John Appleby
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jappleby123.bsky.social
John Appleby
@jappleby123.bsky.social
550 followers 220 following 650 posts

FAcSS https://acss.org.uk. Vis Prof at City University & Imperial College London. Board member https://nhsrho.org @nhs-rho.bsky.social & https://www.resonancefm.com @resonancefm.bsky.social Health economist

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John Appleby, FAcSS is a British economist. He was chief economist at the King's Fund from 1998 to 2016 and is now Director of Research and Chief Economist at the Nuffield Trust.

Source: Wikipedia
Public Health 41%
Medicine 26%
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jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · Sep 18

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 7h
Been watching old YouTube version - fine really.

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
Variation in waiting lists is a problem (though may partly reflect patient/gp choices). There’ll always be some variation of course. My pro tip is try and ask someone who knows (usually a consultant) where they’d want to be referred if they needed the treatment you need! (Hope all ok btw!)

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
Well quite! Decentralisation can work both ways! But I’d say the postcode problem has reduced partly through centralisation/regulation (eg NICE)

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
Think it’s easy to ‘clock’ cars with digital odometers. Best thing is to check a car’s mot on gov.uk mot site
gov.uk

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
Yes, decisions on global funding (plus its regional allocation) and branding. In most other respects nhs a sort of federated system - plenty of scope for individual initiative in my experience.

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
No real evidence that decentralised systems produce better outcomes

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
(D’oh! ‘Innately’ - better, intrinsically

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 9h
Health care inanely labour intensive. Better comparison would be other countries healthcare labour forces

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 2d
Yes, 3 nil Chelsea v Barcelona!

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 2d
Cmon Chelsea!

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 3d
Acknowledge that MPs pressed for time (though the campaigned to be on committees), but (strong) chairs of committees should do their job and corral questions to focus on eliciting the truth

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 3d
People like me (in past)! Supplying briefings plus in-session notes. But ultimately up to MPs to do their homework and also devise a proper coordinated questioning plan (inc on the hoof follow ups). But always felt a bit lackadaisical…

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 3d
Yes, but also they haven’t devised a strategy or goal for their questions; what, exactly, are they trying to find out?

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 3d
My experience advising such committees (not this one) was the frustration at the poor questioning from MPs (despite initial briefing and in-session scribbled notes!)

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 3d
I’ve been involved with the BSA health questions for years and have seen GP satisfaction decline significantly over the last few years…suspect access (as with dentists and A&E) has been main cause of recent trends

Reposted by John Appleby

resonancefm.bsky.social
Resonance @resonancefm.bsky.social · 3d
Our Audience Survey 2025 is now open. We'd like to know what impact Resonance may have had on you - and as a thank you can opt in to a draw to win a Ruark R1S Smart Radio, donated by Ruark Audio.

👉 Take the survey (5–10 mins):
us19.list-manage.com/survey?u=697...

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 4d
Learnt a new word today: Adermatoglyphia - the lack of fingerprints. Caused by a gene mutation. Will try and casually introduce this word in my next conversation.

Reposted by John Appleby

drivelsieve.bsky.social
Drivelsieve @drivelsieve.bsky.social · 4d
Straighten up and fly right

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 5d
Christ, just had to renew m’driving licence. Involved setting up an account (and gov.uk login app) plus passport number, scanning passport chip, confirmatory selfies and at least four 6 digit confirmation numbers at various points. …. All good I guess? Is it good?
gov.uk

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 6d
Excellent The Naked Week on BBC Radio 4!

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 8d
Ukraine (all of us) wont accept this capitulation to Putin. www.theguardian.com/world/2025/n...
US and Russian officials draft plan to end Ukraine war based on capitulation from Kyiv
It is unclear if Trump administration backs deal that would mean Kyiv giving up territory and slashing size of military
www.theguardian.com

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 8d
Rabbits! Go get ‘em!
Hmmm. Think I’ll just lie here and do a dog fart in a bit… pffft

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 8d
Clickbait! www.theguardian.com/tv-and-radio... No Turner porn!
Turner: The Secret Sketchbooks review – the sheer number of pornographic drawings is a big shock
JMW Turner left behind some 37,000 sketches when he died, many of which have rarely been seen. Do they – including a huge collection of explicit sketches – reveal truths about the elusive man?
www.theguardian.com

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 8d
Number of deaths in Russia’s gangsta war against Ukraine - the combined populations of Liverpool and Leeds. It continues, with 1,000+ deaths a week. The US/EU could end this tomorrow.
samfr.bsky.social Sam Freedman @samfr.bsky.social · 8d
New post from @ldfreedman.bsky.social

"Retreat, Defeat and the Sunk Cost Fallacy"

On the increasingly desperate Battle for Pokrovsk - and the tactical/strategic decisions for the Ukrainians and the Russians.

(£/free trial)

samf.substack.com/p/retreat-de...
Retreat, Defeat and the Sunk Cost Fallacy
Ukraine’s choices on Pokrovsk
samf.substack.com

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 8d
Retreat, Defeat and the Sunk Cost Fallacy
open.substack.com/pub/samf/p/r...
Retreat, Defeat and the Sunk Cost Fallacy
Ukraine’s choices on Pokrovsk
open.substack.com

Reposted by John Appleby

benansell.bsky.social
Ben Ansell @benansell.bsky.social · 8d
This seems like a pretty unlikely outcome but if it’s anywhere close then a lot of people who have proclaimed the victory of post-liberalism might want to check their Icarus wings

Reposted by Ben H. Ansell, Will Jennings, John Appleby , and 3 more

carlquintanilla.bsky.social
Carl Quintanilla @carlquintanilla.bsky.social · 8d
MARIST: new generic midterm ballot.

@maristpoll.bsky.social
maristpoll.marist.edu/polls/a-look...

Reposted by John Appleby

samfr.bsky.social
Sam Freedman @samfr.bsky.social · 8d
New post from @ldfreedman.bsky.social

"Retreat, Defeat and the Sunk Cost Fallacy"

On the increasingly desperate Battle for Pokrovsk - and the tactical/strategic decisions for the Ukrainians and the Russians.

(£/free trial)

samf.substack.com/p/retreat-de...
Retreat, Defeat and the Sunk Cost Fallacy
Ukraine’s choices on Pokrovsk
samf.substack.com

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 10d
‘Retirement conference’. Hope it will go/went well! I’m not sure I’d want my career examined/critiqued in a conference tbh!
jowolff.bsky.social Jo Wolff @jowolff.bsky.social · 10d
When I was reflecting on my career for my retirement conference I realised it was built on three things I was advised no respectable philosophy academic should do

1 Write texts for students

2 Write collaborative public policy reports

3 Co-author philosophical research

My advice. Do your thing.

jappleby123.bsky.social
John Appleby @jappleby123.bsky.social · 10d
Take position C when really willing to retreat to position B…