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 👇

🆕 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...

🆕 #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

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

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...

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...

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

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. 💷

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...

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

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

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

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...

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.

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?

🆕 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 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!

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...

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...

Nuffield estimates that £22bn is spent on caring for adults in their last year of life. Including 11.8bn on NHS, ranging from planned and unplanned hospital care to GP,community and hospice care. With another £4.8bn on Social Care and Continuing Healthcare www.nuffieldtrust.org.uk/news-item/wh...

Our research team are in Parliament today, as part of @senseaboutsci.bsky.social #EvidenceWeek. We are showcasing the new #QualityWatch NHS Performance Dashboard to MPs, and talking to them about health care access and waiting times in their constituencies.

Colleagues @nuffieldtrust.bsky.social have developed something exciting here. It moves the dial in terms of communicating complex NHS datasets in a visually interesting way. It's also dynamically updated, drawing on NHS monthly data, and displays comparisons over time for easy understanding. Bravo!

The issue of national insurance contributions rising is devastating for social care providers but government appears to be hoping the problem will go away - but it won’t and provider system could collapse, says Nadra Ahmed of National Care Association at our #hospitaltohome event

Consistency of language is vital for shifting from #hospitaltohome, says Dr Minal Bakhai: “go and see your GP”, patients are advised when sent away from A&E/acute services, when it should be “Go and see your primary care team” or the pharmacist that works in that team. The words people hear matter

Patchwork services in USA create huge challenges for people & health systems, especially primary care. But technology & focus on vulnerable populations via community services are reasons for optimism despite US health outcomes being poor, says @jbetancourtpr.bsky.social at our #hospitaltohome event

NEW REPORT: The #NHS must learn the lessons of the past to better integrate its dramatically expanded staff mix. 👨‍⚕️ Commissioned by @nhsemployers.bsky.social Read our thread 👇 www.nuffieldtrust.org.uk/research/in-...

One week to go until our event in Westminster chaired by Isabel Hardman! Hospital to home: can other countries show us the way? Find out more and register here. 👇 www.nuffieldtrust.org.uk/event/hospit...

Find everything you need to know about recent changes in #NHS performance, including A&E waiting times, on our #QualityWatch dashboard. 👇 www.nuffieldtrust.org.uk/qualitywatch...

Rates of norovirus and flu ⬆️ and vaccination rates ⬇️- the familiar combination of winter illnesses and cold weather is likely to make things more difficult for the health service in the coming months. Read our response to today's #NHS performance stats 👇 www.nuffieldtrust.org.uk/news-item/nu...

NEW BRIEFING by @becksfisher.bsky.social in collaboration with Health Equity Evidence Centre calls for the outdated GP funding formula to be replaced by a needs-based payment to better address health inequalities. 💷 Read here: www.nuffieldtrust.org.uk/resource/fai...

Really excited to have published a new @powertochange.bsky.social report today on how communities are reimagining former department stores in towns across England. 🧵On a couple of the key findings, or check out the full report: www.powertochange.org.uk/evidence-and...

Reducing the elective waiting list is a good thing. But Julian Kelly just told NHSE's board that after inflation, NHS spending growth will be ~2% next year. Hitting the 18 week target, AND moving care into communities (meaningfully) AND improving prevention (AND halving gaps in HLE) is a big ask

Further evidence of England's improvement in maths today with the release of the TIMSS 2023 test which allows for comparisons across countries. Particularly good news at year 9 (13 year olds) where we've seen a decent jump despite the pandemic (unlike other countries).

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

I've done several talks over past few weeks basically addressing the increasingly common question "why are Gen Z so weird at work?" It's made me clearer that workplace research is one of worst engines of generational myths - when it should be a key site of intergenerational connection

My latest post on what to expect for the NHS this winter open.substack.com/pub/christin... TLDR: looks likely we'll avoid a repeat of disastrous 2022/23 winter, but only by luck 1/6

So true, I fear. Here's @hugorifkind.bsky.social in the Times on what's looking like a serious problem for liberal democracies that, more than ever these days, need to think and act long-term. www.thetimes.com/comment/colu...

Two super weird food guys who are, by all appearances, planning to eat themselves. They aren't unique either, there's a bunch of them, particularly in the US. These, however, are in the fairground at South Shields. #ThePhotoHour #Photography #Weird

Hi everyone, we're pleased to be posting here on Bluesky for the very first time! Expect some updates from our National #HospiceUKConf, starting tomorrow. In the meantime, we've put together a starter pack of hospice people for you 🧡 go.bsky.app/MfxpC23

Interesting, this: for a mental health service considered so valuable (if v overstretched), quite worrying that only 17% are finishing treatment and ‘reliably’ recovering. That’s a lot of people struggling on, stuck in the system, or dropping out because it’s not working for them for whatever reason

The announcement that league tables were being brought back for ranking and judging NHS trusts had a familiar feel to it for all who remember the New Labour era. This piece by @markgdayan.bsky.social and Nigel Edwards says it's highly likely to have unintended consequences and we should beware

We @nuffieldtrust.bsky.social think the combination of national insurance + wage rises announced in #budget2024 will add ~£2.8bn cost to #socialcare providers next year. That's simply not manageable - and the impact will be felt by people who need care. www.theguardian.com/society/2024...

Lots of my brilliant @nuffieldtrust.bsky.social colleagues making the move to Bluesky. Follow them here for top notch health and care analysis/commentary👇 go.bsky.app/G25iTbF

We have published a short summary of our research for all readers here – this is also suitable for people living with dementia. 👇 www.nuffieldtrust.org.uk/sites/defaul...

With the number of people with dementia rising, our social care system *really* needs adapting to meet people’s needs better. But so difficult to envisage this when that system as a whole is under such unprecedented strain. Here’s some clear policy and thinking about ways to move this forward…