Prof Joe McDonald, NHS Digital Reform Specialist

14.2K posts

Prof Joe McDonald, NHS Digital Reform Specialist banner
Prof Joe McDonald, NHS Digital Reform Specialist

Prof Joe McDonald, NHS Digital Reform Specialist

@CompareSoftware

Shrink. Author.. Medical Director @_sleepstation Founded @greatnorthcare

North East, England Katılım Kasım 2010
1.9K Takip Edilen4.3K Takipçiler
Sabitlenmiş Tweet
Prof Joe McDonald, NHS Digital Reform Specialist
Space programs and nuclear powered aircraft carriers are allowed to cost billions, clinical software isn’t. It’s software. No titanium heat shields. Software. How did we get into this mess? Find out in my book “FHIR and Loathing Las Vegas” £5.99 amzn.eu/d/5x0oIXJ
English
2
1
4
1.1K
Prof Joe McDonald, NHS Digital Reform Specialist
@AdeByrne Thanks Ade. Your description of the vertical/horizontal integration conundrum is beautiful and essential to anyone who wants to understand the complexity on health IT. Ade' Essential Insight. The Byrne Conundrum.
Zimbabwe 🇿🇼 English
0
0
1
25
antanddec
antanddec@antanddec·
Huge congratulations to the 2026 I’m A Celeb… South Africa winner @adamthomas21🤩🇿🇦
antanddec tweet media
English
1.6K
516
14.5K
1.2M
Prof Joe McDonald, NHS Digital Reform Specialist retweetledi
Digital Health
Digital Health@digitalhealth2·
ICYMI: The cost of implementing a digital records system for Northern Ireland’s health trusts has soared to £400 million, taking it £100m over initial projections. eu1.hubs.ly/H0tQCwM0
Digital Health tweet media
English
1
2
1
351
Prof Joe McDonald, NHS Digital Reform Specialist retweetledi
Chi Onwurah 💙
Chi Onwurah 💙@ChiOnwurah·
At the @HOCcommiteesUK I asked preferred @UKRI_News chair candidate Prof Sir Leszek Borysiewicz how he would drive regional innovation and growth through science beyond the Golden Triangle where his career and interests have been so concentrated.
English
6
4
15
2.6K
Prof Joe McDonald, NHS Digital Reform Specialist retweetledi
Chi Onwurah 💙
Chi Onwurah 💙@ChiOnwurah·
Northern Stage has been a part of my childhood and so many people's for decades, I'm proud that we’ve secured £192,600 through Labour’s Arts Everywhere Fund, boosting shows, local talent & North East voices - investing in Newcastle so the arts belong to everyone.
English
7
9
37
3.6K
Prof Joe McDonald, NHS Digital Reform Specialist retweetledi
Chi Onwurah 💙
Chi Onwurah 💙@ChiOnwurah·
On Palantir's manifesto, not sure where to begin tho 👇🏽 is a good take. But I do know this is a critical supplier who has set out a political societal and geopolitical agenda. Does the UK Government agree with every point of it? And if not what is it doing in our supply chain?
Mehdi (e/λ)@BetterCallMedhi

I just finished reading palantir’s manifesto & I need you to understand what you’re actually looking at because this is the MOST important document the tech world has produced this year most people came away thinking «wow what a thoughtful essay about patriotism and technology »…I came away thinking this is the most elegant justification for corporate capture of the state apparatus ever written & I want to walk you through why krp opens with «silicon valley owes a moral debt to the country that made its rise possible » & frames the entire document as a call to civic duty, but read between the lines and what he’s actually saying is that the engineering elite should be embedded inside the defense and intelligence apparatus of the nation, he’s describing exactly what palantir has already done and dressing it up as patriotism «the question is not whether AI weapons will be built, it is who will build them and for what purpose »sounds like a warning but it’s actually a sales pitch, he’s telling every gov on earth that the choice is binary either you buy from us or your adversaries will build it without you, this is the oldest arms dealer rhetoric in history wrapped in SV vocabulary « hard power in this century will be built on software »is the key sentence of the entire manifesto because this is where karp reveals the real thesis, he’s saying whoever controls the software layer of national defense controls the nation itself & if you’ve been following my threads you know that palantir’s gotham and foundry platforms are already plugged into the intelligence feeds the satellite data, financial transactions & communications of dozens of govts worldwide through a single ontological knowledge graph that creates a technological dependency so deep that migrating away would mean rebuilding the entire institutional memory of the organization from scratch this is vendor lockin at the scale of nation states and I’m personally convinced it was designed this way from the beginning «we should applaud those who attempt to build where the market has failed to act » is karp defending palantir’s expansion into every domain the gov used to handle itself, policing immigration, military targeting intelligence analysis public health, everywhere the state retreats palantir advances and what was once a government function becomes a private service that the government can no longer perform without plantir’s permission and here’s what I think makes it even more concerning, these systems are increasingly autonomous meaning the AI layer is making targeting recommendations threat assessments & resource allocation decisions that humans inside gov are rubber stamping without fully understanding the underlying logic a bureaucrat inside the pentagon / DGSI sees a recommendation from the system & approves it because the system has been right 97% of the time and questioning it would require technical expertise that no one in the room has, this is algorithmic governance wearing the mask of human decision making «the atomic age is ending, a new era of deterrence built on ai is set to begin »is the MOST chilling sentence in the document because karp is explicitly saying that ai based deterrence will replace nuclear deterrence as the organizing principle of global power, and whoever builds that ai deterrence layer owns the 21st century the same way whoever built the bomb owned the 20th & he’s telling you plainly that palantir intends to be that builder «national service should be a universal duty » & « we should only fight the next war if everyone shares in the risk »sounds noble until you realize that he is proposing a system where citizens serve the state & the state is operationally dependent on palantir, the public bears the risk and palantir captures the value, soldiers fight wars planned by algorithms they can’t audit built by a company they can’t vote out

English
2
2
6
1.4K
Prof Joe McDonald, NHS Digital Reform Specialist retweetledi
Dr Karen Marshall
Dr Karen Marshall@KarenMarshall02·
I have a patient with COPD and a tracheostomy. They need a suction machine at home for really thick, phlegm that’s very distressing for them. No-one seems to have one. Does anyone know @NewcastleGPs
GIF
English
0
3
0
154
Prof Joe McDonald, NHS Digital Reform Specialist retweetledi
Chi Onwurah 💙
Chi Onwurah 💙@ChiOnwurah·
I told the PM that Newcastle Central and West does not support further UK involvement in the Iran War and asked him to confirm that Trump's US and Netanyahu's Israel are not reliable allies and we need to work with our reliable European allies in UK interests.
English
32
7
58
6.3K