Sally Gainsbury
@sallygainsbury.bsky.social
Senior Policy Analyst for the Nuffield Trust, writing and doing whatever-things-on-here-are-called about NHS funding, finance and healthcare equity
Reposted by Sally Gainsbury
Our Senior Policy Analyst @sallygainsbury.bsky.social has served a Notice of Appeal asking the Information Rights Tribunal to review the ICO decision to allow the government to withhold its impact assessment of the 2025 pharmaceutical trade deal with the US.
@theasrstein.bsky.social explains why 👇
@theasrstein.bsky.social explains why 👇
UK-US medicines deal: the public interest in publishing the evidence behind it
The Information Commissioner's Office decided last month that the Department of Health and Social Care can continue to withhold the government’s impact assessment of the UK-US pharmaceuticals trade de...
www.nuffieldtrust.org.uk
August 27, 2026 at 10:52 AM
Our Senior Policy Analyst @sallygainsbury.bsky.social has served a Notice of Appeal asking the Information Rights Tribunal to review the ICO decision to allow the government to withhold its impact assessment of the 2025 pharmaceutical trade deal with the US.
@theasrstein.bsky.social explains why 👇
@theasrstein.bsky.social explains why 👇
Understatement of the year award goes to the OBR for this footnote in today's report on the implications of the US-UK pharma trade deal on health spending. For reasons unknown, the OBR has NOT updated its economic assumptions on the drivers of cost in NHS spending, but has included this footnote >>
July 8, 2026 at 12:24 PM
Understatement of the year award goes to the OBR for this footnote in today's report on the implications of the US-UK pharma trade deal on health spending. For reasons unknown, the OBR has NOT updated its economic assumptions on the drivers of cost in NHS spending, but has included this footnote >>
Reposted by Sally Gainsbury
ICYMI: The UK signed a trade deal with the US that is increasingly being called into question 🔎
In a blog published by the BMJ, @sallygainsbury.bsky.social and James Lomas called for the deal's impact assessment to be released so its implications can be properly scrutinised.
Read on our website 👇
In a blog published by the BMJ, @sallygainsbury.bsky.social and James Lomas called for the deal's impact assessment to be released so its implications can be properly scrutinised.
Read on our website 👇
US-UK medicines partnership: the impact assessment of the costs and benefits must be published
Sally Gainsbury and York University’s James Lomas argue that the terms of the recent US-UK medicines agreement will clearly reduce the cost effectiveness of the NHS’s finite resources. The blog was or...
www.nuffieldtrust.org.uk
July 8, 2026 at 10:39 AM
ICYMI: The UK signed a trade deal with the US that is increasingly being called into question 🔎
In a blog published by the BMJ, @sallygainsbury.bsky.social and James Lomas called for the deal's impact assessment to be released so its implications can be properly scrutinised.
Read on our website 👇
In a blog published by the BMJ, @sallygainsbury.bsky.social and James Lomas called for the deal's impact assessment to be released so its implications can be properly scrutinised.
Read on our website 👇
Reposted by Sally Gainsbury
The US-UK trade deal will have a "very stark impact" on what the NHS can deliver for patients, says our Senior Policy Analyst @sallygainsbury.bsky.social on the latest @bmj.com podcast.
Hear what the deal could mean and why greater transparency is needed. 👇
Hear what the deal could mean and why greater transparency is needed. 👇
The US UK trade deal will cost the NHS billions, and only serve to increase pharma profits
Podcast Episode · Medicine and Science from The BMJ · 1 May · 43min
podcasts.apple.com
May 6, 2026 at 10:14 AM
The US-UK trade deal will have a "very stark impact" on what the NHS can deliver for patients, says our Senior Policy Analyst @sallygainsbury.bsky.social on the latest @bmj.com podcast.
Hear what the deal could mean and why greater transparency is needed. 👇
Hear what the deal could mean and why greater transparency is needed. 👇
The gov's trade deal with the US means the NHS spend on branded meds will grow at least 4 X faster than the NHS budget as a whole. If you think that's possible without stark trade offs for what the NHS is able to do for population health, pls read our new piece here>> www.bmj.com/content/393/...
www.bmj.com
April 17, 2026 at 2:00 PM
The gov's trade deal with the US means the NHS spend on branded meds will grow at least 4 X faster than the NHS budget as a whole. If you think that's possible without stark trade offs for what the NHS is able to do for population health, pls read our new piece here>> www.bmj.com/content/393/...
Reposted by Sally Gainsbury
We've responded to reports that the NHS will pay a higher price for branded new medicines as a condition of a UK-US trade deal.
