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Professor Judith Smith

@profjudithsmith.bsky.social

Professor of Health Policy and Management @unibirmingham.bsky.social @hsmcentre.bsky.social Co-Director @BRACE-evaluation.bsky.social Chair and Trustee of @hsruk.bsky.social and Trustee https://excathedra.co.uk/

3,392 Followers  |  1,994 Following  |  135 Posts  |  Joined: 31.12.2023  |  1.8981

Latest posts by profjudithsmith.bsky.social on Bluesky

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Primary care professionals: interested in applying evidence-based approaches to innovation in your practice?

We can help! Join @hsmcentre.bsky.social for 'Rapid Reviews of Service Innovations in Primary Care: An Introduction & Step-by-Step Guide'

๐Ÿ—“๏ธ 10 Sept
๐ŸŽŸ๏ธ birminghamhealthpartners.co.uk/events/

30.07.2025 14:21 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Stylised artwork featuring two yellow figures, one seeming to hold the otber up, surrounded by yellow stars

Stylised artwork featuring two yellow figures, one seeming to hold the otber up, surrounded by yellow stars

Remembering Sinรฉad O'Connor (1966-July 2023) (who adopted the name Shuhada' Sadaqat in her last years). Her art below created for the cover of her 1994 album 'Universal Mother'
#WomensArt

27.07.2025 16:59 โ€” ๐Ÿ‘ 328    ๐Ÿ” 40    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 2

FuรŸball ist ein einfaches Spiel: 22 Frauen jagen einem Ball hinterher und am Ende trifft Chloe Kelly und England gewinnt.

Yes, Lionesses. ๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ!!

27.07.2025 19:53 โ€” ๐Ÿ‘ 306    ๐Ÿ” 44    ๐Ÿ’ฌ 13    ๐Ÿ“Œ 2
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When you donโ€™t know which #England sport to watch (weโ€™re watching the #womenseuros however) #cricketcanwait

27.07.2025 15:59 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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NHS management reform: regulation is just the beginning Regulation of managers now seems inevitable, but must be accompanied by wider changes focused on professionalising and supporting NHS leaders Calls to regulate NHS managers have been made for over 25...

DHSC has now published its proposals to regulate (or rather bar) #NHS managers. In this @bmj.com paper, @suziebailey.bsky.social @chrisham.bsky.social & I argue that regulation needs to be accompanied by wider changes to professionalise, train & support leaders:

www.bmj.com/content/389/...

27.07.2025 14:50 โ€” ๐Ÿ‘ 2    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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NHS management reform: regulation is just the beginning Regulation of managers now seems inevitable, but must be accompanied by wider changes focused on professionalising and supporting NHS leaders Calls to regulate NHS managers have been made for over 25...

So sorry about that - try this one: www.bmj.com/content/389/...

27.07.2025 14:47 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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The NHS โ€“ a Suitable Case for Treatment? - Policy Exchange Download Publication Online Reader โ€˜The NHS โ€“ a Suitable Case for Treatment?โ€™ makes the case that the NHS is not fit for purpose and is in urgent need of reform.The report finds that NHS performance r...

Policy exchange, backed by Sajid Javid, think we need to switch the NHS funding model to social insurance, and introduce new charges for NHS services, like to see a GP

policyexchange.org.uk/publication/...

These are not new ideas, but they are bad ideas

A thread with some evidence

23.07.2025 20:06 โ€” ๐Ÿ‘ 53    ๐Ÿ” 31    ๐Ÿ’ฌ 7    ๐Ÿ“Œ 5
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Thank you @sheffielduni.bsky.social for a wonderful, thoughtful and celebratory graduation day

21.07.2025 19:07 โ€” ๐Ÿ‘ 5    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#Bordeaux is beautiful, and has wonderful public spaces and transport

18.07.2025 08:46 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Our Co-Director Judith Smith's recent blog about the NHS 10 year plan is worth a read!

14.07.2025 14:04 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The first of our great short guides to major improvement approaches, complementing our equally great open access Cambridge University Press elements series www.cambridge.org/core/publica...

