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Sir Jim’s NHS funding overhaul aims for precision and accountability but faces perilous timing and operational chaos. Reform fatigue looms large. #NHSReform #HealthPolicy #PublicFinance
Mix
Sir Jim proposes a radical overhaul of NHS funding to replace block contracts with outcome-linked payments. Logical in theory, but amid cuts and instability, execution risk remains extreme.
thetrainingnet.com
November 10, 2025 at 12:13 PM
Reeves promises new NHS funding—but inflation, strikes, and ageing buildings mean the money just keeps the lights on, not change the system. Don’t hold yer breath. #NHS #Budget #HealthPolicy
Breath
Chancellor Reeves promises higher taxes to protect the NHS, but rising inflation, debt, strikes, and crumbling infrastructure mean the extra funding will merely sustain services, not transform them.
thetrainingnet.com
November 6, 2025 at 10:11 AM
A man has been charged after damage at Alton Street Surgery in Ross-on-Wye. The incident highlights growing concerns about safety, resilience, and staff soft skills in primary care.
Incident at Alton Street Surgery: Man Charged Following Closure of General Practice
A man has been charged after a violent incident forced the closure of Alton Street Surgery in Ross-on-Wye, prompting renewed attention on staff safety and soft skills training in primary care.
thetrainingnet.com
November 4, 2025 at 11:58 AM
NHS productivity looks flat—but that’s a data illusion. Prevention, digital care, and workforce realities aren’t counted, hiding true efficiency and innovation. #NHS #Productivity #PublicSector
Reality
NHS productivity metrics distort reality. They miss qualitative improvements, prevention gains, and workforce pressures like childcare disruptions, portraying effort as inefficiency and hiding the real value of health outcomes.
thetrainingnet.com
November 3, 2025 at 11:44 AM
We bring more than lunch to work—stress, pride, and worry. The NHS still waits months for feedback. Time for real-time listening—or real conversations. #NHSmorale #Leadership #WorkplaceCulture
Forfend
Roy Lilley explores how hidden emotions shape workplace morale, criticising the NHS’s outdated staff survey delays and urging leaders to prioritise real-time feedback—or simply talk to their teams.
thetrainingnet.com
October 29, 2025 at 11:17 AM
After £3bn and years of inspections, the CQC remains reactive and ineffective. Roy Lilley proposes replacing it with real-time NHS data monitoring—smart, predictive oversight. #NHS #CQC #HealthPolicy
Chip shop
Roy Lilley questions the CQC’s effectiveness after £3bn and 130,000 inspections since 2009, arguing it should be replaced by a real-time NHS Data Forecasting Service run “from a room above the chip shop.”
thetrainingnet.com
October 29, 2025 at 11:11 AM
Roy Lilley imagines a 2035 NHS run by AI partners Florence and Bevan—efficient, digital, and data-driven. But who will lead real transformation beyond wishful thinking? #NHS #AI #DigitalHealth
Wishing
In 2035, AI partners Florence and Bevan revolutionise the NHS—streamlining care and systems—but questions remain about trust, cost, and leadership in making digital transformation more than a wish.
thetrainingnet.com
October 20, 2025 at 1:22 PM
Winter pressures aren’t inevitable. NHS leaders must replace resignation with belief—be visible, empower teams, celebrate wins, and turn endurance into improvement. #NHS #Leadership #WinterPressure
Possibilities
Winter exposes NHS fragility; planning is routine, not renewal. Leadership must reframe crisis into opportunity, empower teams, and restore belief to transform pressure into progress and limitations into possibilities.
thetrainingnet.com
October 16, 2025 at 9:51 AM
Frontline NHS staff must now pay for their Covid boosters—while protecting everyone else. A false economy, says Roy Lilley. Health before austerity. #NHS #Vaccination #HealthPolicy
Jab
Roy Lilley questions the logic of charging NHS staff for Covid boosters, arguing that protecting healthcare workers is common sense, cost-effective, and essential for patient safety and workforce resilience.
thetrainingnet.com
October 13, 2025 at 2:21 PM
A shocking attack at a Sheffield GP surgery saw a 63-year-old man assault two doctors with a baseball bat — sparking national concern over growing violence towards NHS staff. #NHS #GPsafety
GPs attacked with baseball bat
A 63-year-old man attacked two GPs with a baseball bat at Woodhouse Health Centre, Sheffield. The case highlights rising violence against healthcare staff and renewed calls for stronger protection measures.
thetrainingnet.com
October 10, 2025 at 2:14 PM
In times of chaos and confusion, sensemaking matters. Roy Lilley urges NHS staff to stay grounded in purpose, adapt together, and find small wins that keep hope alive. #NHS #Leadership #Resilience
You
Roy Lilley explores how NHS leaders and frontline staff can navigate uncertainty through Karl Weick’s sensemaking, focusing on purpose, adaptability, teamwork, and finding meaning amid turbulent organisational and political change.
thetrainingnet.com
October 6, 2025 at 4:02 PM
The GMC’s overseas vetting system faces serious flaws, allowing doctors with misconduct histories to practise in the NHS. Reliance on weak regulators and loopholes demands urgent reform and stricter international standards.
Job Done
The GMC’s overseas vetting system faces serious flaws, allowing doctors with misconduct histories to practise in the NHS. Reliance on weak regulators and loopholes demands urgent reform and stricter international standards.
thetrainingnet.com
October 3, 2025 at 2:39 PM
Wes Streeting’s speech borrowed Kennedy’s words, promised reform, and pledged £500m for social care. Critics warn it falls short of fixing pay, retention, and NHS challenges. #NHS #SocialCare #LabourParty
Why
Wes Streeting’s Labour conference speech invoked Kennedy, tackled NHS reform, poverty and social care, but offered little substance for healthcare. A £500m social care pledge risks being symbolic rather than transformative.
thetrainingnet.com
October 1, 2025 at 4:23 PM
Stupid

Streeting attacks NHS costs, pushing hospitals toward efficiency targets. Yet fixed costs, outdated estates, and complex patient needs mean tariff reforms risk penalising trusts, reducing quality, and ignoring investment needs. Real fix lies in economy.
