@stephen-rocks.bsky.social
Reposted
Listening to ministers and NHS leaders, the narrative is very much that health service finances are on the mend - but new figures show cash bailouts to local hospitals are on the rise.
from @zoetidman.bsky.social
www.hsj.co.uk/cash-bailout...
from @zoetidman.bsky.social
www.hsj.co.uk/cash-bailout...
Cash bailouts hit £1.1bn despite falling deficit
Cash bailouts to keep trust services running have risen - despite NHS England bosses insisting provider finances have improved, HSJ has learned.
www.hsj.co.uk
May 11, 2026 at 10:28 AM
Listening to ministers and NHS leaders, the narrative is very much that health service finances are on the mend - but new figures show cash bailouts to local hospitals are on the rise.
from @zoetidman.bsky.social
www.hsj.co.uk/cash-bailout...
from @zoetidman.bsky.social
www.hsj.co.uk/cash-bailout...
Reposted
Following the US-UK drug pricing agreement, changes to the way the cost effectiveness of new medicines are assessed will drive up the NHS drugs bill.
In this new blog, Eric Yang argues that the higher bill means difficult decisions lie ahead for the government.
Read more ⬇️
https://bit.ly/3QrzvpX
In this new blog, Eric Yang argues that the higher bill means difficult decisions lie ahead for the government.
Read more ⬇️
https://bit.ly/3QrzvpX
April 8, 2026 at 4:30 PM
Following the US-UK drug pricing agreement, changes to the way the cost effectiveness of new medicines are assessed will drive up the NHS drugs bill.
In this new blog, Eric Yang argues that the higher bill means difficult decisions lie ahead for the government.
Read more ⬇️
https://bit.ly/3QrzvpX
In this new blog, Eric Yang argues that the higher bill means difficult decisions lie ahead for the government.
Read more ⬇️
https://bit.ly/3QrzvpX
Reposted
WEBINAR: What can we learn about productivity from the NHS?
Chaired by Anita Charlesworth from our #NHSProductivityCommission, this event will hear from an expert panel on what we can learn from experiences of and within the health service.
Register now ⬇️
https://bit.ly/4rlNOcx
Chaired by Anita Charlesworth from our #NHSProductivityCommission, this event will hear from an expert panel on what we can learn from experiences of and within the health service.
Register now ⬇️
https://bit.ly/4rlNOcx
March 13, 2026 at 9:01 AM
WEBINAR: What can we learn about productivity from the NHS?
Chaired by Anita Charlesworth from our #NHSProductivityCommission, this event will hear from an expert panel on what we can learn from experiences of and within the health service.
Register now ⬇️
https://bit.ly/4rlNOcx
Chaired by Anita Charlesworth from our #NHSProductivityCommission, this event will hear from an expert panel on what we can learn from experiences of and within the health service.
Register now ⬇️
https://bit.ly/4rlNOcx
Really looking forward to this event - do sign up if interested
WEBINAR: As part of a series of events from the #NHSProductivityCommission, this webinar will hear from an expert panel on what we can learn from the wider economy, with an opportunity for Q&A.
Register now ⬇️
https://bit.ly/3ZJCRpV
Register now ⬇️
https://bit.ly/3ZJCRpV
February 17, 2026 at 4:33 PM
Really looking forward to this event - do sign up if interested
Reposted
Great comment by @helensalisbury.bsky.social in this week's BMJ and one that far too many NHS managers, leaders and politicians miss entirely: doi.org/10.1136/bmj....
...
...
Helen Salisbury: Whole system thinking
The widely predicted collapse of the NHS due to resident doctors’ industrial action just before Christmas didn’t materialise.1 There was little change to the new normal, with too many sick people spen...
doi.org
January 21, 2026 at 12:45 PM
Great comment by @helensalisbury.bsky.social in this week's BMJ and one that far too many NHS managers, leaders and politicians miss entirely: doi.org/10.1136/bmj....
...
...
Reposted
WEBINAR: As part of evidence-gathering work by the NHS #ProductivityCommission, this event will hear from an expert panel on what we can learn from international evidence and best practice.
Register ⬇️
https://bit.ly/45dbZ4O
Register ⬇️
https://bit.ly/45dbZ4O
January 16, 2026 at 1:00 PM
WEBINAR: As part of evidence-gathering work by the NHS #ProductivityCommission, this event will hear from an expert panel on what we can learn from international evidence and best practice.
Register ⬇️
https://bit.ly/45dbZ4O
Register ⬇️
https://bit.ly/45dbZ4O
Interesting article by @policyskeptic.bsky.social on what could best improve productivity. Agree that an understanding of flow and patient pathways is critical; coordination is also an important challenge in a system as complex as the NHS
"Better, cheaper, faster: choose two" is false in the NHS:
www.hsj.co.uk/daily-insigh...
