Charles Tallack
@charlestallack.bsky.social
Senior Fellow @HealthFdn. Ex-Whitehall civil servant & NHS England.
Love ideas, numbers, analysis, evidence, debate and challenge. Views my own.
Love ideas, numbers, analysis, evidence, debate and challenge. Views my own.
Intersectionality describes how demographic disadvantages can interact to amplify inequalities. But how to model this?
New from colleagues in our analysis team: a case study of GP appmts & patient experience, illustrating the MAIDHA intersectional modelling approach.
medium.com/healthfdn-da...
New from colleagues in our analysis team: a case study of GP appmts & patient experience, illustrating the MAIDHA intersectional modelling approach.
medium.com/healthfdn-da...
Intersectional modelling in health policy: a case study on remote GP appointments and patient…
Across nearly all aspects of health and health care, there are disparities between different demographic groups. These are often the result…
medium.com
October 15, 2025 at 4:13 PM
Intersectionality describes how demographic disadvantages can interact to amplify inequalities. But how to model this?
New from colleagues in our analysis team: a case study of GP appmts & patient experience, illustrating the MAIDHA intersectional modelling approach.
medium.com/healthfdn-da...
New from colleagues in our analysis team: a case study of GP appmts & patient experience, illustrating the MAIDHA intersectional modelling approach.
medium.com/healthfdn-da...
Reposted by Charles Tallack
Those confidence intervals in full!
September 9, 2025 at 10:22 AM
Those confidence intervals in full!
At the end of July, the government said that it had delivered 4.6 million extra appointments since it came to power, more than double its manifesto pledge of 2 million.
www.gov.uk/government/n...
www.gov.uk/government/n...
Millions more appointments as more than 2,000 extra GPs recruited
Boost is part of Plan for Change to rebuild the NHS by shifting healthcare from hospitals into the community and ending the 8am scramble.
www.gov.uk
August 11, 2025 at 7:17 AM
At the end of July, the government said that it had delivered 4.6 million extra appointments since it came to power, more than double its manifesto pledge of 2 million.
www.gov.uk/government/n...
www.gov.uk/government/n...
Reposted by Charles Tallack
How can the government meet its commitment to halve the gap in healthy life expectancy between regions?
Reading this excellent summary of some of the @healthfoundation.bsky.social latest analysis from @charlestallack.bsky.social would be a good place to start!
⬇️⬇️⬇️
Reading this excellent summary of some of the @healthfoundation.bsky.social latest analysis from @charlestallack.bsky.social would be a good place to start!
⬇️⬇️⬇️
In its 10 Year Health Plan, the government recommitted to halving the gap in healthy life expectancy (HLE) between the poorest and richest regions. But how? Our new analysis with the ONS points to the underlying factors which any plan will need to take account of. 🧵
July 23, 2025 at 8:54 PM
How can the government meet its commitment to halve the gap in healthy life expectancy between regions?
Reading this excellent summary of some of the @healthfoundation.bsky.social latest analysis from @charlestallack.bsky.social would be a good place to start!
⬇️⬇️⬇️
Reading this excellent summary of some of the @healthfoundation.bsky.social latest analysis from @charlestallack.bsky.social would be a good place to start!
⬇️⬇️⬇️
Reposted by Charles Tallack
Policy exchange, backed by Sajid Javid, think we need to switch the NHS funding model to social insurance, and introduce new charges for NHS services, like to see a GP
policyexchange.org.uk/publication/...
These are not new ideas, but they are bad ideas
A thread with some evidence
policyexchange.org.uk/publication/...
These are not new ideas, but they are bad ideas
A thread with some evidence
The NHS – a Suitable Case for Treatment? - Policy Exchange
Download Publication Online Reader ‘The NHS – a Suitable Case for Treatment?’ makes the case that the NHS is not fit for purpose and is in urgent need of reform.The report finds that NHS performance r...
policyexchange.org.uk
July 23, 2025 at 8:06 PM
Policy exchange, backed by Sajid Javid, think we need to switch the NHS funding model to social insurance, and introduce new charges for NHS services, like to see a GP
policyexchange.org.uk/publication/...
These are not new ideas, but they are bad ideas
A thread with some evidence
policyexchange.org.uk/publication/...
