David Buck

For one thing, only HSE can show us, on a representative sample, the trends in those illnesses must strongly linked to economic inactivity. Are these conditions getting more frequent or are they becoming more disabling? It goes back to 1992!

Experts express concern for future of Health Survey for England Study is not being stood down but will no longer be run by NHS England, government says

Super important, if @nhsengland.bsky.social isn't interested as not "prioritising population health surveys in its long-term strategic work plan" (err, sickness to prevention anyone?) who? DHSC central budget? Alternatives will break the series, pretty dreadful www.theguardian.com/society/2025...

Great piece from @hughalderwick.bsky.social @phoebedunn.bsky.social @healthfoundation.bsky.social. Lots of ideas, but also big competing philosophies of change in the 10 year health plan, which ring will rule them all? www.health.org.uk/reports-and-...

Line chart from the Institute for Government showing proportion of civil servants from a low socioeconomic background by grade 2021 to 2024. The lines are very flat, trending slightly down. The lowest is SCS at just under 20%, the highest is AO/AA at just over 40%.

Proportion of civil servants from low SEB by seniority. It is v striking to me...

1 - how flat the lines are. Almost no change over time?
2 - how perfectly stacked they are. Consistently smaller proportion of low SEB civil servants at each grade.

(stats are from people survey so not perfect)

Thoughts from me and others in @healthcareleader.bsky.social on #publichealth, given the 10 year health plan and wider changes. As ever, lots of #opportunity, lots of #challenges to face healthcareleadernews.com/insight/how-...

Has the government’s health mission gone missing? Sarah Woolnough critiques the government's health mission, urging for clearer focus on broader health goals beyond the NHS, with steps to tackle health inequalities and prevent long-term fiscal challenges

3/3. Disappointed though with a lack of real focus on health inequalities in the 10 year health plan, and a palpable sense of a missing wider #healthmission, that was originally defined in terms of #healthinequality reduction. #stillwaiting www.hsj.co.uk/service-rede...

2/3. There is now a lot of information on the poorer/differential experience and outcomes for these groups inc our @kingsfundlibrary.bsky.social reading lists on transgender health inequalities koha.kingsfund.org.uk/cgi-bin/koha... and LGBTQ+ health koha.kingsfund.org.uk/cgi-bin/koha...

NHS England » NHS launches first ever review to tackle LGBT+ health inequalities NHS England » NHS launches first ever review to tackle LGBT+ health inequalities

1/3. Welcome this @nhsengland.bsky.social review www.england.nhs.uk/2025/07/nhs-...

What works: Designing health care inclusively for people with low incomes  - Health Equity Evidence Centre The NHS Constitution states that access to NHS services is based on clinical need, not an individual’s ability to pay. Most NHS services are free of charge. There is a large evidence base describing t...

ICYMI: From the Health Equity Evidence Centre (HEEC) www.heec.co.uk/resource/wha...

Same cycle – different bike? | The King's Fund Sarah Smith, a public health consultant, reflects on strategic commissioning for population health and the steps needed to prepare integrated care boards for the future

In this guest blog, public health consultant Sarah Smith reflects on strategic commissioning for population health and the steps needed to prepare integrated care boards for the future. buff.ly/Rhpiepl

Keeping equality at the forefront of NHS changes Alexandra Ankrah shares her hopes for a future NHS that leaves no one behind.

www.nhsconfed.org/articles/kee... In Best & Worst of times new NHS Plan - hopefully like SankofaBird - bringing best back from past & forward into future #NoOneLeftBehind @laylamoran.bsky.social @laylamccay.bsky.social @mancunianmedic.bsky.social @drhnaqvi.bsky.social @disrightsuk.bsky.social

Whole of Government Accounts 2023-24 - NAO report The Whole of Government Accounts consolidates accounts from over 10,000 public bodies, providing an overview of the UK’s public finances.

The NAO has again had to disclaim the Whole of Government Accounts, providing no assurance to Parliament on the financial statements. This is due to severe backlogs in English local authority accounts and audits. Very bad and needs sorting!
www.nao.org.uk/reports/whol...

