Nick Mann
@drnickmann.bsky.social
@chrischirp.bsky.social
Hello Christina, reporting of flu deaths has skyrocketed since losing specific ONS stats and the change to modelling. I've compared some rates vs Covid and other countries, and it appears UK flu deaths are now massively inflated (whilst Covid under-counted)...
Hello Christina, reporting of flu deaths has skyrocketed since losing specific ONS stats and the change to modelling. I've compared some rates vs Covid and other countries, and it appears UK flu deaths are now massively inflated (whilst Covid under-counted)...
December 12, 2025 at 1:51 PM
@chrischirp.bsky.social
Hello Christina, reporting of flu deaths has skyrocketed since losing specific ONS stats and the change to modelling. I've compared some rates vs Covid and other countries, and it appears UK flu deaths are now massively inflated (whilst Covid under-counted)...
Hello Christina, reporting of flu deaths has skyrocketed since losing specific ONS stats and the change to modelling. I've compared some rates vs Covid and other countries, and it appears UK flu deaths are now massively inflated (whilst Covid under-counted)...
Reposted by Nick Mann
What Steve said. There has never been a study in which high-quality, well-fitting masks were actually WORN that did not show a significant impact on disease transmission. Many mask studies failed to take account of post-allocation confounders (non-adherence + non-mask people choosing to mask).
So, to those who say "masks don't work", cite the flawed Cochrane report, insist upon an unfeasible RCT, accuse folks of panic, and undermine public health on social and mainstream media during a flu/RSV epidemic...
1. Seasonal viruses may be "normal", but they do immense harm.
1. Seasonal viruses may be "normal", but they do immense harm.
December 12, 2025 at 11:26 AM
What Steve said. There has never been a study in which high-quality, well-fitting masks were actually WORN that did not show a significant impact on disease transmission. Many mask studies failed to take account of post-allocation confounders (non-adherence + non-mask people choosing to mask).
Reposted by Nick Mann
New Home Office impact assessment finds that cutting skilled and social care visas will cost the UK up to £10 billion with a central estimate of -£5.4 billion.
It would be good if this got even a fraction of the coverage devoted to the endless debate about boats, flags and Turkish barber shops
It would be good if this got even a fraction of the coverage devoted to the endless debate about boats, flags and Turkish barber shops
December 9, 2025 at 2:36 PM
New Home Office impact assessment finds that cutting skilled and social care visas will cost the UK up to £10 billion with a central estimate of -£5.4 billion.
It would be good if this got even a fraction of the coverage devoted to the endless debate about boats, flags and Turkish barber shops
It would be good if this got even a fraction of the coverage devoted to the endless debate about boats, flags and Turkish barber shops
Reposted by Nick Mann
GP partners were forced to make the ‘devastating’ decision to hand back the contract for their practice, due to 10yrs of financial cuts
ICB has decided to award the contract to Malling Health, after a ‘robust procurement process’
calderdaleandkirklees999callforthenhs.wordpress.com/2023/04/19/w...
ICB has decided to award the contract to Malling Health, after a ‘robust procurement process’
calderdaleandkirklees999callforthenhs.wordpress.com/2023/04/19/w...
Why is GP surgery in Health Sec’s constituency now run by profiteering Malling Health?
Under government-engineered pressure for small GP practices to fail, the Priors Field Surgery in Sutton, Cambridgeshire recently announced its closure. After implacable public opposition to the los…
calderdaleandkirklees999callforthenhs.wordpress.com
November 18, 2024 at 7:31 PM
GP partners were forced to make the ‘devastating’ decision to hand back the contract for their practice, due to 10yrs of financial cuts
ICB has decided to award the contract to Malling Health, after a ‘robust procurement process’
calderdaleandkirklees999callforthenhs.wordpress.com/2023/04/19/w...
ICB has decided to award the contract to Malling Health, after a ‘robust procurement process’
calderdaleandkirklees999callforthenhs.wordpress.com/2023/04/19/w...
