Alice Semark
@alicesemark.bsky.social
Researcher at Re:State - the independent, public services think tank!
Specialising in health policy, but broad subject interests. All views my own.
Specialising in health policy, but broad subject interests. All views my own.
🌟@re-state.bsky.social is hiring a Research Assistant🌟
If you’re keen to develop your research skills, passionate about public services and enjoy a collaborative, fast-paced environment, you should apply!
This 6mo paid internship is a brilliant and rare opportunity. Check it out👇
If you’re keen to develop your research skills, passionate about public services and enjoy a collaborative, fast-paced environment, you should apply!
This 6mo paid internship is a brilliant and rare opportunity. Check it out👇
🚨We are hiring!🚨
This is a role that does not come up very often - an entry-level opportunity to get started in the world of think tanks.
Our Research Assistants play a part in every aspect of what we do as a small, fun, hard-working team.
Find the details here: re-state.co.uk/opportunity/...
This is a role that does not come up very often - an entry-level opportunity to get started in the world of think tanks.
Our Research Assistants play a part in every aspect of what we do as a small, fun, hard-working team.
Find the details here: re-state.co.uk/opportunity/...
September 15, 2025 at 1:29 PM
🌟@re-state.bsky.social is hiring a Research Assistant🌟
If you’re keen to develop your research skills, passionate about public services and enjoy a collaborative, fast-paced environment, you should apply!
This 6mo paid internship is a brilliant and rare opportunity. Check it out👇
If you’re keen to develop your research skills, passionate about public services and enjoy a collaborative, fast-paced environment, you should apply!
This 6mo paid internship is a brilliant and rare opportunity. Check it out👇
You might be surprised to know there's no easy way for clinicians in different NHS orgs to communicate with each other... I certainly was!
The 10 Year Plan talks a big game on shifting care into the community, but this won't be possible without communication💻
Check out my Re:Think blog👇
The 10 Year Plan talks a big game on shifting care into the community, but this won't be possible without communication💻
Check out my Re:Think blog👇
In the aftermath of the 10 Year Plan, Researcher, @alicesemark.bsky.social, has written about the key feature it seems to have overlooked: communication
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📞📲📩
July 8, 2025 at 2:44 PM
You might be surprised to know there's no easy way for clinicians in different NHS orgs to communicate with each other... I certainly was!
The 10 Year Plan talks a big game on shifting care into the community, but this won't be possible without communication💻
Check out my Re:Think blog👇
The 10 Year Plan talks a big game on shifting care into the community, but this won't be possible without communication💻
Check out my Re:Think blog👇
🚨NEW REPORT🚨
It's no secret hospitals are at breaking point. A radical rethink is desperately needed.
Our 21 recs outline a new vision – emphasising virtual care, communication tech and care pathway redesign.
Read our new report for our big ideas👇
It's no secret hospitals are at breaking point. A radical rethink is desperately needed.
Our 21 recs outline a new vision – emphasising virtual care, communication tech and care pathway redesign.
Read our new report for our big ideas👇
'Hospital as a service, not a building' is based on the idea that physical hospitals exist only for the most complex, riskiest patients.
Everyone else should be able to access specialist expertise & care from the comfort of their own home or GP surgery.
So how to do this? 🧵
Everyone else should be able to access specialist expertise & care from the comfort of their own home or GP surgery.
So how to do this? 🧵
May 22, 2025 at 11:04 AM
🚨NEW REPORT🚨
It's no secret hospitals are at breaking point. A radical rethink is desperately needed.
Our 21 recs outline a new vision – emphasising virtual care, communication tech and care pathway redesign.
Read our new report for our big ideas👇
It's no secret hospitals are at breaking point. A radical rethink is desperately needed.
Our 21 recs outline a new vision – emphasising virtual care, communication tech and care pathway redesign.
Read our new report for our big ideas👇
🧠ADHD is widely misunderstood — shrouded in myths, dismissed as a "fad," and often ignored by policymakers.
Yet it's linked to socioeconomic issues, numerous health problems and lower life expectancy.
If Gov is serious about its prevention shift, it must act!
Read my myth busting blog below👇
Yet it's linked to socioeconomic issues, numerous health problems and lower life expectancy.
If Gov is serious about its prevention shift, it must act!
Read my myth busting blog below👇
Researcher, @alicesemark.bsky.social, reflects on fourth myths that shroud ADHD in her latest blog
May 15, 2025 at 2:25 PM
🧠ADHD is widely misunderstood — shrouded in myths, dismissed as a "fad," and often ignored by policymakers.
Yet it's linked to socioeconomic issues, numerous health problems and lower life expectancy.
If Gov is serious about its prevention shift, it must act!
Read my myth busting blog below👇
Yet it's linked to socioeconomic issues, numerous health problems and lower life expectancy.
