Nuffield Trust

Nuffield Trust

@nuffieldtrust.org.uk

We are an independent health think tank aiming to improve the quality of health care in the UK by providing evidence-based research & policy analysis. www.nuffieldtrust.org.uk

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Nuffield Trust
@nuffieldtrust.org.uk

After this week's Covid Inquiry report provided a stark reminder of the pandemic's impact on social care, @natashacurry.bsky.social reflects on the position of the system today. Read 👇 buff.ly/qoNSrsA

buff.lyBetter prepared perhaps, but no more resilient: how would social care fare today if a new pandemic hit?The publication this week of the Covid Inquiry’s sixth module exposed once more the fragility of social care going into the pandemic. While there is renewed hope by now that long-awaited reform could…

Nuffield Trust reposted

Ros Taylor
@rostaylor.bsky.social

We all like the idea of a National Care Service, but what would it actually do? If you hope the answer is 'offer pretty much all the care I need', you're probably going to be disappointed ... I talked to experts about the really hard choices awaiting Burnham. www.thenewworld.co.uk/ros-taylor-w...

thenewworld.co.ukWhat would a National Care Service actually look like?It’s a welcome idea for a huge societal problem. But it’s still not clear how a service of this kind would work – or how it would be paid for
Nuffield Trust
@nuffieldtrust.org.uk

NEW: This week’s Covid Inquiry report laid bare the fragility of social care going into the pandemic. @natashacurry.bsky.social says that if a similar crisis hit tomorrow, the fault lines brutally highlighted during Covid would be exposed again. www.nuffieldtrust.org.uk/news-item/be...

nuffieldtrust.org.ukBetter prepared perhaps, but no more resilient: how would social care fare today if a new pandemic hit?The publication this week of the Covid Inquiry’s sixth module exposed once more the fragility of social care going into the pandemic. While there is renewed hope by now that long-awaited reform could ...
Nuffield Trust
@nuffieldtrust.org.uk

The immigration health surcharge has grown both in value and as a share of the NHS budget since its introduction in 2015. Nuffield Trust Fellow Stelios Vassiliou talks through the trend.

Nuffield Trust
@nuffieldtrust.org.uk

Read our briefing from Stelios on the immigration health surcharge, including how much migrants pay towards the NHS compared with the estimated costs of their care and what it means for the NHS budget.

nuffieldtrust.org.ukThe immigration health surcharge: an unstable funding stream?The immigration health surcharge is a fee paid by most people on work and study visas in the UK, on top of their existing visa application costs. This briefing examines how the surcharge affects NHS f...
Nuffield Trust
@nuffieldtrust.org.uk

NEW briefing studies the immigration health surcharge - a fee paid by most visa holders for their use of the NHS. Author Stelios Vassiliou says we need clarity on its purpose: is it about migrants paying their fair share, boosting NHS funding, or discouraging migration? Read the briefing 👇

nuffieldtrust.org.ukThe immigration health surcharge: an unstable funding stream?The immigration health surcharge is a fee paid by most people on work and study visas in the UK, on top of their existing visa application costs. This briefing examines how the surcharge affects NHS f...
Nuffield Trust
@nuffieldtrust.org.uk

Following the raft of social care announcements made by the Burnham government, Miriam Blom-Smith reflects on how they fit with existing commitments and the sector's wider ambitions for the future. 🔎 buff.ly/Svupwtn

buff.lyBurnham’s new social care workforce plans: do they go far and fast enough?With social care reform firmly back in focus, there have been a handful of recent policy announcements on the social care workforce. While the government’s commitment to this often-forgotten group of…
Nuffield Trust
@nuffieldtrust.org.uk

Both the UK and the EU have faced unprecedented medicine shortages in recent years. Our briefing from @markgdayan.bsky.social explains that closer cooperation could help to address the issues, but it won't come easily. buff.ly/7aERnD8

buff.lyBurnham should break down Brexit medicine barriers – here's howMedicines shortages have affected both the UK and the European Union over the past four years. Despite recent signs of stabilisation, a combination of price rises, global insecurity and tariff…
Nuffield Trust
@nuffieldtrust.org.uk

NEW EVENT: exploring social care reform 🔎 What could a better future look like for the people who draw on care, and how can we get there? 🗓️ Wednesday 2 December 📍 One Great George Street, London Register 👉 buff.ly/xan3Gdl

Nuffield Trust
@nuffieldtrust.org.uk

NEW: There is a big mismatch between the demand for ADHD and autism services and the NHS's capacity to provide them. After the Fonagy report described what could be done about it, @theasrstein.bsky.social says the challenge now is working out how to get there www.nuffieldtrust.org.uk/news-item/ad...

