Nuffield Trust
@nuffieldtrust.org.uk
We are an independent health think tank aiming to improve the quality of health care in the UK by providing evidence-based research & policy analysis.
www.nuffieldtrust.org.uk
www.nuffieldtrust.org.uk
As 2025 draws to a close, we'll be reflecting on some of the highlights of this year at the Nuffield Trust.
We kicked off January with new research finding that of public funds spent on health care for people in their last year of life, 81% was spent in hospital. 👇
We kicked off January with new research finding that of public funds spent on health care for people in their last year of life, 81% was spent in hospital. 👇
Public expenditure in the last year of life
Supporting people at the end of life is a crucially important element of public spending, yet there is remarkably little evidence available on how much money is being spent on it, and what that money…
buff.ly
December 26, 2025 at 2:42 PM
As 2025 draws to a close, we'll be reflecting on some of the highlights of this year at the Nuffield Trust.
We kicked off January with new research finding that of public funds spent on health care for people in their last year of life, 81% was spent in hospital. 👇
We kicked off January with new research finding that of public funds spent on health care for people in their last year of life, 81% was spent in hospital. 👇
This year's provisional local government settlement will reform grants and give more freedom to local authorities, the major funders of social care.
But what does this mean for the sector?
Our Fellow and social care policy expert @camille-oung.bsky.social explains 👇
buff.ly/qkcHaZm
But what does this mean for the sector?
Our Fellow and social care policy expert @camille-oung.bsky.social explains 👇
buff.ly/qkcHaZm
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…
buff.ly
December 24, 2025 at 12:30 PM
This year's provisional local government settlement will reform grants and give more freedom to local authorities, the major funders of social care.
But what does this mean for the sector?
Our Fellow and social care policy expert @camille-oung.bsky.social explains 👇
buff.ly/qkcHaZm
But what does this mean for the sector?
Our Fellow and social care policy expert @camille-oung.bsky.social explains 👇
buff.ly/qkcHaZm
The Fair Pay Agreement provides a huge opportunity for improvements to be made to pay and conditions for people working in social care in England.
In our briefing, researcher @cglobont.bsky.social sets out what needs to be in place for ambitions to be realised. 👇
buff.ly/T8uNgWU
In our briefing, researcher @cglobont.bsky.social sets out what needs to be in place for ambitions to be realised. 👇
buff.ly/T8uNgWU
Good intentions aren’t enough: implementing a Fair Pay Agreement that works for social care
With the Employment Rights Act receiving royal assent yesterday, the Fair Pay Agreement for social care proposed within it moves a step closer to becoming reality, potentially offering an opportunity…
www.nuffieldtrust.org.uk
December 23, 2025 at 12:30 PM
The Fair Pay Agreement provides a huge opportunity for improvements to be made to pay and conditions for people working in social care in England.
In our briefing, researcher @cglobont.bsky.social sets out what needs to be in place for ambitions to be realised. 👇
buff.ly/T8uNgWU
In our briefing, researcher @cglobont.bsky.social sets out what needs to be in place for ambitions to be realised. 👇
buff.ly/T8uNgWU
⭐ Most read of 2025 ⭐
Explore some of our most popular commentary, research and analysis from this year. We've covered key health policy topics from doctors' pay to the abolition of NHSE. 👇
www.nuffieldtrust.org.uk/most-read-of...
Explore some of our most popular commentary, research and analysis from this year. We've covered key health policy topics from doctors' pay to the abolition of NHSE. 👇
www.nuffieldtrust.org.uk/most-read-of...
Most read of 2025
Skip to main content
www.nuffieldtrust.org.uk
December 23, 2025 at 9:57 AM
⭐ Most read of 2025 ⭐
Explore some of our most popular commentary, research and analysis from this year. We've covered key health policy topics from doctors' pay to the abolition of NHSE. 👇
www.nuffieldtrust.org.uk/most-read-of...
Explore some of our most popular commentary, research and analysis from this year. We've covered key health policy topics from doctors' pay to the abolition of NHSE. 👇
www.nuffieldtrust.org.uk/most-read-of...
The decision to scrap the two-child benefit limit formed the centrepiece of this year's Budget, and was welcomed by many.
But how could it help improve children's health? 🦷
Our guest authors describe a clear link between tooth decay, deprivation and family size.
