⚠️ NEW: Our analysis reveals concerning disparities in
#NHS
waiting times between different patient groups in England.
Findings from our
#QualityWatch
programme with
@HealthFdn
. 👇
We spoke to
@kevin_fong
about the impact the pandemic has had on
#NHS
staff mental health and wellbeing. There needs to be a focus on improving conditions for the workforce and staff retention. 💬
#ntsummit
Since having breast cancer,
@Liz_ORiordan
thinks health professionals need to realise they're not the experts, the patients are. Catch up on Liz and
@mandystevens22
fantastic session from earlier today
#ntsummit
🆕 We are delighted to announce that
@Thea_Stein
has been appointed as the new Chief Executive of the Nuffield Trust. She will take over from Nigel Edwards in September 2023.
We’re pleased to announce that
@BecksFisher
has been appointed as our new Director of Research and Policy. She’ll take up the post from this summer, heading up our team of expert researchers in health and social care policy.
A third of NHS staff are also
#carers
- much higher than in the general population. Caring responsibilities have a significant impact on someone’s ability to work.
Female NHS staff and those aged 51-65 are most likely to be caring for someone.
Read more:
We believe that the workforce challenges in the NHS now present a greater threat to the delivery and quality of health services than the funding challenges.
Here's what we think a Long Term Plan for the NHS must urgently address:
Each week we are sharing our ‘Chart of the week’ discussing the numbers behind the talking points. Today we’re highlighting health inequalities following reports that the most deprived areas are seeing twice as many
#Covid_19
deaths:
🆕
@sallygainsbury
looks at how much spending on the
#NHS
the main political parties have committed to in their election manifestos. How do they stack up and what will it mean for the NHS's spending over the coming years?
[1/2]
Our analysis found that in the year to June 2022, 40,365 NHS
#nurses
in England left active service – equivalent to one in nine.
Leaders at every level need to urgently understand – and act on – the reasons why staff have left and intend to leave.
🧵 Our analysis lays bare the scale of losses and waste from clinical staff dropping out of training and opting out of careers in the
#NHS
. This should be urgently tackled through initiatives including a scheme that gradually writes off their student debt.
How does the 4 hour A&E waiting time target compare across England, Scotland, Wales and Northern Ireland? We've updated our chart with the latest data. Read more about our four countries work here >
“The idea that a single figure can be personally in charge of the performance of the NHS is one of the most persistent and damaging myths in healthcare.”
@nedwards_1
tells
@guardian
🆕 We're really delighted to announce that
@MartinRCGP
has been appointed as Chair of the Nuffield Trust. Professor Marshall will succeed Andy McKeon CBE in September 2022.
What has happened to
#NHS
staff pay since 2010?
@markgdayan
&
@Billy_Palmer_
explored how pay for different staff groups has changed in real terms.
We found that NHS staff pay remained lower in real terms in 2021/22 than it was in 2010/11.
👉
NEW REPORT. Today we have published a new report looking at five key areas that could be improved for people with a learning disability in England:
⚖️ Overweight
🔬Cancer checks
🧠 Mental health
🩺 Annual health checks
👩⚕️Finding health problems early on
1/11
🆕 Tonight,
@itvpeston
will explore our analysis of how real-terms
#NHS
staff pay has changed since 2010.
#Peston
How are different staff groups faring and how does this compare to the private sector? 📉 by
@markgdayan
&
@Billy_Palmer_
👉
🆕Shifting care out of hospital and into the community has been a long-term aim but minimal progress has been made.
@sjanereed
& Emma Dodsworth look at how other countries have built up community services and explore lessons to be learnt for England.
We are pleased that the Commission, and public polling, has backed the sensible and realistic proposal to gradually write off the student debt of health care professionals that we put forward last September.
Read our proposal here:
📻 This week
@nedwards_1
tells
@Kevin_Fong
, "We've almost certainly, compared with other countries, not invested enough in prevention," and "We need to deal with our very high level of income inequality which has got worse since the NHS was founded."
Today we welcome our new Director of Research and Policy
@BecksFisher
!👋
We are all looking forward to working with Becks on a broad range of health and care projects and learning from her expertise.
The new money announced today doesn’t take into account public health - an important point if we want to take significant pressure off the NHS - the training of new medical and nursing staff and crucially it doesn’t include new money for social care -
@nedwards_1
tells
@BBCNews
If you want an NHS that functions well, you need to be honest with the public that this will cost more through higher taxes. If not, politicians will need to be honest that the NHS will need to do less. It’s as simple as that
@IsabelHardman
tells our fringe event.
Recent global events have shone a light on racism and treatment of black communities across the globe. Our new chart of the week shows the disproportionately low representation of black people working in senior positions across much of the NHS in England.
NEW REPORT: Here is the first in our series of papers with the
@BBC
as they mark
#NHS70
– How Good is the NHS? a major new international comparison of health systems by us,
@TheKingsFund
,
@HealthFdn
and
@TheIFS
>
.
@nedwards_1
will be standing down as
@NuffieldTrust
Chief Executive later this year. He will remain at the helm until a successor is in place.