The system is so far away from optimal performance that all three could improve at once.
www.hsj.co.uk/daily-insigh...
The system is so far away from optimal performance that all three could improve at once.
The mythbuster: NHS care can be faster, better AND cheaper
Debates about NHS productivity wrongly assume hard trade-offs are necessary to improve the service's performance. In fact, bottom-up analysis of clinical processes shows better, faster, cheaper care is achievable now
www.hsj.co.uk
January 14, 2026 at 9:48 AM
Interesting article by @policyskeptic.bsky.social on what could best improve productivity. Agree that an understanding of flow and patient pathways is critical; coordination is also an important challenge in a system as complex as the NHS
Reposted
This feels like an important finding (albeit from one US study):
GLP-1 medications (Ozempic, Mounjaro etc) *do not* pay for themselves by reducing other types of medical spending, at least in the first five years. If anything, GLP-1s increase other forms of medical spending.
GLP-1 medications (Ozempic, Mounjaro etc) *do not* pay for themselves by reducing other types of medical spending, at least in the first five years. If anything, GLP-1s increase other forms of medical spending.
January 12, 2026 at 8:41 AM
This feels like an important finding (albeit from one US study):
GLP-1 medications (Ozempic, Mounjaro etc) *do not* pay for themselves by reducing other types of medical spending, at least in the first five years. If anything, GLP-1s increase other forms of medical spending.
GLP-1 medications (Ozempic, Mounjaro etc) *do not* pay for themselves by reducing other types of medical spending, at least in the first five years. If anything, GLP-1s increase other forms of medical spending.
Reposted
and the failure to implement solutions right in front of our eyes because of the fixation with "innovation" and digital for its own sake
Examples from my daily practice which have got worse by far recently
1. Endless (discharge) transport delays
2. Endless (discharge) equipment delivery delays
Examples from my daily practice which have got worse by far recently
1. Endless (discharge) transport delays
2. Endless (discharge) equipment delivery delays
December 29, 2025 at 7:30 PM
and the failure to implement solutions right in front of our eyes because of the fixation with "innovation" and digital for its own sake
Examples from my daily practice which have got worse by far recently
1. Endless (discharge) transport delays
2. Endless (discharge) equipment delivery delays
Examples from my daily practice which have got worse by far recently
1. Endless (discharge) transport delays
2. Endless (discharge) equipment delivery delays
Reposted
What's going on? Could productivity in individual trusts really be bouncing around so much? Definitely raises questions about how informative this measure is - we've always found it surprising how high and low some of the changes are
[2/2]
[2/2]
December 15, 2025 at 5:48 PM
What's going on? Could productivity in individual trusts really be bouncing around so much? Definitely raises questions about how informative this measure is - we've always found it surprising how high and low some of the changes are
[2/2]
[2/2]
Reposted
An interesting nugget buried in Treasury evidence to the Pay Review Bodies:
In recent years, the NHS and other departments have (with HMT permission) raided capital budgets to fund unexpectedly high pay awards. Updated guidance explicitly rules this out.
In recent years, the NHS and other departments have (with HMT permission) raided capital budgets to fund unexpectedly high pay awards. Updated guidance explicitly rules this out.
December 16, 2025 at 11:56 AM
An interesting nugget buried in Treasury evidence to the Pay Review Bodies:
In recent years, the NHS and other departments have (with HMT permission) raided capital budgets to fund unexpectedly high pay awards. Updated guidance explicitly rules this out.
In recent years, the NHS and other departments have (with HMT permission) raided capital budgets to fund unexpectedly high pay awards. Updated guidance explicitly rules this out.
Reposted
CLOSING SOON: The #NHSProductivity Commission want to hear from NHS leaders, front-line staff, business and industry experts, patients and the public.
Submit your ideas on how productivity could be improved across hospital, primary and community care, and mental health ⬇️
https://bit.ly/4oHG9UY
Submit your ideas on how productivity could be improved across hospital, primary and community care, and mental health ⬇️
https://bit.ly/4oHG9UY
December 5, 2025 at 10:00 AM
CLOSING SOON: The #NHSProductivity Commission want to hear from NHS leaders, front-line staff, business and industry experts, patients and the public.
Submit your ideas on how productivity could be improved across hospital, primary and community care, and mental health ⬇️
https://bit.ly/4oHG9UY
Submit your ideas on how productivity could be improved across hospital, primary and community care, and mental health ⬇️
https://bit.ly/4oHG9UY
Reposted
NEW REPORT: abolishing NHS England could help simplify accountability, improve prioritisation and create savings. But the change could also lead to increases in policy incoherence and blame culture, as well as the loss of skills, capacity and focus on areas outside the day-to-day NHS.
