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Andy Cowper

@hpiandycowper.bsky.social

Freelance journalist: writes about health policy and politics of the English NHS in weekly column (£) ‘Cowper’s Cut’ on www.healthpolicyinsight.com.

created October 2, 2023

4,488 followers 1,469 following 1,572 posts

view profile on Bluesky

Posts

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

“ … strung round them with industrial cable ties. The fact he has not yet done so can only mean he does not love his country.” Majestic by @tompeck.bsky.social www.thetimes.com/uk/royal-fam...

17/9/2025, 10:55:24 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

“Now’s not the time, but eventually questions will have to be asked of His Majesty the King. Windsor Castle’s famous Long Walk is his own private high street: two solid miles of oak and horse chestnut trees, each one of which is frankly crying out to have some Chinese-made Union Jacks from Amazon

17/9/2025, 10:54:04 PM | 1 0 | View on Bluesky | view

Profile picture Ben Ansell (@benansell.bsky.social) reposted reply parent

Evolution? In a single year? Right after the Conservative Party lost power? Yes May I see it? No

17/9/2025, 1:18:41 PM | 28 1 | View on Bluesky | view

Profile picture Pete Turton (@peteturton85.bsky.social) reposted

Yeah mate in a way it’s our fault

15/9/2025, 9:19:43 AM | 4 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Ooooooooh www.theguardian.com/society/2025...

14/9/2025, 8:52:27 PM | 1 1 | View on Bluesky | view

Profile picture Jim Pickard (@pickardje.bsky.social) reposted

Bluesky isn’t perfect but at least its owner isn’t demanding violent insurrection in the UK from thousands of miles away

14/9/2025, 4:55:45 PM | 4817 899 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Oh no they’re not. More utter bullshit from the Boris Johnson Fanzine: www.telegraph.co.uk/business/202...

14/9/2025, 8:30:35 PM | 0 0 | View on Bluesky | view

Profile picture Sam Freedman (@samfr.bsky.social) reposted

Larry Ellison becoming the world's richest man has left Musk feeling Left Behind and that's why he's now embracing ethnic violence.

13/9/2025, 6:35:20 PM | 252 47 | View on Bluesky | view

Profile picture Duncan Robinson (@duncanrobinson.bsky.social) reposted

Shot, chaser Young men more likely to vote Green than Reform. Young men second most progressive group of any demographic. Combined right-wing vote barely bigger than Green vote alone for young men

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14/9/2025, 6:31:07 AM | 4115 1299 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Abby Dow!

14/9/2025, 4:07:20 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

“Now he has resigned over his secret dealings with a millionaire. It is hard to know what will cause his next downfall.” thecritic.co.uk/oh-mandy/

11/9/2025, 2:38:29 PM | 3 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

This, by @roberthutton.co.uk, is superb. “Like any real genius, Mandelson gives each of his falls from grace its own unique character. There was the time he resigned over secret dealings with a millionaire, and then of course the time he resigned over his secret dealings with a millionaire.

11/9/2025, 2:38:06 PM | 18 2 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

AI HAS found its true purpose

11/9/2025, 2:31:49 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

“Matt Hancock Club: I'm gonna keep on dancing at the Matt Hancock Club I'm gonna keep on dancing down in West Sussex I'm gonna keep on dancing at the Matt Hancock Club, Matt Hancock Club …”

10/9/2025, 9:49:35 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

“God, what have you done? You're a Matt Hancock girl And you dance at the club Oh mama, I'm just having fun On the stage in my heels It's where I belong down at the Matt Hancock Club

10/9/2025, 9:48:23 PM | 4 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Kate IS in Unibond Northern League

9/9/2025, 8:55:34 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Both, inevitably.

9/9/2025, 8:21:51 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

I’m a league table.

9/9/2025, 8:21:50 AM | 3 0 | View on Bluesky | view

Profile picture Craig (@craig.nikolic.co.uk) reposted reply parent

What have the French done to you to even suggest such a thing?! We can loan them Liz Truss if they want though.

8/9/2025, 6:28:06 PM | 2 2 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

We shouldn’t rule it out

8/9/2025, 6:25:58 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Of course, the French have yet to try Matt Hancock as Prime Minister.

8/9/2025, 6:20:39 PM | 6 0 | View on Bluesky | view

Profile picture Simon Wheeler (@simonwheeler.bsky.social) reposted reply parent

Love this. Younger patients basically asking "What's a letter?" and being told that it's like a text but much longer and takes about three weeks to get sent out to you, and you can't reply to it except by using the talky app on your phone.

