Rebecca Best

1 in 4 school-leavers missing out on protection offered by HPV vaccine against several cancers

Dr Sharif Ismail Consultant Epidemiologist at UKHSA, said: While HPV uptake has remained stable, vaccination rates are still well below pre-pandemic levels and around 1 in 4 young people are still leaving school unprotected against several cancers. Driving up vaccine uptake will require sustained, targeted action across the NHS and wider health partners with support in schools, to improve awareness of the life-saving importance of HPV vaccination and ensure it’s easy to get, especially if you have missed out. Young people remain eligible to catch up at their GP surgery until their 25th birthday.

🆕📰 The latest data from our HPV vaccination programme shows 1 in 4 school‑leavers are unvaccinated against HPV. This leaves young women at risk of cervical cancer and both sexes vulnerable to other HPV‑related cancers.

NHS continuing health care: a Q&A with Sharon Allen As we today publish our new research on NHS continuing health care (CHC), in this Q&A we speak to Sharon Allen OBE, who is the Chief Executive of the Arthur Rank Hospice Charity. Sharon has experience...

🆕 As we launch our new report on NHS continuing health care, read this Q&A with Sharon Allen, CEO of @arthurrankhospice.bsky.social

Sharon has personal and professional experience of CHC, which she calls an extremely adversarial system.

Read the article 👇
www.nuffieldtrust.org.uk/news-item/nh...

NHS continuing health care: consigned to the too difficult box? Alongside our new research today on NHS continuing health care (CHC), the report's lead author Rachel Hutchings sets out why CHC is important, what we found in our research, and describes what the imp...

Our blog from lead author @rachelhutchings.bsky.social sets out why CHC matters, the significance of our research findings, and the implications if urgent action is not taken to fix a system that is clearly struggling under pressure.

Read Rachel’s blog 👇

Grateful for the opportunity to be part of this research. CHC is something many people don't know about, despite the care it can provide in incredibly difficult circumstances. Even for those who do try to access it, the inequities are stark.

Open Evening: Public Health Specialty Training - East of England An evening for prospective applicants on the ins and outs of Public Health Specialty Training in the East of England and application tips!

🗓️ East of England public health registrars are running a free open evening for prospective applicants to public health specialty training on Weds 24th Sept 2025 from 19:00-20:30

🤗 Applicants from all backgrounds are welcome!

✍🏻 Info & Registration:
www.eventbrite.co.uk/e/open-eveni...

Ending the use of hotels to house people seeking asylum - Refugee Council New analysis outlinines how the UK can responsibly end the use of asylum hotels within a year through a secure, practical solution.

Our new analysis sets out how the UK Government could put in place a temporary one-off scheme. This would give permission to stay for a limited period—subject to rigorous security checks—to people from countries almost certain to be recognised as refugees.
www.refugeecouncil.org.uk/stay-informe...

Refugees living in these hotels often report feeling like “targets.” Muhammad, from Afghanistan - who spent six months in a hotel - says: “People film residents outside the hotel without permission, using it in a negative way. It makes them feel hopeless about the system.”

Our Chief Exec, @enversol.bsky.social says: "As long as hotels remain open, they will continue to be flashpoints for far-right activity, fuelling tensions and driving communities apart. It is a failure of government to keep people in a system that leaves them in limbo for months."

Asylum hotels could shut next year if policy for 5 countries changed says study The Refugee Council has called on the Government to bring give asylum seekers from Afghanistan, Syria, Eritrea, Sudan and Iran limited leave to stay, meaning hotels can close faster

Today we've published a report showing that asylum hotels could be shut by March 2026 with a one-off scheme for people from five countries. Find out more here:
www.mirror.co.uk/news/politic...

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

Since 2011, working-age women have fared worse than men on many diseases.

Poor health also contributes to economic inactivity and addressing this is a government priority. But greater focus is needed on women who spend more of their working years living in ill health.

ARRS should fund GP supervision of additional roles staff, says think tank GPs should be able to claim a proportion of additional roles reimbursement scheme (ARRS) cash to cover the cost of supervising staff hired through the scheme, according to a think tank.

ARRS should fund GP supervision of additional roles staff, says @nuffieldtrust.bsky.social think tank
www.gponline.com/arrs-fund-gp...

We suggest policy recommendations to improve supervision of ARRS staff for safety and quality assurance, including accountability for minimum induction standards and changing ARRS funding rules to allow payment of senior clinicians to supervise clinicians working in additional roles.

Proposed model of ARRS supervision for safety and quality assurance, at different career stages

We propose a fluid ARRS supervision model for different career stages at “entry point”, “transition” (when role scope changes) and “steady state” (when staff are competent and confident in their role).

Figure of guidance for five ARRS roles, showing the variable amount for each role.

The amount of guidance and research available on the supervision of ARRS staff varies by role, with little information available on how supervision requirements should differ depending on the career stage of the person being supervised.

