Reposted by JKMVidimoCharlie Jones @charliepsych.bsky.social · 15/04/2026So many of us are not listened to on a regular basis. All the rushing around, so many competing demands & stresses, our attention fragmented all over the place. This is a sad reality. Listening is so hard- being listened to so rare. The pressures are real. But we mustn't give up on listening. 1116021
JKMVidimo @vidimo.bsky.social · 18/02/2026@helensalisbury.bsky.social posted an interesting piece yesterday www.bmj.com/content/392/... the crux of which highlights the importance of referrals and the unanswered medico-legal question but perhaps also the inflexibility of many incumbent clinical systems/processes and the current approach.bmj.comHelen Salisbury: The right to referThe NHS has a longstanding ambition to bring down hospital clinic waiting times, and the cheapest way is by reducing referrals.1 Some referrals are simple, and the patient’s problem might be solved by... 100
Reposted by JKMVidimoDavid Oliver @mancunianmedic.bsky.social · 29/01/2026www.theguardian.com/news/ng-inte...theguardian.comWhat technology takes from us – and how to take it back | Rebecca SolnitThe long read: Decisions outsourced, chatbots for friends, the natural world an afterthought: Silicon Valley is giving us life void of connection. There is a way out – but it’s going to take collectiv... 011
JKMVidimo @vidimo.bsky.social · 19/01/2026www.hsj.co.uk/technology-a... Wrong tech. Wrong approach, wrong target. From 2015 We could've provided a control centre approach at every level from national, to individual bed/pt, with purpose built UK tech, spanning both Health & Care, covering flow, capacity & delays++ for a fraction of the cost.hsj.co.ukNational system held up by ‘limitations’ of Federated Data PlatformDevelopment of a national "system control centre" tool for monitoring healthcare demand and capacity is being held up by "limitations" of the Federated Data Platform, an integrated care board has said... 110
Reposted by JKMVidimoPestilence @pestilence4all.bsky.social · 17/01/2026New study suggests that metastatic cancer cells may evade the immune system by stealing mitochondria from immune cells and setting up a ‘shield’ that protects them from being killed by immune cells. Wiley little bastards. #Science 🧪nature.comCancer might evade immune defences by stealing mitochondriaHijacking the energy-producing organelles from immune cells seems to help tumours in mice to infiltrate lymph nodes. 992735758
Reposted by JKMVidimoDr Duncan Robertson @duncanrobertson.bsky.social · 16/01/2026"Do your own research", as RFK would say. www.theguardian.com/technology/2...theguardian.com‘Not regulated’: launch of ChatGPT Health in Australia causes concern among expertsCalls for clear guardrails and consumer education before wider rollout of OpenAI’s health advice platform 121
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 12/01/2026"Better, cheaper, faster: choose two" is false in the NHS: www.hsj.co.uk/daily-insigh... The system is so far away from optimal performance that all three could improve at once.hsj.co.ukThe mythbuster: NHS care can be faster, better AND cheaperDebates about NHS productivity wrongly assume hard trade-offs are necessary to improve the service's performance. In fact, bottom-up analysis of clinical processes shows better, faster, cheaper care is achievable now 113
JKMVidimo @vidimo.bsky.social · 06/10/2025An effortless, balanced & worthwhile read. Particularly like the red flag reference🙂 Little sign of a cohesive system-wide approach, instead, individual practices adopting a NIKE approach – ‘Just do it.’ Or not... So much potential to do it right though. www.hsj.co.uk/daily-insigh...hsj.co.ukThe mythbuster: The government and BMA are both wrong about online GP accessBoth the government and BMA misunderstand online GP access. Properly implemented triage improves patient care, efficiency, and reduces clinical risks 000
Reposted by JKMVidimoDavid Oliver @mancunianmedic.bsky.social · 24/09/2025www.lancs.live/news/lancash...lancs.liveEvery worker jailed at 'hospital of horrors' as police probe neglect claims'This is reflective of the severity of what has taken place' 454
Reposted by JKMVidimoDavid Oliver @mancunianmedic.bsky.social · 24/09/2025www.theguardian.com/us-news/2025...theguardian.comTrump rails against Tylenol but autism claims not supported by sciencePresident’s announcement latest move in campaign that seeks to valorize the ‘natural’ – often at women’s expense 153
JKMVidimo @vidimo.bsky.social · 15/07/2025Twitter totally inaccessable ERROR: Cross-Origin Request Blocked: The Same Origin Policy disallows reading the remote resource at play.google.com/log?format=j.... (Reason: CORS request did not succeed). Status code: (null).play.google.com 000
Reposted by JKMVidimoAndy Cowper @hpiandycowper.bsky.social · 14/07/2025This is good from @policyskeptic.bsky.social www.hsj.co.uk/daily-insigh...hsj.co.ukThe mythbuster: A plan built by magpiesThe NHS 10-Year Plan dazzles with tech visions but lacks focus, realism, and the operational 'plumbing' needed to deliver improvement 184
