Julian Winn
@winn-on-health.bsky.social
570 followers 610 following 2.3K posts
Currently: Health service designer Using Lean, Six Sigma, Agile methods, & Turning knowledge into application Formerly: Hon Senior Fellow, Uni East Anglia; Hospital Manager Co-founder: The Realist Research & Evaluation Group
Posts Media Videos Starter Packs
Reposted by Julian Winn
charlieangus104.bsky.social
They still don't get it.
They think they can come up to Canada and sweet talk us into buying their shit.
Ain't gonna happen.
Donald Trump said that there was nothing Americans needed from Canada.
We can start with you not needing money from our booze purchases.
abcnews.go.com/Business/wir...
Cold shoulder from Canada is costly for American distillers struggling with global trade tensions
American distillers have gotten a costly cold shoulder from Canada
abcnews.go.com
winn-on-health.bsky.social
That was a quick 2 hours...

#Music
#Electronica
#DJ
@90smusicguy.bsky.social
Reposted by Julian Winn
implausibleblog.bsky.social
Victoria Derbyshire, "You described Reform UK as the right wing fascists of 1930s, why?"

Lord Heseltine, "Because that's what they are"
winn-on-health.bsky.social
Political will & expedience to fund & execute value-based care, & for that care to be planned & provided within an integrated care system (which means ICSs being more than an organisational title)
winn-on-health.bsky.social
A culture reset that demonstrates the value & yet to be met 'ambitions' of older age (including planning for a peaceful, dignified end of life)
Training & assistance to turn Home Managers into Home & Care Leaders
winn-on-health.bsky.social
Facilitators:
Appreciating that care is a physical, mental, and social activity
Talking with residents can & should be structured to improve care, relationships and well-being
Nationally set training standards & inputs (which can be on-the-job)
Wages that reflect the vitality & social value of care
winn-on-health.bsky.social
Barriers:
Task-orientation
Misperception of what care time is for / how it can be used
Training
Pay
Scare or hard to recruit workforce
Culture of care work, including the social constructs of 'later life'
Leadership (at all levels-Government to Care Home)
winn-on-health.bsky.social
These foci could have been discussed with resident participants

When asking "How can care planning be approached in a person-centred way?" without approaching residents the 'person-centred' element is already lost, IMO
winn-on-health.bsky.social
Care planning is part of the busy job; I contest that, done well, care tasks & interventions should include conversations about care preferences with the resident

Value-based care is important
winn-on-health.bsky.social
"Residents – particularly those with cognitive impairment – are often excluded from care planning discussions"

...

@neilchadborn.bsky.social
winn-on-health.bsky.social
"...Crucially, two relatives of care home residents also contributed throughout, helping shape the principles from a family perspective"

Two relatives
winn-on-health.bsky.social
"...One hundred health and social care professionals from across England took part in the first survey round, with 80 continuing to the second round. The panel included care home managers, nurses, care assistants, and other professionals directly involved in care planning..."
Reposted by Julian Winn
joegarrity.bsky.social
I captured the newly discovered comet C/2025 A6 Lemmon. It was first observed earlier this year by Mount Lemmon Observatory in Arizona.

My Portfolio:
portfolio.pixelfed.social/JoeGarrity

#astrophotography #astronomy #naturephotography #nature #longexposure #comet #photography
Reposted by Julian Winn
acyn.bsky.social
Schumer: That issue that MAGA Mike keeps talking about—illegal immigrants getting health care. It’s an effing lie. The law says that federal dollars cannot go to illegal immigrants under Medicare, Medicaid, or the ACA.

And I said that to him in the room. I said, You’re lying. He smirked.
winn-on-health.bsky.social
#MedSky
#AcademicSky
#AI
smcgrath.phd
tagging for #MedSky #MedEd #MedAI
jonc101.bsky.social
@stanforddeptmed.bsky.social Biomedical Informatics Research Colloquia
“Applied Intelligence: Integrating AI Technologies Into Medical Education”
Laurah Turner, PhD.

Thursday, October 9th, 2025
12:00 to 1:00 pm PST

stanford.zoom.us/j/9788759601...

Webinar ID: 978 8759 6012
Passcode: 420642
Reposted by Julian Winn
kevinmkruse.bsky.social
Sounds like Republicans ought to get all the Republicans who form the Republican majorities in the Republican-led House and the Republican-led Senate together to pass the budget that Republicans wrote with the Republican White House and that Republicans now insist absolutely must be passed.
atrupar.com
Sean Duffy says the safety of the air traffic control system will start being impacted next Sunday if the shutdown continues
Reposted by Julian Winn
nisreenalwan.bsky.social
Make no mistake. This race-to-the-bottom political circus of racism & xenophobia is not only about unicorn future policies of discrimination & oppression. It’s about scaring & sickening us and making us give up on making this country fair & equitable. Take a break if you must but don’t let them win.
winn-on-health.bsky.social
"Many organisations lack even a basic inventory of legacy clinical systems, and there is little clarity around their operational relevance, data dependencies, or integration with newer platforms"

#HealthcareIT
#PatientSafety

www.digitalhealth.net/2025/08/lega...
How yesterday’s systems are causing today’s clinical safety issues
Legacy systems pose increasing risks due inadequate clinical safety assurance, write Kimberley Dawson, Ben Jeeves and Sascha Mullen
www.digitalhealth.net