Abolished to perfection? Building a better centre for the NHS | Institute for Government
The abolition of NHS England creates both risks and opportunities.
www.instituteforgovernment.org.uk
December 1, 2025 at 4:25 PM
NEW REPORT: abolishing NHS England could help simplify accountability, improve prioritisation and create savings. But the change could also lead to increases in policy incoherence and blame culture, as well as the loss of skills, capacity and focus on areas outside the day-to-day NHS.
Reposted
This week's Budget provided a modest funding boost to NHS capital for digital infrastructure, which could help unlock some productivity gains.
However, with no substantive increase to day-to-day spending, Hiba Sameen says the NHS's financial position remains precarious⬇️
https://bit.ly/4irRvun
However, with no substantive increase to day-to-day spending, Hiba Sameen says the NHS's financial position remains precarious⬇️
https://bit.ly/4irRvun
November 28, 2025 at 9:30 AM
This week's Budget provided a modest funding boost to NHS capital for digital infrastructure, which could help unlock some productivity gains.
However, with no substantive increase to day-to-day spending, Hiba Sameen says the NHS's financial position remains precarious⬇️
https://bit.ly/4irRvun
However, with no substantive increase to day-to-day spending, Hiba Sameen says the NHS's financial position remains precarious⬇️
https://bit.ly/4irRvun
Reposted
Why has #NHS #productivity underperformed? Same as the broader economy: lack of productive capital to support workers. Capital per worker declined by a massive 36% to 2020, probably more since.
#dataisbeautiful
#NHSProductivityCommission report: bit.ly/3WPxu76
UK's capital gap: bit.ly/455vGwe
#dataisbeautiful
#NHSProductivityCommission report: bit.ly/3WPxu76
UK's capital gap: bit.ly/455vGwe
November 18, 2025 at 11:50 AM
Why has #NHS #productivity underperformed? Same as the broader economy: lack of productive capital to support workers. Capital per worker declined by a massive 36% to 2020, probably more since.
#dataisbeautiful
#NHSProductivityCommission report: bit.ly/3WPxu76
UK's capital gap: bit.ly/455vGwe
#dataisbeautiful
#NHSProductivityCommission report: bit.ly/3WPxu76
UK's capital gap: bit.ly/455vGwe
Reposted
More striking stats from our #NHSProductivityCommission report (bit.ly/3WPxu76). UK hospital length of stay (a key #productivity indicator) increased hugely from 2019 to 2023. Hospital employment jumped by >15%. No wonder £ spent are not translating into better health outcomes. #dataisbeautiful
November 17, 2025 at 10:15 AM
More striking stats from our #NHSProductivityCommission report (bit.ly/3WPxu76). UK hospital length of stay (a key #productivity indicator) increased hugely from 2019 to 2023. Hospital employment jumped by >15%. No wonder £ spent are not translating into better health outcomes. #dataisbeautiful
@policyskeptic.bsky.social latest @hsj.co.uk column makes significant points about NHS productivity policy
@healthfoundation.bsky.social NHS Productivity Commission last week published our first report which makes many of the points Steve makes. A few examples 👇
www.health.org.uk/reports-and-...
@healthfoundation.bsky.social NHS Productivity Commission last week published our first report which makes many of the points Steve makes. A few examples 👇
www.health.org.uk/reports-and-...
www.health.org.uk
November 11, 2025 at 9:17 AM
@policyskeptic.bsky.social latest @hsj.co.uk column makes significant points about NHS productivity policy
@healthfoundation.bsky.social NHS Productivity Commission last week published our first report which makes many of the points Steve makes. A few examples 👇
www.health.org.uk/reports-and-...
@healthfoundation.bsky.social NHS Productivity Commission last week published our first report which makes many of the points Steve makes. A few examples 👇
www.health.org.uk/reports-and-...
Interesting piece from @policyskeptic.bsky.social
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
November 3, 2025 at 12:01 PM
Interesting piece from @policyskeptic.bsky.social
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
Notable that recovery plans on the 4-hour A&E standard fall short of the constitutional target, unlike the commitment on elective waits
Reposted
NOW OPEN: The #NHSProductivityCommission Call for Evidence is a chance for you to share your ideas about how productivity could be improved across hospital care, primary care, community care and mental health.
More information and guidance for responding ⬇️
https://bit.ly/4oHG9UY
More information and guidance for responding ⬇️
https://bit.ly/4oHG9UY
October 31, 2025 at 10:00 AM
NOW OPEN: The #NHSProductivityCommission Call for Evidence is a chance for you to share your ideas about how productivity could be improved across hospital care, primary care, community care and mental health.
