Podcasts about Nuffield Trust

On today's episode, I'm absolutely honoured to be joined by my dear friend, Dr Becks Fisher. Becks is a GP and the Director of Research and Policy at the Nuffield Trust—a hugely respected voice in UK health policy.Becks helped to co-found Next Gen GP nearly eight years ago, and she's been a close friend and someone I've deeply admired ever since.In this conversation, Becks shares her journey from being a clinical fellow to becoming a national leader in healthcare policy. We talk about her passion for health equity, her reflections on the future of general practice, and the pivotal moments that have shaped her career.We also explore the role of mentorship, the challenges of balancing work and life, and some brilliant advice for GPs earlier in their careers.She's not only an inspiring leader—but truly, just a thoroughly brilliant human being. I'm so proud to call her a friend, and I can't wait for you to hear this episode...*Highlights:01:00 – Becks's Role at Nuffield Trust02:00 – Journey into the Think Tank World05:00 – Influence and Impact of Think Tanks08:00 – Challenges in Health Equity15:00 – Personal Leadership Journey19:00 – Advice for Aspiring Leaders23:00 – The Value of Fellowships26:00 – Building Networks and Mentorship35:00 – The Role of Media in Healthcare40:00 – Balancing Work and Life46:00 – The Future of General Practice*LinksFollow Becks on TwitterHarkness FellowshipBeck's recent Nuffield Trust paper on the Future of the Partnership Model*Recommendations:Book: Four Thousand WeeksBook: Dare to LeadPodcast episode: The Next GenCast Episode with Oliver Burkeman Hosted on Acast. See acast.com/privacy for more information.

Public satisfaction with the NHS is at an all-time low according to the latest data, but what can be done in the short term to improve matters while NHS leaders try to make long-term change? Rachel Power of the Patients Association* and Leonora Merry of the Nuffield Trust delve into the data with Matthew Taylor and suggest what can be done. This episode's Leader in Six is with Steve Williamson, chief executive of Royal Cornwall Hospitals NHS Trust.*The Patients Association's free helpline provides specialist information and guidance across all four UK nations to help service users make sense of health and social care. Call 0800 345 7115 weekdays 9:30am – 5:00pm, or email helpline@patients-association.org.uk Hosted on Acast. See acast.com/privacy for more information.

This week Emma and Nick talk about the government agreeing to negotiate a completely new GP contract within the term of this parliament and what that could mean for the profession.They also discuss the government's decision to scrap NHS England and how it could affect general practice. And they look at the future of the GP partnership model after an influential health think tank, the Nuffield Trust, suggested that the government should develop alternative models for general practice.Our good news story this week is about patient access to general practice.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksGovernment commits to talks on major new GP contract to keep 2025/26 deal on trackWhat does NHS England's abolition mean for general practice?Two GPs named in revamped NHS executive teamGovernment 'should develop alternative GP models' amid rapid decline in partnersMap: Which areas are performing best on the government's GP access benchmark? Hosted on Acast. See acast.com/privacy for more information.

James and Fliss talk through the Welsh Government's overhaul of ambulance response time targets with BBC Wales' Health Correspondent Jenny Rees. They are also joined by Dr Becks Fisher, director of research and research policy at Nuffield Trust and Desmond Clifford, the former Principal Secretary to the First Minister, to discuss the point of targets and if they actually work.

This week Emma speaks to Dr John Ford and GP Dr Liam Loftus from the Health Equity Evidence Centre at Queen Mary University in London about health inequalities and how frontline clinicians, system leaders and policymakers can make evidence-based decisions to tackle inequality in healthcare.John and Liam discuss how the Health Equity Evidence Centre is making the evidence on what works when it comes to addressing health inequalities more accessible.The centre uses machine learning to analyse the vast amount of research and literature that's available and the team at the centre turns that information into actionable insights for GPs, other frontline clinicians, healthcare managers and policymakers.John and Liam explain how this all works in practice, the resources they have available and how this can help GPs, practices and primary care networks in their day to day work. They also talk about projects they are currently working on, including how GP funding inequalities can be addressed, and how they hope to establish a solid evidence base for what works when it comes to tackling health inequalities.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksHealth Equity Evidence CentreOutdated GP funding formula leaves practices in deprived areas with 10% less fundingTalking General Practice episode with Dr Becks Fisher from the Nuffield Trust on - How can we make GP funding fairer? Hosted on Acast. See acast.com/privacy for more information.

There's been no shortage of NHS plans over the years – what needs to be different this time? Health and care services are facing acute pressures and the NHS tops the public's list of priorities. The government has pledged to ‘reimagine' the NHS via a 10-year plan, expected in the spring.  The pressure is now on to develop a credible reform plan. It will need to address the huge challenges of changing health care needs and capitalise on the opportunities ahead, including those stemming from new technologies. All within a challenging fiscal context.  So what needs to be in the plan on key priorities – primary care, community services, and improving hospital services? What are the lessons from past NHS plans? And how can policymakers bring front-line staff with them and provide hope their working lives will improve?   To discuss, our Chief Executive Jennifer Dixon is joined by: Nigel Edwards, former Chief Executive of the Nuffield Trust. Hugh Alderwick, Director of Policy at the Health Foundation.   Show notes The Health Foundation (2024). Public perceptions of health and social care: five findings the new government should know.  The Health Foundation (2024). The public's views on the future of the NHS in England.  Nigel Edwards. The Nuffield Trust (2018). Avoiding groundhog day: learning the lessons of NHS reforms. The Health Foundation (2025). Health Foundation response to consultation on 10-year health plan. The Health Foundation. Policy Navigator – NHS reform.

The government is aiming to create 1,000 new GP jobs through the additional roles reimbursement scheme (ARRS), but are they on track to hit this target before the end of March? Nick and Emma discuss what we know about how the scheme is going.They also talk about a report from the Nuffield Trust, which shows how the ARRS more widely has changed the make-up of the workforce in general practice and argues that the introduction of new roles to the NHS has not been backed by enough planning and support - particularly on issues such as training, regulation and supervision.And they discuss some of the problems the CQC is facing and how this is potentially impacting on GP practices.Our good news story is about a change in RCGP policy for exam resits for GP registrars who are disabled.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksSome PCNs yet to claim any ARRS GP funding, NHS England admitsGPs outnumbered almost 3:1 after 'stark' reshaping of workforce through ARRSLong waits for CQC reports 'risk damaging GP practices'GPs entitled to follow advice on PAs that could lead to redundancies, says BMATake part in our GP locum rates survey here https://surveys.haymarket.com/s3/Locum-rates-survey-2025 Hosted on Acast. See acast.com/privacy for more information.

In this episode we look back to 2023's Motherhood in the Justice System Series when we explored the issues and challenges mothers in the justice system face, and what needs to change. Maternal health was a key feature in the series including a focus on experiences of pregnancy, birth and the post-natal period. In this episode we bring together the voices of two guests in this series. Dr Laura Abbott is a registered midwife and Associate Professor in Research at The University of Hertfordshire, who has extensively researched women's experiences of pregnancy in criminal justice settings. We also hear from Dr Miranda Davies who leads prisoner health research at the Nuffield Trust - this body of work is the first time routine hospital data at a national level has been used to describe how often prisoners use hospital services and for what reasons. Please note this episode contains discussion of traumatic births and infant mortality that some listeners may find upsetting. Explore Dr Laura Abbott's research: https://researchprofiles.herts.ac.uk/en/persons/laura-abbott/projects/ , and the Lost Mothers Project https://lostmothers.org/Find Dr Laura Abbott on X (formerly Twitter) or Bluesky @midwifeteacherRead the Nuffield Trust's report ‘Inequality on the inside: Using hospital data to understand the key health care issues for women in prison'Twitter - @OSTCharityThis podcast is created and produced by The London Podcast Company Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to GP Dr Becks Fisher who is director of policy and research at the health think tank the Nuffield Trust.Becks has long been an advocate for overhauling GP funding so it better reflects deprivation and she explains why this is so important and how the government could go about doing this.She also explains her views on the government's plans to move care from hospitals to the community, create a neighbourhood NHS and incentivise continuity of care, discusses what the Nuffield Trust wants to see in the 10-year plan for the NHS, and offers advice to other GPs who might be interested in a career in policy work.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksHow many more patients per GP are there in deprived areas?Practices in deprived areas have 17% more patients per GP and more chronic illnessRCGP demands overhaul of 'all GP funding streams' to cut inequalityThe Nuffield TrustNext Generation GP Hosted on Acast. See acast.com/privacy for more information.

Matthew Taylor takes a deep dive into the Autumn Budget and what it means for the NHS with Sally Gainsbury, senior policy analyst at Nuffield Trust. They explore the challenges posed by the current financial landscape and ongoing negotiations regarding NHS funding and public health budgets. Matthew's also joined by Patricia Miller, chief executive of NHS Dorset Integrated Care Board, to discuss the recent shift towards preventative care and the role of local systems in achieving health goals. And we'd love to hear your thoughts on our podcast. Please take five minutes to fill in this short survey: https://www.nhsconfed.org/HOTL Hosted on Acast. See acast.com/privacy for more information.

