Charles Tallack

@charlestallack.bsky.social

Ex-director of analysis @HealthFdn,ex-Whitehall civil servant & NHS England. Love ideas, numbers, analysis, evidence, debate and challenge. Views my own.

If this had been policy in the 70s (as it partly was), towns would have produced lots of mining engineers & metallurgists just before pits & steelworks closed. As the yanks say, you should skate to where the puck's going, not to where it is. www.theguardian.com/politics/202...

Burnham to tell schools in England to adapt teaching to local business needs

PM wants curriculums for students aged 14 and above to be more responsive to local jobs market

theguardian.com

Excellent piece on how inequality manifests itself in ways that aren’t measured by official statistics. Economics does itself a profound disservice when it neglects imbalances in power.

Which gets us to the crux. It's plausible that these inequalities of power have contributed to (pdf) economic stagnation. Bankers' power to extract implicit subsidies and to avoid tight regulation contributed to the financial crisis. Billionaires' control of the media tipped the balance towards Brexit, and prevents intelligent and meaningful analysis of policy not least by keeping some issues off the agenda and others on it. The mega-rich invest resources that could be spent on new technologies instead in efforts to preserve their wealth, for example by entrenching (pdf). hierarchies or by lobbying for favourable regulation and copyright laws that stifle competition. Weak trades unions and strong management power have encouraged increased exploitation rather than investments in labour-saving technologies. And big corporate hierarchies encourage office politicking; cultivating skills which management can easily assess rather than more useful ones; and incentivize short-termism (pdf) at the expense of healthy corporate cultures.

A puzzling BBC headline yesterday, following publication of the ONS inflation estimates. Bread and cereals together account for only 1.8% of the CPI basket. Their price dropped by 2% between Dec and Jan, but the contribution to the fall in inflation is surely minimal?

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Great analysis. It was also clear from the beginning it wouldn't work. Guy's and St Thomas's was the model for all this, but after starting the programme the trust's wait times fell slower than the national average and the theatre staff went on strike...

Charles Tallack@charlestallack.bsky.social · 6mo ago

On 14 January Wes Streeting said that waiting lists had fallen three times faster in 20 areas of the country where crack teams had been deployed. We’ve looked at this claim and have questions. 🧵 www.gov.uk/government/n...

Excellent thread as the Health Foundation adds further evidence the government are not being entirely transparent with claims of reduced waiting lists Fixing the NHS requires an honest appraisal of the challenges so we can allocate resources appropriately. The gov really needs to do better

Charles Tallack@charlestallack.bsky.social · 6mo ago

On 14 January Wes Streeting said that waiting lists had fallen three times faster in 20 areas of the country where crack teams had been deployed. We’ve looked at this claim and have questions. 🧵 www.gov.uk/government/n...

On 14 January Wes Streeting said that waiting lists had fallen three times faster in 20 areas of the country where crack teams had been deployed. We’ve looked at this claim and have questions. 🧵 www.gov.uk/government/n...

Waiting lists cut 3 times faster in highest joblessness areas

Waiting lists in 20 areas in England fall 3 times faster than the national average thanks to experts deployed by government to help supercharge NHS care.

gov.uk

DHSC published its impact statement for the 10 Year Health Plan this week (yes, that is 6 months after it published the plan) It's more measured and clear-eyed than the original document and quite a contrast to some of the effusive optimism in the plan Some of the things that caught my eye 👇

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The government says its ban on junk food ads will reduce the number of children living with obesity by 20,000 and remove 7.2 billion calories from diets. These numbers show that the ban is a step in the right direction. But they also reveal that it's a very small step. www.gov.uk/government/n...

Landmark junk food ad ban to protect kids' health

Children will be protected from exposure to junk food ads under new regulations, in a bid to tackle childhood obesity.

gov.uk

Long A&E waits are usually the result of a lack of free hospital beds. With 11% (13,000) beds, each day, occupied by patients who are "medically fit for discharge", reducing delayed discharges offers the opportunity to create more capacity without adding more beds.

How does the UK’s health compare? Researchers at LSHTM recently answered this by comparing age-standardised mortality rates (ASMR) across countries. This placed the UK 4th worst for females and 6th worst for males, out of 20. Surprisingly, UK does better than Netherlands (F) and Denmark (M).

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Intersectionality describes how demographic disadvantages can interact to amplify inequalities. But how to model this? New from colleagues in our analysis team: a case study of GP appmts & patient experience, illustrating the MAIDHA intersectional modelling approach. medium.com/healthfdn-da...

Intersectional modelling in health policy: a case study on remote GP appointments and patient…

Across nearly all aspects of health and health care, there are disparities between different demographic groups. These are often the result…

medium.com

In its 10 Year Health Plan, the government recommitted to halving the gap in healthy life expectancy (HLE) between the poorest and richest regions. But how? Our new analysis with the ONS points to the underlying factors which any plan will need to take account of. 🧵