My homage to Hunter S Thompson inspired by a memorable visit to @himssglobal.bsky.social in Vegas.

Nice one @comparesoftware.bsky.social !

I highly recommend reading Joe's book - it's plain speaking (unlike most of the healthcare tech literature) and it's essential reading whether you're a startup CEO or a CCIO or just curious as to how we could have made so little progress for so much money.

FHIR and Loathing in Las Vegas - with Joe McDonald YouTube video by Everything Digital Health

And if you want a quick intro to the book, here's Joe on Everything Digital Health last year taking about his booook

youtu.be/sWzORLTtVck

FHIR and Loathing in Las Vegas Buy FHIR and Loathing in Las Vegas by McDonald, Prof Joe (ISBN: 9798266076525) from Amazon's Book Store. Free UK delivery on eligible orders.

Happy Easter folks. My tragicomic book "FHIR and Loathing in Las Vegas" about 2 decades in Health IT is free to download this weekend only.
@waldo.net
@marcusbaw.com

www.amazon.co.uk/FHIR-Loathin...

Thanks guys FHIR and Loathing in Las Vegas : McDonald, Prof Joe: Amazon.co.uk: Books share.google/2FcaZmaSDQTB...

I did Email from nhsManagers.net Sushi chef View as Webpage Share This Email Share This Email Share This Email Latest Health News Weather IHSCM Academy of Fab' Stuff nhsManagers.net 30th October 2025 Exclus

Will you be reading FHIR and Loathing in Las Vegas from
@comparesoftware.bsky.social?
@roylilley1.bsky.social shares his thoughts in today's essential reading! #FHIR myemail.constantcontact.com/I-did.html?s...

amzn.eu/d/4F0rhUt

My ebook is free to download til midnight tonight. 20 years of Health IT experience for free!
@publicdigital.bsky.social
@dhrewired.bsky.social
@nhsemployers.bsky.social
@nhsmillion.bsky.social
@nhsenglandceo.bsky.social @nhsengland.bsky.social

I published a book this week
amzn.eu/d/5x0oIXJ

'Make Medicine Fun Again' with Joe McDonald - HIMSS 2025 and Ambient AI Assistants YouTube video by Everything Digital Health

If you enjoyed that discussion with @adebyrne.bsky.social then you'll probably also love the "'Make Medicine Fun Again' with Joe McDonald - HIMSS 2025 and Ambient AI Assistants" chat I had just a few days before, with @comparesoftware.bsky.social

youtu.be/2gB8FAn_FK8

U.S.A.I.D. Official Orders Employees to Shred or Burn Classified and Personnel Records A union representing career diplomats demanded that the aid agency follow the law stated in the Federal Records Act. Some documents could be relevant in court cases.

Feds have to take annual trainings about document retention and classified-materials markings. I’ve probably received this training a half-dozen times. And what we learn is that *wow is this not allowed even a little bit*. www.nytimes.com/2025/03/11/u...

This is just dreadful. Good luck.

a close up of a person 's face with the words " the horror , the horror " written below it ALT: a close up of a person 's face with the words " the horror , the horror " written below it

The deal?
Putin"I want Zelensky, Macron& Starmer all humiliated on live primetime TV on consecutive nights, and then Zelensky fired, apprentice style. I keep what we've taken but promise I won't take the rest of the Ukraine until after your term is up."

Trump:"ok"

#theartofthedeal

God help us. Trump thinks being president is the same as running an episode of The Apprentice.

FCI Webinar - The Great North Care Record: Lessons of NPfIT Learned AND Applied YouTube video by Faculty of Clinical Informatics

I hope you haven't been fired in the madness that seems to have overtaken the USA but if you have, fear not. When I got fired for my "career limiting frankness" it was quite liberating youtu.be/NEVhvP8E48c?...

ow.ly/PcaC50V4hBy new job at The Access Group, talk to me about it at Rewired
@dhrewired.bsky.social

Meyers Briggs - "horoscopes for people LinkedIn accounts" 🤣

A Single Patient Record. What could possibly go wrong?

ESR Replacement - a £1.7 billion accident waiting to happen Things don’t always go as planned. That’s why they invented insurance. In last week’s blog I talked about the Goldilocks Principle in big health IT software development programs. Some programs are ju...

Thrilled that your experience of the madness of software prices reflect ours. Space programmes and nuclear aircraft carriers can cost billions, not software. sardjv.co.uk/esr-replacem...
@digitalhealth2.bsky.social
@jonobacon.bsky.social
@tomski.com
@andrewgreenway.bsky.social

By reputation, of course! At 18F we were always acutely aware we were following in the footsteps of GDS.

Demos not memos, I can't believe I've just discovered you @waldo.net . I guess you know
@tomski.com already?

I do miss my 5000 followers though. Maybe the conversation can be of a higher quality though. I'd love to catch up with you about palliative care and digital health. There's something there that's low.hanging fruit.

I love @drkathrynmannix.bsky.social and all her pals. Delighted to see her over here on @bsky.app

Photo of a metal monument in Nelson, New Zealand, based on Maori unfurling fern symbols. Writing beside it reads 'Only 4 weeks until my trip to New Zealand.'

Photo of a metal monument in Nelson, New Zealand, based on Maori unfurling fern symbols. Writing beside it reads 'I'll be visiting palliative care colleagues over a 4 week tour.'

I'll be spending March in New Zealand.
It's a whistle-stop, 4-week tour, visiting palliative care colleagues, hospices & EoL doulas.
I am so excited!
I'll share the itinerary as soon as it's all confirmed. Hope to meet some Kiwi followers soon 🤞🏼🇳🇿

A beautiful sunset with boats in the Caribbean

Talking 10 year plans with @marcusbaw.bsky.social in The British Virgin Islands

@dhrewired.bsky.social
@digitalhealth2.bsky.social

This is absolutely brilliant. Blown away, not for the first time by @andrewgreenway.bsky.social
"The tyranny of tiny decisions" essential reading for all @rthonwesstreeting.bsky.social and @digitalhealth2.bsky.social

The how we need now: a capacity agenda for 2025 and beyondpublic digitalpublic digital Report by Andrew Greenway and Jennifer Pahlka

The unmissable double act of @pahlkadot.bsky.social and @andrewgreenway.bsky.social published this @niskanencenter.bsky.social report on re-invigorating state capacity just before Xmas. Deliberately US centric, leavened by some UK flourishes.
public.digital/pd-insights/...

I suspect Elon Musk's outrageous tweets are a direct response to the risk posed by @bsky.app @dhrewired.bsky.social @digitalhealth2.bsky.social @nhsemployers.bsky.social @publicdigital.bsky.social

Starting 2025 with a short thread of my favourite, must-watch, YouTube video recommendations for anyone in Digital Health, HealthTech, Clinical Informatics, or trying to change culture in large organisations.

Don't do ANYTHING else until you've watched ALL of them.

International eHealth Workshop - Bologna, 6 giugno 2016 mattino - Relazione M. Aanestad YouTube video by CUP 2000 ScpA

More brilliant stuff from Margun Aanestad youtu.be/WfIUo23MPcY?...

Abilene Paradox, DR. HARVEY, 1981 YouTube video by Ja A

Next is Jerry Harvey's 1982 talk about the Abilene Paradox - the way organisations (couples, businesses, governments) often end up taking a course of action which is opposed to their interests.

www.youtube.com/watch?v=uFQ-...

This one came via my good friend @comparesoftware.bsky.social