Alf Collins
@alfcollins.bsky.social
Doctor, patient advocate, Trustee Patients Association and Picker Institute. Person centred, high value care, esp. shared decision making and support for self management. Ex Health Foundation, NHS England. Rugby, family, good food, trying to stay alive.
I don’t think I ‘thrived’ at work until I hit my 50s and even then it was an occurrence and not a state. Put the word and aspiration in the same bin as ‘resilience’, I say.
November 9, 2025 at 9:13 PM
I don’t think I ‘thrived’ at work until I hit my 50s and even then it was an occurrence and not a state. Put the word and aspiration in the same bin as ‘resilience’, I say.
Reposted by Alf Collins
Such a fab graph. A whole story re: waste of resources and needless anxiety in 3 lines.
November 8, 2025 at 12:38 PM
Such a fab graph. A whole story re: waste of resources and needless anxiety in 3 lines.
A brilliant and much needed analysis. Thank you. As you say, in maternity in particular *we know what the problems are*. The problem is, each new review (naturally) offers a slightly different perspective and narrative and the central team feel duty bound to shift course accordingly…
November 5, 2025 at 7:29 PM
A brilliant and much needed analysis. Thank you. As you say, in maternity in particular *we know what the problems are*. The problem is, each new review (naturally) offers a slightly different perspective and narrative and the central team feel duty bound to shift course accordingly…
And the patient experience element is bare minimum stuff. Deeply disappointing
November 4, 2025 at 12:35 PM
And the patient experience element is bare minimum stuff. Deeply disappointing
Reposted by Alf Collins
We’ve published ‘Learning from the Best – celebrating patient experience innovations to help deliver the 10 Year Plan’, which maps the #PEN25 Awards winners to the Plan’s key chapters, and now includes direct links to the project presentations for easy learning: bit.ly/PEN10YearPlan.
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October 29, 2025 at 11:43 AM
We’ve published ‘Learning from the Best – celebrating patient experience innovations to help deliver the 10 Year Plan’, which maps the #PEN25 Awards winners to the Plan’s key chapters, and now includes direct links to the project presentations for easy learning: bit.ly/PEN10YearPlan.
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About 1 in 4 people living with LTCs don’t want to think about their health. That’s where I’d start….
October 29, 2025 at 10:43 AM
About 1 in 4 people living with LTCs don’t want to think about their health. That’s where I’d start….
She is one of many trying to shift the Overton window towards a more bigoted, less tolerant society. We cannot let them succeed.
October 28, 2025 at 10:47 AM
She is one of many trying to shift the Overton window towards a more bigoted, less tolerant society. We cannot let them succeed.
He’s talking about the safest and most effective clinical interventions ever
Invented. Tw**
Invented. Tw**
October 21, 2025 at 6:25 PM
He’s talking about the safest and most effective clinical interventions ever
Invented. Tw**
Invented. Tw**
Reposted by Alf Collins
As a result, the system is good at managing and averting crises, but much less good at doing other things like improving productivity, improving experience, changing service models, planning ahead etc.
October 19, 2025 at 11:30 AM
As a result, the system is good at managing and averting crises, but much less good at doing other things like improving productivity, improving experience, changing service models, planning ahead etc.
Reposted by Alf Collins
I'm still frustrated at the staff engagement for the plan. Zoom calls with 200+ people, with Menti. It just repeated predictable dominant narratives, there was minimal space for critical thinking, dialogue, or getting underneath the surface. But it led to claims that 'we engaged with 1000s of staff'
October 18, 2025 at 3:19 PM
I'm still frustrated at the staff engagement for the plan. Zoom calls with 200+ people, with Menti. It just repeated predictable dominant narratives, there was minimal space for critical thinking, dialogue, or getting underneath the surface. But it led to claims that 'we engaged with 1000s of staff'
I would say this wouldn’t I, but on re-reading the plan, there is remarkably little on patient engagement and involvement. There is a focus on patient experience and on choice of provider but this is highly regressive thinking. Depressing I’m afraid.
October 18, 2025 at 2:52 PM
I would say this wouldn’t I, but on re-reading the plan, there is remarkably little on patient engagement and involvement. There is a focus on patient experience and on choice of provider but this is highly regressive thinking. Depressing I’m afraid.
Brilliant Luke! Would love to hear what you’ve concluded.
October 17, 2025 at 5:25 PM
Brilliant Luke! Would love to hear what you’ve concluded.
You forgot ‘bigoted, corrupt, ideologically driven’….idiots.
October 16, 2025 at 12:47 PM
You forgot ‘bigoted, corrupt, ideologically driven’….idiots.
Yes of course. All consuming…total and with nothing beyond it. My sense is that many clinicians find it hard to ‘go there’ with patients because it opens us up to the reality of suffering and our own fragility.
October 16, 2025 at 12:04 PM
Yes of course. All consuming…total and with nothing beyond it. My sense is that many clinicians find it hard to ‘go there’ with patients because it opens us up to the reality of suffering and our own fragility.