Read the statement from @sallygainsbury.bsky.social 👇
Read the statement from @sallygainsbury.bsky.social 👇
Nuffield Trust responds to reports that NHS will pay more for branded new medicines
Sally Gainsbury responds to reports that the NHS will pay a higher price for branded new medicines.
www.nuffieldtrust.org.uk
December 1, 2025 at 4:35 PM
We've responded to reports that the NHS will pay a higher price for branded new medicines as a condition of a UK-US trade deal.
Read the statement from @sallygainsbury.bsky.social 👇
Read the statement from @sallygainsbury.bsky.social 👇
Trump and pharma are lobbying gov hard to water-down the NHS’s ability to contain spending on new branded drugs. Today’s long read from me and the LSE’s Huseyin Naci sets out why the gov should hold firm to protect the health of the NHS and UK public nuffieldtrust.org.uk/news-item/th... >>
The tough choices at the heart of the government’s dispute with big pharma
The government has been locked in a dispute with pharmaceutical companies for a number of months over how much the NHS pays for new branded medicines. Sally Gainsbury and Huseyin Naci set out the issu...
nuffieldtrust.org.uk
October 8, 2025 at 2:53 PM
Trump and pharma are lobbying gov hard to water-down the NHS’s ability to contain spending on new branded drugs. Today’s long read from me and the LSE’s Huseyin Naci sets out why the gov should hold firm to protect the health of the NHS and UK public nuffieldtrust.org.uk/news-item/th... >>
Editorial from me and LSE’s Huseyin Naci on the government's bid to use the NHS as a means to attract more med tech and pharma investment into the UK. TLDR: great for profits, less great for getting the most value for patients out of the NHS www.bmj.com/content/390/...
August 19, 2025 at 4:54 PM
Editorial from me and LSE’s Huseyin Naci on the government's bid to use the NHS as a means to attract more med tech and pharma investment into the UK. TLDR: great for profits, less great for getting the most value for patients out of the NHS www.bmj.com/content/390/...
Growth or bust. The one where the purpose of the NHS is to rescue capitalism: www.nuffieldtrust.org.uk/news-item/an...
An engine for economic growth? Why it won’t be a piece of cake for the NHS
With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...
www.nuffieldtrust.org.uk
July 19, 2025 at 7:52 AM
Growth or bust. The one where the purpose of the NHS is to rescue capitalism: www.nuffieldtrust.org.uk/news-item/an...
Reposted by Sally Gainsbury
NEW: A long read from @sallygainsbury.bsky.social examines a conundrum for policy makers: How can the NHS meet public demand while also positioning the NHS as an engine for economic growth? www.nuffieldtrust.org.uk/news-item/an...
An engine for economic growth? Why it won’t be a piece of cake for the NHS
With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...
www.nuffieldtrust.org.uk
July 17, 2025 at 8:42 AM
NEW: A long read from @sallygainsbury.bsky.social examines a conundrum for policy makers: How can the NHS meet public demand while also positioning the NHS as an engine for economic growth? www.nuffieldtrust.org.uk/news-item/an...
The quaint idea the #NHS exists to improve health has been supplemented with the idea it can also drive economic #growth. My thoughts on the gamble the gov is making by inviting in more tech- and pharma- and whether we’ll end up with less as a consequence: www.nuffieldtrust.org.uk/news-item/an...
www.nuffieldtrust.org.uk
July 17, 2025 at 7:52 AM
The quaint idea the #NHS exists to improve health has been supplemented with the idea it can also drive economic #growth. My thoughts on the gamble the gov is making by inviting in more tech- and pharma- and whether we’ll end up with less as a consequence: www.nuffieldtrust.org.uk/news-item/an...
Reposted by Sally Gainsbury
ICYMI: Senior Policy Analyst @sallygainsbury.bsky.social discussed the 10 Year Health Plan on this week's episode of Inside Health.
Listen back 👇
www.bbc.co.uk/sounds/play/...
Listen back 👇
www.bbc.co.uk/sounds/play/...
Inside Health - Can the ten-year plan save the NHS? Heart scans with AI, and who invented condoms? - BBC Sounds
The PM says it's 'reform or die' for the NHS, we discuss ambitious plans to restructure it
www.bbc.co.uk
July 9, 2025 at 2:49 PM
ICYMI: Senior Policy Analyst @sallygainsbury.bsky.social discussed the 10 Year Health Plan on this week's episode of Inside Health.
Listen back 👇
www.bbc.co.uk/sounds/play/...
Listen back 👇
www.bbc.co.uk/sounds/play/...
Reposted by Sally Gainsbury
gregfellpublichealth.wordpress.com/2025/07/05/p...
Polygenic risk scoring and precision prevention
Cynics view
Polygenic risk scoring and precision prevention
Cynics view
Polygenic risk scoring and precision prevention
I’ve had occasional long and at times difficult correspondence with various bodies who are busy promoting polygenic risk scoring who want me to be a “strategic partner” or something (ie “Greg Fell …
gregfellpublichealth.wordpress.com
July 6, 2025 at 9:12 AM
gregfellpublichealth.wordpress.com/2025/07/05/p...
