Marsha David

Although seeing familiar faces, let me introduce myself: - currently work in emergency planning, response and resilience - health policy is my background working in finance, economic regulation, workforce and public health - here to learn from you, can’t do so in isolation! #medsky

#RandomThoughts 1. Escalations and triggers are the metrics for the day. 2. AI in policy…friend or foe? 3. Reflection versus risk? What leads to good outcomes in healthcare? 4. Being resilient amongst silence. 5. Quantum, quantum, quantum. #MyLifeAsMarsha

marshadavid.substack.com/p/a-pocket-o...

#RandomThoughts 1. System pressures continues to rise. 2. AI in healthcare…friend or foe? 3. Respiratory infections makes a blanket sweep. 4. We have forgotten how think in analogue in healthcare. 5. The walking pad and weighted vest are out. #MyLufeAsMarsha

#RandomThoughts 1. Movement is medicine. 2. Boxhill bound. 3. Entering a new era, buying myself a coffee flask. 4. The beauty of autumn. 5. We are all somewhat flawed, but there’s beauty in imperfection.

#RandomThoughts 1. Frozen fingers and toes, the start of Autumn. 2. The NHS is getting “hot” whenever there’s a dip in temperature. 3. Making the most of non working days. 4. Spinning multiple plates. 5. A week of self care followed by a full working week. #MyLifeAsMarsha

#RandomThoughts 1. NHS “winter” has started. 2. In full autumnal flow. 3. Loving my coffee flask. I’m in a different era of my life now. 4. Hanging on to my younger self with a pencil case. 5. Another 20 km walk planned for this weekend. #MyLifeAsMarsha

#RandomThoughts 1. Aced presentation on personal resilience 2. Wearing Libby, my autumn treat. 3. Networking today of a different kind. 4. Ex marks the spot 5. Learning to apply logic, listening to the heart, informing your gut instinct and following through with it takes discipline #MyLifeAsMarsha

#RandomThoughts 1. We seem to be lost in the detail, forgetting to talk to each other. 2. Rainy Manchester. 3. The parenting role that no one likes, being the PA. 4. Le Cruset Cerise coffee mug is a treat. 5. Just need to treat myself to a coffee flask, life will almost be complete. #MyLifeAsMarsha

#RandomThoughts 1. If it’s a non-working day, then why am I working? 2. Strava keeps me motivated. 3. The psychological and collateral damage of restructure. 4. Resilience a word that is thrown around that feels heavy. 5. Coffee on repeat. #MyLifeAsMarsha #work #wellbeing

#RandomThoughts 1. EPRR means anything and everything, it’s not 9-5. 2. Vivaldi’s Winter on a continuous loop is a vibe. 3. Doing interviews on my day off. 4. A Bumble Biscuit date turns out to be a conference biscuit 🥱 5. To be a fellow or not to be one. #MyLifeAsMarsha #workculture

#RandomThoughts 1. Can a skills matrix really identify a training & development need? 2. Planning for an NHS winter. 3. 🏃‍♂️ in the rain is a different vibe. 4. Going to my first writer’s workshop. 5. My leadership style has been tested in recently testing my resilience. #MyLifeAsMarsha #workculture

#RandomThoughts 1. Listening to classical music on my way to work. 2. EPRR is the profession evolving? 3. NHS winter planning should cover the entirety of the health system not just acute services. 4. What will the week unfold 5. ☕️ on tap, writing in earnest. #MyLifeAsMarsha #workculture #health

#RandomThoughts 1. Describes the week I’m having 2. Holding space can be painful when there’s only silence. 3. To be calm amongst a storm of emotions means being washed up on the shore. 4. Democracy. What democracy? 5. I’ve met my poetic match. #MyLifeAsMarsha #workculture #parenting #relationships

#RandomThoughts 1. I’ve been burning slowly just not pouring kerosene. 2. The power of the block button. 3. Planning for holidays next year. 4. It has been a pottering/cleaning kind of day. 5. Designer hanging baskets have been bought! #MyLifeAsMarsha

#RandomThoughts 1. Ready to run along the Rhine. 2. An unexpected love that is Bonn. 3. Starting over means drawing a line in the sand. 4. Stefan’s Wine Paradise…! 5. Castles and more castles. #MyLifeAsMarsha #Germany

#RandomThoughts 1. Bonn such an understated beauty. Beethoven’s home. 2. Those Rhine Valley views are to die for. 3. We didn’t get lost on the trains. 4. The tranquility of Sankt Goar. 5. Castles galore. #MyLifeAsMarsha #Germany

marshadavid.substack.com/p/chosen?r=3...

