Greg Fell
felly500.bsky.social
Greg Fell
@felly500.bsky.social
DPH Sheffield Council.
President ADPHUK.

Barely active climber and below average cyclist. Fond of - 80s thrash metal.

Blog - https://gregfellpublichealth.wordpress.com/
journals.sagepub.com/doi/10.1177/...

evidence does not glide into policy like a fairy godmother with a wand. It enters a world of political interests, institutional routines, cognitive shortcuts, and competing narratives
The Fairy Godmother—and Her Warts - Carol H. Weiss, Erin Murphy-Graham, Anthony Petrosino, Allison G. Gandhi, 2008
Evaluators sometimes wish for a Fairy Godmother who would make decision makers pay attention to evaluation findings when choosing programs to implement. The U.S...
journals.sagepub.com
November 30, 2025 at 2:43 PM
Exceptionally interesting paper from John and team
Underscores one more reason why alcohol price matters to consumtion & eventually harm

onlinelibrary.wiley.com/doi/10.1111/...
Examining changes in the prevalence of cost‐motivated alcohol reduction attempts in the context of a cost‐of‐living crisis and alcohol duty reforms: A population survey of risky drinkers in Great Britain, 2021–2024
Background and aims Affordability of alcohol is a key driver of consumption. The cost-of-living crisis in Great Britain has been putting pressure on household budgets since late 2021. In addition, t...
onlinelibrary.wiley.com
November 30, 2025 at 2:37 PM
GLP-1 receptor agonists: a wake-up call for the food system, not a silver bullet for obesity.

www.health.org.uk/features-and...

real legacy could be as a catalyst for the systemic reformulation.
www.health.org.uk
November 30, 2025 at 2:33 PM
www.bbc.co.uk/sounds/play/...

Multi cancer detection tests

Till we've better evidence definitely more hype than hope in my view

Good show @debscohen.bsky.social
File on 4 Investigates - Multi-Cancer Testing - Hype or Hope? - BBC Sounds
Could multi-cancer detection tests help improve earlier diagnosis for NHS patients?
www.bbc.co.uk
November 30, 2025 at 2:23 PM
www.bbc.co.uk/sounds/play/...

Oh wow

Rutger Bregman - aka Davos tax man- is BACK
with a vengeance
First installment is excellent
The Reith Lectures - Rutger Bregman - Moral Revolution - 1. A Time of Monsters - BBC Sounds
Dutch historian Rutger Bregman delivers his first BBC Reith Lecture: Moral Revolution.
www.bbc.co.uk
November 26, 2025 at 9:10 PM
www.bmj.com/content/391/...

In other news- Ican find no evidence to refute that aliens are watching my every move, thus I conclude that aliens are watching my every move ............
CDC website altered to suggest possible link between vaccines and autism
New guidance published by the US Centers for Disease Control and Prevention (CDC) suggesting vaccines may cause autism has been slammed by medical and autism advocacy groups. A CDC webpage which prev...
www.bmj.com
November 26, 2025 at 7:58 AM
www.bbc.co.uk/sounds/play/...

The man who sold the world

As pertinent today as it was in 1997
Cautionary Tales with Tim Harford - Kyoto: The Battle that Defined Climate Politics - with Joe Robertson - BBC Sounds
Tim is joined by playwright Joe Robertson to discuss Kyoto.
www.bbc.co.uk
November 23, 2025 at 8:05 PM
Sander van der Linden on misinfo
- Rapid repetition to ensire wide spread
- Pre bunking & Psych inoculation
- use of political power to maintain ability to spread misinfo in name of free speech
- questioning the motives & credibility of those who study misinfo

open.spotify.com/episode/0eqK...
Spotify – Web Player
open.spotify.com
November 23, 2025 at 2:37 PM
Reposted by Greg Fell
Drug industry payments to APPGs

doi.org/10.1136/bmj....

concerns over transparency and “disjointed disclosure” mechanisms
part of a “web of influence” strategy

secretariats, which are often run by industry bodies, PR consultancies, and health charities- connections with 40 pharma companies.
Drug industry payments to groups of influential MPs—“the next great parliamentary scandal?”
MPs and peers must act urgently to avert potential scandal from drug industry payments and connections to parliamentary interest groups, researchers have said. A new study of pharmaceutical firms’ de...
doi.org
November 22, 2025 at 5:08 PM
www.doctors.net.uk/news/caving-...

just saying..........
nobody really cares about detail thesedays, or experts. But Karl really IS an expert who has done the detail.
The UK caving to pressure to pay more for drugs will cost lives
Increasing NHS drug costs would cause thousands of preventable deaths, widen health inequalities and harm the British economy – whilst doing nothing to encourage genuine life sciences investment, argu...
www.doctors.net.uk
November 22, 2025 at 4:48 PM
Seen on a billboard

I beg to differ: uk.news.yahoo.com/inside-life-...
November 21, 2025 at 6:50 AM
Reposted by Greg Fell
gregfellpublichealth.wordpress.com/2025/11/16/p...

