@maherjane
@maherjane.bsky.social
1.2K followers 1.3K following 110 posts
Retired Oncologist, previously NHS leadership stuff, CMO Macmillan cancer support, NED at NHS Hospital . Holding on to hope for NHS (by a thread) #notmycat #lateonsetrockchick #cancerSurvivorship
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Reposted by @maherjane
trishgreenhalgh.bsky.social
Your periodic reminder that mRNA vaccines are a scientific and public health game-changer. Those that have been approved have passed stringent efficacy and safety checks. They protect you and your child against potentially fatal diseases. You may, however, get a sore arm.
Reposted by @maherjane
drrachelclarke.com
Please know that NHS doctors & nurses like me would never urge you to do something that could endanger your child.

Really reliable NHS info on vaccines can be found here.

Please read, it’s excellent. (2/3)

nhs.uk/vaccinations/
nhs.uk
Reposted by @maherjane
trishgreenhalgh.bsky.social
Plenty studies showing that your postcode is a better predictor of your health outcomes than your genome.
carolinejmolloy.bsky.social
The BBC & Telegraph are trailing Wes Streeting’s technophile health plans, including genomic mapping at birth.
Is this really gonna transform the NHS into a prevention service within 10 yrs, as Wes claims? For v rare genetic conditions, praps. But for the real burden of disease?

Thoughts, #medsky?
maherjane.bsky.social
I learned American history through Batman and superman comics
Reposted by @maherjane
trishgreenhalgh.bsky.social
Welcome to my world. #academicsky
hetanshah.bsky.social
Machine learning study of 1,700 economic seminars finds female speakers are interrupted earlier and more frequently than their male counterparts
on.ft.com/3HfIFRS
In one study, for example, machine learning techniques were used to study the audio recordings of more than 1,700 economic seminars. The analysis found that female speakers were interrupted more frequently and earlier than male speakers and that the extra interruptions largely stemmed from female, rather than male, audience members. The study also found men were more likely to make comments rather than ask questions of female presenters.
Reposted by @maherjane
sfrost.bsky.social
More of this please.

Co-designing play spaces with children and young people near their homes led to “what researchers say is the highest increase in children’s physical activity ever recorded by an intervention of its kind”
Bradford project produces ‘outstanding’ rise in children’s physical activity
JU:MP programme included co-design of play spaces, exercise in faith settings and interventions in schools
www.theguardian.com
maherjane.bsky.social
Don’t forget radiation induced brachialplexopathy
maherjane.bsky.social
Went there a few weeks ago - wonderful
maherjane.bsky.social
If hospital to community & virtual wards & stuff going to work you have to have enough “decision makers” ( and non medical prescribers) and you need experienced embedded people to hold the ring, while joining up the various patient record and IT systems takes place - which can be painfully slow
hbuckingham.bsky.social
What was that about a shift 'from hospital to community'? The 'analogue to digital' shift isn't going to make up for a change of this scale in a key community workforce.
nuffieldtrust.org.uk
NEW: In our chart of the week, @billypalmer.bsky.social‬ explores the concerning decline of district nurses in England - at a time of increasing population need - and finds that over a quarter are paid at a lower band than could be expected.

See the chart 👇
buff.ly/cM67plU
Reposted by @maherjane
danofchorlton.bsky.social
Totally agree
maherjane.bsky.social
Unplanned acute illness and cancer should often be the trigger for new conversations - #seeitsayitshareit
Reposted by @maherjane
medicine.stitches.today
EORTC effectively captures tyrosine kinase inhibitor side effects, outperforming other patient-reported outcome libraries in non-small-cell lung cancer assessments.

by Paton EL, Cetnar JP (...) King-Kallimanis BL et 2 al. in J Natl Cancer Inst #MedSky

