Nicola Cooper
@profnicolacooper.bsky.social
Professor of #MedEd at the University of Nottingham, Physician (Acute Internal Medicine), and Chair of the UK Clinical Reasoning in Medical Education group @ukcreme.bsky.social
Pinned
Diagnostic error is the most costly, most common, and most dangerous of medical mistakes. Which is why teaching clinical reasoning is so important. Check out www.creme.org.uk and 👇
Reposted by Nicola Cooper
The rise of ultra-processed foods is damaging public health, fuelling chronic diseases worldwide, and deepening health inequalities.
Urgent, coordinated global action is needed to address the UPF challenge.
Find out more in an Editorial ➡️ spkl.io/63327AgUC1
Urgent, coordinated global action is needed to address the UPF challenge.
Find out more in an Editorial ➡️ spkl.io/63327AgUC1
December 5, 2025 at 2:33 PM
The rise of ultra-processed foods is damaging public health, fuelling chronic diseases worldwide, and deepening health inequalities.
Urgent, coordinated global action is needed to address the UPF challenge.
Find out more in an Editorial ➡️ spkl.io/63327AgUC1
Urgent, coordinated global action is needed to address the UPF challenge.
Find out more in an Editorial ➡️ spkl.io/63327AgUC1
Reposted by Nicola Cooper
🧵 1/ NHS England’s Fit for the Future 10-Year Plan is set to transform postgraduate medical education. Flexibility, digital platforms & modular learning sound great, but what’s at stake? @drlkvaughan.bsky.social & I ask some important questions in a new paper in J Roy Soc Med
December 2, 2025 at 6:10 PM
🧵 1/ NHS England’s Fit for the Future 10-Year Plan is set to transform postgraduate medical education. Flexibility, digital platforms & modular learning sound great, but what’s at stake? @drlkvaughan.bsky.social & I ask some important questions in a new paper in J Roy Soc Med
Reposted by Nicola Cooper
🚨NEW EPISODE🚨
Our much-requested Leading interview is here.
@alastaircampbell2.bsky.social and Rory are joined by @zackpolanski.bsky.social discussing Israel-Gaza, the definition of populism, and the Green Party's economic policy.
Link in the replies 👇
Our much-requested Leading interview is here.
@alastaircampbell2.bsky.social and Rory are joined by @zackpolanski.bsky.social discussing Israel-Gaza, the definition of populism, and the Green Party's economic policy.
Link in the replies 👇
November 30, 2025 at 5:57 PM
🚨NEW EPISODE🚨
Our much-requested Leading interview is here.
@alastaircampbell2.bsky.social and Rory are joined by @zackpolanski.bsky.social discussing Israel-Gaza, the definition of populism, and the Green Party's economic policy.
Link in the replies 👇
Our much-requested Leading interview is here.
@alastaircampbell2.bsky.social and Rory are joined by @zackpolanski.bsky.social discussing Israel-Gaza, the definition of populism, and the Green Party's economic policy.
Link in the replies 👇
Reposted by Nicola Cooper
Everyone in Greater Manchester lives within 15mins of a local hospital
But better 5mins of a local GP practice
Wes is opening some Neighbourhood Centres to bring hospital closer to home🤔
Want some services outside hospital?
Why not just invest in GP practices?
But better 5mins of a local GP practice
Wes is opening some Neighbourhood Centres to bring hospital closer to home🤔
Want some services outside hospital?
Why not just invest in GP practices?
November 29, 2025 at 7:43 AM
Everyone in Greater Manchester lives within 15mins of a local hospital
But better 5mins of a local GP practice
Wes is opening some Neighbourhood Centres to bring hospital closer to home🤔
Want some services outside hospital?
Why not just invest in GP practices?
But better 5mins of a local GP practice
Wes is opening some Neighbourhood Centres to bring hospital closer to home🤔
Want some services outside hospital?
Why not just invest in GP practices?
Reposted by Nicola Cooper
BOOM! Now over 90,000 signatures. Let’s get it to 100,000 and get this done!
petition.parliament.uk/petitions/74...
petition.parliament.uk/petitions/74...
November 28, 2025 at 11:04 PM
BOOM! Now over 90,000 signatures. Let’s get it to 100,000 and get this done!
petition.parliament.uk/petitions/74...
petition.parliament.uk/petitions/74...
Reposted by Nicola Cooper
🚨WOW! The Petition calling for a public inquiry into Russian influence on UK politics & democracy has now rocketed past 75,000 signatures! 🙏
LET’S KEEP GOING!