Supervision of clinicians in the Additional Roles Reimbursement Scheme: what more is needed to assure safety and quality? Since its introduction in 2019, the Additional Roles Reimbursement Scheme has led to significant changes in the skill mix of the general practice workforce, with a rapid increase in roles such as phys...

Our research @nuffieldtrust.bsky.social found huge variability in the supervision support for staff employed in general practice under the Additional Roles Reimbursement Scheme. The ARRS led to big changes in the skill mix of general practice, and funding cannot currently be spent on supervision.🧵

GP has changed in recent yrs through a scheme incentivising practices to take on physios, physician associates, advanced practitioners + other roles. @rebeccabest.bsky.social & colleagues looked at experience of staff joining & supervision/support being offered to them. It's hugely variable.

Supervision of clinicians in the Additional Roles Reimbursement Scheme: what more is needed to assure safety and quality? Since its introduction in 2019, the Additional Roles Reimbursement Scheme has led to significant changes in the skill mix of the general practice workforce, with a rapid increase in roles such as…

Our long read on the supervision of clinicians in the Additional Roles Reimbursement Scheme finds a wide range of clinical experience among those entering the scheme and huge variability in the amount and quality of support being offered. #ARRS

buff.ly/Y20TOBC

Deaths from drinking are at a record high: does England need a new alcohol strategy? Bea Taylor looks at the latest trends in drinking and alcohol-related harm, and explores whether the last unified national alcohol strategy needs to be updated.

🆕 Our latest analysis from Bea Taylor looks at the trends in drinking and alcohol-related harm, and explores whether the last unified national alcohol strategy needs to be updated.

Part of our #QualityWatch programme with @healthfoundation.bsky.social 📊
www.nuffieldtrust.org.uk/news-item/de...

A natural experiment on the effect of herpes zoster vaccination on dementia Nature - Using a natural experiment that avoids common bias concerns, this study finds that the live-attenuated shingles vaccine reduced the probability of a new dementia diagnosis within a...

Shingles vaccination programme in Wales appears to be associated with reduction in dementia risk. Healthcare records aren't a perfect way of capturing dementia incidence but this is a potentially important finding

rdcu.be/egagG

🆕📊 Following last week’s announcement that #NHS England will be abolished, @billypalmer.bsky.social looks at what the decision may mean for staffing numbers across the DHSC, NHS England and integrated care boards – in comparison to the numbers since 2013.

👉 buff.ly/TtT6tuZ

It's a busy day for #NHS news! We've been responding. 👇

The Prime Minister announced that #NHSE is to be abolished. The government should be careful that this doesn’t lead to even more top-down micro-management of local services from Whitehall.
www.nuffieldtrust.org.uk/news-item/nh...

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.

🚨 NEW BLOG: #NHSEngland is being scrapped, but the reasons for its rise and fall are not going away.

@markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago.

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

@rachelhutchings.bsky.social brilliantly presenting our research on variation in NHS Continuing Healthcare.

CHC is something most people only find out exists at an already difficult point in their lives. It is then often an exhausting and emotional eligibility process, with very few given funding.

The partnership model in general practice predates the NHS. Is now the time to change it? The partnership model in general practice in England has been in place since before the NHS was formed, but its future is uncertain. The number of GP partners has fallen significantly, and relatively ...

Read @becksfisher.bsky.social's new briefing out today which considers whether it's time to change the partnership model 👇
www.nuffieldtrust.org.uk/resource/the...

@stephanihatch.bsky.social reminding us at #ntsummit that racism is (amongst other things) a public health crisis.

What is the impact of racism on #NHS staff?

We spoke to @stephanihatch.bsky.social, Professor of Sociology and Epidemiology at KCL #NTSummit 👇

Thea Stein and Charlotte Pickles sit on a stage below a Nuffield Trust display.

What a privilege to be at the Nuffield Trust summit.

@theasrstein.bsky.social opening with a thought provoking talk on the psychology of change.

A great way to start two days of sessions focussing on having difficult conversations.

Live stream can be found @nuffieldtrust.bsky.social.

#ntsummit

Our new analysis out today looks at the deteriorating finances of NHS trusts. NHS trusts consume over 75% of the English NHS budget, so if you want to know how the NHS is coping with its current funding, your starting point should be the doubling of the trust overspend to £1.2bn by March 2024 >>

Report: Forging a more equitable healthy future through policy and partnership - The Health Innovation Network Tackling health inequalities remains one of the greatest challenges facing the NHS and the wider health sector today. The Covid-19 pandemic exposed how deeply entrenched these disparities are, undersc...

It was great to join this Health Innovation Network roundtable - tackling health inequalities through innovation - representing @nuffieldtrust.bsky.social.

The report has six recommendations, arguing that equity-centered solutions can be financially viable, with benefits beyond health outcomes.