Charlotte Pickles
@charliepickles.bsky.social
Director @re-state.bsky.social; all things State and public services.
Today we've published our latest Hospital of the Future paper
What's the answer to corridor care, backlogs & the Winter Crisis?
More doctors, more beds
NO!
@rosiebeacon.bsky.social @alicesemark.bsky.social have the actual, evidenced solutions- as ever cutting through the bullshit 👏
What's the answer to corridor care, backlogs & the Winter Crisis?
More doctors, more beds
NO!
@rosiebeacon.bsky.social @alicesemark.bsky.social have the actual, evidenced solutions- as ever cutting through the bullshit 👏
October 29, 2025 at 3:01 PM
Today we've published our latest Hospital of the Future paper
What's the answer to corridor care, backlogs & the Winter Crisis?
More doctors, more beds
NO!
@rosiebeacon.bsky.social @alicesemark.bsky.social have the actual, evidenced solutions- as ever cutting through the bullshit 👏
What's the answer to corridor care, backlogs & the Winter Crisis?
More doctors, more beds
NO!
@rosiebeacon.bsky.social @alicesemark.bsky.social have the actual, evidenced solutions- as ever cutting through the bullshit 👏
That's a wrap. Labour party conference 2025 is done.
Brilliant work by the @re-state.bsky.social team - but a special shout out to Beth who bossed the whole thing 👏
Brilliant work by the @re-state.bsky.social team - but a special shout out to Beth who bossed the whole thing 👏
October 1, 2025 at 8:39 AM
That's a wrap. Labour party conference 2025 is done.
Brilliant work by the @re-state.bsky.social team - but a special shout out to Beth who bossed the whole thing 👏
Brilliant work by the @re-state.bsky.social team - but a special shout out to Beth who bossed the whole thing 👏
There is a common misconception that moving care into the community should be done by physically moving hospital services into community services - that's not the answer
Moving care into the home is
That's what a virtual hospital does
Moving care into the home is
That's what a virtual hospital does
September 30, 2025 at 6:21 AM
There is a common misconception that moving care into the community should be done by physically moving hospital services into community services - that's not the answer
Moving care into the home is
That's what a virtual hospital does
Moving care into the home is
That's what a virtual hospital does
Looking forward to joining Newsnight tonight to discuss, well, a whole lot of politics!!
September 8, 2025 at 5:35 PM
Looking forward to joining Newsnight tonight to discuss, well, a whole lot of politics!!
👀 One more sleep...
Cracking read from the @re-state.bsky.social Local State team @stkaye.bsky.social
If you want ambitious devolution, you can't leave central government machinery as is 👇
Cracking read from the @re-state.bsky.social Local State team @stkaye.bsky.social
If you want ambitious devolution, you can't leave central government machinery as is 👇
August 31, 2025 at 6:22 PM
👀 One more sleep...
Cracking read from the @re-state.bsky.social Local State team @stkaye.bsky.social
If you want ambitious devolution, you can't leave central government machinery as is 👇
Cracking read from the @re-state.bsky.social Local State team @stkaye.bsky.social
If you want ambitious devolution, you can't leave central government machinery as is 👇
July 31, 2025 at 7:28 AM
An absolutely brilliant start to our @re-state.bsky.social ‘Reimagining Health’ conference
Two inspiring trust chief execs speaking candidly and optimistically about the future of the health system
Two inspiring trust chief execs speaking candidly and optimistically about the future of the health system
June 30, 2025 at 10:16 AM
An absolutely brilliant start to our @re-state.bsky.social ‘Reimagining Health’ conference
Two inspiring trust chief execs speaking candidly and optimistically about the future of the health system
Two inspiring trust chief execs speaking candidly and optimistically about the future of the health system
Senior civil servants can’t speak on panels and do Q&A but the head of the NHS can do interviews with the telegraph…
June 28, 2025 at 6:17 PM
Senior civil servants can’t speak on panels and do Q&A but the head of the NHS can do interviews with the telegraph…
*Boom* ready for our annual Reimagining Whitehall conference 🔥
June 16, 2025 at 7:45 AM
*Boom* ready for our annual Reimagining Whitehall conference 🔥
This is madness if true
£30bn more for NHS *at the cost* of spending on the stuff that *reduces* demand on the NHS
Ageing & increasingly unhealthy pop’n? Ah, must ensure that effective social care & health creating services are in place via local government. Right? Right?