Stupid
Streeting attacks NHS costs, pushing hospitals toward efficiency targets. Yet fixed costs, outdated estates, and complex patient needs mean tariff reforms risk penalising trusts, reducing quality, and ignoring investment needs. Real fix lies in economy.
thetrainingnet.com
September 25, 2025 at 2:33 PM
Roy Lilley examines NHS leadership changes, financial strain, and chaotic reorganisations, highlighting the “Five Ps” as a framework for a sustainable, people-focused future. #NHS #Leadership #Healthcare
Friends
Roy Lilley critiques NHS leadership reshuffles, government spending pressures, and looming reorganisations. He urges focus on the “Five Ps”: prepare, people, principles, perspective, and patients—reminding us investment in staff defines healthcare’s future.
thetrainingnet.com
September 22, 2025 at 2:00 PM
Healthwatch’s abolition silences patient voice, leaving weaker accountability. Roy Lilley argues this undermines trust, replacing collective influence with hollow consumer choice. Patients want voice, not vouchers. #NHS #Healthwatch #PatientVoice
Voucher
The abolition of Healthwatch removes statutory patient voice, weakening scrutiny of NHS decisions. Roy Lilley warns this shift prioritises organisational convenience and consumer choice over collective influence, risking loss of trust in the NHS.
thetrainingnet.com
September 18, 2025 at 1:23 PM
HS in chaos—unfunded cuts, workforce turmoil, and mental health setbacks reflect political drift. No clarity, no plan—just more hot air. #NHSCrisis #MentalHealthMatters #PoliticalLeadership
Hot Air
With rising discontent, the NHS mirrors political turmoil—plagued by funding issues, leadership confusion, and dwindling public confidence. As mental health funding declines, clarity and purpose are lost in political hot air.
thetrainingnet.com
September 15, 2025 at 11:33 AM
Regions are back in the NHS—but will it move the needle? Streeting must focus on reducing waiting lists, boosting staff and care now—not just new structures. #NHS #WaitingLists #HealthPolicy
One job
Reintroducing NHS regional management feels familiar—but will it really cut waiting lists? Reorgs are flashy. What matters is expanding capacity, targeting high‑demand services, and fixing patient pathways now.
thetrainingnet.com
September 12, 2025 at 9:53 AM
NHS league tables are back. Oversimplified, demoralising, and meaningless for patients. What we need? Investment, leadership, and solutions for waiting lists—not shaming hospitals. #NHS #Healthcare #WaitingLists
People
League tables return to the NHS, but once again risk misleading the public, demoralising staff, and skewing priorities—while doing nothing to fix waiting lists or improve real patient care.
thetrainingnet.com
September 11, 2025 at 1:34 PM
The NHS needs more than noise—it needs leadership. Hospitals must drive productivity and prevention, not compete with GPs. Without a baton, chaos grows. #NHS #Healthcare #Productivity
Music
Lord Darzi’s report exposes NHS flaws. Without bold systemic shifts, waiting lists grow. Hospitals must be rewarded for prevention and productivity, otherwise we face chaos—brilliant resources wasted, no baton to lead.
thetrainingnet.com
September 9, 2025 at 10:54 AM
Shuffles in politics and NHS management create chaos without real change. When continuity lacks progress, it's just theatre. #NHS #Politics #Leadership
Dirty business
Political reshuffles may look like change, but often mask deeper issues. In the NHS and beyond, disruption without purpose is damaging—and continuity without progress is just stagnation in disguise. 30-word social media excerpt:
thetrainingnet.com
September 9, 2025 at 10:12 AM
Discover “abreaction”: that gut‑wrenching emotion when the past resurfaces. Dixon’s daring NHS reform commentary hits like a literary jab—witty, sharp, unforgettable. #NHS #abreaction #healthpolicy
Dixon
Discover “abreaction”: that gut‑wrenching emotion when the past resurfaces. Dixon’s daring NHS reform commentary hits like a literary jab—witty, sharp, unforgettable. #NHS #abreaction #healthpolicy
thetrainingnet.com
August 28, 2025 at 11:40 AM
What’s the price of six more months of life? Roy Lilley reflects on cancer, compassion, and costly drugs. #NHS #CancerDrugs #HealthcareJustice
Live longer
A powerful reflection on cancer, the NHS, and the ethics of drug pricing. Roy Lilley highlights the emotional and systemic costs of life-extending treatment being deemed "too expensive."
thetrainingnet.com
August 26, 2025 at 1:35 PM
‘Closer to home’ is meaningless without real accessibility. Roy Lilley explores how the NHS must shift from bricks to clicks and rethink its approach. #NHS #HealthcareReform #DigitalHealth
Dimension
‘Closer to home’ sounds good, but is it meaningful? Roy Lilley argues for smarter, tech-driven NHS services—prioritising accessibility, digital transformation, and realistic planning over outdated estate strategies.
thetrainingnet.com
August 21, 2025 at 10:19 AM
CDCs might seem progressive—but staffing, cost, and utilisation issues persist. Are they truly effective? #NHS #Diagnostics #HealthPolicy
Find out
The Bourbons of SW1 cling to outdated NHS policies. Community Diagnostic Centres may look promising, but staffing, cost, and performance uncertainties leave their true value unproven.
thetrainingnet.com
August 19, 2025 at 10:59 AM