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
Today the CQC has published the State of Care report – its yearly assessment of health and care services: www.cqc.org.uk/publications... The Deprivation of Liberty Safeguards (DOLS) are once again identified as an area requiring urgent action
The state of health care and adult social care in England 2024/25 - Care Quality Commission
This report sets out our assessment of the state of health care and adult social care in England in 2024/25.
www.cqc.org.uk
October 24, 2025 at 9:17 AM
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…
buff.ly
May 28, 2025 at 10:48 AM
The NHS is very skint right now, and has also just had to promise the pharma industry a review on the VPAG scheme from which the public sector was set to rake in massive cashback savings. If Trump has any success driving UK and US prices together, it will really call into question what we can afford
May 13, 2025 at 11:09 AM
It's not just social care. The pledge to raise thresholds and the end of the Immigration Salary List mean a growing range of #NHS staff roles won't qualify for skilled worker visas. Is the workforce situation healthy enough to be ready for that? assets.publishing.service.gov.uk/media/6821ae...
assets.publishing.service.gov.uk
May 12, 2025 at 1:22 PM
Reposted by Mark Dayan
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 Mark Dayan
The terms of reference for the Casey Review have been launched today, with a focus on building consensus over tangible recommendations to improve adult social care over the next ten years. A few takes from me and @cglobont.bsky.social .social & @natashacurry.bsky.social:

www.gov.uk/government/p...
Independent commission into adult social care: terms of reference
www.gov.uk
May 2, 2025 at 1:13 PM
Reposted by Mark Dayan
The NHS is already facing challenges to getting the medicines it needs, and the prospect of US #tariffs only adds a further dimension. A trade deal could offer a way out, but the negotiations would not be without risk.

@markgdayan.bsky.social explores the implications in our blog 👇

buff.ly/EIajryr
What do Trump's tariffs and US-UK trade negotiations mean for the NHS?
With global headlines still dominated by the latest news on tariffs, discussions about a possible US-UK trade deal have also received media attention. But what could the tariffs and transatlantic…
buff.ly
April 30, 2025 at 10:01 AM
Do Trump's tariffs pose a threat to UK medicine supplies? Does signing a deal risk reviving the worrying measures the USA pushed for in his first term? I'm saying it's a yes to both, but the situation is controllable with the right actions www.nuffieldtrust.org.uk/news-item/wh...
What do Trump's tariffs and US-UK trade negotiations mean for the NHS?
With global headlines still dominated by the latest news on tariffs, discussions about a possible US-UK trade deal have also received media attention. But what could the tariffs and transatlantic trad...
www.nuffieldtrust.org.uk
April 25, 2025 at 1:25 PM
Reposted by Mark Dayan
NEW BLOG: What do Trump's #tariffs and US-UK trade negotiations mean for the #NHS?

@markgdayan.bsky.social explores the possible impact, including on medicines and AI. 👇

www.nuffieldtrust.org.uk/news-item/wh...
What do Trump's tariffs and US-UK trade negotiations mean for the NHS?
With global headlines still dominated by the latest news on tariffs, discussions about a possible US-UK trade deal have also received media attention. But what could the tariffs and transatlantic trad...
www.nuffieldtrust.org.uk
April 25, 2025 at 8:10 AM
Glad to give a quote with @martinmckee.bsky.social on this excellent @cancerresearchuk.org report laying out post-Brexit barriers to cancer research. With a wider EU-UK thawing we have a chance in the coming months to start doing something about these problems www.theguardian.com/science/2025...
NHS cancer patients denied life-saving drugs due to Brexit costs, report finds
Exclusive: Britons found to have ‘lost out’ while rest of Europe benefits from golden age of research and treatments
www.theguardian.com
April 22, 2025 at 3:58 PM
It's probably good that this Secretary of State is leaning away from intervention, but the closure of a single GP surgery or of 7 individual beds being referred to him is *exactly* what we warned would happen and not a sensible way to run a health system 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 8:04 AM
Reposted by Mark Dayan
🆕 Just 1 in 5 people in 2024 said they were satisfied with the NHS according to our analysis of the @natcen.bsky.social #BritishSocialAttitudes survey with @thekingsfund.bsky.social

Read report: www.nuffieldtrust.org.uk/research/pub...

@markgdayan.bsky.social explains more 👇 [1/5]
April 2, 2025 at 7:47 AM
Really enjoyed this thoughtful conversation with Henry Bonsu on @listentotimesradio.bsky.social - like me and many other people, he and his family have seen the story of migration in the NHS from all sides
If you want to hear more about red list recruitment, our Brexit Programme Lead @markgdayan.bsky.social had a fascinating discussion about the issue on Times Radio over the weekend.

📻 Listen from 01:36:43 here: www.thetimes.com/radio/show/2...
March 31, 2025 at 9:08 AM
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