Read the blog 👉 buff.ly/YFM2QiQ
But how could it help improve children's health? 🦷
Our guest authors describe a clear link between tooth decay, deprivation and family size.
Read the blog 👉 buff.ly/YFM2QiQ
December 22, 2025 at 2:40 PM
The decision to scrap the two-child benefit limit formed the centrepiece of this year's Budget, and was welcomed by many.
But how could it help improve children's health? 🦷
Our guest authors describe a clear link between tooth decay, deprivation and family size.
Read the blog 👉 buff.ly/YFM2QiQ
But how could it help improve children's health? 🦷
Our guest authors describe a clear link between tooth decay, deprivation and family size.
Read the blog 👉 buff.ly/YFM2QiQ
🆕 More people are seeking help for common mental health conditions, as well as for ADHD and autism, but are more people experiencing mental ill health? @sarahscobie.bsky.social takes a closer look. www.nuffieldtrust.org.uk/resource/the...
December 22, 2025 at 11:12 AM
🆕 More people are seeking help for common mental health conditions, as well as for ADHD and autism, but are more people experiencing mental ill health? @sarahscobie.bsky.social takes a closer look. www.nuffieldtrust.org.uk/resource/the...
The social care sector, and its council funders, received news of some new arrangements for 2026.
As @camille-oung.bsky.social explains, this year's Local Government Settlement brings some welcome additional flexibilities, albeit local authorities remain in a difficult position.
As @camille-oung.bsky.social explains, this year's Local Government Settlement brings some welcome additional flexibilities, albeit local authorities remain in a difficult position.
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…
buff.ly
December 21, 2025 at 2:40 PM
The social care sector, and its council funders, received news of some new arrangements for 2026.
As @camille-oung.bsky.social explains, this year's Local Government Settlement brings some welcome additional flexibilities, albeit local authorities remain in a difficult position.
As @camille-oung.bsky.social explains, this year's Local Government Settlement brings some welcome additional flexibilities, albeit local authorities remain in a difficult position.
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. 👇
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...
buff.ly
December 20, 2025 at 12:30 PM
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. 👇
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. 👇
🆕 The Fair Pay Agreement for social care moved a step closer to reality this week, but proposals can only succeed if they are designed carefully and funded properly. @cglobont.bsky.social brings the evidence together to describe what needs to happen next.
www.nuffieldtrust.org.uk/resource/goo...
www.nuffieldtrust.org.uk/resource/goo...
Good intentions aren’t enough: implementing a Fair Pay Agreement that works for social care
With the Employment Rights Act receiving royal assent yesterday, the Fair Pay Agreement for social care proposed within it moves a step closer to becoming reality, potentially offering an opportunity ...
www.nuffieldtrust.org.uk
December 19, 2025 at 10:41 AM
🆕 The Fair Pay Agreement for social care moved a step closer to reality this week, but proposals can only succeed if they are designed carefully and funded properly. @cglobont.bsky.social brings the evidence together to describe what needs to happen next.
www.nuffieldtrust.org.uk/resource/goo...
www.nuffieldtrust.org.uk/resource/goo...
Nuffield Trust Fellow, Stelios Vassiliou spoke to @fullfact.org about doctor pay changes: “You can paint a very different picture of real-terms changes to resident doctors’ pay packets over time, depending on the methods you use..."
Read more 👇
fullfact.org/health/bma-r...
Read more 👇
fullfact.org/health/bma-r...
Have resident doctors really had a 21% real-terms pay cut? – Full Fact
The figure cited by the BMA is based on an unreliable measure of inflation. Other measures suggest the drop has been less. Our analysis using a measure backed by the Royal Statistical Society puts the...
fullfact.org
December 18, 2025 at 3:26 PM
Nuffield Trust Fellow, Stelios Vassiliou spoke to @fullfact.org about doctor pay changes: “You can paint a very different picture of real-terms changes to resident doctors’ pay packets over time, depending on the methods you use..."
Read more 👇
fullfact.org/health/bma-r...
Read more 👇
fullfact.org/health/bma-r...
Reposted by Nuffield Trust
I wrote a blog trying to make sense of what the changes to local government funding mean for social care ⬇️ Any Christmas jokes are the author's responsibility only (🎄).
🆕 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...
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 12:54 PM
I wrote a blog trying to make sense of what the changes to local government funding mean for social care ⬇️ Any Christmas jokes are the author's responsibility only (🎄).