The King's Speech, perhaps more than anything else, signals where the new government's priorities really lie: what made it in and what was left out speaks volumes. To scratch beneath the surface, Matthew Taylor talks to Sam Freedman, public policy expert and commentator, about the implications of the proposed bills, and Natasha Curry, deputy director of policy at the Nuffield Trust, about the government's pronouncements social care so far. Hosted on Acast. See acast.com/privacy for more information.

This week we're joined by Sally Gainsbury and Leonora Merry from the Nuffield Trust think tank, who help us join the dots on the key issues for the NHS in the election campaign.     We cover their response to Wes Streeting's comments about their manifesto analysis, why the NHS has been notably absent from the election campaign so far and the biggest challenges facing a new government. Also with Annabelle Collins and James Illman.

This episode explores a proposal for forgiving student loans for medical and healthcare students in the UK, including nurses and physiotherapists, in return for years of service in the NHS. Dr. Cyra Asher, a doctor turned accountant, joins the discussion to offer insights into the current state of student loans, including the financial burden they represent, especially for those on longer degree courses like medicine. They discuss the potential impact of the student loan forgiveness proposal by the Nuffield Trust, including its cost implications and possible effects on NHS recruitment and retention. They also analyze the changing landscape of student loans over the years, the specifics of different student loan plans, and the strategies for managing or minimizing student loan debt. Finally, the episode considers the broader implications of the proposal on social equity and the future of the NHS workforce. Want to stay up to date with the latest financial information for doctors? Subscribe on YouTube to never miss a new video: https://www.youtube.com/@MedicsMoney Join 40,000 doctors receiving free financial CPD via email by downloading our free ebook here https://www.medicsmoney.co.uk/ebook/ Follow us on Twitter https://twitter.com/medicsmoney Follow us on Instagram https://www.instagram.com/medicsmoney

In February 2024, the NHS dental crisis hit the headlines as hundreds of people queued outside a dental practice in Bristol to register as NHS patients. It was the latest sign of the severity of the national shortage of NHS dentists.The Nuffield Trust have declared that NHS dentistry faces its 'most perilous point' in 75-year history and the government have responded pledging to improve access and funding for dentistry.At the centre of this crisis are the dentists who serve our communities. A Dentist's Life follows one Cornwall based dentist, Dr Jenna Murgatroyd, as she treats patients needing vital care, manages a practice facing financial risk and trains the next generation of dentists. As a second generation dentist, Dr Murgatroyd also reflects on the past and the future of the profession and asks what it means to be a NHS community dentist today.Produced by Mugabi Turya

Today, we look at a new report which says the NHS cannot meet “avalanche” of demand for autism and ADHD services. Why has there been a five-fold rise in people waiting to see an autism specialist? Why has there been a 51% increase in prescriptions for ADHD medication? Adam is joined by Access All presenter, Emma Tracey, Chief Executive of the Nuffield Trust, Thea Stein and autistic and ADHD creator, writer and consultant, Ellie Middleton.And US President Joe Biden tells Israeli Prime Minister Benjamin Netanyahu that US support for Israel depends on 'steps to address civilian harm and suffering' after seven aid workers were killed in Gaza. But what more pressure are the US and UK willing, and able, to put on Israel? BBC US special correspondent, Katty Kay and diplomatic correspondent, James Landale, bring us up to date. You can join our Newscast online community here: https://tinyurl.com/newscastcommunityhere Newscast brings you daily analysis of the latest political news stories from the BBC. It was presented by Adam Fleming. It was made by Jack Maclaren with Gemma Roper and Joe Wilkinson. The technical producer was Michael Regaard. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.

Derogation, the way in which striking doctors can be recalled to the ward to protect patient safety, was agreed by NHS England and the BMA. Now, new data The BMJ has uncovered shows that the mechanism was rarely used - and when it was tried, was often rejected. Gareth Iacobucci explains what that means about relations between the government, the NHS, and doctors. Felice Jacka, director of the Food & Mood Centre at Deakin University, is one of the authors of our recent ultra-processed foods umbrella review - and joins the podcast to talk about the link between diet and health; and why goverments need to pay more attention to the food system. Finally, John Appleby, senior associate at the Nuffield Trust, and Gillian Leng, dean and president elect of the Royal Society of medicine, have been thinking about healthcare funding, and how more stability is essential in securing the service's future.   Reading list Hospital leaders warned that failure to recall striking doctors risked patient safety in some trusts, documents show Ultra-processed food exposure and adverse health outcomes NHS funding for a secure future   Chapters 00:31 Derogation and doctor strikes 06:59 Ultra processed food producers and health 13:59 Rethinking NHS funding

In this week's podcast:   How AI will affect the clinician-patient relationship? Our annual Nuffield Summit roundtable asks how the promise of tech tools stacks up against reality, and how the future of the therapeutic relationship can be protected (participants below).   Your code is as important as your methods, which is why The BMJ now requires you to share it - Ben Goldacre and Nick De Vito, from the Bennett Institute for Applied Data Science at the University of Oxford, explain why it's so important, and how The BMJ's new data and code sharing policy could change research transparency.   Nye Bevin set up the NHS when the UK was in the economic doldrums, and the public's need for care was becoming an emergency - BMJ columnist Matt Morgan has helped turn that story into a play, currently showing at the National Theatre; and reflects on the parallels between now and then.   1:58 Nuffield Summit roundtable 17:32 New BMJ rules on data and code sharing 29:03 Aneurin "Nye" Bevan play   Taking part in our roundtable were: Rebecca Rosen, Senior Fellow at the Nuffield Trust and GP Juliet Bouverie, CEO of The Stroke Association Daniel Elkeles, CEO of London Ambulance Service Neil Sebire, Professor and Chief Research Information Officer at Great Ormond Street Hospital Reading list: How is technology changing clinician-patient relationships? Mandatory data and code sharing for research published by The BMJ Scalpels and spotlights: bringing theatre to the theatre

This episode is with leading health and care expert Nigel Edwards. Nigel recently stepped down as the chief Executive of the Nuffield Trust, a leading health think tank, after a wide-ranging career in the sector, which included a stint at NHS Confederation. This episode is very timely. Health and care services are adapting to a new structure at the same time as being under huge pressure and Nigel brings fantastic insight into what is currently happening within the system and what might change. We talk about the emphasis on “place” and “neighbourhoods” and the ambition for local services to be more co-ordinated, driven by local priorities and ultimately more focused on keeping people healthy and out of hospital. We ask the question – are leaders able to make time to build the relationships which are needed to enable this type of high trust working. We take a deep dive into children's health and discuss the ambitious plans Integrated Care Boards have for children's health and the fact that the NSH cannot possibly achieve them without working very closely with councils and other partners. We ask, what enabling leadership and conditions need to be in place to achieve these ambitions for children? None of these changes will have any effect unless the change permeates down to middle management and front line staff. We challenge the notion of the “frozen middle” or “permafrost” which is a criticism sometimes aimed at public sector middle managers and look at the potential of regional working and ask what the right level is for different activities. Enjoy it!

Join Talib Man and Imam Rana Attaur Rehman for Monday's show from 4-6pm where we will be discussing: 'Economy' and 'Homelessness ' Economy: Growth prospects and outlooks for the global economy are arguably going into 2024. Join us as we look at ongoing issues within the housing sector, health sector and investments. What needs to be done to bring growth back? Homelessness: Homelessness is reported to be rising 40% in rural areas of England due to soaring bills, high mortgages and economic crisis. In this show, we will be discussing the possible reasons of this increase and how we can find the permanent solution for this issue. Guests: Mark Dayan (Leads the Nuffield Trust's engagement with political stakeholders as Head of Public Affairs) Scott Lucas (Professor of American Studies, is a specialist in US and British foreign policy) Kevin Garvey (Head of Member Relations and external affairs at the National Housing Federation) Dan Dumoulin (Director of Development and External Affairs for Depaul UK) Garry Lemon (Director of Strategic Engagement at the Trussell Trust) Rev Carol Bostridge (Retired Baptist Minister who now volunteers with Lewisham Foodbank. previous Project Manager of Lewisham Foodbank) Murtaaz Ahmed Sheikh (Incharge Khidmate Khalq/ service for all humanity from Kingston) Producers: Faryal Nasir and Azka Hina

The Nuffield Trust has published a damning report saying that NHS dentistry was in 'perilous decline' across England, particularly in rural and coastal areas, with many people struggling to enrol with NHS dentists. It's the last big push for farmers to get veg into the shops before Christmas, but it's been an incredibly difficult year for many root vegetable growers - with near drought followed by deluge. We catch up on the swede harvest in action.All this week, we're looking at our farmers' contribution to Christmas trimmings, and today we hear about mistletoe and holly. Mistletoe grows naturally in the countryside, mainly in the South and West Midlands, and for more than 160 years it has been auctioned off in an annual sale in the town of Tenbury Wells on the Shropshire / Worcestershire border. Presented by Anna Hill and produced by Marie Lennon.

