Daniel Reynolds
@danielreynolds.bsky.social
Former journalist, think tanker and now director of comms @nhsconfed.bsky.social & @nhsemployers.bsky.social
Passionate about all things communications, CPFC and Nick Cave and the Bad Seeds.
Passionate about all things communications, CPFC and Nick Cave and the Bad Seeds.
Reposted by Daniel Reynolds
Labour has published the first football-style league tables to rank hospitals in England from best to worst since the early 2000s, despite warnings it would not help patients choose where to seek care.
Norfolk hospital worst in country as NHS league tables reintroduced
All health trusts in England ranked from best to worst but analysts say idea is of ‘limited use’ to patients
www.theguardian.com
September 9, 2025 at 7:23 AM
Labour has published the first football-style league tables to rank hospitals in England from best to worst since the early 2000s, despite warnings it would not help patients choose where to seek care.
Another 'back to the future' moment in #NHS reform as Govt publishes league tables. My take on the pros & cons. In short, to command public confidence they need to measure the right things, be based on objective data & not be about naming and shaming @nhsconfed.org
www.linkedin.com/feed/update/...
www.linkedin.com/feed/update/...
NHS league tables: why thoughtful design is essential | Daniel Reynolds
Ever since the Election, there's been a 'back to the future' feeling about much of Labour's NHS reform agenda, and today sees another blast from the past with the return of performance league tables. ...
www.linkedin.com
September 9, 2025 at 7:32 AM
Another 'back to the future' moment in #NHS reform as Govt publishes league tables. My take on the pros & cons. In short, to command public confidence they need to measure the right things, be based on objective data & not be about naming and shaming @nhsconfed.org
www.linkedin.com/feed/update/...
www.linkedin.com/feed/update/...
Excited that @nhsconfed.org & #NHS Comms AI Taskforce have published a report into #AI adoption in #NHScomms
We're seeing lots of positive adoption but uptake is uneven and more governance is required to support safe adoption. Our taskforce will provide this.
www.nhsconfed.org/publications...
We're seeing lots of positive adoption but uptake is uneven and more governance is required to support safe adoption. Our taskforce will provide this.
www.nhsconfed.org/publications...
Artificial intelligence use in NHS communications
Insights, risks and recommendations for safe and effective adoption of AI in NHS communications.
www.nhsconfed.org
June 23, 2025 at 3:15 PM
Excited that @nhsconfed.org & #NHS Comms AI Taskforce have published a report into #AI adoption in #NHScomms
We're seeing lots of positive adoption but uptake is uneven and more governance is required to support safe adoption. Our taskforce will provide this.
www.nhsconfed.org/publications...
We're seeing lots of positive adoption but uptake is uneven and more governance is required to support safe adoption. Our taskforce will provide this.
www.nhsconfed.org/publications...
Some highlights from SoS speech at #NHSConfedExpo
✅ Clearer priorities/fewer targets
✅ A slimmed down Centre
✅ICBs as strategic commissioners of local services
✅ Reinvigorate the FT model
✅ Change the financial rules - focus on outcomes/reform the tariff
✅ More integration between providers
✅ Clearer priorities/fewer targets
✅ A slimmed down Centre
✅ICBs as strategic commissioners of local services
✅ Reinvigorate the FT model
✅ Change the financial rules - focus on outcomes/reform the tariff
✅ More integration between providers
June 12, 2025 at 12:25 PM
Some highlights from SoS speech at #NHSConfedExpo
✅ Clearer priorities/fewer targets
✅ A slimmed down Centre
✅ICBs as strategic commissioners of local services
✅ Reinvigorate the FT model
✅ Change the financial rules - focus on outcomes/reform the tariff
✅ More integration between providers
✅ Clearer priorities/fewer targets
✅ A slimmed down Centre
✅ICBs as strategic commissioners of local services
✅ Reinvigorate the FT model
✅ Change the financial rules - focus on outcomes/reform the tariff
✅ More integration between providers
Wes Streeting tells #NHSConfedExpo that the #spendingreview settlement puts “wind in the NHS’ sails” but acknowledges it’s below what the health think tanks say is needed. Says we need to take this settlement and combine it with the redesign of services to steer the nhs onto a sustainable path.
June 12, 2025 at 12:14 PM
Wes Streeting tells #NHSConfedExpo that the #spendingreview settlement puts “wind in the NHS’ sails” but acknowledges it’s below what the health think tanks say is needed. Says we need to take this settlement and combine it with the redesign of services to steer the nhs onto a sustainable path.
