Charlotte Pickles
@charliepickles.bsky.social
📤 3318
📥 162
📝 278
Director
@re-state.bsky.social
; all things State and public services.
pinned post!
Today is the day! 🔥 We could not be more excited to be launching our new name. No guesses for what's forced it, but actually, Re:State is the perfect fit. Read my blog for more on why and what 👇
re-state.co.uk/rethink/the-...
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The next chapter: from Reform to Re:State - Re:State
https://re-state.co.uk/rethink/the-next-chapter-from-reform-to-restate/
6 months ago
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Today we've published our latest Hospital of the Future paper What's the answer to corridor care, backlogs & the Winter Crisis? More doctors, more beds NO!
@rosiebeacon.bsky.social
@alicesemark.bsky.social
have the actual, evidenced solutions- as ever cutting through the bullshit 👏
15 days ago
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reposted by
Charlotte Pickles
Re:State
15 days ago
Delighted to see this endorsement from Daniel Elkeles, Chief Executive of
@nhsproviders.bsky.social
, for our new paper 'Ending the Patient Gridlock' – out today as part of our Hospital of the Future programme. Read the paper here:
re-state.co.uk/publications...
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reposted by
Charlotte Pickles
Re:State
15 days ago
Extremely grateful for this endorsement from the inimitable Stephen Black - exactly how we hoped this paper would be received. Read the paper here:
re-state.co.uk/publications...
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"It's the year 2040, and Dame Louise Casey has been asked to lead a taskforce to tackle the [insert institution failure]. This is her 234th review/taskforce in the past 15 years. Her commission on social care is now due to report in 2042" A slightly tongue-in-cheek but deadly serious blog from me
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21 days ago
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That's a wrap. Labour party conference 2025 is done. Brilliant work by the
@re-state.bsky.social
team - but a special shout out to Beth who bossed the whole thing 👏
about 1 month ago
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The PM is announcing the government is setting up a virtual hospital This is game changing - & a reform we exclusively called for in our paper paper out a few months ago: 'Hospital as a service, not a building' Huge win for
@rosiebeacon.bsky.social
&
@alicesemark.bsky.social
Real world impact 👏
about 1 month ago
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reposted by
Charlotte Pickles
Re:State
about 2 months ago
In our latest Re:Think, Policy Director,
@stkaye.bsky.social
explores the big themes from our event with Sarah Olney MP at the Liberal Democrat Party Conference last weekend. Check it out here:
re-state.co.uk/rethink/libe...
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Liberal Democrat party conference: achieving local renewal - Re:State
https://re-state.co.uk/rethink/liberal-democrat-party-conference-achieving-local-renewal/
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Really proud of this new project We've put our money where our mouth is and launched the Re:State Leaders Network, a programme to support senior civil servants to lead during a time of immense complexity and challenge Read @jo3hill.bsky.social on the why and what 👇
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about 2 months ago
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Hospitals are struggling with productivity. That means fewer patients seen and treated. This new paper from
@floconway.bsky.social
and
@rosiebeacon.bsky.social
lays out the quick wins that automation could deliver - not only for productivity but also patient safety and workforce satisfaction 👇
add a skeleton here at some point
about 2 months ago
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reposted by
Charlotte Pickles
Joe Hill
about 2 months ago
The hospital is a unique economic unit. Incredibly understudied, even in an NHS which has accidentally (and incorrectly) been plugging more and more resource into secondary care over the last two decades. Automation has huge potential. Great new paper today from the team.
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reposted by
Charlotte Pickles
Re:State
about 2 months ago
If you're at Conservative Party Conference this year, don't miss what will be a fascinating conversation on a Conservative vision to remake the State, with Claire Coutinho MP, Alex Burghart MP, and
@charliepickles.bsky.social
Email
[email protected]
to attend!
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reposted by
Charlotte Pickles
Re:State
2 months ago
Today: Policy Director, Joe Hill, writes to The Rt Hon Darren Jones MP, newly appointed Chief Secretary to the Prime Minister, and Chancellor of the Duchy of Lancaster, with his take on where focus should lie.
re-state.co.uk/rethink/resh...