10.07.2025 14:40 โ€” ๐Ÿ‘ 3    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

It is as if the magpies who assembled the plan were so focussed on collecting bright shiny baubles to adorn the nest, they forgot to collect the construction materials to build the structure of the nest.

08.07.2025 13:03 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Excellent spot-on analysis of the #NHS Ten Year Plan in this thread by @policyskeptic.bsky.social ๐Ÿ‘‡๐Ÿป

09.07.2025 09:50 โ€” ๐Ÿ‘ 3    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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I went last week to the funeral of Penny Mullen who died in May aged 81. She was an academic at the Health Services Management Centre in Birmingham for many years, supervised my PhD, and was later a colleague. Uncompromising, irascible but absolutely dedicated to her students and her work. RIP.

07.07.2025 14:52 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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NHS ten-year plan for England: whatโ€™s in it and whatโ€™s needed to make it work Ten-year NHS transformation hinges on funding and staff support.

๐Ÿ“ฃRead @profjudithsmith.bsky.social's (Birmingham School of @birminghamschool.bsky.social) new article in @theconversation.com where she explores what's in and what's missing from the eagerly awaited ten-year health plan for England

theconversation.com/nhs-ten-year...

08.07.2025 08:17 โ€” ๐Ÿ‘ 2    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Health research in England is grinding to a halt Wes Streeting, the UK health and social care secretary, announced in 2024 that โ€œthe NHS is brokenโ€ against a background of ballooning waiting lists, delays in disease detection, and reduced staff prod...

New comment piece by me & colleagues in @bmj.com on the using health data for research in UK

Processes are so complex and so slow now that less research is happening and we are wasting the enormous potential of the NHS to drive innovation

www.bmj.com/content/390/...

07.07.2025 08:31 โ€” ๐Ÿ‘ 105    ๐Ÿ” 43    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 2
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A huge thank you to our speakers, chairs, delegates, partners and the event team for making this such a brilliant conference! Keep your eyes peeled for our series of follow-up blogs and upcoming researcher network opportunities! And we hope to see you all in Manchester in 2026!

03.07.2025 15:49 โ€” ๐Ÿ‘ 6    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Starmer, Cooper and King Charles mark 20th anniversary of 7/7 attacks PM says โ€˜those who tried to divide us failedโ€™ while monarch says victims and stories of courage should be remembered

Today is the 20th anniversary of the terrorist attacks on London on 7th July 2005, a terrible day on which 52 people were killed by four bombs on three tube trains and a bus. The King and Prime Minister Keir Starmer will lead national commemorations today

www.theguardian.com/uk-news/2025....

07.07.2025 07:46 โ€” ๐Ÿ‘ 82    ๐Ÿ” 26    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 1
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The mythbuster: Disdain for the โ€˜plumbersโ€™ leaves the NHS knee deep in the brown stuff Disdain for management is crippling the NHS - undermining productivity, policy delivery, and the essential 'plumbing' behind effective healthcare systems

I wrote my latest HSJ Mythbuster column before the NHS 10-year plan was released but now I've read the plan the column accidentally summarises one of its major problems:
www.hsj.co.uk/daily-insigh...

07.07.2025 11:11 โ€” ๐Ÿ‘ 1    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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NHS ten-year plan for England: whatโ€™s in it and whatโ€™s needed to make it work Ten-year NHS transformation hinges on funding and staff support.

In case you missed it: my article for @uk.theconversation.com on theTen Year Health Plan for England. So many ideas (and some good ones at that) but precious little about how to implement them. #NHSPlan #FitForTheFuture #NHS #healthpolicy

theconversation.com/nhs-ten-year...

07.07.2025 08:33 โ€” ๐Ÿ‘ 7    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1
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NHS ten-year plan for England: whatโ€™s in it and whatโ€™s needed to make it work Ten-year NHS transformation hinges on funding and staff support.

Ten-year NHS transformation hinges on funding and staff support.

