Alf Collins

😂. Not funny tho.

You know why Greg.

Oooooh, NHS England’s strategy movie is on Film Four right now!

Just devoured this truly excellent article. Thanks GF.

William Anders- the pilot of the lunar module of Apollo 8 who took the ‘earth-rise’ photos:
‘We’d come 240,000 miles to see the moon and it was the earth that was really worth looking at’

A war on science: Kennedy’s slash-and-burn approach to pu... The US and the world look likely to pay a high price for the policies of Trump’s ruthless health secretary

Murderer observer.co.uk/news/interna...

1/2 A reminder. The PREDICT breast web tool is free to use (and widely used - over 4 million accesses worldwide since launch), but we (I) have no funding to support maintenance or further development. If you are feeling philanthropic, or know someone who does drop me a DM.

breast.v3.predict.cam

Fab thread. Biggest challenge is where money is spent, not where it comes from.

It’s hard being a doctor.
But it’s even harder being a patient.

Patients will suffer as a result of this 5 day strike.

I do not stand with my colleagues in the BMA.

Exploring the earnings of NHS doctors in England (2025 update) Two years ago, we produced an explainer on doctors’ pay in England, exploring how it had changed over time, how it compares to other salaries in the wider economy, and how it compares with what doctor...

To anyone wondering if doctors are so badly done to that they have no option but to strike please have a look at this independent analysis of their pay. www.nuffieldtrust.org.uk/resource/exp...

Good to see you here David.

I’m 65 and becoming less and less engaged with the digital world. Developers assume a level of digital literacy (and interest) that I just don’t have/don’t want. And my ‘low digital literacy’ appears to be my fault, rather than that of the developer.

From genome to exposome: universal newborn genetic screening is the wrong focus if we want to improve population health We should pay more attention to upstream prevention, which is vital for the nation’s health, write Trevor Sheldon and John Wright It is a consistent failing of governments to be seduced by the lure o...

From genome to exposome: universal newborn genetic screening is the wrong focus if we want to improve population health

www.bmj.com/content/389/...
Good stuff

See this one for another good explanation
theconversation.com/the-nhs-plan...

Excellent mega thread from Craig to end #10ypweek

It's totally a vision.

I can’t imagine any major business in turnaround publishing a business plan that didn’t incorporate a fully costed implementation plan.

Not sure what I’m about to say is English, but a plan without a delivery plan isn’t a plan.

😂

love the resurrection of national service frameworks as modern service frameworks 🤔

Hmm. No delivery plan today.

Agree. Tho’ reckon we need to think of the value add in terms of healthy life years. And to be provocative that means that other than in specific instances- eg genetically determined conditions -delivering prevention strategies for single diseases may well not be a wise use of public money.

Maybe had to be withdrawn cos of the loss of fiscal headroom this week.

AM, AD, PC.

Population based risk estimation (by any method) is an evidence free health policy.

Totally. I was on the team that redesigned the health check (don’t start). No matter how many times I told the team that telling people ‘their’ risk didn’t change their behaviour, nobody wanted to listen. (Probs cos no 10 health team didn’t want to listen).

Fab thread on the ‘genomics revolution’.

1. Might be helpful for a few people with conditions that are closely genetically linked.
2. Most conditions aren’t.
3. The cost will be enormous
4. Lots of people will become unnecessarily anxious
4. Telling people their risk doesn’t change behaviour

Fab thread and to augment this point. There is no evidence whatsoever that telling people about their genetic risk changes their behaviour.
Magical thinking.

Maybe exposes that it’s more of a vision than a plan…

Funny how much ‘new’ health policy is a reworking of Blairite era stuff. Wonder why 🤔

It’s in part a political document of course, so doubtless there will be a fair amount of stuff that makes good headlines.