NHS dentistry has probably 'gone for good' according to a report by Nuffield Trust report. Something else suffering losses is Rishi Sunak's signature Covid investment fund, which is nearly £300 million in the red. Our Senior Economy Reporter Phil Aldrick unpacks what went wrong. Plus: senior MPs will be baring their teeth at the Liaison Committee today. Bloomberg's Tiwa Adebayo tells us what the Prime Minister might face questions on. Plus: how disruption to shipping could feed into price rises back home. Hosted by Caroline Hepker and Yuan PottsSee omnystudio.com/listener for privacy information.

This week we're joined by Thea Stein, who recently moved into think tank world after nine years running an NHS trust.   We cover her reflections on her time at Leeds Community Healthcare Trust, why she is fed up of “visions” of integrated care and much more interested in the tricky detail, and the radical policies needed to recruit and retain more staff. 

Rory Cellan-Jones talks to Angelique Acquatella, Shan Morgan and Jennifer Dixon about the current status of digital technology adoption in healthcare services, why digital adoption is so slow,  and the opportunities for medtech, individuals and the wider economy.In this episode, experts unpack the barriers and facilitators of digital healthcare. Rory, Angelique, Shan and Jennifer explore the impact of med tech on inequalities, and offer solutions to mitigate risks of digital exclusion in healthcare. Provided healthcare systems focus on long-term priorities and agenda, the speakers highlight that technologies could enhance the quality and effectiveness of care. This episode is hosted by Rory Cellan-Jones (former technology correspondent for the BBC), and features guest experts  Angelique Acquatella (TSE), Shan Morgan (Bennett Institute), Jennifer Dixon (Health Foundation). Listen to this episode on your preferred podcast platformSeason 3 Episode 2 transcriptFor more information about the podcast and the work of the institutes, visit our websites at https://www.bennettinstitute.cam.ac.uk/ and https://www.iast.fr/.Tweet us with your thoughts at @BennettInst and @IASToulouse.With thanks to:Audio production by Steve HankeyAssociate production by Stella ErkerVisuals by Tiffany NaylorMore information about our host and guests:Rory Cellan-Jones was a technology correspondent for the BBC. His 40 years in journalism have seen him take a particular interest in the impact of the internet and digital technology on society and business. He has also written multiple books, including “Always On” (2021) and his latest “Ruskin Park: Sylvia, Me and the BBC” which was published in 2023. @ruskin147Professor Angelique Acquatella is an Assistant Professor at the Toulouse School of Economics. Her research studies the optimal design of health care policy, with two main substantive areas: public health insurance systems and pharmaceutical payment policy.  Angelique's work falls at the intersection of health economics and public finance, combining methods from optimal tax theory with traditional cost-effectiveness analysis in health economics. . @angieacquatellaDr Jennifer Dixon CBE joined the Health Foundation as Chief Executive in October 2013. Jennifer was Chief Executive of the Nuffield Trust from 2008 to 2013. Prior to this, she was Director of Policy at The King's Fund and policy advisor to the Chief Executive of the NHS between 1998 and 2000. Jennifer was appointed as a non-executive board member of the UK Health Security Agency in April 2022.  @JenniferTHFDame Shan Morgan Dame is Chair of the Royal Devon University Healthcare NHS Foundation Trust, which employs around 16,000 staff and provides healthcare services for about 615,000 people. Shan previously worked as the Welsh Government's Permanent Secretary, leading the Civil Service of the Welsh Government in delivering the priorities of Ministers, and had a wide range of roles in the Civil and Diplomatic Service.

In this episode, David tells us how doctors can get into positions of influence, what they can do there, and why doctors are well placed to influence the broader context. He outlines that our profession already has much influence, and shares tips for anyone aspiring to make changes in their immediate environment or the wider healthcare system.Professor David Oliver is a Consultant in Geriatrics and General Internal Medicine and a former clinical vice president of the RCP and past-president of the British Geriatrics Society having also been its honorary secretary.  David is a visiting fellow at the King's Fund, alongside his clinical job as an NHS consultant in geriatrics and general internal medicine at the Royal Berkshire NHS Foundation Trust, where he was also lead clinician and clinical director.  He has been a trustee of the Nuffield Trust since 2019. A hospital doctor since 1989, David was a consultant and clinical director at South London NHS Trust from 1998 to 2004 and was the Department of Health national clinical director for older people from 2009 to 2013. He spent 3 years as specialist clinical adviser for the NHS Emergency Care Improvement Partnership, visiting and working with over 30 acute hospitals and healthcare systems. David has written a weekly freelance column, ‘Acute perspective' in the BMJ, which has been shortlisted for the 2017 PPA columnist of the year award. He has written for several other professional and general publications, and has published more than 120 research papers, reviews, book chapters and editorials.In addition to his medical qualifications and research doctorate, David has master's degrees in health leadership, healthcare ethics and law, and postgraduate diplomas in health service management and medical education. He was recently named in the Health Service Journal's top 100 clinical leaders and top 50 integrated care leaders lists. You can find him at https://twitter.com/mancunianmedic and at https://www.nuffieldtrust.org.uk/person/professor-david-oliver.Resources that are mentionedhttps://www.kingsfund.org.uk/publications/rise-and-decline-nhs-in-england-2000-20https://www.instituteforgovernment.org.uk/publication/nhs-crisis

DrBeen#59 Why Are Cancers Increasing in Young Adults? Cancers are increasing at an alarming rate, especially in young adults. Let's review the statistics of the increase and possible contributing factors. DrBeen: Medical Education Online ⁠https://www.drbeen.com/⁠ FLCCC | Front Line COVID-19 Critical Care Alliance ⁠https://covid19criticalcare.com/⁠ URL list from Thursday, June 15, 2023 Colon Cancer In Younger Adults: What to Know About Symptoms and Screening - The New York Times ⁠https://www.nytimes.com/2023/03/20/well/colon-colorectal-cancer-symptoms-screening.html⁠ Colon cancer is rising in younger adults. Know the signs and protect yourself : Shots - Health News : NPR ⁠https://www.npr.org/sections/health-shots/2023/03/20/1163697875/colon-cancer-signs-screening-young-adult⁠ Colorectal cancer keeps rising among younger adults. No one's sure why | CBC News ⁠https://www.cbc.ca/news/health/colorectal-cancer-keeps-rising-among-younger-adults-no-one-s-sure-why-1.6772096⁠ Colorectal Cancer: What Millennials and Gen Zers Need to Know > News > Yale Medicine ⁠https://www.yalemedicine.org/news/colorectal-cancer-in-young-people⁠ Colon cancer is rising among young adults. Here are signs to watch for. ⁠https://www.nationalgeographic.com/science/article/colon-cancer-increasing-young-adults-symptoms⁠ Cancer rates are climbing among young people. It's not clear why. | The Hill ⁠https://thehill.com/policy/healthcare/4041032-cancer-rates-are-climbing-among-young-people-its-not-clear-why/⁠ Is early-onset cancer an emerging global epidemic? Current evidence and future implications | Nature Reviews Clinical Oncology ⁠https://www.nature.com/articles/s41571-022-00672-8⁠ Cancer survival rates | Nuffield Trust ⁠https://www.nuffieldtrust.org.uk/resource/cancer-survival-rates⁠ Cancer - Our World in Data ⁠https://ourworldindata.org/cancer#cancer-prevalence-by-age⁠ USCS Data Visualizations - CDC ⁠https://gis.cdc.gov/Cancer/USCS/#/Trends/⁠ Cancer mystery as cases rise among younger people around the world | New Scientist ⁠https://www.newscientist.com/article/2366565-cancer-mystery-as-cases-rise-among-younger-people-around-the-world/⁠ Why Are Colorectal Cancer Rates Rising Among Younger Adults? < Yale School of Medicine ⁠https://medicine.yale.edu/news-article/with-colorectal-cancer-rates-rising-among-younger-adults-a-yale-cancer-center-expert-explains-there-may-be-more-factors-behind-this-worrisome-trend/⁠ Why Cancer Rates Are Rising in People Under 50 ⁠https://www.cancercenter.com/community/blog/2023/01/why-are-cancer-rates-rising-in-adults-under-50#:~:text=Some%20of%20the%20causes%20behind,Eating%20a%20Western%20diet⁠ Why Is Cancer on the Rise in People Under 50? | University Hospitals ⁠https://www.uhhospitals.org/blog/articles/2022/10/why-is-cancer-on-the-rise-in-people-under-50⁠ Dramatic Increase in Cancer Among Those Under 50 ⁠https://www.health.com/news/cancer-under-50-rising-globally⁠ Researchers report dramatic rise in cancer in people under 50 – Harvard Gazette ⁠https://news.harvard.edu/gazette/story/2022/09/researchers-report-dramatic-rise-in-early-onset-cancers/⁠ Disclaimer: This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only. Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.

