Alf Collins
@alfcollins.bsky.social
Doctor, patient advocate, Trustee Patients Association, Picker Institute. Person centred, high value care, shared decision making, support for self management. Ex Health Foundation, NHS England. Rugby, family, good food. Personal views
Reposted by Alf Collins
More Alice in Oxbridge if you ask me…
February 2, 2026 at 11:39 AM
More Alice in Oxbridge if you ask me…
One of the wisest clinicians I ever met said to me once: ‘the problem with DHSC/NHSE is that they have a fundamentally different change model to the one that clinical services adopt’. He was right. The ‘if we specify the change clearly enough, frontliners will do it’ mentality is still there.
February 2, 2026 at 9:54 AM
One of the wisest clinicians I ever met said to me once: ‘the problem with DHSC/NHSE is that they have a fundamentally different change model to the one that clinical services adopt’. He was right. The ‘if we specify the change clearly enough, frontliners will do it’ mentality is still there.
Reposted by Alf Collins
Reposted by Alf Collins
Featured on the hub today, a new report from @pickereurope.bsky.social which provides an overview of the state of person centred care in the NHS in England. www.pslhub.org/learn/improv...
Picker: The State of Person-Centred Care 2025 (29 January 2026)
Key findings highlighted by this report include: Quality of care Patient perceptions of the overall quality of NHS care are largely positive, although variations in the level of positivity occur depen...
www.pslhub.org
January 29, 2026 at 2:47 PM
Featured on the hub today, a new report from @pickereurope.bsky.social which provides an overview of the state of person centred care in the NHS in England. www.pslhub.org/learn/improv...
Reposted by Alf Collins
Hi Alf- yeah like it. Simple, makes sense at practical & human level. Like it's not going to solve the world's problems, as a silver bullet, but surely things like this are part of 'creating the conditions' for being able to work better together...
have a lovely day🖐️
have a lovely day🖐️
January 29, 2026 at 8:50 AM
Hi Alf- yeah like it. Simple, makes sense at practical & human level. Like it's not going to solve the world's problems, as a silver bullet, but surely things like this are part of 'creating the conditions' for being able to work better together...
have a lovely day🖐️
have a lovely day🖐️
Reposted by Alf Collins
I wrote this song on Saturday, recorded it yesterday and released it to you today in response to the state terror being visited on the city of Minneapolis. It’s dedicated to the people of Minneapolis, our innocent immigrant neighbors and in memory of Alex Pretti and Renee Good.
Stay free
Stay free
Bruce Springsteen - Streets Of Minneapolis (Official Audio)
YouTube video by Bruce Springsteen
youtu.be
January 28, 2026 at 5:02 PM
I wrote this song on Saturday, recorded it yesterday and released it to you today in response to the state terror being visited on the city of Minneapolis. It’s dedicated to the people of Minneapolis, our innocent immigrant neighbors and in memory of Alex Pretti and Renee Good.
Stay free
Stay free
Reposted by Alf Collins
We need a board level director for patients at DHSC.
Is the patient voice fading? Reflections on patient safety in a changing NHS - a new blog on the hub today.
Link: www.pslhub.org/learn/patien...
Link: www.pslhub.org/learn/patien...
January 28, 2026 at 4:56 PM
We need a board level director for patients at DHSC.
The loveliness, yes loveliness of the final few paragraphs in Julian Barnes last novel ‘Departure(s)’ has reduced me to tears. You must read it- and not just for the last page or so.
January 27, 2026 at 3:51 PM
The loveliness, yes loveliness of the final few paragraphs in Julian Barnes last novel ‘Departure(s)’ has reduced me to tears. You must read it- and not just for the last page or so.
Seminal work re: person-centred care from @cpoc.org.uk C’mon all you other specialist societies and Royal Colleges, what about a patient charter of your own?
📢 We are delighted to launch the Perioperative Care Patient Charter setting out what every patient should expect before, during and after surgery.
We are committed to empowering patients, improving outcomes and supporting shared decision making throughout the periop pathway.
🔗 shorturl.at/dMAXV
We are committed to empowering patients, improving outcomes and supporting shared decision making throughout the periop pathway.
🔗 shorturl.at/dMAXV
Perioperative Care Patient Charter
The CPOC Perioperative Care Patient Charter sets out what patients can expect from good perioperative care
cpoc.org.uk
January 27, 2026 at 3:17 PM
Seminal work re: person-centred care from @cpoc.org.uk C’mon all you other specialist societies and Royal Colleges, what about a patient charter of your own?
Reposted by Alf Collins
Fuck the World Cup.
You play in it & you’re endorsing a fascist regime.
You play in it & you’re endorsing a fascist regime.
January 24, 2026 at 10:14 PM
Fuck the World Cup.
You play in it & you’re endorsing a fascist regime.
You play in it & you’re endorsing a fascist regime.
Reposted by Alf Collins
www.joxleywrites.jmoxley.co.uk/p/airport-bo...
Great piece on “airport book brain” - the tendency of politicians to swallow simplistic solutions. Latest example the Jonathan Haidt book shaping policy on teens and social media
Great piece on “airport book brain” - the tendency of politicians to swallow simplistic solutions. Latest example the Jonathan Haidt book shaping policy on teens and social media
January 23, 2026 at 8:50 AM
www.joxleywrites.jmoxley.co.uk/p/airport-bo...
