Alf Collins

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Harrison Ford’s lifetime achievement speech has done me in

I don’t believe you were being partisan- merely principled.

Are there some people who can't work because they're ill and would like to better and work? Sure.

Does that mean getting people back to work should be something the NHS is responsible for? Absolutely not.

And I doubt the NHS would be improved by adopting aspects of the benefits system's culture.

Fundamentally flawed thinking in so many ways. As I have said elsewhere this morning, meaningful work is health creating. The idea that the NHS will get people
healthy and they will then magically re-enter the workplace is bollocksology of the highest order.

Totally agree. I worked on the original pathway to work programme 20 years ago. The big learning was that meaningful work is health creating. So ‘getting people healthy again, so that they can get back to work’ is fundamentally flawed thinking.

Whatever happened to protest songs?

The enshittification of public discourse is a ploy of the right wing to make it impossible to hold them to account.

Where do these people come from? People who bandy around words like ‘deranged, lunatic, disgusting’ and clearly act with venom and spite when they come across folks they disagree with.
If my children had ever spoken like that, they would have been told that it’s no way of behaving.

The fixer gene has got a lot to answer for….

Would love to….

Omg can you imagine...

And it could be livestreamed on YouTok or something😆🍿

well that's very promising eh, good to hear that👍

And was that you channelling Dick Emery?

I meant it mate. 😂

I’m doing a bit of health coaching training around and about. Most clinicians lap it up- helps reconnect them with professional values. Main shift is ‘from fixer to facilitator’ so healthcare professionals feel less burdened to problem solve for everyone they see. It’s releasing.

Good to hear. Getting involved in health coaching gave me such a different perspective. Its strengths based and starts with ‘what can you do?’, rather than the pathologising ‘what can’t you do?’

Completely. No bandwidth. We ask too much of patients in general (often with a metaphorical wagging finger), but those struggling with relationships, finances, mental health conditions etc etc. Well…
Something important about professional humility here.

Hmm. I worked in NHSE for 8 years till end ‘23. It has been in almost constant flux since 2022 when the first round of job cuts came. If you work in NHSE, you know your job is on the line, so getting the ‘thank you for your service’ message should not come as a shock.

Right up your street @hpiandycowper.bsky.social

Ah thank you. I’ve retired as a doc though most of my career has been spent trying to support clinicians to be more empathetic. When they are not- well, your story says it all.

Always a pleasure to have a civil discussion on here, Alf.
And thank you. Glad you like them.

Totally get what you are saying too. And I love your posts- thank you.

Like many people, you have clearly been helped by seeing a psychiatrist and taking meds.
And, some GPs aren’t as good as we would like.
But they are not just gate keepers, mental health is their main workload, and nationally, there is strong evidence that we prescribe to many anti-depressants…

1. It was not an accident.
2. It was not a staffer.
3. While the president may have dementia his racism is not due to dementia.
4. He isn’t sorry. He means every racist thought he shares.
5. His base agrees with him.
6. He will do it again.
7. No one in power will hold him accountable.

Nope

This is a bit of a quietly momentous post for me. If you saw my recent posts on here you will know my family and I have been going through a very challenging time. But I know that humour will be my way through it and so I’ve decided to post my nonsense again.

I present the most interesting graph ever made.

HUMAN ON BICYCLE beats every other living thing.
www.scientificamerican.com/article/a-hu...

"The greatest flaw in clinical medicine might be our desire to banish uncertainty."

In this Editor's Choice, @kamranabbasi.bsky.social reflects on the tyranny of clinical fear
www.bmj.com/content/392/...

They move out. They go to Uni. They come back for hols and mess up your entire home. Then they leave Uni and get jobs (and still come and crap up the house at holiday time) but need help with rent then with mortgage deposit. Then they get you to look after their kids
And it’s all crazily wonderful.

Never ends either. I thought that at 18 it would calm down a bit. No bloody chance. 😂