David Buck's Avatar

David Buck

@davidjbuck.bsky.social

Senior fellow in public health and health inequalities at The King's Fund (https://www.kingsfund.org.uk/). Bit of a magpie, don't necessarily agree with those i (re)share. Also over at twitter @davidjbuck.

3,072 Followers  |  307 Following  |  258 Posts  |  Joined: 06.02.2024
Posts Following

Posts by David Buck (@davidjbuck.bsky.social)

Too right. A venn diagram, not the same circles.

27.02.2026 19:12 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
The Local government Outcomes Framework - one to rule them all (inc the NHS)? ICYMI. Out recently - good indicators in there, of what drives health whether says on the tin or not.

One ring to rule them all? Will the NHS take notice of the Local Government Outcomes Framework? It should if it's interested in populaiton health. www.linkedin.com/pulse/local-...

26.02.2026 16:59 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Report Stage for the Tobacco and Vapes Bill: What happened! - ASH Action on Smoking and Health (ASH) is a campaigning public health charity that works to eliminate the harm caused by tobacco.

πŸ“’ Don't miss our CE @hazelcheeseman.bsky.social's blog breaking down what happened last night at Report Stage of the Tobacco and Vapes Bill in the House of Lords.

πŸ“–Read here: ash.org.uk/media-centre...

25.02.2026 11:07 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
A Prevention Revolution Or Another Missed Opportunity? | The King's Fund The country desperately needs a prevention revolution, and this government should make good on its promise to deliver one, say Sarah Woolnough and Jennifer Dixon.

4/4. But, it's also going to take much more effort/resources and attention from @nhsengland.bsky.social, DHSC, the rest of government and politicians. That attention is missing at the moment e.g. www.kingsfund.org.uk/insight-and-...

24.02.2026 14:59 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Integrated care systems and strategic authorities: Coming together to tackle health inequalities and the wider determinants of health | CLES

3/4. That means mayors and strategic authorities as much as the NHS and how they connect up; and regional growth for a purpose not just for itself @clesthinkdo.bsky.social @healthfoundation.bsky.social and ourselves, and others, have been thinking about this e.g. cles.org.uk/publications...

24.02.2026 14:59 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Post image

2/4. Coupled with the recent HLE data showing a drop to 2011-13 levels = a huge challenge. As @healthfoundation.bsky.social say, if govt is going to deliver it's prevention shift & health mission it needs to think 'regional shift' & it's going to have to come from wider determinants, not healthcare

24.02.2026 14:59 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Post image

1/4. *New* avoidable mortality data today from Office for National Statistics. A drop, returning to the plateau post-covid probably. Leaves 113,000 deaths that were avoidable through prevention or treatment www.ons.gov.uk/peoplepopula...

24.02.2026 14:59 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 1
Healthy life expectancy, UK - Office for National Statistics The number of years people are expected to spend in β€œgood” general health in the UK, including subnational areas.

Healthy life expectancy at birth in the UK has decreased to its lowest level since the ONS time series began in 2011 to 2013
www.ons.gov.uk/peoplepopula...

20.02.2026 21:33 β€” πŸ‘ 20    πŸ” 10    πŸ’¬ 3    πŸ“Œ 0
Preview
Local elections U-turn is welcome – but this saga has been a government fiasco | Institute for Government Elections in 30 local area will now proceed on 7 May 2026.

The government has abandoned plans to delay local elections in 30 areas.

Our devolution team argue that the decision to delay elections was flawed – and reflects a broader challenge for the government's local government reorganisation agenda.

www.instituteforgovernment.org.uk/comment/loca...

20.02.2026 10:18 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

No, I think NHSE fund at the moment, but ONS will pull it's support. Tbh, not sure what that means, assume they're involved in technical delivery. But beyond it's pulling horns in across multiple things, and more to come.

19.02.2026 21:03 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Number of years of likely good health in UK falls to new low There is a β€œclear geographical divide” between local areas with the highest and lowest healthy life expectancy.

