Congrats to someone at DHSC for having just invented General Practice

I’m a bit late to this article, and don’t have access to the full text, but the headline captures it perfectly.

Israeli soldiers are detonating entire villages in South Lebanon while taking selfies. Ancient mosques, churches, cemeteries, schools, hospitals - all being obliterated by the genocidal regime

www.instagram.com/reel/DWrg5xi...

It's not just DHSC where morale is plummeting; the HSJ reports that morale declined in every NHS integrated care board that answered the NHS staff survey in 2025

Worth remembering that these are the people who are supposed to deliver Streeting's 3 shifts

www.hsj.co.uk/policy-and-r...

I’m a GP partner. I’ve never heard of a GP partnership that is an LLP. I believe most are unlimited liability partnerships.

www.drsolicitors.com/the-advantag...

The press release makes explicit that the scheme is much broader than right to work

www.gov.uk/government/n...

Wow thank you… I gave up on the lightning port on my iPhone 12 a year or so ago and have been limping along with wireless charging. Now the port is working again!

Every day, Israel deliberately massacres unarmed civilians it has deliberately starved.

How is this possible?

Because instead of framing Israel’s atrocities as obscene outrages demanding urgent action, the Western media has normalised Israel’s atrocities.

The consultancies are going to have a bumper few years managing the current re-org and then substituting for the in-house transformation capacity which the govt is so unwisely decimating

Yippee Noodle Bar A place for you to enjoy deliciously fresh Asian food, focusing on healthy, colourful ingredients and exciting flavours...

No it’s www.yippeenoodlebar.co.uk on King Street

A few times a year I visit Cambridge and go to my favourite noodle bar from student days. Every time I exchange a nod and a smile with the same waiter. This has been going on 15-20 years.

At this stage I feel that having an actual conversation would ruin a beautiful thing.

Thanks for the thread. Seems a bit odd tho to claim that people who voted Labour just 1yr ago “can’t really be won back”. But I agree that Lab is too obsessed with positioning itself close to Reform.

“Israeli officers and soldiers said that they were ordered to deliberately fire at unarmed civilians waiting for humanitarian aid in an investigation published by the Israeli newspaper 𝘏𝘢𝘢𝘳𝘦𝘵𝘻 on Friday; the military prosecution has called for a review into possible war crimes.”

Almost every paragraph of this article describes another atrocity or war crime, with first-hand testimony from Israeli soldiers.

Beyond obscene, and the callous indifference of the UK political and media establishment equally so.

archive.ph/3LjoW

Bluesky people are also more likely to be professionals who have to get the right answer each time, perhaps.
e.g. I’m a doctor and I can’t rely on google AI summary for medical evidence. Need to click through to search results.

Where can I buy these? I can’t see greeting cards on the @mooseallain.bsky.social website.

The main risk is that consultants will drown in A&G requests because GPs are incentivised to use this route rather than look up evidence/guidelines, or to send A&G for patients who clearly need to be seen by that specialty.

The £80m is not really “funding an expansion of the [A&G] scheme”. This is the max available for the £20 payment to GPs, intended to compensate for the extra work involved in managing the patient ourselves rather than referring them.

Let us not submit to the vile doctrine of the nineteenth century that every enterprise must justify itself in pounds, shillings and pence of cash income … Why should we not add in every substantial city the dignity of an ancient university or a European capital … an ample theater, a concert hall, a dance hall, a gallery, cafes, and so forth. Assuredly we can afford this and so much more. Anything we can actually do, we can afford… We are immeasurably richer than our predecessors. Is it not evident that some sophistry, some fallacy, governs our collective action if we are forced to be so much meaner than they in the embellishments of life? …

Posting this extract from a lecture by John Maynard Keynes, speaking on the BBC in the middle of the Second World War, to every Labour cabinet minister

Opinion | Musk Said No One Has Died Since Aid Was Cut. That Isn’t True. (Gift Article) A journey through the front lines of global poverty shows that when the world’s richest men slash aid for the world’s poorest children, the result is sickness, starvation and death.

Nick Kristof has the story of some of those who have died already, such as 10 year old Peter Donde, who succumbed after losing access to HIV medicine that kept him alive. www.nytimes.com/interactive/...

Here is the CEO of NHSE, soon to be part of the government - the same government that receives VAT payments and promises to improve workers’ rights - advising trusts to perform a costly re-organisation in order to, erm, avoid VAT and reduce workers’ rights.

www.hsj.co.uk/finance-and-...

I was working on a project that would used tech to transform referral processes, reducing unnecessary referrals and saving money within a couple of years. Exactly the sort of thing the govt should support.

But it’s dead now. No chance the ICB would be able to fund it.

ICBs ordered to cut costs by 50% Integrated care boards have been told to cut their running costs in half by December.

This is madness. Management slashed in half at national and ICB level, in a service already hideously under-managed. We could reduce admin costs by investing in management and tech, not with a chainsaw. NHS is about to get much less efficient.

www.hsj.co.uk/policy-and-r...

It could have worked well if accompanied by good BI and decision support tools, which should have been mandated in clinical systems. Instead it was a confusing mass of indicators with little visibility of achievement, and improvement was unnecessarily difficult.

I was supported at Cambridge for several years by an 18th-century college endowment reserved for students of Physic who were members of the Church of England. I wonder if it’s still being used in the same way.

A Hospital Helped a Beloved Doctor’s Practice Flourish Even as It Suspected He Was Hurting Patients Hailed as a savior upon his arrival in Helena, Dr. Thomas C. Weiner became a favorite of patients and his hospital’s highest earner. As the myth surrounding the high-profile oncologist grew, so did…

NEW: “Eat What You Kill”

Hailed as a savior upon his arrival in Helena, Dr. Thomas C. Weiner became a favorite of patients and his hospital’s highest earner. As the myth surrounding the high-profile oncologist grew, so did the trail of patient harm and suspicious deaths. @davidmcswane.bsky.social

Interesting that the fall in consultations rates coincides with the fall in GP numbers. What are your thoughts on causation?

As a GP, I believe these are both true:
1) Sickness benefits are often too low and difficult to access for those who need them
2) Too many have been permanently signed off without a decent attempt to address their health issues or encourage them into work. This is often disastrous for their health.

Histogram peaked at 3 minutes and 2 weeks since sent

When I will respond to your email

Main reasons are, I think:
1) ~half of US voters are fully in right wing information space. They won’t hear about this, or will hear distorted version. No BBC equivalent.
2) Republican elected reps will toe the line, whereas UK Tories still have MPs who won’t swallow this kind of thing.