#RandomThoughts 1. From distraction to dead end. 2. Following that bend in the river. 3. Embracing my “swan” moment. 4. The continuous flow of movement for the body and mind. 5. Gold and pink zebra print shoes, to be seen differently. #MyLifeAsMarsha

#RandomThoughts 1. The only way is Essex. 2. Leigh-on-Sea and Shoeburyness, a lovely surprise. 3. The next walk will be from Grays exploring the Thames via marshes. 4. Solo walks take courage. 5. Walks like this are tonic for the soul. #MyLifeAsMarsha #10kmWalks

I do not normally re-read what I write, but this BMJ blog I wrote three years ago and was edited came to mind this evening whilst reflecting on NHS senior management. blogs.bmj.com/bmjleader/20...

There will be a crane in operation behind Maidstone Hospital on Monday 17 August, 9am - 4pm. Maidstone Birth Centre will maintain full emergency access. If you’re coming by car, you’ll need turn into the main hospital entrance road and go left around the perimeter road to reach the Birth Centre.

#RandomThoughts 1. Crocodile tears over Jason Arday…earlier posts being deleted 2. The Farage investigation resumes, wasting taxpayers’ £££ 3. When the “lights on” of operations fails wider situational awareness 4. Good to see more Trinis in 🩰 5. Poetry + music = magic ✨ #MyLifeAsMarsha

#RandomThoughts 1. Floral Friday without the bouquet 💐. 2. Showing up in ways that matter takes courage. 3. We learn to sit with discomfort, difficult decisions to be made. 4. To my pot of gold at the end of the 🌈 Super 📅 5. Always on pointe 🩰 yet we dance to our own song 🎵 #MyLifeAsMarsha

#RandomThoughts 1. Transition bloodshed. 2. When the focus is on escalation rather than de-escalation. 3. Policy grounded in operational delivery or policy centred on people? 4. Sometimes you need to leave others behind. 5. The destination is only part of the journey. #MyLifeAsMarsha

#RandomThoughts 1. The integration unravels like loose thread. 2. Holding my ground. 3. The pigeons are having my breadcrumbs. 4. I love Daimon, my text buddy. 5. Wearing a yoga jumpsuit when I’m rubbish at yoga 🧘🏽‍♂️ #MyLifeAsMarsha

#RandomThoughts 1. I have zero tolerance for rides, which extends to dating 2. To lead or not to lead that is the question 3. Never drink espresso at 4 pm. 4. Happiness is overrated. 5. Being grounded is a strength we rarely appreciate. #MyLifeAsMarsga

#RandomThoughts 1. Walking 10 km per day. 2. I’ve taken to wearing white. 😅 3. Looking forward to my Germany holiday. 4. Antibes….I love you, can’t wait to return. 5. Bumble is taking a positive turn after 1000 likes. #MyLifeAsMarsha

#RandomThoughts 1. Doing a 10km walk every day. 2. Exploring Antibes 3. Matisse was a dream 4. Should’ve booked this place for longer. 5. Coffee is calling. #MyLifeAsMarshs

#RandomThoughts 1. Did my first 10km with a night run. 2. Exploring the museums with dinner afterwards. 3. Looking forward to Germany in August. 4. Enjoying my natural beauty with beach hair and sun-kissed skin. 5. i need to travel more often. #MyLifeAsMarsha

#RandomThoughts 1. The ex may have found the place, helped with flights and travel guide but reclaim this holiday as my own 2. Promenade des Anglais ♥️ 3. Beach in 30 degree heat is bliss. 4. Loving the diversity. 5. Feeling relaxed and refreshed, a good reset. #MyLifeAsMarsha

#RandomThoughts 1. Count Binface is on Substack! 😉 2. Need to sit with the uncomfortable. 3. The words are flowing for this essay. 4. Shorts of what kind? Bermuda? Cut offs? Capri? 5. I’ve been matched with a therapist and a journalist. I’m all for communication. #MyLifeAsMarsha

The makings of an essay that I’ll probably rewrite in first person. #MyLifeAsMarsha open.substack.com/pub/marshada...

