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...

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...

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

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...

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.

Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>

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

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.

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...

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...

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...

@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

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....

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.

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:

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.

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! ⬇️

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

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 ⬇️

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. ⬇️

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

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”

It didn't work last time, why will it work this time?

Waits for #NHS care vary hugely depending on what type of care you're waiting for, with some groups facing concerning inequalities. The hospital waiting list for gynaecological treatment has more than tripled in the past 10 years. #QualityWatch Read more: www.nuffieldtrust.org.uk/news-item/nh...

I have to remember something I’ve told others: National elections aren't the only place where you can express your values and exert political power. All around the country, there are PTA meetings, church groups, mutual aid societies…. waiting for someone like you to show up and say “how can I help."

This 💔 “I’ve wondered if Trump has changed America or revealed it. I decided that it was both — that he changed the country by revealing it. After Election Day 2024, I’m considering an addendum: Trump has changed us by revealing how normal, how truly American, he is” www.nytimes.com/2024/11/06/o...

Here's a list of seven nature- and climate-positive U.S. state ballot measures that were passed in yesterday's federal election -- in California, Washington, Rhode Island, Maine, Minnesota, Louisiana and Colorado.

In the off chance any fellow Americans abroad follow me on here: I just voted and it was so simple (Massachusetts even let me do it online!) Sure feels like every vote will matter in this election, so make sure yours counts… votefromabroad.org has all the help 🇺🇸 🗳️

I’ve put together a starter pack of organisations that produce useful data, evidence and insight into health and health inequalities. Not comprehensive by any means - I will keep adding and suggestions are welcome! go.bsky.app/7teKEPq

👋 from Liverpool! Repping @nuffieldtrust.bsky.social at #LabConf24 today. Look forward to speaking this afternoon at the Progressive Britain session on how we can move care closer to home after decades of policy failure. Come say hi if you’re here!

Another damning maternity report published today by the CQC. It did highlight areas of good practice, setting the scene for us to focus on solutions which may finally bring change. This blog from @nuffieldtrust.bsky.social shares maternity indicators, with some concerning trends, and some hope.