
US historian and NHS chief exec, now occasional writer on sociological aspects of healthcare. @UniofExeter. Resilient, productive, and compliant.
Winkleigh Devon
Joined May 2017
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Decontextualised Risk Information and Patient Consultations cost-ofliving.net/how-does-d…
Adrian Mercer retweeted
Ministers trying to scrap NHS England have found no alternative to setting up an entirely new quango to employ highly-paid regional staff
Other than delaying abolition yet again
Health chiefs now urging ministers to set up the new quango because delay is harming patient care
Absolutely. When everyone (the system) is to blame, there is no individual accountability.
Thirlwall inquiry.
"The move towards a 'no blame' culture in the NHS, starting in 2000, was a mistake."
thirlwall.public-inquiry.uk/…
Adrian Mercer retweeted
Decontextualised Risk Information and Patient Consultations cost-ofliving.net/how-does-d…
This is excellent. The Arday affair underlines the importance of sociological perspectives.
Many explanations have been laid at the door of the @Arday scandal. Low standards, academic groupthink, DEI, racism, and, not least, the alleged poverty of scholarship in the social sciences.
Writing as someone ranked in the world top 150 social scientists according to research.com, with 120,000 + google scholar citations, & 10 book awards, & with a UK PhD in sociology as well as a career spent in education faculties in three countries, I want to point out another irony here.
The media, much of the public, and now, it seems, academic institutions too, are all too ready to embrace individualistic heroic narratives - whether true, exaggerated, or worse. The Salt Path, Jason Arday, @tarawestover, @JDVance and even the press's treatment of @Lem_Exeter's social mobility arc as going from binman to boffin - are all individualistic tales of triumphing against all odds – testimony to the belief that if they can make it, then anyone can.
I couldn't get a Trade publisher to take my own memoir, Moving,in 2020, not just because it came out in the middle of COVID, nor even because almost no-one was yet interested in social class narratives of inequality and diversity. It was also because while the book talks of my “lived experience” of growing up in a somewhat working class family on low income and sometimes on welfare (with back up documentation from my schools and community, I should add), it also discusses what Brian Jackson and Dennis Marsden in the 1960s called "sunken middle class" influences in my apparently working class family, and it fully acknowledges the benefits that accrued to me of a strong, post war, welfare state.
Like @hanleylynsey's book, Respectable, my own book explores the non-heroic nuances of upward mobility and triumph over adversity. It echoes Barack Obama’s statement in 2012 that “you didn’t build that” - governments and state policies did.
But the media and many members of the public don’t want to hear sociologies of inequality, and the state policies, including higher wealth taxes, that are needed to reduce economic inequality and increase individual opportunity. They want to hear positive psychologists, micro-economists of decision-making, and minoritized people of lived experience, testify to how it’s individual judgements, qualities and characteristics that determine everything.
The absence of a sociological sensibility in much of British life, is, perversely, what draws leaders, journalists, and publishers all too easily into the webs of heroic individualism, and what blinds them all to the distortions and exaggerations that are out there, because they, their readers, and their publics thirst for the next individual-conquers-all-by-dint-of -sheer-effort-and-ability narrative.
If we are to avoid repeats of the Arday affair in universities, publishing, the media and life in general, we need more sociology and more sociological thinking in our society and its institutions, not less – which is why it completely belongs in our schools and universities.
@drianpace @pilotspeaker
Adrian Mercer retweeted
People living in Great Torrington say plans to build a £13 billion AI Data Centre in the North Devon countryside would destroy an area of natural beauty.
The firm behind the plans for the giant warehouses say it will create up to 1,200 new jobs and bring billions to the local economy. But campaigners argue it would have a devastating impact on local people, the landscape and wildlife.
Watch the ITVX report: tinyurl.com/322tkch5
Adrian Mercer retweeted
3-time Grand Slam champion and current World No 1, Henry Patten, in his #Wimbledon victory speech 🔥📣👏
The @andyburnhamHQ blueprint: is the Manchester model all it’s talked up to be?
What does his ‘place first’ motto signal for Britain? via @RowanMoore
observer.co.uk/culture/archi…
850 acre AI/battery storage plant planned in beautiful north Devon.
@ErinBrockovich
Adrian Mercer retweeted
Blair’s essay is a substantial intervention on what's wrong with Britain & with Labour, with a detailed alternative agenda. Dismissing it is silly. But engaging with it reveals that it's both forward-looking & stuck in the past, with an agenda that is radical but not 'centrist'🧵
Adrian Mercer retweeted
Read this informed, nuanced and thoughtful piece about Andy Burnham by @joshi who, unlike so many commentators, not only knows where Manchester is, he founded a superb independent media organisation there @ManchesterMill
Stop looking for Burnhamism - in six years, I’ve never found.
Watching the mayor up close in Manchester, I’ve seen his unusual gifts and glaring weaknesses. Would he make a good prime minister?
Our weekend read - by @joshi
manchestermill.co.uk/stop-lo…
Adrian Mercer retweeted
I love LLMs. They improve our efficiency
But I am skeptical that this will improve care
Good care of ill pts is less about knowledge and more about dogged determination to hear the pt and family tell you what is wrong
And the energy to not settle on the easy diagnosis of UTI or pneumonia
Until now, physicians using AI in clinic had to assemble the patient’s context themselves. Allergies, comorbidities, medications, prior procedures, copy-pasted in from the chart.
Today we’re announcing a partnership with @CedarsSinai. OpenEvidence now works directly inside Epic, drawing on the patient’s full record and interpreting the medical literature through the lens of that specific patient.
Cedars-Sinai is the first academic health system to deploy patient-aware clinical intelligence at enterprise scale. The clinician asks a complex question in natural language. The answer reflects both the best available evidence and the patient in front of them.
Patient data is never stored after the clinical session or used for any other purpose.






