Polygenic risk scoring and precision prevention
Cynics view
Polygenic risk scoring and precision prevention
Cynics view
Reposted by Sally Gainsbury
🆕 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 asked experts @markgdayan.bsky.social and @sallygainsbury.bsky.social to explain the situation. 💊
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 8:55 AM
🆕 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 asked experts @markgdayan.bsky.social and @sallygainsbury.bsky.social to explain the situation. 💊
The government has set the NHS’s budget for the next 3 years, now it needs to be realistic about its priorities - my comment piece in the BMJ:
www.bmj.com/content/389/...
www.bmj.com/content/389/...
Spending review leaves a greater need for clarity on healthcare priorities
The notion that the health service has emerged as a “winner” from the chancellor’s spending review is a bit like congratulating someone who has just won back the face value of a scratch card. It certa...
www.bmj.com
June 13, 2025 at 6:28 AM
The government has set the NHS’s budget for the next 3 years, now it needs to be realistic about its priorities - my comment piece in the BMJ:
www.bmj.com/content/389/...
www.bmj.com/content/389/...
Reposted by Sally Gainsbury
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 👇
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
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 >>
Reposted by Sally Gainsbury
What does today's #SpringStatement mean for health and social care? 💷
Read our response from @sallygainsbury.bsky.social to find out some of the most important takeaways. 👇
Read our response from @sallygainsbury.bsky.social to find out some of the most important takeaways. 👇
Nuffield Trust response to the Spring Statement
Sally Gainsbury responds to the Spring Statement.
buff.ly
March 26, 2025 at 3:37 PM
What does today's #SpringStatement mean for health and social care? 💷
Read our response from @sallygainsbury.bsky.social to find out some of the most important takeaways. 👇
Read our response from @sallygainsbury.bsky.social to find out some of the most important takeaways. 👇
It's going to be a busy week in the public finances, with the Spring Statement on Weds. Our small team of #NHS & social care funding analysts will be poring over the detail. If you fancy joining us for the NEXT fiscal event, see here>> Closes 23.59 Weds >> www.nuffieldtrust.org.uk/job/fellow-f...
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
www.nuffieldtrust.org.uk
March 24, 2025 at 4:28 PM
It's going to be a busy week in the public finances, with the Spring Statement on Weds. Our small team of #NHS & social care funding analysts will be poring over the detail. If you fancy joining us for the NEXT fiscal event, see here>> Closes 23.59 Weds >> www.nuffieldtrust.org.uk/job/fellow-f...
A must-read report from my colleagues here >>>
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 4:11 PM
A must-read report from my colleagues here >>>
Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>
WE'RE HIRING: The Nuffield Trust is looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services. #ResearchJobs #ThinkTankJobs
Find out more and apply here. 👇
Find out more and apply here. 👇
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
www.nuffieldtrust.org.uk
March 19, 2025 at 11:34 AM
Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>
Me in the FT on the economic imperative behind this week’s move to abolish NHSE www.ft.com/content/4331...
March 15, 2025 at 4:33 PM
Me in the FT on the economic imperative behind this week’s move to abolish NHSE www.ft.com/content/4331...
This essay which is free to read in The Times this weekend is essential reading on the real harms created by over-diagnosis, including the inequity it creates when those most in need are crowded out:
www.thetimes.com/comment/colu...
www.thetimes.com/comment/colu...
Our new health crisis — we’re diagnosing too much, too early
Spotting disease early can save lives but advances in medicine have produced an epidemic of overdiagnosis — and in many cases this is doing more harm than good
www.thetimes.com
March 15, 2025 at 2:41 PM
This essay which is free to read in The Times this weekend is essential reading on the real harms created by over-diagnosis, including the inequity it creates when those most in need are crowded out:
www.thetimes.com/comment/colu...
www.thetimes.com/comment/colu...
Reposted by Sally Gainsbury
🚨 NEW BLOG: #NHSEngland is being scrapped, but the reasons for its rise and fall are not going away.
@markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago.
www.nuffieldtrust.org.uk/news-item/th...
@markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago.
www.nuffieldtrust.org.uk/news-item/th...
The reasons for NHS England's rise and fall are not going away
With the news today that NHS England will be abolished, Mark Dayan and Leonora Merry look at how far things have changed since NHSE was created 12 years ago.
www.nuffieldtrust.org.uk
March 13, 2025 at 1:37 PM
🚨 NEW BLOG: #NHSEngland is being scrapped, but the reasons for its rise and fall are not going away.
@markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago.
www.nuffieldtrust.org.uk/news-item/th...
@markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago.
www.nuffieldtrust.org.uk/news-item/th...