This week HSJ is joined by Nigel Edwards, chief executive of the Nuffield Trust, and Richard Murray, chief executive of the King's Fund, who are both nearing the end of long stints at the think tanks.   Two of the most influential voices on health policy and leadership, the pair reflect on what has gone right and wrong over the last three decades, and why history keeps repeating itself.   They spoke to Annabelle Collins and Lawrence Dunhill.

Please note this episode contains discussion of traumatic births and infant mortality that some listeners may find upsetting. This week we are continuing the exploration of pregnancy and birth in the justice system. In our last episode Edwina spoke with Dr Laura Abbott, a registered midwife and Associate Professor in Research at The University of Hertfordshire, who has extensively researched women's experiences of pregnancy in criminal justice settings. In this episode we'll be delving deeper into more of the data around pregnancy in prison, and learning about the lived experience of those who have been pregnant in prison. Suzy* is a trustee and Lived Experience Team member of Birth Companions, a women's charity dedicated to tackling inequalities and disadvantage during pregnancy, birth and early motherhood. Suzy has lived experience of pregnancy in prison, and works with Dr Laura Abbott's on the Lost Mothers Project, a pioneering study exploring how women and professionals involved with the justice system, experience enforced separation of newborn babies. In the episode, Suzy shares more about her experience of pregnancy in prison, and explains why prison can never be a safe place for pregnant women and babies. We'll also be hearing from Dr Miranda Davies, the lead for prisoner health research at the Nuffield Trust. The work Miranda leads is the first time routine hospital data at a national level has been used to describe how often those in prison use hospital services, and for what reasons. Miranda shares more about the data they've collected on pregnant women in prison, published in their recent report ‘Inequality on the Inside'. Learn more about the work of Birth Companions: www.birthcompanions.org.uk Read the Nuffield Trust's report ‘Inequality on the inside: Using hospital data to understand the key health care issues for women in prison' *Not her real nameRead more about the One Small Thing charity here.Twitter - @OSTCharityThis podcast is created and produced by The London Podcast Company. Hosted on Acast. See acast.com/privacy for more information.

Today, women make up around half of all doctors and two-thirds of all medical students. So, has equality in health care finally been achieved?  When International Women's Day began in 1909, women were still barred from entering medical school. Today women make up a growing share of the medical workforce and students in the UK. Despite this considerable progress, research indicates that today women in health care are under-represented in leadership roles, are paid less than male colleagues on average, and still all too often encounter sexism and discrimination.  To mark International Women's Day 2023, we invited three female leaders at different stages of their careers in health care to reflect on the expectations, experiences and challenges that have shaped their professional journeys and what needs to happen to continue building a truly inclusive workforce. To discuss, our chief executive Dr Jennifer Dixon is joined by: Dame Jane Dacre, emeritus professor at UCL Medical School, chair of the Health and Social Care Select Committee's expert panel and former president of the Royal College of Physicians Dr Nikita Kanani, director of clinical integration at NHS England and deputy senior responsible officer for the NHS COVID-19 vaccination programme and a GP in south east London Dr Gabrielle Mathews, NHS Assembly Member (NHS England) and a doctor at North Middlesex University Hospital NHS Trust. Show notes World Health Organisation (2019) Gender equity in the health workforce  World Health Organisation (2019) Delivered by women, led by men: A gender equity analysis of the global health and social workforce  British Medical Association (2021) Sexism in medicine  General Medical Council (2022) The state of medical education and practice in the UK: the workforce report  Royal College of Physicians (2009) Women and medicine: the future The Nuffield Trust (2018) The gender pay gap in the English NHS  Institute for Fiscal Studies (2023) Progress of parents in NHS medical and nursing careers Dacre et al (2020) Independent review into gender pay gaps in medicine

The NHS is facing a crisis. Three years of a pandemic and even more of underfunding have seen waiting lists and ambulance delays hit record highs, while some staff strike for better pay.On the Sky News Daily with Niall Paterson, using voice notes from the frontline, NHS staff explain how they deal with the realities of providing care.Plus, Niall speaks to Helen Buckingham, Director of Strategy at the Nuffield Trust and Sally Warren, Director of Policy at the King's Fund about knock-on effects the NHS crisis has on the social care system. Producer: Soila ApparicioJunior Producer: Jada-Kai Meosa JohnPodcast Promotions Producer: David ChipakupakuEditor: Philly Beaumont

Hundreds of thousands of nurses across the UK are going on strike. The Royal College of Nursing (RCN) said the strike will affect the majority of NHS employers as nurses take action against pay levels and patient safety concerns. Patients who are already facing record waiting lists are now likely to see operations and appointments delayed or cancelled, though emergency care will continue. On the Sky News Daily, Niall Paterson hears from two nurses about day-to-day life in the NHS and Billy Palmer, from health think tank The Nuffield Trust, on why NHS frontline staff are quitting in record numbers. Plus, Sky News' Health correspondent Ashish Joshi on the government's response to the pay disputes.Editor - Philly Beaumont Podcast producer - Rosie Gillott Interviews producer – Alys Bowen Digital producer - David Chipakupaku

A conversation with Camille Oung from The Nuffield Trust

Since the very beginning of the NHS, GP surgeries have been, in effect, businesses with contracts to do the work the Health Service needs. But in recent decades, patient numbers have grown, surgeries have become larger and the services offered more varied. Many GP surgeries now employ administrative staff, nurses, physiotherapists and paramedics, as well as doctors. What's it like to be a clinician and run a small business at the same time? What are the pressures? How do you get the books to balance? And how do you attract more people to join one of the front lines of the NHS? Evan Davis and guests discuss. GUESTS Dr. John Lynch, GP Partner, Framfield House Surgery, Woodbridge Suffolk Dr. Matt Noble, GP Partner, GP@hand, Bablyon Health a 'digital first' practice Dr. Yazmin Razak, Single GP practitioner, North Kensington and Dr. Rebecca Rosen, Senior Fellow, Health Policy at the Nuffield Trust and part-time GP, South London Producers: Julie Ball and Kirsteen Knight Researcher: Louise Byrne Sound Engineers: Graham Puddifoot and Rod Farquhar Editor: Simon Watts

The GP crisis with Rebecca Rosen This week, we discuss the ongoing GP crisis, an ever-topical subject, in light of recent UK governmental changes. In early September, Thérèse Coffey laid out her plans for the NHS in the House of Commons, but, with general practice struggling so much as it is, is she proposing practical and feasible solutions, or will her initiatives be merely papering over the cracks? We're joined by Rebecca Rosen to discuss whether or not there's any real substance behind the proposed changes, how to manage patients' expectations around access to care, and how primary care practitioners might be best supported in order to help ease the strain on them. Our guest: Rebecca Rosen is a GP in South East London, and a senior fellow in Health Policy at the Nuffield Trust.

Record numbers of nurses are quitting the NHS in England, according to new data analysis by the Nuffield Trust for the BBC. More than 40,000 have left the health service in the past year. Another report published this week from NHS Providers said the squeeze on pay amid rising inflation is forcing nurses and other staff to stop contributions to their pension, skip meals and take on second jobs. Anita Rani speaks to Molly Case, a clinical specialist nurse, working in the community in South London. We talk about family WhatsApp group chats. They can be a source of great joy or great annoyance. We speak to author Nina Stibbe and Journalist Nell Frizzell who has been looking into this. Regarded as one of the greatest English-language novelists of this century, Dame Hilary Mantel was perhaps less well known for her brilliant writing on chronic illness. Throughout her life the author suffered from a severe form of endometriosis. Emma speaks to writer Sarah Perry, author of the Essex Serpent, who has had her own experience of chronic illness and Eleanor Thom, author of Private Parts, how to really live with endometriosis. Giorgia Meloni's election as the Prime Minister of Italy is just the latest victory for a woman on the right of the political spectrum. The vast majority of European women who have had true executive power come from the right, starting with Margaret Thatcher. Emma speaks to Professor Matthew Goodwin and the academic Costanza Hermanin to discuss why the Left have had fewer female leaders. 'Ladies shall we have some fun?' We speak to sex and relationship expert Oloni, who built an online community by speaking openly about sex and relationships. We discuss her new book 'The Big O'. Presenter: Anita Rani Producer: Surya Elango Editor: Emma Pearce

Throughout August we've been showcasing some of the best interviews from series one of the podcast.This week Emma talks to Dr Rebecca Rosen, a GP in London and senior fellow at health think tank the Nuffield Trust, about continuity of care, the evidence to support it and steps practices can take to embed continuity of care in the way they work. This interview was recorded in October 2021.Since this was recorded we've written quite a lot about continuity of care on GPonline. The House of Commons Health and Social Care Committee is currently running an inquiry into the future of general practice and the benefits of continuity of care and what the NHS can do to promote continuity have been one of its themes. Dr Rosen gave evidence to the committee about the work she's done in her practice.The RCGP has also stepped up efforts to promote what it calls relationship-based care and highlight its importance in general practice. The college has produced a new report looking at what's needed to help practices deliver relationship-based care and continuity (link below).This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Series 3 of Talking General Practice begins on 9 September.Useful linksRCGP work on relationship-based careGP crisis endangering continuity and quality of patient care, warns RCGP chairGP access debate must shift to emphasise quality as well as speed, warns RCGPImproving access and continuity in general practice - a 2018 Nuffield Trust report Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.