Secretary of State for Health and Social Care Wes Streeting is now speaking at #NHSConfedExpo @nhsconfed.org
Starts off by saying the #NHS as a free at the point of use public service is “in a fight for its life” but he’s confident the NHS will win that fight.
Starts off by saying the #NHS as a free at the point of use public service is “in a fight for its life” but he’s confident the NHS will win that fight.
June 12, 2025 at 12:12 PM
Secretary of State for Health and Social Care Wes Streeting is now speaking at #NHSConfedExpo @nhsconfed.org
Starts off by saying the #NHS as a free at the point of use public service is “in a fight for its life” but he’s confident the NHS will win that fight.
Starts off by saying the #NHS as a free at the point of use public service is “in a fight for its life” but he’s confident the NHS will win that fight.
@nhsconfed.org @confedmatt.bsky.social asked about the #spendingreview settlement
Says:
✅ Revenue settlement is good considering what other public services are getting but below long term average
❌ But the big concern is flat capital and no changes (so far) to rules on using private investment
Says:
✅ Revenue settlement is good considering what other public services are getting but below long term average
❌ But the big concern is flat capital and no changes (so far) to rules on using private investment
June 11, 2025 at 1:39 PM
@nhsconfed.org @confedmatt.bsky.social asked about the #spendingreview settlement
Says:
✅ Revenue settlement is good considering what other public services are getting but below long term average
❌ But the big concern is flat capital and no changes (so far) to rules on using private investment
Says:
✅ Revenue settlement is good considering what other public services are getting but below long term average
❌ But the big concern is flat capital and no changes (so far) to rules on using private investment
@nhsconfed.org @confedmatt.bsky.social now speaking at #NHSConfedExpo
✅ The need to reimagine the NHS based on less hierarchy & built around patients
✅ Fundamental changes to our model of care
✅ Leveraging private investment to boost capital funding
✅ Not losing sight of the wider determinants
✅ The need to reimagine the NHS based on less hierarchy & built around patients
✅ Fundamental changes to our model of care
✅ Leveraging private investment to boost capital funding
✅ Not losing sight of the wider determinants
June 11, 2025 at 1:23 PM
@nhsconfed.org @confedmatt.bsky.social now speaking at #NHSConfedExpo
✅ The need to reimagine the NHS based on less hierarchy & built around patients
✅ Fundamental changes to our model of care
✅ Leveraging private investment to boost capital funding
✅ Not losing sight of the wider determinants
✅ The need to reimagine the NHS based on less hierarchy & built around patients
✅ Fundamental changes to our model of care
✅ Leveraging private investment to boost capital funding
✅ Not losing sight of the wider determinants
Sir Jim now in conversation with @nhsconfed.org Lord Victor Adebowale. #NHSConfedExpo
Talking about moving at pace with the change programme but doing it compassionately: doesn’t want a prolonged process
Hints they’re still pushing for a national redundancy scheme: something we’ve been calling for
Talking about moving at pace with the change programme but doing it compassionately: doesn’t want a prolonged process
Hints they’re still pushing for a national redundancy scheme: something we’ve been calling for
June 11, 2025 at 10:26 AM
Sir Jim now in conversation with @nhsconfed.org Lord Victor Adebowale. #NHSConfedExpo
Talking about moving at pace with the change programme but doing it compassionately: doesn’t want a prolonged process
Hints they’re still pushing for a national redundancy scheme: something we’ve been calling for
Talking about moving at pace with the change programme but doing it compassionately: doesn’t want a prolonged process
Hints they’re still pushing for a national redundancy scheme: something we’ve been calling for
Sir Jim Mackey giving his speech at #NHSConfedExpo
Highlights so far for me:
1. Much less interference from the Centre
2. Fewer data returns/form filling
3. Focus on outcomes not inputs
4. Trusting people to work things out for their local circumstances
5. Develop greater ambition for the NHS
Highlights so far for me:
1. Much less interference from the Centre
2. Fewer data returns/form filling
3. Focus on outcomes not inputs
4. Trusting people to work things out for their local circumstances
5. Develop greater ambition for the NHS
June 11, 2025 at 10:15 AM
Sir Jim Mackey giving his speech at #NHSConfedExpo
Highlights so far for me:
1. Much less interference from the Centre
2. Fewer data returns/form filling
3. Focus on outcomes not inputs
4. Trusting people to work things out for their local circumstances
5. Develop greater ambition for the NHS
Highlights so far for me:
1. Much less interference from the Centre
2. Fewer data returns/form filling
3. Focus on outcomes not inputs
4. Trusting people to work things out for their local circumstances
5. Develop greater ambition for the NHS
This is key. If there’s no extra capital & no changes to the rules that prevent private investment being used to boost capital funding, the NHS won’t be the ‘big winner’ from the CSR that some are claiming. But it’s hard to be churlish about the 2.8% for revenue given the wider public finances.
