chrisham.bsky.social - Profile | ThreadSky | a Reddit-style client for Bluesky

Following the recent announcement of changes to the top of NHS England, Nick Timmins and @chrisham.bsky.social take a look back at the chequered relationship between government and the health service. What will this new 'era' bring? buff.ly/43dyXZd

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My views on NHS leadership in yesterday’s Times

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"Amanda Pritchard's commitment to the service has been evident in everything she has done." Our chief executive @confedmatt.bsky.social responds to the announcement Amanda Pritchard is to resign at the end of March. www.nhsconfed.org/news/nhs-con...

submitted 8 days ago • 0 comments

Interesting snippet from Get In, the story of Labour under Starmer, on how the PM in opposition was impressed with Marmot’s work on health inequalities and wanted it to shape Labour’s programme @patrickmaguire.bsky.social @michaelmarmot.bsky.social

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And valued and supported by clinical teams

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For decades, the US government has painstakingly kept American science #1 globally—and every facet of American life has improved because of it. The internet? Flu shot? Ozempic? All grew out of federally-funded research. Now all that's being dismantled. 1/ www.technologyreview.com/2025/02/21/1...

submitted 12 days ago • 83 comments

New OECD survey shows benefits for patients who are more confident in managing chronic conditions

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Totally agree @chrisham.bsky.social. We are a long way from an ‘activated and engaged’ population but this must be a real focus in the long term plan.

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the NHS 10 year health plan must create the conditions for a shift from providers to patients, people and communities www.bmj.com/content/388/...

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where does responsibility lie for improving health? Interesting and surprising evidence in this new report www.kingsfund.org.uk/insight-and-...

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Raiding capital budgets to cover revenue deficits is not helping NHS productivity NHS driving decline in public sector productivity www.thetimes.com/article/f6d1...

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beg borrow or steal a copy of this from FT weekend on importance of trust and strong institutions to avoid chaos and decline The article is about US but has wide relevance www.ft.com/content/4e3f...

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The ugly: efficiency savings this year will have adverse impact on patient care if budgets are to be balanced

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Dorset coast

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Power, prevention & place: 3 pillars of the ‘new local’ being forged by public servants & communities working together in new ways. My new thinkpiece sets out how this should inform the national reform agenda, which in turn must enable it to deepen & grow. www.newlocal.org.uk/articles/wha...

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Letter to FT on NHS reform

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Have a read of @chrisham.bsky.social's latest post on our blog, #NHS Voices 👇

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it's time to engage people and communities in improving health and using services wisely. Just expanding the supply of care is not a sustainable solution. Wanless in 2002 argued for a fully engaged population which has not been achieved www.nhsconfed.org/articles/mod...

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this assessment of ICB leadership aligns with my report on performance in North Est and Yorkshire region @samanthallen.bsky.social www.hsj.co.uk/integrated-c...

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the current horrors in NHS emergency care are consequence of political neglect of NHS as described in detail in my 2023 report @thekingsfund.bsky.social assets.kingsfund.org.uk/f/256914/x/0...

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On the “war on waste” (reported in the Sunday Telegraph today) Why is expertise on public sector effectiveness is deemed only to come from the private sector? Why not frontline workers living the challenges daily? Service user/community groups who fall between the silos? @telegraphnews.bsky.social

submitted 52 days ago • 24 comments

Improving how hospitals work may help but the causes of the crisis in emergency depts are found in shortages of community services and neglect of prevention. A whole system response is essential Hospital advertises for ‘corridor care’ nurses to ease NHS crisis www.thetimes.com/article/410d...

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Couldn’t agree more Richard. SWFT is outstanding and if it is struggling we should all be worried. Bad decisions by govt’s since 2010 have consequences

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patients are harmed by long waits in ED emj.bmj.com/content/39/3...

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A social movement for improvement is needed to enact the NHS 10 year plan, not more central direction and a focus on top down 'delivery' www.hsj.co.uk/policy-and-r...

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🚨 University Hospitals Birmingham declares critical incident & tells staff it will need to run "at increased levels of risk" with higher thresholds for admission and lower thresholds for discharging patients. It also brings back mask wearing in all clinical areas for 2 weeks:

submitted 57 days ago • 7 comments

Tough decisions for the government to make: investing in the NHS is essential but we also need to make longer term gains in public health and tackle population health and poverty

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what we learnt from Wes Streeting's first appearance before the Health and Social Care Committee as govt confronts and sometimes delays hard choices @profjudithsmith.bsky.social @richardhumphries.bsky.social @jesstud.bsky.social www.bmj.com/content/388/...

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Wilful blindness?

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Shifting from hospitals to the community is not straightforward it seems

submitted 60 days ago • 1 comment

Oh David Lodge. Sad news. A great, wise, funny, kind, generous Midlands writer who did something rare in committing to both academic and popular writing.

submitted 61 days ago • 11 comments

Remembering today former University of Birmingham Professor of English David Lodge who has died - this portrait by James Lloyd hangs in the entrance to our university library #academicsky #literature #BirminghamUniversity #Birmingham

submitted 61 days ago • 2 comments

The urgency on NHS with Darzi report delivered in 2 months compared with 3 year timescale of the Casey review of social care @blimeysimon.bsky.social @richardhumphries.bsky.social @helenwalkerncl.bsky.social

submitted 61 days ago • 0 comments

Shocking case: how can this happen? Doctor watched son die of sepsis at hospital where she worked www.thetimes.com/article/0443...

submitted 75 days ago • 0 comments

I can’t read this, because paywall, but it should be beyond bleedin’ obvious that management should identify and support wider adoption of best practices. Particularly in an organisation of the NHS’ size and vintage. The domain experts are the staff that work in their domains…

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One of the great writers and thinkerS on management, leadership and organisations. RIP

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NHS reform must be based on staff leading improvement and sharing innovations and good practice 'from within' using all assets. Command and control from the top is likely to be frustrating and ultimately futile www.ft.com/content/0737...

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Thanks Richard

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“There is more than one way of achieving results” - some really good points here by @chrisham.bsky.social

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sounds similar to what NHS has been doing for many years in adapting quality improvement methods to improve patient care, now through the National Improvement Board and NHS Impact. Is central government joined up in advocating this way of working? www.gov.uk/government/n...

submitted 86 days ago • 2 comments

I'm a big fan of Ostrom, so this blog by @chrisham.bsky.social on the need for self determination in NHS organisations, makes interesting reading!

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Channeling Elinor Ostrom on the need for self determination not regulation and central direction @mancunianmedic.bsky.social

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If the government had set target for social care, what should it have been? @blimeysimon.bsky.social @richardhumphries.bsky.social

submitted 89 days ago • 2 comments

is anybody else worried about the loss of experienced NHS leaders? Numbers seem to be growing more rapidly than previously www.hsj.co.uk/workforce/ic...

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Delighted yesterday to contribute to programme for medical leaders in sexual health services but alarmed to hear of a London council withdrawing funding for these services

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London this morning

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