πŸ—žοΈ "Today’s figures show that where you live determines how many years you spend in good health – and that gap isn’t closing." @jamie-ohalloran.bsky.social in the @the-independent.com πŸ‘‡ www.independent.co.uk/news/uk/home...

19.02.2026 18:00 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
Preview
RefocusingΒ the ONSΒ on its coreΒ statistics Permanent Secretary Darren Tierney sets out the next steps the ONS is taking to prioritise quality and strengthen core statistical outputs.

ICYMI: Big shake-up of ONS statistics. Pulling out of support for Health Survey for England, ending place research and 'lifestyles' research amongst others. #turningthelightoff #health #statistics #England #UK blog.ons.gov.uk/2026/02/19/r...

19.02.2026 12:07 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
Child poverty figures in the UK expected to be revised down Official figures going back to 2018 are set to take billions in under-reported benefits income into account.

β€˜From next month, child poverty estimates will use data from benefit records, which is likely to mean figures dating back to 2018 will be lower than previously stated.’
Good to see this improvement in poverty data
www.bbc.co.uk/news/article...

19.02.2026 07:14 β€” πŸ‘ 9    πŸ” 2    πŸ’¬ 1    πŸ“Œ 1
Preview
Do the Poor Gain More? The Impact of Secondary-Care Expenditure on Health Inequality - Applied Health Economics and Health Policy Background Quasi-experimental studies of mortality variation and trends among large administrative areas of England in the 2000s and early 2010s have suggested that more deprived populations gain larg...

Does the shape of NHS secondary care spending reduce health inequalities in England (defined by mortality/deprivation at place level)...? link.springer.com/article/10.1...

18.02.2026 15:35 β€” πŸ‘ 0    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

Good stuff from @healthfoundation.bsky.social on weight loss drugs > New data reveal inequalities in access to private GLP-1 weight loss drugs as demand surges | www.health.org.uk/press-office...

18.02.2026 08:23 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
New wave of foundation strategic authorities announced The government has published the expected next tranche of foundation strategic authorities, including Wessex and Kent & Medway, as it published proposed spatial development planning boundaries.

Next foundational strategic authorities, an olympian moment... i'll get my coat www.lgcplus.com/politics/dev...

17.02.2026 17:01 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Why isn’t there a setting on @BBCiPlayer that lets you say that you never ever want to see a trailer?

We literally pay the license fee so we don’t have to watch adverts. So stop showing adverts before Every Single programme?

Yes I can press skip it, but why should I have to?

12.02.2026 20:25 β€” πŸ‘ 42    πŸ” 1    πŸ’¬ 8    πŸ“Œ 0
Preview
Analyst | The King's Fund We're looking for someone to influence change in health and care policy and practice through conducting independent research and producing thought-leadership.

Looking for a new role?

We have two vacancies at the moment:
βœ… Analyst in our policy team: https://bit.ly/4tsm4Fs
βœ… Project officer supporting a multi-yearβ€―partnership https://bit.ly/4qD2fsA (closing tomorrow)

Find out more and apply now.

12.02.2026 09:58 β€” πŸ‘ 0    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
Good Health For All: Reimagining The Welfare State | The King's Fund A new headline project from The King's Fund that will reimagine what future health and care services could look like.

This conversation marks the launch of our latest project, 'Good health for all: reimagining the welfare state'

This series will examine the big issues shaping our health and care system and explore what a future sustainable model could look like.

πŸ‘‰ Learn more: bit.ly/4rSpCzj

12.02.2026 15:00 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
Public Sector Crises, β€˜The Welfare Crunch’ And The Future Of Health And Care | The King's Fund What is the 'welfare crunch' and what does it mean for the future of health and care? Luca Tiratelli explores.

What is the 'welfare crunch' and what does it mean for the future of health and care?

New blog from @lucatiratelli.bsky.social out now: https://www.kingsfund.org.uk/insight-and-analysis/blogs/public-sector-crises-welfare-health-care?utm_term=thekingsfund&utm_source=bluesky&utm_medium=social

12.02.2026 17:10 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
Today - 12/02/2026 - BBC Sounds News and current affairs, including Sports Desk, Weather and Thought for the Day.