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 07/07/2025A really good NHS ten-year plan would have focussed on sorting out the plumbing before trying to build shiny new ways to make the NHS great: www.hsj.co.uk/daily-insigh...hsj.co.ukThe mythbuster: Disdain for the ‘plumbers’ leaves the NHS knee deep in the brown stuffDisdain for management is crippling the NHS - undermining productivity, policy delivery, and the essential 'plumbing' behind effective healthcare systems 012
Reposted by JKMVidimoDr Steve Taylor @drstevetaylor.bsky.social · 07/07/2025David who is 17 years went missing on 6th June, he & his family are friends He got on a flight to #kualalumpur via Dubai The police in UK have been investigating & have passed on information to police in Malaysia. But 4 weeks & no leads to his whereabouts Please share #Malaysia mol.im/a/14883131mol.imI haven't seen my son since he secretly boarded a flight to MalaysiaDavid Balisong, 17, from Cheadle, Greater Manchester, was midway through his A-level exams when he left home on June 6 and flew alone to Kuala Lumpur without telling anyone. 106574
Reposted by JKMVidimoAndy Cowper @hpiandycowper.bsky.social · 16/06/2025From just before GE24: Wes Streeting: new think-tank data shows primary care collapsing. Also Wes Streeting: think-tanks do health establishment complacency and groupthink www.healthpolicyinsight.com/cowpers-cut-...healthpolicyinsight.comCowper’s Cut 329: The 2024 General Election health policy debate - almost as good as England’s footballAhem. Is it me or is there a disconnect between the importance voters place on the NHS this election (see below from@IpsosUK this week) and how little it feels like it’s been discussed? Not that it h... 002
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 16/06/2025The new NHS plan for emergency care is full of distractions and doesn't focus on the key causes of the problem: www.hsj.co.uk/daily-insigh...hsj.co.ukThe mythbuster: The underwhelming UEC planPromising ideas get buried in a confused, under-ambitious UEC plan that misdiagnoses the true nature of the emergency care crisis, writes Steve Black 103
Reposted by JKMVidimoTrish Greenhalgh @trishgreenhalgh.bsky.social · 13/06/2025Crowdsourcing: I'm looking for a reference to support the statement "RCTs are a cultural product". Any sociologists or philosophers of science know a good one? #philsci #healthpolicy THANKS! 343822
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 06/06/2025The new NHS UEC plan is a shock. It is the first plan in a decade not to be full of garbage and to have some genuinely useful ideas. And I don't often say that about NHS plans: www.hsj.co.uk/emergency-ca...hsj.co.uk‘Blame shunting’ by providers leads to poor emergency care, says NHSEThe 'inability or unwillingness' of some NHS and social care providers to work together has contributed to an 'unimaginable' deterioration in emergency care performance, according to NHS England 143
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 03/06/2025Why promote the benefits of research using NHS data when the current NHS has neither the capacity nor the will to use its data to tackle immediate current operational problems? ... 111
Reposted by JKMVidimoDavid Oliver @mancunianmedic.bsky.social · 18/05/2025www.bmj.com/content/389/...bmj.comDavid Oliver: Public misunderstanding, myths, and misinformation can hamper good end-of-life careThe Terminally Ill Adults (End of Life) Bill,1 which aims to legalise medically assisted dying in England and Wales, has brought greater public and political attention to palliative and end-of-life ca... 297
Reposted by JKMVidimoCharles Tallack @charlestallack.bsky.social · 26/04/2025Sarah Neville in the FT on lunch with Amanda Pritchard: "The NHS contributes between 10 and 20 per cent to people’s health, she says — a figure I find startlingly low" This widely quoted figure is startlingly low because it's probably wrong.🧵 www.ft.com/content/5cf4... 1216160
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 14/04/2025The government is very excited about the value of NHS data to support the development of new treatments. This is the wrong focus: the big opportunity is to use data to improve the existing NHS: www.hsj.co.uk/daily-insigh... ...hsj.co.ukThe mythbuster: Government has the wrong idea on dataThe government's focus on using NHS data to develop new drugs misses the bigger opportunity - to improve existing services and costs with data-driven decision-making. By Steve Black 163
JKMVidimo @vidimo.bsky.social · 05/04/2025This from Donald Macaskill from 04:30 in, completely nails it. We must think of the patient journey as a whole, regardless of silo or care setting. creators.spotify.com/pod/profile/...creators.spotify.comReforming the NHS in Scotland? Not without social care you won’t. by Donald Macaskill sharesIn this podcast Donald Macaskill argues that any realistic reform of the NHS in Scotland can only occur if grounded in a holistic understanding of health and wellbeing and if it focuses first on socia... 031
