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James Higgott

@jiggott.bsky.social

940 followers 320 following 430 posts

Head of Product for NHS App at NHS England. Expect digital health + culture + cricket + games + low-res puns.

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Reposted by James Higgott

Mayor of London, Sadiq Khan @london.gov.uk · 8d

184 years earlier than predicted, London has met the legal limits for toxic NO2 for the first time.

This historic milestone proves that bold action like expanding ULEZ works, protecting children’s health and giving millions cleaner air to breathe.

London Ulez reduced nitrogen dioxide to legal limit, mayor says

The mayor of London says the fall in airborne toxins is due to the Ultra low emission zone expansion.

James Higgott @jiggott.bsky.social · 9d

Currently, many GPs like to turn these systems off once they have received a certain number of requests for the day. It's similar to how they manage capacity via the phone.

James Higgott @jiggott.bsky.social · 9d

There isn't a single digital triage service. There are about a dozen of these "online consultation" tools on the market (such as Accurx Patient Triage and Patchs. They vary in how they work from a simple form asking "What's up?" that is sent to a human to review, to a complex flow of questions.

Reposted by James Higgott

William Perrin @willperrin.bsky.social · 11d

More full DSIT guide to digital id, rather better than the No10 announcement which still doesn’t link to it www.gov.uk/government/p...

Digital ID scheme: explainer

James Higgott @jiggott.bsky.social · 15d

This is excellent news. My friend John and I will be trying to get tickets.

James Higgott @jiggott.bsky.social · 15d

I'm in a pub in Brixton for a talk about changing pub culture in Brixton.

It's part of the Festival of Encounters and the rest of the programme looks good if that's your thing and you're nearby festivalofencounters.com

Festival of Encounters

festivalofencounters.com

James Higgott @jiggott.bsky.social · 18d

My two (7&8) love Flip 7, Hey! That's My Fish, King of Tokyo and Deep Sea Adventure.

James Higgott @jiggott.bsky.social · 20d

I'm going to Tortoise.
I hadn't spotted it was at 3pm, so thanks for that warning.

James Higgott @jiggott.bsky.social · 20d

It demonstrates that I am still down with the kids.

James Higgott @jiggott.bsky.social · 21d

5. NHS decentralisation is a strength. Primary Care in particular, but local NHS in general, is incredibly innovative. That is where the test + learn happens. The Centre needs to get better at giving local teams the basic national products (App, Notify, etc) and helping to scale up what works.

James Higgott @jiggott.bsky.social · 21d

4. We already have the capability, the standards and the technology to build high quality national services. What we lack is the mandate to do so. Local areas can mostly do whatever they want on this front. And we don't invest enough in getting adoption of the national systems we do have.

James Higgott @jiggott.bsky.social · 21d

3. The NHS is highly hierarchical, and this is baked in.
One Director of Nursing I worked with referred to her teams in military terms - taking orders from the top and doing what they were told.
The culture at the most senior levels of NHSE and DHSC is (with some exceptions) "do as I say".

James Higgott @jiggott.bsky.social · 21d

2. Test + learn + rapid iteration in a clinical context is hard because people can die. Small experiments for trivial things are easy. But to try new models of care you need pilots and firsts of type, with the full clinical wrapper you'd expect in a service that's already operating at scale.

James Higgott @jiggott.bsky.social · 21d

Great piece. I really enjoyed it. Thanks for posting it. Some thoughts:

1. I agree with your points about the capability needed. But I don't agree that adopting your three basic principles is "the easy bit". I think they are harder than the 3 issues you list afterwards.

James Higgott @jiggott.bsky.social · 21d

I've read it. I like it. I'm going to read it again, then I have questions/thoughts.

Reposted by James Higgott

Benjamin Welby @bm.wel.by · 21d

This new blog post from @jamestplunkett.bsky.social (informed by the thinking he's been doing with @richardpope.org and me) is essential reading.

What does digital-era healthcare really mean?

A long read on the NHS, the 10 Year Plan, and what it would take to unstick the system

James Higgott @jiggott.bsky.social · 24d

Ha ha. Like all the best engineers.

James Higgott @jiggott.bsky.social · 24d

It may be a bit obvious to pick Star Wars, but R2D2 is notably competent.

James Higgott @jiggott.bsky.social · 25d

I really enjoyed it too, and the sole reason I went was because I saw Jeff Vandermeer post that it was 'creepy'.

James Higgott @jiggott.bsky.social · 25d

I took this photo of some flags in south London a couple of weeks ago and I much prefer it to the racist nonsense that was on our streets yesterday.

7 flags from 7 different countries wrapped around a tree trunk in West Norwood.

You can see the flags of England, Jamaica, Poland, Saint Vincent and the Grenadines, Sweden, Turkey and one other that I can't be sure about.

James Higgott @jiggott.bsky.social · 26d

Like in the Christmas Radio Times.

James Higgott @jiggott.bsky.social · 26d

I'm arriving late Wednesday. See you on the Thursday. Top hat!

Reposted by James Higgott

Giles Turnbull @gilestur.bsky.social · 27d

had some stuff to get off my chest about strategies ~ gilest.org/notes/strate...

gilest.org: The strategy is enquiry

James Higgott @jiggott.bsky.social · Sep 8

Those engineers are really urn-ing their keep.

James Higgott @jiggott.bsky.social · Sep 8

Yes, and the latest FHIR API work is going very well.