Re:State

The Re:View is out!

This week, Director, @charliepickles.bsky.social , examines the post-Budget welfare debate and highlights the sharp rise in young people claiming disability-related benefits, arguing that bold reform is urgently needed.

Read it here👇

re-state.co.uk?p=12526&prev...

English local government’s conceptual challenge - Re:State

England is racing to build a devolved state, yet big conceptual gaps remain about scale, accountability and where this all leads.

In his final Re:Think, Researcher Sean Eke asks what devolution’s victory condition should be — and why defining it now matters.

re-state.co.uk/rethink/engl...

Time to end the social care doom loop - Re:State

By the time the Casey Commission reports in 2028, England’s care system may already be past breaking point.

✍Research Assistant, Miya McFarlane, explores why wage rises without funding risk worsening the workforce collapse — and what real reform must look like.

👇👇👇

re-state.co.uk/rethink/time...

🗣️ New Meetings with Mayors alert! 🗣️

Re:State’s Policy Director, Dr Simon Kaye, will be in conversation with Helen Godwin Mayor of the West of England, for the 8th event in our Meetings with Mayors series.

🕚 11:00am

🔗 Register here:
lnkd.in/eGjjJegy

‘Re:Imagining the Local State’ conference: democratising devolution - Re:State

Devolution promises deeper democracy — yet turnout stays low and citizens still feel distant from decisions.

Researcher @seaneke.bsky.social explores what the panel at our Liverpool conference revealed about closing the democratic deficit.

re-state.co.uk/rethink/reim...

Missed the Budget yesterday? Our team have been through it to capture the highs and lows, and everything in between. Read our Re:Act 👇

Re:Act Autumn Budget - Re:State Today’s Budget was one of the most consequential of recent times. For the Government, of course (deeply unpopular, struggling to deliver on their stated priorities, with a PM teetering on the brink of...

Read our full analysis - from fiscal devolution to defence spending - here:

re-state.co.uk/react/react-...

Budget day means it's also Re:Act day!

The Re:State team has been busily reading and analysing today's Budget to bring you a snap analysis that gets behind the spin to get to the deeper changes and their implications.

A fiscal devolution revolution - Re:State

Ahead of this afternoon’s Budget, the promise of a new tourist tax looks like progress — but it barely scratches the surface.

Research Assistant, Laxshia Ganesharatnam, writes about the gulf between one revenue stream and meaningful fiscal devolution.

re-state.co.uk?p=12472&prev...

The Chancellor can't just offer jam today - Re:State

Full Re:Think blog:
re-state.co.uk/rethink/the-...

✍Our latest Re:Think

Ahead of tomorrow’s Budget, Re:State's Director, @charliepickles.bsky.social, asks if politicians will finally confront the uncomfortable truth: without real reform, Britain is drifting towards an unaffordable welfare state and a public exhausted by rising taxes.

Read below👇

Harnessing the potential of high-growth businesses - Re:State

📈 New write-up on 'Harnessing the potential of high-growth businesses' out today.

The UK remains a fantastic place to do business, particularly for high-growth businesses looking to invest. It needs the right policy framework to make a success of it.

re-state.co.uk/publications...

Hospital of the future: the last word - Re:State Over the past year, Re:State has been working on a landmark programme titled ‘Hospital of the Future’. This was predicated on the idea that the 'upstream' shift to prevention alone will not address th...

Read the full paper here:
re-state.co.uk/publications...

The concluding paper outlines fundamentals that the hospital of the future must include:
🛜More patients treated at virtually
💻Technology as foundational
💸Funding, pathway and workforce reforms
📋Greater management capabilities
🛌Reducing numbers of hospital beds

The first three ‘Hospital of the Future’ reports delivered:
✅1 landmark recommendation – virtual hospitals – adopted by Government and announced in the PM's party conference speech
💡nearly 50 recommendations
📃227 pages

The concluding essay distils the key themes and recs from these three reports

The 1945 model of hospitals is unfit for purpose. Re:State’s ‘Hospital of the Future’ programme has laid out an alternative, to meet the needs of patients today and tomorrow.