If a petition is what it’s going to take let’s get this done!
petition.parliament.uk/petitions/74...
LET’S KEEP GOING!
If a petition is what it’s going to take let’s get this done!
petition.parliament.uk/petitions/74...
November 27, 2025 at 9:38 PM
🚨WOW! The Petition calling for a public inquiry into Russian influence on UK politics & democracy has now rocketed past 75,000 signatures! 🙏
LET’S KEEP GOING!
If a petition is what it’s going to take let’s get this done!
petition.parliament.uk/petitions/74...
LET’S KEEP GOING!
If a petition is what it’s going to take let’s get this done!
petition.parliament.uk/petitions/74...
Reposted by Nicola Cooper
🚨The Petition calling for a public inquiry into Russian influence on UK politics & democracy has now rocketed past 65,000 signatures! Let’s get it to 70,000 tonight. If a petition is what it’s going to take let’s get this done!
petition.parliament.uk/petitions/74...
petition.parliament.uk/petitions/74...
November 26, 2025 at 8:55 PM
🚨The Petition calling for a public inquiry into Russian influence on UK politics & democracy has now rocketed past 65,000 signatures! Let’s get it to 70,000 tonight. If a petition is what it’s going to take let’s get this done!
petition.parliament.uk/petitions/74...
petition.parliament.uk/petitions/74...
Reposted by Nicola Cooper
SEN. KELLY : “They informed me of this in a tweet because this is not about the law. This is about the media cycle, and intimidation… We basically repeated the uniform code of military justice, and they're saying that's in violation of it. It's absurd. Comical.”
November 25, 2025 at 3:15 AM
SEN. KELLY : “They informed me of this in a tweet because this is not about the law. This is about the media cycle, and intimidation… We basically repeated the uniform code of military justice, and they're saying that's in violation of it. It's absurd. Comical.”
Reposted by Nicola Cooper
🚨 BREAKING 🚨
The Green Party has now reached over 170,000 members!
Membership growth, polling surges, by-election wins and defections, the Green Party is making hope normal again.
Join today to be part of it ⤵️
The Green Party has now reached over 170,000 members!
Membership growth, polling surges, by-election wins and defections, the Green Party is making hope normal again.
Join today to be part of it ⤵️
November 21, 2025 at 5:41 PM
Reposted by Nicola Cooper
So much of the UK’s steady decline post war can be explained by how easy it is for some people to fail upwards. Some spectacular examples with COVID and Brexit - often the same people in both. And easily identifiable by the frequency of their appearance on BBC Radio 4 Today programme
November 21, 2025 at 11:44 AM
So much of the UK’s steady decline post war can be explained by how easy it is for some people to fail upwards. Some spectacular examples with COVID and Brexit - often the same people in both. And easily identifiable by the frequency of their appearance on BBC Radio 4 Today programme
Reposted by Nicola Cooper
1/ How does the COVID Inquiry's Module 2 report align with what we said in @independentsage.bsky.social at the time? A 🧵on Transparency, Early & Decisive Action, Scientific Advice, Integration of Social & Economic Harms, Communication and Behavioural Science, Governance, Data and Preparedness
November 20, 2025 at 4:43 PM
1/ How does the COVID Inquiry's Module 2 report align with what we said in @independentsage.bsky.social at the time? A 🧵on Transparency, Early & Decisive Action, Scientific Advice, Integration of Social & Economic Harms, Communication and Behavioural Science, Governance, Data and Preparedness
Reposted by Nicola Cooper
GPs up & down the country warned Wes Streeting, Department of Health and Social Care 6w ago that forcing the implementation of online forms without safeguards was a fools errand & raise false expectations
Have now decided not to talk to @BMA_GP @doctor_katie @DavidGWrigley
So here we are 🤷🏻♂️
Have now decided not to talk to @BMA_GP @doctor_katie @DavidGWrigley
So here we are 🤷🏻♂️
November 20, 2025 at 7:46 PM
GPs up & down the country warned Wes Streeting, Department of Health and Social Care 6w ago that forcing the implementation of online forms without safeguards was a fools errand & raise false expectations
Have now decided not to talk to @BMA_GP @doctor_katie @DavidGWrigley
So here we are 🤷🏻♂️
Have now decided not to talk to @BMA_GP @doctor_katie @DavidGWrigley
So here we are 🤷🏻♂️
Reposted by Nicola Cooper
If, like me, you lost a loved one in the UK’s deadly second COVID wave, this WhatsApp chat will confirm that the then government has blood on its hands.
Eat out to Help Out was killing people, but they “kept it out of the news”.