If Gov is serious about its prevention shift, it must act!
Read my myth busting blog below👇
Today @reformthinktank.bsky.social published a short, punchy paper with @labourgrowth.bsky.social, a group of 100+ Labour MPs committed to boosting growth📈
Together we set out 9 steps the gov needs to take to reform the civil service, setting up this country for economic growth!
Check it out 👇
Together we set out 9 steps the gov needs to take to reform the civil service, setting up this country for economic growth!
Check it out 👇
March 31, 2025 at 4:03 PM
Today @reformthinktank.bsky.social published a short, punchy paper with @labourgrowth.bsky.social, a group of 100+ Labour MPs committed to boosting growth📈
Together we set out 9 steps the gov needs to take to reform the civil service, setting up this country for economic growth!
Check it out 👇
Together we set out 9 steps the gov needs to take to reform the civil service, setting up this country for economic growth!
Check it out 👇
Last week, the PM announced the abolition of NHS England. And at @reformthinktank.bsky.social we were very pleased to hear this!
But now, important questions about who will take over NHS England's responsibilities need to be decided.
Read my thoughts on this👇
reform.uk/comment/wher...
But now, important questions about who will take over NHS England's responsibilities need to be decided.
Read my thoughts on this👇
reform.uk/comment/wher...
Where are NHS England's powers going? - REFORM
reform.uk
March 19, 2025 at 2:16 PM
Last week, the PM announced the abolition of NHS England. And at @reformthinktank.bsky.social we were very pleased to hear this!
But now, important questions about who will take over NHS England's responsibilities need to be decided.
Read my thoughts on this👇
reform.uk/comment/wher...
But now, important questions about who will take over NHS England's responsibilities need to be decided.
Read my thoughts on this👇
reform.uk/comment/wher...
In many policy areas, prevention is key. This benefits individuals, society, the economy, public finances and public services.
But the tricky bit is how...
This is why @reformthinktank.bsky.social, with Newton, are launching an exciting new programme, 'Building the preventative state'.
But the tricky bit is how...
This is why @reformthinktank.bsky.social, with Newton, are launching an exciting new programme, 'Building the preventative state'.
Today we are excited to launch our new programme, "Building the preventative state", in partnership with Newton.
Our Director @charliepickles.bsky.social and Newton Senior Partner Richard Lum joined up to blog about what we're doing and why it matters.
reform.uk/comment/buil...
Our Director @charliepickles.bsky.social and Newton Senior Partner Richard Lum joined up to blog about what we're doing and why it matters.
reform.uk/comment/buil...
Building the preventative state - REFORM
reform.uk
March 19, 2025 at 10:08 AM
In many policy areas, prevention is key. This benefits individuals, society, the economy, public finances and public services.
But the tricky bit is how...
This is why @reformthinktank.bsky.social, with Newton, are launching an exciting new programme, 'Building the preventative state'.
But the tricky bit is how...
This is why @reformthinktank.bsky.social, with Newton, are launching an exciting new programme, 'Building the preventative state'.
In April last year @reformthinktank.bsky.social called for NHS England to be abolished. This was big, bold, controversial and seen as very unlikely to happen.
Today the PM announce this very thing! 🪇
You heard it here first!!!
Today the PM announce this very thing! 🪇
You heard it here first!!!
March 13, 2025 at 12:29 PM
In April last year @reformthinktank.bsky.social called for NHS England to be abolished. This was big, bold, controversial and seen as very unlikely to happen.
Today the PM announce this very thing! 🪇
You heard it here first!!!
Today the PM announce this very thing! 🪇
You heard it here first!!!
Reposted by Alice Semark
reform.uk
March 12, 2025 at 9:29 AM
Thrilled to see our recent public bodies research featured on Page 2 of @thetimes.com today! 📰
& ahead of the PM's speech tomorrow, it is very encouraging to see these indications government will try to properly grip the public bodies landscape.
& ahead of the PM's speech tomorrow, it is very encouraging to see these indications government will try to properly grip the public bodies landscape.
Brilliant to see the PM going big on quangos this week. And to have our report cited in The Times splash about his speech.
Public bodies are responsible for 60% of day-to-day spending.
Fixing how they’re held accountable & overseen by depts is vital for effective delivery👇
Public bodies are responsible for 60% of day-to-day spending.
Fixing how they’re held accountable & overseen by depts is vital for effective delivery👇
March 12, 2025 at 10:06 AM
Thrilled to see our recent public bodies research featured on Page 2 of @thetimes.com today! 📰
& ahead of the PM's speech tomorrow, it is very encouraging to see these indications government will try to properly grip the public bodies landscape.
& ahead of the PM's speech tomorrow, it is very encouraging to see these indications government will try to properly grip the public bodies landscape.