Great piece on “airport book brain” - the tendency of politicians to swallow simplistic solutions. Latest example the Jonathan Haidt book shaping policy on teens and social media
Great piece on “airport book brain” - the tendency of politicians to swallow simplistic solutions. Latest example the Jonathan Haidt book shaping policy on teens and social media
Reposted by Alf Collins
McBath plays audio of Trump asking Raffensperger to find votes for him
January 22, 2026 at 6:36 PM
McBath plays audio of Trump asking Raffensperger to find votes for him
Reposted by Alf Collins
IT system interoperability is the NHSs Achilles Heel
January 21, 2026 at 7:56 PM
IT system interoperability is the NHSs Achilles Heel
Great article re: patients using AI. Given the evidence that a) clinical training drains doctors of empathy, and b) doctors can’t possibly keep all relevant evidence in their heads, there’s a big shift emerging and doctors need to ride with it. cc @glynelwyn.bsky.social , @johnlauner.bsky.social
January 21, 2026 at 5:09 PM
Great article re: patients using AI. Given the evidence that a) clinical training drains doctors of empathy, and b) doctors can’t possibly keep all relevant evidence in their heads, there’s a big shift emerging and doctors need to ride with it. cc @glynelwyn.bsky.social , @johnlauner.bsky.social
Just bought a signed copy of Julian Barnes latest book. What a tiny, neat signature he has.
January 21, 2026 at 2:32 PM
Just bought a signed copy of Julian Barnes latest book. What a tiny, neat signature he has.
Reposted by Alf Collins
Agreed. For some of that - try pmc.ncbi.nlm.nih.gov/articles/PMC...
Decision support tools in the absence of equipoise: the case for vaccination
An official website of the United States government
pmc.ncbi.nlm.nih.gov
January 21, 2026 at 12:45 PM
Agreed. For some of that - try pmc.ncbi.nlm.nih.gov/articles/PMC...
Reposted by Alf Collins
You can see why what we proposed in “Close Enough to Care” had some well researched history behind it! re-state.co.uk/publications...
@charliepickles.bsky.social @stkaye.bsky.social
@charliepickles.bsky.social @stkaye.bsky.social
Close enough to care: A new structure for the English health and care system - Re:State
In Reimagining Health: a framing paper, Re:State set out the case for a radical new approach to health. Close enough to care is the first of a series of papers setting out root and branch reform of th...
re-state.co.uk
January 21, 2026 at 9:57 AM
You can see why what we proposed in “Close Enough to Care” had some well researched history behind it! re-state.co.uk/publications...
@charliepickles.bsky.social @stkaye.bsky.social
@charliepickles.bsky.social @stkaye.bsky.social
Reposted by Alf Collins
It was indeed the alternative original model for the nhs. Bevan was forced to go with an alternative set up due to the politics of doctors & voluntary hospitals at the time. However Bevan in 1954 wrote about moving to the LA model as his preference recently republished @heather-themj.bsky.social
January 21, 2026 at 9:46 AM
It was indeed the alternative original model for the nhs. Bevan was forced to go with an alternative set up due to the politics of doctors & voluntary hospitals at the time. However Bevan in 1954 wrote about moving to the LA model as his preference recently republished @heather-themj.bsky.social
Reposted by Alf Collins
It's given me a glimmer of hope tbh.
Yeah, calm & assertive, without being combative👍
Yeah, calm & assertive, without being combative👍
January 20, 2026 at 9:52 PM
It's given me a glimmer of hope tbh.
Yeah, calm & assertive, without being combative👍
Yeah, calm & assertive, without being combative👍
Reposted by Alf Collins
folks, this is some really weird shit. the president is not well.
January 20, 2026 at 7:01 PM
folks, this is some really weird shit. the president is not well.
Trump so obviously metaphorically talking to his parents: ‘look what I did, ma………..do you love me now?’
January 20, 2026 at 7:05 PM
Trump so obviously metaphorically talking to his parents: ‘look what I did, ma………..do you love me now?’
Trump right now: a rambling, crazed, addled psychopath.
January 20, 2026 at 6:56 PM
Trump right now: a rambling, crazed, addled psychopath.
Reposted by Alf Collins
Donald Trump is headed to the World Economic Forum in Switzerland to brag about wrecking the American economy.
That's why I've also flown to Davos — with an extra suitcase of kneepads for those caving to Trump's insanity — to vigorously defend California as an alternative to Trump's world disorder.
That's why I've also flown to Davos — with an extra suitcase of kneepads for those caving to Trump's insanity — to vigorously defend California as an alternative to Trump's world disorder.
Gov. Newsom at Davos rips into world leaders who think they can appease Trump: “I should have brought a bunch of knee pads for all the world leaders.…this is pathetic”
January 20, 2026 at 6:19 PM
Donald Trump is headed to the World Economic Forum in Switzerland to brag about wrecking the American economy.
That's why I've also flown to Davos — with an extra suitcase of kneepads for those caving to Trump's insanity — to vigorously defend California as an alternative to Trump's world disorder.
That's why I've also flown to Davos — with an extra suitcase of kneepads for those caving to Trump's insanity — to vigorously defend California as an alternative to Trump's world disorder.
Reposted by Alf Collins
“Roughly a third of Americans are bugfuck crazy”. Worth a read for why all elections everywhere are a battle against the crazies.
The crazification factor remains undefeated shebloggedbynight.com/2025/the-27-...
The 27% Club, Or: Lizard People, The Crazification Factor, and Me • She Blogged By Night
It's the 20th anniversary of the invention of the Crazification Factor, a theory advanced by John and Tyrone of Kung Fu Monkey to explain political beliefs that defy common sense.
shebloggedbynight.com
January 19, 2026 at 3:25 PM
“Roughly a third of Americans are bugfuck crazy”. Worth a read for why all elections everywhere are a battle against the crazies.