Reposted by JKMVidimoRoyal College of Emergency Medicine @rcem.ac.uk · 23/03/2025The GMC's survey for trainees and trainers is now LIVE! 📊 Insights from the GMC's national training survey are vital for addressing challenges in health services. Let’s ensure training is valued and protected. Participate in the survey: gmc-uk.org/nts 012
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 19/03/2025And, to be clear, the NHS and public consensus on what the root causes of problems are is often very badly wrong. Zombie ideas dominate (for example: www.hsj.co.uk/daily-insigh... )hsj.co.ukThe mythbuster: The zombie idea that demand is causing long A&E waits must dieSteve Black challenges a misleading A&E story that blames "minor ailments" for NHS delays, highlighting that operational dysfunction, not demand, is the true cause of long waits, and urging a more... 122
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 19/03/2025I have a big worry that the NHS 10-year plan is trying to derive the strategy from consensus views of the solutions. It should be driving the solutions from robust analysis of the problem and trying to get a consensus around them... 3134
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 17/03/2025The only thing that matters with the abolition of NHSE is whether what replaces it is more effective at driving improvement in the NHS: www.hsj.co.uk/daily-insigh...hsj.co.ukThe mythbuster: Building a better Department of HealthNHS England has been abolished. But will the service be better off without it? 153
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 17/03/2025And so much more. In aggregate NHSE was a miserable failure at understanding the real causes of NHS problems and was an organisation that chose popular solutions over effective ones... 121
Reposted by JKMVidimoAndy Cowper @hpiandycowper.bsky.social · 17/03/2025My latest column, on why NHS England got abolished and what it means, is going outside the paywall for an hour or two. If you’d enjoy a weekly column on what’s happening in NHS policy and politics and what it means, why not subscribe? www.healthpolicyinsight.com/cowpers-cut-...healthpolicyinsight.comCowper’s Cut 367: A Farewell To Arms’ Length, as NHS England is put out of its misery“We’ll never really know if NHS independence was effective: it is impossible meaningfully to separate the performance of the NHS Commissioning Board from the two powerful and politically-savvy individ... 21710
Reposted by JKMVidimoDr Steve Taylor @drstevetaylor.bsky.social · 09/03/2025Lest we forget - a moment of reflection 02111
Reposted by JKMVidimoDr Gordon Caldwell FRCP Edinburgh @doctorcaldwell.bsky.social · 08/03/2025@lindsaygrahamuk.bsky.social Treat yourself well today, do something worthwhile, help conserve this amazing view by making a Comment at wam.highland.gov.uk/wam/ Reference 24/05246/FUL #Glencoe #Ballachulish 122
Reposted by JKMVidimosteve the skeptic @policyskeptic.bsky.social · 07/03/2025This is an incorrect diagnosis. The volume attending A&E has never been a major cause of A&E crowding. The problem is the speed of flow: www.linkedin.com/pulse/queues...linkedin.comQueues, not demand are the biggest problem in NHS A&E departmentsA&Es are crowded. But not because too many people are attending them. 151
Reposted by JKMVidimoDr Farbod @emergencybod.medsky.social · 07/03/2025I don't want a bigger Emergency Department. I want a functioning social care system and a primary care service that can meet demand. If we don't get that, the blockage in ED is going to get worse and more people are going to come to harm and die. 1/3 211025170
Reposted by JKMVidimoDr Gordon Caldwell FRCP Edinburgh @doctorcaldwell.bsky.social · 05/03/2025www.westcoasttoday.co.uk/news/ballach... View of #Glencoe and #LochLeven threatened by plans for a corrugated metal clad Whisky Distillery on south shores of Loch Leven at #BallachulishBridge @carolynfahm.bsky.socialwestcoasttoday.co.ukBallachulish residents express concerns about distillery plansResidents living beside the site of a proposed distillery near Ballachulish have spoken out against the plans. 111
Reposted by JKMVidimoDr Steve Taylor @drstevetaylor.bsky.social · 06/03/2025So why, if Steve Powis knew he was leaving (told colleagues in January), did he take the review of Post-graduate Medical Education brief - surely something someone who was staying should be in charge of this Sums up NHS England’s ideas of workforce planning Short term and poor 1143
Reposted by JKMVidimoDr Linda Dykes @drlindadykes.bsky.social · 05/03/2025Attention UK #MedSky and #POCUS instructors: anyone free for a (paid) day teaching in Hereford next Mon 10th? Due to a family emergency our booked tutor can’t come… I’ve got the Tues covered but desperate to find someone to teach a small group of beginners on the Mon. Message me if you can help! 01015
