Becks Fisher
banner
becksfisher.bsky.social
Becks Fisher
@becksfisher.bsky.social
Director of Research & Policy @nuffieldtrust.bsky.social, NHS GP, Harkness 22/23, co-founder of Next Generation GP. She/her. Views my own. Usually running.
Pinned
The funding of #generalpractice is unfair and inequitable.

New @nuffieldtrust.bsky.social with the Health Equity Evidence Centre looks at why, why it matters, options to ‘fix’ the problem and makes clear what we think is the way forward.

www.nuffieldtrust.org.uk/resource/fai...
Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do?
General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. This briefing, produced i...
www.nuffieldtrust.org.uk
Reposted by Becks Fisher
Read our Director of Research and Policy Dr @becksfisher.bsky.social's response to the results of the GP patient survey.

📈 There are signs of improvement but inequalities still persist.
Signs of improvement in general practice but inequalities still persist
Becks Fisher responds to the GP patient survey results.
www.nuffieldtrust.org.uk
July 10, 2025 at 10:35 AM
Reposted by Becks Fisher
The 10 Year Health Plan is rightly ambitious. But there are several areas where it could come unstuck, not least when it comes to the money that's required to turn grand ambitions into reality.

Read the blog from Director of Research and Policy @becksfisher.bsky.social 👇
buff.ly/4yrJLjs
July 8, 2025 at 3:40 PM
Reposted by Becks Fisher
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
July 3, 2025 at 4:29 PM
Fourth time lucky?!

Why am I hopeful that this time, a promise of review might lead to actual change?

🧵👇
June 25, 2025 at 4:00 PM
Women spend more of their working-age years living with ill health than men.

Brilliant new #Qualitywatch analysis from my @nuffieldtrust.org.uk colleagues unpicking the factors driving this 🔽

www.nuffieldtrust.org.uk/news-item/si...
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...
www.nuffieldtrust.org.uk
June 25, 2025 at 3:50 PM
Reposted by Becks Fisher
Today @rthonwesstreeting.bsky.social will announce plans to overhaul GP funding. If you're interested in more on how we can make GP funding fairer have a listen to this podcast I did with @becksfisher.bsky.social from @nuffieldtrust.org.uk last year www.gponline.com/podcast-gp-f...
June 25, 2025 at 8:53 AM
The excellent @sallygainsbury.bsky.social dissecting #NHS finances to show why £22.6bn really isn’t much of a ‘downpayment’ on the 10 year plan….
Ahead of the SR next week, my long read today looks at where the £22.6bn extra cash chancellor Reeves added to health spending in England for this year has gone. A thread >>
June 6, 2025 at 8:00 AM
Reposted by Becks Fisher
Resident doctor pay: How do different methods affect how pay changes appear? Thanks to @nuffieldtrust.bsky.social for their analysis in The Sunday Times this week: www.nuffieldtrust.org.uk/news-item/re...
Resident doctor pay: How do different methods affect how pay changes appear?
www.nuffieldtrust.org.uk
June 1, 2025 at 11:14 AM
Packed room at #rapidevaluation conference for opening plenary. Lots of potential for tech enabled change in the #NHS, but lots required to make it happen: interoperability, better procurement, cultural change etc. Will 10y.p help?!

@nuffieldtrust.bsky.social @healthfoundation.bsky.social
May 14, 2025 at 9:35 AM
Reposted by Becks Fisher
NEW ANALYSIS explores how approaches to #AssistedDying vary internationally.

The Nuffield Trust holds a neutral position on the legalisation of assisted dying in the UK.

Our analysis reviews the evidence for jurisdictions where it has been implemented, to help inform debate.
🧵1/9
buff.ly/CTLXDjs
Diverging paths: How other countries have designed and implemented assisted dying
As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from…
www.nuffieldtrust.org.uk
May 9, 2025 at 8:27 AM
Reposted by Becks Fisher
1/ New analysis with @nuffieldtrust.bsky.social colleagues today on Assisted Dying, and what we can learn from other countries as the UK considers legalisation.