Reposted by Nick Mann
HCRG is owned by venture capitalist group Twenty20 Capital, which boasts that it expects its investments to deliver “significant returns in 2 to 5 years”
What changes might be demanded to ensure its new GP practices deliver the required profit margins
lowdownnhs.info/private-prov...
What changes might be demanded to ensure its new GP practices deliver the required profit margins
lowdownnhs.info/private-prov...
Operose flogged off, with 60 GP practices - The Lowdown
By John Lister The giant American health corporation Centene has now completed a divestment of all its health care investments in England by selling off its subsidiary Operose, which had controversial...
lowdownnhs.info
November 18, 2024 at 7:31 PM
HCRG is owned by venture capitalist group Twenty20 Capital, which boasts that it expects its investments to deliver “significant returns in 2 to 5 years”
What changes might be demanded to ensure its new GP practices deliver the required profit margins
lowdownnhs.info/private-prov...
What changes might be demanded to ensure its new GP practices deliver the required profit margins
lowdownnhs.info/private-prov...
Reposted by Nick Mann
Operose taken over by HCRG (formerly Virgin Care) due to Centene deciding to sell Operose
HCRG Care Group and was acquired by private equity firm Twenty20 Capital
www.pulsetoday.co.uk/news/breakin...
HCRG Care Group and was acquired by private equity firm Twenty20 Capital
www.pulsetoday.co.uk/news/breakin...
HCRG Care Group to take over Operose and 60 GP practices
HCRG Care Group - formerly known as Virgin Care - has agreed to buy Operose Health, which runs nearly 60 NHS GP practices across the UK.
www.pulsetoday.co.uk
November 18, 2024 at 7:31 PM
Operose taken over by HCRG (formerly Virgin Care) due to Centene deciding to sell Operose
HCRG Care Group and was acquired by private equity firm Twenty20 Capital
www.pulsetoday.co.uk/news/breakin...
HCRG Care Group and was acquired by private equity firm Twenty20 Capital
www.pulsetoday.co.uk/news/breakin...
Reposted by Nick Mann
An investigation by the BBC’s Panorama programme found that Operose Health was using physician associates to undertake appointments because they are cheaper to employ than GPs.
www.theguardian.com/society/2022...
www.theguardian.com/society/2022...
Britain’s biggest chain of GP surgeries accused of ‘profiteering’
BBC Panorama claims Operose Health uses physician associates, who are cheaper to employ than doctors, to assess patients
www.theguardian.com
November 18, 2024 at 7:31 PM
An investigation by the BBC’s Panorama programme found that Operose Health was using physician associates to undertake appointments because they are cheaper to employ than GPs.
www.theguardian.com/society/2022...
www.theguardian.com/society/2022...
Reposted by Nick Mann
Panorama gathered evidence that PAs were not being properly supervised at the Operose practice. The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. The practice treated them as equivalent to GPs
www.bbc.co.uk/news/health-...
www.bbc.co.uk/news/health-...
UK’s biggest GP chain replacing doctors with less qualified staff
BBC Panorama went undercover at a surgery run by the UK's biggest provider of GP services to the NHS.
www.bbc.co.uk
November 18, 2024 at 7:31 PM
Panorama gathered evidence that PAs were not being properly supervised at the Operose practice. The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. The practice treated them as equivalent to GPs
www.bbc.co.uk/news/health-...
www.bbc.co.uk/news/health-...
Reposted by Nick Mann
Is General Practice FOR SALE?
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/l...
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/l...
Lord Bethell’s Summit with Private Health Interests Over NHS Reforms
The Government has revealed the record of a private meeting between a health minister and various corporate entities, though the details are disputed
bylinetimes.com
November 18, 2024 at 7:31 PM
Is General Practice FOR SALE?
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/l...
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/l...
Reposted by Nick Mann
Is General Practice For sale?
And are Wes Streeting & Stephen Kinnock going to do anything to stop it?
Big companies have bought stakes in UK General Practice, paying for influence, changing policies from top down
Is it any surprise that the GP practices have been starved of income?
And are Wes Streeting & Stephen Kinnock going to do anything to stop it?