Ahead of the #spendingreview today watch out for news on the NHS capital budget...if it is held flat in real-terms as expected it poses big challenges, not least for the New Hospital Programme. Unless Govt is to try and do PFI 2.0 #nhsconfedexpo
From The Sunday Times:
From The Sunday Times:
June 11, 2025 at 10:07 AM
This is key. If there’s no extra capital & no changes to the rules that prevent private investment being used to boost capital funding, the NHS won’t be the ‘big winner’ from the CSR that some are claiming. But it’s hard to be churlish about the 2.8% for revenue given the wider public finances.
Reposted by Daniel Reynolds
"The NHS is still one of the most powerful investments that this country has ever made in its people, and we know that the alternatives are more expensive and less safe. But we must do better"
Victor Adebowale and Penny Dash kick off #NHSConfedExpo, setting the tone for 2 days of insightful talks.
Victor Adebowale and Penny Dash kick off #NHSConfedExpo, setting the tone for 2 days of insightful talks.
June 11, 2025 at 10:01 AM
"The NHS is still one of the most powerful investments that this country has ever made in its people, and we know that the alternatives are more expensive and less safe. But we must do better"
Victor Adebowale and Penny Dash kick off #NHSConfedExpo, setting the tone for 2 days of insightful talks.
Victor Adebowale and Penny Dash kick off #NHSConfedExpo, setting the tone for 2 days of insightful talks.
Brilliant opening to #NHSConfedExpo from @nhsconfed.org chair Lord Victor Adebowale - clear message on the need to eradicate the inequalities in outcomes that continue to hold back progress. Urges government/NHSE to work hand in glove with local leaders to steer #NHS through this difficult period.
June 11, 2025 at 8:52 AM
Brilliant opening to #NHSConfedExpo from @nhsconfed.org chair Lord Victor Adebowale - clear message on the need to eradicate the inequalities in outcomes that continue to hold back progress. Urges government/NHSE to work hand in glove with local leaders to steer #NHS through this difficult period.
Positive development here - the Secretary of State has chosen not to "call in" nearly all of the service changes put before him since he took up. This is something @nhsconfed.org has been urging. Good to see the Secretary of State holding the line. @hsj.co.uk story 👇
www.hsj.co.uk/service-rede...
www.hsj.co.uk/service-rede...
Streeting greenlights eight reconfigurations
Wes Streeting has declined to intervene over eight NHS service reconfigurations since taking up his post last summer, HSJ can reveal.
www.hsj.co.uk
April 8, 2025 at 10:14 AM
Positive development here - the Secretary of State has chosen not to "call in" nearly all of the service changes put before him since he took up. This is something @nhsconfed.org has been urging. Good to see the Secretary of State holding the line. @hsj.co.uk story 👇
www.hsj.co.uk/service-rede...
www.hsj.co.uk/service-rede...
Good news that the elective cap is being scrapped, but intrigued to see what the cost-control plans are that now makes removing the cap affordable.
www.thetimes.com/uk/politics/...
www.thetimes.com/uk/politics/...
NHS scraps plan to cap costs of bringing down waiting lists
Patients in England can expect to be seen quicker as cost-cutting plans that capped the amount paid to private hospitals for treating NHS patients are abandoned
www.thetimes.com
April 8, 2025 at 9:31 AM
Good news that the elective cap is being scrapped, but intrigued to see what the cost-control plans are that now makes removing the cap affordable.
www.thetimes.com/uk/politics/...
www.thetimes.com/uk/politics/...
After talking to many local #NHS leaders, @nhsconfed.org is recommending the Treasury creates a national redundancy fund to meet the costs of the redundancies that leaders are being asked to make, as well as helping to ensure savings are realised more quickly 👇
www.theguardian.com/society/2025...
www.theguardian.com/society/2025...