8/9/2025, 3:44:41 PM | 4 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

I AM still doing this (this IS how it works)

8/9/2025, 1:39:57 PM | 2 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Matt Hancock is the unspeakable in pursuit of the uneatable.

8/9/2025, 1:39:24 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

But a bit less frequently nowadays.

8/9/2025, 12:11:40 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

We DO still do this.

8/9/2025, 12:02:16 PM | 1 0 | View on Bluesky | view

Profile picture John Williams (@johnhuww.bsky.social) reposted reply parent

Prefabricated as well truly back to foundational principles..

8/9/2025, 11:50:44 AM | 1 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

And as a little Monday morning treat, I’m putting my latest weekly column on English health policy and politics outside the paywall for an hour or so: www.healthpolicyinsight.com/cowpers-cut-...

8/9/2025, 9:52:15 AM | 7 2 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Highly recommend @davewwest.bsky.social on why and how politicians are ‘taking back control’ of the NHS: www.hsj.co.uk/comment/how-...

8/9/2025, 9:48:15 AM | 7 6 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Looks as if PFI is coming back to build the new wave of Darzi Centres: www.ft.com/content/91d0...

8/9/2025, 9:47:12 AM | 1 5 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

It’s almost as if Aseem Malhotra were a totally incredible figure. How on earth could The Farage Party endorse such a total fraud? www.theguardian.com/politics/202...

6/9/2025, 5:53:57 PM | 49 18 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

She’s here She’s there She’s every something where: Jess Breach Jess Breach.

6/9/2025, 5:49:02 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Really good article. worksinprogress.co/issue/libert...

6/9/2025, 10:58:41 AM | 2 3 | View on Bluesky | view

Profile picture Henry Anderson (@henryanderson1.bsky.social) reposted

Exclusive: This summer's round of resident doctor strike action cost the NHS £300m, internal docs show. Health service has effectively been told to find the money from existing budgets and is introducing spending freeze w @kituno.bsky.social www.hsj.co.uk/workforce/ex...

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5/9/2025, 6:49:10 PM | 2 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Farage is blowing this speech

5/9/2025, 12:20:32 PM | 1 0 | View on Bluesky | view

Profile picture Paul Roberts (@paulrobertsnhs.bsky.social) reposted reply parent

They must use an ok computer.

5/9/2025, 9:31:04 AM | 3 1 | View on Bluesky | view

Profile picture Josiah Mortimer (@josiah.writes.news) reposted

This will (understandably) get buried today, alas. But then so will Reform conference as a whole, given the timing of Rayner's resignation

5/9/2025, 11:22:48 AM | 166 87 | View on Bluesky | view

Profile picture Leigh Booker (@leighbooker.bsky.social) reposted

“Farage claimed last year to have “bought a house” in his constituency, but the property is actually owned in the name of his partner, meaning he legally avoided higher-rate stamp duty on the purchase of an additional home” www.theguardian.com/politics/202...

5/9/2025, 7:50:58 AM | 157 81 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Got mine after about an hour. Stay hopeful!

5/9/2025, 11:27:53 AM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Got mine after about an hour. Stay hopeful!

5/9/2025, 11:27:48 AM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Angexit

5/9/2025, 11:27:22 AM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

The Radiohead registration system to get a chance of entry for their ticket ballot(ish) works! Hurrah!

5/9/2025, 9:21:59 AM | 1 0 | View on Bluesky | view

Profile picture Chris Dillow (@chrisdillow.bsky.social) reposted

What the world needs: peace, justice, prosperity. What it's getting: another bleeding Substack: chrisdillow.substack.com This has most of my old Typepad posts (the less execrable ones) since the start of 2021. More may be added.

4/9/2025, 11:20:04 AM | 62 17 | View on Bluesky | view

Profile picture Chris Terry-Enescu (@cjterry.bsky.social) reposted

Well this made me cry.

3/9/2025, 9:42:03 PM | 317 92 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

James was previously at TikTok; and before that, deputy director and then director of communications at NHS England.

1/9/2025, 12:11:11 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

“James Lyons, Downing Street’s director of communications for strategy, is stepping down.” www.theguardian.com/politics/202...