In this article, he explains why, after nine years in the role, now is the time for a new chapter.
Should emergency departments move patients to other wards even when there's no bed space available? 🏥
@DrLKVaughan
assesses the evidence on the ‘continuous flow model’ and argues for further caution before rolling out such a model in the
#NHS
.
NEW ANALYSIS: Where does the
#NHS
money go? 💷
Total real-terms funding has increased by 3.1% a year over the past six years, but
@sallygainsbury
& Sophie Julian look at how this hasn't been shared equally across different NHS services.
Where does the
#NHS
money go? We looked at how funding has been shared across different NHS services since 2016.
🏥 Community care funding has grown much more slowly than for acute care.
📉 Dentistry/ public health/ prescribing have seen real-terms cuts.
🆕 What happened to the funding earmarked for
#socialcare
reform?
The new government want to continue with implementation of a cap on care costs. But funding allocated to reform has been progressively diverted into system delivery.
✍️ by
@CamilleOung
"Hospitals are amazing, extraordinary, brilliant places, but as a society we’re a bit in love with them, and I think we've got to share the love. Most health and care takes place outside of those hospital buildings." -
@Thea_Stein
💬👇
📰 In today’s Letters to the Editor of
@thetimes
our Chief Economist
@jappleby123
describes a hypothecated tax for the NHS as ‘an illusory technical escape’ from the hard truth of spending choices
🆕 Despite long-standing goals, there is limited evidence that the different policies to integrate health and social care services within the UK’s four countries have made a difference to patients, or to how well services are integrated. (Thread 👇)
Thank you to
@CMO_England
for an excellent session earlier on how healthcare will need to change over the next 20 years. You can rewatch here > #
#ntsummit
#ntsummit
As we wrap up the
#ntsummit
, the audience are reflecting on
@juliaunwin
's keynote on the importance of kindness in public policy. Here she explains why we need to be bilingual in the rational and the relational >
NEW: Our Chart of the week looks at whether the pay of
#NHS
staff over the past 10 years has kept up with inflation and private sector wages in real terms.
@markgdayan
NEW: How we fund social care now and in the future can be a personal and political maze. Use our tool to find out more about the key approaches that might be proposed in the upcoming green paper – and how they might fare against our 4 tests >
🏆 COMPETITION 🏆We've just launched a NHS
#dataviz
challenge with
@bmj_latest
and
@NHSDigital
. We want entrants to tell a captivating visual story about the health inequalities of different groups in England.
Find out how to enter here and good luck:
🆕 Our research shows that despite many initiatives, there are clear signs of unequal treatment and bias in the
#NHS
workforce, across race, gender, disability status, religion and other protected characteristics. (Thread) 👇
NEW: Emergency department attendances have been the subject of much debate during
#Covid_19
.
@DrLKVaughan
looks at what has impacted the use of emergency care, and whether reductions in attendances can be sustained as lockdown eases.
📉 NEW CHART: Following recent government proposals to offer a 1% pay rise to most
#NHS
staff,
@markgdayan
looks at real-terms pay for different NHS staff groups over the past decade. How are different groups faring compared with the private sector? 👇
A very warm welcome to Thea Stein who joins the Nuffield Trust as Chief Executive today. 👋
Follow
@Thea_Stein
to stay updated on her work and commentary about the
#NHS
and
#socialcare
.
The number of
#GPs
in England continues to fall. Based on the government’s pledge of an additional 6k more GPs by March 2024, we would expect there to be around 33,800 GPs as of December 2023, but data suggests there are only around 27,500.
Find out more:
🚨 NEW REPORT: We take a detailed look at the numbers dropping out of clinical training and
#NHS
jobs, and outline what can be done to address the attrition problem.
🆕 With many A&E departments beyond capacity, some hospitals have been trialling an approach of moving a set number patients to inpatient wards each hour, regardless of bed availability.
🏥
@DrLKVaughan
considers whether this a viable solution.
A founding principle of the NHS was universal, free at the point of need care - so does this still stand for everyone? We've been investigating for the
@FT
whether deprived areas of the UK receive better or worse care than other areas. Here's what we found out. THREAD ⬇
NEW REPORT:
#Brexit
and health - where are we now? 🇬🇧
We look back to consider the impact of Brexit on health to date, totting up the numbers across three major areas: workforce, medicines, and the economy. 🧵
🆕 Poor data about ethnicity has obscured the true extent of ethnic disparities in the impact of
#Covid19
.
@SarahScobie2
,
@jspncr_
& Veena Raleigh set out recommendations for how to improve records of ethnicity in the NHS.
@NHS_RHO
(1/8)
NEW:
@NHSEngland
’s new plan set an ambitious target to reduce outpatient appointments by 30 million over the next 10 years.
@jappleby123
, with the help of
@pk_mash
, has created a scrolling story to give a snapshot of those appointments over a year
#dataviz
📰
@guardian
highlights our analysis which estimated that in the six months to October the number of
#socialcare
staff in England fell by between 50,000 and 70,000. Low pay, exhaustion after 18 months tackling Covid and the “no jab, no job” policy are key reasons.
