Sarah Scobie

Plan B: What the forthcoming NHS workforce strategy should not ignore As the government prepares to publish a new 10-year NHS workforce plan, questions remain about how to build a realistic and sustainable approach to staffing the health service. This long read by Lucin...

🆕 Long read from workforce researcher @lkrole.bsky.social considers the priorities for NHS workforce planning 👩‍⚕️

With a new NHS workforce plan on the way, questions remain about how to build a realistic and sustainable approach to staffing the health service.

The tough choices at the heart of the government’s dispute with big pharma The government has been locked in a dispute with pharmaceutical companies for a number of months over how much the NHS pays for new branded medicines. Sally Gainsbury and Huseyin Naci set out the issu...

🆕 With how much the NHS pays for new branded medicines in the news, @sallygainsbury.bsky.social & Huseyin Naci describe the role of price controls in balancing demands on the NHS budget – and why the government should stand firm in not weakening those controls. tinyurl.com/53xcpcbb

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...

What could the implications be if #NHS continuing healthcare (CHC) - a package of NHS funded care - is not improved?

@rachelhutchings.bsky.social's latest blog explains some concerning findings from her research on this poorly understood service. 👇

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

NHS struggling to keep up with demand Sarah Scobie responds to the latest NHS performance data.

@sarahscobie.bsky.social says the latest NHS performance statistics, published today, are a stark reminder that the NHS is still struggling to keep up with demand.

But there is some positive news for access to cancer care.

Read the full response 👇

Best and worst-performing NHS Trusts in England named The new league tables score trusts on measures including finances and patient access to care.

With today's publication of new NHS league tables, @theasrstein.bsky.social says that while the focus on winning back the public is understandable, "there's a risk that trusts will focus only on the measures that immediately boost their ranking, even if it's not necessarily best for patients."

🆕 Is preventable liver disease a bigger problem in certain parts of England? New analysis from Ash Elliott and @stutibagri.bsky.social shows there's a significant north-south divide.

Read here: www.nuffieldtrust.org.uk/resource/is-...

1/4 If you're interested in data about assisted dying, take a look at the Appendix of this new Nuffield Trust report. It collates international data about numbers requesting & accessing an assisted death, demographic characteristics, health and care needs and key reporting information.

Assisted dying poses 'substantial task' for NHS, warns thinktank The Nuffield Trust says substantial planning, infrastructure and funding will be needed if assisted dying is to be safely and effectively introduced, and warns about the potential risks to the NHS.

"If parliamentarians choose to legalise #AssistedDying, they'll need to get the balance right and worry not just about people who have an assisted death when they shouldn't, but also those who can't when they are meant to be eligible." - @sarahscobie.bsky.social on our new research

buff.ly/ZSLaRmr

Huge thanks to co-authors Rachel Hutchings, @sjanereed.bsky.social @daviesmiranda1.bsky.social and Stephanie Kumpunen @nuffieldtrust.org.uk! Along with help from other colleagues, our advisory group and patient and public group for their insights.

👉In our recommendations we highlight how policymakers can try to address these challenges if the service is to become a reality here.

👉Most countries have needed to set up new infrastructure to make it work – such as oversight and regulation, pharmacy functions for managing lethal drugs, training and staff support, public information and help to navigate the system

👉Where data is available it shows that around 75% of people who access assisted dying were in palliative care – if it becomes legal, #AssistedDying will need to work along side end of life care services

Assisted dying in practice: International experiences and implications for health and social care Exploring 15 jurisdictions across the world, this is the most detailed look to date at what the UK can learn from other countries as the UK and Scottish Parliaments debate bills to legalise assisted d...

Today we published our comprehensive research on #AssistedDying in 15 jurisdictions across 9 countries where it is legal. If it becomes legal in the UK, what can we learn from the experience in other countries?

www.nuffieldtrust.org.uk/research/ass...

Senior Fellow (SF05/25) We are looking to recruit a Senior Fellow to lead on projects across a range of topics within health and care.

There are just three days left to apply to our Senior Fellow role... 🔍

If you can lead on projects at the forefront of research into health and social care, we'd love to hear from you.

Take a look at our vacancy and apply by Sunday 31 August. #researchjobs

www.nuffieldtrust.org.uk/job/senior-f...

🆕 How does age of death vary across England and Wales?

There is wide variation at local authority level in the proportion of people who die aged under 75 – from 50% in Tower Hamlets, to only 22% in Dorset.

Read the analysis by @sarahscobie.bsky.social and
@stutibagri.bsky.social: buff.ly/20unIxr

Public expenditure in the last year of life Supporting people at the end of life is a crucially important element of public spending, yet there is remarkably little evidence available on how much money is being spent on it, and what that money ...

