Luke O’Shea
@lukeoshea.bsky.social
Director of Innovation, University College London Hospitals. Views my own
Great meeting staff on the wards and in theatres today & talking sustainability. We’ve spoken to 450 staff across UCLH this month about improving hand hygiene and reducing glove use. Better for patients, better for the planet and saves money too.
November 28, 2025 at 1:27 PM
Great meeting staff on the wards and in theatres today & talking sustainability. We’ve spoken to 450 staff across UCLH this month about improving hand hygiene and reducing glove use. Better for patients, better for the planet and saves money too.
Visited Hospital de Sant Pau. Breathtaking art nouveau hospital in Barcelona. Incredible and window into 1920s medicine and earliest net zero hospital, powered on geothermal from 400 wells each 100 deep. Wow
November 15, 2025 at 9:21 PM
Visited Hospital de Sant Pau. Breathtaking art nouveau hospital in Barcelona. Incredible and window into 1920s medicine and earliest net zero hospital, powered on geothermal from 400 wells each 100 deep. Wow
Great to speak at #KFAnnual Conf on climate & our work @uclh. Serious stuff but there is hope, as we have the solutions. Good climate strategy does not run against finance, tech or quality, but harnesses them. The NHS can lead the world in this & build green economic growth @thekingsfund.bsky.social
November 6, 2025 at 4:20 PM
Great to speak at #KFAnnual Conf on climate & our work @uclh. Serious stuff but there is hope, as we have the solutions. Good climate strategy does not run against finance, tech or quality, but harnesses them. The NHS can lead the world in this & build green economic growth @thekingsfund.bsky.social
Exhausted but elated after incredible week rethinking clinic letters for the modern era. Brought GPs, @uclh staff, patients together for a huge push. The time, safety challenges, cost & impact on GP & hospital staff is vast. Got down to 9 key solutions, 1 worked up prototype & we’re done ✔️
October 17, 2025 at 5:17 PM
Exhausted but elated after incredible week rethinking clinic letters for the modern era. Brought GPs, @uclh staff, patients together for a huge push. The time, safety challenges, cost & impact on GP & hospital staff is vast. Got down to 9 key solutions, 1 worked up prototype & we’re done ✔️
Excited to start our clinic letter sprint today with patients, GPs, @uclh clinicians, techies and administrators. Letters have a massive role, safety critical, hugely expensive and time consuming. Major challenges outlined today, so looking forward to what we can do about it
October 13, 2025 at 8:03 PM
Excited to start our clinic letter sprint today with patients, GPs, @uclh clinicians, techies and administrators. Letters have a massive role, safety critical, hugely expensive and time consuming. Major challenges outlined today, so looking forward to what we can do about it
The delicate parasol of the Pleated Inkcap. This fragile fungi lives for only 24 hours. Nature is amazing. Let's protect it
October 12, 2025 at 12:14 PM
The delicate parasol of the Pleated Inkcap. This fragile fungi lives for only 24 hours. Nature is amazing. Let's protect it
On wards today at uclh
- remarkable clinical skills & v complex patients. ⬆️ role for generalists
- Ward round strategy key, but not standardised
- many reasons for discharge delays
- disposable curtains are v hard to draw
- scrubs pockets are too small &📱falls out
- remarkable clinical skills & v complex patients. ⬆️ role for generalists
- Ward round strategy key, but not standardised
- many reasons for discharge delays
- disposable curtains are v hard to draw
- scrubs pockets are too small &📱falls out
October 1, 2025 at 6:05 PM
On wards today at uclh
- remarkable clinical skills & v complex patients. ⬆️ role for generalists
- Ward round strategy key, but not standardised
- many reasons for discharge delays
- disposable curtains are v hard to draw
- scrubs pockets are too small &📱falls out
- remarkable clinical skills & v complex patients. ⬆️ role for generalists
- Ward round strategy key, but not standardised
- many reasons for discharge delays
- disposable curtains are v hard to draw
- scrubs pockets are too small &📱falls out
Rain and shine in Paddington
September 3, 2025 at 6:51 PM
Rain and shine in Paddington
Watching a merganser fishing in France. Nature is incredible. Let's protect it.
