Sally Gainsbury
@sallygainsbury.bsky.social
Senior Policy Analyst for the Nuffield Trust, writing and doing whatever-things-on-here-are-called about NHS funding, finance and healthcare equity
Understatement of the year award goes to the OBR for this footnote in today's report on the implications of the US-UK pharma trade deal on health spending. For reasons unknown, the OBR has NOT updated its economic assumptions on the drivers of cost in NHS spending, but has included this footnote >>
ICYMI: The UK signed a trade deal with the US that is increasingly being called into question 🔎 In a blog published by the BMJ, @sallygainsbury.bsky.social and James Lomas called for the deal's impact assessment to be released so its implications can be properly scrutinised. Read on our website 👇
US-UK medicines partnership: the impact assessment of the costs and benefits must be published
Sally Gainsbury and York University’s James Lomas argue that the terms of the recent US-UK medicines agreement will clearly reduce the cost effectiveness of the NHS’s finite resources. The blog was or...
nuffieldtrust.org.uk
The US-UK trade deal will have a "very stark impact" on what the NHS can deliver for patients, says our Senior Policy Analyst @sallygainsbury.bsky.social on the latest @bmj.com podcast. Hear what the deal could mean and why greater transparency is needed. 👇
The US UK trade deal will cost the NHS billions, and only serve to increase pharma profits
Podcast Episode · Medicine and Science from The BMJ · 1 May · 43min
podcasts.apple.com
The gov's trade deal with the US means the NHS spend on branded meds will grow at least 4 X faster than the NHS budget as a whole. If you think that's possible without stark trade offs for what the NHS is able to do for population health, pls read our new piece here>> www.bmj.com/content/393/...
bmj.com
We've responded to reports that the NHS will pay a higher price for branded new medicines as a condition of a UK-US trade deal. Read the statement from @sallygainsbury.bsky.social 👇
Nuffield Trust responds to reports that NHS will pay more for branded new medicines
Sally Gainsbury responds to reports that the NHS will pay a higher price for branded new medicines.
nuffieldtrust.org.uk
Trump and pharma are lobbying gov hard to water-down the NHS’s ability to contain spending on new branded drugs. Today’s long read from me and the LSE’s Huseyin Naci sets out why the gov should hold firm to protect the health of the NHS and UK public nuffieldtrust.org.uk/news-item/th... >>
The tough choices at the heart of the government’s dispute with big pharma
The government has been locked in a dispute with pharmaceutical companies for a number of months over how much the NHS pays for new branded medicines. Sally Gainsbury and Huseyin Naci set out the issu...
nuffieldtrust.org.uk
Editorial from me and LSE’s Huseyin Naci on the government's bid to use the NHS as a means to attract more med tech and pharma investment into the UK. TLDR: great for profits, less great for getting the most value for patients out of the NHS www.bmj.com/content/390/...
Growth or bust. The one where the purpose of the NHS is to rescue capitalism: www.nuffieldtrust.org.uk/news-item/an...
An engine for economic growth? Why it won’t be a piece of cake for the NHS
With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...
nuffieldtrust.org.uk
NEW: A long read from @sallygainsbury.bsky.social examines a conundrum for policy makers: How can the NHS meet public demand while also positioning the NHS as an engine for economic growth? www.nuffieldtrust.org.uk/news-item/an...
An engine for economic growth? Why it won’t be a piece of cake for the NHS
With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...
nuffieldtrust.org.uk
The quaint idea the #NHS exists to improve health has been supplemented with the idea it can also drive economic #growth. My thoughts on the gamble the gov is making by inviting in more tech- and pharma- and whether we’ll end up with less as a consequence: www.nuffieldtrust.org.uk/news-item/an...
nuffieldtrust.org.uk
ICYMI: Senior Policy Analyst @sallygainsbury.bsky.social discussed the 10 Year Health Plan on this week's episode of Inside Health. Listen back 👇 www.bbc.co.uk/sounds/play/...
Inside Health - Can the ten-year plan save the NHS? Heart scans with AI, and who invented condoms? - BBC Sounds
The PM says it's 'reform or die' for the NHS, we discuss ambitious plans to restructure it
bbc.co.uk
gregfellpublichealth.wordpress.com/2025/07/05/p... Polygenic risk scoring and precision prevention Cynics view
Polygenic risk scoring and precision prevention
I’ve had occasional long and at times difficult correspondence with various bodies who are busy promoting polygenic risk scoring who want me to be a “strategic partner” or something (ie “Greg Fell …
gregfellpublichealth.wordpress.com
🆕 Following recent press speculation that the UK may soon agree to pay more for drugs used within the #NHS as part of a trade deal with the USA, we asked experts @markgdayan.bsky.social and @sallygainsbury.bsky.social to explain the situation. 💊
Trump, medicines and the NHS
Following recent press speculation that the UK may soon agree to pay more for drugs used within the NHS as part of a trade deal with the USA, we spoke to Mark Dayan and Sally Gainsbury to discuss the ...
nuffieldtrust.org.uk
The government has set the NHS’s budget for the next 3 years, now it needs to be realistic about its priorities - my comment piece in the BMJ: www.bmj.com/content/389/...
Spending review leaves a greater need for clarity on healthcare priorities
The notion that the health service has emerged as a “winner” from the chancellor’s spending review is a bit like congratulating someone who has just won back the face value of a scratch card. It certa...
bmj.com
The #NHS settlement from the #spendingreview may look generous, but it soon melts away in the context of existing commitments - govt must be clear about the compromises. Social care is also unlikely to see the transformation we were promised. @sallygainsbury.bsky.social response 👇
Nuffield Trust response to the Spending Review
nuffieldtrust.org.uk
Ahead of the SR next week, my long read today looks at where the £22.6bn extra cash chancellor Reeves added to health spending in England for this year has gone. A thread >>
What does today's #SpringStatement mean for health and social care? 💷 Read our response from @sallygainsbury.bsky.social to find out some of the most important takeaways. 👇
Nuffield Trust response to the Spring Statement
Sally Gainsbury responds to the Spring Statement.
buff.ly
It's going to be a busy week in the public finances, with the Spring Statement on Weds. Our small team of #NHS & social care funding analysts will be poring over the detail. If you fancy joining us for the NEXT fiscal event, see here>> Closes 23.59 Weds >> www.nuffieldtrust.org.uk/job/fellow-f...
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
nuffieldtrust.org.uk
A must-read report from my colleagues here >>>
Mark Dayan@markgdayan.bsky.social · last yr.Today with @cglobont.bsky.social @tamarahervey.bsky.social and excellent colleagues not on Bsky we publish our final Brexit report on how health and care in the NHS have pulled apart from Europe, and the consequences – funded by @healthfoundation.bsky.social www.nuffieldtrust.org.uk/research/hea...
Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>
Nuffield Trust@nuffieldtrust.org.uk · last yr.WE'RE HIRING: The Nuffield Trust is looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services. #ResearchJobs #ThinkTankJobs Find out more and apply here. 👇
Me in the FT on the economic imperative behind this week’s move to abolish NHSE www.ft.com/content/4331...
This essay which is free to read in The Times this weekend is essential reading on the real harms created by over-diagnosis, including the inequity it creates when those most in need are crowded out: www.thetimes.com/comment/colu...
Our new health crisis — we’re diagnosing too much, too early
Spotting disease early can save lives but advances in medicine have produced an epidemic of overdiagnosis — and in many cases this is doing more harm than good
thetimes.com
🚨 NEW BLOG: #NHSEngland is being scrapped, but the reasons for its rise and fall are not going away. @markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago. www.nuffieldtrust.org.uk/news-item/th...
The reasons for NHS England's rise and fall are not going away
With the news today that NHS England will be abolished, Mark Dayan and Leonora Merry look at how far things have changed since NHSE was created 12 years ago.
nuffieldtrust.org.uk
If you're wondering how far abolishing NHS England will go to filling the NHS's £6.5bn funding gap for the year ahead, the answer is: not very. NHSE spent a total £1.8bn on staff last year, of which £400m was on staff working for local NHS orgs. Many of these posts will need to continue in DHSC
As NHS England’s chiefs sit down with local trust chairs and chief execs to discuss a “financial re-set”, a quick reminder of how difficult the financial situation is in the NHS right now. A short thread >>
Government this week: “we need to get people off out-of-work benefits”. Also the gov this week: “we need to get rid of 1000s of low paid civil servants and replace them with AI”. Genuinely interested in how that vicious circle can be squared
The financial situation in the NHS right now is seriously bleak. If you are interested in joining our small team of researchers dedicated to bringing the facts to public debate and holding those in power to account, do check out our newly-created post: www.nuffieldtrust.org.uk/job/fellow-f...
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
nuffieldtrust.org.uk
🆕 Ahead of this week’s Nuffield Trust Summit, our Chair Martin Marshall picks out some highlights from the two-day programme and explains why this year it’s so important to gather together to have difficult conversations about health and care. #NTSummit buff.ly/hglNcUU
Difficult conversations about the future of health and care
Ahead of this week’s Nuffield Trust Summit, our Chair Martin Marshall picks out some highlights from the two-day programme. He explains why this year it’s so important to gather people together at the...
buff.ly
Tomorrow, you can tune in to a discussion with #NHS 10 Year Plan Director @sallywarren.bsky.social at our Summit. How can the plan succeed? #NTSummit Find out more about the livestream here: events.zoom.us/ev/Ahm9SLEL2...
