Becks Fisher

Signs of improvement in general practice but inequalities still persist Becks Fisher responds to the GP patient survey results.

Read our Director of Research and Policy Dr @becksfisher.bsky.social's response to the results of the GP patient survey.

📈 There are signs of improvement but inequalities still persist.

The 10 Year Health Plan is rightly ambitious. But there are several areas where it could come unstuck, not least when it comes to the money that's required to turn grand ambitions into reality.

Read the blog from Director of Research and Policy @becksfisher.bsky.social 👇
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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

Still - this Government committed to reducing health inequalities in its manifesto and has repeated that commitment - with tangible policy today. I'm calling that progress.

This is where the rubber hits the road. Govt is promising to find funding by clawing back £2.2bn of deficit.

Can they do that? Is the £2.2bn question.

Reducing deficits without reducing services is a tough ask.

So - to go beyond reviewing CH, to actually *changing* it to make funding fairer, you probably need to inject cash.

The idea is to hold 'above allocation' practices at a steady level of income whilst you bring others' up. That's much more palatable to the profession.

Government are clearly thinking ahead. Reviewing Carr-Hill is one thing. Its been promised in three previous national plans. Reviews have happened. They've said it should change, and it hasn't. Why? Mostly because unless you put in more £ it'll be a hard sell to GPs - some will lose out.

Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do? General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. This briefing, produced i...

First, there's a big bank of evidence showing that Carr-Hill drives inequitable funding across general practice.

This is good, evidence-led decision making from Govt. And if they want to tackle health inequalities through the NHS, they need to tackle this

www.nuffieldtrust.org.uk/resource/fai...

Fourth time lucky?!

Why am I hopeful that this time, a promise of review might lead to actual change?

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Silence, sexism and stigma: The state of working-age women’s health in England Women spend more years of their life living in poor health than men, including through their working years. This QualityWatch data story shows how the burden of disease affects working-age women and m...

Women spend more of their working-age years living with ill health than men.

Brilliant new #Qualitywatch analysis from my @nuffieldtrust.org.uk colleagues unpicking the factors driving this 🔽

www.nuffieldtrust.org.uk/news-item/si...

Today @rthonwesstreeting.bsky.social will announce plans to overhaul GP funding. If you're interested in more on how we can make GP funding fairer have a listen to this podcast I did with @becksfisher.bsky.social from @nuffieldtrust.org.uk last year www.gponline.com/podcast-gp-f...

The excellent @sallygainsbury.bsky.social dissecting #NHS finances to show why £22.6bn really isn’t much of a ‘downpayment’ on the 10 year plan….

Resident doctor pay: How do different methods affect how pay changes appear?

Resident doctor pay: How do different methods affect how pay changes appear? Thanks to @nuffieldtrust.bsky.social for their analysis in The Sunday Times this week: www.nuffieldtrust.org.uk/news-item/re...

Packed room at #rapidevaluation conference for opening plenary. Lots of potential for tech enabled change in the #NHS, but lots required to make it happen: interoperability, better procurement, cultural change etc. Will 10y.p help?!

@nuffieldtrust.bsky.social @healthfoundation.bsky.social

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…

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.
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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...

It is very easy and very tempting to assume that management is merely a (useless) cost to be saved not something that adds value to the rest of the system. That's not what the evidence says and it is possible to have too little management.

In 2024, just 1 in 5 British adults (21%) were satisfied with the way in which the NHS runs – the lowest level of satisfaction since the #BritishSocialAttitudes survey began. It’s a decline of 39 percentage points since 2019. @thekingsfund.bsky.social

www.nuffieldtrust.org.uk/research/pub...

At the Congrès de la Médecine Générale in Paris presenting with @becksfisher.bsky.social and John Ford. We covered GP retention, workforce data, unequal GP distribution, lack of job opportunities. #sustainableGPcareers #addressingbottlenecks @rcgp.bsky.social @nuffieldtrust.bsky.social @qmul.ac.uk

Health in the UK after Brexit: Moving apart or stuck together? How has Brexit reshaped health in the UK? The final report in our Health and International Relations Monitor series, supported by the Health Foundation, tracks the ongoing impact from EU exit on medic...

Today with @cglobont.bsky.social @tamarahervey.bsky.social and excellent colleagues not on Bsky we publish our final Brexit report on how health and care in the NHS have pulled apart from Europe, and the consequences – funded by @healthfoundation.bsky.social www.nuffieldtrust.org.uk/research/hea...

The partnership model in #GeneralPractice predates the #NHS. Is now the time to change it?

Read our briefing to find out more: www.nuffieldtrust.org.uk/resource/the...

@becksfisher.bsky.social also shared her thoughts at our Summit earlier this month 👇

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

Labour government scraps NHS England Performative politics that will disrupt the health service when patients most need it On 13 March, the UK prime minister announced that the Labour government will scrap NHS England—the national body ...

On the end of NHS England in @bmj.com

www.bmj.com/content/388/...

Feels like a massive distraction

iykyk #bm100

Keir Starmer's decision to abolish NHS England is a high-risk strategy | Institute for Government Wes Streeting seems to have dramatically shifted his position on NHS England.

‘nine months into its term of office the government is embarking on a major reorganisation of the superstructure of the NHS that is not fully thought through and which it did not intend to do in the first place’

Nick Timmins on excellent form 👇🏻

www.instituteforgovernment.org.uk/comment/keir...

Might be a good time to resurrect our historical review of previous NHS organisational structures....
researchonline.lshtm.ac.uk/id/eprint/46...
Short version: however you organise it, you always need a number of layers to effectively manage something as complicated as the NHS

Friday Fellow! Our final think tank job of the week is with @nuffieldtrust.bsky.social who are looking for a strong critical thinker with an interest in health and social care policy to join them as a Fellow in Funding & Finance - find out how to apply: bit.ly/4ktlOBs

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 >>

The reasons for NHS England's rise and fall are not going away With the news today that NHS England will be abolished, Mark Dayan and Leonora Merry look at how far things have changed since NHSE was created 12 years ago.

'NHS England was created 12 years ago partly in an attempt to take the politics out of health in England. But today, politics took out NHS England'

Excellent speedy work from @leonoramerry.bsky.social @markgdayan.bsky.social @nuffieldtrust.bsky.social

www.nuffieldtrust.org.uk/news-item/th...

🚨 Excellent job alert🚨

You’ll work with brilliant, talented, fun colleagues on things that really matter (well - I think the NHS and social care matter).

You won’t be bored and you will get good coffee (and snacks).

Roll up….