Julian Winn
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winn-on-health.bsky.social
Julian Winn
@winn-on-health.bsky.social
Currently:
A health service Transformation Team member
Using Lean, Six Sigma, Agile methods;
Turning knowledge into action
Formerly:
Hon Senior Fellow, Uni East Anglia;
Hospital Manager
Co-founder:
The Realist Research & Evaluation Group
Reposted by Julian Winn
Not easy to get to sleep tonight - have burnt the bridge of whatever career I had left and really don’t feel that my opinions are so extreme that that should have been necessary
Very sad that I felt I had no choice but to resign from The Infinite Monkey Cage - a victory for the transphobes and other bigots - I did it because so much of the media has chosen to believe the kind and empathetic people are a fiction - they are real and so often unrepresented.
December 13, 2025 at 1:23 AM
Economics = behaviour?
"Tuition fees from Chinese students accounted for about 5 per cent of higher education income in 2023-24 and about a tenth of income for the elite Russell Group universities"

#University #Education
#Marketing

www.ft.com/content/a123...
British universities’ reliance on Chinese fees fuelling self-censorship, say academics
Lecturers call for improved safeguards against Beijing’s influence on UK campuses
www.ft.com
December 11, 2025 at 6:22 AM
Reposted by Julian Winn
"Free Speech", eh?
December 10, 2025 at 10:10 PM
Reposted by Julian Winn
#NHS DAILY WORKLOAD since 2022

111 - 55k calls a day - unchanged
999 - Ambulance 21k - up 1.6k

Hospital
- Urgent Admissions - 13k - unchanged
- A&E - 48k Majors - up 2.5k
- A&E - 28k Minors - up 2.5k
- Treatment - up 8k
- Outpatients - up 50k

General Practice - 1.6m - up 230k
December 10, 2025 at 10:25 AM
"The seductive trap will be that the more healthy people who are treated when they don’t need to be, the better outcomes from your programme will look (because you’re diluting the statistics with people who were always going to be fine)"

#NHS
#AI #Screening

www.digitalhealth.net/2025/12/ai-i...
AI in the NHS: rewards, risks, and reality
The NHS must avoid AI's seductive overdiagnosis trap, writes Professor Christina Pagel, director of UCL’s clinical operational research unit
www.digitalhealth.net
December 10, 2025 at 10:24 PM
Wonder what the US authorities might be looking for 🤔?

www.bbc.co.uk/news/article...
US could ask tourists for five-year social media history before entry
The plan would affect people from countries, including the UK, who can fill out a form in lieu of a visa.
www.bbc.co.uk
December 10, 2025 at 8:35 PM
Reposted by Julian Winn
NEWS: Trump officials are worried the ICC may try to prosecute them for war crimes once Trump's term ends, and are threatening sanctions against the ICC to change its founding document to grant them immunity. (via Reuters / link in reply)
December 10, 2025 at 8:16 PM
REF 2029 offers an opportunity to recognise and reward those institutions and units that are creating the open, inclusive and collaborative environments that enable excellent research and researchers to thrive

#Education

share.google/geW1uk1c4jYy...
Re-thinking research support for English universities: Research England’s programme of work during the REF 2029 pause
Steven Hill sets out what Research England has been up to during the REF 2029 pause
share.google
December 10, 2025 at 8:06 PM
Reposted by Julian Winn
Prasad & Hoeg are now going after adult Covid vaccines

Their anti-vaxx activism comes on the heels of this HUGE study (28.6 million adults), showing efficacy & safety

Vaxxed: 74% lower risk of dying from COVID-19 in hospital, & lower all-cause mortality over 4 yrs
jamanetwork.com/journals/jam...
COVID-19 mRNA Vaccination and 4-Year All-Cause Mortality Among Adults in France
This cohort study uses the data from all adults aged 18 to 59 years living in France on November 1, 2021, to evaluate whether there is an association of receipt of an mRNA COVID-19 vaccine with long-t...
jamanetwork.com
December 10, 2025 at 2:46 PM
@pharmacistdaz.uk
@pharmrj.pharmsky.app
@nhsenglandldn.bsky.social #MedicinesManagement

No accounts for EMIS or TPP; if you know their BSky handles, please consider passing this message to each of them