👉 get more here

📖 read the article:
Landscape assessment of patient-reported outcome item coverage of tyrosine kinase inhibitor-associated AEs
AbstractBackground. Patient-reported outcomes (PROs) are critical for assessing symptomatic adverse events (AEs) in non-small-cell lung cancer (NSCLC) clin
academic.oup.com
maherjane.bsky.social
Unplanned acute illness and cancer should often be the trigger for new conversations - #seeitsayitshareit
maherjane.bsky.social
As palliative &EOL care becomes increasingly community based is it time to reconsider a route into the specialty palliative medicine via general practice? Community based palliative medicine training without such a long acute medicine commitment ? @johnlauner.bsky.social @danmunday.bsky.social
Reposted by @maherjane
nadakhan.bsky.social
As #generalpractice takes an increasingly 'digital first' approach, it's important to know how practices are facilitating access to these services - I talk to Helen Atherton here on the @bjgp.bsky.social podcast about the impact on practices and patients
bjgplife.com/episode-198-...
Episode 198: The increasing digitalisation of general practice systems – how it’s impacting patients and what we can do about it
In this episode, we talk to Professor Helen Atherton about the increasing push for a digital-first approach in general practice.
bjgplife.com
Reposted by @maherjane
hbuckingham.bsky.social
Now, this is a really important session. Continuing Healthcare is relatively unknown, complex, and yet has a massive impact on individuals. Juliet Bouverie, Chair of the Richmond Group warns us that we're going to get cross. #NTSummit
maherjane.bsky.social
Several Popes have been very supportive of the concept of palliative care but perhaps less so the personal application during their own illnesses . Recognising when palliative care can help (eg sick enough to die ) even though active treatment continuing #palliative
Reposted by @maherjane
trishaelliott.bsky.social
Yes, I was asking this question a few days ago, hoping that he’s getting relevant support from a geriatrician or similar physician, not just people tasked with keeping him alive at all costs.

(Good palliative care can as we know actually prolong life rather than shorten it…)
maherjane.bsky.social
But I wonder if he would see it’s value for himself ?
Reposted by @maherjane
bengoldacre.bsky.social
Great piece in The BMJ @bmj.com about our OpenSAFELY platform granting unprecedented secure, transparent, efficient access to whole population GP data for analysts in collaboration with NHS England @england.nhs.uk
www.bmj.com/content/388/...
News
Researchers could soon access GP patient data—how will it work?
BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.r375 (Published 21 February 2025)
Cite this as: BMJ 2025;388:r375
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Elisabeth Mahase
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Nearly 18 months after NHS England announced its intention to allow scientists to analyse general practice data for research, the scheme finally looks set to go ahead. Elisabeth Mahase examines how it will work and whether privacy concerns have been met

What has been announced?
NHS England has said that it is actively working with GPs’ leaders to prepare for sharing of GP patient data, through the OpenSAFELY system, with select researchers. This could potentially happen within months.

Do researchers currently have access to GP data?
Deidentified patient data from general practices in Scotland and Wales are available for research, but this is largely not the case in England. However, an exception has been made in recent years in relation to covid-19. Early in the pandemic the government issued a “control of patient information” (COPI) notice, which gave researchers access to deidentified patient data, but only for covid-19 research.1

What is OpenSAFELY?
OpenSAFELY is a software platform that enables researchers to analyse electronic health record data in England, including GP patient records for the whole population of 58 million—but currently only for covid related work. Developed in the early months of the pandemic,2 it is a collaboration between the University of Oxford’s Bennett Institute for Applied Data Science, the London School of Hygiene and Tropical Medicine, NHS England, and GP system suppliers such as EMIS Health and TPP.

Speaking at a media briefing on 19 February, Ben Goldacre, director of the Bennett Institute, said, “OpenSAFELY began during the pandemic, motivated by the need for enormous population level data that we had to have flowing at unprecedented scale but also unprecedented speed.” …
maherjane.bsky.social
But previous popes have been quite resistant to palliative care which I always found curious
maherjane.bsky.social
RIP Roberta Flack - songs of youth #killingmesoftly