Reposted by Alice Semark
This is v v good news, and exactly what we called for in our recent paper 'Quangocracy'
The current public landscape is generally poorly understood, lacks meaningful oversight and accountability, and actually makes delivering for the country harder in too many cases
The current public landscape is generally poorly understood, lacks meaningful oversight and accountability, and actually makes delivering for the country harder in too many cases
Looks clear that Starmer's speech on Thursday will signal move against a 40+ year model of technocratic decision making by arm's length bodies. Cabinet readout discusses "the government taking responsibility for decisions rather than outsourcing them to regulators and bodies".
March 11, 2025 at 1:09 PM
This is v v good news, and exactly what we called for in our recent paper 'Quangocracy'
The current public landscape is generally poorly understood, lacks meaningful oversight and accountability, and actually makes delivering for the country harder in too many cases
The current public landscape is generally poorly understood, lacks meaningful oversight and accountability, and actually makes delivering for the country harder in too many cases
"It’s clearly unacceptable for sponsorship of bodies which spend billions of pounds to be deprioritised in Whitehall."
My first op-ed!! Published today in @civilserviceworld.bsky.social, on @patrickking.bsky.social and my new report, 'Quangocracy: The future of public bodies' 😎
Read below!
My first op-ed!! Published today in @civilserviceworld.bsky.social, on @patrickking.bsky.social and my new report, 'Quangocracy: The future of public bodies' 😎
Read below!
Public bodies make up ~60% of day-to-day gov spending.
Yet the oversight & accountability of these bodies is weak.
Today, @alicesemark.bsky.social wrote in @civilserviceworld.bsky.social on the problems plaguing public bodies, as identified by Reform's new 'Quangocracy' report.
Read here👇
Yet the oversight & accountability of these bodies is weak.
Today, @alicesemark.bsky.social wrote in @civilserviceworld.bsky.social on the problems plaguing public bodies, as identified by Reform's new 'Quangocracy' report.
Read here👇
March 4, 2025 at 3:57 PM
"It’s clearly unacceptable for sponsorship of bodies which spend billions of pounds to be deprioritised in Whitehall."
My first op-ed!! Published today in @civilserviceworld.bsky.social, on @patrickking.bsky.social and my new report, 'Quangocracy: The future of public bodies' 😎
Read below!
My first op-ed!! Published today in @civilserviceworld.bsky.social, on @patrickking.bsky.social and my new report, 'Quangocracy: The future of public bodies' 😎
Read below!
'Quangocracy' dives into the public body landscape, revealing alarmingly poor quality public body oversight is the norm and setting out our recommendations.
My first report for @reformthinktank.bsky.social's 'Reimagining Whitehall' workstream, with @patrickking.bsky.social!
Check it out👇
My first report for @reformthinktank.bsky.social's 'Reimagining Whitehall' workstream, with @patrickking.bsky.social!
Check it out👇
🚨 NOW LIVE 🚨
As covered in @thetimes.com. Today we publish ‘Quangocracy’ which argues for overhauling public bodies, to ensure they are fit to deliver.
As covered in @thetimes.com. Today we publish ‘Quangocracy’ which argues for overhauling public bodies, to ensure they are fit to deliver.
February 27, 2025 at 9:23 AM
'Quangocracy' dives into the public body landscape, revealing alarmingly poor quality public body oversight is the norm and setting out our recommendations.
My first report for @reformthinktank.bsky.social's 'Reimagining Whitehall' workstream, with @patrickking.bsky.social!
Check it out👇
My first report for @reformthinktank.bsky.social's 'Reimagining Whitehall' workstream, with @patrickking.bsky.social!
Check it out👇
Last week, I had an amazing time visiting @cuhnhs.bsky.social and @royalpapworth.bsky.social, seeing some of the most cutting edge, innovative ways they deliver hospital care!
Thank you to everyone who hosted @rosiebeacon.bsky.social and I, we learnt so much 🧠
And I wrote a blog about it all👇
Thank you to everyone who hosted @rosiebeacon.bsky.social and I, we learnt so much 🧠
And I wrote a blog about it all👇
On Friday, @rosiebeacon.bsky.social and @alicesemark.bsky.social visited two Cambridge hospitals to see in action some of the innovative ways hospital care is being provided!
From virtual wards to remote cardiac monitoring, read all about it here👇
reform.uk/comment/hosp...
From virtual wards to remote cardiac monitoring, read all about it here👇
reform.uk/comment/hosp...
Hospital of the Future: post-match analysis of our Cambridge hospitals visit - REFORM
Reform’s Hospital of the Future project is well underway — our framing paper launched at the end of last year, fascinating interviews have occurred (thank you to all our wonderful interviewees) and re...
reform.uk
February 11, 2025 at 9:51 AM
Last week, I had an amazing time visiting @cuhnhs.bsky.social and @royalpapworth.bsky.social, seeing some of the most cutting edge, innovative ways they deliver hospital care!