Mad.
£30bn more for NHS *at the cost* of spending on the stuff that *reduces* demand on the NHS
Ageing & increasingly unhealthy pop’n? Ah, must ensure that effective social care & health creating services are in place via local government. Right? Right?
Mad.
June 7, 2025 at 12:22 PM
This is madness if true
£30bn more for NHS *at the cost* of spending on the stuff that *reduces* demand on the NHS
Ageing & increasingly unhealthy pop’n? Ah, must ensure that effective social care & health creating services are in place via local government. Right? Right?
Mad.
£30bn more for NHS *at the cost* of spending on the stuff that *reduces* demand on the NHS
Ageing & increasingly unhealthy pop’n? Ah, must ensure that effective social care & health creating services are in place via local government. Right? Right?
Mad.
Bang on from @labourgrowth.bsky.social. There is no trade-off free spending, & no public service investment w/out growth. We’re spending more than £100bn on debt interest. Get a grip.
Love this quote from @chriscurtis94.bsky.social
www.thetimes.com/article/92ea...
Love this quote from @chriscurtis94.bsky.social
www.thetimes.com/article/92ea...
June 5, 2025 at 5:43 PM
Bang on from @labourgrowth.bsky.social. There is no trade-off free spending, & no public service investment w/out growth. We’re spending more than £100bn on debt interest. Get a grip.
Love this quote from @chriscurtis94.bsky.social
www.thetimes.com/article/92ea...
Love this quote from @chriscurtis94.bsky.social
www.thetimes.com/article/92ea...
Great to chat to @mattchorley.bsky.social about our rename just now.
Probably should have had a better answer to what if Farage decides he likes Re:State now… 😱
It *is* a great name
Probably should have had a better answer to what if Farage decides he likes Re:State now… 😱
It *is* a great name
May 20, 2025 at 2:31 PM
Great to chat to @mattchorley.bsky.social about our rename just now.
Probably should have had a better answer to what if Farage decides he likes Re:State now… 😱
It *is* a great name
Probably should have had a better answer to what if Farage decides he likes Re:State now… 😱
It *is* a great name
May 19, 2025 at 10:04 AM
We have some news...
May 19, 2025 at 6:43 AM
We have some news...
May 18, 2025 at 4:15 PM
More speakers to be announced, but oof, this looks gooooood 👇
May 8, 2025 at 11:58 AM
More speakers to be announced, but oof, this looks gooooood 👇
And we’ve arrived in a gloriously sunny Darlington ready for tomorrow’s conference 😎
May 6, 2025 at 12:53 PM
And we’ve arrived in a gloriously sunny Darlington ready for tomorrow’s conference 😎
🔥 Team heading up to Darlington today ready for our 'Beyond Whitehall' conference with the Treasury's Darlington Economic Campus
V exciting!
V exciting!
May 6, 2025 at 8:39 AM
🔥 Team heading up to Darlington today ready for our 'Beyond Whitehall' conference with the Treasury's Darlington Economic Campus
V exciting!
V exciting!
V excited for this next week! 🔥
What's it really like working inside Downing Street? What works, what doesn't? How does the machine need to change?
What's it really like working inside Downing Street? What works, what doesn't? How does the machine need to change?
April 22, 2025 at 9:33 AM
V excited for this next week! 🔥
What's it really like working inside Downing Street? What works, what doesn't? How does the machine need to change?
What's it really like working inside Downing Street? What works, what doesn't? How does the machine need to change?
Great to read about 'Everythingism' in @pmdfoster.bsky.social's FT newsletter!
If you haven't read @jo3hill.bsky.social's brilliant read, you really should reform.uk/publications...
