Chris Fleming
@e17chrisfleming.bsky.social
Partner and healthcare lead @publicdigital.bsky.social Walthamstow via Durham. Policy Fellow @ Labour Together.
So good from Giles 🤌🙌
had some stuff to get off my chest about strategies ~ gilest.org/notes/strate...
gilest.org: The strategy is enquiry
gilest.org
September 12, 2025 at 9:04 AM
So good from Giles 🤌🙌
Reposted by Chris Fleming
had some stuff to get off my chest about strategies ~ gilest.org/notes/strate...
gilest.org: The strategy is enquiry
gilest.org
September 12, 2025 at 7:24 AM
had some stuff to get off my chest about strategies ~ gilest.org/notes/strate...
Reposted by Chris Fleming
A new episode of Everything Digital Health just dropped:
Getting Started with openEHR - with Ian McNicoll
https://www.youtube.com/watch?v=NgWhyss_Ako
A solid starting point for anyone who’s interested in getting started with openEHR - quite a long...
Getting Started with openEHR - with Ian McNicoll
https://www.youtube.com/watch?v=NgWhyss_Ako
A solid starting point for anyone who’s interested in getting started with openEHR - quite a long...
Getting Started with openEHR - with Ian McNicoll
A solid starting point for anyone who’s interested in getting started with openEHR - quite a long...
www.youtube.com
September 7, 2025 at 10:36 PM
A new episode of Everything Digital Health just dropped:
Getting Started with openEHR - with Ian McNicoll
https://www.youtube.com/watch?v=NgWhyss_Ako
A solid starting point for anyone who’s interested in getting started with openEHR - quite a long...
Getting Started with openEHR - with Ian McNicoll
https://www.youtube.com/watch?v=NgWhyss_Ako
A solid starting point for anyone who’s interested in getting started with openEHR - quite a long...
Reposted by Chris Fleming
Honestly, this Test & Learn event is joyful. There are so many examples of the real-life transformation of public institutions - quicker, more responsive, more human, more purpose-driven and fun to work in. e.g. these slides are from a brilliant example from Nottingham 1/n
July 16, 2025 at 11:07 AM
Honestly, this Test & Learn event is joyful. There are so many examples of the real-life transformation of public institutions - quicker, more responsive, more human, more purpose-driven and fun to work in. e.g. these slides are from a brilliant example from Nottingham 1/n
Reposted by Chris Fleming
With thanks to @da.vebrig.gs for sharing this new post…
✨ I spend lots of time talking about making things more 'service-oriented' … this post updates some of that thinking. incl. what I wrote in Multiplied, based on work, opportunities and ideas I'm seeing in places like Health/NHS #servicedesign
✨ I spend lots of time talking about making things more 'service-oriented' … this post updates some of that thinking. incl. what I wrote in Multiplied, based on work, opportunities and ideas I'm seeing in places like Health/NHS #servicedesign
July 14, 2025 at 3:36 PM
With thanks to @da.vebrig.gs for sharing this new post…
✨ I spend lots of time talking about making things more 'service-oriented' … this post updates some of that thinking. incl. what I wrote in Multiplied, based on work, opportunities and ideas I'm seeing in places like Health/NHS #servicedesign
✨ I spend lots of time talking about making things more 'service-oriented' … this post updates some of that thinking. incl. what I wrote in Multiplied, based on work, opportunities and ideas I'm seeing in places like Health/NHS #servicedesign
Reposted by Chris Fleming
For the morning crowd…
If you’re a senior dev, engineering mgr, senior devops, tech team lead, tech arch, tech community of practice lead or other technologist and fancy a change in career, come join my team to help orgs around the world adapt to the digital age.
If you’re a senior dev, engineering mgr, senior devops, tech team lead, tech arch, tech community of practice lead or other technologist and fancy a change in career, come join my team to help orgs around the world adapt to the digital age.
Come join my team @publicdigital.bsky.social!
