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Reposted by Dave West @ HSJ

Stephen Bush @stephenkb.bsky.social · 3d

An astronaut, looking at the Earth: “Wait, it’s all social care obligations?”
Behind them, another astronaut, drawing a gun to shoot them in the back: “Always has been.”

Dave West @ HSJ @davewwest.bsky.social · 5d

Although big inequalities by area - which I guess is not primarily a supply issue ? Well, could be supply/comms not serving the shape of population perhaps

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Dave West @ HSJ @davewwest.bsky.social · 5d

thanks. This is the CMO summary slide

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Reposted by Dave West @ HSJ

Steve Senior @stevensenior.bsky.social · 6d

Demand is part of the problem in vaccination, it's just not the whole picture. The most recent data from the vaccine confidence project show a fall in measures of public confidence in vaccines. Could be specific, but as you say, possibly broader.

www.vaccineconfidence.org/vci/country/...

Vaccine confidence in UK – The Vaccine Confidence Project

Vaccine confidence in the United Kingdom is high compared to other countries. The latest data we have for the United Kingdom is from surveys conducted in 2020 which showed that 83% of people feel that...

www.vaccineconfidence.org

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Reposted by Dave West @ HSJ

Tom Whipple @whippletom.bsky.social · 6d

There is a good chance that this will be the most important economic fact in all of our lives.

Steve Senior @stevensenior.bsky.social · 6d

I think it would do people good to spend more time looking at and thinking about this graph.

From the excellent www.gov.uk/government/p...

A graph showing the number of people aged 65 and over per 100 people from around 1950 to present with projections to 2065. The ratio is flat between 1970 and 2010 ish and then starts to increase. The projection is for the ratio to roughly double by 2065.

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Dave West @ HSJ @davewwest.bsky.social · 6d

Yes - I share that suspicion (or at least, both supply and demand) - but I suppose there could be a broader fall in trust/medicine

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Dave West @ HSJ @davewwest.bsky.social · 6d

not the point you're raising here - but re the data on falling uptake of several screening progs - are you aware of any good analysis on 'why'?
seems a little different to vaccines, but perhaps the factors are the same

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Reposted by Dave West @ HSJ

Steve Senior @stevensenior.bsky.social · 6d

I think it would do people good to spend more time looking at and thinking about this graph.

From the excellent www.gov.uk/government/p...

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Reposted by Dave West @ HSJ

Greg Fell @felly500.bsky.social · 11d

roll-out of social prescribing in England's primary care system

www.thelancet.com/journals/lan...

Rapid ⬆️ in Px
Doesn't appear to a rapid increase in the £ available for services to which people are referred
If this were referrals to orthopaedics that wouldn't be ok
not ok in this context

National roll-out of social prescribing in England's primary care system: a longitudinal observational study using Clinical Practice Research Datalink data

Social prescribing has expanded rapidly in England, far exceeding initial targets of 900 000 patients by 2023–24, suggesting broad service acceptability. Progress is being made in reaching specific ta...

www.thelancet.com

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Reposted by Dave West @ HSJ

Sarah Tilsed @sarahtilsed.bsky.social · 16d

The Health & Social Care Secretary announced launch of pilot scheme where adults waiting for gender services will receive clinical & emotional support. It is fundamentally wrong that so many #LGBT+ people still face challenges when accessing #healthcare
www.gov.uk/government/n...

Support for adults facing staggering waits for gender services

Adults waiting for gender services will receive clinical and emotional support from a new wellbeing pilot.

www.gov.uk

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Reposted by Dave West @ HSJ

John Appleby @jappleby123.bsky.social · 22d

This ain’t bad from Streeting. Need much more of this from senior politicians across the spectrum www.theguardian.com/politics/202...

We must tackle rising tide of racism and homophobia claiming to be free speech, says Streeting

Exclusive: Health secretary says Labour cannot afford to ignore far-right protests as Starmer under pressure

www.theguardian.com

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Dave West @ HSJ @davewwest.bsky.social · 27d

Claire has overseen a period of pretty substantial (unprecedented?) growth in spending on mental health services ... Yet it's miles away from meeting need and demand

The commitment to that growing investment now very clearly at an end

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Reposted by Dave West @ HSJ

John Appleby @jappleby123.bsky.social · 29d

Wrote paper in 2001 about problems in constructing composite performance measure league tables- comparing WHO attempt to rank worlds health systems and FIFA rankings of countries footie teams! journals.sagepub.com/doi/10.1258/...

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

journals.sagepub.com

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Dave West @ HSJ @davewwest.bsky.social · 29d

Yes v well put. I agree. And agree with them there should be 'transparency' even if the vast majority of public aren't interested.
Could well be a bit of performance benefit from it, short term, in senior management response, to the signal.
Still think they could make it a little clearer though

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Dave West @ HSJ @davewwest.bsky.social · 29d

Thanks v much

Dave West @ HSJ @davewwest.bsky.social · 29d

useful-ish...but also un-useful, since it renders the league tables kind of more or less completely unreadable and use-less !

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Reposted by Dave West @ HSJ

John Appleby @jappleby123.bsky.social · 29d

ALERT!: we need a statistician!

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Dave West @ HSJ @davewwest.bsky.social · 29d

Someone on LinkedIn is asking for a version of this on the MH/community trusts - in case you fancy drafting that up...

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Dave West @ HSJ @davewwest.bsky.social · 29d

This doesn't answer the Q as far as I'm concerned, BUT: apparently stakeholders were told DHSC/NHSE wonks had asked the Royal Statistical Society (I think), who said some of the performance variation was so small it could be by 'chance'. Hence this CI method was recommended/used.
Still baffled 🤷‍♂️

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Reposted by Dave West @ HSJ

Mark @markouthwaite.bsky.social · 29d

To be fair the Framework itself makes no claims that it is for patient choice - simply that publishing it is 'to support transparency'.

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Reposted by Dave West @ HSJ

Mark @markouthwaite.bsky.social · 29d

Impact of the lock-out to segment three for Trusts that fail the financial test. Plotting average score against assigned ranking

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Reposted by Dave West @ HSJ

John Appleby @jappleby123.bsky.social · 29d

I knew you’d ask! From DH method u posted it seems the source of variation (needed to generate CIs) comes from variation in services trusts’ provide. Bootstrapping (10k repeated sampling of data) can generate a mean etc from which CIs can be calculated. Please can a proper statistcian explain!

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Dave West @ HSJ @davewwest.bsky.social · 29d

I'd kind of like to understand it slightly more though... It is real performance not estimates or probability so why do you need CIs at all ? And what's all this about living alternative indicators : these are the chosen ones !

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Dave West @ HSJ @davewwest.bsky.social · 29d

this should clear things up

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Dave West @ HSJ @davewwest.bsky.social · 29d

bottom of the league? it's not so bad, you might actually be nearly top of the league

John Appleby @jappleby123.bsky.social · Sep 9

Those confidence intervals in full!

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