Marcus Baw
@marcusbaw.com
NHS General Hacktitioner GP, NHS IT, Software Dev
Everything Digital Health everythingdigitalhealth.com
RCPCH Digital Growth Charts https://growth.rcpch.ac.uk/
Freelance Health Tech and Discourse Forum syadmin https://bawmedical.co.uk/
Everything Digital Health everythingdigitalhealth.com
RCPCH Digital Growth Charts https://growth.rcpch.ac.uk/
Freelance Health Tech and Discourse Forum syadmin https://bawmedical.co.uk/
Pinned
Marcus Baw
@marcusbaw.com
· Jan 2
Starting 2025 with a short thread of my favourite, must-watch, YouTube video recommendations for anyone in Digital Health, HealthTech, Clinical Informatics, or trying to change culture in large organisations.
Don't do ANYTHING else until you've watched ALL of them.
Don't do ANYTHING else until you've watched ALL of them.
Reposted by Marcus Baw
I get frustrated by the press release culture around time savings from AI tools. I couldn't resist responding to a recent one about Microsoft Copilot in the NHS. There's still a missing step of being able to reimagine the future of work with technology benholliday.com/2025/10/23/4...
43 minutes per staff member per day
Looking at the latest NHS framing of time savings from investment in AI, and the continued need to better reimagine how we work with technology.
benholliday.com
November 14, 2025 at 11:57 AM
I get frustrated by the press release culture around time savings from AI tools. I couldn't resist responding to a recent one about Microsoft Copilot in the NHS. There's still a missing step of being able to reimagine the future of work with technology benholliday.com/2025/10/23/4...
I've been involved in Healthcare Technology for 15 years, and in all that time I've never heard anyone talk about Archival.
Join us free for the first meeting with the Digital Preservation Coalition to discuss Healthcare Archival.
www.tickettailor.com/events/dpc/1...
Join us free for the first meeting with the Digital Preservation Coalition to discuss Healthcare Archival.
www.tickettailor.com/events/dpc/1...
RSVP – Healthcare Archives Group Meeting – Zoom
Healthcare Archives Group Meeting – Zoom, Thu 20 Nov 2025 - The Digital Preservation Coalition (DPC) is hosting an open meeting to address some of the challenges surrounding healthcare data and health...
www.tickettailor.com
November 14, 2025 at 11:59 AM
A new episode of Everything Digital Health just dropped:
Digital Preservation and Archival in Healthcare - a serious problem!
https://www.youtube.com/watch?v=5f7cDSblgLo
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
Digital Preservation and Archival in Healthcare - a serious problem!
https://www.youtube.com/watch?v=5f7cDSblgLo
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
Digital Preservation and Archival in Healthcare - a serious problem!
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
www.youtube.com
November 14, 2025 at 11:59 AM
Launching a 10-year plan in the same year as devastating staff morale with NHSE abolition and ICB cuts would be like announcing the Apollo moonshot programme... and then abolishing NASA and cutting the Air Force by 50%.
November 14, 2025 at 10:00 AM
Launching a 10-year plan in the same year as devastating staff morale with NHSE abolition and ICB cuts would be like announcing the Apollo moonshot programme... and then abolishing NASA and cutting the Air Force by 50%.
Appalling, unresponsive, chatbot-heavy enshittified 'customer service' is a **Feature** not a **Bug** for companies of 2025.
Is there a unified boycott list?
pluralistic.net/2025/11/11/s...
In the UK a great example in my experience is Virgin Media broadband. Utterly useless, and done on purpose.
Is there a unified boycott list?
pluralistic.net/2025/11/11/s...
In the UK a great example in my experience is Virgin Media broadband. Utterly useless, and done on purpose.
pluralistic.net
November 12, 2025 at 3:03 PM
Appalling, unresponsive, chatbot-heavy enshittified 'customer service' is a **Feature** not a **Bug** for companies of 2025.
Is there a unified boycott list?
pluralistic.net/2025/11/11/s...
In the UK a great example in my experience is Virgin Media broadband. Utterly useless, and done on purpose.
