Nigel Edwards @nedwards_1
Health and healthcare policy expert nuffieldtrust.org.uk London Joined December 2010-
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I knew governance of health workforce planning is important - I was rather surprised to find how interesting it is, how little it is studies and the size of the gap between what is needed and what many countries are doing
I knew governance of health workforce planning is important - I was rather surprised to find how interesting it is, how little it is studies and the size of the gap between what is needed and what many countries are doing
My first outing in Lancet Global Health on a neglected topic
My first outing in Lancet Global Health on a neglected topic
Great appointment
🗣️ SPEAKER ANNOUNCEMENT We are delighted to announce that Nigel Edwards (@nedwards_1) will present a keynote talk titled: “Lessons from integration: Implications for building local teams” ...at our next #CLEvent on 9 May. 🔗Register your free place: eventsforce.net/eventage/front…
Excellent blog - since it was written things got worse!
Excellent blog - since it was written things got worse!
Super impressed to get my new passport with extra pages today when ordered on Saturday morning. @UKPassport1 showing that government can do digital
Pretty much what @jessRmorley said at Nuffield Trust Summit. Counterargument might be that other industries have successfully deployed for automation and transactional tasks. But they have clear operating models, healthcare doesn’t. Fix that first.
Pretty much what @jessRmorley said at Nuffield Trust Summit. Counterargument might be that other industries have successfully deployed for automation and transactional tasks. But they have clear operating models, healthcare doesn’t. Fix that first.
We all know she means this is unbelievably stupid. I agree.
We all know she means this is unbelievably stupid. I agree.
Rewarding staff for effort is one thing but this is a really terrible way to allocate capital. They wouldn't have to do it if they hadn't rationed capital in the first place. It also seems to assume the problem is a lack of effort - this has to be wrong.
Rewarding staff for effort is one thing but this is a really terrible way to allocate capital. They wouldn't have to do it if they hadn't rationed capital in the first place. It also seems to assume the problem is a lack of effort - this has to be wrong.
Really powerful to hear @CMO_England talk about societal desire to prioritise quality over quantity at end of life - says not were many clinicians are 👏👏👏 Says need honest convo So so important… end of life care does not have to mean medical intervention #NTSummit
At the #NTSummit listening to @CMO_England talk about the huge gap in healthy life expectancy and how addressing this is key to long term future of the NHS and the country. @NVTweeting put this as item one on our manifesto for equitable care. nationalvoices.org.uk/publication/na….
A big issue is that as far as I can tell the £ is all for capital but where will the costs of change management, training and redesign come from. If they don't spend on this the project will definitely fail. Also see this great thread.
A big issue is that as far as I can tell the £ is all for capital but where will the costs of change management, training and redesign come from. If they don't spend on this the project will definitely fail. Also see this great thread.
Increasing private health insurance is not the answer the relieving pressure on public hospitals. New paper out in @HECJournalTweet by the wonderful @OuYang_HRB and colleagues. onlinelibrary.wiley.com/doi/full/10.10…
Very important point and why I really worry about the 'work at the top of your licence' goal. I certainly don't this all the time and I don't know anyone who does.
Very important point and why I really worry about the 'work at the top of your licence' goal. I certainly don't this all the time and I don't know anyone who does.
History shows us that carrying out the goals of integrated care can be difficult. 🆕 @nedwards_1 & @RichardQLewis argue the benefits of a better historical understanding of attempts at integration, and reveal seven lessons that would help this time. nuffieldtrust.org.uk/news-item/inte…
More people are thinking about research and policy on hospitals - a weirdly under studied area in HICs and also in LMICs sciencedirect.com/science/articl…
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The 🐭 speaks good sense! It takes years of training to act when seconds matter.
I’ve been thinking a lot about why I object to the associate programme, I stress, in it’s current guise And I could well be wrong about it all!? I think I’ve finally worked out how to express my reservations And I’m going to use a @dasairway algorithm 🧵
The handshake 🤝 moment with Princess Royal 🤗 after Investiture and chatting about #socialprescribing Check thread for my #WindsorCastle 6th March MBE Investiture photos
Arrival at #WindsorCastle 📸 Hope you are getting into the world #socialprescribingday spirit. Share your stories and work! #socialprescribing #linkworkers
🌟It consumes 1️⃣GP appointment just to ask for 1️⃣hospital appointment to be more urgent🌟 1000s of patients are directed from hospital administrators to GPs. Please, hospital teams, discuss with admin staff 1️⃣Prioritise 2️⃣Apologise 3️⃣Don't ask GP to reorganise Thanks if you have!
Extraordinary way to refer to it. 'It's a sad fact that my government has created a lot of food poverty and we are not addressing it but thank heavens the voluntary sector is helping otherwise who knows what those people would do.'
"I have the privilege of some wonderful foodbanks in my constituency" -UK Health Secretary Victoria Atkins
Well. This is remarkable. Almost as if the Health Secretary is yet to be introduced to the facts: digital.nhs.uk/data-and-infor…
Sally Nugent: What do you say to those doctors... who are working in hospitals where there's sewage leaks, roofs falling down...? Victoria Atkins: We have invested £4.2b... new hospital programme SN: But the cost to make the NHS estate fit for purpose is £11.6b #BBCBreakfast
She HAS the privilege of some wonderful food banks in her constituency.