Big companies have bought stakes in UK General Practice, paying for influence, changing policies from top down
Is it any surprise that the GP practices have been starved of income?
November 29, 2025 at 3:30 PM
Is General Practice For sale?
And are Wes Streeting & Stephen Kinnock going to do anything to stop it?
Big companies have bought stakes in UK General Practice, paying for influence, changing policies from top down
Is it any surprise that the GP practices have been starved of income?
And are Wes Streeting & Stephen Kinnock going to do anything to stop it?
Big companies have bought stakes in UK General Practice, paying for influence, changing policies from top down
Is it any surprise that the GP practices have been starved of income?
Reposted by Nick Mann
Scary stuff - and well done @theguardian.com for exposing such a sordid, sad, dangerous business.
Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world
Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world
A year-long investigation reveals how mothers lost children after being radicalised by uplifting podcast tales of births without midwives or doctors
As Esau Lopez was asphyxiated for the first 17 minutes of his life on Earth, the atmosphere in the room remained serene, even ecstatic. Acoustic music crooned from a speaker in a modest two-bedroom apartment in a suburb of Pennsylvania. “You are a queen,” murmured one of three friends in the room.
Only Esau’s mother, Gabrielle Lopez, felt something was wrong. She was pushing hard, but her son would not be born. “Can you help [him] out?” she asked, as Esau crowned. “Baby is coming,” the friend replied. Four minutes later, Lopez asked again, “Can you grab [him]?” Another friend murmured, “Baby is safe.” Six minutes passed. Again, Lopez asked, “Can you grab [him]?” Continue reading...
www.theguardian.com
November 23, 2025 at 10:44 AM
Scary stuff - and well done @theguardian.com for exposing such a sordid, sad, dangerous business.
Reposted by Nick Mann
It’s a sign of how insane the news cycle is these days that this historic failure of government policy got just one day of news coverage this week.
Not saying that’s right or wrong, but it’s astonishing how quickly the agenda moves on these days.
Not saying that’s right or wrong, but it’s astonishing how quickly the agenda moves on these days.
BREAKING: UK’s response to Covid was “too little too late”. Acting faster could have saved 23,000 lives in England according to the public inquiry.
Boris Johnson presided over a “toxic, sexist, chaotic culture” in No10, where rule-breaking seriously undermined public confidence.
Boris Johnson presided over a “toxic, sexist, chaotic culture” in No10, where rule-breaking seriously undermined public confidence.
November 23, 2025 at 10:07 AM
It’s a sign of how insane the news cycle is these days that this historic failure of government policy got just one day of news coverage this week.
Not saying that’s right or wrong, but it’s astonishing how quickly the agenda moves on these days.
Not saying that’s right or wrong, but it’s astonishing how quickly the agenda moves on these days.
Reposted by Nick Mann
How can FDA allow TV ads for GLP-1 drug microdosing without any data?
Not aware of a single published study.
youtube.com/watch?v=zIbz...
Not aware of a single published study.
youtube.com/watch?v=zIbz...
Rebel Wilson goes Micro with Noom
YouTube video by Noom
youtube.com
November 22, 2025 at 5:14 PM
How can FDA allow TV ads for GLP-1 drug microdosing without any data?
Not aware of a single published study.
youtube.com/watch?v=zIbz...
Not aware of a single published study.
youtube.com/watch?v=zIbz...
Reposted by Nick Mann
I've never really understood the logic of "targeted vaccination".
Of course, money is a huge issue and we seek to get the most out of every £ spent.
Of course COVID and flu waves would be far worse without it.
But, what doesn't sit well for me is the following...
Of course, money is a huge issue and we seek to get the most out of every £ spent.
Of course COVID and flu waves would be far worse without it.
But, what doesn't sit well for me is the following...
November 6, 2025 at 12:46 PM
I've never really understood the logic of "targeted vaccination".
Of course, money is a huge issue and we seek to get the most out of every £ spent.
Of course COVID and flu waves would be far worse without it.
But, what doesn't sit well for me is the following...
Of course, money is a huge issue and we seek to get the most out of every £ spent.
Of course COVID and flu waves would be far worse without it.
