2026-08-23T17:22:36Z https://njump.me David John Crook https://njump.me/npub138wvxs8yq6maprnyrtw2aswxarkvhj76l3qnw9f73he89z2xfsfq4qluuj https://s3.eu-central-2.wasabisys.com/mastodonworld/accounts/avatars/109/315/214/935/163/929/original/449cc67c0e01c8ab.jpg https://s3.eu-central-2.wasabisys.com/mastodonworld/accounts/avatars/109/315/214/935/163/929/original/449cc67c0e01c8ab.jpg https://njump.me/nevent1qqs83c7asx9vjx7xez0zzr0yjh8yx5kxfchjdqavhserau2u0nwynmqzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpy9tcyc5 In reply to <a href='/nevent1qqs8g4xs9v04enmnxtj6e6rkaqftw7qkg6fm5n0ldh2jq9ad25w4vvqyn3kke'>nevent1q…3kke</a><br/>_________________________<br/><br/>I think this is good for you. May be old. 2026-05-16T20:48:26Z https://njump.me/nevent1qqs04tgefep8n0h2wqdh9r23la2dxp8u9pwxhmxvf5h8yuhcgzxjfwgzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyn65tsh In reply to <a href='/nevent1qqsztrzrwlckka8yuxfy3xc97vzmqkkfwq5ll9tfzdszt9cv3kc6n2sapdcvf'>nevent1q…dcvf</a><br/>_________________________<br/><br/>Let&#39;s go Summer.<br/>This is Fluffy Bear ready to drive the campervan.<br/> <img src="https://s3.eu-central-2.wasabisys.com/mastodonworld/media_attachments/files/116/020/162/145/196/571/original/9f09506266ac441b.jpg"> <br/> 2026-02-05T21:34:57Z https://njump.me/nevent1qqs9mtwj4usg373x52wxt520mf3tvssh3nkzdvw7pscy764mq3c7uuczyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyp64mex In reply to <a href='/nevent1qqstsrfj7y8wcq3uc35grtgz70uqfe6rn8dzrfcx6n2ngs2tlemlzusrznku3'>nevent1q…nku3</a><br/>_________________________<br/><br/>I would go for Miles Davis in New York circa 1970. 2026-02-01T08:51:34Z https://njump.me/nevent1qqsqufspamaxj2pteanqmzlsfdjxa3503twa3xn8utnvzgpsz7yrmkczyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyzlrya6 In reply to <a href='/nevent1qqs0vsk8jkrmj533tj3rxcwlf55vqu503clxzprpuz8mpdy3j8pcews0ppvsy'>nevent1q…pvsy</a><br/>_________________________<br/><br/>It is the lack of evidence that is my point. We can all point to examples where it may appear to work or not work, but it is not always easy in a highly complex organisation to justify subjective views. A SoS should have done this 15 to 20 years ago.<br/>I think our subjective views are very similar, but that is only part of my critique.<br/>Politically politicians love to interfere in the NHS, but usually make matters worse. 2025-12-18T09:05:17Z https://njump.me/nevent1qqspj543v6v3u4z656d4sxn2s50w8m7adqadu08d702c8hlyl0u7ppczyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpy2w7h3q In reply to <a href='/nevent1qqs8ddnyqyq4kzwl7pnpvgaek0ntpevfxc24h0gxnv6prelftm4dyhs892jwa'>nevent1q…2jwa</a><br/>_________________________<br/><br/>If I was in charge of the NHS there are 2 areas in which I would start investing.<br/>1. Diagnostics - pathology and radiology. Screening programmes. This would improve early diagnosis and treatments in less bed intensive settings.<br/>2. District Nurses - probably the most undervalued staff by decision makers. They have the skills to support patients in the community where they usually prefer to be treated.<br/>And of course tackle the health/social care interface disaster. 2025-12-17T21:56:22Z https://njump.me/nevent1qqsyfar9ewemwr3rd2qxkwrrsfwpykkurlamus4kznf976mgt68sx6szyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyqsefyh In reply to <a href='/nevent1qqstwh963695vulq7c3sdxtqsfppuf255t9cq82087slnqk4crahtyq9nsv4c'>nevent1q…sv4c</a><br/>_________________________<br/><br/>The so called Internal Market has operated for long enough that it should have been possible to assess whether or not it has achieved improved patient care and financial effectiveness. I am not aware of any major study into this.<br/>The days of the old Hospital Administrators are long gone. A cost benefit analysis into the changes in organisations and structures would be highly complex. <br/>My view is that a study would struggle to show major gains. 