The National Health Service faces what's described as the “greatest workforce crisis” in its history due to severe levels of understaffing.A report by the cross-party Health and Social Care Committee warns poor staffing levels are creating a serious risk to patient safety.It comes as research by the Nuffield Trust shows the NHS in England is short of 12,000 hospital doctors and more than 50,000 nurses and midwives.Projections suggest an extra 475,000 jobs will be needed in the health sector and an extra 490,000 jobs in social care by the early part of the next decade.So what's causing the crisis? Pay concerns, Covid, Brexit, workplace sexism and bullying are all being mentioned as contributing factors.As patient waiting lists stretch over the horizon, what can be done to solve this workforce crisis - and what will happen if it's not fixed?We're joined by Alan Lofthouse, a former paramedic and now a Unison union national officer, who reveals how emergency crews report ambulance waiting times outside hospitals of up to 20 hours.The Leader also discusses the points made in the Health and Social Care Committee report, the impact of staff shortages on morale and whether the Conservative rivals battling for leadership have a good offer to improve the NHS. See acast.com/privacy for privacy and opt-out information.

The covid-19 pandemic has stretched healthcare staff like never before. As part of the 2022 Nuffield Trust summit, The BMJ hosted a roundtable discussion looking at why workers leave the NHS and how staff wellbeing and retention can be improved. Joining us to discuss are: Kamran Abbasi, editor in chief, The BMJ Billy Palmer, senior fellow, Nuffield Trust Lucina Rolewicz, researcher, Nuffield Trust Mark Britnell, global healthcare expert and senior partner, KPMG International Neil Greenburg, consultant occupational and forensic psychiatrist, King's College London's centre for military health research Rose Penfold, National Institute for Clinical Research academic clinical fellow in geriatrics Rammya Mathew, GP and quality improvement lead for Islington GP Federation Partha Kar, diabetes consultant and NHS England's national advisor for diabetes Danny Mortimer, chief executive of NHS Employers The Nuffield Trust report, "The Long Goodbye" which was discussed in this roundtable is available here - https://www.nuffieldtrust.org.uk/resource/the-long-goodbye-exploring-rates-of-staff-leaving-the-nhs-and-social-care

The health service is clearly in a jam in the wake of covid - so why have Sajid Javid's plans for ‘a year of reform' antagonised some managers, GPs and other staff?' We get into some of the challenges faced by the health secretary, how to balance ambition with NHS recovery and why the NHS doesn't want to go back to how things were before covid hit. This week Annabelle and Dave are joined by Helen Buckingham, director of strategy at the Nuffield Trust, Richard Sloggett, programme director of the Future Health Research Centre.

In this episode the team talks about the latest GP appointment data and what it tells us about exactly how hard general practice is working. They ask, is the government starting to recognise the important role general practice plays? And they take a look at new government legislation around pay transparency in general practice.In our interview this week Emma speaks to Dr Rebecca Rosen, a GP in London and senior fellow at health think tank the Nuffield Trust, about continuity care. We discuss what GPs and their teams can do if they want to increase levels of continuity of care in their practice.And finally our regular good news spot looks at a social media campaign where patients showed their support for their GP.This episode is presented by GPonline editor Emma Bower who is joined by our news editor Nick Bostock and senior reporter Luke Haynes. It was produced by Czarina Deen.Useful linksContinuity of care toolkit and resources from the RCGPHuge drop in DNAs post-pandemic adds millions of appointments to GP workloadGPs 'singled out' as pay transparency rules threaten fresh wave of abusePatients show support for GPs through #ThanksToMyGP social media campaignBMA polls GPs over withdrawing work or quitting NHS amid mounting abuse See acast.com/privacy for privacy and opt-out information.

For decades, social care has been in need of reform.Last week, the Prime Minister announced an extra tax to fund social care in England, and help the NHS recover after the pandemic, and changes to the way the social care system works.In this episode, featuring Natasha Curry, Deputy Director of Policy at the Nuffield Trust, and Ben Zaranko, IFS economist, we dig into the new announcement, what it means, whether it will work and how it will affect people's care.Support the IFS: https://www.ifs.org.uk/about/membership/individual See acast.com/privacy for privacy and opt-out information.

One year ago Table Talk Podcast host Stefan Gates sat down with members of the food industry and the UK government to hear about the new strategy that was intended to tackle a growing obesity epidemic in the country. One year on, what impact have the measures had, what will be adapted for the future, and is the strategy working? Joining us to dissect the benefits of the UK obesity strategy, and to find out what further changes will be needed if we're to become a healthier country in the future, are Dr. Jennifer Dixon, CEO, Health Foundation and Anna Tayler, Executive Director, Food Foundation. Join us for a fascinating and lively discussion to see where we're going wrong in our efforts to improve our health and wellbeing. About our guests Dr Jennifer Dixon, CEO, Health Foundation Dr Jennifer Dixon joined the Health Foundation as Chief Executive in October 2013. Jennifer was Chief Executive of the Nuffield Trust from 2008 to 2013. Prior to this, she was Director of Policy at The King's Fund and was the policy advisor to the Chief Executive of the National Health Service between 1998 and 2000. Jennifer has undertaken research and written widely on health care reform both in the UK and internationally. Originally trained in medicine, Jennifer practised mainly paediatric medicine, prior to a career in policy analysis. She has a Master's in public health and a PhD in health services research from the London School of Hygiene and Tropical Medicine. In 1990– 91, Jennifer was a Harkness Fellow in New York. Jennifer has served as a Board member on several national regulatory bodies: the Health Care Commission 2004–2009; the Audit Commission 2003–2012; and the Care Quality Commission 2013–2016. She has led two national inquiries for government: on the setting up of published ratings of quality of NHS and social care providers in England (2013); and on the setting up of ratings for general practices (2015). She was also a member of the Parliamentary Review Panel for the Welsh Assembly Government advising on the future strategy for the NHS and social care in Wales (2017–2018). In 2009, Jennifer was elected a fellow of the Royal College of Physicians, and in 2019 was elected as a fellow of the Academy of Medical Sciences. She was awarded a CBE for services to public health in 2013, and a Doctor of Science from Bristol University in 2016. She has held visiting professorships at the London School of Hygiene & Tropical Medicine, the London School of Economics, and Imperial College Business School. Anna Taylor, Executive Director, Food Foundation Anna joined the Food Foundation as its first Executive Director at the beginning of June 2015 after 5 years at the Department for International Development. At DFID Anna led the policy team on nutrition and supported the delivery of the UK's global commitments to tackle undernutrition. Before joining DFID Anna worked for a number of international organisations including Save the Children and UNICEF and has been at the forefront of international leadership on nutrition for several years and supporting programmes in a wide range of contexts in Africa and South Asia. Anna has also worked for the UK Department of Health. In 2014 she was awarded an OBE for her work to address the global burden of undernutrition. She did a MSc in Human Nutrition at the London School of Hygiene and Tropical Medicine in 1994. In May 2017 Anna became a member of the London Food Board to advise the Mayor of London and the GLA on the food matters that affect Londoners. She is a Board member for the Emergency Nutrition Network, the International Food Policy Research Institute based in Washington DC, Veg Power and Biteback 2030. She is currently serving as Chief Independent Adviser to Henry Dimbleby for the development of the National Food Strategy.

Ageing populations, rising care costs and COVID-19 have placed significant strain on an already struggling social care sector. Since assuming office in 2019, the Prime Minister has repeatedly promised to present a comprehensive plan to reform social care, the latest in a long line of governments to promise to tackle the issue.So, how should we think about reforming social care? How should we pay for it? And what can we learn from other countries?This week Paul speaks with Andrew Dilnot, Warden of Nuffield College Oxford and author of the Dilnot Report on Social Care, set up under David Cameron's coalition government, and Natasha Curry, Deputy Director of Policy at the Nuffield Trust and expert on social care.Support the IFS: https://www.ifs.org.uk/about/membership/individual See acast.com/privacy for privacy and opt-out information.

Matt Chorley asks what's next for Hancock, Sajid Javid and the Department of Health. He speaks to The Times' Political Editor Steven Swinford, former Political Advisor at the Department of Health, Paul Harrison and Salma Shah, former advisor to Sajid Javid. And, he talks to two health think-tanks, Nigel Edwards, the Chief Executive at the Nuffield Trust and Helen Mckenna, a senior fellow at the King's Fund, to find out what would be on their policy wish-list.PLUS Matt Chorley dives into Monday's news with Political Columnist Rachel Sylvester and Libby Purves on the camera that caught Matt Hancock in action and a new Tips Bill that will force hospitality businesses to hand over all tips to their staff. See acast.com/privacy for privacy and opt-out information.

