There's a new workforce plan on the way for the NHS in England. But what's needed to make it a success? That's what my latest blog considers 👇 The NHS has a history of setting plans that are rightly ambitious but which fail to live up to the hype - there's much to reflect on and learn from 🧵(1/6)

Plan B: What the forthcoming NHS workforce strategy should not ignore

As the government prepares to publish a new 10-year NHS workforce plan, questions remain about how to build a realistic and sustainable approach to staffing the health service. This long read by Lucin...

nuffieldtrust.org.uk

There is large variation in the number of patients per #GP across England. 👩‍⚕️ Bedfordshire, Luton and Milton Keynes ICB has the highest number of patients per GP (2,664) when accounting for local population need. Explore more on our staffing tracker: buff.ly/Xu3buxR

Community services are under growing strain, with almost 1.2 million people waiting for care, and the steepest rise among children and young people. As neighbourhood health services are rolled out, addressing pressures on community care will be essential.

How will waiting times in community health services affect the shift towards neighbourhood health?

Community services are under growing strain, with more than 1.1 million people waiting for care, and the steepest rise among children and young people. Focus to date has largely been on efforts to…

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NEW ANALYSIS: Children are facing unacceptably long waits for NHS community services, with almost 1 in 4 on the list waiting for over a year, compared to 1 in 100 adults. Read the briefing: buff.ly/cvTzV5t #QualityWatch analysis with @healthfoundation.bsky.social

🆕 With how much the NHS pays for new branded medicines in the news, @sallygainsbury.bsky.social & Huseyin Naci describe the role of price controls in balancing demands on the NHS budget – and why the government should stand firm in not weakening those controls. tinyurl.com/53xcpcbb

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...

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NEW REPORT: We reveal how NHS continuing health care (CHC) is failing to reach some of the most unwell patients in England in their time of need, while reinforcing deep regional inequalities. The research is part-funded by @nuffieldfoundation.org Read the report 👇

All or nothing? Access and variation in NHS continuing health care

NHS continuing health care provides funded health and social care support for people with very complex needs outside hospital. Yet our comprehensive new report shows this system is highly inconsistent...

nuffieldtrust.org.uk

🆕 As we launch our new report on NHS continuing health care, read this Q&A with Sharon Allen, CEO of @arthurrankhospice.bsky.social Sharon has personal and professional experience of CHC, which she calls an extremely adversarial system. Read the article 👇 www.nuffieldtrust.org.uk/news-item/nh...

NHS continuing health care: a Q&A with Sharon Allen

As we today publish our new research on NHS continuing health care (CHC), in this Q&A we speak to Sharon Allen OBE, who is the Chief Executive of the Arthur Rank Hospice Charity. Sharon has experience...

nuffieldtrust.org.uk

🆕 #RSET paper finds #AI diagnostic tools might not be a silver bullet for health care service pressures. AI tools can offer valuable support, but can be hard to implement. The paper identifies important lessons to help future implementation. @nihr.bsky.social funded with @ucl.ac.uk @cam.ac.uk

Procurement and early deployment of artificial intelligence tools for chest diagnostics in NHS services in England: a rapid, mixed method evaluation

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nuffieldtrust.org.uk

With bills advancing through parliaments it seems increasingly possible assisted dying will become legal in UK. Our systems need to be well prepared to deliver a complex service. Essential new @nuffieldtrust.org.uk research sets out the challenges other countries have faced putting AD into practice

Nuffield Trust@nuffieldtrust.org.uk · last yr.

NEW REPORT: We present new evidence on who accesses #AssistedDying across 9 countries where it is legal, and lessons based on challenges other countries have had with resources, staffing, access and infrastructure for the service. 🌎 buff.ly/KCaVwEG

Do you have a track record of producing top quality research and policy analysis? Do you have a detailed understanding of health policy and its political context? Take a look at our Senior Fellow vacancy and apply by 31 August. #researchjobs www.nuffieldtrust.org.uk/job/senior-f...

Senior Fellow (SF05/25)

We are looking to recruit a Senior Fellow to lead on projects across a range of topics within health and care.

nuffieldtrust.org.uk

NEW BLOG: @becksfisher.bsky.social says the NHS 10 Year Plan is rightly ambitious and has much to like. But plans are judged on their delivery and this one’s undoing could be the disconnect between the scale of ambition and the funding available. www.nuffieldtrust.org.uk/news-item/wi...

Will the scale of ambition scupper delivery of the 10 Year Plan?

With the NHS 10 Year Plan now published, Becks Fisher says the plan is rightly ambitious and contains much to like. But plans should be judged on their delivery, and this one’s undoing could be whether there’s enough funding to meet the scale of its ambitions.

nuffieldtrust.org.uk

Fourth time lucky?! Why am I hopeful that this time, a promise of review might lead to actual change? 🧵👇

Nuffield Trust@nuffieldtrust.org.uk · last yr.

🆕 It’s good news that the government has promised to review the unfair GP funding formula. Read @becksfisher.bsky.social’s thoughts about this in @theguardian.com. Our full statement on the announcement is here: www.nuffieldtrust.org.uk/news-item/gp...

To find out more about why the current ‘Carr-Hill’ #GP funding formula is deeply flawed, read our briefing. GP surgeries serving deprived parts of England receive on average 9.8% less funding than practices in more affluent areas when you account for the needs of the local population. 💷

Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do?

