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Steve Senior

@stevensenior.bsky.social

Consultant in Public Health. Recovering policy wonk. Lapsed neuroscientist. Ex-paper boy and former donut stand operator. Ultracrepidarian. Denizen of West Yorkshire. Opinions my own, re-posts are not endorsements.

3,552 Followers  |  1,387 Following  |  293 Posts  |  Joined: 25.07.2023  |  2.412

Latest posts by stevensenior.bsky.social on Bluesky

“highest levels of physical activity in midlife[45-64] &late life[65-88] was assoc’ed w/ a 41% &45% lower risk of dementia, respectively…JAMA Network Open.…

‘This study shifts the convo from “exercise is good 4 the brain” to “there may be key windows when exercise matters most for brain health”’”🧪🛟

04.12.2025 16:22 — 👍 12    🔁 7    💬 3    📌 0
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Local government procurement costs and Community Wealth Building Initiatives in England We examine whether procuring locally leads to higher costs. Our study is motivated by the Community Wealth Building Initiatives adopted by Preston City Council in England in which social value to the...

Local procurement doesn't increase costs . Community Wealth Building @clesthinkdo.bsky.social onlinelibrary.wiley.com/doi/10.1111/...

04.12.2025 17:09 — 👍 2    🔁 1    💬 0    📌 0

it is MIRACULOUS that we got rid of lead paint and asbestos when we did. if we had tried that today, there would be people whining about how we're restricting their rights.

04.12.2025 14:06 — 👍 2030    🔁 271    💬 14    📌 60

Absolutely delighted our research has won the ONS' Research Excellence prize for impact!

I always say to people that the ideal @theifs.bsky.social work is rigorous enough to publish in top journals, and relevant enough to be on the front page. I think we've ticked that box here!

04.12.2025 17:33 — 👍 17    🔁 7    💬 2    📌 2

I'm fine with this as long as we make it clear to BEIS or whatever that department is called these days that any increase in the medicines bill for industrial policy purposes is coming out of their budget, not the DHSC one.

04.12.2025 09:46 — 👍 3    🔁 0    💬 1    📌 0

Roughly, I think that much of the reporting this morning is:

(1) not mentioning that musculoskeletal conditions are as common a reason to have a work-limiting disability as mental health conditions;

(2) talking about youth mental ill health while quoting figures for the entire 16-64 age group; and

04.12.2025 08:56 — 👍 3    🔁 1    💬 2    📌 0
1877 engraving showing  deaf actors using sign language to perform a play about Don Guzman to an audience in St Saviour's church hall, London.

1877 engraving showing deaf actors using sign language to perform a play about Don Guzman to an audience in St Saviour's church hall, London.

The Wellcome Collection has some fascinating archives including this 1877 engraving showing deaf actors using sign language to perform a play about Don Guzman to an audience in St Saviour's church hall, London. St Saviour’s Deaf Church in Acton, opened in 1925 and was a purpose-built place of

04.12.2025 08:55 — 👍 22    🔁 9    💬 2    📌 0

I didn't go there because that's even worse and it's too early for that kind of thought. But thanks anyway!

04.12.2025 08:42 — 👍 1    🔁 0    💬 1    📌 0

(side note: I hope these applications are being regulated as medical devices - haven't read the whole paper so assume that's covered)

04.12.2025 08:40 — 👍 1    🔁 0    💬 0    📌 0

OTOH if we accept responsibility always stays with the clinician, then does that risk creating problematic incentives for AI product developers to push stuff out? Or is the assumption that some combination of regulation and market pressures will ensure the tech is good enough?

04.12.2025 08:39 — 👍 1    🔁 0    💬 2    📌 0

I think that remains to be tested in court. Article in the FT I shared a couple of days ago had insurers backing away from covering AI stuff as 'no-one knows who's responsible when it goes wrong'. Agree on paper it's clearer in medicine but I still think there's scope for a case to set precedent.

04.12.2025 08:34 — 👍 1    🔁 0    💬 2    📌 0

Even with expert end-users the temptation to blindly trust the tech will be strong, especially when time pressures and if the tech can take the blame in the even of errors. Needs some decent behavioural studies over time I think. Plus the medicolegal bit.

04.12.2025 08:09 — 👍 0    🔁 0    💬 2    📌 0

Something tells me the medicolegal bit is going to be really important.

04.12.2025 07:39 — 👍 5    🔁 0    💬 0    📌 1
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Fucking goals.