We’re looking for technologists from all kinds of backgrounds to join us and use your hands-on experience to help leading institutions around the world adapt for the digital age.
apply.workable.com/public-digit...
We’re looking for technologists from all kinds of backgrounds to join us and use your hands-on experience to help leading institutions around the world adapt for the digital age.
apply.workable.com/public-digit...
Tech Principal Consultant - Public Digital
Salary: £85,000 - £105,000 (depending on experience)Location: United Kingdom (Hybrid – with regular in-person client meetings. Some travel, including international travel, may be required depending on...
apply.workable.com
July 11, 2025 at 7:08 AM
For the morning crowd…
If you’re a senior dev, engineering mgr, senior devops, tech team lead, tech arch, tech community of practice lead or other technologist and fancy a change in career, come join my team to help orgs around the world adapt to the digital age.
If you’re a senior dev, engineering mgr, senior devops, tech team lead, tech arch, tech community of practice lead or other technologist and fancy a change in career, come join my team to help orgs around the world adapt to the digital age.
Reposted by Chris Fleming
Hugh Muir recalls the response of London Mayor Ken Livingstone to 7/7 from Singapore. I agree that, despite his flaws & failings at other times, that this was an important message
www.theguardian.com/commentisfre...
www.theguardian.com/commentisfre...
July 7, 2025 at 4:11 PM
Hugh Muir recalls the response of London Mayor Ken Livingstone to 7/7 from Singapore. I agree that, despite his flaws & failings at other times, that this was an important message
www.theguardian.com/commentisfre...
www.theguardian.com/commentisfre...
Reposted by Chris Fleming
Last week saw another govt '10 year plan': after infrastructure and industrial policy, this was for the NHS.
Writing a guest blog for @futuregovforum.bsky.social , @e17chrisfleming.bsky.social offers 5 tips for making the digital transformation elements work: substack.com/home/post/p-...
Writing a guest blog for @futuregovforum.bsky.social , @e17chrisfleming.bsky.social offers 5 tips for making the digital transformation elements work: substack.com/home/post/p-...
Five ways the government can make its 10-year NHS digitisation plan work
By Chris Fleming, Public Digital’s Health and Care lead.
substack.com
July 7, 2025 at 2:06 PM
Last week saw another govt '10 year plan': after infrastructure and industrial policy, this was for the NHS.
Writing a guest blog for @futuregovforum.bsky.social , @e17chrisfleming.bsky.social offers 5 tips for making the digital transformation elements work: substack.com/home/post/p-...
Writing a guest blog for @futuregovforum.bsky.social , @e17chrisfleming.bsky.social offers 5 tips for making the digital transformation elements work: substack.com/home/post/p-...
Reposted by Chris Fleming
Read this brilliant article by @e17chrisfleming.bsky.social, Public Digital’s Health and Care lead, which sets out five ways the government can make its 10 Year NHS digitisation plan work ⬇️⬇️⬇️
#10YearHealthPlan #NHS
futuregovforum.substack.com/p/five-ways-...
#10YearHealthPlan #NHS
futuregovforum.substack.com/p/five-ways-...
Five ways the government can make its 10-year NHS digitisation plan work
By Chris Fleming, Public Digital’s Health and Care lead.
futuregovforum.substack.com
July 3, 2025 at 12:57 PM
Read this brilliant article by @e17chrisfleming.bsky.social, Public Digital’s Health and Care lead, which sets out five ways the government can make its 10 Year NHS digitisation plan work ⬇️⬇️⬇️
#10YearHealthPlan #NHS
futuregovforum.substack.com/p/five-ways-...
#10YearHealthPlan #NHS
futuregovforum.substack.com/p/five-ways-...
Reposted by Chris Fleming
Lessons from the pandemic: leading in times of uncertainty.
🎙️ In our latest #podcast episode, Audree Fletcher joins @e17chrisfleming.bsky.social to discuss how leaders can deliver in uncertain and changing environments.
