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“Focus on consistent habits & great cadence before marginal gains.”
Figure at some point you need a motto in life that you can stick to.
It’s not catchy but I think it’s true!
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Stuart Nuttall
5.3K posts
Stuart Nuttall
@StuartNuttall1
Manservant to Bella and Lachlan. 🏊♂️ 🚵♂️ 🏃♂️ Du&Triathlete. EM Consultant. Part of the @CEMBooks team ⭐️Finlay⭐️
Yorkshire Katılım Ocak 2012
1.6K Takip Edilen1.1K Takipçiler
This wouldn’t be news to anyone who had the old @hornby Percy model train.
Was the fastest model engine on our railway 🚂 💨 🟢
Chandlers_Railway (Commisions Open)@Mr_C_Railway
I got Percy to 143 MPH in Wonders of Sodor
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Stuart Nuttall retweetledi
The association between long emergency department stays and inpatient length of stay: a retrospective cohort study | BMC Emergency Medicine | Springer Nature Link. Published today by my residents. Another harm of long ED stays… 1/n link.springer.com/article/10.118…
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It’s not just a UK phenomenon though @kurtstat - have a listen to the latest @SGem podcast. Similar issues, with some different terminology (alternate levels of care = no reason to reside) but essentially the same problem and same results - higher mortality and burnout etc.
Ken Milne MD@TheSGEM
SGEM#503: Waiting is the Hardest Part – Factors Associated with Emergency Department Length of Stay. thesgem.com/2026/02/sgem50… @PfParks @CAEP_Docs @alandrummond2 @raghu_venugopal
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@kurtstat @StuartNuttall1 This is the nail on the head! If WE get it, why isn’t it being tackled? Instead we pile more and more pressure on the front end!
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Ask NHS managers why emergency department four-hour performance has deteriorated so much over the last few years, and the most common reply is: “It’s the delayed discharges, stupid!”
And when you look at the two indicators together on the same graph, it’s hard to disagree.
1/3
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@kurtstat Have good flow we can deliver good ECS partly due to all the streaming away from Ed we now have in place that we didn’t have pre Covid.
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@kurtstat Longer Los on mau because they can’t move to a downstream ward??
I don’t know tbh, just suggesting possibles.
With lower ED staffing pre Covid was the 4hr performance more down to actual wait to be seen in ED and more a function of ED at that time.
I know now, that if we…
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This is one of the things I’ve found interesting about big infrastructure like TRU - the little side quests, like tarmacing the Broad canal towpath or building a new HWRC site which are fab improvements in their own right!!
The Transpennine Route Upgrade@theTRUpgrade
We have successfully completed and opened the new Household Waste Recycling Centre for Kirklees Council and SUEZ. 🙌♻️ Our TRU West Alliance team constructed the new facility to allow SUEZ to continue operating the recycling centre whilst new railway lines are built. The existing site had to be relocated to enable the construction of a new retaining wall, which will facilitate the development of new fast lines and allow for increased line speeds through this section of the route. 🚆 Recently, colleagues from both Kirklees and TRU, along with local councillors, visited the site and had a tour around the new facility. This is another example of collaboration between TRU and Kirklees Council, and how partnerships can deliver meaningful outcomes for both our infrastructure and our communities. 🤝
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@kurtstat @TJCoats @RoyLilley @jim_crawfurd @RCEMPolicyVP It all comes down to outflow, which itself comes down to the metrics you describe around “heaviness” on assessment wards, delayed onward movement be it discharges or movement to base wards or across specialties. Really enjoy reading your work esp the explanatory figures & data!
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Yesterday I drew this graph of ED crowding and ambulance turnaround times. I didn’t have actual ED crowding data, so I used a proxy: the percentage of ED patients staying longer than 12 hours.
@TJCoats @RoyLilley @jim_crawfurd @StuartNuttall1 @RCEMPolicyVP @jmessillett
1/5
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@philatrail The Picc - York via Cas should be a no brainier to avoid Leeds and link Wakefield to Manchester. No other service provides that link currently and it seems well used.
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Indicative future trans-Pennine timetable. 2tph Liverpool-Newcastle/Scarborough, 2tph Manchester Airport-Newcastle/Saltburn, 2tph Man Picc-Hull semi-fast, 2tph stopper Picc-Huddersfield and Huddersfield-Leeds. Missing is Picc-York via Castleford, it’s still in the balance.
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Stuart Nuttall retweetledi
After 38 years, Trans World Sport signs off for the final time at the end of 2025.
Thank you for every story, every athlete, every viewer.
It’s been an honour to share the world of sport with you. 🌍❤️
#TransWorldSport #EndOfAnEra
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Stuart Nuttall retweetledi
In a completely unheralded but praiseworthy move, NHSE has released site-level data for A&E performance:
england.nhs.uk/statistics/sta…...
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Stuart Nuttall retweetledi
It's 4:00 AM and a patient comes in with a stab wound to the heart.
Repair it by 4:02 and the patient will walk out in a few days.
Wait until 4:05, and he'll be wheeled out in a bag.
🧵regarding a few surgical pointers on repair of traumatic cardiac injuries.
(1/ )
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Stuart Nuttall retweetledi
But the thing that struck me most of all was the difference between the two graphs. So I positioned them side by side to try and make the contrast clearer. There were only three years that intervened between these two time periods but they look like two different worlds.
16/16
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Abide with me gets me every time! 🥹
#rugbyleague #challengecupfinal
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Stuart Nuttall retweetledi
So, to recap (!), if we want a better idea how exit block works in a hospital that’s already full or overflowing, we shouldn’t just look at how full the beds are; we should also take account of the likely number of bed days still to be generated in those beds.
20/21
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Delighted to share that I have been promoted to (full) Professor of Sport and Exercise Medicine at the @UniversityLeeds Picture from Thursday celebrating with the newest addition to our family
Can’t say thank you on Twitter character limits so link here:
linkedin.com/posts/activity…
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Stuart Nuttall retweetledi
Spencer Leniu when he realised Queensland weren’t going to kick off to him 😳😂 #stateoforigin
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Stuart Nuttall retweetledi
🚨New Paper🚨
We piloted an overnight deflection pathway in our ED:
147 low-acuity patients returned for scheduled appts instead of waiting overnight.
Result?
•Avg ED stay cut by 5 hours
•Satisfaction score: 4.79/5
Access here:
kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…
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