These are not new ideas, but they are bad ideas
A thread with some evidence
In its 10 Year Health Plan, the government recommitted to halving the gap in healthy life expectancy (HLE) between the poorest and richest regions. But how? Our new analysis with the ONS points to the underlying factors which any plan will need to take account of. 🧵
July 19, 2025 at 8:53 AM
In its 10 Year Health Plan, the government recommitted to halving the gap in healthy life expectancy (HLE) between the poorest and richest regions. But how? Our new analysis with the ONS points to the underlying factors which any plan will need to take account of. 🧵
Important re NHS 10 Year Plan:
"making the plan happen with the resources on offer will be tough. Health spending will grow by 2.8% a year real between 25/26 & 28/29 – lower than historic average (3.7%) & much lower than Labour’s last period in government (6.8%)"
www.health.org.uk/press-office...
"making the plan happen with the resources on offer will be tough. Health spending will grow by 2.8% a year real between 25/26 & 28/29 – lower than historic average (3.7%) & much lower than Labour’s last period in government (6.8%)"
www.health.org.uk/press-office...
www.health.org.uk
July 3, 2025 at 3:40 PM
Important re NHS 10 Year Plan:
"making the plan happen with the resources on offer will be tough. Health spending will grow by 2.8% a year real between 25/26 & 28/29 – lower than historic average (3.7%) & much lower than Labour’s last period in government (6.8%)"
www.health.org.uk/press-office...
"making the plan happen with the resources on offer will be tough. Health spending will grow by 2.8% a year real between 25/26 & 28/29 – lower than historic average (3.7%) & much lower than Labour’s last period in government (6.8%)"
www.health.org.uk/press-office...
The Labour government’s most prominent commitment on health is to get waiting times back to 18 weeks by the end of the Parliament. Are they on track? We looked at this for last night’s Peston show youtu.be/yc-9Psk3gk8?... 🧵
PESTON LIVE - 02/07/2025
YouTube video by Peston
youtu.be
July 3, 2025 at 10:34 AM
The Labour government’s most prominent commitment on health is to get waiting times back to 18 weeks by the end of the Parliament. Are they on track? We looked at this for last night’s Peston show youtu.be/yc-9Psk3gk8?... 🧵
The BBC reports that the government is about to launch a drive to use genomics and AI to predict disease earlier and "revolutionise prevention".
www.bbc.com/news/article...
www.bbc.com/news/article...
NHS plans to DNA test all babies in England to assess disease risk
Scheme is part of the government's 10-year plan for the NHS in England aimed at easing pressure on services.
www.bbc.com
June 21, 2025 at 8:46 PM
The BBC reports that the government is about to launch a drive to use genomics and AI to predict disease earlier and "revolutionise prevention".
www.bbc.com/news/article...
www.bbc.com/news/article...
No, BBC Chris Mason: the NHS does not make up 40% of day to day government spending. You've left out spending on pensions, benefits, debt interest etc. When you include those, the figure is less than half that.
www.bbc.com/news/article...
www.bbc.com/news/article...
Chris Mason: Reeves's spending priorities leave little wiggle room
The chancellor's focus on the NHS and defence will mean a spending squeeze elsewhere, writes the BBC's political editor.
www.bbc.com
June 11, 2025 at 6:22 AM
No, BBC Chris Mason: the NHS does not make up 40% of day to day government spending. You've left out spending on pensions, benefits, debt interest etc. When you include those, the figure is less than half that.
www.bbc.com/news/article...
www.bbc.com/news/article...
In January a record 11% of patients attending major A&Es waited more than 12h+.
How much was poor NHS performance this winter due to "exceptional pressure" with "mammoth demand" from a quademic of winter illnesses?
This and more in our new analysis:
How much was poor NHS performance this winter due to "exceptional pressure" with "mammoth demand" from a quademic of winter illnesses?
This and more in our new analysis:
April 28, 2025 at 12:02 PM
In January a record 11% of patients attending major A&Es waited more than 12h+.
How much was poor NHS performance this winter due to "exceptional pressure" with "mammoth demand" from a quademic of winter illnesses?
This and more in our new analysis:
How much was poor NHS performance this winter due to "exceptional pressure" with "mammoth demand" from a quademic of winter illnesses?
This and more in our new analysis:
Reposted by Charles Tallack
Good thread on a common and quite important statistical error, on many topics other than health (eg education).
If a system is genuinely equitable, then variations in the system's effectiveness don't "explain" much. Doesn't mean systems don't matter!
If a system is genuinely equitable, then variations in the system's effectiveness don't "explain" much. Doesn't mean systems don't matter!
Sarah Neville in the FT on lunch with Amanda Pritchard: "The NHS contributes between 10 and 20 per cent to people’s health, she says — a figure I find startlingly low"
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
April 26, 2025 at 9:27 AM
Good thread on a common and quite important statistical error, on many topics other than health (eg education).
