Prof Joe McDonald

@comparesoftware.bsky.social

Psychiatrist, NHS Trust Medical Director, Founder Great North Care Record, National Clinical Lead for IT, Digital Health Transformation Specialist, UX expert.

#NHS England's spending is out of control. This is permanent Microsoft lock-in. The article describes Copilot being used for very 'clinical-sounding' tasks - what could possibly go wrong? "NHS prescribes half a million Copilot licenses for its paperwork headache" www.theregister.com/ai-and-ml/20...

NHS prescribes half a million Copilot licenses for its paperwork headache

After a trial claimed chatbot saved staff 43 minutes a day, NHS England has decided it's time to supersize the experiment

theregister.com

The NHS IT cycle of self-harm: 1 Ensure organisational knowledge is never written down, and is only in people's heads. 2 Make all the people redundant so your organisational knowledge is gone. 3 Do a 'discovery' to find out organisational knowledge your org used to have. GOTO 1

Nice one @comparesoftware.bsky.social ! I highly recommend reading Joe's book - it's plain speaking (unlike most of the healthcare tech literature) and it's essential reading whether you're a startup CEO or a CCIO or just curious as to how we could have made so little progress for so much money.

Feds have to take annual trainings about document retention and classified-materials markings. I’ve probably received this training a half-dozen times. And what we learn is that *wow is this not allowed even a little bit*. www.nytimes.com/2025/03/11/u...

U.S.A.I.D. Official Orders Employees to Shred or Burn Classified and Personnel Records

A union representing career diplomats demanded that the aid agency follow the law stated in the Federal Records Act. Some documents could be relevant in court cases.

nytimes.com

The deal? Putin"I want Zelensky, Macron& Starmer all humiliated on live primetime TV on consecutive nights, and then Zelensky fired, apprentice style. I keep what we've taken but promise I won't take the rest of the Ukraine until after your term is up." Trump:"ok" #theartofthedeal

a close up of a person 's face with the words " the horror , the horror " written below it

ALT: a close up of a person 's face with the words " the horror , the horror " written below it

media.tenor.com

I'll be spending March in New Zealand. It's a whistle-stop, 4-week tour, visiting palliative care colleagues, hospices & EoL doulas. I am so excited! I'll share the itinerary as soon as it's all confirmed. Hope to meet some Kiwi followers soon 🤞🏼🇳🇿

Photo of a metal monument in Nelson, New Zealand, based on Maori unfurling fern symbols.
Writing beside it reads
'Only 4 weeks until my trip to New Zealand.'Photo of a metal monument in Nelson, New Zealand, based on Maori unfurling fern symbols.
Writing beside it reads
'I'll be visiting palliative care colleagues over a 4 week tour.'

Starting 2025 with a short thread of my favourite, must-watch, YouTube video recommendations for anyone in Digital Health, HealthTech, Clinical Informatics, or trying to change culture in large organisations. Don't do ANYTHING else until you've watched ALL of them.