If you haven't read @jo3hill.bsky.social's brilliant read, you really should reform.uk/publications...
March 28, 2025 at 12:16 PM
Great to read about 'Everythingism' in @pmdfoster.bsky.social's FT newsletter!
If you haven't read @jo3hill.bsky.social's brilliant read, you really should reform.uk/publications...
If you haven't read @jo3hill.bsky.social's brilliant read, you really should reform.uk/publications...
Last April we published a paper calling for the abolition of NHS England
Today the PM has announced the Gov will implementing that. Well done @rthonwesstreeting.bsky.social
Calling for something big & controversial before there is any hint it might be on the cards, that's leading the debate
Today the PM has announced the Gov will implementing that. Well done @rthonwesstreeting.bsky.social
Calling for something big & controversial before there is any hint it might be on the cards, that's leading the debate
March 13, 2025 at 11:40 AM
Last April we published a paper calling for the abolition of NHS England
Today the PM has announced the Gov will implementing that. Well done @rthonwesstreeting.bsky.social
Calling for something big & controversial before there is any hint it might be on the cards, that's leading the debate
Today the PM has announced the Gov will implementing that. Well done @rthonwesstreeting.bsky.social
Calling for something big & controversial before there is any hint it might be on the cards, that's leading the debate
Perhaps most shocking but in no way surprising to Whitehall watchers, this leads to the ‘dance of the lemons’…
Poor performers being shifted round the system rather than managed out
Poor performers being shifted round the system rather than managed out
March 9, 2025 at 8:58 AM
Perhaps most shocking but in no way surprising to Whitehall watchers, this leads to the ‘dance of the lemons’…
Poor performers being shifted round the system rather than managed out
Poor performers being shifted round the system rather than managed out
Line managers neither feel supported in managing poor performance nor think the processes are straightforward
In other words, it doesn’t happen because it’s all too hard
& that’s despite explosion in HR profession in Whitehall
In other words, it doesn’t happen because it’s all too hard
& that’s despite explosion in HR profession in Whitehall
March 9, 2025 at 8:56 AM
Line managers neither feel supported in managing poor performance nor think the processes are straightforward
In other words, it doesn’t happen because it’s all too hard
& that’s despite explosion in HR profession in Whitehall
In other words, it doesn’t happen because it’s all too hard
& that’s despite explosion in HR profession in Whitehall
More on Gov’s civil service plans today
V v good to see focus on poor performance- clearly read our paper ‘Making the grade’!
This is a huge issue
Just 6% of line manager respondents in a survey we did with @civilserviceworld.bsky.social think CS manages poor performance well
V v good to see focus on poor performance- clearly read our paper ‘Making the grade’!
This is a huge issue
Just 6% of line manager respondents in a survey we did with @civilserviceworld.bsky.social think CS manages poor performance well
March 9, 2025 at 8:54 AM
More on Gov’s civil service plans today
V v good to see focus on poor performance- clearly read our paper ‘Making the grade’!
This is a huge issue
Just 6% of line manager respondents in a survey we did with @civilserviceworld.bsky.social think CS manages poor performance well
V v good to see focus on poor performance- clearly read our paper ‘Making the grade’!
This is a huge issue
Just 6% of line manager respondents in a survey we did with @civilserviceworld.bsky.social think CS manages poor performance well
Today we've published our 13th annual 'State of the State' report with Deloitte
It's based on polling of over 5,500 UK adults, & 80 interviews with public sector leaders.
& it's a fascinating read 🔥
reform.uk/publications...
It's based on polling of over 5,500 UK adults, & 80 interviews with public sector leaders.
& it's a fascinating read 🔥
reform.uk/publications...
February 26, 2025 at 2:49 PM
Today we've published our 13th annual 'State of the State' report with Deloitte
It's based on polling of over 5,500 UK adults, & 80 interviews with public sector leaders.
& it's a fascinating read 🔥
reform.uk/publications...
It's based on polling of over 5,500 UK adults, & 80 interviews with public sector leaders.
& it's a fascinating read 🔥
reform.uk/publications...