If a system is genuinely equitable, then variations in the system's effectiveness don't "explain" much. Doesn't mean systems don't matter!
If a system is genuinely equitable, then variations in the system's effectiveness don't "explain" much. Doesn't mean systems don't matter!
Reposted by Charles Tallack
Found the whole interview irritatingingly insoucient given the state of the NHS. But I really got worried when she said this which is so obviously wrong.
Sarah Neville in the FT on lunch with Amanda Pritchard: "The NHS contributes between 10 and 20 per cent to people’s health, she says — a figure I find startlingly low"
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
April 26, 2025 at 9:00 AM
Found the whole interview irritatingingly insoucient given the state of the NHS. But I really got worried when she said this which is so obviously wrong.
Sarah Neville in the FT on lunch with Amanda Pritchard: "The NHS contributes between 10 and 20 per cent to people’s health, she says — a figure I find startlingly low"
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
April 26, 2025 at 8:55 AM
Sarah Neville in the FT on lunch with Amanda Pritchard: "The NHS contributes between 10 and 20 per cent to people’s health, she says — a figure I find startlingly low"
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
This widely quoted figure is startlingly low because it's probably wrong.🧵
www.ft.com/content/5cf4...
Reposted by Charles Tallack
This echoes a clear theme in my research: there can sometimes be an imperative to present a project as a success, which then makes it harder to learn from an inconclusive or unsuccessful finding. Inconclusive findings are just as important as successes, as is learning why something didn't go to plan
The response from DHSC and NHSE to our analysis, dismisses the evidence, and doubles down on the claims. This isn't encouraging. If the NHS is to improve we need an evidence-informed approach to change, openness to challenge and honesty about what is and isn’t working.
April 18, 2025 at 7:08 AM
This echoes a clear theme in my research: there can sometimes be an imperative to present a project as a success, which then makes it harder to learn from an inconclusive or unsuccessful finding. Inconclusive findings are just as important as successes, as is learning why something didn't go to plan
Here's what the "record £26 billion extra NHS funding secured at the October Budget" looks like translated in annual real terms growth.
3.2% pa over two years. Higher than during 2010s, but lower than the 3.7% pa in the 40 years preceding the pandemic.
www.health.org.uk/reports-and-...
3.2% pa over two years. Higher than during 2010s, but lower than the 3.7% pa in the 40 years preceding the pandemic.
www.health.org.uk/reports-and-...
April 17, 2025 at 11:36 AM
Here's what the "record £26 billion extra NHS funding secured at the October Budget" looks like translated in annual real terms growth.
3.2% pa over two years. Higher than during 2010s, but lower than the 3.7% pa in the 40 years preceding the pandemic.
www.health.org.uk/reports-and-...
3.2% pa over two years. Higher than during 2010s, but lower than the 3.7% pa in the 40 years preceding the pandemic.
www.health.org.uk/reports-and-...
Reposted by Charles Tallack
What is really worrying here is that DHSC don't appear to know what strong evidence would look like and are promoting an approach that will frequently give them false positives about what works...
April 16, 2025 at 8:43 AM
What is really worrying here is that DHSC don't appear to know what strong evidence would look like and are promoting an approach that will frequently give them false positives about what works...
On 16 March, DHSC announced “crack teams” of top clinicians working in 20 trusts had reduced the waiting list by 130% more than in trusts elsewhere. As a result, the scheme (called FF20 – Further Faster 20), is being rolled out across the country.
The claim examined🧵
www.gov.uk/government/n...
The claim examined🧵
www.gov.uk/government/n...
Crack teams get patients off waiting lists at twice the speed
Sending top doctors into areas of highest economic inactivity is busting through the backlog.
www.gov.uk
April 16, 2025 at 6:45 AM
On 16 March, DHSC announced “crack teams” of top clinicians working in 20 trusts had reduced the waiting list by 130% more than in trusts elsewhere. As a result, the scheme (called FF20 – Further Faster 20), is being rolled out across the country.
The claim examined🧵
www.gov.uk/government/n...
The claim examined🧵
www.gov.uk/government/n...
Brilliant, on the British Steel crisis.
Blast furnaces produce more carbon dioxide than iron.
If Scunthorpe closes, Britain would be the first industrialised nation to end primary steelmaking.
What is Jingye, the Chinese owner,up to? Should we have sold to them? France blocked a takeover.
Blast furnaces produce more carbon dioxide than iron.
If Scunthorpe closes, Britain would be the first industrialised nation to end primary steelmaking.