This has been an especially high-impact programme, with multiple recommendations adopted by the Govt💫

Hospitals must get smaller to stop NHS ‘permacrisis’, thinktank urges Re:State report says role hospitals play needs ‘fundamental reinvention’ to deliver better care for patients

As covered in @theguardian.com this morning, one of the key themes in our new paper, ‘Hospital of the future: the last word’, is the urgent need for hospitals to undergo a fundamental reinvention.
🧵

Read the full article:
www.theguardian.com/society/2025...

💫New paper – 'Hospital of the future: the last word'💫

We're thrilled this paper, concluding our 'Hospital of the Future' series, is accompanied by a foreword from Daniel Elkeles, Chief Exec of @nhsproviders.bsky.social, and Matthew Taylor, Chief Exec of @nhsconfed.org

Hospital of the future: the last word - Re:State The past year, Re:State has been working on a landmark programme titled ‘Hospital of the Future’. This was predicated on the idea that the 'upstream' shift to prevention alone will not remediate the e...

Read the concluding essay here:
re-state.co.uk/publications...

Extremely grateful for this endorsement from Nikhil Khashu, joint Chief Executive of Bridgewater Community Healthcare NHS Foundation Trust and Warrington and Halton Hospitals NHS Foundation Trust – exactly the sort of conversation we hoped to start with our 'Hospital of the Future' programme!

Hospital of the future: the last word - Re:State The past year, Re:State has been working on a landmark programme titled ‘Hospital of the Future’. This was predicated on the idea that the 'upstream' shift to prevention alone will not remediate the e...

Read the full paper here:
re-state.co.uk/publications...

Delighted to receive this endorsement from Prof Joe Harrison CBE, Chief Exec of Milton Keynes University Hospital NHS Foundation Trust and renowned for being at the cutting edge of innovation in the NHS, for our new paper 'Hospital of the future: the last word' – out today!

Hospital of the future: the last word - Re:State The past year, Re:State has been working on a landmark programme titled ‘Hospital of the Future’. This was predicated on the idea that the 'upstream' shift to prevention alone will not remediate the e...

Read the 'Hospital of the Future' concluding essay here:
re-state.co.uk/publications...

Hospitals must get smaller to stop NHS ‘permacrisis’, thinktank urges Re:State report says role hospitals play needs ‘fundamental reinvention’ to deliver better care for patients

Read the full article here:
www.theguardian.com/society/2025...

✨NEW HOSPITAL PAPER✨

Thrilled to see The Guardian cover the launch of our new 'Hospital of the Future' essay, with insights from the wonderful @rosiebeacon.bsky.social, Re:State's recently departed Head of Health who led the 'Hospital of the Future' programme and authored this paper📰

Congratulations to the inimitable @rosiebeacon.bsky.social who led Re:State's 'Hospital of the Future' programme and authored this concluding essay🎉

Hospital of the future: the last word - Re:State The past year, Re:State has been working on a landmark programme titled ‘Hospital of the Future’. This was predicated on the idea that the 'upstream' shift to prevention alone will not remediate the e...

Read the full report here:
re-state.co.uk/publications...

🚨New hospitals paper out today🚨

As covered in The Guardian (theguardian.com/society/2025...), today we published the final 'Hospital of the Future' paper.

This concluding essay distils the key themes and recommendations from across all three 'Hospital of the Future' reports.

The Re:View is out! 🌟

This week, Policy Director,
@jo3hill.bsky.social, reflects on the Covid Inquiry’s latest report and argues that tackling Whitehall’s culture of groupthink is essential if the UK is to avoid repeating the same mistakes in future crises.

re-state.co.uk/review/revie...

Future-fit NHS: the next ten years - Re:State Re:State were delighted to host a bespoke event series across Labour, Conservative and Liberal Democrat party conferences, exploring what it means to build a community-centric, future-fit NHS. This wr...

re-state.co.uk/publications...