Carolyn Johnston

Emergency general surgeons, radiologists and ED colleagues. We’d love to hear your thoughts on some principles for the process around urgent abdominal CT. #SurgSky #EMSky #RadSky @drlindadykes.bsky.social @marydixonwoods.bsky.social @drcjohn.bsky.social www.thiscovery.org/landing/emlap

A surgeon wearing a blue headcover and a mask is putting on white surgical gloves

Help improve timeliness of hospital CT scans for people on the acute abdomen pathways by sharing your feedback in a new THIS Institute & @rcoa-cri.bsky.social survey. We’d love to hear from you if you work in the ED, radiology, or surgery. Take part now: bit.ly/4sNw8Zx

THIS Space 2025 Why is improving timeliness so hard and what can we do about it? 25 November 13:00-13:50 Online conference

Timeliness matters, but treatment delays are common, complex & tough to tackle. Join @drcjohn.bsky.social @rosielindsay.bsky.social @janekohara.bsky.social as they explore why delays in treatment persist, and what can be done to address them. Register now: ths.im/4nGd5wJ

Spending without thinking is a risk with unlimited contactless cards Spontaneous spending is likely to rise if the £100 limit on contactless cards is scrapped, academics say.

BBC News - Spending without thinking is a risk with unlimited contactless cards - BBC News
www.bbc.co.uk/news/article...

I'm thinking about that button in Lucky Voice that says 'Chips'

Family owners of Bet365 weigh up potential £9bn sale of gambling empire Company headed by Denise Coates holds talks with Wall Street banks about full or partial sale of assets

www.theguardian.com/business/202... I honestly think that in the future, we will look on betting companies like we look on Purdue pharma now.

It really is! I will be sharing more of this in the next few weeks 😊

Sign in - Thiscovery Don't have an account? Register here

If you want to join us to find out more, then our online community is community.thiscovery.org/topics/46144... 😎 you can also get portfolio evidence for your participation, and contribute to solving a difficult problem in an interesting new way!

a woman sitting in front of a microphone with the words " our people have spoken " ALT: a woman sitting in front of a microphone with the words " our people have spoken "

We will also be doing another national survey, to ensure a broad consensus with the issues we take forward to the next stage (which is designing solutions)

a man in a tuxedo is singing into a microphone with the words `` it 's up to you '' behind him . ALT: a man in a tuxedo is singing into a microphone with the words `` it 's up to you '' behind him .

We've come up with a list of 11 themes, which we are discussing with patient and staff in workshops in the coming weeks. These groups will help us to focus on the most important issues

We've done qualitative interviews/focus groups, quantitative analysis of historical NELA data, 2 national surveys on @thiscoveryorg.bsky.social and a literature review (as well as talking to lots of clever people!)

a man says houston we have a problem ALT: a man says houston we have a problem

We've been working over the last year to *really* understand the issues of timeliness in emergency general surgery.... @rcoa-cri.bsky.social @thisinstitute.cam.ac.uk

Never in doubt! 🥴

I have, yes.

This is an absolutely inane comment. They don't have unlimited budget, they still have to be commissioned to provide a service at an agreed cost....by an NHS commissioner.

The stories not collected as data though- unsure of providence, denominator comparators or opportunity costs. We need better analysis than this before making some very big decisions.

We usually have a lay chair that isn't a NED. I'm not aware that NEDs are required for this role?

For hospital generated images, if there is concern on the image, the report is sent to primary care immediately. This makes it immediately available via the NHS app.

You can join the collaborative community here ...https://community.thiscovery.org/topics/46144/feed

I'm at @ageanaesthesia.bsky.social annual conference today in sunny Brighton! Talking about @thisinstitute.cam.ac.uk @rcoa-cri.bsky.social project to improve timeliness in emergency laparotomy...

There is a big disclaimer on my GP app when you log in, to say you might see results before you've had a chance to discuss them with your doctor.

I'm not sure we can put the genie back in the box. Full early access to test results/reports is generally good for most- most results are reassuring. How do we help those that aren't so lucky? Manually checking and issuing is not feasible. Delaying issuing is also risky if it delays comms to GP.

This is a deeply depressing article. Change and innovation thrive in a culture which gives people the tools they need to do the job & supports positive risk-taking. If your hospital is inefficient because the ceiling is falling in or the IT is ancient, cutting the tariff won't drive improvements.

Emergency Laparotomy 2025

I'll be presenting at the @roysocmed.bsky.social webinar in Emergency Laparotomy on 9th April- www.rsm.ac.uk/events/anaes... free to members and non members!

Wes Streeting: there is overdiagnosis of mental health conditions Health secretary says too many people are being ‘written off’ and that is driving ministers’ changes to welfare

www.theguardian.com/politics/202... very disappointing rhetoric. The only person making the diagnosis is the person talking to the patient, based on their understanding of ICD-11. Whether we have the *implication* of that diagnosis is right is another matter (that's what I think he means)

This years #AAACONF programme includes a full
NELA session you don't want to miss❗️

Register now to see Dr Louise Silva, Dr Ee-Neng Loh & Dr Carolyn Johnston present about the National Emergency Laparotomy Audit.

emdevents.eventsair.com/aaa-2025/regpg

"Oooh, you are awful....but I like you"

Share your opinions and experiences of how emergency laparotomy guidelines work in practice This survey aims to understand how clinical guidelines are interpreted and practiced.

Resident Drs- please take 5 mins to share your views on emergency laparotomy guidelines: are they easy to follow? Is it easy to escalate? You can help improve care (and get portfolio evidence for your contribution!) www.thiscovery.org/project/impr... @rcoa-cri.bsky.social @thisinstitute.bsky.social

We took the kids (teens) to see Oklahoma! in the Young Vic, and got lots of trigger warnings from literally every single member of staff as we made our way to our seats. It was quite an edgy production, but it felt very strange and definitely unsettled us all!

Trigger warnings may do more harm than good. Witness ‘the abortion play’ | Kate Maltby Hit drama The Years has seen audience members fainting hysterically. Perhaps if we dispensed with the red flags, people would enjoy this fine play more

www.theguardian.com/commentisfre... This is a very good piece. I saw The Years and absolutely loved it. It did stop in the middle to let someone out. It deserves so much more than this notoriety. @katemaltby.bsky.social thank you for writing this.

Most NHS users in England affected by dysfunctional admin, report finds About 64% of people had difficulties with health service last year relating to communication about care

This is what happens when you cut funding, but 'protect the front line'. www.theguardian.com/society/2025...