Reposted by JKMVidimoDr Gordon Caldwell FRCP Edinburgh @doctorcaldwell.bsky.social · 26/02/2025www.pslhub.org/learn/cultur... Patient Safety and Whistleblowingpslhub.orgSpeaking up for patient safety - Gordon Caldwell in conversation with Peter Duffy and Helen Hughes 042
Reposted by JKMVidimoDr Gordon Caldwell FRCP Edinburgh @doctorcaldwell.bsky.social · 24/02/2025As great or greater potential for digitalised #NHS integrated seamlessly across NHS England Scotland Wales & NI. Even more potential if integrated with Social Care. @vidimo.bsky.social 121
JKMVidimo @vidimo.bsky.social · 25/02/2025bracing for @hpiandycowper.bsky.social suggestion that Matty Hancock is the answer....😉 010
Reposted by JKMVidimoDr Gordon Caldwell FRCP Edinburgh @doctorcaldwell.bsky.social · 17/02/2025www.theguardian.com/society/2025... If only NHS had paid attention to our @thekingsfund.bsky.social publication on information disorganisation at the frontline in 2017. www.dropbox.com/scl/fi/n3et3... @JKMVidimo @wesstreetingtheguardian.comMost NHS users in England affected by dysfunctional admin, report findsAbout 64% of people had difficulties with health service last year relating to communication about care 144
JKMVidimo @vidimo.bsky.social · 17/02/2025Looking at some NHS stats over the weekend (as you do). patients remaining in hospital who no longer meet the criteria to reside, for Jan in particular - total of 418,129 which in short = delays days. www.england.nhs.uk/statistics/s...england.nhs.ukStatistics » Urgent and Emergency Care Daily Situation Reports 2024-252024-25 reporting Weekly updates will commence on Thursday 5 December 2024, covering the week ending 1 December 2024, and will continue every Thursday at 09:30 throughout winter. The final publication... 100
Reposted by JKMVidimoRoyal College of Emergency Medicine @rcem.ac.uk · 16/02/2025#ICYMI No sign of winter pressures easing. A&Es bear the brunt of a gridlocked system. Hospitals are running dangerously close to capacity, thousands of people each day remain in hospital when they could go home and the system is grinding to a halt. Full article: rcem.ac.uk/no-sign-o... 02113
Reposted by JKMVidimoAlison Leary @alisonleary1.bsky.social · 16/02/2025ICYMI (from 5 years ago!) "We suggest that the challenges of reducing professional practice to task delivery, which nursing is currently facing, will begin to impact other professions, including doctors" Elaine Maxwell Alison Leary: In praise of professional judgment blogs.bmj.com/bmj/2020/05/...blogs.bmj.comElaine Maxwell and Alison Leary: In praise of professional judgment - The BMJElaine Maxwell and Alison Leary explore the pitfalls of an increasingly competency based approach to healthcare, where there is less and less value attached to professional expertise Magic thinking se... 1102
JKMVidimo @vidimo.bsky.social · 16/02/2025An interesting podcast here www.bbc.co.uk/sounds/play/... but would like to see the conversation expanded beyond clinical data and look at the broader operational & coordination aspects, to improve patient flow, whatever silos or care settings it may traverse.bbc.co.ukRethink - Rethink...medical data - BBC SoundsThe PM says the NHS is well placed for an AI revolution in healthcare - but is it? 000
Reposted by JKMVidimoRoyal College of Emergency Medicine @rcem.ac.uk · 15/02/2025#ICYMI New guidance fails to address how ‘national shame’ of corridor care and excessive A&E waits will be tackled. RCEM responds to the government’s ‘mandate for the NHS’ and NHSE planning guidance. Read the full news and President's statement: rcem.ac.uk/new-guida... 0119
Reposted by JKMVidimoTrish Greenhalgh @trishgreenhalgh.bsky.social · 15/02/2025What @hetanshah.bsky.social said: 49223
Reposted by JKMVidimoDr Gordon Caldwell FRCP Edinburgh @doctorcaldwell.bsky.social · 14/02/2025www.bbc.com/news/article... I met one outstanding Chairman during my 42 years working in the #NHS ...bbc.comCountess of Chester: Chairman plotted to oust hospital boss - tribunalThe chairman of the trust conspired with others to remove Dr Susan Gilby from her job, a judge ruled. 001
Reposted by JKMVidimoDr Steve Taylor @drstevetaylor.bsky.social · 14/02/2025Time to fund General Practice For the cost of one A&E appt @rthonwesstreeting.bsky.social can have 10 GP appts But even this maths is wrong because the current cost of a GP appt is £23 not £40 due to cuts in funding 25127
JKMVidimo @vidimo.bsky.social · 13/02/2025Our take on the current set of problems across NHSE, ASC & DHSC Paraphrasing Larry Weed www.youtube.com/watch?v=qMsP... You can't look at the management of a single problem without knowing & understanding all the problems." problems with A&E & appts - look at all the flow problem as a whole.youtube.comLarry Weed's 1971 Internal Medicine Grand RoundsYouTube video by VisualDx 010