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Re:Shuffle – an open letter to Rt Hon Darren Jones MP, Chancellor of the Duchy of Lancaster - Re:State
https://re-state.co.uk/rethink/reshuffle-an-open-letter-to-rt-hon-darren-jones-mp-chancellor-of-the-duchy-of-lancaster/
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reposted by
Charlotte Pickles
Re:State
2 months ago
⭐ Special blog series: Re:Shuffle ⭐ We’re marking the ministerial reshuffle with daily open letters from our researchers to newly appointed ministers – setting out what we think should top their priority list for better public services.
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Looking forward to joining Newsnight tonight to discuss, well, a whole lot of politics!!
2 months ago
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reposted by
Charlotte Pickles
Re:State
2 months ago
Should one national agency really hold the keys to solving England’s housing crisis? In our latest Re:Think, Researcher,
@coryberman.bsky.social
, writes about why Homes England should be abolished and its powers devolved to local leaders. Read the blog here 👇
re-state.co.uk/rethink/home...
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Homes England under the hammer? - Re:State
https://re-state.co.uk/rethink/homes-england-under-the-hammer/
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👀 One more sleep... Cracking read from the
@re-state.bsky.social
Local State team
@stkaye.bsky.social
If you want ambitious devolution, you can't leave central government machinery as is 👇
2 months ago
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reposted by
Charlotte Pickles
Joe Hill
3 months ago
I'm all for professionalising the role of Special Advisers, e.g. with much better admin support. But the civil service can only do so much - politicians need to lead. In 'Grown up government'
@re-state.bsky.social
argued for a new model, with more Spads, paid better
re-state.co.uk/publications...
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This opening line from
@rthonwesstreeting.bsky.social
to the BMA is absolutely 🔥 "I never left"
4 months ago
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reposted by
Charlotte Pickles
Joe Hill
4 months ago
There is so much more the centre of government could do to be effective - including significantly bolstering the Prime Minister’s team. But a starting point should be far more political appointees, rather than layering more SCS jobs on top of the Cabinet Office.
www.telegraph.co.uk/politics/202...
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President Starmer? PM to beef up Downing Street to get a grip on chaos
New department would form part of a wider ‘reset’ being mulled over by Sir Keir Starmer’s team
https://www.telegraph.co.uk/politics/2025/07/18/president-starmer-pm-beef-up-downing-street-grip-chaos/
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reposted by
Charlotte Pickles
Joe Hill
4 months ago
As the great Ronnie Coleman once said, "everybody wants to be a [devolver] but nobody wants to [draw the map]". But luckily
@stkaye.bsky.social
and
@seaneke.bsky.social
have! Great to see in our paper, out today. Already picking out which province I want to be the Governor of. Which do you want? 🔗👇
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reposted by
Charlotte Pickles
Re:State
4 months ago
📢NEW REPORT: 'GO BIG OR GO HOME' The 'devolution revolution' may yet result in small and underpowered Strategic Authorities in England's low-density, rural, and polycentric places. This report proposes a system of full-scale Provinces to ensure England's regions can take flight.
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reposted by
Charlotte Pickles
Stephen Evans
4 months ago
1. Further signs of an easing labour market with payroll employment & vacancies down again. Clear sectoral differences with retail & hospitality payrolls down 170k but showing largest pay rises as NMW changes kick in. Usual data caveats with both LFS & HMRC data so need to be cautious.
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reposted by
Charlotte Pickles
Re:State
4 months ago
Researcher,
@floconway.bsky.social
, has written about the urgent need for Govt to act following another child death from measles Check out her piece here👇
re-state.co.uk/rethink/we-b...
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We beat measles once: we must do it again - Re:State
Over the weekend, tragic news broke about a child in Liverpool dying after contracting measles. Sadly, such incidents are becoming increasingly common. The UK has faced repeated outbreaks in recent ye...
https://re-state.co.uk/rethink/we-beat-measles-once-we-must-do-it-again/
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reposted by
Charlotte Pickles
Hannah White
4 months ago
We at
@instituteforgovernment.org.uk
have coordinated a letter in
@thetimes.com
today in which numerous individuals and organisations call on the government to withdraw its mistaken rules which are having a serious chilling effect on civil servants speaking in public…
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reposted by
Charlotte Pickles
Civil Service World
4 months ago
The Alternative People Survey, a Re:State-CSW collaboration, shows that many of those within the civil service see the flaws, are fed up with the system, and want to see real change, writes
@charliepickles.bsky.social
www.civilserviceworld.com/news/article...
