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Alf Collins

@alfcollins.bsky.social

751 Following1.6k Followers

Doctor, patient advocate, Trustee Patients Association, Picker Institute. Person centred, high value care, shared decision making, support for self management. Ex Health Foundation, NHS England. Rugby, family, good food. Personal views

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@alfcollins.bsky.socialOct 9, 2026, 6:28 PM

Of course it will be pay for view. They are barbarians. Mark my words…

@alfcollins.bsky.socialOct 8, 2026, 12:25 PM

Thanks Neil. Erk it’s paywalled but I’m sure it’s a fab article as Phil W knows his onions. How’s stuff Neil?

@alfcollins.bsky.socialOct 8, 2026, 10:16 AM

No, I don’t want to download your bloody App thank you very much.

@alfcollins.bsky.socialOct 6, 2026, 8:59 AM

My wife waiting for an op next Monday. Not life threatening but we’ve both significantly shifted our lives around for the next 3-4 weeks. She’s just had a text: ‘your operation next week is cancelled’. That’s it. No reason, no apology, no sense of how to rebook. Thank God she hasn’t got cancer

@craig.nikolic.co.ukSep 29, 2026, 7:46 AMReposted by @alfcollins.bsky.social

Much of the problem is the lack of challenge. Ideas are put out and then become fawningly adopted without any challenge from those who really do know better.

@alfcollins.bsky.socialSep 29, 2026, 7:43 AM

In this case, I wonder how invaluable the planning actually was. I’m guessing that (as per..) there was much magical thinking/bulls**t.

@craig.nikolic.co.ukSep 29, 2026, 7:41 AMReposted by @alfcollins.bsky.social

But… the old saying is very true, plans often don’t survive first contact with the enemy, but the planning itself is invaluable.

@craig.nikolic.co.ukSep 29, 2026, 7:40 AMReposted by @alfcollins.bsky.social

The NHS’s long term plans are usually as successful as Gosplan’s were for the Soviet Union.

@alfcollins.bsky.socialSep 29, 2026, 7:30 AM

Here’s a thought for all you NHS nerds: How’s the 10 year plan going?

@alfcollins.bsky.socialSep 26, 2026, 9:35 AM

Staying at a hotel with wife this weekend. Welcome pack tells me that the owners ‘fundamentally believe in balance’ and that the hotel is designed around my whole self. Other than that utter b*****ks it seems quite nice.

@alfcollins.bsky.socialSep 24, 2026, 5:18 PM

😂

@alfcollins.bsky.socialSep 24, 2026, 4:04 PM

Ask them is they have any health policies Sebastian 😂

@sebrees1.bsky.socialSep 24, 2026, 12:54 PMReposted by @alfcollins.bsky.social

It’s the most wonderful time of year…

Photo, no description
@alfcollins.bsky.socialSep 23, 2026, 4:35 PM

I’ll DM you

@alfcollins.bsky.socialSep 23, 2026, 4:28 PM

Couldn’t agree more. And good to hear from you too. Btw, has Alan Cribb been in touch re: his new book?

@alfcollins.bsky.socialSep 23, 2026, 4:22 PM

Ah but Charlie if you want people to change their behaviour you just keep going with the same message and say it louder and LOUDER.

@alfcollins.bsky.socialSep 22, 2026, 9:42 AM

And national leadership for the work has dissolved over the last few months. Wonder why?

@alfcollins.bsky.socialSep 22, 2026, 7:54 AM

Our 11 year old Labrador did the same about 6 months ago. We felt quite pushed towards surgery- though I understand the results are excellent. On balance, and considering her age we decided not to proceed. Within 3-4 weeks she was fully mobile and now seems to have fully recovered.

@craig.nikolic.co.ukSep 21, 2026, 8:23 AMReposted by @alfcollins.bsky.social

One of the most telling things about NHSE for me is the attrition of senior people in the top 2-3 layers. I wouldn't take a job there now if you added an extra zero to the salary.

@alfcollins.bsky.socialSep 20, 2026, 8:10 PM

I was today years old when I learned you don’t have to smile at the camera to make Apple Pay work.

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