🆕 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...
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
🆕 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...
www.nuffieldtrust.org.uk/news-item/co...
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.
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
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.
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.
Two years on from a landmark Nuffield Trust report on the near-terminal decline of NHS dentistry, our Chief Executive @theasrstein.bsky.social responds to today's government proposals to improve urgent dental care.
Read the statement 👇
Read the statement 👇
Nuffield Trust response to proposals to improve dental care for those with most urgent needs
Thea Stein responds to the government’s proposals to improve dental care for people with the most urgent needs.
www.nuffieldtrust.org.uk
December 16, 2025 at 4:31 PM
Two years on from a landmark Nuffield Trust report on the near-terminal decline of NHS dentistry, our Chief Executive @theasrstein.bsky.social responds to today's government proposals to improve urgent dental care.
Read the statement 👇
Read the statement 👇
With growing numbers of children in the UK living in poverty, a new guest blog looks at how welfare reforms may affect child health, and what should happen next to better understand how welfare policies affect health inequalities. [1/2] www.nuffieldtrust.org.uk/news-item/wi...
Will scrapping the two-child limit have an impact on the health of children?
With growing numbers of children in the UK living in poverty, this guest blog looks at how welfare reforms may affect child health. The authors describe the findings of a review into children's dental...
www.nuffieldtrust.org.uk
December 16, 2025 at 9:52 AM
With growing numbers of children in the UK living in poverty, a new guest blog looks at how welfare reforms may affect child health, and what should happen next to better understand how welfare policies affect health inequalities. [1/2] www.nuffieldtrust.org.uk/news-item/wi...
Many GPs say that using #AI helps them to save time at work, but the benefits of AI in #GeneralPractice are not being realised equally, and national guidance and regulation are failing to keep up with the pace of change.
Find out about what GP use of AI looks like in our report 👇
buff.ly/V4Ee3th
Find out about what GP use of AI looks like in our report 👇
buff.ly/V4Ee3th
December 14, 2025 at 9:45 AM
Many GPs say that using #AI helps them to save time at work, but the benefits of AI in #GeneralPractice are not being realised equally, and national guidance and regulation are failing to keep up with the pace of change.
Find out about what GP use of AI looks like in our report 👇
buff.ly/V4Ee3th
Find out about what GP use of AI looks like in our report 👇
buff.ly/V4Ee3th
With a huge wave of #flu hitting the NHS this winter, we're tracking how performance against various targets is looking as the health service enters the most difficult period of the year.
Keep an eye on our monthly performance dashboard updates 👇📈
buff.ly/nWk5D5o
Keep an eye on our monthly performance dashboard updates 👇📈
buff.ly/nWk5D5o
December 13, 2025 at 2:45 PM
With a huge wave of #flu hitting the NHS this winter, we're tracking how performance against various targets is looking as the health service enters the most difficult period of the year.
Keep an eye on our monthly performance dashboard updates 👇📈
buff.ly/nWk5D5o
Keep an eye on our monthly performance dashboard updates 👇📈
buff.ly/nWk5D5o
How are GPs using #AI, what worries them the most about it, and what should happen next if #GeneralPractice is to harness the benefits from AI?
Read the latest blog from our Director of Research and Policy,
@becksfisher.bsky.social 👇
Read the latest blog from our Director of Research and Policy,
@becksfisher.bsky.social 👇
AI: how can general practice make the best use of it?
Alongside our new report, Becks Fisher looks at how GPs are using AI, what worries them the most about it, and what should happen next if general practice is to harness the benefits from AI. This…
buff.ly
December 13, 2025 at 10:00 AM
How are GPs using #AI, what worries them the most about it, and what should happen next if #GeneralPractice is to harness the benefits from AI?
Read the latest blog from our Director of Research and Policy,
@becksfisher.bsky.social 👇
Read the latest blog from our Director of Research and Policy,
@becksfisher.bsky.social 👇
New from @healthcareleader.bsky.social: people with a learning disability still face serious barriers to care.
Nuffield Trust Fellow, Jessica Morris says her research found clear evidence that people with a learning disability are not always able to get equitable preventive support.
Nuffield Trust Fellow, Jessica Morris says her research found clear evidence that people with a learning disability are not always able to get equitable preventive support.
