perspective and fix our broken medicines systems?
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