⏯️ bit.ly/45H8jJz
@nhsconfed.org @publicdigital.bsky.social
🎙️ In our latest #podcast episode, Audree Fletcher joins @e17chrisfleming.bsky.social to discuss how leaders can deliver in uncertain and changing environments.
⏯️ bit.ly/45H8jJz
@nhsconfed.org @publicdigital.bsky.social
The Provider Podcast - How leaders can navigate change whilst driving forward the digital agenda
In episode three of The Digital Shift, you'll hear from Audree Fletcher former service director at NHS Test and Trace where she led the development and roll out of the service.
bit.ly
June 26, 2025 at 10:55 AM
Lessons from the pandemic: leading in times of uncertainty.
🎙️ In our latest #podcast episode, Audree Fletcher joins @e17chrisfleming.bsky.social to discuss how leaders can deliver in uncertain and changing environments.
⏯️ bit.ly/45H8jJz
@nhsconfed.org @publicdigital.bsky.social
🎙️ In our latest #podcast episode, Audree Fletcher joins @e17chrisfleming.bsky.social to discuss how leaders can deliver in uncertain and changing environments.
⏯️ bit.ly/45H8jJz
@nhsconfed.org @publicdigital.bsky.social
Reposted by Chris Fleming
Just dropped Ep 2 of The Digital Shift.
@e17chrisfleming.bsky.social chats with Cate McLaurin on why cyber-attacks are inevitable, how to mitigate risk and real-world lessons from Hackney’s ransomware incident.
Listen 👉
#CyberResilience #HealthTech
@nhsproviders.bsky.social @nhsconfed.org
@e17chrisfleming.bsky.social chats with Cate McLaurin on why cyber-attacks are inevitable, how to mitigate risk and real-world lessons from Hackney’s ransomware incident.
Listen 👉
#CyberResilience #HealthTech
@nhsproviders.bsky.social @nhsconfed.org
The Provider Podcast - How to prepare for a cyber attack
In episode two of our podcast mini-series, you’ll hear from Cate McLaurin who led the response when the London Borough of Hackney experienced a major ransomware attack in 2020.
nhsproviders.org
June 20, 2025 at 10:18 AM
Just dropped Ep 2 of The Digital Shift.
@e17chrisfleming.bsky.social chats with Cate McLaurin on why cyber-attacks are inevitable, how to mitigate risk and real-world lessons from Hackney’s ransomware incident.
Listen 👉
#CyberResilience #HealthTech
@nhsproviders.bsky.social @nhsconfed.org
@e17chrisfleming.bsky.social chats with Cate McLaurin on why cyber-attacks are inevitable, how to mitigate risk and real-world lessons from Hackney’s ransomware incident.
Listen 👉
#CyberResilience #HealthTech
@nhsproviders.bsky.social @nhsconfed.org
Reposted by Chris Fleming
Are you prepared for a #cyberattack?
🎙️Tune in to hear @e17chrisfleming.bsky.social interview @madebycatem.bsky.social about:
🟢 Her experience leading the response to a high-profile attack
🟢 How to build your #cyberresilience.
⏯️ bit.ly/446G4RZ
@nhsconfed.org @publicdigital.bsky.social
🎙️Tune in to hear @e17chrisfleming.bsky.social interview @madebycatem.bsky.social about:
🟢 Her experience leading the response to a high-profile attack
🟢 How to build your #cyberresilience.
⏯️ bit.ly/446G4RZ
@nhsconfed.org @publicdigital.bsky.social
June 19, 2025 at 11:05 AM
Are you prepared for a #cyberattack?
🎙️Tune in to hear @e17chrisfleming.bsky.social interview @madebycatem.bsky.social about:
🟢 Her experience leading the response to a high-profile attack
🟢 How to build your #cyberresilience.
