#RandomThoughts 1. Sicily beautiful yet tragic. 2. The flavours of the market will always stay with me. 3. Limone di circacusa and cannoli are an experience. 4. Teatro Massimo for Regolitto a treat. 5. Found my earrings in Italian design. #MyLifeAsMarsha #Palermo #Living

#RandomThoughts 1. Escalations and triggers are the metrics for the day. 2. AI in policy…friend or foe? 3. Reflection versus risk? What leads to good outcomes in healthcare? 4. Being resilient amongst silence. 5. Quantum, quantum, quantum. #MyLifeAsMarsha

marshadavid.substack.com/p/a-pocket-o...

A pocket of joy

I haven’t been writing as much and this includes physical journaling.

marshadavid.substack.com

#RandomThoughts 1. System pressures continues to rise. 2. AI in healthcare…friend or foe? 3. Respiratory infections makes a blanket sweep. 4. We have forgotten how think in analogue in healthcare. 5. The walking pad and weighted vest are out. #MyLufeAsMarsha

#RandomThoughts 1. Movement is medicine. 2. Boxhill bound. 3. Entering a new era, buying myself a coffee flask. 4. The beauty of autumn. 5. We are all somewhat flawed, but there’s beauty in imperfection.

#RandomThoughts 1. Frozen fingers and toes, the start of Autumn. 2. The NHS is getting “hot” whenever there’s a dip in temperature. 3. Making the most of non working days. 4. Spinning multiple plates. 5. A week of self care followed by a full working week. #MyLifeAsMarsha

#RandomThoughts 1. NHS “winter” has started. 2. In full autumnal flow. 3. Loving my coffee flask. I’m in a different era of my life now. 4. Hanging on to my younger self with a pencil case. 5. Another 20 km walk planned for this weekend. #MyLifeAsMarsha

#RandomThoughts 1. Aced presentation on personal resilience 2. Wearing Libby, my autumn treat. 3. Networking today of a different kind. 4. Ex marks the spot 5. Learning to apply logic, listening to the heart, informing your gut instinct and following through with it takes discipline #MyLifeAsMarsha

#RandomThoughts 1. We seem to be lost in the detail, forgetting to talk to each other. 2. Rainy Manchester. 3. The parenting role that no one likes, being the PA. 4. Le Cruset Cerise coffee mug is a treat. 5. Just need to treat myself to a coffee flask, life will almost be complete. #MyLifeAsMarsha

#RandomThoughts 1. If it’s a non-working day, then why am I working? 2. Strava keeps me motivated. 3. The psychological and collateral damage of restructure. 4. Resilience a word that is thrown around that feels heavy. 5. Coffee on repeat. #MyLifeAsMarsha #work #wellbeing

#RandomThoughts 1. EPRR means anything and everything, it’s not 9-5. 2. Vivaldi’s Winter on a continuous loop is a vibe. 3. Doing interviews on my day off. 4. A Bumble Biscuit date turns out to be a conference biscuit 🥱 5. To be a fellow or not to be one. #MyLifeAsMarsha #workculture

#RandomThoughts 1. Can a skills matrix really identify a training & development need? 2. Planning for an NHS winter. 3. 🏃‍♂️ in the rain is a different vibe. 4. Going to my first writer’s workshop. 5. My leadership style has been tested in recently testing my resilience. #MyLifeAsMarsha #workculture

#RandomThoughts 1. Listening to classical music on my way to work. 2. EPRR is the profession evolving? 3. NHS winter planning should cover the entirety of the health system not just acute services. 4. What will the week unfold 5. ☕️ on tap, writing in earnest. #MyLifeAsMarsha #workculture #health

#RandomThoughts 1. Describes the week I’m having 2. Holding space can be painful when there’s only silence. 3. To be calm amongst a storm of emotions means being washed up on the shore. 4. Democracy. What democracy? 5. I’ve met my poetic match. #MyLifeAsMarsha #workculture #parenting #relationships