Is there a unified boycott list?
pluralistic.net/2025/11/11/s...
In the UK a great example in my experience is Virgin Media broadband. Utterly useless, and done on purpose.
Superb post by JA Westenberg of Discourse.org on the importance of Organisational Memory - in the NHS we have exactly these problems, with organisational memory strewn across Sharepoints, email, and Teams but we are not even starting to ask how to make it better.
blog.discourse.org/2025/11/the-...
blog.discourse.org/2025/11/the-...
The Death of Community Memory
I recently spent forty minutes searching through Slack trying to find a technical decision — made eight months ago — about an app that 60% of my creative life depends on...I eventually gave up and jus...
blog.discourse.org
November 12, 2025 at 1:56 PM
Superb post by JA Westenberg of Discourse.org on the importance of Organisational Memory - in the NHS we have exactly these problems, with organisational memory strewn across Sharepoints, email, and Teams but we are not even starting to ask how to make it better.
blog.discourse.org/2025/11/the-...
blog.discourse.org/2025/11/the-...
A new episode of Everything Digital Health just dropped:
Digital Preservation and Archival in Healthcare - a serious problem!
https://www.youtube.com/watch?v=5f7cDSblgLo
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
Digital Preservation and Archival in Healthcare - a serious problem!
https://www.youtube.com/watch?v=5f7cDSblgLo
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
Digital Preservation and Archival in Healthcare - a serious problem!
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
www.youtube.com
November 11, 2025 at 8:57 PM
A new episode of Everything Digital Health just dropped:
Digital Preservation and Archival in Healthcare - a serious problem!
https://www.youtube.com/watch?v=5f7cDSblgLo
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
Digital Preservation and Archival in Healthcare - a serious problem!
https://www.youtube.com/watch?v=5f7cDSblgLo
The Digital Preservation Coalition https://www.dpconline.org/
Digital Preservation Bit List http...
I've been involved in Healthcare Technology for 15 years, and in all that time I've never heard anyone talk about Archival.
Join us free for the first meeting with the Digital Preservation Coalition to discuss Healthcare Archival.
www.tickettailor.com/events/dpc/1...
Join us free for the first meeting with the Digital Preservation Coalition to discuss Healthcare Archival.
www.tickettailor.com/events/dpc/1...
RSVP – Healthcare Archives Group Meeting – Zoom
Healthcare Archives Group Meeting – Zoom, Thu 20 Nov 2025 - The Digital Preservation Coalition (DPC) is hosting an open meeting to address some of the challenges surrounding healthcare data and health...
www.tickettailor.com
November 10, 2025 at 7:46 PM
I've been involved in Healthcare Technology for 15 years, and in all that time I've never heard anyone talk about Archival.
Join us free for the first meeting with the Digital Preservation Coalition to discuss Healthcare Archival.
www.tickettailor.com/events/dpc/1...
Join us free for the first meeting with the Digital Preservation Coalition to discuss Healthcare Archival.
www.tickettailor.com/events/dpc/1...
I can't help finding this amusing (NHSE website)
"The Long Term Plan, published in January 2019, can be found on The National Archives website"
(But don't worry - *THIS* 10 year plan will be completely enacted within the next 10 years....)
www.england.nhs.uk/long-term-pl...
"The Long Term Plan, published in January 2019, can be found on The National Archives website"
(But don't worry - *THIS* 10 year plan will be completely enacted within the next 10 years....)
www.england.nhs.uk/long-term-pl...
November 10, 2025 at 3:14 PM
I can't help finding this amusing (NHSE website)
"The Long Term Plan, published in January 2019, can be found on The National Archives website"
(But don't worry - *THIS* 10 year plan will be completely enacted within the next 10 years....)
www.england.nhs.uk/long-term-pl...
"The Long Term Plan, published in January 2019, can be found on The National Archives website"
(But don't worry - *THIS* 10 year plan will be completely enacted within the next 10 years....)
www.england.nhs.uk/long-term-pl...
A new episode of Everything Digital Health just dropped:
RCGP Health Informatics Group, JGPITC, and more - with HIG Chair Imran Khan
https://www.youtube.com/watch?v=3GvxGyk3EmM
Imran and I chat about what the RCGP Health Informatics Group is, and what it does, and introduce...
