My family had a recent experience of hospital care & we saw effect of this type of taskification of care. Pointless delays, miscommunication, unnecessary referrals etc. No one had the patient at the core of their thinking as they did their bit of the job - result was real anguish

Is being a high performing FT going to equip you to be a realy good population health manager and care integrator? It might but I don't think it follows.

Good that the ICBs are going to be 'encouraged' to be coterminous. There was a danger of the NHS drawing lines on maps that meant little to the people or other institutions that live there. Something that the UK has form on and generally does not end well

Reasons to keep taking a history: 1) Anchoring bias is the commonest cause of error in acute care. 2) It’s not what the patient says, but the way that they say it. 3) Conversations build empathy, trust and understanding. 4) Info often incorrect / incomplete.

Excellent piece on the Ten Year Plan from Jessica Morley (late of this parish) over on Linkedin. Counters the over-egged claims with proper interpretations of the evidence. linkedin.com/pulse/nhs-10-y…

What a surprise theguardian.com/politics/2025/…

The NHS Plan says 'By 2035, we anticipate half of all healthcare interactions will be informed by genomic insights and other predictive analytics.' I wonder where this comes from? And what it means. Any thoughts?

Woring at the top of the licence' is a classic bit of misguided Taylorism - who does this? Respite from less demanding work is vital

The 10 Year Health Plan is full of ideas, but how will they happen? Former Nuffield Trust chief executive Nigel Edwards has looked at what held back past reforms - a clear theory of change and humility about what central directives can achieve will be key. nuffieldtrust.org.uk/news-item/has-…

A decade working with Nigel Edwards drummed into me the importance of thinking about the theory of change sitting underneath major policy reform. So it was a pleasure to have him back to the Nuffield Trust as a guest blogger to reflect on this in the recent Ten Year Health Plan 👇

NHS Plan according to James Joyce linkedin.com/pulse/nhs-plan…

This needs a BMJ VIewpoint not just a thread

Very funny and thoughtful show at Soho Theatre by the superb Alice R Fraser There are tickets sohotheatre.com/events/alice-f….

Very interesting history of the growth of corporatisation of healthcare in the USA A Gilded Age for Patients? The Broken Promises of Profit-Driven Medicine | New England Journal of Medicine nejm.org/doi/full/10.10…