nuffieldtrust.org.ukADHD and autism: the destination is becoming clearer, but how do we get there?There is a significant mismatch between the demand for ADHD and autism services and the NHS’s capacity to provide them, with remarkable waiting lists for assessments. After last week’s report from Pro...
Nuffield Trust
@nuffieldtrust.org.uk

NEW: While recent comments and commitments from the government about social care workers – an often-forgotten group – have been welcome, Miriam Blom-Smith says it’s unclear if the new policies that focus on the sector’s workforce go far and fast enough. www.nuffieldtrust.org.uk/news-item/bu...

nuffieldtrust.org.ukBurnham’s new social care workforce plans: do they go far and fast enough?With social care reform firmly back in focus, there have been a handful of recent policy announcements on the social care workforce. While the government’s commitment to this often-forgotten group of ...

Nuffield Trust reposted

Mark Dayan
@markgdayan.bsky.social

Britain is being left out of European measures to deal with medicine shortages after Brexit, I argue for @bmj.com. We should try to do something about it, and it won't just be a matter of asking www.bmj.com/content/395/...

bmj.comBritain is being left behind with measures to tackle medicines shortagesAndy Burnham’s speech at the Labour Party conference last week made clear that this government sees the UK’s future as being closer to the EU. But even if the prime minister tries to begin the path to...
Nuffield Trust
@nuffieldtrust.org.uk

The rising average age of mothers is often cited as a challenge for maternity services, but the number of older women giving birth has shown little change over the past decade. Our analysis shows that a decline in younger mothers is driving the trend. Read more: buff.ly/PdBOVvo

Nuffield Trust
@nuffieldtrust.org.uk

"The knotty question for policymakers is how we decide who needs clinical care and diagnosis and who can be better helped through support in work, school and wider society.” - @theasrstein.bsky.social reacts to Professor Fonagy's report on #MentalHealth, #ADHD and #autism. 👇️ buff.ly/x4YDiyQ

buff.lyNot everyone with ADHD and autism traits needs a diagnosis, major review findsMajor review calls for overhaul of system that is failing those who need it most
Nuffield Trust
@nuffieldtrust.org.uk

Over 2.4 million patients attended A&E in England last month, a record September attendance total. The share of patients waiting over 12 hours also increased, crossing 10% for the first time since February. Explore the latest data via our #QualityWatch dashboard, updated today: 👉 buff.ly/3exJReD

Nuffield Trust
@nuffieldtrust.org.uk

NEW: Failures in NHS maternity services have sadly become impossible to ignore. @sarahscobie.bsky.social examines 3 common explanations of what might be causing pressures on maternity care and argues we should not oversimplify what is happening. Read here: buff.ly/PdBOVvo

buff.lyPressures on maternity services: understanding the full pictureFailures in NHS maternity care have become all too well-known. Ahead of an action plan to address service failures, Sarah Scobie looks at three common explanations of what might be causing pressures…
Nuffield Trust
@nuffieldtrust.org.uk

Devolution has been made a priority by the government. But how that agenda extends to the NHS is far from clear. In July, @markgdayan.bsky.social and @sjanereed.bsky.social explored the risks and opportunities of devolving more NHS powers. Read 👇

nuffieldtrust.org.ukHow could the Burnham government overcome three barriers to NHS devolution?With new Prime Minister Andy Burnham having pledged the “biggest rebalancing of power our country has ever seen”, it is clear that devolution will be a key theme under his leadership. As Mark Dayan an...

Nuffield Trust reposted

Matt Jones
@mattpjones.bsky.social

Want to know where we stand after the dust settled on Burnham's social care announcements? Camille's excellent article explains what needs to come next.

Nuffield Trust@nuffieldtrust.org.uk

If England is to have a National Care Service, we need to start with clarity. Because what's in and what's out will have real consequences for the people who draw on care and support. ✍️ @camille-oung.bsky.social buff.ly/krKX1Nn

buff.lyWhat does the Prime Minister mean by a National Care Service?The Prime Minister’s commitment to reforming social care has become emphatically clear again this week. After he pledged a National Care Service that is free at the point of use, Camille Oung looks…
Nuffield Trust
@nuffieldtrust.org.uk

If England is to have a National Care Service, we need to start with clarity. Because what's in and what's out will have real consequences for the people who draw on care and support. ✍️ @camille-oung.bsky.social buff.ly/krKX1Nn

buff.lyWhat does the Prime Minister mean by a National Care Service?The Prime Minister’s commitment to reforming social care has become emphatically clear again this week. After he pledged a National Care Service that is free at the point of use, Camille Oung looks…
Nuffield Trust
@nuffieldtrust.org.uk

