🏴󠁧󠁢󠁷󠁬󠁳󠁿We look forward to starting this conversation in Wales soon - watch this space!

🔎In the meantime, you can access our recent Masterclass on waste reduction with Don Berwick by joining our Let's Not Waste network: bevancommission.org/lets-not-waste/

Getting rid of stupid stuff of course originated with Don Berwick and Institute for Healthcare Improvement (IHI) England should start with health ministers, civil servants and NHSE leading by example Wes Streeting MP Victoria Atkins Matthew Taylor Julian Hartley

Here is the key point about today's announcement on defence spending.
The overall spending 'envelope' was set in the Budget, and hasn't been adjusted. With no more spending overall (and no tax rises) that can mean only one thing: bigger spending cuts elsewhere.

Inventive, hilarious Love’s Labour Lost The RSC last night

I recall Tim Wilson wrote about health care and complex adaptive systems for The BMJ c 20 years ago. Plus ca change Kamran Abbasi Charlotte Summers

BREAKING: Huge and momentous news. The US congressional bottleneck for Ukraine military aid has been cleared. A crucial day for the civilized world and democracy and a bad day for Putin.

BREAKING: US House of Representatives approves confiscation of frozen Russian assets in the US and handing them over to Ukraine. I’ve been working on this since the war began with many good people in Ukraine and around the world. This is a huge milestone and paves the way for the…

The Tobacco and Vapes Bill, if passed, will prevent thousands of people being disabled or dying prematurely.

Tobacco addicts people at a young age, taking their choices away and then killing them.

The 4 UK CMOs support creating a smokefree generation.

After exhausting the alternatives. Time now surely to increase support for staff and learn from strength of feeling around this grievous mistake NHS England Suzie Bailey Dr Rachel Clarke Clare Gerada Dr Navina Evans

Another example of NHS following Hemingway’s observation that bankruptcy occurs ‘gradually then suddenly’. Many more yet to declare

If we want a high performing NHS, we need to look after the workforce 👇

You can see even more from the Skirrid with the wonderful Walnut Tree nearby

Makes sense to me

The next frontier for improving health care sustainably at scale is bringing together these different modes of activity. Excited to test this new framework from The Q community Quality Forum #Quality2024 Read more: q.health.org.uk/about/local-sy…

This

If you haven't read Time to Think, it's essential and gripping reading on this issue Hannah Barnes

thanks Hugh - depressing but not surprising that objectives on health inequals are being crowded out by higher profile policy objectives and your verdict that 'this represents a repeated failure among national policy makers to learn from past policy' Andy Knox Bola Owolabi

This and related challenges are mainly to do with patient flow and how different components of care work together. Surely it’s time for a sustained focus on patient flow and removing barriers to flow?

Nuts are a superfood

I encourage all my patients to eat nuts

Yet more evidence showing this is wise

nejm.org/doi/full/10.10…

#StormKathleen has certainly arrived on Ramsey. 6m swells in the harbour this afternoon, safe to say no boats today! 🌊