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"Since 2022/23, NHS spending has fallen slightly in real terms" If Wes Streeting is actually delivering cuts to the NHS, how can he expect productivity, efficiency and patient care to improve when the core issue is underinvestment? We know we have some of the lowest number of

NEW: Even Pep can see it. Tiki taka has been rumbled, and football is changing. 🗣️ Robin Sainty LINK: norwichcity.myfootballwriter.com/2025/05/19/eve…

🔊The updated Falls guideline (NG249) was published last month: nice.org.uk/guidance/ng249 Find out how the updates on the NICE guideline will impact the audit, clinicians, and patients. FREE to attend! 📅17 Jun 🕛12-1pm 📝Book now: bit.ly/2025Q2webinar

Obituary for Rob Sapsford (1964-2024): Leeds cardiologist whose breadth of knowledge and sense of humour have left a huge hole. Sapsford's warmth meant his office became an unofficial break room as colleagues would often pop in for a chat bmj.com/content/389/bm…

I FOIed HMRC again regarding McCloud rectification, here are some insights into the data they sent me (table below) - 14,325 submissions across whole of public sector, lots more RPSS sent out, so *many* ppl still sat on these as many more sent out in NHS alone - DONT IGNORE

We all know that as resources become tighter, as pressure mounts from above bullying becomes a very real risk despite the many lovely policy documents we all have. Be vigilant, do not tolerate.

#hotoffthepress Wanting an update on #sarcoidosis, its common presentations and management? Needing helpful tips for acute and general medicine? Look no further! ⏬ sciencedirect.com/science/articl… Robina Coker Kathy Cullen

Regarding #POCUS Has ANYONE solved the problem of ensuring their staff leave ultrasound machines clean and on charge? Please advise

Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it Don’t say it “Looks like we’ve had our summer!”

God. Imagine being a Sunderland fan. You get that semi-final moment and now you go top it in the final. Madness. That’s why you sit through all the disappointments as a football fan and keep coming back for more, year after year.

Increasing incidence of gonorrhoea is likely to lead to more complicated and systemic presentations. What are the challenges of diagnosis, and current and future treatment strategies? Includes a #BMJInfographic bmj.com/content/389/bm…

After Trump says Putin is 'crazy', the Kremlin calls the US president 'emotional' – reassuring to know that global conflict is being dealt with by the grown-ups

David Oliver (also on Blue Sky) Malcolm McKenzie 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Neil Pettinger Nick Scriven Vicky Komrower/Price. now [email protected] Aw thanks! We need a change in mindset from data hiding and data denial. It shouldn't matter how bad your performance is, but it must matter that people don't use their data to improve

Adrian Boyle Malcolm McKenzie 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Neil Pettinger Nick Scriven Vicky Komrower/Price. now [email protected] also, with all the manager-bashing need a realisation that overcrowding and long waits and flow are whole systems issues and not largely/all in the gift of the acute trust - which controls neither front door demand nor back door availability of out of hospital services

"All happy families are alike; each unhappy family is unhappy in its own way." Does the Anna Karenina principle apply to ED 12-hour performance..? Adrian Boyle David Oliver (also on Blue Sky) Nick Scriven 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Vicky Komrower/Price. now [email protected]

A belated (and long-winded - sorry!) comment from me on this. Yes, there’s a need to reduce delays (and therefore length of stay) in acute hospitals. We won’t solve patient flow without this happening. 1/12

"Inpatient length of stay 7.1 days, four-hour compliance 60%, result misery. Inpatient length of stay 6.7 days, four-hour compliance 95%, result happiness." As Mr Micawber (might've) said about patient flow.

How to colour-code your hospital. Also - following a suggestion from Bruce Gray - how to re-orient your hospital so that patients flow (mainly) from left to right (at least to start with)... #KnowYourFlow