
NHS GP, Ross-on-Wye. Sustainable, demedicalised healthcare through community development. @simonlennane.bsky.social Book: https://xitter.cf/t.co/NLgck1xxpw
Herefordshire
Joined April 2012
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Replying to @SimonLennane @LowimpactOrg
My book 'Creating Community Health' looks beyond #socialPrescribing to #communityDevelopment, producing health rather than healthcare, with a wonderful foreword by @CormacRussell.
communityhealth.uk/
I haven't been active on here for a long time now, but I'm reluctant to close this account because it's mentioned in my book as a way to get in touch. I'm far more likely to see messages on @simonlennane.bsky.social or mas.to/@SimonLennane or via communityhealth.uk/
Anyway, I've recently written something for @lowimpactOrg about billionaire-free local communications using #meshtastic #LoRa
lowimpact.org/posts/friends-…
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It’s clearly immoral to blow a hole in the overall dementia budget by funding drugs which cost a huge amount for very limited benefit. I can’t emphasise enough that social care and continuing health care need this money now.
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📕📗📘📙Book announcement:
*Drop the Disorder + Do Something* is ready to pre-order
Order here: pccs-books.co.uk/products/dr…
I am honoured to be one of the many authors of this powerful new book. We join in challenging the dominant culture of psychiatric diagnosis that causes so much harm, while hiding behind a mask of love.
Among the authors are high-profile names such as 'V' (formerly known as Eve Ensler, author of The Vagina Monologues), child therapist Kate Silverton and Canadian physician Gabor Maté (The Myth of Normal), leading researchers and writers, including professors Richard Wilkinson and Kate Pickett (The Spirit Level) and Joanna Moncrieff; Robert Whitaker of madinamerica.com, and frontline campaigner Jacqui Dillon, alongside a host of other activists, service users and refusers, poets, artists, counsellors, psychologists, psychiatrists and other practitioners and leaders in the mental health and homeless sectors who are trying to do things differently in their own spheres.
*About the book:
The culture of psychiatric diagnosis causes harm. It labels people in distress. It silences them. It takes away their individuality and agency. At its worst, it removes their human rights. It only asks, 'What's wrong with you?' and doesn't ask, 'What happened to you?' (Perry and Winfrey, 2021) It fails to acknowledge the complexity of an individual's story and their social context.
This book's message is 'do something', and its hard-hitting and inspiring chapters tell us why and how.
pccs-books.co.uk/products/dr…
More importantly, today is international red panda day! #redPanda
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The #covidinquiry was back up and running this week and quickly into what some people think is one of the biggest scientific or policy mistakes (or 'misunderstandings' depending on your POV) of the whole pandemic. And it's all to do with how Covid is spread in the first place. 🧵
Some NHS IT is woeful - it took 8 minutes to log on to a PC on Friday. AI may well offer great things, but yes, sort the basics out first.
theguardian.com/society/2024…
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COVID INQURY tweet 2
Yesterdays the @covidinquiryuk @TheBMA opening statement focused on
-preventable harm to healthcare
-poor IPC decisions
-lack of aerosol protection, persistently
-inequity in risk
It quotes the @HSJnews as a source of the latter
These three articles from April to May 2020 brought to light the high proportion of non-white ethnicity & migrant healthcare workers who died at that time - a disproportionate burden
hsj.co.uk/workforce/at-least…
hsj.co.uk/exclusive-deaths-o…
hsj.co.uk/comment/younger-fe…
Green prescribing works, and is cost effective: theguardian.com/environment/…
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Some of my favourite women on Twitter do unbelievably good things in & with their communities.
They write wonderfully too; heart felt, reflective & authentic.
@angelafell writes on ‘resistance’ northernheartandsoul.co.uk/a…
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Ultimately you can still be annoyed that you have to drive a bit slower.
But it is getting increasingly hard to argue that this policy isn't saving lives.
Evidence based policy seems to work - who'd have thought it?
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You know it, we all know it, the 'housing crisis' is both real and not real.
Real - many people without homes, many more in precarious and unhealthy conditions.
Not real - it's not a 'shortage' - at least nowhere near as much as it is an asset price ponzi, run by govts.
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Some fantastic books in this thread, including anything by Edward Tufte
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“social care services seem built around an imaginary 1950s extended family, who all live round the corner from each other and have a full-time housewife at their heart, free to pop in every lunchtime and cheerfully put a wash on.” @AWOCUK theguardian.com/commentisfre…
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Siân Brand asked me to share three ideas for the NHS to enhance its health and well-being goals. The main point is that "Health" cannot be achieved by a clinician alone without thriving communities.
1. Health and well-being depend on social connectedness, economic and environmental security, and social justice principles. It's important to recognize the human need for choice, control, learning, and creating new things for ourselves and our communities.
My first recommendation is to stop seeing communities as groups of sick people and instead, view them as health-creating entities. Find ways to support communities in discovering, connecting, and mobilizing their own health-creating capacities. Supplement those capacities; stop supplanting them. Currently, many NHS trusts are oblivious to all the ways they are harming community health creation. First do no harm.
2. The What Works Centre for Wellbeing (UK) highlights that community well-being is influenced by factors such as neighborhood belonging, community cohesion, and community control.
My second recommendation is to focus on neighborhoods as primary sites for health, moving resources out of institutional silos and investing in community alternatives instead of costly and often ineffective interventions that solely address sickness. Social Prescribing alone is not enough. Liberate resources and push them upstream into small local CIC who can act as imbedded intermediaries, located in and trusted by their local communities. They are best placed to animate local
Community well-being, with support. Remember you (the NHS) will not engage communities until you first enable community to be built from inside out. Modern life is shredding our social fabric. We much tend to the rip and to issues of poverty and inequity.
3. Yishun Health in Singapore has transformed its health approach through an asset-based community development strategy, involving residents in health-creating activities of their own choice.
My third recommendation is to study Yishun Health's population health strategy, which aligns with Singapore's "3 beyonds" national strategy: Beyond Healthcare to Health, Beyond Hospitals to Communities, and Beyond Quality to Value. I would add a fourth beyond: from sickness to well-being and fairness, as there can be no well-being without fairness, as Prilleltensky Isaac reminds us.
In my humble opinion, the above recommendations have a good chance of freeing up the resources needed to implement proportionate universalism, as described by Sir Michael Marmot. Perhaps more importantly, it will be experienced as genuine solidarity, not charity, by communities that have been left to languish due to a top-down institutional promissory note that has been bouncing across all party lines for four decades in the UK.
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Comunidad - semFYC: Let's stop searching for leaders and let's start looking for connectors instead comunidad.semfyc.es/article/…
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"What we weren’t prepared for when we first wrote the book [The Spirit Level] was how much worse things could get:" Richard Wilkinson and Kate Pickett on the state of UK inequality, 15 years on. theguardian.com/commentisfre…
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A take from Someone Who Was There about the PA Project.
FWIW, @mancunianmedic is mostly right. But I disagree with him on a few points (natch!).
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