1/9/2025, 12:09:44 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Thirty-one years later, the power of this interview is absolutely undimmed. youtu.be/XpnyPl8-ZcQ

31/8/2025, 1:37:12 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

“If there’s something strange In your neighbourhood, Who you gonna call? MATT HANCOCK! If there’s something weird And it don’t look good, Who you gonna call? MATT HANCOCK!”

29/8/2025, 1:33:05 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Mast have to use that line, please.

27/8/2025, 4:35:14 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

This by @samfr.bsky.social is depressingly convincing - and full of really good observations. open.substack.com/pub/samf/p/t...

27/8/2025, 4:34:43 PM | 16 3 | View on Bluesky | view

Profile picture redneeraj.bsky.social (@redneeraj.bsky.social) reposted reply parent

They had to move it inside because there was no more room in the graveyard of NHS 10 year plans.

27/8/2025, 2:01:08 PM | 3 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

EXCLUSIVE: revealed - the ‘delivery’ section of The NHS Ten-Year Plan.

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27/8/2025, 1:55:07 PM | 6 2 | View on Bluesky | view

Profile picture Sunder Katwala (sundersays) (@sundersays.bsky.social) reposted

The Express leads the website on "fresh chaos" at protests, referencing some "pushing and shoving" in Bristol yesterday Today they have a livestream of almost nobody in Canary Wharf, growing to 20, and "30-40 people shout at a window" in Castle Bromwich, Birmingham to back that up

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24/8/2025, 3:02:12 PM | 86 38 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Thanks John, will try them

21/8/2025, 11:41:38 AM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Yes, the smaller ones are less bad this year, but even in France and Italy, the quality is noticeably poor overall. And with this level of sunshine, I find it hard to know why.

21/8/2025, 11:40:46 AM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Why are shop-bought tomatoes so very tasteless this year?

21/8/2025, 9:32:37 AM | 3 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Sorry to hear it: hope you are mending soon.

17/8/2025, 8:43:51 PM | 2 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Fabulous article www.ft.com/content/5526...

17/8/2025, 11:29:32 AM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Ah, temporarily got a sub. Let me know if you need something

13/8/2025, 8:23:35 PM | 1 0 | View on Bluesky | view

Profile picture Professor Judith Smith (@profjudithsmith.bsky.social) reposted

Will they never learn? Reorganisation of NHS structures and management rarely delivers expected benefits or savings, but instead caused ‘redisorganisation’, as @kieranwalshe.bsky.social David Hunter I wrote about for @bmj.com in 2001…. www.bmj.com/content/323/...

10/8/2025, 10:30:07 AM | 27 14 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Almost a year ago, I did this podcast with The Two Matts of ‘The New World’. podfollow.com/2matts/episo...

8/8/2025, 1:55:44 PM | 1 0 | View on Bluesky | view

Profile picture Robin Conibere (@pharmrj.pharmsky.app) reposted

Please sign my petition requesting @hpiandycowper.bsky.social changes his bio to state ✨Matt Hancock Stan Account✨ (*MUST* include stars) as he does a lot more of that than healthcare journalism petition.parliament.uk/petitions?st...

5/8/2025, 6:47:40 PM | 4 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

I endorse this message

5/8/2025, 8:00:17 PM | 4 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Hancocks Touching Hancocks: Reaching out, Touching me, touching you! Sweet Matt Hancock! (Bah-bah-baaah) Good times never seemed so good. I've been inclined To believe they never would.

5/8/2025, 6:41:34 PM | 3 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

This, by the brilliant @nigel-edwards.bsky.social, is first-class: www.linkedin.com/pulse/nhs-pl...

5/8/2025, 7:45:48 AM | 3 0 | View on Bluesky | view

Profile picture Sam Freedman (@samfr.bsky.social) reposted reply parent

Numbers of students are down 1.9% as opposed to the 25% predicted by the Independent Schools Council and various right wing think-tanks.

4/8/2025, 7:23:25 AM | 194 36 | View on Bluesky | view

Profile picture Sam Freedman (@samfr.bsky.social) reposted

The headline here should say: "Number of private schools increases by 35 - showing fears of an exodus to be unfounded". (The increase is mentioned way down the article.) www.thetimes.com/article/19ef...

4/8/2025, 7:22:03 AM | 1724 718 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

There but for the grace of Matt Hancock go I.

4/8/2025, 12:37:10 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

God bless the Boris Johnson Fanzine: single-handedly keeping satire alive and well www.telegraph.co.uk/money/proper...

1/8/2025, 11:36:45 AM | 6 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

It’s still a fantastic and necessary read: archive.org/details/on-b...