Population Health Management and risk stratification

"....all models are wrong, some are useful.

It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
A decade ago, I used to be a believer in this & wrote a load of stuff on it – eg on segmentation. Since then I’ve gone agnostic and am now a complete non believer. It’s a dist…
gregfellpublichealth.wordpress.com
November 18, 2025 at 7:01 AM
gregfellpublichealth.wordpress.com/2025/11/16/p...

Population Health Management and risk stratification

"....all models are wrong, some are useful.

It appears that these models are not necessarily wrong, they just aren’t useful."
Population Health Management and risk stratification
A decade ago, I used to be a believer in this & wrote a load of stuff on it – eg on segmentation. Since then I’ve gone agnostic and am now a complete non believer. It’s a dist…
gregfellpublichealth.wordpress.com
November 18, 2025 at 7:01 AM
gregfellpublichealth.wordpress.com/2025/11/16/p...

Population Health Management and risk stratification

From a believer to a non believer
Population Health Management and risk stratification
A decade ago, I used to be a believer in this & wrote a load of stuff on it – eg on segmentation. Since then I’ve gone agnostic and am now a complete non believer. It’s a dist…
gregfellpublichealth.wordpress.com
November 16, 2025 at 9:22 PM
www.annualreviews.org/content/jour...

Misinformation

review focuses on:
-role of disinformation for profit - antiscience policy
- how & why disinfo is increasing

Interventions:
- greater focus on framing
- strategies for “prebunking” of predictable narratives
- denormalization
- countermarketing
The Politics and Profit of Disinformation in Public Health
Disinformation is a coordinated or deliberate effort to knowingly circulate misinformation (i.e., false information) to gain money, power, or reputation. While most public health research has focused ...
www.annualreviews.org
November 16, 2025 at 8:39 PM
open.spotify.com/episode/2qDh...

Hoffman and McClintock
corporate culture
and how car dominance started
The Creation of America's Car Culture
open.spotify.com
November 15, 2025 at 7:30 PM
intouch.kcl.ac.uk/countering-m...

The misinformation epidemic

the spread of digital misinformation as one of the most serious threats to human society.

King's researchers have found a surprisingly fun way to strengthen our defenses against it
The Misinformation Epidemic
What’s the difference between misinformation and disinformation?
intouch.kcl.ac.uk
November 13, 2025 at 10:01 PM
www.theguardian.com/society/2025...

Private care providers in three English regions make £250m in three years

More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
Private care providers in three English regions make £250m in three years
More than third of profits analysed went to firms owned by private equity or based in tax havens, research finds
www.theguardian.com
November 12, 2025 at 9:00 PM
www.bmj.com/content/391/...

Proposed changes to alcohol licensing

Growth for whom, and at what cost
Liberalising licensing is not a neutral act. It is a policy decision to prioritise commercial interests and shift any costs to already overstretched health, emergency, and social care systems
Proposed changes to alcohol licensing should make us question whose interests we’re serving in the name of growth
Increasing the consumption of harmful products is the opposite of healthy or productive growth, say Nason Maani and colleagues Preventable ill health is at the heart of the challenges facing this co...
www.bmj.com
November 12, 2025 at 8:58 PM
Commercial determinants of active travel: a crucial but overlooked barrier to health and sustainability

but NOBODY oppposes physical activity?
oh but they do
this is very good
www.thelancet.com/journals/lan...
November 11, 2025 at 2:21 PM
www.nao.org.uk/wp-content/u...

Helpful overview of DfT
Spending, priorities, structures
www.nao.org.uk
November 9, 2025 at 5:07 PM
Poverty and death in the wealthiest of nations

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

2 studies are reminders of interplay between poverty, economic policy snd heealth outcomes

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

Colvin
www.thelancet.com/journals/lan...
Poverty and death in the wealthiest of nations
The USA is a rich nation in poor health. Until about 1980, the mortality rate differed little from other high-income nations; by 2019, it was 24% higher than peer nations.1 What happened in the interi...
www.thelancet.com
November 9, 2025 at 4:39 PM