And at this point a reminder of the Naci paper. High prices = opportunity cost and lost lives in net terms

This is where the primary care budget is!

www.thelancet.com/journals/lan...

thread here
bsky.app/profile/fell...

Great episode. Loved the discussion and your insights Jess.

Always want to catch up Alf! Just prepping the manuscript for submission but will give you a sneak preview.

My first Bluesky publication announcement! Just a protocol but I think it’s an interesting one. We’ve done the work now and the findings are fascinating…!

How about adding…
All patients referred for cataracts should get chance to use the NHSE decision support tool at the point of referral:

www.england.nhs.uk/publication/...

Perhaps it would help for clinical prediction model outputs to avoid a false sense of precision implied when quoting results to 1 d.p.?
We discussed the use of risk estimates in CVD prevention in more detail here:
www.bmj.com/content/384/...

Interesting perspective - thanks for sharing.
I agree, it would be useful to have an idea of uncertainties around risk estimates but this would be tricky for (most) clinicians and patients to incorporate into decision making. More training on risk communication and SDM would help

Healthcare is so much easier if you don’t think about it too much?
For ever complex problem there’s a simple solution…..

I see your point. But it could be argued that acute knee injuries should be triaged and managed in secondary care. If we have access to MRI then this disincentivises ortho providing this service?