Roy Lilley 💙

Health writer and commentator

[Roy Lilley 💙 @RoyLilley]

Yes, all of my paintings you see on Twitter are for sale, in exchange for a donation to the work of an exNHS nurse, now a Franciscan, supporting refugees, mums and kids, on Rhodes. DM me for details

https://t.co/kssN5eudLo

[Roy Lilley 💙 @RoyLilley]

the NHS keeps coming back to neighbourhood care. It’s a good answer to a problem that families encounter every day. 

It’s also an old answer. 

•England had Integrated Care Pilots in 2008, 
•Pioneers in 2013
•Vanguards in 2015… 

https://t.co/Ir4gc2pgmQ

[AcademyOfFabStuff @FabNHSStuff]

🌟 What does nurse-led innovation look like in practice?

Hear real examples of service improvement, team engagement and innovation at the RCN Nurse-Led Innovations & QI Conference.

https://t.co/NibC6k7xTe

#RCNQI26 @RCNLondon @RoyLilley @gbtpo

[AcademyOfFabStuff @FabNHSStuff]

🗞️🔥Check out October 2026 QI Evidence Update 🗞️🔥

Packed with insights and research to improve healthcare from the last month!

https://t.co/iXbPb7WiG3

#FabNewShare @RoyLilley @Evidence4QI

[Dr David Wrigley @DavidGWrigley]

Make no mistake this is asking us to do yet more to recoup money taken away from our core contract. We asked for winter pressure monies to employ more GP/nurse time but was refused. Huge disappointment & I really fear the winter pressure ahead of us https://t.co/lfg574cH3U

[Duncan Armfield @ArmfieldDuncan]

Remembrance Day. They gave their today for our tomorrow. Thank you to all our armed forces who gave their lives for our freedom & some who still carry their wounds today.

[Duncan Armfield @ArmfieldDuncan]

Great advice from our team

[AcademyOfFabStuff @FabNHSStuff]

🤔 Everyone talks about integrated care. But who has actually made it work?

David Meates takes @RoyLilley & @DicksonNiall inside Canterbury's transformation—and what the NHS could learn.

🎧 https://t.co/7N5VWWReOg

#FabStuffPodcast @gbtpo @DaniG4_

[Roy Lilley 💙 @RoyLilley]

When the local plans finally emerge… I’d look for two things. 
First, the money committed to staffing community-services before the hospital savings are booked. 
Second, what services can meet the Friday afternoon test.

https://t.co/Ir4gc2oIxi

[Suhail Mirza @suhail1mirza]

@RoyLilley Tragedy travesty even in plain sight

[Roy Lilley 💙 @RoyLilley]

The National Audit Office cited;
'... a 43% fall in staff recorded in NHS district nurse roles between 2009 and 2024

https://t.co/Ir4gc2oIxi

[Roy Lilley 💙 @RoyLilley]

🙏🙏

[Professor Azeem Majeed @Azeem_Majeed]

Trust, translated: tackling vaccine hesitancy one phone call at a time. The NHS in the Black Country used NICE Quality Standards to overcome language barriers in its communities and increase childhood vaccination rates by over 12 percentage points. https://t.co/UGzIXMkJUS

[Roy Lilley 💙 @RoyLilley]

A district nurse might prevent three maybe more, admissions this week...

... the hospital still needs a ward, a night shift and a doctor on call. In a busy hospital, the beds will be filled by patients already waiting for them. 

https://t.co/Ir4gc2oIxi

[Roy Lilley 💙 @RoyLilley]

Helping a group of people get better care is an achievement in its own right. Turning that achievement into enough spare hospital capacity to move money around is a much bigger ask.

https://t.co/Ir4gc2pgmQ

[Paul Trevatt💙 @caspertown24]

@RoyLilley No district nurses - no palliative & end of life care at home

[Roy Lilley 💙 @RoyLilley]

Easter.
Pen and watercolour on paper.

[Roy Lilley 💙 @RoyLilley]

If you’re feeling blue, these flowers are for you!
Pen and watercolour on paper.

[Pushk1n @Pushk1n9]

@RoyLilley Bring back the district nurse.

[Jane & Archduke Ralph RIP🌈💙 @jane63c.bsky.social @JaneRalph29]

Another good piece on community based health care by @RoyLilley - with all the reductions in ICB staffing where these systems are developed and implemented it will be rather a challenge

[AcademyOfFabStuff @FabNHSStuff]

🎧 100 Voices. Countless lessons. One powerful idea.

Launches today

What if the best improvement advice comes from lived experience?

100 Voices: How Better Feels launches 4 November. Hear the trailer now 👇

https://t.co/bX3w25XlEn

@RoyLilley @gbtpo