Mark Dayan
markgdayan.bsky.social
Mark Dayan
@markgdayan.bsky.social
Nuffield Trust head of public affairs and particularly nerdy about medicine policy, Brexit, NHS plans, and the Scottish and Northern Irish health systems. Edinburgh to Crystal Palace
Reposted by Mark Dayan
We are so proud of our fantastic Deputy Director of Policy Natasha Curry who has been awarded an MBE in the King’s New Year Honours for services to social care policy.

Congratulations Natasha! www.nuffieldtrust.org.uk/news-item/na...
Natasha Curry awarded MBE
We are delighted that Natasha Curry has been awarded an MBE in the New Year Honours.
www.nuffieldtrust.org.uk
December 30, 2025 at 9:04 AM
Reposted by Mark Dayan
Northern Ireland faces some of the longest waits for planned hospital treatment anywhere in the UK.

There is not only a need for immediate improvement, but for a shift towards keeping people out of hospital and keeping them well.

@markgdayan.bsky.social in VIEWdigital. 👇
Comment: Bringing in more external scrutiny should be a priority - VIEWdigital
Mark Dayan (above), policy analyst and Head of Public Affairs with the Nuffield Trust, argues that political courage is perhaps the key ingredient in what can now be achieved Few would dispute that Northern...
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December 20, 2025 at 12:30 PM
Reposted by Mark Dayan
🆕 What do the changes to local government funding mean for social care? @camille-oung.bsky.social describes what the impact of yesterday’s Local Government Finance Settlement could be for the beleaguered social care sector.
www.nuffieldtrust.org.uk/news-item/co...
Coal or chocolate coins: What do the changes to local government funding mean for social care?
As the government makes changes to how local government works and how it is funded, Camille Oung takes a closer look at those changes and explores what it all might mean for the beleaguered social car...
www.nuffieldtrust.org.uk
December 18, 2025 at 10:42 AM
Reposted by Mark Dayan
Policy Analyst @markgdayan.bsky.social has written for VIEWdigital about the troubles facing the health service in Northern Ireland.

Improvement requires political leadership across parties, matched by changes to the system to make services more specialised and efficient. But it won’t be easy.
Comment: Bringing in more external scrutiny should be a priority - VIEWdigital
Mark Dayan (above), policy analyst and Head of Public Affairs with the Nuffield Trust, argues that political courage is perhaps the key ingredient in what can now be achieved Few would dispute that No...
viewdigital.org
December 17, 2025 at 12:22 PM
Reposted by Mark Dayan
WEBINAR | How can the government make a success of the abolition of NHS England?

This webinar will explore the risks and opportunities associated with abolishing NHS England. @markgdayan.bsky.social @sjanereed.bsky.social @nuffieldtrust.org.uk

www.instituteforgovernment.org.uk/event/govern...
December 8, 2025 at 1:36 PM
Reposted by Mark Dayan
Listen to insights from our Policy Analyst @markgdayan.bsky.social on this week's edition of The Briefing Room 👇
December 11, 2025 at 5:36 PM
Reposted by Mark Dayan
📻 Coming up on Radio 4 at 4pm, hear from our Policy Analyst @markgdayan.bsky.social on #TheBriefingRoom. With more strikes planned and a new offer on the table to try to end the dispute, this episode will unpick some of the key issues for resident doctors at the moment.
BBC Radio 4 - The Briefing Room, Why are early career doctors angry?
Why is there a shortage of training posts for resident doctors?
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December 11, 2025 at 3:12 PM
Reposted by Mark Dayan
🆕 As our report with @instituteforgovernment.org.uk looks at the opportunities and risks that come from the decision to abolish NHS England, a blog from @markgdayan.bsky.social argues that the abolition alone can't solve what is wrong at the top of the NHS.
www.nuffieldtrust.org.uk/news-item/sc...
Scrapping NHS England won’t cure the health service’s ills
The announcement of the abolition of NHS England earlier this year represents the biggest restructure within the health service for over a decade. As our new report with the Institute for Government l...
www.nuffieldtrust.org.uk
December 2, 2025 at 11:42 AM
Is scrapping NHS England a good idea? Will it solve problems in the centre? What would Streeting need to do to get the upsides? I argue the key points in brief from our report with @instituteforgovernment.org.uk @sjanereed.bsky.social @becksfisher.bsky.social www.nuffieldtrust.org.uk/news-item/sc...
Scrapping NHS England won’t cure the health service’s ills
The announcement of the abolition of NHS England earlier this year represents the biggest restructure within the health service for over a decade. As our new report with the Institute for Government l...
www.nuffieldtrust.org.uk
December 2, 2025 at 9:49 AM
Reposted by Mark Dayan
NEW REPORT: abolishing NHS England could help simplify accountability, improve prioritisation and create savings. But the change could also lead to increases in policy incoherence and blame culture, as well as the loss of skills, capacity and focus on areas outside the day-to-day NHS.
Abolished to perfection? Building a better centre for the NHS | Institute for Government
The abolition of NHS England creates both risks and opportunities.
www.instituteforgovernment.org.uk
December 1, 2025 at 4:25 PM
Reposted by Mark Dayan
NEW REPORT: The abolition of NHS England presents a rare opportunity to reset the centre of the NHS, but it carries significant risks.