What is Jingye, the Chinese owner,up to? Should we have sold to them? France blocked a takeover.
✍️I visited British Steel last week - just as workers were discovering that the plant's Chinese owners were effectively planning to starve the blast furnaces to death.
It was a strange, unsettling experience. With deep ramifications. Some thoughts: edconway.substack.com/p/the-strang...
It was a strange, unsettling experience. With deep ramifications. Some thoughts: edconway.substack.com/p/the-strang...
The Strange, Unsettling Story of British Steel
Why the fate of a blast furnace in Scunthorpe might have much deeper implications for this country
edconway.substack.com
April 12, 2025 at 7:44 AM
Brilliant, on the British Steel crisis.
Blast furnaces produce more carbon dioxide than iron.
If Scunthorpe closes, Britain would be the first industrialised nation to end primary steelmaking.
What is Jingye, the Chinese owner,up to? Should we have sold to them? France blocked a takeover.
Blast furnaces produce more carbon dioxide than iron.
If Scunthorpe closes, Britain would be the first industrialised nation to end primary steelmaking.
What is Jingye, the Chinese owner,up to? Should we have sold to them? France blocked a takeover.
Reducing duplication between NHS E and DHSC has been a main plank of the rationale for NHSE's abolition and 50% cuts to the centre. But how much duplication is there?
April 9, 2025 at 10:43 AM
Reducing duplication between NHS E and DHSC has been a main plank of the rationale for NHSE's abolition and 50% cuts to the centre. But how much duplication is there?
Stupidity/pseudo science dressed up as economics in the White House's technical explanation of the tariff calculations
ustr.gov/issue-areas/...
ustr.gov/issue-areas/...
April 5, 2025 at 11:51 AM
Stupidity/pseudo science dressed up as economics in the White House's technical explanation of the tariff calculations
ustr.gov/issue-areas/...
ustr.gov/issue-areas/...
£105bn a year on debt interest (4x social care spend) is a big part of why it feels like many of our public services are in permanent austerity.
The 2008 financial crisis and pandemic response accounts for at least £60bn of that. on.ft.com/4c7agjB via @FT
The 2008 financial crisis and pandemic response accounts for at least £60bn of that. on.ft.com/4c7agjB via @FT
March 26, 2025 at 8:32 AM
£105bn a year on debt interest (4x social care spend) is a big part of why it feels like many of our public services are in permanent austerity.
The 2008 financial crisis and pandemic response accounts for at least £60bn of that. on.ft.com/4c7agjB via @FT
The 2008 financial crisis and pandemic response accounts for at least £60bn of that. on.ft.com/4c7agjB via @FT
"It seems strange to announce a reorganisation without including a strategy for how NHSE’s responsibilities will be reallocated (not a straightforward task) or for which decisions will be taken at different levels i.e. at local, regional, or national level."
Radical or reckless? The abolition of NHS England & what happens next - read my analysis published by @uclpolicylab.bsky.social
@hughalderwick.bsky.social @charlestallack.bsky.social
@hughalderwick.bsky.social @charlestallack.bsky.social
“Even if in the long-run the reforms are proven to be the right ones, embarking on any major reform of the NHS creates medium term challenges”.
@profnaomifulop.bsky.social explores the challenging nature of NHS reform.
www.ucl.ac.uk/policy-lab/n...
@profnaomifulop.bsky.social explores the challenging nature of NHS reform.
www.ucl.ac.uk/policy-lab/n...
March 21, 2025 at 5:04 PM
"It seems strange to announce a reorganisation without including a strategy for how NHSE’s responsibilities will be reallocated (not a straightforward task) or for which decisions will be taken at different levels i.e. at local, regional, or national level."
Reposted by Charles Tallack
Great, insightful analysis of the abolishment of NHS England and the halving of the DHSC/NHSE centre
@thekingsfund.bsky.social
www.kingsfund.org.uk/insight-and-...
@thekingsfund.bsky.social
www.kingsfund.org.uk/insight-and-...
The Reshaping Of NHS National Bodies Has Only Just Started. How Will It Finish? | The King's Fund
Following the announcement that NHS England is to be abolished, Siva Anandaciva considers the implications and why at the moment there are more questions than answers.
www.kingsfund.org.uk
March 14, 2025 at 8:27 AM
Great, insightful analysis of the abolishment of NHS England and the halving of the DHSC/NHSE centre
@thekingsfund.bsky.social
www.kingsfund.org.uk/insight-and-...
@thekingsfund.bsky.social
www.kingsfund.org.uk/insight-and-...