RCGP Health Informatics Group, JGPITC, and more - with HIG Chair Imran Khan
https://www.youtube.com/watch?v=3GvxGyk3EmM
Imran and I chat about what the RCGP Health Informatics Group is, and what it does, and introduce...
RCGP Health Informatics Group, JGPITC, and more - with HIG Chair Imran Khan
Imran and I chat about what the RCGP Health Informatics Group is, and what it does, and introduce...
www.youtube.com
November 7, 2025 at 10:35 PM
A new episode of Everything Digital Health just dropped:
RCGP Health Informatics Group, JGPITC, and more - with HIG Chair Imran Khan
https://www.youtube.com/watch?v=3GvxGyk3EmM
Imran and I chat about what the RCGP Health Informatics Group is, and what it does, and introduce...
RCGP Health Informatics Group, JGPITC, and more - with HIG Chair Imran Khan
https://www.youtube.com/watch?v=3GvxGyk3EmM
Imran and I chat about what the RCGP Health Informatics Group is, and what it does, and introduce...
Very good editorial in BJGP by Stephen Bradley on the need for a competitive market for GP EHRs
bjgp.org/content/75/7...
bjgp.org/content/75/7...
We need to create a competitive market for electronic health record systems
Electronic health records (EHRs) are ubiquitous in modern health systems and mediate the experience of patients and clinicians of health care. In contrast to rapid evolution in consumer technologies, ...
bjgp.org
November 5, 2025 at 2:30 PM
Very good editorial in BJGP by Stephen Bradley on the need for a competitive market for GP EHRs
bjgp.org/content/75/7...
bjgp.org/content/75/7...
I have joined 5059 GPs in signing a letter calling on the SoS for Health to solve general practice workforce challenges, so that we're able to give patients the care they deserve.
The more GPs who sign, the more likely we'll be heard - so add your name: rcgp.eaction.org.uk/Joint-Letter...
The more GPs who sign, the more likely we'll be heard - so add your name: rcgp.eaction.org.uk/Joint-Letter...
Joint letter to the Secretary of State Wes Streeting MP
rcgp.eaction.org.uk
November 4, 2025 at 5:56 PM
I have joined 5059 GPs in signing a letter calling on the SoS for Health to solve general practice workforce challenges, so that we're able to give patients the care they deserve.
The more GPs who sign, the more likely we'll be heard - so add your name: rcgp.eaction.org.uk/Joint-Letter...
The more GPs who sign, the more likely we'll be heard - so add your name: rcgp.eaction.org.uk/Joint-Letter...
I recently re-read this blog from 2020 which I wrote for RCPCH, and it still stands up well in 2025.
I cover Royal Colleges 3.0 'Best Practice As Code' but also a bit about Ubiquity, which is another important theme.
www.rcpch.ac.uk/news-events/...
I cover Royal Colleges 3.0 'Best Practice As Code' but also a bit about Ubiquity, which is another important theme.
www.rcpch.ac.uk/news-events/...
Royal Colleges 3.0: ‘Best practice as code’
Dr Marcus Baw has spent the last few months working with RCPCH on a project to deliver a Digital Growth Charts web service. It’s been a hugely interesting project to help digitise the complex clinical...
www.rcpch.ac.uk
November 3, 2025 at 10:51 AM
I recently re-read this blog from 2020 which I wrote for RCPCH, and it still stands up well in 2025.
I cover Royal Colleges 3.0 'Best Practice As Code' but also a bit about Ubiquity, which is another important theme.
www.rcpch.ac.uk/news-events/...
I cover Royal Colleges 3.0 'Best Practice As Code' but also a bit about Ubiquity, which is another important theme.
www.rcpch.ac.uk/news-events/...
Reposted by Marcus Baw
Our latest in ADC on how we're building software for paediatrics and why we're building it differently:
adc.bmj.com/content/earl...
Open access link [PDF]: adc.bmj.com/content/arch...
