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Andy Cowper League tables are a simplistic and ineffective way to pursue better public availability of important performance information.

Andy Cowper Far more attention is merited on making detailed information on outcome and performance variability available. But the NHS has not invested in that (eg the neglect of the NHS Atlas of Variation)...

Andy Cowper Studying variation in outcomes and performance is hugely important for driving the insights needed to improve. But, when the system wants to pretend performance is adequate, it is very uncomfortable.

Andy Cowper ...cue 70's Led Zep Top of the Pops theme music...

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Andy Cowper And no guarantee that 3 stars is representative of performance - RUH Bath hidden waiting lists comes to mind

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Andy Cowper fwiw, I think that there's too little standardisation of processes for much meaningful to be pulled from variation. I suspect that triage planned actions and outcomes/timings could be useful.

In the future, everybody will be French prime minister for 15 minutes.

@NHS England is an ornamental meeting-cum-talking shop, and a recycling centre for the hard of delivery healthpolicyinsight.com/cowpers-cut-35… via Andy Cowper

By the middle of December, only 37% of those eligible for a flu jab - including the over-65s, under- 17s, NHS workers, carers, pregnant women and people with long-term health conditions such as asthma and diabetes - had been vaccinated.

Important post here on other types of workforce substitution occurring across the NHS. Excellent work from Irene! Partha S Kar 🇮🇳🇬🇧🏏🎥 Dr Sandeep Bansal ExplosiveEnema Система клиник МЕДИ

I discuss why here: committees.parliament.uk/writtenevidenc…

Blogged: the question is not just: "what should the government do?" It is rather: "how can we create pressures that force governments into positive change?" stumblingandmumbling.typepad.com/stumbling_and_…

When trying to interpret medical news on Twitter, remember the expression “If it sounds too good to be true, it probably isn't”. Advances in medicine are often incremental and it's rare to find an intervention that has a large effect on health outcomes or on health care costs.

It's NHS Data Dump Day, Super Stats Day You won't see it in the press releases or most media coverage... ...But figures on community services are published, as well as hospital stats, today covering up to Nov 24 Here's a summary analysis I'll try to repeat each month 🧵

bsky.app/profile/hpiand…

Oh, another day of Matt Hancock getting prodded by m'learned friend.... Andy Cowper

Andy Cowper i think you are in fact "The Marina Hyde of Health Policy"