August 23, 2025 at 7:46 PM
Watching a merganser fishing in France. Nature is incredible. Let's protect it.
Great #FestivalofExcellence hearing superb improvement work UCLH. I talked about quality, & why spending more ≠ better outcomes. Gave 3 case studies which show drive quality ⬆️ then cost ⬇️ (hip surgery, gloves off, clinic letters). Complexity the enemy of reliability & quality
June 3, 2025 at 4:52 PM
Great #FestivalofExcellence hearing superb improvement work UCLH. I talked about quality, & why spending more ≠ better outcomes. Gave 3 case studies which show drive quality ⬆️ then cost ⬇️ (hip surgery, gloves off, clinic letters). Complexity the enemy of reliability & quality
It’s quite incredible what UCLH staff do for our patients. Take outpatients, where last year we did over 1.4m appointments up about 100k on the year before. Some weeks we saw 30,000 patients. The NHS is under huge pressure but the work of our staff is just remarkable
April 24, 2025 at 4:35 PM
It’s quite incredible what UCLH staff do for our patients. Take outpatients, where last year we did over 1.4m appointments up about 100k on the year before. Some weeks we saw 30,000 patients. The NHS is under huge pressure but the work of our staff is just remarkable
Great to have the Chinese Health Minister come to see first-hand what we are doing at UCLH on sustainability. The Chinese Government is responsible for the largest hospital sector in the world, so discussing net zero is important. Minister was full of praise for our staff’s work
March 20, 2025 at 5:38 PM
Great to have the Chinese Health Minister come to see first-hand what we are doing at UCLH on sustainability. The Chinese Government is responsible for the largest hospital sector in the world, so discussing net zero is important. Minister was full of praise for our staff’s work
Oxford sparkling tonight
March 6, 2025 at 10:08 PM
Oxford sparkling tonight
Sat in on a superb UCLH ENT clinic today trialing ambient AI to write notes/letters
- patients & clinicians happy
- shifts doc from writer to proof reader
- saves time but justifies £?
- incredibly complex case worked well
- no idea why send letters every time, even if AI helps
- patients & clinicians happy
- shifts doc from writer to proof reader
- saves time but justifies £?
- incredibly complex case worked well
- no idea why send letters every time, even if AI helps
March 5, 2025 at 7:11 PM
Sat in on a superb UCLH ENT clinic today trialing ambient AI to write notes/letters
- patients & clinicians happy
- shifts doc from writer to proof reader
- saves time but justifies £?
- incredibly complex case worked well
- no idea why send letters every time, even if AI helps
- patients & clinicians happy
- shifts doc from writer to proof reader
- saves time but justifies £?
- incredibly complex case worked well
- no idea why send letters every time, even if AI helps
As the most destructive wildfires in US history rage, the climate stats have dropped
2024 was the hottest year on record, the first above 1.5C
We may be the only civilised life anywhere in the universe
Time is running out
Millions of us need to act
Thank you if you are
2024 was the hottest year on record, the first above 1.5C
We may be the only civilised life anywhere in the universe
Time is running out
Millions of us need to act
Thank you if you are
January 10, 2025 at 5:25 PM
As the most destructive wildfires in US history rage, the climate stats have dropped
2024 was the hottest year on record, the first above 1.5C
We may be the only civilised life anywhere in the universe
Time is running out
Millions of us need to act
Thank you if you are
2024 was the hottest year on record, the first above 1.5C
We may be the only civilised life anywhere in the universe
Time is running out
Millions of us need to act
Thank you if you are
Over 200,000 trees planted since we switched to Ecosia as our default search engine at uclh! Plants a tree for every 45 searches & is carbon negative. Easy to do, great search algorithm & climate friendly. Who else will follow?