⏯️ bit.ly/446G4RZ
@nhsconfed.org @publicdigital.bsky.social
🎙️Tune in to hear @e17chrisfleming.bsky.social interview @madebycatem.bsky.social about:
🟢 Her experience leading the response to a high-profile attack
🟢 How to build your #cyberresilience.
⏯️ bit.ly/446G4RZ
@nhsconfed.org @publicdigital.bsky.social
Reposted by Chris Fleming
Reposted by Chris Fleming
Another video of Senator Padilla’s violent arrest at DHS Sec Noem’s press conference in LA. You can see him thrown to the ground by FBI agents and handcuffed.
(video shared by Padilla’s staff with Elex Michaelson of Fox LA and posted on X)
(video shared by Padilla’s staff with Elex Michaelson of Fox LA and posted on X)
June 12, 2025 at 6:43 PM
Another video of Senator Padilla’s violent arrest at DHS Sec Noem’s press conference in LA. You can see him thrown to the ground by FBI agents and handcuffed.
(video shared by Padilla’s staff with Elex Michaelson of Fox LA and posted on X)
(video shared by Padilla’s staff with Elex Michaelson of Fox LA and posted on X)
Reposted by Chris Fleming
In case you're wondering, authoritarians use this strategy of escalation to manufacture crisis, provoke outrage, then use the reaction to justify repression. It’s not about restoring order, it's about creating a spectacle of chaos they can claim only they can control.
Escalating to escalate.
"Roughly 500 Marines based out of the Marine Corps Air Ground Combat Center in California have been mobilized ... and will join the National Guard troops that were activated ... over the weekend without the consent of California’s governor or the city’s mayor."
"Roughly 500 Marines based out of the Marine Corps Air Ground Combat Center in California have been mobilized ... and will join the National Guard troops that were activated ... over the weekend without the consent of California’s governor or the city’s mayor."
Freeways blocked, cars on fire: LA protests against immigration raids and National Guard deployment | CNN
Police have used flash-bangs and tear gas while dispersing crowds as protesters set at least two Waymo self-driving cars on fire. Follow for live updates
www.cnn.com
June 9, 2025 at 8:24 PM
In case you're wondering, authoritarians use this strategy of escalation to manufacture crisis, provoke outrage, then use the reaction to justify repression. It’s not about restoring order, it's about creating a spectacle of chaos they can claim only they can control.
Reposted by Chris Fleming
i mean sure but what am i meant to do with this information, “oh shit better cut down on my microplastic intake”
May 16, 2025 at 2:00 PM
i mean sure but what am i meant to do with this information, “oh shit better cut down on my microplastic intake”
Reposted by Chris Fleming
In this era, I think it's more useful to sort people by whether they participate in democratic discourse or disordered discourse, rather than left vs right.
Weird how centrists Joe Rogan, Glenn Greenwald and Bari Weiss all solely platform Republican voices, amplify far-right conspiracies and backed Trump in 2024.
May 15, 2025 at 8:26 PM
In this era, I think it's more useful to sort people by whether they participate in democratic discourse or disordered discourse, rather than left vs right.
Tremendous write-up of a great event. Thanks for sharing James.
Some thoughts sparked by a great event in Leeds yesterday on neighbourhood health and the UK government's Test, Learn and Grow intiative. How do we make neighbourhoods engines of change?
medium.com/@jamestplunk...
medium.com/@jamestplunk...
Neighbourhoods as engines of change
On the need for bridges from the edges to the centre
medium.com
May 9, 2025 at 12:36 PM
Tremendous write-up of a great event. Thanks for sharing James.
Reposted by Chris Fleming
764,000 fools easily parted from their money - 58 crypto wallets have made millions on Trump’s meme coin. 764,000 have lost money, data shows www.cnbc.com/2025/05/06/t...