Nuffield Trust and IfG researchers have spoken to experts involved in current and past reforms and assessed historical examples of major restructures.
Abolished to perfection? Building a better centre for the NHS
Reorganisation has been a regular feature of NHS history, but has often failed to deliver its goals. The abolition of NHS England marks the biggest restructure of the health service’s command structur...
www.nuffieldtrust.org.uk
December 1, 2025 at 2:34 PM
Reposted by Mark Dayan
What effect has leaving the EU had on NHS finances?

@markgdayan.bsky.social and @martinmckee.bsky.social have summarised the evidence for @bmj.com.

Read the piece👉 www.bmj.com/content/391/...

And see Martin's thread👇
1/🧵 In @bmj.com Mark Dayan @nuffieldtrust.org.uk & I ask how leaving the EU affected NHS finances. An important question given yesterday's budget.
"NHS funding faces a Brexit squeeze"
www.bmj.com/content/391/...
www.bmj.com
November 27, 2025 at 3:35 PM
Reports in @telegraphnews.bsky.social that UK Govt will accept Trump's demands to pay more for medicines - by pledging a % of GDP. That would be another chunk of a dwindling NHS budget already pledged to a very long list of things. What could we get for it? www.telegraph.co.uk/business/202...
NHS to spend more on US drugs as Britain bows to Trump
Government prepares to boost spending on medicines to avoid a tariff hit
www.telegraph.co.uk
August 12, 2025 at 1:12 PM
Reposted by Mark Dayan
"The white paper’s measures to clamp down on migration, many put into effect on 22 July, could mean at a difficult time for health and care."

The government’s immigration crackdown threatens the NHS and social care workforce, write @markgdayan.bsky.social and colleagues
www.bmj.com/content/390/...
August 5, 2025 at 2:38 PM
The Government hopes the new 10 Year Plan can repeat the NHS miracle of the 2000s. But this newer new Labour government has less money, and bigger targets. What can we expect? For @@thehousemag.bsky.social with Siva Anandaciva and ‪@davefinch.bsky.social‬

www.politicshome.com/news/article...
The 10-Year Plan: Will It Work?
Three health experts get their teeth into the government plan to fix the NHS.
www.politicshome.com
July 22, 2025 at 1:12 PM
Reposted by Mark Dayan
🆕 The #NHS 10 Year Plan - Satisfaction not guaranteed.

@markgdayan.bsky.social explores the current context for the government's health plan compared with what happened during the last Labour government.

Read via @politicshome.bsky.social @thehousemag.bsky.social
The 10-Year Plan: Will It Work?
Three health experts get their teeth into the government plan to fix the NHS.
www.politicshome.com
July 14, 2025 at 1:48 PM
How could Donald Trump force the NHS to spend more on medicines? Is it going to work? Actually, should we want to spend more? @sallygainsbury.bsky.social and I look at these questions after the latest round www.nuffieldtrust.org.uk/news-item/tr...
Trump, medicines and the NHS
Following recent press speculation that the UK may soon agree to pay more for drugs used within the NHS as part of a trade deal with the USA, we spoke to Mark Dayan and Sally Gainsbury to discuss the ...
www.nuffieldtrust.org.uk
July 1, 2025 at 10:27 AM
Reposted by Mark Dayan
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...
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...
www.nuffieldtrust.org.uk
June 20, 2025 at 3:36 PM
The #NHS is already stretched beyond the financial limit. If it is to spend more on the same medicines in order to save other sectors from tariffs, that reduces the money for healthcare goals - whether that's staff pay, waiting times, or digitisation www.telegraph.co.uk/business/202...
Trump targets NHS in trade talks
British health service faces paying higher prices for US drugs
www.telegraph.co.uk
June 16, 2025 at 10:21 AM
Reposted by Mark Dayan
So what are the takeaways from @rthonwesstreeting.bsky.social address to @nhsconfed.org today? 1) a significantly more partnership-based approach to the leadership & staff of the #NHS. Good. They are crucial to delivery of any plan
June 12, 2025 at 12:56 PM
Our statement notes this may allow councils to keep up with social care demand, but note a lot of this is coming from big assumed council tax rises - 5% a year! Important gradual shift in how we pay for long term care in England, to quite a weird property tax. Nothing for major reform
Local govt ends up being an area that comes out better than some during the SR:

Average annual increase in spending power of 2.6% per year in real terms between 25/25 and 28/29

Will leave spending power 2.7% lower in real terms than in 2010/11 and 15.9% lower when accounting for population growth
June 11, 2025 at 3:03 PM
Reposted by Mark Dayan
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 5, 2025 at 2:20 PM
Reposted by Mark Dayan
TODAY: Policy Analyst @markgdayan.bsky.social‬ will be on You & Yours to provide the evidence on the current state of health care access 🚑

How challenging is it to access NHS care, and how might things change? 📈

Tune in from 12pm on BBC Radio 4.

buff.ly/nTpY8cU
Radio 4 - Listen Live - BBC Sounds
Listen live to BBC Radio 4 on BBC Sounds
www.bbc.co.uk
June 3, 2025 at 8:35 AM
Reposted by Mark Dayan
🆕 blog on #AI in health care from @markgdayan.bsky.social‬ and @cglobont.bsky.social‬ in @bmj.com‬ today.

The UK has decisions to make on AI regulation for medical technology - going our own way may help us get new tech, but would leave some uses unregulated and cement EU barriers.

buff.ly/qGi5HgR
The UK is going its own way on AI regulation in health, but problems lie ahead
It is a frenzied time for UK health policy. NHS England is set to be abolished, amid an emerging 10 year plan, and every UK country faces difficult financial situations. This is set against two…
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May 28, 2025 at 10:48 AM