03.12.2025 17:07 — 👍 60    🔁 13    💬 5    📌 1

"but mummy, EVERYONE else in my class has an elf".

"The elves know they're not welcome here. We don't want them making a mess"

"I think it's just 'cos you two [points at parents] don't want to think up places for it."

03.12.2025 20:00 — 👍 6    🔁 0    💬 2    📌 1

AAAAAAAAAAAAAAHHHHHHHHHHH

03.12.2025 16:57 — 👍 19    🔁 5    💬 0    📌 1

Best way to protect local pubs from being undercut by enormous supermarket chains 👇🏼

03.12.2025 16:54 — 👍 7    🔁 4    💬 0    📌 0
I already wrote about my interest in a certain type of awakening: the white, neutral awakening: for a few seconds, whatever Care (Souci) one felt when one went to sleep, pure moment of Careless-ness, forgetfulness of evil, vice in its purest state, kind of clear joy in C major; then the earlier Care falls upon you like a great black bird: the day begins.

I already wrote about my interest in a certain type of awakening: the white, neutral awakening: for a few seconds, whatever Care (Souci) one felt when one went to sleep, pure moment of Careless-ness, forgetfulness of evil, vice in its purest state, kind of clear joy in C major; then the earlier Care falls upon you like a great black bird: the day begins.

Roland Barthes wishes you good morning:

03.12.2025 07:11 — 👍 63    🔁 20    💬 3    📌 0

WEAR YOUR FAVORITE SHINY THING.

03.12.2025 06:43 — 👍 55    🔁 14    💬 1    📌 0
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Here is a godawful joke in chart form to ruin your Christmas season 🤪🎄

02.12.2025 20:42 — 👍 484    🔁 143    💬 6    📌 9
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Liraglutide in mild to moderate Alzheimer’s disease: a phase 2b clinical trial - Nature Medicine Results from the phase ELAD 2 trial reveal that liraglutide is safe and well tolerated in people with mild to moderate Alzheimer’s disease but does not significantly slow brain metabolism decline.

GLP-1 agonists are great for obesity & other chronic health conditions e.g CVD but they do not seem to have any effect on the progression of Alzheimer's disease in humans despite promising observations in mouse studies. this is why clinical trials matter.
www.nature.com/articles/s41...

02.12.2025 18:33 — 👍 46    🔁 4    💬 0    📌 0

Not everyone has a calling. Not everyone is ambitious. The concept of following the perfect trajectory towards a fulfilling career is so deeply ingrained in us from childhood; but at a certain point, growing up is realising that... work is just work, and you just want to get paid.

02.12.2025 17:01 — 👍 40    🔁 4    💬 4    📌 0

I always make sure to somehow squeeze this graph into my teaching because I think it’s just very important to know this.

02.12.2025 17:20 — 👍 55    🔁 12    💬 3    📌 1
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Look what just arrived. A new book by Deb Cohen out January. Has the internet hijacked your health? Read her book.

28.11.2025 11:10 — 👍 13    🔁 3    💬 1    📌 0
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Public health in interwar England and Wales: did it fail? British historians initially saw the interwar period as a «golden age» for public health in local government, with unprecedented preventive and curative powers wielded by Medical Officers of Health (MOsH). In the 1980s Lewis and Webster challenged ...

Related: pmc.ncbi.nlm.nih.gov/articles/PMC...

02.12.2025 15:54 — 👍 1    🔁 0    💬 0    📌 0

Also, kicking the can down the road can be good! Kick that can as far as you can and hope something comes up!

02.12.2025 14:36 — 👍 2    🔁 0    💬 0    📌 0

But then, perhaps not costing the NHS so much in liver disease, violence, car accidents, and, ahem, misadventure. So swings and roundabouts I guess?

02.12.2025 13:10 — 👍 4    🔁 0    💬 1    📌 0

"what, like the NHS?"

*Cue long rant about public health having less to do with healthcare than you think, and actually local government does more than bins and potholes and yes I am the fun police, so put that pasty down*

02.12.2025 13:03 — 👍 16    🔁 2    💬 3    📌 0

... and a personal favourite:
- "Definitions may be changed, but those who desire change must engage in a fruitful dialogue with the past. What may result otherwise is damaging caprice" which feels pretty timeless.

02.12.2025 11:40 — 👍 3    🔁 1    💬 1    📌 0

@stevensenior is following 20 prominent accounts