Joseph Nielsen

@jytook.bsky.social

Person who does things (from Twitter, obviously) | Instagram for (mostly) just minis: http://instagram.com/jytook | he/him

NEW: Nigel Farage’s long-term aide George Cottrell had a secret Polymarket account that received nearly $20mn in cryptocurrency to place bets on Donald Trump winning the US election, at a time when he was providing gifts and benefits to the Reform UK leader. w/ @miles-johnson.bsky.social

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People are so Capitalism-pilled that they see "user number big" as preferable + a reason Bluesky is "lesser" than other social media. But consider this: I don't want to be in a bigger, angrier, shittier crowd of people. I want to be in the smaller, curated, better behaved and more loyal crowd.

Sit down for big airbrush session Airbrush has big clog that needs cleaning Clean make sure everything’s working Go have lunch Come back, compressor suddenly won’t turn on I don’t think the world wants me to airbrush…

Record numbers are using A&E, but the data doesn't show what it's actually like to go. Our survey is still open. Anonymous, ~15 mins, 18+, UK, for anyone who's been to A&E. Good or bad, every experience helps. edsurvey.link Shared it before? Thank you. Please help it reach further 🙏

I've confirmed that the UK's new Sovereign AI Fund does no due diligence on whether AI companies use copyrighted work without permission before investing in them. It took me 3 Freedom of Information requests to find this out: 🧵 1/10

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150,000 marched yesterday in London for trans rights. Opened the Sky News app. Scrolled and scrolled. Nothing. BBC News app. Nothing. Guardian app. Nothing. This is what actual silencing looks like.

Remember Streeting's review into whether young people are being overdiagnosed with ADHD, autism, and mental health issues? Well, the interim report is out, and there's a reason the media are silent on it (spoiler: it proves what a lot of us have been saying all along)

In others, notably ADHD and autism, rising diagnoses and referrals appear to exceed changes in underlying epidemiological prevalence and are likely to reflect a combination of:

improved recognition
changing help-seeking behaviour
institutional incentives
pressures within existing service pathways
Across both ADHD and autism, best currently available population-based estimates remain relatively stable, while administrative diagnoses, self-identification and recorded service demand have increased substantially. In autism, the evidence also points to particularly rapid growth in identified need within educational systems, including increasing identification among girls and among young people without learning disability.These patterns suggest that rising demand is not simply the result of increasing prevalence, but of several processes operating simultaneously, including:

real increases in distress in some groups
improved recognition of previously unmet need
changing expectations about support
systems that frequently rely on formal diagnosis as the primary route to assistance
Across the system, support is too often accessed through pathways that are slow, fragmented and heavily dependent on diagnostic categorisation. While diagnosis remains essential for some forms of clinical decision-making, the evidence suggests that current arrangements do not always provide the most effective or efficient way of identifying and responding to need. In particular, where access to support depends heavily on formal diagnosis, demand for diagnostic assessment can increase more rapidly than systems are able to respond, generating long waiting times, duplication of assessment and pressure on specialist services.

The next phase of the review will therefore focus on clarifying the relationship between distress, diagnosis and need, and on examining how systems might respond more effectively to these patterns. A central objective will be to identify opportunities for developing more coherent, evidence-informed care pathways that enable support to be provided earlier and more proportionately, while ensuring that specialist services are available in a timely and appropriate manner for those whose needs are most complex.