This round table, recorded at the nuffield summit 2021, asks what does following the science actually mean - do ministers understand the nuance of the science in the pandemic, and how does uncertainty get interpreted through the lens of ideology and the power of compelling stories. Taking part are: Kamran Abassi, executive editor of The BMJ Partha Kar, consultant in diabetes and endocrinology Deborah Cohen, health correspondent for BBC Newsnight Tom Sasse, associate director at the Institute for Government Christina Pagel, professor of Operational Research at University College London Matt Morgan, intensive care consultant Andy McKeon, chair of the Nuffield Trust Isobel Hardman, assistant editor of The Spectator Mary Dixon-Woods, director of This Institute Ben Page, chief executive of Ipsos MORI Alexandra Freeman, executive director of the Winton Centre for Risk & Evidence Communication Will Moy, chief executive of Full Fact Nigel Edwards, chief executive of the Nuffield Trust

To mark one year of the Health Check podcast we’re joined by special guest Nigel Edwards, chief executive of the Nuffield Trust, who shares his expert insight on the biggest operational, cultural and strategic changes the NHS has gone through during the pandemic. We discuss whether mutual aid and breaking down professional barriers are here to stay and how the growing cancer waiting lists could take the shine off the NHS for the public. Featuring Ben Clover, Annabelle Collins and James Illman.

Teaser: How much should we spend on people with frailty versus people with mental health problems? Unless we can answer questions like this, we cannot have high value universal healthcare. Alain Enthoven, is mistakenly blamed for suggesting to Margaret Thatcher that the NHS should introduce the purchaser provider split- actually his Nuffield Trust paper advocated the development of accountable care organisations. However, this book is about the work he and colleagues did on creating programme budgets in the Department of Defense (sic) in the US. Originally published in 1971 this is a book of enduring value and lasting relevance. Enthoven details the application, history, and controversies surrounding the Planning, Programming, and Budgeting System.

The pandemic will impact the way healthcare is delivered for years to come. At the same time as preparing for a possible second wave, the NHS also has to work its way through a backlog of delayed appointments and treatments. Waiting lists could top 10 million people this year.David Aaronvicth asks the experts what Covid-19 has done to healthcare in the UK and how can it recover:Journalist Chris Cook specialises in the public sector and is an editor and partner at Tortoise Media Rachel Schraer is a health reporter for BBC News Dr Jennifer Dixon is the chief executive of the Health Foundation Professor Carol Propper is a health economist at Imperial College London and President of The Royal Economics Society Nigel Edwards is chief executive of the Nuffield Trust an independent health think tank.Producers: Kirsteen Knight, Beth Sagar Fenton, Joe Kent Studio manager: Neva Missirian Editor: Jasper Corbett.

On this podcast, Professor Naomi Chambers discuses her observations of NHS leadership behaviours during COVID-19. Naomi's wide range of teaching, advisory and research interests include healthcare leadership, organisation culture, diversity and inclusion, board governance, clinicians in management, health care commissioning, health policy and management in Europe, primary care, patient and public involvement, emergency planning, e-health and clinical costing. Her publications and media profile reflect this breadth of interests. Naomi is currently co-director of Leadership & Management in the Higher Specialist Healthcare Scientist Training (HSST) Programme. Previous teaching roles have included programme director for the Nye Bevan executive programme for aspiring NHS board directors, university lead for NHS Leadership Academy programmes, and Director of Executive Education. Outward facing roles have included President of the European Health Management Association and vice chair of NHS North Staffordshire Clinical Commissioning Group. Two recent research projects have involved leading a team investigating changes in board level leadership in hospitals in England following the publication of the Francis Report into the failings at the Mid Staffordshire NHS Hospital Foundation Trust (completed 2018) and the evaluation of the content, applications and impacts of the NHS well-led framework on behalf of CQC and NHSI (completed 2020). Current projects include research for a book on organising care round patients to be published by Manchester University Press, a study on long serving NHS CEOs on what makes them tick and what keeps them going, and women's experiences of urogynaecology services. Drawing from her research, teaching and advisory experience, Naomi has an ongoing working relationship with a number of NHS boards and senior leadership teams supporting them to develop to meet the challenges of today's and tomorrow's health and care systems. She is also in close collaborative contact with colleagues working in national regulatory and oversight bodies, and with independent policy organisations such as the Kings Fund, Nuffield Trust and Health Foundation. Forthcoming and recent publications: Chambers N & Taylor J (2021:forthcoming) Organising Care Round Patients Manchester University Press Sheaff R, Morando V, Chambers N, Exworthy M, Mahon A, Byng R, Mannion R ( 2020) Managerial workarounds in three European DRG systems Journal of Health Organization and Management https://doi.org/10.1108/JHOM-10-2019-0295 Snelling I, Benson L, Chambers N (2019) How trainee hospital doctors lead work-based projects Leadership in Health Services 33 (1) 85-100 DOI: 10.1108/LHS-12-2018-0064 Chambers N, Smith J, Proudlove N, Thorlby R, Kendrick H, Mannion R (2019) Roles and behaviours of diligent and dynamic healthcare boards Health Services Management Research . https://doi.org/10.1177/0951484819887507. Chambers N and Exworthy M (2019) How to survive as an NHS chief executive Health Service Journal 17 June https://www.hsj.co.uk/leadership/how-to-survive-as-an-nhs-chief-executive/7025324.article#commentsJump Smith J and Chambers N (2019) Mid Staffordshire: A case study of failed governance and leadership? Political Quarterly 14 June 2019 https://doi.org/10.1111/1467-923X.12698 Hosted by Jim Pendrill, AMBS' Research Communications Lead.

Dom Under Siege, Day Five: Has the Prime Minister's incomprehensibly immovable Rasputin done enough to save his skin? And is a 60-mile car trip really the best way to test your eyesight? Plus guest John Appleby of health think tank the Nuffield Trust joins us to scope out how the NHS will change after COVID lifts. And why does the Government's “Cultural Renewal Taskforce” contain no-one from the music, books, museum, heritage or fashion industries? Ahir Shah and Ros Taylor join Andrew Harrison for this week's full-length BUNKER.“This is not going away as long as you know what a Zoom funeral is.” – Ahir Shah“This won't be what breaks the Johnson Government. But the doubts have now been sown.” – Ros Taylor“In terms of lockdown, anyone can cite the Cummings Caveat now.” – John ApplebyProduced and presented by Andrew Harrison with Naomi Smith and Alex Andreou. Script and assistant production by Jacob Archbold. Music by Kenny Dickenson. Logo and artwork by Mark Taylor. Audio production by Alex Rees. THE BUNKER is a Podmasters production. See acast.com/privacy for privacy and opt-out information.

Nigel Edwards, Chief Executive of the health think tank the Nuffield Trust, joins Dr Margaret McCartney for this special programme about the challenges of remote and rural healthcare. Margaret travels by boat from Mallaig to the Hebridean islands of Eigg, Muck, Rum and Canna off the north west coast of Scotland where, after 100 years the islanders lost their resident doctor. When it was clear there wouldn't be a replacement, the islanders and NHS Highland instead opted for a radical new healthcare model. Taking inspiration from indigenous tribes in Alaska, the NUKA model has been adapted for the Small Isles and it is very different, with a high level of community engagement. The idea is that local people own their own healthcare rather than having healthcare delivered to them, as passive recipients. Local people are trained up in first aid and become salaried Rural Health and Social Care Workers. They are the eyes and ears of healthcare professionals. Volunteers also act as First Responders coordinating helicopter and lifeboat rescues in emergencies. Dr Margaret McCartney joins GP Dr Geoff Boyes on his weekly visit to Eigg and discovers how the community has adapted to this new way of delivering care. She hears from Gill McVicar, former NHS Highland Director of Transformation and Camille Dressler, chair of the Small Isles Community Council, about how the reorganisation was managed; from Julie McFadzean about the new health and rural health and social care worker role; from Sheena Kean, the Eigg healthcare practice manager who makes sure everything runs smoothly and to Eigg residents about how they think their new healthcare model is working. Producer: Fiona Hill Credit Photo of Margaret McCartney: Paul Clarke

LibDem president Sal Brinton admits the party support has been squeezed since the Brexit Party stopped competing in Tory seats. But she tells Bloomberg Westminster's Sebastian Salek and Roger Hearing there will be no change in strategy. Sinn Fein's Michelle Gildernew says they are ready to restore the Stormont Assembly with the DUP. And in our NHS special, focusing on the top election issue for U.K. voters, Nuffield Trust policy analyst Mark Dayan joins to scrutinise the health promises in the manifestos. (Corrects an earlier version with Michelle Gildernew's characterisation of restoring the Stormont Assembly in third sentence.))