Thanks to @marcusbaw.com for all your work putting this viewpoint together
adc.bmj.com/content/earl...
Open access link [PDF]: adc.bmj.com/content/arch...
Thanks to @marcusbaw.com for all your work putting this viewpoint together
RCPCH incubator: a new model for building open, sustainable digital health
The National Health Service (NHS) has invested significantly in digitisation over the past two decades. Yet frontline clinicians often report that software systems remain inadequate, frustrating and s...
adc.bmj.com
October 31, 2025 at 4:00 PM
Our latest in ADC on how we're building software for paediatrics and why we're building it differently:
adc.bmj.com/content/earl...
Open access link [PDF]: adc.bmj.com/content/arch...
Thanks to @marcusbaw.com for all your work putting this viewpoint together
adc.bmj.com/content/earl...
Open access link [PDF]: adc.bmj.com/content/arch...
Thanks to @marcusbaw.com for all your work putting this viewpoint together
A new episode of Everything Digital Health just dropped:
Open Source Clinical Safety - SURELY we can do Clinical Safety better?
https://www.youtube.com/watch?v=33Qy9PQKf30
An extended re-recording of my presentation to last week’s Let’s Talk Digital conference. In this...
Open Source Clinical Safety - SURELY we can do Clinical Safety better?
https://www.youtube.com/watch?v=33Qy9PQKf30
An extended re-recording of my presentation to last week’s Let’s Talk Digital conference. In this...
Open Source Clinical Safety - SURELY we can do Clinical Safety better?
An extended re-recording of my presentation to last week’s Let’s Talk Digital conference. In this...
www.youtube.com
October 29, 2025 at 1:28 PM
A new episode of Everything Digital Health just dropped:
Open Source Clinical Safety - SURELY we can do Clinical Safety better?
https://www.youtube.com/watch?v=33Qy9PQKf30
An extended re-recording of my presentation to last week’s Let’s Talk Digital conference. In this...
Open Source Clinical Safety - SURELY we can do Clinical Safety better?
https://www.youtube.com/watch?v=33Qy9PQKf30
An extended re-recording of my presentation to last week’s Let’s Talk Digital conference. In this...
Very excited to be able to share that our paper
"RCPCH Incubator: a new model for building open, sustainable digital health"
has been published today in Archives of Disease in Childhood, it will be Open Access for the first month.
adc.bmj.com/cgi/rapidpdf...
"RCPCH Incubator: a new model for building open, sustainable digital health"
has been published today in Archives of Disease in Childhood, it will be Open Access for the first month.
adc.bmj.com/cgi/rapidpdf...
adc.bmj.com
October 29, 2025 at 12:59 PM
Very excited to be able to share that our paper
"RCPCH Incubator: a new model for building open, sustainable digital health"
has been published today in Archives of Disease in Childhood, it will be Open Access for the first month.
adc.bmj.com/cgi/rapidpdf...
"RCPCH Incubator: a new model for building open, sustainable digital health"
has been published today in Archives of Disease in Childhood, it will be Open Access for the first month.
adc.bmj.com/cgi/rapidpdf...
Yesterday I started building an open clinical terminology from scratch. Of all the projects I've done that have seemed mad/impossible, this seems like the most mad/impossible.
But here we go.
github.com/pacharanero/...
Contributors and collaborations are VERY welcome.
But here we go.
github.com/pacharanero/...
Contributors and collaborations are VERY welcome.
GitHub - pacharanero/open-terminology: An open clinical terminology
An open clinical terminology. Contribute to pacharanero/open-terminology development by creating an account on GitHub.
github.com
October 27, 2025 at 12:40 PM
Yesterday I started building an open clinical terminology from scratch. Of all the projects I've done that have seemed mad/impossible, this seems like the most mad/impossible.
But here we go.
github.com/pacharanero/...
Contributors and collaborations are VERY welcome.
But here we go.
github.com/pacharanero/...
Contributors and collaborations are VERY welcome.
A really important point about excessive US control of digital tech in a Trumpian era, made well here by Cory Doctorow.