#RandomThoughts 1. I wish I didn’t have to learn new phrases in relationships, but a new one for me is “monkey branching”. 2. Writing another essay. 3. Jane Austen experience…awesome. 4. Gentle exercise for the mind. 5. Coffee for the win. #MyLifeAsMarsha

Confirmation ahead of the publication of the Amos Review today that the Government will appoint a new Maternity and Neonatal Commissioner. The post-holder will co-chair the National Maternity and Neonatal Taskforce with the Secretary of State. www.gov.uk/government/n... #patientsafety

#RandomThoughts 1. Going live, followed by silence. 2. The thorny issue of integration 3. Mentally tired from dating, but still thinking of the DA 4. I’m at my heaviest and don’t like it. 5. Need to review my friendship circle #MyLifeAsMarsha

Thinking of those who died in the train crash, who suffered injuries both mental and physical and to those who helped. That Friday can almost be described as a tragedy.

#RandomThoughts 1. Quiet quitting. How does that work? 2. Distance. Distaste. Disgust. 3. Rita Ora vibes. 4. Smouldering heat beckons. 5. Ready for the weekend. #MyLifeAsMarsha

#RandomThoughts 1. These Instagram salads actually do work, although the speeded up videos make my head spin. 2. Self care day with a massage and ballet. 3. There’s a need to write today. 4. Back in the office tomorrow. 5. Turmeric/lemon/black pepper hot drink is an acquired taste. #MyLifeAsMarsha

My favourite placard from today in Glasgow

#RandomThoughts 1. 🙏🏽 @drivana.bsky.social for an indirect invite to Educators Against the Far Right 2. Dignified jog/walk from @soasuni.bsky.social to London Liverpool St. 3. I’ve taken on a poisoned chalice. 4. Dates and walnuts are the new snack 5. Being blindsided…a new one #MyLifeAsMarsha

#RandomThoughts 1. Possible podcast coming soon talking about my dating experiences. 2. Need to plan for uni open day. 3. The cracks are already showing at work. 4. Self care has been booked! 5. Damn that dismissive avoidant in my life. #MyLifeAsMarsha

#RandomThoughts 1. Restructure brings uncertainty, quiet quitting, but the work still remains, everything being business critical 2. Undermined yesterday, where my role was simplified to managing an inbox 3. Bad behaviours, and an even worse culture comes to the surface #MyLifeAsMarsha #workculture

Walking the Grand Union Canal from Kensal Green to Camden. Very scenic, strong contender for a morning run. #CanalWalks #MyLifeAsMarsha

This week has been the rest I’ve needed being able to potter in the back garden, go on a picnic and do my running. Everything low key but much needed as I’ve got a busy week ahead. #worklifebalance #mylifeasmarsha

#RandomThoughts 1. As soon as he came, he left. 2. Unprecedented heat, so a picnic in the park is a must. 3. I need more love, light, and flowers in my life. #MyLifeAsMarsha

#RandomThoughts 1. Ballet Bkack’s 25th anniversary show, pure nostalgia. 2. In 🇹🇹 there’s AC, in 🇬🇧 we open the window. 3. Another set of laundry. 4. Working this weekend…alas! 5. Second date with the “urban shepherd”. #MyLifeAsMarsha

#RandomThoughts 1. There are people praying - Labour leadership. 2. So many protests today in Central London, pls be careful. 3. Adjustable weighted vest - transformational. 4. Sometimes we need silliness to destress. 5. Quiet mornings are for pottering. #MyLifeAsMarsha

Presumably Alan Milburn will stay on as the actual health secretary

Voting in the BMA ballot for SAS doctor industrial action, and voting "yes". In all of the previous rounds of IA, SAS doctors have covered for resident doctors, we have covered for consultants, and we have kept the service safe. Our "reward" for this is that we have been forgotten.