A UK general election has been called - polling day is on the 12th of December, and from now until then we're going to be bringing you a weekly election-themed podcast. We want to help you make sense of the promises and pledges, claims and counter-claims, that are being made around healthcare and the NHS out on the campaign trail. This week has seen pledges about GP numbers, so we're focussing on primary care - and are joined by two GPs, Clare Gerada, co chair of the NHS Assembly, and former chair of the Royal College of GPs, and Rebecca Rosen, who is also a senior fellow at the Nuffield Trust. Reading list: Health, wellbeing, and care should be top of everyone's political agenda https://www.bmj.com/content/367/bmj.l6503 Labour pledges to outspend Conservatives on health with £26bn NHS “rescue plan” https://www.bmj.com/content/367/bmj.l6537 Tories promise 6000 extra GPs by 2024 https://www.bmj.com/content/367/bmj.l6463 Is the number of GPs falling across the UK? https://www.nuffieldtrust.org.uk/news-item/is-the-number-of-gps-falling-across-the-uk

What happens when you’re treating a patient, and they say something offensive - do you have a duty to continue treating them? Is it OK to walk away? And whatever you choose, will there be consequences on your colleagues or your organisation? Join medical students Laura and Ryhan, newly qualified doctor Chidera, and Nadeem Moghul, nephrologist and Senior Clinical Fellow at The Nuffield Trust - who changed the way in which his hospital dealt with a racist patient. Tell us what you think about the episode and your ideas for topics to cover later in the series by leaving a review or by using #SharpScratch on Facebook, Twitter or Instagram. For more on the podcast, including how to follow Laura, Ryhan, and Chidera on social media, visit www.bmj.com/sharpscratch

More doctors are choosing to retire early, doctors who take career breaks find it hard to return to practice, and doctors at all stages of their careers are frustrated by the lack of support given to training and development in today's NHS. Each year the BMJ holds a roundtable discussion at the Nuffield Summit - where health leaders come together to talk about the NHS. We wanted to know what more the NHS can do to provide fulfilling careers for staff and to improve support for doctors who want to keep working and those seeking to return to practice. Taking part in the discussion were: Tom Moberly - UK editor for The BMJ Rahkee Shah - paediatric registrar Ronny Cheung - consultant general paedatrician Claire Lemer - consultant paediatrician Candace Imison - Director of Workforce Strategy at the Nuffield Trust James Morrow - GP partner

New Zealand has the highest death rate for teenagers and young people among 19 of the world's developed, wealthy countries.It also ranks poorly in terms of adolescent suicide, pregnancies and deaths related to cancer and respiratory illness, according to British healthcare think tank Nuffield Trust.Neuroscience educator Nathan Wallis told Kerre McIvor that these results are concerning. "We've got this idea that New Zealand is this wonderful, clean, green, beautiful nation that is a wonderful place to raise children, so this paints a different picture."New Zealand had by far the highest mortality rate for people aged 10 to 24 years - around 35 deaths per 100,000 people.This was driven by its relatively high youth suicide rate and youth road toll. In these areas, New Zealand ranked near or at the bottom of the rankings at nearly every level - early teens, late teens and over-20s.Wallis said a number of issues are to blame for the shocking statistics and that it won't just be one thing.He said one of the challenges facing New Zealand is our childcare, which has moved away from a focus on 'free play' and resiliance. "In the last fifteen years, we've wanted to teach our three, four, five-year-olds literacy and numeracy instead of doing the free play that would build up resilience, so I think that's one factor."Wallis also said that research shows that having a parent at home during the first year of life has also eroded away.“You're essentially data-gathering in the first thousand days of life. The best way to maximise that potential is to have an at-home parent.”He adds that the exam system needs to be re-examined, as weekly assessments put New Zealand students in a constant state of anxiety.Young Māori men are over-represented in these statistics, which Wallis puts down to racism and ignorance.“A lot of the reason we have such a negative rate is because we are still quite a racist country, and it's quite hard to be Māori and have high self-esteem in this country."We don't teach Te Reo at schools. We don't learn about New Zealand history. There's a prevailing view in the country that Maori are inferior."The study's broad definition of adolescence - 10 to 24 years - is based on scientific evidence that humans' brains are not fully mature until at least 24."It is quite distressing on the health front," said Associate Professor Joe Boden, who works on the 30-year-old Christchurch Health and Development Study. "This is where you are developing life habits, essentially," said Boden. "Diet, exercise - these things get established during this period."So it's really important that you're able to find ways to help kids through this in a healthy manner. And comparing ourselves internationally, we're not doing very well."The British study creates a different picture of adolescence in New Zealand to various longitudinal studies, which broadly show that young people are thriving."The majority of kids do have some problems here and there, but they generally grow up pretty healthy and happy and they're well-educated," said Boden."So it doesn't shake my belief that New Zealand is a good place to grow up. But in terms of rare events or severe outcomes, we're not doing particularly well in those areas as you can see from general mortality, years of life lost, and smoking and obesity."New Zealand fared better in some areas, in particular the number of youth not in employment or training (NEET), and diabetes rates, where it placed in the middle of the pack.Out of all the indicators in the report, suicide was possibly the most concerning. While most indicators were trending downwards, the youth suicide rate in New Zealand had been steady for 12 years.The Government hopes to address this through its Mental Health Inquiry, which is specifically looking at the existing work on suicide prevention.A separate study, released today by the Children's Commissioner and Oranga Tamariki, found that most Ne...

Helen Parker, Director of Strategic Development, Pinnacle Ventures, New Zealand. Helen Parker's UK clinical, managerial and academic career in health care spanned 30 years. After a career in district nursing and practice nursing, Helen spent some years developing and managing NHS integrated community services as a Director on Primary Care Trusts. She was also a member of the Department of Health Transforming Community Services Board. From 2005-2009 Helen was a Senior Fellow and the Co-Director of the Health Services Management Centre, University of Birmingham focusing on evaluation and research of primary care and integrated care models across developed health systems. Before moving to New Zealand late 2013, Helen was involved in the early design and implementation of Super Partnerships, new models of care and ownership models for general practice and was a senior fellow with the health think tank The Nuffield Trust, UK. Since joining Pinnacle Helen has been leading the strategic development, implementation and evaluation of the Health Care Home and working on Health Care Home #2 innovations. Alongside her registered nurse qualification Helen has a BSc in Community Health, a Masters degree in Primary Care Policy and Management and is a qualified executive coach.

Date: June 23, 2011 Featuring: Catherine Craig, LMSW, MPA, Director of Health Integration – National Programs, Common Ground Maria Raven, MD, MPH, MSc, Assistant Professor of Emergency Medicine, New York University School of Medicine Geraint Lewis, MA, MSc, FRCP, FFPH, Public Health Physician and Senior Fellow, The Nuffield Trust, UK There isn’t a health care provider anywhere in the US who hasn’t witnessed the disconnect between a patient with multiple health and social needs and the systems available to help that individual. The gap between what’s needed and what’s available (and what’s paid for) is often staggering. Stories abound of doctors and nurses and social workers painstakingly trying to patch together services that might function as an alternative to the hospital’s emergency department, get a prescription filled, get someone a hot meal… and on it goes. There are communities in the US and other countries that have worked for years to do things better but, wherever you go, patients with multiple illnesses combined with a lot of instability in their lives present challenges far beyond the capability and current design of most health care systems.Nothing like a challenge! WIHI has been tracking some timely work and research that goes by such exotic names as “predictive modeling” and “virtual wards” — or is as basic as care coordination and supportive housing. WIHI host Madge Kaplan talks with key experts leading the way in these areas to discuss new ways to work with patients to address underlying needs and manage chronic health problems that lessen dependence on expensive health care services. The good news is that wherever new models are being tried, they’re making a real, tangible difference.Related information to this WIHI program includes a new IHI white paper on innovations in care coordination, co-authored by Catherine Craig, and Atul Gawande’s article, “The Hot Spotters," from the January 2011 New Yorker.

What needs to be done to improve the NHS? Norman Lamb, Liberal Democrat Health Spokesperson, discussed the Dementia Tax, tuition fees, 2010 coalition agreement and Tinchy Stryder. Dr Adam Dalby, a junior doctor in respiratory medicine at Hull Royal Infirmary talked about his experiences. Dr Youssef El-Gingihy, GP and author of How to dismantle the NHS in 10 easy steps; Kate Andrews, News Editor at the Institute of Economic Affairs and Charlie Smith, Mental Health Campaigner discussed what needs to be done to improve the NHS. Mark Dayan, Policy and Public Affairs Analyst from the Nuffield Trust, joined Asa to talk about the NHS being at a breaking point.

What needs to be done to improve the NHS? Norman Lamb, Liberal Democrat Health Spokesperson, discussed the Dementia Tax, tuition fees, 2010 coalition agreement and Tinchy Stryder. Dr Adam Dalby, a junior doctor in respiratory medicine at Hull Royal Infirmary talked about his experiences. Dr Youssef El-Gingihy, GP and author of How to dismantle the NHS in 10 easy steps; Kate Andrews, News Editor at the Institute of Economic Affairs and Charlie Smith, Mental Health Campaigner discussed what needs to be done to improve the NHS. Mark Dayan, Policy and Public Affairs Analyst from the Nuffield Trust, joined Asa to talk about the NHS being at a breaking point.