🆕 Some have expressed concerns that the Health and Care Bill could lead to ‘privatising’ the
#NHS
.
👇
@markgdayan
&
@buckinghamh
argue that the bill might avoid much-needed scrutiny if parliamentarians and commentators focus on issues that don't exist.
Polling for our latest report shows that over 65s are almost just as willing to consult their GP via video as people aged between 15 and 24. Read the full report and other polling questions here ⬇️
@TheKingsFund
@HealthFdn
@TheIFS
#NHS70
We're delighted to have appointed four new Trustees to our board with experience at the highest levels in medicine, research, NHS management, nursing and academia.
A warm welcome to
@nosuji01
,
@BobKlaber
,
@CrystalOldman
and
@Graham_P_Martin
. 👋
It has become commonplace to argue that the NHS is a ‘bottomless pit’ consuming greater amounts from the public purse than other countries.
@nedwards_1
Edwards untangles this and other similar claims to show that the evident does not quite bear them out.
Today we've published a report looking at what England 🏴 can learn from Japan's 🇯🇵 long-term care system as we approach the long awaited green paper. Here’s what we found out ⬇️ 1/13
🆕Ahead of the expected publication of the NHS workforce plan, our analysis of NHS staff sickness data for
@BBCNews
reveals that
#NHS
hospital & community services are grappling with a new normal of sickness compared to pre-pandemic levels. 🧵
Today, with
@RCPCHtweets
, we’ve published the first ever international analysis of UK child health measures over time with 14 comparable countries. Read some of our key findings below 👇 THREAD
NEW REPORT: Tens of thousands more people died at home during the
#pandemic
. Using new OpenSAFELY data, we set out to see whether they received good care and support from the
#NHS
.
What is the truth about how much real-terms pay has changed for different
#NHS
staff groups?
We found that wages in the UK’s private sector have done better since 2010 than any NHS group. 👇
As smaller hospitals struggle with workforce shortages, spiralling costs and more acutely ill patients we've set out some radical new approaches for running acute medical services in these hospitals
@nedwards_1
@cimison
@DrLKVaughan
>
#NHS
waiting times cannot be solely attributed to Covid-19 but instead are a predictable consequence of the collision between a pandemic and a health system already stretched beyond its limits.
Could one consequence of trying to contain Covid-19 be an increase in deaths from other causes? Or is there a data problem?
@Jappleby123
in
@bmj_latest
looks at non-Covid deaths
This morning we sent a joint letter with
@TheKingsFund
and
@HealthFdn
to MPs outlining the implications of a no-deal Brexit on health and care services – namely problems with staffing, supplies, funding and demand for health care:
NEW REPORT: As smaller hospitals struggle with workforce shortages, spiralling costs and more acutely ill patients we've set out some radical new approaches for running acute medical services in these hospitals
@nedwards_1
@cimison
@DrLKVaughan
>
⏱ Chief Digital Officer of
@NHSEngland
@tara_donnelly1
on why some doctors hate their computers, and why there will be reasons to love them in the longer term
#ntsummit
🆕 Our new analysis, covered by
@BBCNews
today, reveals that
#NHS
staff sickness absence rates in hospital and community services in England jumped 29% by the end of 2022 from the year before the
#pandemic
(2019).
Read our full briefing here:
Yesterday, Director of Public Health in Blackpool
@DrRajpura
shared his thoughts on what can be done to reduce health inequalities in his city. 💬
#ntsummit
#Brexit
has contributed to
#NHS
problems in terms of staffing, medicine shortages and economic challenges.
Our report explores these issues in detail, looking back over the last six years.
Wages in the NHS have grown at much less than inflation over the past decade. Our chart of the week shows that doctors and nurses have the worst average real terms fall of all NHS staff.
"Rapid evaluation" is increasingly in demand as
#NHS
leaders want to test new initiatives - but what does it mean and what does it require?
@Ledger_Dr
and our Chris Sherlaw-Johnson share findings from our conference
🆕 It has proved difficult to realise ambitions to deliver more services out of hospital.
@SarahScobie2
&
@SKumpunen
describe what community services are, who uses and provides them, who pays for them, and some of the challenges they face.
NEW REPORT with
@NHS_RHO
: People from Asian groups experienced a much larger fall in planned hospital care during the pandemic than people from White, Black or Mixed ethnic groups. 🧵(1/10)
How has Agenda for Change helped with differences in pay across the NHS’s ethnically diverse workforce? Our Chief Economist and
@NHS_RHO
board member
@jappleby123
shares his thoughts on the ethnicity pay gap in the
#NHS
.
People sometimes think Advanced Practitioners will take doctors' jobs,
@DrCJM
tells our
#NTSummit
. I think there's plenty of work to go around in my A&E...
🆕
@nedwards_1
responds to the Secretary of State's speech at the
#NHS
@ConfedExpo
. Policy hyperactivity unsupported by additional spending will not tackle fundamental problems facing health and care.
#Confedexpo
👉
We were surprised and disappointed to see no concrete proposals for reforming social care and worrying lack of reassurances for future workforce -
@jappleby123
responds to the
#QueensSpeech