Hospitals in England could shed 100,000 jobs in response to cost-cutting orders
Exclusive: Scale of looming job losses prompts NHS leaders to ask Treasury to cover costs
www.theguardian.com
April 8, 2025 at 8:30 AM
After talking to many local #NHS leaders, @nhsconfed.org is recommending the Treasury creates a national redundancy fund to meet the costs of the redundancies that leaders are being asked to make, as well as helping to ensure savings are realised more quickly 👇
www.theguardian.com/society/2025...
www.theguardian.com/society/2025...
While there were no #NHS specific policies, the ObR’s forecasts show a worsening outlook for the economy and the public finances. The upshot is more front loading this year but much less next year and probably during the CSR period. Our @nhsconfed.org briefing 👇
www.nhsconfed.org/publications...
www.nhsconfed.org/publications...
Spring Statement 2025: what you need to know
Unpacking the headline points healthcare leaders need to be aware of in the 2025 Spring Statement.
www.nhsconfed.org
March 26, 2025 at 6:12 PM
While there were no #NHS specific policies, the ObR’s forecasts show a worsening outlook for the economy and the public finances. The upshot is more front loading this year but much less next year and probably during the CSR period. Our @nhsconfed.org briefing 👇
www.nhsconfed.org/publications...
www.nhsconfed.org/publications...
@hsj.co.uk coverage of @nhsconfed.org report out today on strategic commissioning and what the 50% cuts to ICB running costs may mean.
www.hsj.co.uk/integrated-c...
www.hsj.co.uk/integrated-c...
‘Reform standstill’ threatened over ICB cuts
Service reform and "strategic commissioning" may be "brought to a standstill" by steep cuts to integrated care boards, leaders have warned.
www.hsj.co.uk
March 25, 2025 at 9:17 AM
@hsj.co.uk coverage of @nhsconfed.org report out today on strategic commissioning and what the 50% cuts to ICB running costs may mean.
www.hsj.co.uk/integrated-c...
www.hsj.co.uk/integrated-c...
With so much uncertainty about the future role of ICBs given recent government cuts to their running costs, this new @nhsconfed.org report looks at the importance of strategic commissioning and the vital role of ICBs in driving the government's three #NHS shifts 👇
www.nhsconfed.org/publications...
www.nhsconfed.org/publications...
Pioneers of reform
Six proposed shifts to achieve strategic commissioning that will drive public service reform and ensure a sustainable health and care system.
www.nhsconfed.org
March 25, 2025 at 8:44 AM
With so much uncertainty about the future role of ICBs given recent government cuts to their running costs, this new @nhsconfed.org report looks at the importance of strategic commissioning and the vital role of ICBs in driving the government's three #NHS shifts 👇
www.nhsconfed.org/publications...
www.nhsconfed.org/publications...
This is very good from @hsjeditor.bsky.social on the government's #NHS reorganisation U-turn, going back to the aims of the Lansley reforms and on to what Streeting is attempting now. So many parallels between the two, with some key lessons having not been learned.
www.hsj.co.uk/comment/stre...
www.hsj.co.uk/comment/stre...
Streeting is Lansley reborn
The government's abandonment of its stricture against a top-down reorganisation would be breathtaking if it was not so tragic.
www.hsj.co.uk
March 25, 2025 at 8:41 AM
This is very good from @hsjeditor.bsky.social on the government's #NHS reorganisation U-turn, going back to the aims of the Lansley reforms and on to what Streeting is attempting now. So many parallels between the two, with some key lessons having not been learned.
www.hsj.co.uk/comment/stre...
www.hsj.co.uk/comment/stre...
Good piece on the limbo that ICBs are in by @mimilaunder.bsky.social
Cites the lack of a plan in place which has left many unanswered Qs, and how asking ICBs to cut by 50% by Q3 2025/26 is not credible. Featuring quotes from @nhsconfed.org @sarahjwalter.bsky.social
www.hsj.co.uk/expert-brief...
Cites the lack of a plan in place which has left many unanswered Qs, and how asking ICBs to cut by 50% by Q3 2025/26 is not credible. Featuring quotes from @nhsconfed.org @sarahjwalter.bsky.social
www.hsj.co.uk/expert-brief...