www.nuffieldtrust.org.uk/news-item/di...
Diverging paths: How other countries have designed and implemented assisted dying
As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from othe...
www.nuffieldtrust.org.uk
May 9, 2025 at 9:51 AM
Reposted by Becks Fisher
It is very easy and very tempting to assume that management is merely a (useless) cost to be saved not something that adds value to the rest of the system. That's not what the evidence says and it is possible to have too little management.
April 16, 2025 at 1:43 PM
Reposted by Becks Fisher
In 2024, just 1 in 5 British adults (21%) were satisfied with the way in which the NHS runs – the lowest level of satisfaction since the #BritishSocialAttitudes survey began. It’s a decline of 39 percentage points since 2019. @thekingsfund.bsky.social

www.nuffieldtrust.org.uk/research/pub...
April 2, 2025 at 11:16 AM
Reposted by Becks Fisher
At the Congrès de la Médecine Générale in Paris presenting with @becksfisher.bsky.social and John Ford. We covered GP retention, workforce data, unequal GP distribution, lack of job opportunities. #sustainableGPcareers #addressingbottlenecks @rcgp.bsky.social @nuffieldtrust.bsky.social @qmul.ac.uk
March 30, 2025 at 8:11 AM
Reposted by Becks Fisher
Today with @cglobont.bsky.social @tamarahervey.bsky.social and excellent colleagues not on Bsky we publish our final Brexit report on how health and care in the NHS have pulled apart from Europe, and the consequences – funded by @healthfoundation.bsky.social www.nuffieldtrust.org.uk/research/hea...
Health in the UK after Brexit: Moving apart or stuck together?
How has Brexit reshaped health in the UK? The final report in our Health and International Relations Monitor series, supported by the Health Foundation, tracks the ongoing impact from EU exit on medic...
www.nuffieldtrust.org.uk
March 21, 2025 at 10:56 AM
Reposted by Becks Fisher
The partnership model in #GeneralPractice predates the #NHS. Is now the time to change it?

Read our briefing to find out more: www.nuffieldtrust.org.uk/resource/the...

@becksfisher.bsky.social also shared her thoughts at our Summit earlier this month 👇
March 19, 2025 at 9:34 AM
Reposted by Becks Fisher
Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>
WE'RE HIRING: The Nuffield Trust is looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services. #ResearchJobs #ThinkTankJobs

Find out more and apply here. 👇
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
www.nuffieldtrust.org.uk
March 19, 2025 at 11:34 AM
Reposted by Becks Fisher
Reposted by Becks Fisher
iykyk #bm100
March 17, 2025 at 5:29 PM
‘nine months into its term of office the government is embarking on a major reorganisation of the superstructure of the NHS that is not fully thought through and which it did not intend to do in the first place’

Nick Timmins on excellent form 👇🏻

www.instituteforgovernment.org.uk/comment/keir...
Keir Starmer's decision to abolish NHS England is a high-risk strategy | Institute for Government
Wes Streeting seems to have dramatically shifted his position on NHS England.
www.instituteforgovernment.org.uk
March 15, 2025 at 12:14 PM
Reposted by Becks Fisher
Might be a good time to resurrect our historical review of previous NHS organisational structures....
researchonline.lshtm.ac.uk/id/eprint/46...
Short version: however you organise it, you always need a number of layers to effectively manage something as complicated as the NHS
LSHTM Research Online
researchonline.lshtm.ac.uk
March 15, 2025 at 8:35 AM
Reposted by Becks Fisher
Friday Fellow! Our final think tank job of the week is with @nuffieldtrust.bsky.social who are looking for a strong critical thinker with an interest in health and social care policy to join them as a Fellow in Funding & Finance - find out how to apply: bit.ly/4ktlOBs
March 14, 2025 at 2:13 PM
Reposted by Becks Fisher
As NHS England’s chiefs sit down with local trust chairs and chief execs to discuss a “financial re-set”, a quick reminder of how difficult the financial situation is in the NHS right now. A short thread >>
March 13, 2025 at 10:47 AM
'NHS England was created 12 years ago partly in an attempt to take the politics out of health in England. But today, politics took out NHS England'

Excellent speedy work from @leonoramerry.bsky.social @markgdayan.bsky.social @nuffieldtrust.bsky.social

www.nuffieldtrust.org.uk/news-item/th...
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.
www.nuffieldtrust.org.uk
March 13, 2025 at 1:21 PM
🚨 Excellent job alert🚨

You’ll work with brilliant, talented, fun colleagues on things that really matter (well - I think the NHS and social care matter).

You won’t be bored and you will get good coffee (and snacks).

Roll up….
Job alert: We’re looking for someone who wants to play a key part in our forensic analysis of NHS funding and finance, working closely with me as well as my other brilliant colleagues at Nuffield Trust on health and social care policy, details here www.nuffieldtrust.org.uk/job/fellow-f...
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
www.nuffieldtrust.org.uk
March 10, 2025 at 6:59 PM