More information and guidance for responding ⬇️
https://bit.ly/4oHG9UY
More information and guidance for responding ⬇️
https://bit.ly/4oHG9UY
NHS hospital activity and resources - actual and compared to pre covid trend.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
October 24, 2025 at 4:54 PM
NHS hospital activity and resources - actual and compared to pre covid trend.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
Planned care is at or above trend, but emergency care is below. Drop in emergency admissions is most stark, but this could reflect more use of same day emergency care (SDEC). Jump in workforce explains productivity hit.
Reposted
Can the NHS meet its 2% productivity challenge? With @strategyunit.bsky.social we gathered 14 experts from clinical, policy and research backgrounds to forecast NHS productivity growth over the next decade.
We share their thoughts based on understandings of current trends ⬇️
https://bit.ly/4qnzZLi
We share their thoughts based on understandings of current trends ⬇️
https://bit.ly/4qnzZLi
October 22, 2025 at 10:20 AM
Can the NHS meet its 2% productivity challenge? With @strategyunit.bsky.social we gathered 14 experts from clinical, policy and research backgrounds to forecast NHS productivity growth over the next decade.
We share their thoughts based on understandings of current trends ⬇️
https://bit.ly/4qnzZLi
We share their thoughts based on understandings of current trends ⬇️
https://bit.ly/4qnzZLi
Reposted
Will today's changes to the GP contract in England requiring online access all day mark the end of the '8am scramble' or the start of GP waiting lists and further dissatisfaction, on all sides?
I explore the issue in this @healthfoundation.bsky.social blog www.health.org.uk/features-and...
I explore the issue in this @healthfoundation.bsky.social blog www.health.org.uk/features-and...
www.health.org.uk
October 1, 2025 at 9:00 AM
Will today's changes to the GP contract in England requiring online access all day mark the end of the '8am scramble' or the start of GP waiting lists and further dissatisfaction, on all sides?
I explore the issue in this @healthfoundation.bsky.social blog www.health.org.uk/features-and...
I explore the issue in this @healthfoundation.bsky.social blog www.health.org.uk/features-and...
Reposted
Reposted
Interested in #CareCloserToHome or #NeighbourhoodHealth ? You'll want to take a look at this new report (Future Demand for Community Care) and blog from my @strategyunit.bsky.social colleagues Justine Wiltshire and Peter Spilsbury:
www.strategyunitwm.nhs.uk/publications...
#NHS #CommunityServices
www.strategyunitwm.nhs.uk/publications...
#NHS #CommunityServices
A missing element in ‘shifting care’
Our Director, Peter Spilsbury, outlines the scale of the task when it comes to making ‘the shift from hospital to community’.
www.strategyunitwm.nhs.uk
September 25, 2025 at 7:51 AM
Interested in #CareCloserToHome or #NeighbourhoodHealth ? You'll want to take a look at this new report (Future Demand for Community Care) and blog from my @strategyunit.bsky.social colleagues Justine Wiltshire and Peter Spilsbury:
www.strategyunitwm.nhs.uk/publications...
#NHS #CommunityServices
www.strategyunitwm.nhs.uk/publications...
#NHS #CommunityServices
Reposted
NEW: first-in-kind study widescale implementation of #AI in #NHS 👇🏻
Impt lessons for procurement & early deployment #AI in #healthcare.
#digitalhealth
@nuffieldtrust.org.uk
@nihr.bsky.social
@uclnews.bsky.social
Impt lessons for procurement & early deployment #AI in #healthcare.
#digitalhealth
@nuffieldtrust.org.uk
@nihr.bsky.social
@uclnews.bsky.social
🆕 #RSET paper finds #AI diagnostic tools might not be a silver bullet for health care service pressures.
AI tools can offer valuable support, but can be hard to implement.
The paper identifies important lessons to help future implementation.
@nihr.bsky.social funded with @ucl.ac.uk @cam.ac.uk
AI tools can offer valuable support, but can be hard to implement.
The paper identifies important lessons to help future implementation.
@nihr.bsky.social funded with @ucl.ac.uk @cam.ac.uk
Procurement and early deployment of artificial intelligence tools for chest diagnostics in NHS services in England: a rapid, mixed method evaluation
Skip to main content
www.nuffieldtrust.org.uk
September 11, 2025 at 3:05 PM
NEW: first-in-kind study widescale implementation of #AI in #NHS 👇🏻
Impt lessons for procurement & early deployment #AI in #healthcare.
#digitalhealth
@nuffieldtrust.org.uk
@nihr.bsky.social
@uclnews.bsky.social
Impt lessons for procurement & early deployment #AI in #healthcare.
#digitalhealth
@nuffieldtrust.org.uk
@nihr.bsky.social
@uclnews.bsky.social