David Blane
@dnblane.bsky.social
GP and Senior Clinical Lecturer @UofGlasgow | Academic lead, Scottish Deep End Project (www.gla.ac.uk/deepend) | Inclusion health SIG, Society for Academic Primary Care
Dr Joseph Millum reflects on “what are values?” And introduces us to “thick concepts”, which are both evaluative (e.g. good, bad, right, wrong) and descriptive.
Given what we know about the inadequacies & limitations of medical research… I would argue that “evidence-based” is also a “thick concept?
Given what we know about the inadequacies & limitations of medical research… I would argue that “evidence-based” is also a “thick concept?
October 31, 2025 at 12:14 PM
Dr Joseph Millum reflects on “what are values?” And introduces us to “thick concepts”, which are both evaluative (e.g. good, bad, right, wrong) and descriptive.
Given what we know about the inadequacies & limitations of medical research… I would argue that “evidence-based” is also a “thick concept?
Given what we know about the inadequacies & limitations of medical research… I would argue that “evidence-based” is also a “thick concept?
Prof Kevin Orr (research-portal.st-andrews.ac.uk/en/persons/k...) on the “Ghosts in the healthcare machine” - fantastic overview of the “ghosts” of the past, present, and future… the politics of control and accountability, inequality, populism, and the role of the private sector
October 31, 2025 at 11:02 AM
Prof Kevin Orr (research-portal.st-andrews.ac.uk/en/persons/k...) on the “Ghosts in the healthcare machine” - fantastic overview of the “ghosts” of the past, present, and future… the politics of control and accountability, inequality, populism, and the role of the private sector
Prof Frank Sullivan, giant of academic general practice in Scotland, talks us through a “typical” GP surgery (if such a thing exists!), highlighting Challenges, Choices, and Values inherent in each consultation…
- Autonomy, Mastery & Purpose as core drivers of professional practice
- Autonomy, Mastery & Purpose as core drivers of professional practice
October 31, 2025 at 10:45 AM
Prof Frank Sullivan, giant of academic general practice in Scotland, talks us through a “typical” GP surgery (if such a thing exists!), highlighting Challenges, Choices, and Values inherent in each consultation…
- Autonomy, Mastery & Purpose as core drivers of professional practice
- Autonomy, Mastery & Purpose as core drivers of professional practice
Scotland’s first ever Patient Safety Commissioner, Karen Titchener, now sets out her plans for the role (started last month!) - www.parliament.scot/about/news/n...
Parliament to nominate Scotlands first Patient Safety Commissioner
www.parliament.scot
October 31, 2025 at 10:07 AM
Scotland’s first ever Patient Safety Commissioner, Karen Titchener, now sets out her plans for the role (started last month!) - www.parliament.scot/about/news/n...
Fantastic scene-setting and call to arms from @mgtmccartney.bsky.social, with numerous examples of (mostly well-intentioned) initiatives that may cause more harm than good
October 31, 2025 at 9:57 AM
Fantastic scene-setting and call to arms from @mgtmccartney.bsky.social, with numerous examples of (mostly well-intentioned) initiatives that may cause more harm than good
Mogens Vestergaard outlines the major health system reforms in Denmark - incl. shifting resources from secondary to primary care.
Current % of health service spend in Denmark is 8% (Scotland is approx 6.5%) - aim to increase to 13% by 2035.
Current % of health service spend in Denmark is 8% (Scotland is approx 6.5%) - aim to increase to 13% by 2035.
September 1, 2025 at 10:47 AM
Mogens Vestergaard outlines the major health system reforms in Denmark - incl. shifting resources from secondary to primary care.
Current % of health service spend in Denmark is 8% (Scotland is approx 6.5%) - aim to increase to 13% by 2035.
Current % of health service spend in Denmark is 8% (Scotland is approx 6.5%) - aim to increase to 13% by 2035.
Fantastic presentation by @kathcheckland.bsky.social on recent developments in primary care in England, including widening skill mix (e.g. ARRS) - bjgp.org/content/75/7...
Employment and deployment of additional staff roles in general practice: a realist evaluation of what works for whom, how, and why
Background The Additional Roles Reimbursement Scheme (ARRS) was introduced in England in 2019 to alleviate workforce pressures in general practice by funding additional staff such as clinical pharmaci...
bjgp.org
September 1, 2025 at 10:37 AM
Fantastic presentation by @kathcheckland.bsky.social on recent developments in primary care in England, including widening skill mix (e.g. ARRS) - bjgp.org/content/75/7...
Now Eddie Donaghy giving headline findings from this qualitative work - bjgp.org/content/74/7...
Primary care transformation in Scotland: a qualitative evaluation of the views of patients
Background The new Scottish GP contract introduced in April 2018 aims to improve quality of care through expansion of the multidisciplinary team (MDT) to enable GPs to spend more time as expert medica...
bjgp.org
September 1, 2025 at 9:02 AM
Now Eddie Donaghy giving headline findings from this qualitative work - bjgp.org/content/74/7...
Leigh Johnston from @auditscotland.bsky.social summarising this report - audit.scot/publications...
General practice: Progress since the 2018 General Medical Services contract | Audit Scotland
A Scottish Government agreement with GPs to improve general practice has failed to deliver on several of its commitments
audit.scot
September 1, 2025 at 8:42 AM
Leigh Johnston from @auditscotland.bsky.social summarising this report - audit.scot/publications...
Stewart Mercer opens with a whistlestop overview of work on “primary care transformation” pubmed.ncbi.nlm.nih.gov/37620865/
Understanding primary care transformation and implications for ageing populations and health inequalities: a systematic scoping review of new models of primary health care in OECD countries and China ...
Countries identified in this review have used a range of approaches to PCT with marked heterogeneity in methods of evaluation and mixed findings on impacts. Only a minority of studies described the im...
pubmed.ncbi.nlm.nih.gov
September 1, 2025 at 8:42 AM
Stewart Mercer opens with a whistlestop overview of work on “primary care transformation” pubmed.ncbi.nlm.nih.gov/37620865/
Reposted by David Blane
9/ The full paper can be read here: www.bmj.com/content/389/...
Dispute over sentencing guidelines is warning for England’s public health community
Faced with a row over guidance to improve consistency on sentencing by the courts, the British government chose a populist narrative. This sends a worrying message to public health professionals promo...
www.bmj.com
April 10, 2025 at 10:29 AM
9/ The full paper can be read here: www.bmj.com/content/389/...
Reposted by David Blane
Special thanks to @dnblane.bsky.social, @dremekadumbili.bsky.social and @maizie333.bsky.social with episodes ranging from Deep End GPs in the south side of Glasgow, to alcohol marketing in Nigeria, to industry-sponsored gambling, alcohol fossil fuel and firearm education materials in schools.
March 14, 2025 at 12:49 PM
Special thanks to @dnblane.bsky.social, @dremekadumbili.bsky.social and @maizie333.bsky.social with episodes ranging from Deep End GPs in the south side of Glasgow, to alcohol marketing in Nigeria, to industry-sponsored gambling, alcohol fossil fuel and firearm education materials in schools.