Thnx, JW
Maybe 5th time wrong pku script delivered. To be confined to bin. Maybe £500 every time. All because GP IT system can't log more than one chemist. Despite repeated calls to GP, chemist by me, dietician, delivery company. A potential saving of at least £2500 right there if NHSE cares to resolve. #pku
December 10, 2025 at 6:26 PM
“The lack of archaeological evidence suggests that the Alathar lake was only briefly visited by people. These findings indicate that transient lakeshore use by humans during a dry period of the last interglacial was likely primarily tied to the need for potable water.”

share.google/u52GbddWqsLf...
Archaeologists Found 115,000-Year-Old Human Footprints Where They Shouldn’t Be
They might just rewrite the history of human migration.
share.google
December 10, 2025 at 7:24 AM
Political projection:

#JustSaying
December 9, 2025 at 11:11 PM
“The NHS’s track record of being successfully targeted time and time again, which is publicly known, makes it an obvious target.

“The fact that it is a part of national critical infrastructure makes it increasingly a geopolitical target too.”

www.digitalhealth.net/2025/12/nhs-...
Patient and staff data stolen in Barts Health cyber attack
Barts Health NHS Trust is warning patients and staff after hackers exploited a software vulnerability to steal personal information.
www.digitalhealth.net
December 9, 2025 at 10:25 PM
Reposted by Julian Winn
It is absolutely wild that the guy who won’t stop yelling about law and order is now personally stepping in to keep January 6 documents hidden from the police officers who were attacked that day. He knows exactly what’s in those files and he is terrified the country will see it.
December 9, 2025 at 9:26 PM
Reposted by Julian Winn
Currently, in many hospitals...
#MedSky
December 9, 2025 at 9:26 PM
"Instead of hunting for problems for AI to solve...health organizations should step back to understand what patients and communities really want"

Absolutely!

#AI
#HealthTech
@techuk.bsky.social
@england.nhs.uk

www.medpagetoday.com/opinion/seco...
Opinion | AI Isn't the Solution for Every Problem
Health organizations should step back and understand what communities want
www.medpagetoday.com
December 9, 2025 at 9:26 PM
"Once the MOSS system generates a signal, the maternity unit must carry out a critical safety check within eight working days and share the action taken..."

Making the case for a standing Maternity Care Investigation Group / Service in each Trust, IMO

#NHS

www.digitalhealth.net/2025/12/nhs-...
NHS maternity dashboard launched to prevent tragedies
A national dashboard is being rolled out across NHS maternity services to help spot serious safety issues and prevent neonatal tragedies.
www.digitalhealth.net
December 9, 2025 at 7:23 PM
Reposted by Julian Winn
Texas, let’s win this thing.
#JasmineForUS #TexasTough
December 8, 2025 at 11:03 PM
Reposted by Julian Winn
Rep. Jasmine Crockett is running for US Senate.
youtu.be/W-Pe1GifYLs?...
FULL: Texas State Rep. Jasmine Crockett announces run for Texas Senate
YouTube video by FOX 4 Dallas-Fort Worth
youtu.be
December 9, 2025 at 3:21 AM
“There is no protected time and no capacity to take on new digital tasks when clinical demand keeps rising"

#NHS
#HealthIT
#Implementation #Constraints
@techuk.bsky.social

www.digitalhealth.net/2025/12/work...
Workplace pressures holding back NHS digital plans, finds survey
Workforce pressures are the biggest blocker to digital transformation, according to research carried out by Digital Health.
www.digitalhealth.net
December 8, 2025 at 10:48 PM
Also...

"We further estimate that, in these maximal-persuasion conditions, AI made 22.5 fact-checkable claims per conversation (versus 5.6 average) and that 30.0%of these claims were rated inaccurate (versus 16.0% average)"
December 8, 2025 at 10:25 PM
Reposted by Julian Winn
Medicare for All!
WHEN ASKED "DO YOU SUPPORT OR OPPOSE MEDICARE FOR ALL"
Support
Oppose
9%
26%
65%
Not Sure
THE MAJORITY OF AMERICANS SUPPORT MEDICARE for ALL
Source: Data for Progress Nov 14 - 17
@sensanders
December 7, 2025 at 9:23 PM
Read the document here:

www.whitehouse.gov/wp-content/u...
December 7, 2025 at 9:13 PM