#RandomThoughts 1. I’ve been burning slowly just not pouring kerosene. 2. The power of the block button. 3. Planning for holidays next year. 4. It has been a pottering/cleaning kind of day. 5. Designer hanging baskets have been bought! #MyLifeAsMarsha

#RandomThoughts 1. Ready to run along the Rhine. 2. An unexpected love that is Bonn. 3. Starting over means drawing a line in the sand. 4. Stefan’s Wine Paradise…! 5. Castles and more castles. #MyLifeAsMarsha #Germany

#RandomThoughts 1. Bonn such an understated beauty. Beethoven’s home. 2. Those Rhine Valley views are to die for. 3. We didn’t get lost on the trains. 4. The tranquility of Sankt Goar. 5. Castles galore. #MyLifeAsMarsha #Germany

marshadavid.substack.com/p/chosen?r=3...

Chosen

The decision lies within us

marshadavid.substack.com

#RandomThoughts 1. From distraction to dead end. 2. Following that bend in the river. 3. Embracing my “swan” moment. 4. The continuous flow of movement for the body and mind. 5. Gold and pink zebra print shoes, to be seen differently. #MyLifeAsMarsha

#RandomThoughts 1. The only way is Essex. 2. Leigh-on-Sea and Shoeburyness, a lovely surprise. 3. The next walk will be from Grays exploring the Thames via marshes. 4. Solo walks take courage. 5. Walks like this are tonic for the soul. #MyLifeAsMarsha #10kmWalks

I do not normally re-read what I write, but this BMJ blog I wrote three years ago and was edited came to mind this evening whilst reflecting on NHS senior management. blogs.bmj.com/bmjleader/20...

Healthcare Inequalities and Social Justice Blog Series: Transcultural leadership, anti-racism, and psychological safety. By Mushtag Kahin and Dr. Nagina Khan – The official blog of BMJ Leader

blogs.bmj.com

There will be a crane in operation behind Maidstone Hospital on Monday 17 August, 9am - 4pm. Maidstone Birth Centre will maintain full emergency access. If you’re coming by car, you’ll need turn into the main hospital entrance road and go left around the perimeter road to reach the Birth Centre.

#RandomThoughts 1. Crocodile tears over Jason Arday…earlier posts being deleted 2. The Farage investigation resumes, wasting taxpayers’ £££ 3. When the “lights on” of operations fails wider situational awareness 4. Good to see more Trinis in 🩰 5. Poetry + music = magic ✨ #MyLifeAsMarsha

#RandomThoughts 1. Floral Friday without the bouquet 💐. 2. Showing up in ways that matter takes courage. 3. We learn to sit with discomfort, difficult decisions to be made. 4. To my pot of gold at the end of the 🌈 Super 📅 5. Always on pointe 🩰 yet we dance to our own song 🎵 #MyLifeAsMarsha

#RandomThoughts 1. Transition bloodshed. 2. When the focus is on escalation rather than de-escalation. 3. Policy grounded in operational delivery or policy centred on people? 4. Sometimes you need to leave others behind. 5. The destination is only part of the journey. #MyLifeAsMarsha

#RandomThoughts 1. The integration unravels like loose thread. 2. Holding my ground. 3. The pigeons are having my breadcrumbs. 4. I love Daimon, my text buddy. 5. Wearing a yoga jumpsuit when I’m rubbish at yoga 🧘🏽‍♂️ #MyLifeAsMarsha

#RandomThoughts 1. I have zero tolerance for rides, which extends to dating 2. To lead or not to lead that is the question 3. Never drink espresso at 4 pm. 4. Happiness is overrated. 5. Being grounded is a strength we rarely appreciate. #MyLifeAsMarsga

#RandomThoughts 1. Walking 10 km per day. 2. I’ve taken to wearing white. 😅 3. Looking forward to my Germany holiday. 4. Antibes….I love you, can’t wait to return. 5. Bumble is taking a positive turn after 1000 likes. #MyLifeAsMarsha

#RandomThoughts 1. Doing a 10km walk every day. 2. Exploring Antibes 3. Matisse was a dream 4. Should’ve booked this place for longer. 5. Coffee is calling. #MyLifeAsMarshs