"I have the privilege of some wonderful foodbanks in my constituency" -UK Health Secretary Victoria Atkins
Nice mention here that my/our Medical Generalism work is of the few studies that has systematically looked at medical workforce in the UK. The main finding? Medical staffing does not match patient need. onlinelibrary.wiley.com/doi/10.1002/hp…
This is interesting. Setting a precedent for urgent care as a DES. Does this mean that providing same-day care is no longer part of GMS? @Parody_RCGP
The same-day access (SDA) hub model will ‘deliver a single point of triage for same-day, low complexity’ demand for all patients in the ICS bit.ly/488hRL9
Tell that to Barber, who was on the radio this morning extolling the virtue of targets. I made an animation on the folly of his "Deliverology". See here: tinyurl.com/me5bdnv9
Really worth reading this from @helenpidd, who goes deeper and more thoughtfully into a wider range of issues and opportunities than the usual warm-fuzzy pieces you see about intergenerational care environments. theguardian.com/lifeandstyle/2…
Suspect "optimising models of care" just means less care.
NEW: Report leaked to HSJ warns of a near-£2bn financial deficit for Gr Manchester within four years, unless action taken. But it's all good... the consultants have bridged the gap with this nice chart, including £1.2bn of savings from 'optimising models of care'
A must read on NHS culture & practice & the real lessons of the #LucyLetby case … agree with every word tx @rogerkline 👏👏👏👏 definitely one for @ProfDonnaHall @husseyruth @HelenaVesty @ShaunLintern @TobyLewis_NHS @Thea_Stein 👇
Lucy Letby: Shuffling deckchairs will not work. By Roger Kline bit.ly/495PA8S
Study also suggests that 'rural' doesn't mean career death. Rather the opposite. Outcomes as good, if not better for training OUTSIDE major urban teaching hospitals.
Excessive Rotational training needs to end for junior doctors. I’m sick of seeing ‘ we’re better because we don’t rotate ‘ coming from unregulated PAs . ncbi.nlm.nih.gov/pmc/articles/P…
The model of care in this thread was praised to me recently 'as the future of Medicine'. ACPs/PAs/Pharmacists etc seeing most of the patients. GPs sitting elsewhere remotely overseeing. No physical presence except to see 'the really complex ones'. It was the 1/
Back to work PM clinic in local surgery where I enquired about salaried job but was told they’re not recruiting a GP. Omg what a mess. The whole place is now run by PAs, ANPs & paramedic. GP partner comes in once a week. Once A Week. 2 pts in my clinic had their rosacea…
'Taskification' is the biggest issue in the workforce substitution debate. Any task has two bits - the thinking (cognition) and the doing. The thinking bit is the most important. Why am I doing this? Am I doing this properly? What happens if it goes wrong? Etc. 1/
@PaulaMc007 @drmattuk @drcmday @mouseter_chef @Femi_Sorry @Xeon4f145d96s1 @DrAmirKhanGP @goldstone_tony @GoodLawProject @JolyonMaugham @RosieisaHolt @HelenRSalisbury @davidhencke @VirtueOfNothing @keepnhspublic @parthaskar @DrLindaDykes @DrLKVaughan @ShaunLintern @GMB @mancunianmedic @maitlis @GBNEWS @itvnews @SkyNews @teekayoki @ObaBabsOsibodu @drphiliplee1 @PeterStefanovi2 @quackophage @r1chardf1tzg3r1 @RoshanaMN @dr_shibley @dgraemestewart @drokane @DrSteveTaylor @PPJSucharitkul @lizzie_toberty @TheDA_UK @theJeremyVine @WB_UK @drmeenalviz We can do almost everything a band 5 can as far as I understand it.. so from a clinical pov 90%. Like Aldi baked beans.. look the same, taste pretty similar but not made with quality ingredients (ie no nurse degree). I was a vet nurse for 15 years prior so my knowledge +++
“We noticed that you had your appendix out last week. Would you like us to remove another appendix?”
Worst take of 2024 so far? @HPIAndyCowper
If you want to MASTER chatGPT; Learn prompt engineering. Here are 5 prompt frameworks that will help you UNLOCK the full potential of chatGPT:
🌟Some patients struggle with the challenge of WRITING their problems in to GP surgeries!🌟 ❤️How can we support? Below is the message we wrote to our patients ⬇️ 😟There was research done on common patient concerns 🥰This message aims to address them 👭 You're welcome to share!
‘…over 60% of older adults classified as frail rated their health positively. This study challenges the excessively negative perceptions of frailty, underscoring the need for a holistic understanding of frailty.’
The lived experience of frailty: beyond classification and towards a holistic understanding of health @tilda_tcd @AislingOHallor1 @deirdrelanglang @RoseAnnekenny1 link.springer.com/article/10.100…
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