The Integrator: ICBs in limbo and under pressure
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by correspondent Mimi Launder
www.hsj.co.uk
March 25, 2025 at 8:13 AM
Good piece on the limbo that ICBs are in by @mimilaunder.bsky.social
Cites the lack of a plan in place which has left many unanswered Qs, and how asking ICBs to cut by 50% by Q3 2025/26 is not credible. Featuring quotes from @nhsconfed.org @sarahjwalter.bsky.social
www.hsj.co.uk/expert-brief...
Cites the lack of a plan in place which has left many unanswered Qs, and how asking ICBs to cut by 50% by Q3 2025/26 is not credible. Featuring quotes from @nhsconfed.org @sarahjwalter.bsky.social
www.hsj.co.uk/expert-brief...
I contributed to @prweekuk.bsky.social article on how #Covid - 5 years on - has changed #NHS comms. In short, a lot!
1 positive: the behavioural change insights we've generated through the vax programme.
1 negative: combatting more mis and disinformation.
www.prweek.co.uk/article/1910...
1 positive: the behavioural change insights we've generated through the vax programme.
1 negative: combatting more mis and disinformation.
www.prweek.co.uk/article/1910...
COVID-19: Five years on, how has healthcare comms changed?
To mark the fifth anniversary of the COVID-19 pandemic, PRWeek UK has spoken to some of the UK’s top healthcare comms specialists to get their views on the lasting impacts of the pandemic on the secto...
www.prweek.co.uk
March 21, 2025 at 9:54 AM
I contributed to @prweekuk.bsky.social article on how #Covid - 5 years on - has changed #NHS comms. In short, a lot!
1 positive: the behavioural change insights we've generated through the vax programme.
1 negative: combatting more mis and disinformation.
www.prweek.co.uk/article/1910...
1 positive: the behavioural change insights we've generated through the vax programme.
1 negative: combatting more mis and disinformation.
www.prweek.co.uk/article/1910...
Huge moment for #NHS leadership, with NHS England to be absolished. Can understand government's desire to bring the NHS back under direct political control, but this is a huge change and a large scale NHS reorganisation. Very destabilising.
@nhsconfed.org view 👇
www.nhsconfed.org/news/nhs-con...
@nhsconfed.org view 👇
www.nhsconfed.org/news/nhs-con...
NHS Confederation and NHS Providers joint statement on announcement NHS England will be abolished
This is the end of an era for the NHS and marks the biggest reshaping of its national architecture in a decade.
www.nhsconfed.org
March 13, 2025 at 12:02 PM
Huge moment for #NHS leadership, with NHS England to be absolished. Can understand government's desire to bring the NHS back under direct political control, but this is a huge change and a large scale NHS reorganisation. Very destabilising.
@nhsconfed.org view 👇
www.nhsconfed.org/news/nhs-con...
@nhsconfed.org view 👇
www.nhsconfed.org/news/nhs-con...
More changes in NHSE's leadership team as government recasts how DHSC & NHSE work together. The scale of the cuts is a surprise, but given the savings needed in 2025/26, there needs to be a reduction in areas of duplication at a national level. @nhsconfed.org view 👇
www.nhsconfed.org/news/nhs-con...
www.nhsconfed.org/news/nhs-con...
NHS Confederation responds to NHS England leadership changes
These changes represent the biggest reshaping of the NHS’s national architecture in more than a decade.
www.nhsconfed.org
March 10, 2025 at 3:09 PM
More changes in NHSE's leadership team as government recasts how DHSC & NHSE work together. The scale of the cuts is a surprise, but given the savings needed in 2025/26, there needs to be a reduction in areas of duplication at a national level. @nhsconfed.org view 👇
www.nhsconfed.org/news/nhs-con...
www.nhsconfed.org/news/nhs-con...
As the #NHS gears up for a very difficult planning round for 2025/26 - @confedmatt.bsky.social was on the Today programme earlier urging the government to support @nhsconfed.org members and not push all the financial risk we are seeing on to local NHS leaders and expect them to manage the fallout 👇
Our chief executive @confedmatt.bsky.social told Today that hospital and system leaders need the Department of Health and Social Care and NHS England to help them with what is going to be a very difficult year.
March 8, 2025 at 11:10 AM
As the #NHS gears up for a very difficult planning round for 2025/26 - @confedmatt.bsky.social was on the Today programme earlier urging the government to support @nhsconfed.org members and not push all the financial risk we are seeing on to local NHS leaders and expect them to manage the fallout 👇