November 20, 2025 at 1:58 PM
If, like me, you lost a loved one in the UK’s deadly second COVID wave, this WhatsApp chat will confirm that the then government has blood on its hands.
Reposted by Nicola Cooper
TOO LITTLE, TOO LATE. For shame, Mr Johnson and the team you pretended to lead. Preventable deaths on your hands. They will not return to us. You live on, rich and vainglorious.
www.theguardian.com/uk-news/2025...
www.theguardian.com/uk-news/2025...
‘Too little, too late’: damning report condemns UK’s Covid response
Report on handling of pandemic contains stinging criticism of ‘toxic and chaotic’ culture inside Boris Johnson’s No 10
www.theguardian.com
November 20, 2025 at 4:22 PM
TOO LITTLE, TOO LATE. For shame, Mr Johnson and the team you pretended to lead. Preventable deaths on your hands. They will not return to us. You live on, rich and vainglorious.
www.theguardian.com/uk-news/2025...
www.theguardian.com/uk-news/2025...
Reposted by Nicola Cooper
Women are watching abusive dynamics play out on the national stage and for many it feels very, very familiar to what they’ve experienced regularly—
I hope midterms are a referendum
I hope midterms are a referendum
November 18, 2025 at 4:39 PM
Women are watching abusive dynamics play out on the national stage and for many it feels very, very familiar to what they’ve experienced regularly—
I hope midterms are a referendum
I hope midterms are a referendum
Reposted by Nicola Cooper
Can you see the problem 🤷🏻♂️
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
November 16, 2025 at 4:07 PM
Can you see the problem 🤷🏻♂️
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Reposted by Nicola Cooper
Wes Streeting accused of taking “chaotic and incoherent approach” to reforming NHS which makes it unlikely Govt will hit targets, according to damning @instituteforgovernment.org.uk
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Wes Streeting accused of ‘chaotic and incoherent approach’ to NHS reform
Exclusive: thinktank report finds health secretary has failed to improve productivity, with the health service unlikely to meet its targets
www.theguardian.com
November 15, 2025 at 7:26 PM
Wes Streeting accused of taking “chaotic and incoherent approach” to reforming NHS which makes it unlikely Govt will hit targets, according to damning @instituteforgovernment.org.uk
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Reposted by Nicola Cooper
Warnings rise for U.S. as a severe flu strain causes outbreaks. A flu strain that emerged over the summer is causing unprecedented outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly 2 months.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
Warnings rise for U.S. as severe flu strain causes outbreaks in Canada, U.K.
A flu strain that emerged over the summer is causing "unprecedented" outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly two months.
www.nbcnews.com
November 13, 2025 at 2:19 AM
Warnings rise for U.S. as a severe flu strain causes outbreaks. A flu strain that emerged over the summer is causing unprecedented outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly 2 months.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
Finally!
🚨 INVESTIGATION: Britain's maternity crisis has deeper roots, extending into the universities trusted to train the next generation of midwives. A majority are still promoting a normal birth ideology while women are more complex than ever:
READ: www.thetimes.com/article/b4fe...
READ: www.thetimes.com/article/b4fe...
Stop promoting natural birth ideology, midwife courses told
Despite a litany of scandals, universities are still pushing ‘normal birth’ over medical interventions. Now our investigation has prompted the regulator to act
www.thetimes.com
November 9, 2025 at 9:40 PM
Finally!
Reposted by Nicola Cooper
November 9, 2025 at 7:36 AM
Reposted by Nicola Cooper
This report was published 20 October 2022
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
November 8, 2025 at 7:56 PM
This report was published 20 October 2022
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
Reposted by Nicola Cooper
GPs - ‘Lazy, laggards’
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
November 8, 2025 at 8:44 AM
GPs - ‘Lazy, laggards’
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
Reposted by Nicola Cooper
‘Professional protectionism’ = patient protection
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
November 6, 2025 at 8:13 AM
‘Professional protectionism’ = patient protection
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
Reposted by Nicola Cooper
You might have seen me using the #OneHealth hashtag often: this is why...
A World Health Organization poster for today, November 3, One Health Day
A World Health Organization poster for today, November 3, One Health Day
November 3, 2025 at 7:14 AM
You might have seen me using the #OneHealth hashtag often: this is why...
A World Health Organization poster for today, November 3, One Health Day
A World Health Organization poster for today, November 3, One Health Day
Reposted by Nicola Cooper
GP Crisis is due to Top-Down management
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
October 28, 2025 at 10:00 AM
GP Crisis is due to Top-Down management
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care