Great talk about how EPR satisfaction is not EPR dependent rather approach and training. Poor implementation a major factor for #physicianburnout @thmswebb.bsky.social 🩺🖥️ #rcpsychdata25

I mean diving surely, that's the analogy that just leapt into my head. Loads of digital Tom Daleys

The dystopian films never show the part where you're just hoping the bad guy is too stupid to accomplish his goals

Just need to borrow some opinions now...

Got re elected on to TechUk health and social care council didn't I! 🙌🏻🙌🏻🙌🏻. Quite surprised tbh but I'll definitely take it

To say that poor provider performance is solely down to poor mgmt is reductive in the extreme.

There's a lot wrong with Wes Streeting's approach. Too much to write in detail here, but the basic issue is that NHS provider organisations work in a fiendishly complex system where performance is impacted by a myriad of factors.

Pretty wild that, in a system where we say there is a “productivity crisis” in hospitals and we don’t really understand what is causing it, we think we can centrally produce league tables and sack the managers of the organisations at the bottom.

Oh dear god, the world is screwed

I'm looking forward to work tomorrow. How weird is that?

I've had too many reasons to say this lately, but - when you really need it to be - the NHS really is freaking amazing. So many excellent people going out of their way to make things better with great kindness and expertise. ❤️

An easy answer to NHS productivity - Ethical Healthcare Thomas Webb, Founder and CEO, reflects on the NHS's financial challenges and offers a simple solution for increasing productivity.

There is a lot of focus on NHS productivity right now, so we're revisiting an article by our CEO @thmswebb.bsky.social that set out how the NHS could make some pretty quick, and pretty effective, productivity gains. https://buff.ly/41lwhFY

#DigitalHealthcare #DigitalTransformation #NHS

Yes, we're about to launch the next national usability survey actually (30th Sept), to add even more data to the research. But yep, about 2/3 of factors affecting usability have nothing to do with the system itself. Training and engagement are key, as is infrastructure.

You need to meet procurement then 😉

I think procurement frameworks are partly to blame, with a feeling that if a system is on a framework it must be usable. But usability isn't tested there either. It's not tested at all which leads to this image. The NHS is WAY worse at putting EPRs in than the rest of the developed world.

I think a good analogy is buying a car because it ticks the boxes of wheels, windows, seats etc but never driving the thing to see how that functionality all comes together to see how it actually FEELS to drive.

I guess tracking number of clicks just tells you that systems might be different, but more clicks doesn't equal worse usability? How might you evaluate accessibility?

I seem to have a fair few design folk following me, do any of you have good suggestions about objective usability measures like clicks/eye tracking?

Call with an NHS Trust this morning how about to incorporate assessing the usability of the EPR they're procuring. It's never really been done before in the NHS. These things cost multiple £ms a year, and no one has ever thought to try to use it before a 10+ year contract. Absolutely mind boggling.

Bluesky now has over 10 million users, and I was #6,113,718!

It is far from clear that Labour yet know what to do about improving the NHS. The Darzi Review is fine: it tells health experts nothing they didn’t already know.

Its main, unstated purpose is about the allocation of political blame. It does that quite effectively.

I will!! Come along if you want to learn about how the NHS (English and Welsh) compares to the rest of the world in the user experience of its clinical systems, why it matters and what we can do to improve it

The Darzi review feels like a massive stalling exercise. Has said absolutely nothing that hasn't been said for decades now sadly. Seems just like an exercise in shaping public narrative.

UK Statistics Assembly 2025 Announcing the UK Statistics Assembly The UK Statistics Authority, in partnership with the Royal Statistical Society, is pleased to invite statistical users, producers and regulatory representatives t...

My team at the ONS is organising the first ever UK Statistics Assembly to discuss with users and producers, the country’s priorities and needs for statistics. Visit to register and complete the call for contributions ⬇

uksa.statisticsauthority.gov.uk/uk-statistic...

Why organisational readiness is the most important factor for EPR success - Ethical Healthcare Thomas Webb on why successful digital transformation is about preparing the entire organisation for change.

Read @thmswebb.bsky.social's view on how and why the NHS must improve its approach to implementing electronic patient records (EPRs). https://buff.ly/4c0zX4D

#DigitalHealthcare #DigitalTransformation #NHS

More good stuff from the Darzi review being pre-briefed. He is absolutely right that the NHS is “undercapitalised” compared with other health systems

Since 1970, there have only been 2 years when we've invested more than the OECD average

www.thetimes.com/uk/healthcar...

It seems to me that govts and media seem to swing between criticising NHS managers and criticising management consultants working with the NHS. It's almost like the NHS is a fiendishly complex system, chronically under-managed and starved of capital to address long term issues 🤷🏼‍♂️ 🤷🏼‍♂️

It's truly a magical wooden clad wonderland. All your services dreams in one single place. Farm shop and butchers ✅ Mountain scenery ✅ Great restaurant overlooking a duck pond ✅ showers in the toilets(?) ✅

With a bonus convo with @nicolacdio.bsky.social thrown in for good measure!

Spent most of today driving across miles and miles of empty foggy north pennines, with lunch at the best services in the UK (yes, Tebay) in the middle. Came back to find @ethicalhealthcare.bsky.social has won an award. Lovely day.