But, what doesn't sit well for me is the following...
Reposted by Nick Mann
This is a total outrage and has crippled SARS-CoV-2 variant tracking and evolutionary analysis.
Updating a file and giving access to Nextstrain & Cov-Spectrum does not require extensive resources, so the official justification is a lie. There has to be an ulterior motive here.
Updating a file and giving access to Nextstrain & Cov-Spectrum does not require extensive resources, so the official justification is a lie. There has to be an ulterior motive here.
Nextstrain's daily-updated tree of SARS-CoV-2 genomes was my gateway into the world of viral phylogenetics in early 2020, and Nextstrain's beautiful interactive tree display is crucial to making usher.bio results usable. GISAID cutting off data harms global surveillance efforts. 🧵👇
On Oct 1, 2025, GISAID informed us that they had ended updates to the flat file of SARS-CoV-2 genomic sequences and associated metadata that we had used to update Nextstrain analyses since Feb 2020. GISAID's stated rationale was that their "resources are limited". 1/5
November 7, 2025 at 12:18 PM
This is a total outrage and has crippled SARS-CoV-2 variant tracking and evolutionary analysis.
Updating a file and giving access to Nextstrain & Cov-Spectrum does not require extensive resources, so the official justification is a lie. There has to be an ulterior motive here.
Updating a file and giving access to Nextstrain & Cov-Spectrum does not require extensive resources, so the official justification is a lie. There has to be an ulterior motive here.
Reposted by Nick Mann
In the PISCES trial involving participants receiving hemodialysis, fish oil (n−3 fatty acids) was compared with corn-oil placebo. The rate of serious cardiovascular events was lower with daily fish-oil supplementation. Full trial results: nej.md/49zWuqo
@asnkidney.bsky.social | #KidneyWk
@asnkidney.bsky.social | #KidneyWk
November 7, 2025 at 4:36 PM
In the PISCES trial involving participants receiving hemodialysis, fish oil (n−3 fatty acids) was compared with corn-oil placebo. The rate of serious cardiovascular events was lower with daily fish-oil supplementation. Full trial results: nej.md/49zWuqo
@asnkidney.bsky.social | #KidneyWk
@asnkidney.bsky.social | #KidneyWk
Reposted by Nick Mann
Daniel Hannan was born in Peru.
November 2, 2025 at 7:44 PM
Daniel Hannan was born in Peru.
Reposted by Nick Mann
Just 7000 more GPs needed because recruitment doesn’t mean retention
2500 is number recruited but only 1500 (1000 full time equivalent) retained
But worse other GP roles cut as no funding for practices
You can’t make it up! Unless you’re Wes Streeting, DHSC & Labour spin ‘doctors’
2500 is number recruited but only 1500 (1000 full time equivalent) retained
But worse other GP roles cut as no funding for practices
You can’t make it up! Unless you’re Wes Streeting, DHSC & Labour spin ‘doctors’
October 25, 2025 at 2:58 PM
Just 7000 more GPs needed because recruitment doesn’t mean retention
2500 is number recruited but only 1500 (1000 full time equivalent) retained
But worse other GP roles cut as no funding for practices
You can’t make it up! Unless you’re Wes Streeting, DHSC & Labour spin ‘doctors’
2500 is number recruited but only 1500 (1000 full time equivalent) retained
But worse other GP roles cut as no funding for practices
You can’t make it up! Unless you’re Wes Streeting, DHSC & Labour spin ‘doctors’
Reposted by Nick Mann
Reform U.K. try distancing themselves from Dr Aseem Malhotra introduced at their conference as their ‘health policy advisor’ …here’s Malhotra in 2018 next to Reforms ex Welsh leader Nathan Gill who was convicted of taking bribes from 🇷🇺 .
Malhotra under GMC Ix for spreading health misinformation
Malhotra under GMC Ix for spreading health misinformation
October 20, 2025 at 10:58 PM
Reform U.K. try distancing themselves from Dr Aseem Malhotra introduced at their conference as their ‘health policy advisor’ …here’s Malhotra in 2018 next to Reforms ex Welsh leader Nathan Gill who was convicted of taking bribes from 🇷🇺 .