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Civil servants see the flaws, are fed up with the system, and want to see real change
While ministers and officials charged with rewiring Whitehall should be worried by findings from a new CSW-Re:State survey, they should also be lif...
https://www.civilserviceworld.com/news/article/civil-servants-see-the-flaws-are-fed-up-with-the-system-and-want-to-see-real-change
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reposted by
Charlotte Pickles
Joe Hill
4 months ago
Fantastic to publish this today in partnership with
@civilserviceworld.bsky.social
. I filled out the official People Survey for seven years as an official. It's a great bit of organisational feedback. But I always wished they'd ask some other questions... So now we have!
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reposted by
Charlotte Pickles
Joe Hill
4 months ago
Report launch eve
@re-state.bsky.social
! Standby.
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reposted by
Charlotte Pickles
Re:State
4 months ago
We read it so you don't have to! Check out our snap analysis on the 10 Year Plan - highly ambitious but minimal on delivery. But nevertheless some interesting ideas in there. Read below 👇🔗
re-state.co.uk/react/react-...
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Re:Act: 10 Year Health Plan - Re:State
https://re-state.co.uk/react/react-10-year-health-plan/
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reposted by
Charlotte Pickles
Re:State
5 months ago
& we’re off! Our flagship ‘Re:Imagining Health’ conference at Salesforce Tower begins Starting with an ‘In conversation’ with hospital CEOs. We’re thrilled to be joined by Dr Nnenna Osuji, North Middlesex Hospitals, and Richard Mitchell, University Hospitals Leicester and Northamptonshire 🏥
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An absolutely brilliant start to our
@re-state.bsky.social
‘Reimagining Health’ conference Two inspiring trust chief execs speaking candidly and optimistically about the future of the health system
5 months ago
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Senior civil servants can’t speak on panels and do Q&A but the head of the NHS can do interviews with the telegraph…
5 months ago
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reposted by
Charlotte Pickles
Re:State
5 months ago
The Re:View is out!🎉 This week, our Director,
@charliepickles.bsky.social
, reflects on the first of the government's Spending Review plans, ‘UK Infrastructure: A 10 Year Strategy’, and the Stuart Review... Read here 👉
re-state.co.uk/review/revie...
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reposted by
Charlotte Pickles
Re:State
5 months ago
And we’re off! Great start to the day at our annual Re:Imagining Whitehall conference.
@charliepickles.bsky.social
reflecting on why this matters
@stkaye.bsky.social
chairing our first panel on mission government Susan Acland-Hood, Permanent Secretary at DfE on early years
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*Boom* ready for our annual Reimagining Whitehall conference 🔥
5 months ago
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reposted by
Charlotte Pickles
Alain Tolhurst
5 months ago
Also includes a great line from
@charliepickles.bsky.social
about the importance of delivering on your priorities in office: “The gap between policy and delivery is where populism lives and grows.”
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reposted by
Charlotte Pickles
Re:State
5 months ago
Can this Government deliver? Our Director
@charliepickles.bsky.social
spoke to The Rundown with
@politicshome.bsky.social
about how the Government is getting on with its priorities. Have a listen 🎧
podcasts.apple.com/gb/podcast/c...
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Can this Government deliver?
Podcast Episode · The Rundown by PoliticsHome · 13/06/2025 · 40m
https://podcasts.apple.com/gb/podcast/can-this-government-deliver/id1205139782?i=1000712702793
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reposted by
Charlotte Pickles
Re:State
5 months ago
What does the Spending Review mean? We've got you covered with our usual snap analysis 👍 The good 👎 The bad ⚖️ The jury's out 🧐 The M.I.A. Read our Re:Act here 👇
re-state.co.uk/react/react-...
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Re:Act: Spending Review 2025 - Re:State
https://re-state.co.uk/react/react-spending-review-2025/
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reposted by
Charlotte Pickles
Re:State
5 months ago
Today, we're thrilled to see
@england.nhs.uk
announce a huge increase in robotics assisted surgeries in the NHS🏥 We are the only think tank who has comprehensively called for more robotics surgeries and detailed how to do this! Read our paper here:
re-state.co.uk/publications...
