John Stephens

senior lecturer, physiotherapist, runner, and 'grandude'. It's all about movement - micro to macro!

[John Stephens @john58_john]

@lady_valor_07 1974

[John Stephens @john58_john]

@theveindoc Mine are 2 monthly, which works well for me. Efficient re-ordering through NHS app, and pick up at local pharmacy although I could have delivered to home.

[John Stephens @john58_john]

@MattPinner_ Yep, 20/20 no problem.

[John Stephens @john58_john]

@AdamMeakins Surely no case to answer. Seems they've been quite happy for you to practice across the past 7.5 years!

[John Stephens @john58_john]

@AdamMeakins Excessive to say the least. You have probably done this, but have a look at ECHR article 6. It should also apply to bodies such as HCPC.

[British Geriatrics Society @GeriSoc]

It's great to see this study, published in our international clinical geriatrics journal @Age_and_Ageing, getting lots of press coverage this morning!

https://t.co/KmKsURN3Gv

[John Stephens @john58_john]

Start Fitness North Eastern Harrier League. Another successful fixture, 4th of the season. Many thanks to Saltwell Harriers for hosting at Whitehills, Wrekenton.

[John Stephens @john58_john]

Great couple days at CSP Conference, ICC, Newport.

[Helen Bevan @HelenBevan]

Today I spoke at the Drucker Global Forum about “Trojan mice” vs. “Trojan horses.”

Organisational change programmes often struggle to get results despite investment, careful planning & leadership commitment. Traditional "Trojan horse" initiatives (large scale pilot projects designed for eventual system-wide rollout) struggle against the complexity inherent in large systems. The alternative, "Trojan mice," offers a fundamentally different pathway: having many people across the system with the skills & agency to test out small, well-focused changes to address complex problems.

The choice between Trojan horses & Trojan mice isn't about abandoning ambition or settling for incremental tinkering. It's about recognising that in big systems, distributed action by skilled people with agency nearly always achieves more than centrally controlled, large-scale programmes. By cultivating many changemakers across the system & creating conditions where small, focused experiments can flourish, we can unlock the collective intelligence & energy needed for systemic change.

Three facts about Trojan mice:
1) They fail often, fail early, & learn greatly. The cost of failure occurs early in project timelines, rather than at launch when it's too late. This is in line with what @AmyCEdmondson calls "intelligent failure"—thoughtful experiments that result in useful learning & allow teams to move forward.
2) They capture what works in complex systems - local ownership, fast feedback, & momentum that scales organically. Because changes are small & focused, they can be genuinely owned by those implementing them, creating commitment rather than compliance.
3) Most organisations are built for consistency, not novelty. Trojan mice strategies bypass this structural resistance by building agency & capability throughout the system rather than concentrating change authority in a central team.

I learnt about Trojan mice from Chris Bolton @whatsthepont: https://t.co/twlfW03aos #DruckerForum

[John Stephens @john58_john]

@DrStuP @UoS_Physio @thecsp ..... and us you, Stuart!

[Thinkwert @Thinkwert]

What other tech has reached its final form?

[Steve Magness @stevemagness]

You want to become a coach?

Skip the certifications. Go sit at the top of the stands and watch any practice with a good coach.

Leave your phone. Just watch. Observe the interactions and responses to the coach by the athletes. Read the emotion, fatigue, and reactions.

[Helen Bevan @HelenBevan]

Three modes of organising for improvement:
(1) Doing things well
(2) Doing things better
(3) Doing better things
An organisational improvement strategy should focus on all three. Many organisations currently are overfocussed on (1) & (2) and under focussed on (3). This is risky because we can end up focused on improving the "wrong" or suboptimal things. The environment of change that we find ourselves in means that we have to focus increasingly on (3). It won't happen unless we build in the time & space for connection, collaboration, experimentation & learning into daily work.
I adapted this table from content in "Improving quality in healthcare: questioning the work for effective change" by Murray Anderson-Wallace & Nick Downham. I really like this book, written by highly experienced practitioners: https://t.co/HfBU4n5U85.

[John Stephens @john58_john]

@charliersmith1 My cats aren't really into football! 😊 take care, very best wishes.

[Football Away Days @footyawayday]

A group of 150 Southend United fans hired a ‘party boat’ to take them down The Thames to their match away to Sutton on Saturday, and they soon noticed that an American tourist called Evan was sitting quietly by himself, so they asked him if he was OK. It turned out that he had got on the boat by accident and thought he was doing a sightseeing tour of London 😂😂😂

They instantly adopted him as a new Shrimper, got the beers in, and even gave him a ticket to the match that ended 1-1. If you kept hearing the chant ‘Evan is a Shrimper’ on the radio - now you know why!

📸 Andy Ward

[World Athletics @WorldAthletics]

Hero of the nation on and off the track ❤️

Olympic 200m champ @tebogo_letsile_ _ rescued stranded motorists whose cars were submerged due to the severe floodings Botswana is currently facing 💪

[John Stephens @john58_john]

@AdamMeakins Deary me! Logically, at least, it would make no sense to find you guilty when the hearing eventually takes place. You've continued to practice, and very effectively, for the past 6 years whilst your suitability has been called into question. Strange situation.

[Charlotte FC @CharlotteFC]

We gave it everything we had and are so proud of what we accomplished this season.

Thank you for all your support and passion. You are the best in the league.

We are coming for it all in 2025. #ForTheCrown

[Charlotte FC @CharlotteFC]

Up your fit game with a Crown Jewel kit signed by Karol Swiderski and Iuri Tavares 👑

Like and RT for a chance to win our @TexasPete Tuesday giveaway!

[John Stephens @john58_john]

@CharlotteFC @TexasPete Great jersey!