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Posts by Dr Gemma Hughes

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For frank and honest conversations unpacking what works (and what doesn’t) in healthcare improvement, the Listen to THIS podcast explores the work addressing current & enduring challenges.

Learn more about the series and listen on Spotify, Amazon Music and Apple Music: ths.im/4l8JbQi

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With @trishgreenhalgh.bsky.social @sarashaw.bsky.social and other co-authors not active on Bluesky

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Care navigation is more than signposting - it’s about providing stability - consistency of human interaction that constitutes primary care infrastructure

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Another ‘slow’ piece that accounts for why it’s so hard to get a GP appointment when you are already marginalised and then have to also use remote access

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Remote Access to Primary Care: Theorising ‘Care Navigation’ The use of digital technology to facilitate remote access to care can increase inequalities, especially for people with complex health and social care needs. Care navigation, human input to support a....

New paper 📣onlinelibrary.wiley.com/doi/10.1111/1467-9566.70...

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You look tired Jack. Hope you are not working too hard. (From a mum of a Jack)

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It was a formative text. Very powerful.

3 weeks ago 1 0 0 0

I read that at school!

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That was a long term wasn’t it?

3 weeks ago 2 0 1 0
Bare trees against a colourful sunset sky with Leicester university buildings in the distance

Bare trees against a colourful sunset sky with Leicester university buildings in the distance

Yes yes it is. Though we have good sunset tree skeletons on my walk to the station

3 weeks ago 1 0 0 0

What a beautiful picture. Love to you Emma x

1 month ago 1 0 0 0

New qual research on the changing role of ICSs in England, based on interviews with local leaders

Lots in there--including support for government's policy aims--but the ongoing mess of yet another NHS restructure is inescapable:

www.health.org.uk/reports-and-...

1 month ago 2 2 0 0
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Metaphors in AI and genomics: Going beyond blueprints and parrots I have been writing about metaphors in genetics and genomics since 2003 and about metaphors in AI/GenAI/LLMs since 2023. Recently, I started to wonder whether there are any similarities and differe…

Today's post was supposed to be an easy topic but it turned out to be quite hard: metaphors in genomics and AI/LLMs #metaphor #scicomm #genomics #AI
makingsciencepublic.com/2026/03/13/m...

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Study shows perioperative care is key to reducing post-surgery death in high-risk patients A new UK-wide research study has found high-risk patients account for nearly 80% of post-surgery deaths, highlighting the need for open conversations and more tailored care.

A new study in @thelancet.com shows perioperative care reduces post-surgery deaths in high risk patients.

Led by @qmul.bsky.social and funded by @nihr.bsky.social.

Find out more➡️ shorturl.at/CXA4B

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The involvement of anaesthetists and other healthcare professionals with surgeons in shared decision-making for adult patients contemplating surgery: a systematic review and narrative analysis Recognising the medical and surgical complexity of certain patient populations, perioperative pathways are evolving to incorporate multidisciplinary t…

www.sciencedirect.com/science/arti... new review from the OSIRIS ‘B’ team on multidisciplinary surgical shared decision making

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Synthesis challenges in complex evidence: A critical analysis of systematic reviews of face mask efficacy | Research Synthesis Methods | Cambridge Core Synthesis challenges in complex evidence: A critical analysis of systematic reviews of face mask efficacy

Our new paper:

Synthesis challenges in complex evidence: A critical analysis of systematic reviews of face mask efficacy

#episky #healthpolicy #medsky

www.cambridge.org/core/journal...

2 months ago 96 43 6 4

But there is no ‘I’ !

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‘If I think about what this means, I want to cry’: what happens when a city loses its university? When Essex University’s Southend campus opened, it was a message of hope for a ‘left behind’ UK seaside town. Its closure will be felt far beyond its 800 students, some of whom will not get their degr...

Awful news www.theguardian.com/environment/...

2 months ago 3 0 0 0
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Ethnography for Healthcare Improvement Summer School 2026 | shop@le A short course designed for researchers and doctoral students to critically engage with the theory and practice of ethnography in healthcare settings.You w

It's on again - our internationally-renowned Ethnography for Healthcare Improvement Summer School! 8th-10th July, 2026, here in Leicester, UK. Designed for researchers to learn & reflect on use of ethnographic research in healthcare settings. Limited places available: shop.le.ac.uk/product-cata...

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This looks extremely interesting

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For my writing group pals …

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small successes count There’s a particular kind of exhaustion that comes from staring at a word count that’s meant to reach 80,000 or 100,000, knowing you’re only at 12,000. Or from looking at a journa…

It’s important to recognise and celebrate small academic writing successes patthomson.net/2026/01/22/s...

2 months ago 29 11 0 2

Lovely colours though

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Update on the New Hospital Programme - NAO report The NAO has published an update on the New Hospital Programme following government's decision to reset the programme.

RAAC in NHS hospital buildings has been responsible for closures of facilities such as operating theatres due to safety concerns. This has had a significant impact on NHS long term performance. Yet the deadline has slipped on the RAAC eradication programme.
www.nao.org.uk/reports/upda...

3 months ago 3 2 0 0

Are we now a … community?

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Always good working with you Arne! Good to see this finally out

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It‘s been a long journey until this one saw the light of the world. Anyway: new research just hot off the press! (with @gemhughes.bsky.social and Gregory Maniatopoulos)

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A few months ago, we shared the perioperative quality framework. Today, we’re excited to share our new publication detailing the methods behind it, developed with an outstanding group of collaborators. Read the full paper here: ths.im/4bxxpNU

3 months ago 1 1 0 0
GP woman attending to a patient by reviewing the blood pressure.

GP woman attending to a patient by reviewing the blood pressure.

Our review shows that the candidacy framework can help explain why improving access to general practice is so complex. It highlights issues that affect how people seek care but may benefit from updating to reflect general practice changes.

Full paper: ths.im/4aljBFS
THIS summary: ths.im/4iZqTBe

3 months ago 2 3 0 0
Painting of a tiny boat in silhouette on a stylised sea with large waves

Painting of a tiny boat in silhouette on a stylised sea with large waves

Sea and boat,1988 by Wilhelmina Barns-Graham #WomensArt #Monday

3 months ago 430 68 0 2