This has huge implications for the NHS. It's an urgent priority to find non-US alternatives to Azure, AWS, Windows, Cerner and Epic.
pluralistic.net/2025/10/20/p...
This has huge implications for the NHS. It's an urgent priority to find non-US alternatives to Azure, AWS, Windows, Cerner and Epic.
pluralistic.net/2025/10/20/p...
Pluralistic: The mad king’s digital killswitch (20 Oct 2025) – Pluralistic: Daily links from Cory Doctorow
pluralistic.net
October 25, 2025 at 7:10 PM
A really important point about excessive US control of digital tech in a Trumpian era, made well here by Cory Doctorow.
This has huge implications for the NHS. It's an urgent priority to find non-US alternatives to Azure, AWS, Windows, Cerner and Epic.
pluralistic.net/2025/10/20/p...
This has huge implications for the NHS. It's an urgent priority to find non-US alternatives to Azure, AWS, Windows, Cerner and Epic.
pluralistic.net/2025/10/20/p...
Back home after another amazing Let's Talk Digital 2025 conference @letsdodigital.bsky.social - here are the slides from my session on open source clinical digital safety
pacharanero.github.io/2025-lets-ta...
!! No more DCB0129/0160 Word templates.
!! No more Excel spreadsheet Hazard logs.
pacharanero.github.io/2025-lets-ta...
!! No more DCB0129/0160 Word templates.
!! No more Excel spreadsheet Hazard logs.
October 25, 2025 at 2:19 PM
Back home after another amazing Let's Talk Digital 2025 conference @letsdodigital.bsky.social - here are the slides from my session on open source clinical digital safety
pacharanero.github.io/2025-lets-ta...
!! No more DCB0129/0160 Word templates.
!! No more Excel spreadsheet Hazard logs.
pacharanero.github.io/2025-lets-ta...
!! No more DCB0129/0160 Word templates.
!! No more Excel spreadsheet Hazard logs.
www.404media.co/the-end-of-w...
Let's Prevent the Windows 10 E-Waste Disaster - think instead: The End of Windows 10 Is an Opportunity For Linux To Shine
#linux #opensource #linuxdesktop #redhat #linuxmint #canonical #ubuntu #microsoft #windows10
Let's Prevent the Windows 10 E-Waste Disaster - think instead: The End of Windows 10 Is an Opportunity For Linux To Shine
#linux #opensource #linuxdesktop #redhat #linuxmint #canonical #ubuntu #microsoft #windows10
The End of Windows 10 Support Is an E-Waste Disaster in the Making
In an example of egregious planned obsolescence, as many as 400 million computers will soon hit the waste stream.
www.404media.co
October 16, 2025 at 11:30 AM
www.404media.co/the-end-of-w...
Let's Prevent the Windows 10 E-Waste Disaster - think instead: The End of Windows 10 Is an Opportunity For Linux To Shine
#linux #opensource #linuxdesktop #redhat #linuxmint #canonical #ubuntu #microsoft #windows10
Let's Prevent the Windows 10 E-Waste Disaster - think instead: The End of Windows 10 Is an Opportunity For Linux To Shine
#linux #opensource #linuxdesktop #redhat #linuxmint #canonical #ubuntu #microsoft #windows10
Reposted by Marcus Baw
For clarity, I DO think we need proper standards for health and care. I think they need to be completely technically specified to be interoperable.
The way to do it is more like FHIR/openEHR collaboration or the Australian Sparked Initiative.
If the PRSB survive the next step must be total reform.
The way to do it is more like FHIR/openEHR collaboration or the Australian Sparked Initiative.
If the PRSB survive the next step must be total reform.
September 1, 2025 at 4:03 PM
For clarity, I DO think we need proper standards for health and care. I think they need to be completely technically specified to be interoperable.
The way to do it is more like FHIR/openEHR collaboration or the Australian Sparked Initiative.
If the PRSB survive the next step must be total reform.
The way to do it is more like FHIR/openEHR collaboration or the Australian Sparked Initiative.
If the PRSB survive the next step must be total reform.
Today in more Palantir news: Peter Thiel, Palantir co-founder looking for the Antichrist (hilariously looking outward rather than into his own soul)
www.theguardian.com/us-news/2025...
www.theguardian.com/us-news/2025...