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A helping hand: robotics in surgery - Re:State
https://re-state.co.uk/publications/a-helping-hand-robotics-in-surgery/
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reposted by
Charlotte Pickles
Re:State
5 months ago
Prior to the Spending Review tomorrow, Head of Health
@rosiebeacon.bsky.social
has written about our newest proposal for Remote General Hospitals and why this is important for the public finances 💸
re-state.co.uk/rethink/30-b...
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30 billion won't rewire the health system - Re:State
https://re-state.co.uk/rethink/30-billion-wont-rewire-the-health-system/
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reposted by
Charlotte Pickles
Re:State
5 months ago
Today we welcome
@coryberman.bsky.social
and
@joemartin25.bsky.social
to the Re:State team! Give them a follow to see more of our thinking and research.
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This is madness if true £30bn more for NHS *at the cost* of spending on the stuff that *reduces* demand on the NHS Ageing & increasingly unhealthy pop’n? Ah, must ensure that effective social care & health creating services are in place via local government. Right? Right? Mad.
5 months ago
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£105 billion.
@labourgrowth.bsky.social
. & the upcoming spending review. A short blog on why prioritisation, bold reform & a hard grip on the public finances is essential
re-state.co.uk/rethink/poli...
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Politicians: time to get a grip - and a spine - Re:State
£105 billion. That's how much we spent on debt interest payments last financial year. Let me put that in perspective, the MOD's budget that year was less than £60 billion (hitting 3% of GDP would take...
https://re-state.co.uk/rethink/politicians-time-to-get-a-grip-and-a-spine/
5 months ago
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Bang on from
@labourgrowth.bsky.social
. There is no trade-off free spending, & no public service investment w/out growth. We’re spending more than £100bn on debt interest. Get a grip. Love this quote from
@chriscurtis94.bsky.social
www.thetimes.com/article/92ea...
5 months ago
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Love this from
@jo3hill.bsky.social
on the Spending Review and why the 'isn't the Treasury the problem' argument is so misguided...
re-state.co.uk/rethink/trea...
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Treasury Island - Re:State
https://re-state.co.uk/rethink/treasury-island/
5 months ago
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This is v good & so important from
@stephenkb.bsky.social
Setting aside clear evidence that knowledge-based ed'n systems = better results than skills-based (eg Scotland), the foundational truth that applying skills requires knowledge is so well illustrated here
www.ft.com/content/1369...
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There are some things in teaching that AI won’t change
‘Knowledge-rich’ curriculums will still be crucial in a world shaped by the technology
https://www.ft.com/content/1369e4f6-12c7-43ec-b620-4f74e601c8ff
5 months ago
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reposted by
Charlotte Pickles
Re:State
5 months ago
Nearly a year into government, and two years since the Government's missions were announced, how's it going? Today we have published our evidence to the House of Commons and their inquiry into mission government. It draws on our paper 'Mission control' from 2024.
re-state.co.uk/publications...
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Evidence submission: PACAC Mission government - Re:State
https://re-state.co.uk/publications/evidence-submission-pacac-mission-government/
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reposted by
Charlotte Pickles
Re:State
6 months ago
🏥Hospital staff levels have increased significantly, while demand has been stable. Yet patient satisfaction is at an all time low & spending is at an all time high. This cannot go on! Yday we published ‘Hospital as a service, not a building’, outlining our solutions👇
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reposted by
Charlotte Pickles
Re:State
6 months ago
Time to meet the health team at Re:State! While at its inception the NHS was visionary, three quarters of a century later, with demand rising and outcomes deteriorating, a bold and urgent rethink is needed. This programme explores what that should look like.
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reposted by
Charlotte Pickles
Joe Hill
6 months ago
Everythingism doesn't happen overnight, it's the slow accumulation of "kludge" in policymaking until no good policy can be made. Enjoyed talking to
@stellathegreek.bsky.social
for Left on Red about Everythingism, civil service reform, and our work
@re-state.bsky.social
. Full video linked 👇
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reposted by
Charlotte Pickles
Re:State
6 months ago
The Re:View is out! 🎉 We have revamped our usual reflection on what’s happened in the last seven days given our new incarnation as Re:State... This week our Director,
@charliepickles.bsky.social
, recaps our relaunch! Read here 👉https://re-state.co.uk/review/review-23-may-2025/
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