'There are no solutions. Only trade-offs.' - Thomas Sowell

In their brand new blog Anna Charles & Fraser Battye apply this lens to the 10 Year Health Plan.

Innovation is powerful - but it needs careful stewardship.

👉 Read in full today https://bit.ly/3KSTewg

An interesting piece by @johnlauner.bsky.social in the @bmj.com recently.

I know GP trainees who have done this too. Not all our younger doctors are leaving for Australia & NZ. Some are staying here but leaving the NHS.

Somehow, the system has gone horribly wrong that this is happening.

#MedSky

100% agree with that. The government's approach so far, and measures in the 10 year plan, place far too much emphasis on personalised prevention approaches.
These can be beneficial but won't work at the scale necessary to address the vast health inequalities

Brilliant public health summary of the difficult question facing polygenic risk scores. Worth reading for the closing line alone!

Most doctors now have no confidence in the GMC.

So today we announce the BMA's NEW register for all doctors.

Sign up today to show your support for change. e-activist.com/page/172664/... #BMAARM25

Public health in the UK must be revitalised if the Government hopes to cut waiting lists and tackle health inequality.

Read more about the findings of our new report: www.bma.org.uk/news-and-opi...

Proud to have supported the development of this timely report from the @bma.org.uk. Public health in the UK is in urgent need of investment. We're calling on all four UK governments to develop and support strong, independent public health systems that can help keep our population healthy and safe.

To see our full list of recommendations, read our latest report, Rebuilding Public Health: Restoring the Foundations of Prevention. (4/4) www.bma.org.uk/what-we-do/p...

We're calling for better pay and conditions for the public health workforce, with action to tackle the shortage of public health specialists. And we're urging UK governments to protect the independent voice of public health, so specialists can speak out and advise freely. (3/4)

We're calling on UK governments to invest more in public health and ensure that funding keeps up with the needs of the population. Funding needs to be long-term, sustainable, and transparent, so public health teams can effectively plan and deliver services. (2/4)

Public health keeps people healthy and protects them from health threats, but the system is in crisis, and the nation is sicker than ever.

Our new report sets out the urgent steps UK governments must take so the system can recover. www.bma.org.uk/what-we-do/p...

THREAD 🧵 (1/4)

Thoughts, alongside fellow registrars and @martinmckee.bsky.social, on the urgent need to strengthen the role of public health in the NHS in the BMJ today: www.bmj.com/content/389/...

me in the BMJ, free access #parkrun #socialprescribing
Prescribing parkrun: medicalising a walk in the park
www.bmj.com/content/389/...

The Lansley Reforms and abolition of PHE have left public health fragmented. In particular, too many parts of the NHS lack public health expertise. The BMA and FPH have made clear that investing in PH, both in the NHS and elsewhere, is essential if the government is to achieve its health mission.

Last week, a @bmj.com opinion piece suggested that the NHS Health Check should be abolished and instead, everyone over 50 should be given a polypill.

Here's why it's not such a great idea and what could perhaps be done instead 👇
www.bmj.com/content/388/...

Pleased to support this emergency motion at @bma.org.uk Public Health Conference yesterday.

England's PH system is already fragmented. If the government is to succeed in its ambition to halve the gap in healthy life expectancy then it must protect its PH workforce.

www.bma.org.uk/bma-media-ce...

Great day at @bma.org.uk PHM Conference. Brilliant talks on the political economies of health from @jimmcmanusph.bsky.social & @davidjbuck.bsky.social, a great discussion on PH in the NHS with @scarlettmcnally.bsky.social, and conf passed vital policies on PH in ICBs and tackling pay disparities.

G8 thread @admbriggs.bsky.social on #publichealth #grant. Need to see i) ambition beyond this re prevention shift from govt (eg www.kingsfund.org.uk/insight-and-...), & ii) other bits of discretionary £ eg drugs - so what does the pot really add up to? DHSC is making it harder to see that over time.

A good first step but the PH grant still remains 26% smaller in real terms when compared to 2015. If the government is serious about "preventing sickness and not just treating it" then it must invest further in the PHG and the public health workforce.