Malhotra under GMC Ix for spreading health misinformation
Malhotra under GMC Ix for spreading health misinformation
Reposted by Nick Mann
🚨 ONS has updated their Nomis annual mortality dataset for 2024.
Some highlights:
1. Covid is still not Flu
2. There's no TuRbO CaNcEr
3. Myocarditis hasn't exploded
4. Including for children, although they are still killed by Covid
NB. These are underlying causes of death, not "just" involving.
Some highlights:
1. Covid is still not Flu
2. There's no TuRbO CaNcEr
3. Myocarditis hasn't exploded
4. Including for children, although they are still killed by Covid
NB. These are underlying causes of death, not "just" involving.
![Chart of Deaths DUE TO Myocarditis [I40], England & Wales, 2013-2024](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:ospe37z7nncyw4cqtmyirjti/bafkreibks6tgyk6qfp3io3yr4s5t4nfklxewsx3ihwn2bo256aculablce@jpeg)
October 18, 2025 at 1:36 PM
🚨 ONS has updated their Nomis annual mortality dataset for 2024.
Some highlights:
1. Covid is still not Flu
2. There's no TuRbO CaNcEr
3. Myocarditis hasn't exploded
4. Including for children, although they are still killed by Covid
NB. These are underlying causes of death, not "just" involving.
Some highlights:
1. Covid is still not Flu
2. There's no TuRbO CaNcEr
3. Myocarditis hasn't exploded
4. Including for children, although they are still killed by Covid
NB. These are underlying causes of death, not "just" involving.
Reposted by Nick Mann
There are shortages of GPs because Government & NHS England has failed to fund GP practices to retain, employ or increase their capacity
A cut in funding by 20% £/patient in the last 10yr & investing in other roles instead & now have unemployed GPs who are unable to get work
Simply fund practices!
A cut in funding by 20% £/patient in the last 10yr & investing in other roles instead & now have unemployed GPs who are unable to get work
Simply fund practices!
October 18, 2025 at 8:38 AM
There are shortages of GPs because Government & NHS England has failed to fund GP practices to retain, employ or increase their capacity
A cut in funding by 20% £/patient in the last 10yr & investing in other roles instead & now have unemployed GPs who are unable to get work
Simply fund practices!
A cut in funding by 20% £/patient in the last 10yr & investing in other roles instead & now have unemployed GPs who are unable to get work
Simply fund practices!
Reposted by Nick Mann
I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.
October 11, 2025 at 3:05 AM
I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.
Reposted by Nick Mann
BREAKING: Friday night massacre underway at CDC. Doznes of "disease detectives," high-level scientists, entire Washington staff and editors of the MMWR (Morbidity and Mortality Weekly Report) have all been RIFed and received the following notice:
October 11, 2025 at 2:10 AM
BREAKING: Friday night massacre underway at CDC. Doznes of "disease detectives," high-level scientists, entire Washington staff and editors of the MMWR (Morbidity and Mortality Weekly Report) have all been RIFed and received the following notice:
Reposted by Nick Mann
They have fired the staff of the CDC’s Morbidity and Mortality Weekly Report and 70 Epidemic Intelligence Service officers, who are disease detectives that respond to outbreaks around the world.
I cannot emphasize enough how dangerous it is to dismantle our disease surveillance infrastructure.
I cannot emphasize enough how dangerous it is to dismantle our disease surveillance infrastructure.
October 11, 2025 at 5:21 PM
They have fired the staff of the CDC’s Morbidity and Mortality Weekly Report and 70 Epidemic Intelligence Service officers, who are disease detectives that respond to outbreaks around the world.
I cannot emphasize enough how dangerous it is to dismantle our disease surveillance infrastructure.
I cannot emphasize enough how dangerous it is to dismantle our disease surveillance infrastructure.
Reposted by Nick Mann
If this became a weekly series, it would run longer than The Simpsons.
September 16, 2025 at 7:03 PM
If this became a weekly series, it would run longer than The Simpsons.