Jonathan Stokes

Some communities have everything they need on their doorstep. Others have almost nothing. We built a dashboard to make that visible, linking service provision and health needs at neighbourhood level across Great Britain. Explore your neighbourhood 👇 🔗 optima-dashboard.org

The new @Spotify agent integration is awesome! I've wired mine into a daily paper-briefing: agent picks a paper from my Notion queue, drafts a personalised researcher-grade script, runs it through text-to-speech, and uploads to a personal podcast I listen to on the nursery run 🎶

Everyone's reading today's local election map as party drama. Fine. But councils are where buses, housing, air quality, leisure and public health budgets actually live. If prevention is local, why do we still talk about it like Westminster theatre or NHS responsibility?

We keep asking the NHS to fix what housing, transport, wages and planning keep breaking. Then we call prevention difficult. It isn't difficult; it's inconvenient because the levers sit outside the health system.

“Ministers should force food firms to make their products healthier, introduce minimum unit pricing of alcohol in England, as Scotland has done, and tackle drug-related harm, Dixon urged.” - seems strange to use Scotland as exemplar here. Gap widening theguardian.com/society/2026/a…

@openclaw (running GPT-5.5) still recommends Opus as orchestrator rather than switching to GPT as the go to…

@JujuliaGrace This is the right question to be asking. We've been building a dashboard that links service provision data with health needs at neighbourhood level. You can see where the gaps are. Lots of services affecting health outcomes are also privately run: optima-dashboard.org

80% of Keir Starmer’s 250 new NHS neighbourhood health centres will involve private partnerships. Why are none of the newspapers talking about this? 🚨 I’ve explained what we know so far - jujuliagrace.substack.com

@DHSCgovuk @UEL_News Really encouraging to see this model take shape. We've been working on something complementary: a dashboard that maps service provision against health needs at neighbourhood level. Might be useful for identifying where these hubs are needed most: optima-dashboard.org

Take a tour of the new Neighbourhood Health Hub @UEL_News bringing care closer to home for local people. It's a one-stop shop for health which is also training the next generation of healthcare professionals. Part of our mission to build an NHS that's fit for the future.

A lot of policy "evaluation" is, unfortunately, just politely documenting damage after the big decisions are already locked in. If public health only turns up once implementation starts, it’s not upstream, it’s clean-up. Too harsh?

If your prevention strategy can be delivered entirely by the NHS, it probably isn’t prevention. It’s earlier treatment with better branding. Prevention lives in things like income, housing, transport and work. What am I missing?

@petergyang Agree. You can get it performing a bit better with some back and forth, tell it old workspace was designed for Claude and ask it what would optimise for GPT. Seems to need to write itself a lot of automated scripts. Still not nearly as good, I also switched back!

I spent an hour plus this afternoon trying to get OpenClaw to work with GPT. I asked it to do a simple task to send me a weekly stats recap email that Opus had no trouble with. Here's how the conversation went: "You completely messed up the previous template" "Sigh you made a mess. Why don’t you open the email template and I can edit manually" "no you totally screwed it up tbh. let's switch the model to sonnet" Again, big fan of OpenClaw (+ Codex) but this model simply doesn't seem to work with following through on agentic tasks (or just simple cron jobs). Maybe it's a skill issue on my part - although the AI builder groups I'm part of say similar things. Hopefully, Spud / GPT 5.5 will solve this.

Using OpenClaw is basically is like driving your own Ferrari (that you have to be a mechanic for yourself) and it's broken down all the time, but gives you the time of your life vs driving a reliable Honda (Hermes Agent) vs riding the bus (Claude / ChatGPT)

6) The flexible model selection and cron job automation is where it really shines. Things running in the background 24/7 that still no other tool can quite do right now. Outstanding when used alongside @AnthropicAI Claude Code, a tool @causalinf and others have been highlighting

5) The boring admin stuff too: help with formatting of papers for different journals, pulling citation data, compiling papers for evidence summaries. The kind of work that used to eat entire afternoons

Anyone else using @OpenClaw as an academic/researcher? Inspired by @AlexFinn I bought a Mac Mini and set up Atlas: my always-on AI personal research assistant. It's saving me hours of admin every week. A brief thread on what it actually does in case useful to others too 🧵

Welcome move. But as someone who works on health inequalities — the gap between "closer to home" and "reaching the people who need it most" is where most policies quietly fail. Would love to see the access data by deprivation/other inequality indicators once these are live.

If every bit of public spending is being judged on growth, public health needs to get much better at making the equity case in those terms too. Prevention isn’t a nice add-on, it’s economic policy. What do you reckon?