58 crypto wallets have made millions on Trump's meme coin. 764,000 have lost money, data shows
Interest in the $TRUMP meme coin spiked more than 50% after the project's website promised the top 220 holders a seat at a dinner with the president.
www.cnbc.com
May 7, 2025 at 8:06 AM
764,000 fools easily parted from their money - 58 crypto wallets have made millions on Trump’s meme coin. 764,000 have lost money, data shows www.cnbc.com/2025/05/06/t...
Reposted by Chris Fleming
Hospital medics - I’m researching a story about Epic, the supplier of electronic patient record systems. Any views? Let me know on or off the record. #journorequest
May 6, 2025 at 4:10 PM
Hospital medics - I’m researching a story about Epic, the supplier of electronic patient record systems. Any views? Let me know on or off the record. #journorequest
Reposted by Chris Fleming
Our MD @egawen.bsky.social talks to Think Digital about her career so far and the various challenges women face in the workplace.
#dpi #transformation #ukgov
#dpi #transformation #ukgov
Women in Digital: Emma Gawen | THINK Digital Partners : THINK Digital Partners
A leader in global digital strategy and transformation work, Public Digital managing director and partner Emma Gawen, shares her experiences of being a woman in tech, and what she sees as the biggest ...
www.thinkdigitalpartners.com
May 6, 2025 at 3:31 PM
Our MD @egawen.bsky.social talks to Think Digital about her career so far and the various challenges women face in the workplace.
#dpi #transformation #ukgov
#dpi #transformation #ukgov
Reposted by Chris Fleming
Much hard-earned wisdom from @publicdigital.bsky.social network member @jamiearnold.com on how to craft a really good outcome. www.jamiearnold.com/blog/2025/5/...
What makes a good outcome? — Jamie Arnold
A well-crafted outcome doesn’t just define success; it creates the conditions for it. This post describes outcomes that drive clarity, alignment, and energy across your organisation.
www.jamiearnold.com
May 1, 2025 at 12:55 PM
Much hard-earned wisdom from @publicdigital.bsky.social network member @jamiearnold.com on how to craft a really good outcome. www.jamiearnold.com/blog/2025/5/...
Reposted by Chris Fleming
Reposted by Chris Fleming
Big Software Procurement Lifecycles
1: Award a $500 million contract to do the thing
2: Declare that there will now be a Phase 1, Phase 2, and Phase 3
3: Declare that there will now also be Phase 1a, Phase 1b, and Phase 1c
4: Declare that the project is scoped down to Phase 1a
Success!
1: Award a $500 million contract to do the thing
2: Declare that there will now be a Phase 1, Phase 2, and Phase 3
3: Declare that there will now also be Phase 1a, Phase 1b, and Phase 1c
4: Declare that the project is scoped down to Phase 1a
Success!
April 30, 2025 at 3:37 PM
Big Software Procurement Lifecycles
1: Award a $500 million contract to do the thing
2: Declare that there will now be a Phase 1, Phase 2, and Phase 3
3: Declare that there will now also be Phase 1a, Phase 1b, and Phase 1c
4: Declare that the project is scoped down to Phase 1a
Success!
1: Award a $500 million contract to do the thing
2: Declare that there will now be a Phase 1, Phase 2, and Phase 3
3: Declare that there will now also be Phase 1a, Phase 1b, and Phase 1c
4: Declare that the project is scoped down to Phase 1a
Success!
This guidance is a classic of the nhse genre and the usual missed opportunity.
New guidance on use of AI scribing tools has now released.
- gives a good overview
- outlines benefits but there’s no link to evidence base of these benefits!!
- no acknowledgment of the downsides & mitigation
- lots of expectation on staff but some of this could (should!) be embedded in the tech
- gives a good overview
- outlines benefits but there’s no link to evidence base of these benefits!!
- no acknowledgment of the downsides & mitigation
- lots of expectation on staff but some of this could (should!) be embedded in the tech
April 28, 2025 at 10:40 AM
This guidance is a classic of the nhse genre and the usual missed opportunity.