Our public expenditure report with the HEU for @mariecurieuk.bsky.social is here 👇

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

What is behind differences in place of death across the UK? Across the UK, there has been a shift over time towards fewer people dying in hospital and more people dying at home, which is more likely to be their preference. As Sarah Scobie shows, however, the p...

Earlier this year we completed research on public expenditure on people in the last year of life.

It was striking how challenging it was to get comparable data across the U.K. 🇬🇧

This chart explores differences in place of death in more detail 👇

www.nuffieldtrust.org.uk/resource/wha...

🆕 Chart of the week from @sarahscobie.bsky.social explores variation in place of death across the four countries of the UK.

There's been a UK-wide shift towards more people dying at home, but the picture differs between countries.

Read the full analysis: www.nuffieldtrust.org.uk/resource/wha...

What has the impact of ARRS been on recruiting new GPs? GPs who had completed their training within the last two years were last year added to the Additional Roles Reimbursement Scheme (ARRS), in response to concerns about unemployment among recently quali...

It's been several months since the the Additional Roles Reimbursement Scheme was expanded to address concerns about unemployed GPs - has it helped?

Nuffield Trust and QMUL experts @billypalmer.bsky.social, @lkrole.bsky.social, and Giuliano Russo have looked at the numbers behind the policy. #ARRS

Neighbourhood health teams: a Q&A with Thea Stein With the new 10 Year Plan for the NHS featuring a central role for neighbourhood health teams, we spoke to Thea Stein about what they are and what needs to happen for them to be successful.

Lots of talk about neighbourhood teams.

But what are they? Are they new? Can they live up to the 10y plan hype?

Find out from @theasrstein.bsky.social @nuffieldtrust.org.uk here 👇👇👇

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

Today, our Deputy Director of Research @sarahscobie.bsky.social shared her thoughts on the latest statistics.

Read Sarah's response here: buff.ly/VjYAe14

And view all the headline performance stats on our #QualityWatch dashboard here: buff.ly/cp6CyFA

Radio 4 - Listen Live - BBC Sounds Listen live to BBC Radio 4 on BBC Sounds

TODAY: Listen to @sallygainsbury.bsky.social talk about the 10 Year Health Plan on Inside Health.

9:30am on BBC Radio 4 and later on BBC Sounds.

Listen here 👇
www.bbc.co.uk/sounds/play/...

Earlier this week we published research into the resilience of the social care system in England, comparing the sector's Covid-19 experience with that of other countries.

As @camille-oung.bsky.social sets out in her thread, there are a range of lessons to be learnt.

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...

🆕 The latest analysis from #QualityWatch, a Nuffield Trust and @healthfoundation.bsky.social programme, explores a range of factors affecting working-age women’s health.

Scroll through the story here 👇 #healthinequalities

Great work by Malina Bodea @daviesmiranda1.bsky.social and data viz from Paul Kirkup!

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 time living in ill health throughout their working years. Our new @nuffieldtrust.org.uk unpicks the challenges with health of working age women and what needs to change 👇

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

Now assisted dying is likely to become reality, the debate on how it happens begins: Nuffield Trust responds to the passing of the Terminally Ill Adults (End of Life) Bill Now that assisted dying is likely to become a reality in England and Wales, the debate on how that happens must begin: what organisations and staff will deliver it, what systems will be needed to ensu...

Today's vote means assisted dying is likely for England & Wales. It is time to answer the hard questions about how to address concerns through its implementation - and face the gaps in end of life care MPs highlighted

Reaction of @sarahscobie.bsky.social 👇
www.nuffieldtrust.org.uk/news-item/no...

Children in London and northern England have the worst rates of dental decay and tooth extractions.

Access to NHS #dentists is in short supply and this is having a big impact on some of the most vulnerable children.

Read @stutibagri.bsky.social's analysis: www.nuffieldtrust.org.uk/resource/is-...

The Nuffield Trust is running a survey of ICSs and local partnerships for CQC

📢 Calling all ICS strategic staff at #NHSConfedExpo working on community-based care, inequalities, or support for older people 🏘️

Take part in our survey for the CQC and inform this year's State of Care report 📋

Survey link 👇

forms.office.com/Pages/Respon...

Deadline 25 June

Read the analysis from @sallygainsbury.bsky.social for the latest on the state of NHS finances ahead of a big day for health and care.

Tomorrow's spending review will set the tone of the NHS for years to come...

Watch this space as we continue to analyse the numbers and consider the implications 🔍