1/8/2025, 9:14:38 AM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Twenty years … bloody hell www.thetimes.com/culture/book...

1/8/2025, 9:11:14 AM | 0 1 | View on Bluesky | view

Profile picture Timothy McBride (@mcbridetd.bsky.social) reposted

Moderna lays off 10% of workforce in further cost-cutting move www.statnews.com/2025/07/31/m...

31/7/2025, 12:28:04 PM | 5 3 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Hurrah!

31/7/2025, 12:28:37 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

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30/7/2025, 6:07:25 PM | 8 2 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Oooooh, NHS England’s strategy movie is on Film Four right now!

29/7/2025, 8:05:34 PM | 5 2 | View on Bluesky | view

Profile picture Martin Robbins (@mjrobbins.com) reposted

For the evening crowd: how the 1980s were an alien world, making it hard for generations to comprehend each other.

29/7/2025, 4:38:02 PM | 12 3 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

“I’ll send an SOS to the world I’ll send an SOS to the world I hope that someone gets Matt I hope that someone gets Matt I hope that someone gets Matt Hancock in a bottle Yeah Hancock in a bottle Yeah.”

29/7/2025, 4:19:33 PM | 4 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Oh, Spain will be kicking themselves

27/7/2025, 7:03:23 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

I know!

27/7/2025, 6:36:01 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Playing rope-a-dope, letting Spain just attack and attack, is an intriguing tactical approach.

27/7/2025, 6:24:58 PM | 2 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Mmmmmmmm

27/7/2025, 6:21:11 PM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

He was brilliant.

27/7/2025, 6:10:35 PM | 2 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

It is astonishing that England are still in this: their possession has been so wasteful.

27/7/2025, 6:09:48 PM | 6 0 | View on Bluesky | view

Profile picture Otto English (@ottoenglish.bsky.social) reposted

In "Legitimate Concerns" news. 41% of the 899 arrested for taking part in Farage Riots last year had been reported for crimes associated with intimate partner violence. For those arrested by one police force, this figure was 68%. www.theguardian.com/society/2025...

26/7/2025, 12:32:33 PM | 1789 904 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Well done Australia: a brilliant performance.

26/7/2025, 11:58:51 AM | 0 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

“Let’s SPORT!!!!!!!!!!”

26/7/2025, 10:04:00 AM | 2 0 | View on Bluesky | view

Profile picture Chaminda Jayanetti (@cjayanetti.bsky.social) reposted reply parent

"Raise progressive taxation but in a way that everyone will hate" says IMF

26/7/2025, 6:51:07 AM | 7 1 | View on Bluesky | view

Profile picture Craig (@craig.nikolic.co.uk) reposted reply parent

“Hey you with some money, you know how you REALLY hate taxes on your estate after death? Well, here’s another tax on when you’re ill and dying, and the more ill you are the more you pay!”

26/7/2025, 7:00:37 AM | 3 1 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Idiots

26/7/2025, 10:02:36 AM | 2 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Trying to make sport interesting to people who don’t like sport is weird.

26/7/2025, 10:01:58 AM | 3 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Oh, the hype before sport is so, so dull.

26/7/2025, 10:01:32 AM | 3 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Good old the IMF www.ft.com/content/26c4...

26/7/2025, 6:49:04 AM | 7 1 | View on Bluesky | view

Profile picture James Ingram (@ingyingram.bsky.social) reposted

@hpiandycowper.bsky.social someone beat you to it

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23/7/2025, 12:52:15 PM | 2 2 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Arse-licking a nominal head of state is not a great look.

22/7/2025, 7:05:28 PM | 1 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

Maybe she doesn’t want to win.

22/7/2025, 7:04:47 PM | 4 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

Bizarre that Kemi Badenoch hasn’t brought Matt Hancock back from the Lords to reinforce Conservative firepower.

22/7/2025, 7:04:27 PM | 3 0 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social) reply parent

The unnecessary key change is such a vibe

22/7/2025, 6:57:06 PM | 1 0 | View on Bluesky | view

Profile picture Alice Lilly (@aliceolilly.bsky.social) reposted

The Italian national anthem is just an absolute 12/10 banger

22/7/2025, 6:56:34 PM | 21 3 | View on Bluesky | view

Profile picture Andy Cowper (@hpiandycowper.bsky.social)

It must be handy having a national anthem that’s not an utter dirge

22/7/2025, 6:56:30 PM | 10 0 | View on Bluesky | view