Hugh Logan Ellis

@Doc_HLE

Trainee endocrinologist in South London.
Clinical lecturer at KCL
Interested in making better use of all that healthcare data

London Joined January 2020

162 Following 234 Followers 223 Posts

Latest posts 5

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Hugh Logan Ellis @Doc_HLE Sep 15

We can hand over someone’s age, diagnoses and NEWS and still not quite convey how unwell they are.

If you've ever thought for referrals, handovers, and lists that a common currency of "how sick is this pt" would be useful-

Then read our paper on FI-Lab:
journals.plos.org/plosmedicine/a…

journals.plos.org Evaluation of the FI-Lab, a laboratory-based, automated frailty index for acute care: A multicohort... In this multicohort study, Hugh Logan Ellis and colleagues optimize the laboratory-based frailty index for use as a general measure of illness severity across all adult ages and different healthcare...

Hugh Logan Ellis @Doc_HLE Aug 7

Weeks prior to rotation: new hospital emails rota, logins, induction materials needed for next job.

First day of new job: NHS mail has wiped your account.

Dr Robert Laurenson @RobLaurensonD4P Aug 6

Latest NHS mail changes are about to cause chaos to rotational members of staff.

Information governance strikes again.

There needs to be urgent reform.

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Hugh Logan Ellis @Doc_HLE Jul 3

The 68% reduction in early sepsis mortality reported in the times does not prove that "palantir tech saves lives"

Short thread - my PhD thesis was about using hospital data to do this sort of thing

Tom Harwood Verified account @tomhfh Jul 2

This is absurd. Palantir tech saves lives.

If the NHS can’t interpret its own data well it will continue to deliver substandard care.

In Florida, Palantir software has more than halved sepsis deaths. Down 68%. It spots trends early that humans can’t. Abandoning that for ideological reasons is *insane*.
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Hugh Logan Ellis @Doc_HLE Dec 12, 2025

"Why are early career doctors angry?" asks @DAaronovitch on BBC Briefing Room.
Two consultants who qualified in 1979 and 1990 are on to explain.
Part of it? Feeling that consultants don't understand their struggles. Funnily enough, that didn't come up.

Hugh Logan Ellis @Doc_HLE Oct 24, 2025

In the UK's national frailty screening tool, harmful alcohol use is weighted 25x more heavily than dressing problems
This improves prediction. But does it capture frailty?
New commentary with @Krockdoc in @age_and_ageing
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eFI2 scoring formula showing weighted coefficients for health conditions. Highest weights: harmful alcohol use (0.162), palliative care (0.061), falls history (0.074). Lowest weights: dressing/grooming problems (0.006), self-harm (0.001), respiratory disease (0.001). Score categorisation: Robust (0-0.0857), Mild frailty (0.0857-0.1624), Moderate frailty (0.1624-0.2392), Severe frailty (0.2392-1).