Abolished to perfection? Building a better centre for the NHS Reorganisation has been a regular feature of NHS history, but has often failed to deliver its goals. The abolition of NHS England marks the biggest restructure of the health service’s command structur...

NEW REPORT: The abolition of NHS England presents a rare opportunity to reset the centre of the NHS, but it carries significant risks.

Nuffield Trust and IfG researchers have spoken to experts involved in current and past reforms and assessed historical examples of major restructures.

Moving care out of hospital: what can England learn from other countries? With the 10 Year Plan for England having a strong emphasis on shifting more care out of hospitals and into the community, over the past year we have been studying other health systems which have had t...

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

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...

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...

Nuffield Trust response to the government's immigration white paper Skip to main content

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

6/ And of course brilliant Comms colleagues, @pk101.bsky.social @celiaconso.bsky.social @rowandennison.bsky.social @mpjones.bsky.social @markgdayan.bsky.social @rowandennison.bsky.social @leonoramerry.bsky.social and many more 🙏

5/ This work is part of a huge team effort including @sarahscobie.bsky.social, @daviesmiranda1.bsky.social, @rachelhutchings.bsky.social and Steph Kumpunen -- with more analysis to come, so do stay tuned.

5/ The @nuffieldtrust.bsky.social holds a neutral position on the legalisation of assisted dying, and we hope this work offers an objective view of the evidence from other countries as the UK consider its own path.

Thread with key findings below:

bsky.app/profile/nuff...

4/ These differences aren't just procedural -- they affect how individuals access and experience services, what roles and responsibilities staff hold, and the health and social care system at large.

3/ This includes many things like:

◾ The extent to which assisted dying is publicly funded and integrated into broader health and care services
◾ Which staff can be involved, and the training they require
◾ The processes people must go through to give consent
◾ How compliance is monitored

etc.

2/ A wealth of international evidence has already been drawn on to inform the debate in the UK, but it has tended to focus on a narrow set of countries or issues regarding eligibility.

Part of why we did this work is to highlight the broader operational and practical differences that also matter.

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 othe...

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...

Scotland’s Proposal for Assisted Dying for the Terminally Ill Join this expert panel discussion about the rhetoric and realities of assisted dying.

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 >>

Great question and something we’ve been looking at closely at @nuffieldtrust.bsky.social with more research coming out this year — and not only Denmark, but other systems that have had similar efforts to reorient care towards the community

In pride of place! ❤️

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

A Look at Federal Health Data Taken Offline | KFF This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly descri...

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...

Thanks @timgardnerthf.bsky.social — high praise coming from you!

Politics Live - 28/01/2025 Does the government have the right strategy to grow the economy? And who is winning the AI wars?

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/...

Hospital to home: can other countries show us the way? Attempts to shift care "from hospital to home" have repeatedly faltered. This event explored what we can learn from the experience of other countries and what it will really take for this government t...

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

<em>Health Services Research</em> | AcademyHealth & HRET Journal | Wiley Online Library Objective To assess the prevalence of patient administrative tasks and whether they are associated with delayed and/or foregone care. Data Source March 2019 Health Reform Monitoring Survey. Stud...

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....