alf collins

🏉🎷🎸🐕👨‍👩‍👧‍👦 Interested in personalised care, population health, value and stewardship. Trustee @pickereurope and @PatientsAssoc. Own views here.

[alf collins @alf_collins]

Ok that’s me done though I’ve only really lurked here of late. But I can’t continue to support Elon Musk and his efforts to encourage what he calls ‘freedom of speech’. So long Twitter friends, I’m now on Bluesky and am deleting my Twitter account forthwith. Xxxxx

[alf collins @alf_collins]

@pash22 @andrewrixhome @Jennife10651535 @NHSEngland @wesstreeting @Ben_Spencer @ucl @HWWPotts @SebRees1 @sib313 @CraigNikolic @mancunianmedic Simple. Virtually no corporate memory.

[alf collins @alf_collins]

@hwilliamssomers @MichaelRosenYes Which peer reviewed journal was that in Huw?

[alf collins @alf_collins]

@RCEMpresident @mancunianmedic Seems to me there should be a law to protect people from those in positions of influence who peddle dangerous gobshite.

[alf collins @alf_collins]

@JonnyUnderhill @AimeeRobson4 @hayleyberry8 @JulianTreadwel1 @d_spiegel @sfinnikin @drlouisenewson Yes. Though (and Glyn and I have spoken about this) I don’t think there’s enough emphasis on ‘goal talk’. It should be the frame for the whole conversation. BTW we should be having this convo on the other channel- I do find it harder to use though- almost certainly me/my age

[Jonathan Underhill⚫️⚪️🎤💙 @JonnyUnderhill]

@alf_collins @AimeeRobson4 @hayleyberry8 @JulianTreadwel1 @d_spiegel @sfinnikin @drlouisenewson Three talk model Alf! Preach it brother!!! :-)

[Jonathan Underhill⚫️⚪️🎤💙 @JonnyUnderhill]

@alf_collins @AimeeRobson4 @hayleyberry8 @JulianTreadwel1 @d_spiegel @sfinnikin @drlouisenewson There is an episode of #talkingmeds coming up where @lucypgeridoc talk about how important it is to get to know people we are trying to help. We talk about the ‘what’s the name of the dog’ paper…….

[alf collins @alf_collins]

@JonnyUnderhill @AimeeRobson4 @hayleyberry8 @JulianTreadwel1 @d_spiegel @sfinnikin @drlouisenewson Will listen to pod! I’m teaching lots of SDM now and (esp. for high stakes decisions) am teaching ‘goal talk’ before BRAN. Along the lines of ‘we have a number of options to consider, but before we do, I’d like to know a lot more about you…..’

[NHS Year of Care @YearofCare]

@alf_collins Time flies when you're having fun @alf_collins! The 3 year pilot came to an end 2010/11 when Year of Care Partnerships was born but we probably do date back as far as 2005.

[alf collins @alf_collins]

@YearofCare Feels like yesterday you started. When was it? 2005?

[Richard Sloggett @rcsloggett]

@alf_collins We need a far more honest discussion on trade offs I think. PM ducked this last week

[alf collins @alf_collins]

@rcsloggett We are going to pour money into hospitals again, aren’t we? Twas ever thus.

[alf collins @alf_collins]

@profchrisham Agreed. And of course it’s usually the frontline that delivers. Leadership at all levels should facilitate/incentivise delivery.

[Healthcare Leader @HCLeaderNews]

Personalised care is ‘inconsistently’ delivered across NHS
https://t.co/jg0RxCqiAx
#integratedcare

[Pulse PCN @PulsePCN]

Delivery of personalised care is not consistent, finds report
https://t.co/UmtC7WsGgR

#primarycare

[alf collins @alf_collins]

@RCEMpresident @Jamesillman Somehow the (horrific) message doesn’t seem to be hitting home. It’s the equivalent of 25 A380s falling out of the skies onto English soil every year…

[alf collins @alf_collins]

@doctimcook Depends what you mean by consciousness. Maybe consciousness is just continually updated memory so maybe anaesthetised patients are all awake but just don’t remember?

I’ll get my coat

[alf collins @alf_collins]

@rcsloggett @SebRees1 None of that 3 shift malarkey then. It’s not like the failure to implement those shifts has anything to do with the size of the waiting list of course.

[Rachel Power @rachelpower222]

Delighted to be here presenting on shared decision making and consent @PatientsAssoc