2025-12-17T21:34:32Z https://njump.me/nevent1qqs0xvtygungyzmrstu37nt6vkd9l2fgd49ndr2pn2h4cq28qa07chczyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyyn6hjc In reply to <a href='/nevent1qqswctxfq8zdmj6yvfqdxpc4qgprqmwpdhnvlvrrmv6a7ufem455fesldvlzr'>nevent1q…vlzr</a><br/>_________________________<br/><br/>Here in the UK hardly anyone is interested in baseball, but for me it is the best sport. I started taking a close interest during covid, and I get more interested each year.<br/>There is a rhythm to games, but always the possibility of dramatic fluctuations.<br/>It is also a very simple game, but also very complex. Particularly with pitching there is loads I don&#39;t understand. 2025-10-11T15:00:30Z https://njump.me/nevent1qqsrhu5saya2gd0xsw0cugnk3zxzeyz7mv5ptkw2w9yk35wd94hpy2czyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyx5hd5e In reply to <a href='/nevent1qqs0q3wgycs3qz7e2xvt9g7f3hzhdv6acnuy4hgtg9cwyawxsmrz5ncnkweer'>nevent1q…weer</a><br/>_________________________<br/><br/>The ears and water can be a problem. After several infections we have Fluffy Bear on a twice weekly dose of drops for maintenance. May be worth discussing with the vet when the infection has cleared. 2025-10-10T20:36:49Z https://njump.me/nevent1qqs02z8gaq5y39p7mn5hmuyuguslgxkhgv9f29pxtse5jakn7z2fdvszyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpy4j4r7w In reply to <a href='/nevent1qqs9dw8xwyq4mcnshpvdu070zkvte3ge5at7k62k885pzl7j68uklkc592u0s'>nevent1q…2u0s</a><br/>_________________________<br/><br/>The older I get, the more I think it is important to value and get pleasure from small things. Many people can&#39;t achieve all you achieve. 2025-10-08T20:01:51Z https://njump.me/nevent1qqsdcgesdesltytr8nyggrg00qkjax3cc9xyutc2z4evz70egzv23zszyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyke63ls #SilentSunday #Moray #DisusedRailway<br/> <img src="https://s3.eu-central-2.wasabisys.com/mastodonworld/media_attachments/files/115/242/084/834/549/598/original/2da68da8cd182a65.jpg"> <br/> 2025-09-21T11:41:35Z https://njump.me/nevent1qqsql6kmcdkpnzrdlqfv4uz8f8ugke25d4q4kkyn04ld3gl2lcuegfszyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpy4h2m2m In reply to <a href='/nevent1qqsvnnp5vrwkaru7kfq24qzqkzspgxj8l07kx6ulcw6ku26s8cwypuss6gzdv'>nevent1q…gzdv</a><br/>_________________________<br/><br/>my #GratefulForYou heads up would be for <span itemprop="mentions" itemscope itemtype="https://schema.org/Person"><a itemprop="url" href="/npub15w9ua3g8jqqnpltwc9na6lafggq54ykq0et0u5hpl2l75990eh7qp02huq" class="bg-lavender dark:prose:text-neutral-50 dark:text-neutral-50 dark:bg-garnet px-1"><span>Norcal Gma 2</span> (<span class="italic">npub15w9…2huq</span>)</a></span> her wisdom and view of her world I find really quite inspiring. She is a very special lady living a not always easy life. When I see the Detroit Tigers have won, my first thought is that she will be pleased. Oh, and there are loads of pictures of the wonderful Summer the dog. 2025-09-16T21:32:52Z https://njump.me/nevent1qqs2pp9267tadnvnrrefw43xv84x7pmdr8h2vy6g0y6pjpx89ltc9pqzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpytckgpy In reply to <a href='/nevent1qqsvdp4v73auyta6y3eaf5lqvg47h3cr9e8nafmqlhv6nh9s96u7wssk96xrp'>nevent1q…6xrp</a><br/>_________________________<br/><br/>Never that keen on Dexys at the time, but more and more convinced that they were/are an outstanding band. 2025-08-09T20:11:04Z https://njump.me/nevent1qqsqacqewsyan833jyq22v6cttyneg70hp7yv0twmmmvcmwhaed4algzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyeah59m In reply to <a href='/nevent1qqs8c9tte2kvjtun5kkcz4nk5le60r8ulzcn2nv5ueek4qlv99jz3es6kd2yt'>nevent1q…d2yt</a><br/>_________________________<br/><br/>RIP Brian. A troubled life, but a musical giant. 2025-06-14T07:17:42Z https://njump.me/nevent1qqs94fv0zkqjhjc5p7r7x8pt9m8u03g97tn29xteqzez63lfl7tfz9gzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpy6sjj33 In reply to <a href='/nevent1qqsddgcnjtpkexn3v46h00t5sjzgpd8dw3wmt3a24hy6d4vqqsul3cqcq4av6'>nevent1q…4av6</a><br/>_________________________<br/><br/>She was brave beyond belief. She knew her fate, and could easily have said she would not return. 