December 10, 2024 at 2:35 PM
Over 200,000 trees planted since we switched to Ecosia as our default search engine at uclh! Plants a tree for every 45 searches & is carbon negative. Easy to do, great search algorithm & climate friendly. Who else will follow?
Visited Toyota factory & 🤯
- 🚗 every 1-2 mins
- drive quality ⬆️ waste/cost ⬇️
- Mgmt system crystal clear (planning to delivery). Qual control every step
- STANDARDISE EVERYTHING incl. jobs & work processes. Staff follow to letter
- relentless improvement by workers & reward
- 🚗 every 1-2 mins
- drive quality ⬆️ waste/cost ⬇️
- Mgmt system crystal clear (planning to delivery). Qual control every step
- STANDARDISE EVERYTHING incl. jobs & work processes. Staff follow to letter
- relentless improvement by workers & reward
December 6, 2024 at 6:29 PM
Visited Toyota factory & 🤯
- 🚗 every 1-2 mins
- drive quality ⬆️ waste/cost ⬇️
- Mgmt system crystal clear (planning to delivery). Qual control every step
- STANDARDISE EVERYTHING incl. jobs & work processes. Staff follow to letter
- relentless improvement by workers & reward
- 🚗 every 1-2 mins
- drive quality ⬆️ waste/cost ⬇️
- Mgmt system crystal clear (planning to delivery). Qual control every step
- STANDARDISE EVERYTHING incl. jobs & work processes. Staff follow to letter
- relentless improvement by workers & reward
My new HSJ article is just out. “Delay cost lives during the pandemic, let's not repeat that mistake with climate change”
Reflecting on the Covid Inquiry, the parallels with Climate are striking
www.hsj.co.uk/delay-cost-l...
Reflecting on the Covid Inquiry, the parallels with Climate are striking
www.hsj.co.uk/delay-cost-l...
November 28, 2023 at 3:10 PM
My new HSJ article is just out. “Delay cost lives during the pandemic, let's not repeat that mistake with climate change”
Reflecting on the Covid Inquiry, the parallels with Climate are striking
www.hsj.co.uk/delay-cost-l...
Reflecting on the Covid Inquiry, the parallels with Climate are striking
www.hsj.co.uk/delay-cost-l...
Over 100,000 trees planted since we switched to Ecosia as our default search engine at UCLH!Plants a tree for every 45 searches & is carbon negative. Easy to do, great search algorithm & climate friendly. Which other trusts else will follow?
November 8, 2023 at 3:34 PM
Over 100,000 trees planted since we switched to Ecosia as our default search engine at UCLH!Plants a tree for every 45 searches & is carbon negative. Easy to do, great search algorithm & climate friendly. Which other trusts else will follow?
#CovidInquiry rightly charting the awful failure to act decisively, despite what we saw in our hospitals & the obvious path of the virus.
Recent global temperatures have been extraordinary, with records set every month & by large margins
The time to act is now
#ClimateCrisis
Recent global temperatures have been extraordinary, with records set every month & by large margins
The time to act is now
#ClimateCrisis
November 2, 2023 at 3:51 PM
#CovidInquiry rightly charting the awful failure to act decisively, despite what we saw in our hospitals & the obvious path of the virus.
Recent global temperatures have been extraordinary, with records set every month & by large margins
The time to act is now
#ClimateCrisis
Recent global temperatures have been extraordinary, with records set every month & by large margins
The time to act is now
#ClimateCrisis
Isn't nature amazing
October 23, 2023 at 8:56 AM
Isn't nature amazing
Impressed by MS CEO, Satya Nadella’s vision around the bottom up democratisation of AI & taking the time to talk to us in the NHS about our challenges. He parallels AI impact and risks with the Industrial Revolution, which is fair, but the exponential speed of change makes this different
October 19, 2023 at 11:00 AM
Impressed by MS CEO, Satya Nadella’s vision around the bottom up democratisation of AI & taking the time to talk to us in the NHS about our challenges. He parallels AI impact and risks with the Industrial Revolution, which is fair, but the exponential speed of change makes this different