Today I want to talk about Jess’ Rule and Martha’s Rule, two new initiatives across NHS England that I think are really important and you should know about.
Tl;dr: if your symptoms are not improving or getting worse, at home or in hospital, you have the right and Drs the responsibility to review.
06.03.2026 16:39
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The knight stood, triumphant, over the prostrate dragon. He raised his sword high above his head and-
"I wouldn't if i were you"
The voice was in his head. Confused, he glanced around. A black cat was cleaning a paw, casually nearby.
He raised the sword again.
"Are you REALLY, really sure?" /1
09.09.2025 18:04
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I kind of like my Labour councillors. Too bad they are standing for a party I now fundamentally disagree with.
27.02.2026 18:38
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Unfortunately that spice is lost to block/delete.
Ah, who am I kidding? The internet keeps receipts.
bsky.app/profile/mari...
27.02.2026 11:48
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What's the opposite of nominative determinism?
27.02.2026 11:40
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Somebody is shouting "Brace!" That must count for something.
26.02.2026 23:14
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NOW confirmed: A catastrophic shift in German heat policy. Fossil heating systems are getting a comeback.
While the heat transition is finally gaining real momentum, the government is sending a signal of uncertainty.
This is how structural problems get postponed - until the next energy crisis.
🧵
24.02.2026 20:57
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JETZT bestätigt: Dramatischer Kurswechsel in der deutschen Wärmepolitik.
Fossile Heizungen bekommen ein Comeback durch die Hintertür. Während die Wärmewende endlich skaliert, sendet die Politik ein Signal der Verunsicherung.
So vertagt man strukturelle Probleme – bis zur nächsten Energiekrise.
🧵
24.02.2026 20:31
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Slightly more (12) letters, four syllables. No middle name.
23.02.2026 16:47
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No. I've chucked the full mug in my bag (which then gets jammed sideways into my pannier bags). Zero leakage - if I make sure it's actually closed. This is sometimes difficult to see so I usually tip the mug over over the sink just to make sure (also to expel any liquid sitting above the seal).
23.02.2026 16:44
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I'll speak up for the Emsa travel mug. It comes apart and goes into the dishwasher for cleaning. It does not leak (*). And I find it comfy to drink from.
(*) I did put it into my bag open once causing some spillage, but it feels I was the mug at this point.
23.02.2026 14:31
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Please do make sure to clear the space within range of the pole on the ground. 300 degrees also cause nasty burns.
23.02.2026 09:18
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Maybe a Lab(rad)or?
22.02.2026 18:26
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Net zero immigration would not assuage my concerns; I would be worried. It means disrupting the lives of those already here, discouraging others from coming here and driving away those that can leave these soggy shores behind. A net zero migration Britain is not a successful and positive Britain.
15.02.2026 14:39
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MISLEADING: A new academic paper by @qmul.bsky.social has attracted significant media attention by claiming that EVs & heat pumps deliver no proven carbon savings in UK ahead of 2030 clean power target - and should therefore be postponed.
Here is why this paper should never have been published.🧵
12.02.2026 15:10
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'Vast majority' of parents should be involved if children question gender, schools told
School leaders welcome the
If you were trying to come up with more harmful guidance towards trans and non-binary young people you would be hard pressed to find it. The fact it is backed by Cass shows how wrong it is.
We are already seeing an increase in suicide rates among trans young people.
www.bbc.co.uk/news/article...
12.02.2026 17:42
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Neither belongs to a taxed vehicle. And the MOT of the 62 plate is almost 2 years out of date.
11.02.2026 22:04
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Original blog post
open.substack.com/pub/jonn/p/e...
11.02.2026 16:13
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Needs. More. Bollards.
10.02.2026 20:37
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I hope she's happy for all others' premiums (so ours) going up to subsidise those of newly passed drivers.
10.02.2026 13:30
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Just remember what you missed out on. It was pissing down so much the past week.
07.02.2026 16:48
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$275 is taking the p...
07.02.2026 14:49
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Ah ok. That would not be classed a near miss here.
06.02.2026 16:20
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How is it a "near miss" when there's an injured party? I would not consider this a "miss"...
06.02.2026 15:54
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Gladys Mae West obituary: mathematician who pioneered GPS technology
She made key contributions to US cold-war science despite facing huge barriers as a Black woman.
No joke: I got angry hate mail today for writing an obituary of a Black woman scientist—because the person felt she did didn’t deserve the recognition.
Which just makes me want to share it again: www.nature.com/articles/d41...
06.02.2026 09:09
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I'd say immigration and equality have been his weakest areas. The relentless attacks on migrants and trans people make me never consider Labour to vote for ever again.
05.02.2026 13:49
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Of self-driving cars, and the non-existence of jaywalking
Also this week: the unexpected indeterminacy of rivers; and a barcode map of the UK.
"But surely the biggest issue is we simply have a different legal relationship with our streets from that of almost any major US city. It’s not so much that jaywalking is legal here, as that it’s an entirely non-existent concept."
05.02.2026 12:13
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Meinem Sohn haben sie gerade statt der Weißheitszähne zwei Backenzähne gezogen. Ich bin auf der Suche nach einem guten Rechtsanwalt für Medizinrecht im Hamburger Raum #MedizinRecht #Jura #Anwalt #Medizinfehler
05.02.2026 10:37
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Dozens of Labour MPS threaten rebellion over Mahmood migration crackdown
Under new rules, migrants would have to wait at least 10 years to apply for indefinite leave to remain
Labour's changes to immigration rules, including potentially applying them retroactively, would be some of the most draconian anti-immigration policies in decades. They're the hostile environment on speed.
This is pure cruelty as policy, with absolutely no merit to them
archive.today/2026.02.03-2...
04.02.2026 07:15
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