2025-06-10T20:14:04Z https://njump.me/nevent1qqst662k7f065ekc72reyp0z7j7tm8vuk5fczh8y426dkhyjr05x3gszyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpy0e35qm In reply to <a href='/nevent1qqs262cp6eraacgwdape5k6x934f9cst4m2mvyec6thdzrnxvvewrxs52hyad'>nevent1q…hyad</a><br/>_________________________<br/><br/>Goodness, I never knew that was in Harbourne. A real gem. Very sad it is lost. 2025-05-02T20:36:53Z https://njump.me/nevent1qqs2u7wtngye4vu0up3wymjn6kh3e6e88agvceyhuy0wfu8lu94yysgzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpylw5eyv In reply to <a href='/nevent1qqs02402pmrq7hk7tndk6phpvu99nzsnlxsdpqp9d2ac5xnq0yusyrqpnkh6n'>nevent1q…kh6n</a><br/>_________________________<br/><br/>As a German Shepherd owner, I nearly always keep her on at least an extendable lead. This is the advice I have always read. The only exception might be a very quiet, beach, but in reality I don&#39;t as she would eat sand or get it down her ear.<br/>Some dogs need to train their owners better. Complete idiot, and dangerous with it.<br/>Hope you and Summer are safe. 2025-02-07T21:25:05Z https://njump.me/nevent1qqswxekqt5vfyqgjh0deha03pjmwy7r6gqhqfrf9p48rka0nv0shv5szyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyc5ljwf In reply to <a href='/nevent1qqspfdnkh84rh2hurwvts5g5xlpe2yrhz03qxmu5y7jazfn55ekn9zgumr7fh'>nevent1q…r7fh</a><br/>_________________________<br/><br/><span itemprop="mentions" itemscope itemtype="https://schema.org/Person"><a itemprop="url" href="/npub1pwnfayx94uzzwtv7ydy8fl7gg2agsu0hx3q97xut2s6c6784hefsvc33tq" class="bg-lavender dark:prose:text-neutral-50 dark:text-neutral-50 dark:bg-garnet px-1"><span>Obsidian Urbex Photography</span> (<span class="italic">npub1pwn…33tq</span>)</a></span> <br/>I&#39;m sure baseball is not your first interest, but this is a fascinating look at a disused baseball ground. This stadium was used at the level below the Major Leagues, and I guess the equivalent of a County Cricket Ground, such as Taunton or Canterbury. 2025-01-25T14:21:11Z https://njump.me/nevent1qqsv9ldm68k9dx74t2fq303xkk3wd9dttks3wa86kkjcutc26uy9x3czyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpys9vulq In reply to <a href='/nevent1qqs0z7tx5z49n9sc784wec6rn05nrnvzdwt4ju7hfjpqza9cl3n4dwschhuye'>nevent1q…huye</a><br/>_________________________<br/><br/>Excellent post. Only a tiny % of people in this country have any idea about farming. The mental health problems this creates in the farming community are immense.<br/>Farmers are stuffed by the supermarkets, ignored and misled by politicians, and out of sight to the general public.<br/>It is also true that farmers can be their own worst enemy. There is also a huge problem of investment farmer/landowners. 2024-12-22T08:53:37Z https://njump.me/nevent1qqsx57gqc7te577vss40uyvkcwqgzpk7zezn6ksewtz24f8j452zj9qzyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyeehqjv In reply to <a href='/nevent1qqsgr46e2sd5pwdgxkdr9aqha4l0a9fyanah8qc3leltdl3e24fgwqs8nx4um'>nevent1q…x4um</a><br/>_________________________<br/><br/>There is a whole world of #HalfManHalfBuiscuit I particularly like &#34;Ground control to Monty Don.&#34; 2024-10-13T20:02:02Z https://njump.me/nevent1qqsw8js45gjf2zg36v43un0hmzxh560g7ex5cg9gr3ntq5fxkx7x5hczyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyu8typ7 In reply to <a href='/nevent1qqszfs24xeyx5l9zwdygvfuacglznkjpfuy5e0q6qynmcrrffxaq2xsyttlg2'>nevent1q…tlg2</a><br/>_________________________<br/><br/>A wonderful walk up Hergest Ridge with views across Shropshire Worcestershire Herefordshire and Powys. One of my favourite places. 2024-09-14T20:57:43Z https://njump.me/nevent1qqsw93wlpzarh0kna5mr08093kne2g36gj9qv7fja27wzcfne2z6axszyzyaes6qusrt05ywvsddetkpcm5wej7tmt7yzdc486xlyu5fgexpyrm488c In reply to <a href='/nevent1qqs96gyr65wgek7z0vamqkq4jumg3qad7kp05qgp54hvc5efu8j0gesfw2rvl'>nevent1q…2rvl</a><br/>_________________________<br/><br/>Nina Simone. 2024-08-09T20:19:07Z