04.07.2025 10:53 โ€” ๐Ÿ‘ 3    ๐Ÿ” 3    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1
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Mayor of Greater Manchester on X: "As part of the Government's new 10 Year Health Plan, Greater Manchester will become the UK's first Prevention Demonstrator. Building on our Live Well mission and a decade of partnership work, we will put practical support back into every neighbourhood across our city region. https://t.co/09wWeMupPq" / X As part of the Government's new 10 Year Health Plan, Greater Manchester will become the UK's first Prevention Demonstrator. Building on our Live Well mission and a decade of partnership work, we will put practical support back into every neighbourhood across our city region. https://t.co/09wWeMupPq

However there is one genuinely radical proposal in the Plan that could make neighbourhood health a reality also worth catching @mayorofgm.bsky.social recent @instituteforgov speech on this x.com/mayorofgm/st...

05.07.2025 07:42 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

An excellent analysisโ€ฆ Iโ€™d add without properly investing in local government public health which commissions prevention services as well as adult and childrenโ€™s social care especially reablement, aids & adaptations, domicilary care & supported living then much of the vision will remain just that1/2

05.07.2025 07:36 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

My initial reflections for @uk.theconversation.com on #NHS Ten Year Health Plan๐Ÿ‘‡๐Ÿป

04.07.2025 15:51 โ€” ๐Ÿ‘ 3    ๐Ÿ” 6    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Governmentโ€™s 10 year plan for the NHS in England Familiar ambitions; familiar questions about delivery The Labour government published its 10 year health plan on 3 July1โ€”a year after it entered office. Life expectancy in the UK has stalled,2 and public satisfaction with the NHS is the worst on record.3 The governmentโ€™s prescription is for โ€œr...

Writing for @bmj.comโ€‹โ€ฌ @hughalderwick.bsky.socialโ€‹ says broad ambitions in the 10-Year Health Plan are right but have appeared in a long line of NHS plans over decades. So what will be different this time around?

Read more โฌ‡๏ธ

04.07.2025 14:15 โ€” ๐Ÿ‘ 0    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Recorded consultations are here to stay, but the current ad hoc approach leaves clinicians and patients vulnerable.

Clear guidance is necessary as recording of consultations becomes the norm, write @azeem-majeed.bsky.social and Waseem Jerjes
www.bmj.com/content/390/...

01.07.2025 15:48 โ€” ๐Ÿ‘ 8    ๐Ÿ” 6    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Labourโ€™s 10 Year Health Plan: familiar ideas could be frustrated by familiar problems | Institute for Government There is plenty of the what but less of the how in Wes Streetingโ€™s new plan.

This really is a fine and thoughtful analysis of the NHS Ten-Year Plan by @nicholastimmins.bsky.social for @instituteforgovernment.org.uk www.instituteforgovernment.org.uk/comment/nhs-...

04.07.2025 18:00 โ€” ๐Ÿ‘ 19    ๐Ÿ” 8    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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NHS ten-year plan for England: whatโ€™s in it and whatโ€™s needed to make it work Ten-year NHS transformation hinges on funding and staff support.

My article for @uk.theconversation.com on theTen Year Health Plan. So many ideas, but precious little about how to implement them. #NHSPlan #FitForTheFuture #NHS #healthpolicy

@hpiandycowper.bsky.social
@chrisham.bsky.social
@shaunlintern.bsky.social

theconversation.com/nhs-ten-year...

04.07.2025 18:56 โ€” ๐Ÿ‘ 4    ๐Ÿ” 3    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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PM launches new era for NHS with easier care in neighbourhoods The Prime Minister launches a new era for the NHS, bringing more easily accessible care closer to home.

Who could argue against a neighbourhood health service? But #socialcare reform is on an entirely different trajectory - a missed opportunity? NHC wonโ€™t work properly without it.

03.07.2025 10:00 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

10 YEAR PLAN - TECH

The tech bits of the Plan are largely self-explanatory but are wildly ambitious beyond many people's credibility. It's a fine line.

To achieve it will need massive culture changes, funding that's permanently scarce, and some legislative efforts as well.

1/

04.07.2025 11:16 โ€” ๐Ÿ‘ 6    ๐Ÿ” 4    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 2

@profjudithsmith is following 19 prominent accounts