General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. This briefing, produced i...

nuffieldtrust.org.uk

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

Does anyone have a more comprehensive understanding of NHS finances and the various calls on health budgets than @sallygainsbury.bsky.social? Latest analysis shows how all of the 'extra' money the NHS was given last year is simply eaten up by inflation, changing population needs and govt commitments

Nuffield Trust@nuffieldtrust.org.uk · last yr.

🚨 NEW ANALYSIS finds the #NHS in a challenging financial position ahead of next week's Spending Review, with the £22.6bn in extra money up to the end of this year more than wiped out by existing spending pressures. Read the briefing: buff.ly/Op94JUB

NEW BLOG: With hopes for the impact of #AI on health care remaining as strong as ever, the NIHR #RSET team have been exploring the role of AI in #radiology diagnostics. Emma Dodsworth and Rachel Lawrence describe the three findings from the work that stood out the most. 👇 buff.ly/dMwTGyA

Curb your enthusiasm: what does the evidence tell us about using AI in radiology diagnostics?

With hopes for the far-reaching impact of artificial intelligence (AI) on health care remaining as strong as ever, the NIHR Rapid Service Evaluation Team have conducted a review of the literature on…

nuffieldtrust.org.uk

NEW ANALYSIS explores how approaches to #AssistedDying vary internationally. The Nuffield Trust holds a neutral position on the legalisation of assisted dying in the UK. Our analysis reviews the evidence for jurisdictions where it has been implemented, to help inform debate. 🧵1/9 buff.ly/CTLXDjs

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…

nuffieldtrust.org.uk

The terms of reference for the Casey Review have been launched today, with a focus on building consensus over tangible recommendations to improve adult social care over the next ten years. A few takes from me and @cglobont.bsky.social .social & @natashacurry.bsky.social: www.gov.uk/government/p...

Independent commission into adult social care: terms of reference

gov.uk

Almost 1 million people in the UK were estimated to be living with dementia in 2024, but just under 500k have a formal diagnosis. At 62%, women over 65 account for the majority of diagnoses. Figures on dementia diagnoses and care are tracked as part of our #QualityWatch programme: buff.ly/aemz7Yd

GP has changed in recent yrs through a scheme incentivising practices to take on physios, physician associates, advanced practitioners + other roles. @rebeccabest.bsky.social & colleagues looked at experience of staff joining & supervision/support being offered to them. It's hugely variable.

Nuffield Trust@nuffieldtrust.org.uk · last yr.

Our long read on the supervision of clinicians in the Additional Roles Reimbursement Scheme finds a wide range of clinical experience among those entering the scheme and huge variability in the amount and quality of support being offered. #ARRS buff.ly/Y20TOBC

Tune in to BBC Radio 4 tonight at 8pm for a new episode of #MoralMaze recorded at our Summit last month. 📻 Guests debate the ethical purpose of the #NHS. Should we care more about equality of outcome – being equally healthy – or equality of access – treating everyone the same?

BBC Radio 4 - Moral Maze, What is the ethical purpose of the NHS?

Debate examining the moral issues behind one of the week's news stories.

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🆕 Just 1 in 5 people in 2024 said they were satisfied with the NHS according to our analysis of the @natcen.bsky.social #BritishSocialAttitudes survey with @thekingsfund.bsky.social Read report: www.nuffieldtrust.org.uk/research/pub... @markgdayan.bsky.social explains more 👇 [1/5]

🚨 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

The coolest thing I’ve seen today is that a bunch of volunteer public health professionals and developers have restored the CDC website from before January 20th 2025. This differs from an archive in that they want to rebuild the links between pages and replicate the full website.

Why does planned change fail so often? #NTSummit @theasrstein.bsky.social highlights the complicated role that financial incentives and skill mix have played in efforts to change the #NHS. ▶️ Watch live: events.zoom.us/ev/Ahm9SLEL2...

Really looking forward to this. Have had a sneak preview of @theasrstein.bsky.social's speech and it's super interesting. Cannot wait to discuss!

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

To kick off our #NTSummit next Thursday, @theasrstein.bsky.social will explore the psychology of change in the #NHS with @charliepickles.bsky.social from @reformthinktank.bsky.social. ▶️ Sign up to watch the livestream here: https://buff.ly/3EMgXuR

Why do ethnic minorities in the UK live in households that spend so much more income on housing than White British adults? Turns out the answer is complex. Our latest report, released today, dives into the root causes. Let’s explore the key insights👇🏾

NEW REPORT: How much public money is spent supporting people in their last year of life, and what services does it pay for? Our latest research – with the #NHS Health Economics Unit and @mariecurieuk.bsky.social – begins to answer these vital questions 👇 www.nuffieldtrust.org.uk/research/pub...

Public expenditure in the last year of life

Supporting people at the end of life is a crucially important element of public spending, yet there is remarkably little evidence available on how much money is being spent on it, and what that money ...

nuffieldtrust.org.uk

Supporting people at the end of their life is so important, but shockingly little known about public £££ spent on it. We estimate £22bn across healthcare, social care, social security. Over half goes on healthcare - tilted toward hospitals, esp emergency care www.nuffieldtrust.org.uk/research/pub...

Public expenditure in the last year of life

Supporting people at the end of life is a crucially important element of public spending, yet there is remarkably little evidence available on how much money is being spent on it, and what that money ...

nuffieldtrust.org.uk