October 10, 2025 at 10:49 PM
Today in more Palantir news: Peter Thiel, Palantir co-founder looking for the Antichrist (hilariously looking outward rather than into his own soul)
www.theguardian.com/us-news/2025...
www.theguardian.com/us-news/2025...
Reposted by Marcus Baw
🚀 Only 2 weeks to go until #LetsTalkDigital2025!
Join Ade Byrne – former CIO
@UHS_NHS
, ex-Chair of the NHS CIO Network & INTEROPen board member – as he takes us through “The Wired West: Plugged In, Digitised & Running on Algorithms Instead of Horses.”
letsdodigital.org/conferences/...
Join Ade Byrne – former CIO
@UHS_NHS
, ex-Chair of the NHS CIO Network & INTEROPen board member – as he takes us through “The Wired West: Plugged In, Digitised & Running on Algorithms Instead of Horses.”
letsdodigital.org/conferences/...
October 9, 2025 at 2:57 PM
🚀 Only 2 weeks to go until #LetsTalkDigital2025!
Join Ade Byrne – former CIO
@UHS_NHS
, ex-Chair of the NHS CIO Network & INTEROPen board member – as he takes us through “The Wired West: Plugged In, Digitised & Running on Algorithms Instead of Horses.”
letsdodigital.org/conferences/...
Join Ade Byrne – former CIO
@UHS_NHS
, ex-Chair of the NHS CIO Network & INTEROPen board member – as he takes us through “The Wired West: Plugged In, Digitised & Running on Algorithms Instead of Horses.”
letsdodigital.org/conferences/...
A non-practicing pharmacist with an MBA who is now (inexplicably) the NHS' interim chief digital information officer says:
"‘Let go of your egos’, national tech director tells NHS leaders"
www.hsj.co.uk/technology-a...
Extraordinary hubris. Perhaps the ego problem is the other way around?
"‘Let go of your egos’, national tech director tells NHS leaders"
www.hsj.co.uk/technology-a...
Extraordinary hubris. Perhaps the ego problem is the other way around?
‘Let go of your egos’, national tech director tells NHS leaders
The "egos" of NHS leaders are slowing the service's adoption of new technology, according to an NHS England director.
www.hsj.co.uk
October 9, 2025 at 8:57 AM
A non-practicing pharmacist with an MBA who is now (inexplicably) the NHS' interim chief digital information officer says:
"‘Let go of your egos’, national tech director tells NHS leaders"
www.hsj.co.uk/technology-a...
Extraordinary hubris. Perhaps the ego problem is the other way around?
"‘Let go of your egos’, national tech director tells NHS leaders"
www.hsj.co.uk/technology-a...
Extraordinary hubris. Perhaps the ego problem is the other way around?
A new episode of Everything Digital Health just dropped:
FHIR and Loathing in Las Vegas - with Joe McDonald
https://www.youtube.com/watch?v=sWzORLTtVck
“if you pay billions for clinical software you are a ******* idiot” - Joe McDonald, 2025
Amazon ...
FHIR and Loathing in Las Vegas - with Joe McDonald
https://www.youtube.com/watch?v=sWzORLTtVck
“if you pay billions for clinical software you are a ******* idiot” - Joe McDonald, 2025
Amazon ...
FHIR and Loathing in Las Vegas - with Joe McDonald
“if you pay billions for clinical software you are a ******* idiot” - Joe McDonald, 2025
Amazon ...
www.youtube.com
October 6, 2025 at 5:58 PM
A new episode of Everything Digital Health just dropped:
FHIR and Loathing in Las Vegas - with Joe McDonald
https://www.youtube.com/watch?v=sWzORLTtVck
“if you pay billions for clinical software you are a ******* idiot” - Joe McDonald, 2025
Amazon ...
FHIR and Loathing in Las Vegas - with Joe McDonald
https://www.youtube.com/watch?v=sWzORLTtVck
“if you pay billions for clinical software you are a ******* idiot” - Joe McDonald, 2025
Amazon ...