How Integrated Care Systems Can Prevent Cardiovascular Disease | The King's Fund Cardiovascular disease (CVD) is responsible for up to 25% of premature deaths in the UK, 80% of which are preventable. We explore the role integrated care systems could play in scaling up the preventi...

Our long read looks at the ways integrated care systems can provide a whole-system approach to CVD prevention. We suggest what’s needed at a primary care and national level to prioritise the shift from treating CVD illness to preventing it.

Read it here 🔽 www.kingsfund.org.uk/insight-and-...

This a great piece, a double-edged sword... which way will it go?

An engine for economic growth? Why it won’t be a piece of cake for the NHS With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...

NEW: A long read from @sallygainsbury.bsky.social examines a conundrum for policy makers: How can the NHS meet public demand while also positioning the NHS as an engine for economic growth? www.nuffieldtrust.org.uk/news-item/an...

ICYMI: Rules of thumb for decision-makers when presented with (quant-ish) analysis, from @strategyunit.bsky.social www.strategyunitwm.nhs.uk/publications...

Always interesting - individual vs collective 'power' and the 10 year plan...

The 10-Year Plan: Will It Work? Three health experts get their teeth into the government plan to fix the NHS.

ICYMI: Three forensic looks at the 10 year health plan, in the context of now and experience and context of similar plans in the past www.politicshome.com/news/article... via @politicshome.bsky.social

We at @instituteforgovernment.org.uk have coordinated a letter in @thetimes.com today in which numerous individuals and organisations call on the government to withdraw its mistaken rules which are having a serious chilling effect on civil servants speaking in public…

What Can England Health Policy Learn From Scotland | The King's Fund David Buck welcomes the Scottish government’s framework for population health, and argues that England needs an equivalent, despite the 10 Year Health Plan.

Lastest blog for @thekingsfund.bsky.social > ICYMI: England is not alone in having a new 10 year #health plan. #Scotland has published its #populationhealth #framework which has a far stronger cross-government focus. England needs to learn from it's neighbour. www.kingsfund.org.uk/insight-and-...

What opportunities can good, fair employment play in addressing health inequalities?

In the latest in a series of essays from @clesthinkdo.bsky.social, @davidjbuck.bsky.social & @lucatiratelli.bsky.social explore how employment policy can be a powerful lever to address health inequalities with. 🔽

2/2. See previous work on what we would like to see in terms of the new #healthduty on #mayors and strategic authorities, and our overall thoughts on the contribution to #healthinequalities on @clesthinkdo.bsky.social website. More essays to come.

1/2. Our *new* @clesthinkdo.bsky.social
@thekingsfund.bsky.social essay on #English #devolution, #mayors, strategic authorities and their role in #healthinequalities reduction is out. What is their role in #employment and health inequalities? cles.org.uk/publications...

Truly Fit For The Future? The 10 Year Health Plan Explained | The King's Fund What impact will 'Fit for the Future: The 10 Year Health Plan for England' have for people, patients, staff and the health and care system? We analyse the key areas of the government's plan.

The 10 Year Plan sets out the government’s vision for a digitally enabled, community-centred and prevention-focused health service. But how will that vision become a reality?

Our long read sets out what’s included in the plan, what isn’t, and the questions that remain unanswered: buff.ly/zatzLws

a cartoon of a cat holding a stick with a burst of light coming out of it ALT: a cartoon of a cat holding a stick with a burst of light coming out of it

Keep 👀peeled on Monday for two pieces, one on #English #devolution, and one on #Scotland and #populationhealth. Hope you have good weekends.

Good thread here - inc on the big bet on polygenic risk-scoring etc (and possible consequences)

ICYMI: Important stuff includes intention for a new #healthy #duty on #mayors and strategic authorities. See what @thekingsfund.bsky.social and @clesthinkdo.bsky.social think that needs to look like here cles.org.uk/publications...

As part of a new bill, the government is planning to reintroduce the Supplementary Vote system for mayoral and PCC elections.

This is a hugely welcome return, and a change we have been calling for – to put more choice back into the hands of voters.

Our take on the health duty cles.org.uk/publications...

This is our take cles.org.uk/publications...