β€˜We need to take really seriously, and I think get quite granular, about shifting more money to preventative health.’

Sarah Woolnough on the Today programme discussing the issue of ever-increasing health spending and what we can do about it (from 48mins).

Listen here: bbc.in/3ZyJyuP

12.02.2026 15:00 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

Ta. Obv only scratches surface, deeper stuff to be done with the existing data. CIPFA's work (Β£ by THF) on better measurement also v good - but couldn't squeeze it in the narrative; or the fairer funding stuff which longer-term should shift distribution if not levels. 1st draft was a medium-read!

12.02.2026 15:25 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
Paralysis in public health and policy: when evidence becomes an alibi Public health operates in an era of unprecedented data availability and analytical sophistication, yet action on well-established health challenges is…

#AnalysisParalysis in #PublicHealth and policy: when evidence becomes an alibi

We often say we need more evidence before acting in public health. But what if the real problem is not missing evidence but avoiding decisions?

www.sciencedirect.com/science/arti...

12.02.2026 07:30 β€” πŸ‘ 10    πŸ” 5    πŸ’¬ 1    πŸ“Œ 1
Preview
On the Margins of Power: Social Entrepreneurs and Social Change Social entrepreneurs are co-creating community rooted innovations, join fellow Gramscian Mark Swift as he explores these possibilities.

Can community-led ideas really change big systems - or do they get watered down?

Free online talk tonight: social entrepreneurs, grassroots change & working with systems without losing the point.

πŸ—“οΈ Tue 11 Feb | 6–7pm | Online
🎟️ Eventbrite link below www.eventbrite.co.uk/e/on-the-mar...

11.02.2026 17:12 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
Health inequalities in England An analysis of health inequalities in England and the urgent actions needed to address them.

Good to see this from the #BMA, #healthinequalities #datahub and #policy #asks www.bma.org.uk/what-we-do/p...

11.02.2026 13:24 β€” πŸ‘ 0    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
The complex story of public health and prevention spending in local government | The King's Fund What do longer term trends in local government spending tell us about the government’s commitment to the prevention shift?

Yes, flatlining www.kingsfund.org.uk/insight-and-...

11.02.2026 08:56 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
The complex story of public health and prevention spending in local government | The King's Fund What do longer term trends in local government spending tell us about the government’s commitment to the prevention shift?

Signs of a #prevention #shift? #really? What the latest #localgov #publichealth #allocations and wider trends tell us from me and Danielle Jefferies for @thekingsfund.bsky.social www.kingsfund.org.uk/insight-and-...

11.02.2026 08:52 β€” πŸ‘ 3    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
Preview
Why mission government failed And what comes next

Mission government, why it failed. Interesting piece from @re-state.bsky.social. Don't agree on all of it, do agree no clear change mechanism. And health mission has narrowed to an NHS 10 year 'health' plan. Tx @natalieberry.bsky.social for alerting. restate.substack.com/p/why-missio...

09.02.2026 10:13 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
Analyst | The King's Fund We're looking for someone to influence change in health and care policy and practice through conducting independent research and producing thought-leadership.

Are you a highly capable analyst and communicator? Are you looking for a role that influences health policy? Then we could be looking for you. Join us @thekingsfund.bsky.social www.kingsfund.org.uk/about-us/job...

06.02.2026 09:54 β€” πŸ‘ 3    πŸ” 5    πŸ’¬ 0    πŸ“Œ 1
Preview
Waiting lists cut 3 times faster in highest joblessness areas Waiting lists in 20 areas in England fall 3 times faster than the national average thanks to experts deployed by government to help supercharge NHS care.

On 14 January Wes Streeting said that waiting lists had fallen three times faster in 20 areas of the country where crack teams had been deployed. We’ve looked at this claim and have questions. 🧡
www.gov.uk/government/n...

05.02.2026 14:29 β€” πŸ‘ 22    πŸ” 14    πŸ’¬ 1    πŸ“Œ 2