NHS England South West Head of Programme for learning disabilities & autism. Nurse and avid board & video gamer. Views expressed here are my own.

Devon, UK
Joined September 2008
I made a short film about our lovely new polytunnel. Our new polytunnel youtu.be/FadUxBxLNLU – at Kingsbridge, England
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Read what @royLilley says about the Fonagy report . He’s spot on. This summarises beautifully concerns many of us hold
The answer is not to diagnose everyone. Nor is it to stop diagnosing people because the system cannot afford the consequences. It is to provide help when people need it, diagnosis when appropriate, and continuing support when required. myemail.constantcontact.com/…
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Professor Peter Fonagy forward in the final report into the prevalence and support for mental health conditions. ADHD and autism is the most powerful and thoughtful forward I have ever read and clearly sets the tone for the future.
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Most TV is just this now.
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Graham retweeted
Run Away, from my newly released album, Ride Lonesome, is out now. Watch the video starring Golden Globe Award winning actor Tadanobu Asano shot in Japan. Creative Direction and Produced By: Ryan Smale Directed and Edited By: Mikai Karl Watch: beck.lnk.to/RunAwayVid
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A massive thank you to the staff of the @frogmillhotel who made it such a wonderful evening last night. The food and atmosphere 10/10 highly recommend
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Such an amazing course and I’m proud to say that I support by running a teaching session on quality improvement and facilitate an annual ‘dragons den’ event. bbc.co.uk/news/articles/c4g3…
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From views of the Big Ben to the excitement of the finish line, Abdul and Hannah shared their experience of running the Saucony London 10K.
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🦔AI companies are bulk-buying rare books, scanning them through high-speed machines that cut the spines off, and shredding the originals. A service called ISBNdb facilitates orders of up to a million books and keeps buyers anonymous. Pre-2022 books are premium because they're free of AI-generated text. A federal judge ruled the practice is fair use because eliminating the original means only one copy exists at a time. Anthropic hired the former head of Google Books partnerships to obtain "all the books in the world." My Take This got to me. A bookseller told 404 Media that rare books with almost no surviving copies are being fed into this pipeline. Books that survived wars, fires, and centuries of handling are being shredded so an AI can learn to write a better marketing email. ISBNdb's website literally says "'AI company destroys two million books' is not a headline that generates sympathy," and they still built an entire business around making it happen quietly. They offer NDAs as a feature. They coach clients to call it "digital preservation." I've covered AI companies scraping the internet, torrenting libraries, and stealing music. This is worse because it's irreversible. You can re-upload a website. You can reprint a bestseller. You can't replace the last three copies of an 18th-century botanical text once someone shreds them for training data. And the judge said it's legal. So it's going to accelerate. "We shred rare books and offer NDAs so nobody finds out" is a legitimate business model in 2026. What a timeline. Hedgie🤗
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Last week we joined partners to celebrate the opening of the new Exmoor Rural Health Hub. The new facility will help farming families and rural communities access health checks, wellbeing support and advice closer to home.👏 Congratulations to everyone involved. #RuralHealth
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Ahead of England v Norway in the World Cup, enjoy this classic from my old pal @patrick_kidd
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Graham retweeted
From the bloke who hasn’t made it into his place of work for the last 77 parliamentary votes…
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English Springer Spaniels have boundless energy
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Updated LeDeR report!
An updated version of the LeDeR 2023 annual report is now available kcl.ac.uk/ioppn/assets/pdfs/…. The revised report includes fully updated cause-of-death information that was inadvertently excluded due to a data-processing error that occurred before we received the data. (1/2)
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Replying to @jgerighty
@jgerighty As a seasoned Div 1 & 2 operator what really keeps me in the game(s) is the urban exploring. I love wandering the streets, finding the snippets of everyday life such as the spelunkers story in Div 1. In an ideal world it would be great to be able to explore.....
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....the dark zones with less threat as the design of them is stunning but the skill required is sometimes too great for my aging gamer skills 😆
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Looking for free training ideas/opportunities to learn how to support individuals with ADHD & ASD better in the workplace. #NHS #bespokesupport #thrivenotsurvive @LeesLizzie @PaulaMc007 @AcosiaNyanin @GraCarr @FNightingaleF @theRCN @Autism @ADHDUKcharity
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Patients and staff at Russell Clinic have grown vegetables and flowers to support #healing and #recovery. Some produce is now used in group cooking sessions, making meals more nutritious. Read how #therapeutic horticulture is helping transform care: orlo.uk/iYj2x
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One more month before the petition ends surely more than 3127 people want to save LD Nursing! Anyone can sign and only takes 20 seconds!! SIGN AND SHARE 🙏🙏 petition.parliament.uk/petit…
Only 2,395 people concerned that all Learning Disability Nurse Training may end in 2028 and the profession will wither and die!! ACTION IS NEEDED SIGN AND SHARE OUR PETITION!🙏🙏🙏 petition.parliament.uk/petit…
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Local Minor Injury Units and Urgent Treatment Centres are open this bank holiday for adults and children – no appointment needed. 👉 Check the @SironaCIC website for opening hours and what they treat: orlo.uk/35wF2 🚨 A&E is for life-threatening emergencies only.
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First look at Windmill Valley: Blooming Sails! 🤩 Just look at those bright colors, the cosy vibe, and all the charming components - we honestly can’t take our eyes off them! If you already love Windmill Valley, this expansion is an absolute must-have. bit.ly/4mi3FqN
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