The concerning state of care for patients with a learning disability
Kathy Oxtoby takes a look at the state of care for patients with a learning disabilities, what ICBs are doing and what needs to improve
healthcareleadernews.com
December 12, 2025 at 3:37 PM
New from @healthcareleader.bsky.social: people with a learning disability still face serious barriers to care.
Nuffield Trust Fellow, Jessica Morris says her research found clear evidence that people with a learning disability are not always able to get equitable preventive support.
Nuffield Trust Fellow, Jessica Morris says her research found clear evidence that people with a learning disability are not always able to get equitable preventive support.
On the latest episode of the HSJ Health Check Podcast:
Nuffield Trust policy experts @markgdayan.bsky.social and @sjanereed.bsky.social join Anabelle Collins and @davewwest.bsky.social to share lessons from their research about the abolition of NHS England.
🎧 Listen 👇
Nuffield Trust policy experts @markgdayan.bsky.social and @sjanereed.bsky.social join Anabelle Collins and @davewwest.bsky.social to share lessons from their research about the abolition of NHS England.
🎧 Listen 👇
HSJ Podcast: How to abolish NHS England
This week we bring you the latest in our series of HSJ Health Check podcasts tracking the development of the government's planned Health Bill.
www.hsj.co.uk
December 12, 2025 at 11:24 AM
On the latest episode of the HSJ Health Check Podcast:
Nuffield Trust policy experts @markgdayan.bsky.social and @sjanereed.bsky.social join Anabelle Collins and @davewwest.bsky.social to share lessons from their research about the abolition of NHS England.
🎧 Listen 👇
Nuffield Trust policy experts @markgdayan.bsky.social and @sjanereed.bsky.social join Anabelle Collins and @davewwest.bsky.social to share lessons from their research about the abolition of NHS England.
🎧 Listen 👇
Listen to insights from our Policy Analyst @markgdayan.bsky.social on this week's edition of The Briefing Room 👇
Young doctors and training places. Whats the problem? www.bbc.co.uk/sounds/brand...
BBC Sounds - The Briefing Room - Available Episodes
Listen to the latest episodes of The Briefing Room on BBC Sounds.
www.bbc.co.uk
December 11, 2025 at 5:36 PM
Listen to insights from our Policy Analyst @markgdayan.bsky.social on this week's edition of The Briefing Room 👇
📻 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?
buff.ly
December 11, 2025 at 3:12 PM
📻 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.
We've updated our #QualityWatch dashboard with the latest data on the NHS in England, released today 📊
Explore the dashboard and see how the NHS is faring against its key targets 👇
Explore the dashboard and see how the NHS is faring against its key targets 👇
NHS performance dashboard
www.nuffieldtrust.org.uk
December 11, 2025 at 2:42 PM
We've updated our #QualityWatch dashboard with the latest data on the NHS in England, released today 📊
Explore the dashboard and see how the NHS is faring against its key targets 👇
Explore the dashboard and see how the NHS is faring against its key targets 👇
We’ve released a statement on what the latest data tells us about how the NHS is coping with winter pressures.
Read the thoughts of our Deputy Director of Research @sarahscobie.bsky.social 👇
Read the thoughts of our Deputy Director of Research @sarahscobie.bsky.social 👇
Mounting pressures threaten NHS recovery
Sarah Scobie responds to the latest NHS performance data and the weekly winter situation report.
www.nuffieldtrust.org.uk
December 11, 2025 at 10:55 AM
We’ve released a statement on what the latest data tells us about how the NHS is coping with winter pressures.
Read the thoughts of our Deputy Director of Research @sarahscobie.bsky.social 👇
Read the thoughts of our Deputy Director of Research @sarahscobie.bsky.social 👇
What will be the effect of the abolition of NHS England, the world’s largest quango?
Our report with @instituteforgovernment.org.uk considers the risks and opportunities presented by this huge restructuring at the heart of the NHS.
Read the report:
Our report with @instituteforgovernment.org.uk considers the risks and opportunities presented by this huge restructuring at the heart of the NHS.
Read the report:
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…
buff.ly
December 10, 2025 at 2:46 PM
What will be the effect of the abolition of NHS England, the world’s largest quango?
Our report with @instituteforgovernment.org.uk considers the risks and opportunities presented by this huge restructuring at the heart of the NHS.
Read the report:
Our report with @instituteforgovernment.org.uk considers the risks and opportunities presented by this huge restructuring at the heart of the NHS.
Read the report: