@rachelhutchings.bsky.social
Fellow at the Nuffield Trust
Trustee at The Advocacy Project
Research, policy and advocacy in health and care
Trustee at The Advocacy Project
Research, policy and advocacy in health and care
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
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
Lack of awareness, inconsistent access, an overwhelming process, and a lasting impact on everyone involved – all problems with NHS Continuing Healthcare (CHC) highlighted in this article based on the experiences of people who have tried to access CHC👇
People who have high care needs because of their health can be eligible for NHS-funded support outside hospital through Continuing Healthcare. But getting it isn’t always easy. Read what people told us: https://bit.ly/4odcrah
![“I have incurable cancer… My [Continuing Healthcare] funding stopped… I’ve now run out of money and the care home said they could ask me to leave.”](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:vce4jjpepyuzuxsqextcfaku/bafkreiavpsdyeuvbav7pbalgdnkkgi3n7lg5ih23gblzgjz4zgwe5cpx4e@jpeg)
October 13, 2025 at 8:49 AM
Lack of awareness, inconsistent access, an overwhelming process, and a lasting impact on everyone involved – all problems with NHS Continuing Healthcare (CHC) highlighted in this article based on the experiences of people who have tried to access CHC👇
Reposted
Our report about NHS continuing health care shines a light on the problems with a package of support that is relied upon and needed by many people.
It shows a system under pressure, struggling to deliver fair, timely and sustainable support.
Read our report and the accompanying blog and Q&A 👇
It shows a system under pressure, struggling to deliver fair, timely and sustainable support.
Read our report and the accompanying blog and Q&A 👇
All or nothing? Access and variation in NHS continuing health care
NHS continuing health care provides funded health and social care support for people with very complex needs outside hospital. Yet our comprehensive new report shows this system is highly inconsistent...
www.nuffieldtrust.org.uk
October 2, 2025 at 2:05 PM
Our report about NHS continuing health care shines a light on the problems with a package of support that is relied upon and needed by many people.
It shows a system under pressure, struggling to deliver fair, timely and sustainable support.
Read our report and the accompanying blog and Q&A 👇
It shows a system under pressure, struggling to deliver fair, timely and sustainable support.
Read our report and the accompanying blog and Q&A 👇
Reposted
Sharon Allen's mum is 92 and has advanced dementia, but her application for NHS continuing healthcare (CHC) funding was rejected.
We interviewed Sharon about her difficult experiences of CHC in both a personal and professional capacity at the Arthur Rank Hospice Charity.
We interviewed Sharon about her difficult experiences of CHC in both a personal and professional capacity at the Arthur Rank Hospice Charity.
NHS continuing health care: a Q&A with Sharon Allen
As we today publish our new research on NHS continuing health care (CHC), in this Q&A we speak to Sharon Allen OBE, who is the Chief Executive of the Arthur Rank Hospice Charity. Sharon has…
buff.ly
October 3, 2025 at 1:02 PM
Sharon Allen's mum is 92 and has advanced dementia, but her application for NHS continuing healthcare (CHC) funding was rejected.
We interviewed Sharon about her difficult experiences of CHC in both a personal and professional capacity at the Arthur Rank Hospice Charity.
We interviewed Sharon about her difficult experiences of CHC in both a personal and professional capacity at the Arthur Rank Hospice Charity.
Reposted
What could the implications be if #NHS continuing healthcare (CHC) - a package of NHS funded care - is not improved?
@rachelhutchings.bsky.social's latest blog explains some concerning findings from her research on this poorly understood service. 👇
www.nuffieldtrust.org.uk/news-item/nh...
@rachelhutchings.bsky.social's latest blog explains some concerning findings from her research on this poorly understood service. 👇
www.nuffieldtrust.org.uk/news-item/nh...
NHS continuing health care: consigned to the too difficult box?
Alongside our new research today on NHS continuing health care (CHC), the report's lead author Rachel Hutchings sets out why CHC is important, what we found in our research, and describes what the imp...
www.nuffieldtrust.org.uk
October 6, 2025 at 8:42 AM
What could the implications be if #NHS continuing healthcare (CHC) - a package of NHS funded care - is not improved?
@rachelhutchings.bsky.social's latest blog explains some concerning findings from her research on this poorly understood service. 👇
www.nuffieldtrust.org.uk/news-item/nh...
@rachelhutchings.bsky.social's latest blog explains some concerning findings from her research on this poorly understood service. 👇
www.nuffieldtrust.org.uk/news-item/nh...
Reposted
Really excellent and timely report from @nuffieldtrust.org.uk on an issue i see weekly in my clinical work and is not that well understood or explained despite financial and human costs
Our blog from lead author @rachelhutchings.bsky.social sets out why CHC matters, the significance of our research findings, and the implications if urgent action is not taken to fix a system that is clearly struggling under pressure.
Read Rachel’s blog 👇
Read Rachel’s blog 👇
NHS continuing health care: consigned to the too difficult box?
Alongside our new research today on NHS continuing health care (CHC), the report's lead author Rachel Hutchings sets out why CHC is important, what we found in our research, and describes what the imp...
www.nuffieldtrust.org.uk
September 26, 2025 at 2:13 PM
Really excellent and timely report from @nuffieldtrust.org.uk on an issue i see weekly in my clinical work and is not that well understood or explained despite financial and human costs
Reposted
🆕 As we launch our new report on NHS continuing health care, read this Q&A with Sharon Allen, CEO of @arthurrankhospice.bsky.social
Sharon has personal and professional experience of CHC, which she calls an extremely adversarial system.
Read the article 👇
www.nuffieldtrust.org.uk/news-item/nh...
Sharon has personal and professional experience of CHC, which she calls an extremely adversarial system.
Read the article 👇
www.nuffieldtrust.org.uk/news-item/nh...
NHS continuing health care: a Q&A with Sharon Allen
As we today publish our new research on NHS continuing health care (CHC), in this Q&A we speak to Sharon Allen OBE, who is the Chief Executive of the Arthur Rank Hospice Charity. Sharon has experience...
www.nuffieldtrust.org.uk
September 26, 2025 at 9:30 AM
🆕 As we launch our new report on NHS continuing health care, read this Q&A with Sharon Allen, CEO of @arthurrankhospice.bsky.social
Sharon has personal and professional experience of CHC, which she calls an extremely adversarial system.
Read the article 👇
www.nuffieldtrust.org.uk/news-item/nh...
Sharon has personal and professional experience of CHC, which she calls an extremely adversarial system.
Read the article 👇
www.nuffieldtrust.org.uk/news-item/nh...
Reposted
Our blog from lead author @rachelhutchings.bsky.social sets out why CHC matters, the significance of our research findings, and the implications if urgent action is not taken to fix a system that is clearly struggling under pressure.
Read Rachel’s blog 👇
Read Rachel’s blog 👇
NHS continuing health care: consigned to the too difficult box?
Alongside our new research today on NHS continuing health care (CHC), the report's lead author Rachel Hutchings sets out why CHC is important, what we found in our research, and describes what the imp...
www.nuffieldtrust.org.uk
September 26, 2025 at 8:03 AM
Our blog from lead author @rachelhutchings.bsky.social sets out why CHC matters, the significance of our research findings, and the implications if urgent action is not taken to fix a system that is clearly struggling under pressure.
Read Rachel’s blog 👇
Read Rachel’s blog 👇
Reposted
NEW REPORT: We reveal how NHS continuing health care (CHC) is failing to reach some of the most unwell patients in England in their time of need, while reinforcing deep regional inequalities.
The research is part-funded by @nuffieldfoundation.org
Read the report 👇
The research is part-funded by @nuffieldfoundation.org
Read the report 👇
All or nothing? Access and variation in NHS continuing health care
NHS continuing health care provides funded health and social care support for people with very complex needs outside hospital. Yet our comprehensive new report shows this system is highly inconsistent...
www.nuffieldtrust.org.uk
September 26, 2025 at 8:03 AM
NEW REPORT: We reveal how NHS continuing health care (CHC) is failing to reach some of the most unwell patients in England in their time of need, while reinforcing deep regional inequalities.
The research is part-funded by @nuffieldfoundation.org
Read the report 👇
The research is part-funded by @nuffieldfoundation.org
Read the report 👇
Reposted
Families face unfair ‘luck of the draw’ over NHS continuing healthcare decisions www.independent.co.uk/news/uk/home...
Families face unfair ‘luck of the draw’ over NHS continuing healthcare – report
Some families have taken local health organisations to court to win funding after being turned down.
www.independent.co.uk
September 26, 2025 at 7:29 AM
Families face unfair ‘luck of the draw’ over NHS continuing healthcare decisions www.independent.co.uk/news/uk/home...
Reposted
1/4 If you're interested in data about assisted dying, take a look at the Appendix of this new Nuffield Trust report. It collates international data about numbers requesting & accessing an assisted death, demographic characteristics, health and care needs and key reporting information.
Today we published our comprehensive research on #AssistedDying in 15 jurisdictions across 9 countries where it is legal. If it becomes legal in the UK, what can we learn from the experience in other countries?
www.nuffieldtrust.org.uk/research/ass...
www.nuffieldtrust.org.uk/research/ass...
Assisted dying in practice: International experiences and implications for health and social care
Exploring 15 jurisdictions across the world, this is the most detailed look to date at what the UK can learn from other countries as the UK and Scottish Parliaments debate bills to legalise assisted d...
www.nuffieldtrust.org.uk
September 1, 2025 at 11:09 AM
1/4 If you're interested in data about assisted dying, take a look at the Appendix of this new Nuffield Trust report. It collates international data about numbers requesting & accessing an assisted death, demographic characteristics, health and care needs and key reporting information.
Reposted
NEW REPORT: We present new evidence on who accesses #AssistedDying across 9 countries where it is legal, and lessons based on challenges other countries have had with resources, staffing, access and infrastructure for the service. 🌎
buff.ly/KCaVwEG
buff.ly/KCaVwEG
Assisted dying in practice: International experiences and implications for health and social care
Exploring 15 jurisdictions across the world, this is the most detailed look to date at what the UK can learn from other countries as the UK and Scottish Parliaments debate bills to legalise assisted…
www.nuffieldtrust.org.uk
August 29, 2025 at 8:39 AM
NEW REPORT: We present new evidence on who accesses #AssistedDying across 9 countries where it is legal, and lessons based on challenges other countries have had with resources, staffing, access and infrastructure for the service. 🌎
buff.ly/KCaVwEG
buff.ly/KCaVwEG
Reposted
🆕 Comparing Census data with 13 million GP records, we've analysed how good general practices are at recording who is an unpaid carer in England.
#Carers from deprived areas and certain ethnic groups are much more likely to be missed by general practices.
buff.ly/9WxpUJb
#Carers from deprived areas and certain ethnic groups are much more likely to be missed by general practices.
buff.ly/9WxpUJb
July 29, 2025 at 8:29 AM
🆕 Comparing Census data with 13 million GP records, we've analysed how good general practices are at recording who is an unpaid carer in England.
#Carers from deprived areas and certain ethnic groups are much more likely to be missed by general practices.
buff.ly/9WxpUJb
#Carers from deprived areas and certain ethnic groups are much more likely to be missed by general practices.
buff.ly/9WxpUJb
Reposted
As the #CovidInquiry module on social care begins today, we publish our our learning from France, Japan, Denmark and the Netherlands on what features can support a resilient care system for those who draw on it and those who work in it - in times of crisis and beyond ⬇️
🆕 As the #CovidInquiry turns its focus to #socialcare, and with the sector in desperate need of reform, Nuffield Trust & @cpeclse.bsky.social have published international case studies on how other countries managed the social care challenges of the pandemic.
Building resilience in adult social care: Learning the lessons from other countries’ experiences of Covid-19
As the ongoing Covid Inquiry turns its focus to the social care sector, and with social care in desperate need of long-promised reform, Nuffield Trust and LSE's Care Policy and Evaluation Centre are…
www.nuffieldtrust.org.uk
June 30, 2025 at 12:55 PM
As the #CovidInquiry module on social care begins today, we publish our our learning from France, Japan, Denmark and the Netherlands on what features can support a resilient care system for those who draw on it and those who work in it - in times of crisis and beyond ⬇️
Reposted
🆕 As the #CovidInquiry turns its focus to #socialcare, and with the sector in desperate need of reform, Nuffield Trust & @cpeclse.bsky.social have published international case studies on how other countries managed the social care challenges of the pandemic.
Building resilience in adult social care: Learning the lessons from other countries’ experiences of Covid-19
As the ongoing Covid Inquiry turns its focus to the social care sector, and with social care in desperate need of long-promised reform, Nuffield Trust and LSE's Care Policy and Evaluation Centre are…
www.nuffieldtrust.org.uk
June 30, 2025 at 8:07 AM
🆕 As the #CovidInquiry turns its focus to #socialcare, and with the sector in desperate need of reform, Nuffield Trust & @cpeclse.bsky.social have published international case studies on how other countries managed the social care challenges of the pandemic.
Reposted
🆕 The latest analysis from #QualityWatch, a Nuffield Trust and @healthfoundation.bsky.social programme, explores a range of factors affecting working-age women’s health.
Scroll through the story here 👇 #healthinequalities
Scroll through the story here 👇 #healthinequalities
Silence, sexism and stigma: The state of working-age women’s health in England
Women spend more years of their life living in poor health than men, including through their working years. This QualityWatch data story shows how the burden of disease affects working-age women and m...
www.nuffieldtrust.org.uk
June 25, 2025 at 11:36 AM
🆕 The latest analysis from #QualityWatch, a Nuffield Trust and @healthfoundation.bsky.social programme, explores a range of factors affecting working-age women’s health.
Scroll through the story here 👇 #healthinequalities
Scroll through the story here 👇 #healthinequalities
Reposted
The #NHS settlement from the #spendingreview may look generous, but it soon melts away in the context of existing commitments - govt must be clear about the compromises.
Social care is also unlikely to see the transformation we were promised.
@sallygainsbury.bsky.social response 👇
Social care is also unlikely to see the transformation we were promised.
@sallygainsbury.bsky.social response 👇
Nuffield Trust response to the Spending Review
www.nuffieldtrust.org.uk
June 11, 2025 at 2:50 PM
The #NHS settlement from the #spendingreview may look generous, but it soon melts away in the context of existing commitments - govt must be clear about the compromises.
Social care is also unlikely to see the transformation we were promised.
@sallygainsbury.bsky.social response 👇
Social care is also unlikely to see the transformation we were promised.
@sallygainsbury.bsky.social response 👇
Reposted
🆕 Is poor dental health in children equally common across England?
Five-year-olds in London and northern England experience the worst rates of dental decay.
Chart of the week from @stutibagri.bsky.social also explores tooth extraction rates. 👇
buff.ly/cn1HDP2
Five-year-olds in London and northern England experience the worst rates of dental decay.
Chart of the week from @stutibagri.bsky.social also explores tooth extraction rates. 👇
buff.ly/cn1HDP2
May 30, 2025 at 7:47 AM
🆕 Is poor dental health in children equally common across England?
Five-year-olds in London and northern England experience the worst rates of dental decay.
Chart of the week from @stutibagri.bsky.social also explores tooth extraction rates. 👇
buff.ly/cn1HDP2
Five-year-olds in London and northern England experience the worst rates of dental decay.
Chart of the week from @stutibagri.bsky.social also explores tooth extraction rates. 👇
buff.ly/cn1HDP2
Reposted
1/ New analysis with @nuffieldtrust.bsky.social colleagues today on Assisted Dying, and what we can learn from other countries as the UK considers legalisation.
www.nuffieldtrust.org.uk/news-item/di...
www.nuffieldtrust.org.uk/news-item/di...
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 othe...
www.nuffieldtrust.org.uk
May 9, 2025 at 9:51 AM
1/ New analysis with @nuffieldtrust.bsky.social colleagues today on Assisted Dying, and what we can learn from other countries as the UK considers legalisation.
www.nuffieldtrust.org.uk/news-item/di...
www.nuffieldtrust.org.uk/news-item/di...
Reposted
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
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...
Reposted
Red list recruitment "is difficult to justify ethically for a still much wealthier country," says report author @markgdayan.bsky.social.
“British failure to train enough healthcare staff has been bailed out by those trained overseas.”
www.theguardian.com/society/2025...
“British failure to train enough healthcare staff has been bailed out by those trained overseas.”
www.theguardian.com/society/2025...
Post-Brexit reliance on NHS staff from ‘red list’ countries is unethical, Streeting says
Exclusive: NHS England has dramatically increased recruitment of workers from states with critical medical staff shortages
www.theguardian.com
March 21, 2025 at 9:56 AM
Red list recruitment "is difficult to justify ethically for a still much wealthier country," says report author @markgdayan.bsky.social.
“British failure to train enough healthcare staff has been bailed out by those trained overseas.”
www.theguardian.com/society/2025...
“British failure to train enough healthcare staff has been bailed out by those trained overseas.”
www.theguardian.com/society/2025...
Reposted
Striking from the #ntsummit session on Continuing Health Care is the amount of 'lived' experience in the room - and quite how complex people with atypical expertise in the intracicies of health and care funding have found it. Even without data, one suspects inequities of uptake are huge.
March 7, 2025 at 11:26 AM
Striking from the #ntsummit session on Continuing Health Care is the amount of 'lived' experience in the room - and quite how complex people with atypical expertise in the intracicies of health and care funding have found it. Even without data, one suspects inequities of uptake are huge.
Reposted
Earlier at our Summit, our panellists shed light on the intense challenges people have getting access to NHS Continuing Healthcare services - NHS funded care that's provided outside of hospital for people with significant ongoing care needs. #NTSummit
Juliet Bouverie shares her thoughts 👇
Juliet Bouverie shares her thoughts 👇
March 7, 2025 at 12:43 PM
Earlier at our Summit, our panellists shed light on the intense challenges people have getting access to NHS Continuing Healthcare services - NHS funded care that's provided outside of hospital for people with significant ongoing care needs. #NTSummit
Juliet Bouverie shares her thoughts 👇
Juliet Bouverie shares her thoughts 👇
Reposted
CHC is a window into the stark divide in our system between care that is funded by the #NHS and care that isn’t says @rachelhutchings.bsky.social. #NTSummit
March 7, 2025 at 10:56 AM
CHC is a window into the stark divide in our system between care that is funded by the #NHS and care that isn’t says @rachelhutchings.bsky.social. #NTSummit
Reposted
At the heart of #NHS Continuing Healthcare services are people faced with a daunting process at an intensely challenging time.
@julietbou.bsky.social, Rachel Hutchings, @jessmcp.bsky.social & @drjanetownson.bsky.social will shine a light on CHC at our #NTSummit.
Watch here: buff.ly/3EMgXuR
@julietbou.bsky.social, Rachel Hutchings, @jessmcp.bsky.social & @drjanetownson.bsky.social will shine a light on CHC at our #NTSummit.
Watch here: buff.ly/3EMgXuR
March 3, 2025 at 9:23 AM
At the heart of #NHS Continuing Healthcare services are people faced with a daunting process at an intensely challenging time.
@julietbou.bsky.social, Rachel Hutchings, @jessmcp.bsky.social & @drjanetownson.bsky.social will shine a light on CHC at our #NTSummit.
Watch here: buff.ly/3EMgXuR
@julietbou.bsky.social, Rachel Hutchings, @jessmcp.bsky.social & @drjanetownson.bsky.social will shine a light on CHC at our #NTSummit.
Watch here: buff.ly/3EMgXuR