Thank you to everyone who hosted @rosiebeacon.bsky.social and I, we learnt so much 🧠
And I wrote a blog about it all👇
Thank you to everyone who hosted @rosiebeacon.bsky.social and I, we learnt so much 🧠
And I wrote a blog about it all👇
It is no secret our social care system is at breaking point.
And without reform, this will only worsen!
Insert: an exciting new @reformthinktank.bsky.social report looking at the potential of tech in social care delivery!
Check it out👇
reform.uk/publications...
And without reform, this will only worsen!
Insert: an exciting new @reformthinktank.bsky.social report looking at the potential of tech in social care delivery!
Check it out👇
reform.uk/publications...
Innovating for Independence: a win-win for health and social care - REFORM
reform.uk
January 30, 2025 at 10:26 AM
It is no secret our social care system is at breaking point.
And without reform, this will only worsen!
Insert: an exciting new @reformthinktank.bsky.social report looking at the potential of tech in social care delivery!
Check it out👇
reform.uk/publications...
And without reform, this will only worsen!
Insert: an exciting new @reformthinktank.bsky.social report looking at the potential of tech in social care delivery!
Check it out👇
reform.uk/publications...
Is the consensus serotonin imbalances cause depression wrong? What would this mean for the use of antidepressants?
Given the vast prescribing of antidepressants (to 15% of people in England last year!!), these are important Qs
Read about it in my blog this week 👇
Given the vast prescribing of antidepressants (to 15% of people in England last year!!), these are important Qs
Read about it in my blog this week 👇
A mindboggling 15% of people in England were prescribed antidepressants in 2023-24.
Yet the validity of the serotonin theory of depression, often used to justify their use, is increasingly questioned.
Check out this week's blog delving into it👇
reform.uk/comment/the-...
Yet the validity of the serotonin theory of depression, often used to justify their use, is increasingly questioned.
Check out this week's blog delving into it👇
reform.uk/comment/the-...
The antidepressant default? - REFORM
It is no secret England is experiencing a mental health crisis. With demand for mental health treatment substantially outstripping available supply, the answer is often the most low resource, clinical...
reform.uk
January 29, 2025 at 12:21 PM
Is the consensus serotonin imbalances cause depression wrong? What would this mean for the use of antidepressants?
Given the vast prescribing of antidepressants (to 15% of people in England last year!!), these are important Qs
Read about it in my blog this week 👇
Given the vast prescribing of antidepressants (to 15% of people in England last year!!), these are important Qs
Read about it in my blog this week 👇
Very proud of our ‘Hospital of the Future’ work and excited for the next papers in the series!
Check out the framing paper below👇
Check out the framing paper below👇
Hospitals are in crisis, overwhelmed by demand. All the while, their role in a prevention-focused system is very unclear.
We are outlining what a 'Hospital of the Future' should be, which started on Monday with the framing paper launch.
We are outlining what a 'Hospital of the Future' should be, which started on Monday with the framing paper launch.
December 12, 2024 at 9:43 AM
Very proud of our ‘Hospital of the Future’ work and excited for the next papers in the series!
Check out the framing paper below👇
Check out the framing paper below👇
Reposted by Alice Semark
It’s 🎄Christmas Day 🎄 @reformthinktank.bsky.social & we’re kicking it off with homemade cookies from @alicesemark.bsky.social
December 11, 2024 at 9:05 AM
It’s 🎄Christmas Day 🎄 @reformthinktank.bsky.social & we’re kicking it off with homemade cookies from @alicesemark.bsky.social
New @reformthinktank.bsky.social report 🏥
Very excited to share the launch of my first think tank report, the initial framing paper in our ‘Hospital of the Future’ series!!
Hospitals are in crisis, the diagnosis is below…
Very excited to share the launch of my first think tank report, the initial framing paper in our ‘Hospital of the Future’ series!!
Hospitals are in crisis, the diagnosis is below…
🚨 NEW REPORT 🚨
'Hospital of the Future: a framing paper' sets out the major issues underpinning the crisis in secondary care.
This paper is the first in a series that will outline a vision for the hospital within a system re-orientated towards prevention.
Read it below ⬇️
'Hospital of the Future: a framing paper' sets out the major issues underpinning the crisis in secondary care.
This paper is the first in a series that will outline a vision for the hospital within a system re-orientated towards prevention.
Read it below ⬇️
December 9, 2024 at 9:23 AM
New @reformthinktank.bsky.social report 🏥
Very excited to share the launch of my first think tank report, the initial framing paper in our ‘Hospital of the Future’ series!!
Hospitals are in crisis, the diagnosis is below…
Very excited to share the launch of my first think tank report, the initial framing paper in our ‘Hospital of the Future’ series!!
Hospitals are in crisis, the diagnosis is below…