With major changes to England's GP contract promised this parliamentary term, Scotland's experience offers six lessons for the next round of contract reform. Read our briefing 🔎 buff.ly/vDu7fda

buff.lyReforming general practice in England: What can be learned from the 2018 Scottish GMS contract reforms?Scotland's 2018 GP contract set out to cut GP workload and narrow health inequalities. Eight years on, its central promises remain largely undelivered – not through lack of ambition, but because of…
Nuffield Trust
@nuffieldtrust.org.uk

How might the National Care Service protect people's homes and savings? @camille-oung.bsky.social says the PM must consider "how free personal care can be coupled with a mechanism to protect people’s assets in the long term, or move towards a more comprehensive free offer". In @thetimes.com 🗞️

thetimes.comEven with a national care service, pensioners face huge billsThe scheme would cover only a fifth of costs, leaving people to pay for bed and board despite receiving free personal care
Nuffield Trust
@nuffieldtrust.org.uk

Read Camille's article on what could be included in, and what could be missing from, free personal care for older people - a key plank of the government's plans for a new National Care Service.

nuffieldtrust.org.ukWhat does the Prime Minister mean by a National Care Service?The Prime Minister’s commitment to reforming social care has become emphatically clear again this week. After he pledged a National Care Service that is free at the point of use, Camille Oung looks at...
Nuffield Trust
@nuffieldtrust.org.uk

NEW: The Prime Minister’s commitment to social care reform is clear. After he yesterday pledged a National Care Service that is free at the point of use, @camille-oung.bsky.social looks at what “personal care” means and calls for clarity on terminology. www.nuffieldtrust.org.uk/news-item/wh...

nuffieldtrust.org.ukWhat does the Prime Minister mean by a National Care Service?The Prime Minister’s commitment to reforming social care has become emphatically clear again this week. After he pledged a National Care Service that is free at the point of use, Camille Oung looks at...
Nuffield Trust
@nuffieldtrust.org.uk

@natashacurry.bsky.social said Burnham's speech had left “important questions unanswered over exactly how the system he envisages would compare to what we have now, who can expect to receive ‘free’ care, and what types of support are included”. Read more in the FT 👇

Financial Times@financialtimes.com

How would Andy Burnham’s social care shake-up work? ft.trib.al/WUsLXLt

ft.trib.alHow would Andy Burnham’s social care shake-up work?By scrapping the triple lock on pensions, the PM hopes to be able to fund free-at-the-point-of-use social care in England
Nuffield Trust
@nuffieldtrust.org.uk

What can England learn from Scotland's 2018 GP contract reforms? Eight years on, its central promises remain largely undelivered. In a new briefing, @becksfisher.bsky.social and co-authors from the Health Equity Evidence Centre explore why and set out six lessons for England. 👇️ buff.ly/dAvwqAx

buff.lyReforming general practice in England: What can be learned from the 2018 Scottish GMS contract reforms?Scotland's 2018 GP contract set out to cut GP workload and narrow health inequalities. Eight years on, its central promises remain largely undelivered – not through lack of ambition, but because of…
Nuffield Trust
@nuffieldtrust.org.uk

Burnham again reiterated his commitment to social care reform along ‘NHS principles’ in an interview with the BBC on Sunday. But key questions will need to be resolved if reform is to be achieved. @natashacurry.bsky.social set them out when Burnham took office back in July 👇

nuffieldtrust.org.ukThe path to social care reform: four key questionsIn his first week as Prime Minister, Andy Burnham has already signalled his intent towards social care reform in England by saying that he wants it to “operate on the NHS principle”. With the politics...
Nuffield Trust
@nuffieldtrust.org.uk

What policy pitfalls will Yvette Cooper be keen to avoid as Secretary of State for Health and Social Care? After Wes Streeting's resignation in May, @markgdayan.bsky.social took stock of the lessons from his tenure ⚖️ buff.ly/mUjcD3a

buff.lyWhat can Wes Streeting’s successor learn from his record on the NHS and social care?With Wes Streeting moving on from his role as the Secretary of State for Health and Social Care, Mark Dayan looks back at his tenure and picks out the key lessons that his successor would do well to…
Nuffield Trust
@nuffieldtrust.org.uk

Our indicators track the quality of health and care in England across a range of measures... Evidence shows that stillbirth rates are twice as high in the most deprived areas as in the least deprived, showing stark inequalities rooted in deprivation. ➡️Click here to find out more: buff.ly/10B9GSX

Nuffield Trust
@nuffieldtrust.org.uk

As in times past, Labour made improving the NHS a key part of its platform for government at the last general election. Two years on, what are the prospects for improvement? @leonoramerry.bsky.social compares the position of two Labour governments to find out 👇

nuffieldtrust.org.ukThings can only get better? But this is not the 1990sAs new analysis this week compares the NHS that Labour inherited in 1997 with the health service in 2024 – both landmark years for the party after coming to power after a long time in opposition – Leo...