NEW REPORT: The abolition of NHS England presents a rare opportunity to reset the centre of the NHS, but it carries significant risks. Nuffield Trust and IfG researchers have spoken to experts involved in current and past reforms and assessed historical examples of major restructures.

Abolished to perfection? Building a better centre for the NHS

Reorganisation has been a regular feature of NHS history, but has often failed to deliver its goals. The abolition of NHS England marks the biggest restructure of the health service’s command structur...

nuffieldtrust.org.uk

NEW: There's much that the English NHS can learn from other countries' experience of shifting care from hospitals into communities. Here @sjanereed.bsky.social sets out the lessons from what's been happening in Denmark and Ireland👇 www.nuffieldtrust.org.uk/news-item/mo...

Moving care out of hospital: what can England learn from other countries?

With the 10 Year Plan for England having a strong emphasis on shifting more care out of hospitals and into the community, over the past year we have been studying other health systems which have had t...

nuffieldtrust.org.uk

It's been a landmark day for the NHS. But what does it all mean? We asked @becksfisher.bsky.social, Director of Research and Policy

Today's vote means assisted dying is likely for England & Wales. It is time to answer the hard questions about how to address concerns through its implementation - and face the gaps in end of life care MPs highlighted Reaction of @sarahscobie.bsky.social 👇 www.nuffieldtrust.org.uk/news-item/no...

Now assisted dying is likely to become reality, the debate on how it happens begins: Nuffield Trust responds to the passing of the Terminally Ill Adults (End of Life) Bill

Now that assisted dying is likely to become a reality in England and Wales, the debate on how that happens must begin: what organisations and staff will deliver it, what systems will be needed to ensu...

nuffieldtrust.org.uk

NEW: Ending care worker recruitment from abroad is hugely risky for a #socialcare sector facing a vacancies void, and reforms to make care jobs more attractive for UK workers won’t kick in for years. Read the response from our social care expert @natashacurry.bsky.social here: buff.ly/3mLe7p9

Nuffield Trust response to the government's immigration white paper

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1/ New analysis with @nuffieldtrust.bsky.social colleagues today on Assisted Dying, and what we can learn from other countries as the UK considers legalisation. www.nuffieldtrust.org.uk/news-item/di...

Diverging paths: How other countries have designed and implemented assisted dying

As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from othe...

nuffieldtrust.org.uk

EVENT: @sjanereed.bsky.social will bring international evidence to a University of Glasgow discussion on the Assisted Dying for Terminally Ill Adults (Scotland) Bill, on 14 May. Register to attend in person or online: buff.ly/EwMiNL8 The Nuffield Trust holds a neutral position on assisted dying.

Scotland’s Proposal for Assisted Dying for the Terminally Ill

Join this expert panel discussion about the rhetoric and realities of assisted dying.

buff.ly

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. 👇

Multiple sources tell me AHRQ is about to be destroyed. A terrible loss for our country.

Adrianna McIntyre@adrianna.bsky.social · last yr.

Missed this story last night portending something bad for AHRQ AHRQ fills a hugely important void in the medical and health care research space: it funds work that doesn't map cleanly to a disease, body part, or special population (e.g., older Americans) www.politico.com/news/2025/03...

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 >>

Welp. Vaccine access is only the start of what’s at stake.

Louise Norris@louisenorris.bsky.social · last yr.

RFK Jr.'s HHS Secretary confirmation means he'll oversee Medicare, Medicaid/CHIP, and Marketplace health coverage as well as crucial public health agencies like the CDC, NIH, & FDA. He was confirmed despite making it clear in his hearings that he doesn't understand the programs he'll be overseeing.

RFK Jr.'s HHS Secretary confirmation means he'll oversee Medicare, Medicaid/CHIP, and Marketplace health coverage as well as crucial public health agencies like the CDC, NIH, & FDA. He was confirmed despite making it clear in his hearings that he doesn't understand the programs he'll be overseeing.

Our new analysis out today looks at the deteriorating finances of NHS trusts. NHS trusts consume over 75% of the English NHS budget, so if you want to know how the NHS is coping with its current funding, your starting point should be the doubling of the trust overspend to £1.2bn by March 2024 >>

Chuffed to be speaking today at Ireland’s National Health Summit on how to shift services from hospital to the community. Like the UK, Ireland has embarked on a 10-year plan to reorient its health and care system towards prevention and the community — so lots to learn as well 👀 #HealthSummit25

NEW from @kff.org: A look at some of the federal datasets & portals taken down and implications for research, policy, & media coverage about health. @cynthiaccox.bsky.social @lindseydawson.bsky.social @mattrae.bsky.social @emmawage.bsky.social . www.kff.org/policy-watch...

A Look at Federal Health Data Taken Offline | KFF

This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly descri...

kff.org

Does the #NHS funding model need to change? @sjanereed.bsky.social appeared on BBC #PoliticsLive earlier to discuss how other countries fund health care and if they see better outcomes for patients. 📽️ watch her again from 33mins: www.bbc.co.uk/iplayer/epis...

Politics Live - 28/01/2025

Does the government have the right strategy to grow the economy? And who is winning the AI wars?

bbc.co.uk

1/ Trump has announced plans to withdraw from @who.int This decision threatens to weaken WHO, isolate the US, and undermine global health diplomacy when unity is most needed. We respond @bmj.com www.bmj.com/content/388/...

Both Sarah and Thea talked to the challenges and opportunities of shifting care from #hospitaltohome at our recent Westminster policy event. Watch the event sessions again and learn how other countries have managed the shift: www.nuffieldtrust.org.uk/event/hospit...

Hospital to home: can other countries show us the way?

Attempts to shift care "from hospital to home" have repeatedly faltered. This event explored what we can learn from the experience of other countries and what it will really take for this government t...

nuffieldtrust.org.uk

@sjanereed.bsky.social brilliantly sharing three key international lessons on moving #hospitaltohome: 🤑 Putting our money where our mouth is 🛤️ Long term planning and policy is essential 🫂 We will fail without social care reform. You can watch now on live stream @nuffieldtrust.bsky.social

This is just devastating Y’all Altadena was one of the few areas African-Americans could buy in during the redlining era Whole neighborhoods of black equity and wealth gone

Raquel Willis@raquelwillis.com · 2y ago

URGENT: Here’s a list of campaigns to support Black families displaced by the LA fires. Bit.ly/rebuildAD h/t: @ykreborn.bsky.social

I study patient administrative burden. Here is a thread of studies/articles I share often and/or have been suggesting for the newly interested. My first foray, with Austin Frakt. TL;DR ~1/4 people reported delayed/foregone care due to admin in past 12 mos. onlinelibrary.wiley.com/doi/full/10....

<em>Health Services Research</em> | AcademyHealth & HRET Journal | Wiley Online Library

Objective To assess the prevalence of patient administrative tasks and whether they are associated with delayed and/or foregone care. Data Source March 2019 Health Reform Monitoring Survey. Stud...

onlinelibrary.wiley.com

How we train our clinical staff matters. New @nuffieldtrust.bsky.social report looks at clinical placements for nurses and midwives and makes some punchy recommendations. Big team effort on this @sjanereed.bsky.social @ninahemmings.bsky.social & many more.

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW REPORT: We’ve worked with @fnightingalef.bsky.social on a rapid review of the training standards for UK #nurses and #midwives – evidence behind the standards, their implementation and factors impacting students’ experiences. Read it here 👇

The 10-year-plan will say what we all expect. The problem, as with the last 10 plans, will be implementation and that is going to cost a lot on top of the existing system. We lack the staff. We lack the change ability. Good read from the Nuff here:

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW: Shifting care from hospitals into community services is central to the government's plan for fixing the #NHS. Why is this, and how can we avoid failure this time? Find out in our new long read by @theasrstein.bsky.social & @sjanereed.bsky.social ✍️ www.nuffieldtrust.org.uk/news-item/br...

Huge peice of work with really helpful findings for nursing and midwifery training. They do not shy away from the reality that current capacity issues are impacting the quality of supervision and practice learning. 👏 Great work @sjanereed.bsky.social, @ninahemmings.bsky.social and others.

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW REPORT: We’ve worked with @fnightingalef.bsky.social on a rapid review of the training standards for UK #nurses and #midwives – evidence behind the standards, their implementation and factors impacting students’ experiences. Read it here 👇

Proud to be part of this work with @nuffieldtrust.bsky.social + @fnightingalef.bsky.social colleagues. Main takeaway: there’s much to improve about how we train midwives and nurses in the UK. Our standards have some unintended consequences and are ripe for rethinking. Ideas and evidence inside! ⬇️

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW REPORT: We’ve worked with @fnightingalef.bsky.social on a rapid review of the training standards for UK #nurses and #midwives – evidence behind the standards, their implementation and factors impacting students’ experiences. Read it here 👇

Govt says NHS must "reform or die". Shifting care so more happens outside hospitals is central to plans. So far, so sensible. But they're not the first to promise it, and no one has yet succeeded. Why, and how to avoid failure this time?Super read by @sjanereed.bsky.social & @theasrstein.bsky.social

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW: Shifting care from hospitals into community services is central to the government's plan for fixing the #NHS. Why is this, and how can we avoid failure this time? Find out in our new long read by @theasrstein.bsky.social & @sjanereed.bsky.social ✍️ www.nuffieldtrust.org.uk/news-item/br...

New piece out today with @theasrstein.bsky.social on what we think is missing from the current debate on how to move care out of hospital. Many past governments have had similar aims but progress is elusive. Here’s why we think that is, and what should be different this time ⬇️

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW: Shifting care from hospitals into community services is central to the government's plan for fixing the #NHS. Why is this, and how can we avoid failure this time? Find out in our new long read by @theasrstein.bsky.social & @sjanereed.bsky.social ✍️ www.nuffieldtrust.org.uk/news-item/br...

This analysis by @stutibagri.bsky.social is truly 🤯. Why are so many people seeking therapy on the NHS not finishing treatment or ‘reliably recovering’? Important suggestions inside on how the system might better meet patient needs and curb attrition. ⬇️

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

NEW #QualityWatch analysis from @stutibagri.bsky.social finds that of the 1.8 million people who sought help from NHS Talking Therapies in 2023-24, only 17% finished a course of treatment and “reliably recovered”. #mentalhealth @healthfoundation.bsky.social www.nuffieldtrust.org.uk/news-item/do...

1: 📢 Our new analysis (www.nuffieldtrust.org.uk/news-item/wi...) finds that the new budget could cost social care providers £2.8 billion: a thread

Will the Autumn Budget push the social care sector beyond breaking point?

While the recent budget brought better news for hard-pressed public services, social care was not so lucky. With many organisations fearing that changes to the Employer National Insurance Contribution...

nuffieldtrust.org.uk

Wisdom from @theasrstein.bsky.social “Ministers have long warned the NHS against the naive belief in the magic money tree. But they themselves are at risk of falling for the appealing notion of a magic productivity tree which will make the NHS more efficient just by shaking the magic tree harder”

Nuffield Trust@nuffieldtrust.org.uk · 2y ago

In his speech later today, the Health Secretary is due to announce “zero tolerance for failure” reforms to the #NHS – including league tables and crack turnaround teams for failing providers. Read our response from @theasrstein.bsky.social: www.nuffieldtrust.org.uk/news-item/nu...