What needs to be done to improve the NHS? Norman Lamb, Liberal Democrat Health Spokesperson, discussed the Dementia Tax, tuition fees, 2010 coalition agreement and Tinchy Stryder. Dr Adam Dalby, a junior doctor in respiratory medicine at Hull Royal Infirmary talked about his experiences. Dr Youssef El-Gingihy, GP and author of How to dismantle the NHS in 10 easy steps; Kate Andrews, News Editor at the Institute of Economic Affairs and Charlie Smith, Mental Health Campaigner discussed what needs to be done to improve the NHS. Mark Dayan, Policy and Public Affairs Analyst from the Nuffield Trust, joined Asa to talk about the NHS being at a breaking point.

What needs to be done to improve the NHS? Norman Lamb, Liberal Democrat Health Spokesperson, discussed the Dementia Tax, tuition fees, 2010 coalition agreement and Tinchy Stryder. Dr Adam Dalby, a junior doctor in respiratory medicine at Hull Royal Infirmary talked about his experiences. Dr Youssef El-Gingihy, GP and author of How to dismantle the NHS in 10 easy steps; Kate Andrews, News Editor at the Institute of Economic Affairs and Charlie Smith, Mental Health Campaigner discussed what needs to be done to improve the NHS. Mark Dayan, Policy and Public Affairs Analyst from the Nuffield Trust, joined Asa to talk about the NHS being at a breaking point.

What are the changes needed now to ensure the NHS is sustainable in the future?The NHS is facing one of the biggest crises in its history. With an ageing population, the increasing cost of drugs and treatments, and lack of funding for social care, the service is under more pressure than ever and the cracks are already starting to show. So will the system be able to cope in future as the UK's population gets older - and can the NHS survive?David Aaronovitch hears from expert witnesses including Dame Julie Moore, Chief Executive of University Hospital Birmingham NHS Foundation Trust and John Appleby, Chief Economist at the Nuffield Trust. Producer: China Collins.

As the NHS strains under pressure from rising patient activity, an ageing population, and financial constraints, The BMJ hosted a discussion on how clinicians should be helping to manage demand at last week's Nuffield Trust health policy summit. Taking part are: - Eileen Burns, president of the British Geriatrics Society - Andrew Fernando, GP and medical director of North Hampshire Urgent Care - Candace Imison, director of policy at the Nuffield Trust - Martin Marshall, vice chair of the Royal College of General Practitioners - Amanda Philpott, chief officer of two clinical commissioning groups - Maxine Power, director of innovation and improvement science at Salford Royal NHS Foundation Trust - Jeremy Taylor, chief executive of the charities' coalition National Voices - Judith Smith, director of the Health Services Management Centre - Ashok Soni, chair of NHS England's local professional network for pharmacy in London Listen to all of our other Nuffield Summit Roundtables: http://www.bmj.com/nuffieldsummit

Dr. Richard Bohmer is from the Nuffield Trust in London. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. R.M.J. Bohmer. The Hard Work of Health Care Transformation. N Engl J Med 2016;375:709-11.

Gareth Iacobucci talks to Candace Imison, director of policy at The Nuffield Trust, about the problems facing GPs, and how primary care could be changed. "5 minutes with... Candace Imison": http://www.bmj.com/content/352/bmj.i1378

As the junior doctors in England strike, concerns for the workforce are foremost in the minds of those running the NHS. A summary is available here: http://www.bmj.com/content/352/bmj.i1510 In The BMJ roundtable, recorded at the Nuffield Trust Health Policy Summit on Friday 4 March 2016, we asked our participants if they think the NHS is in crisis, and what they think can be done to help those working across the system. The participants were Clifford Mann, president of the Royal College of Emergency Medicine, Samantha Barrell, chief executive at Taunton and Somerset NHS Foundation Trust, Candace Imison, director of policy at the Nuffield Trust, Richard Jones, consultant cardiologist, Saira Ghafur, specialist registrar, Neena Modi, president of the Royal College of Paediatrics and Child Health, Claire Lemer, consultant in general paediatrics, Ben Mearns , chief of medicine at Surrey & Sussex Healthcare NHS Trust, Sarah Pickup, deputy chief executive at the Local Government Association, and Jeremy Taylor, chief executive of National Voices.

Kirsty Young's castaway is Professor Dame Carol Black.She is Principal of Newnham College, Cambridge, and is a special adviser to the Department of Health and Public Health England. She is also Chair of the Board of the Nuffield Trust, the health policy think tank.She read History at Bristol University before beginning her medical career with encouragement from Dame Cecily Saunders, the founder of the hospice movement. She was Head of Rheumatology at London's Royal Free Hospital from 1989-1994, and was Medical Director of the hospital between 1995 and 2002. She's an international expert on scleroderma, a skin and tissue auto-immune disease, and is the second woman to become President of the Royal College of Physicians.She was made a Dame in 2005 for her services to Medicine.Producer: Cathy Drysdale.

Kirsty Young's castaway is Professor Dame Carol Black. She is Principal of Newnham College, Cambridge, and is a special adviser to the Department of Health and Public Health England. She is also Chair of the Board of the Nuffield Trust, the health policy think tank. She read History at Bristol University before beginning her medical career with encouragement from Dame Cecily Saunders, the founder of the hospice movement. She was Head of Rheumatology at London's Royal Free Hospital from 1989-1994, and was Medical Director of the hospital between 1995 and 2002. She's an international expert on scleroderma, a skin and tissue auto-immune disease, and is the second woman to become President of the Royal College of Physicians. She was made a Dame in 2005 for her services to Medicine. Producer: Cathy Drysdale.

The BMJ held a breakfast roundtable at the annual health policy summit held by the Nuffield Trust think tank to explore some of the key policy discussions that took place during the ​proceeding day. These included NHS England chief executive Simon Stevens' five year plan, whether politics can be removed from the NHS, and what the creation of a central unit to coordinate care for Manchester means for the rest of the ​NHS in England. Chaired by Fiona Godlee, editor in chief of The BMJ, the particpants were: Richard Jones - Clinical director of the Wessex Cardiovascular Strategic Clinical Network Suzie Bailey - Development director at health service regulator Monitor Jonathan Michael​ - ​chief executive of Oxford University Hospital NHS Trust Steve Field - Chief inspector of general practice for the Care Quality Commission Nigel Edwards - Chief executive of The Nuffield Trust Jeremy Taylor - Chief executive of health and care charity National Voices Massoud Fouladi - Chief medical officer of Circle Partnership Rebecca Rosen - GP and clinical commissioner of Greenwich Clinical Commissioning Group, London Jennifer Dixon - Chief executive of the Health Foundation

School of Advanced Study London School of Hygiene & Tropical Medicine The NZ-UK Link Foundation Visiting Professorship lecture The current English NHS reforms: what can be learned from NZ? Chair: Professor Nicholas Mays (London School of H...

School of Advanced Study London School of Hygiene & Tropical Medicine The NZ-UK Link Foundation Visiting Professorship lecture The current English NHS reforms: what can be learned from NZ? Chair: Professor Nicholas Mays (London School of H...

An inspirational talk on leadership given by Professor Dame Carol Black to young female science students as part of the 3rd Annual OxFest Symposium 2014 - "WHY SO SLOW? Closing the gender gap in STEM". OxFEST (Oxford Females in Engineering, Science and Technology) is an Oxford University society founded in 2005. Its initial vision was to promote and support women working in engineering and scientific disciplines within the university and its associated institutes. Professor Dame Carol Black is Principal of Newnham College, Cambridge, Expert Adviser on Health and Work to the Department of Health, England, Chairman of the Nuffield Trust, and Chairman of the Governance Board of the Centre for Workforce Intelligence. In November 2011, when National Director for Health and Work, she completed as Co-Chair an independent review for the UK Government of sickness absence in Britain, to which the Government has recently responded. The Centre she established at the Royal Free Hospital in London is internationally renowned for research and treatment of connective tissue diseases such as scleroderma.

It seems the race to implement telehealth is on – the UK government's response to its Whole System Demonstrator pilot has been very positive. But has it been over-hyped? We find out from Jennifer Dixon, Director of the Nuffield Trust, which has evaluated the pilot. Also, alcohol: beneficial or detrimental? Evidence shows it depends on what aspects of health you look at. Research published on bmj.com this week adds to the picture by looking at the association between alcohol consumption and the risk of developing arthritis. Alicja Wolk, professor of nutritional epidemiology at the Karolinska Institutet, explains her study.

With the future of the Health and Social Care bill more certain, how will the health service react to the legislative changes? At this year's Nuffield Trust Health Policy Summit, the BMJ's editor Fiona Godlee hosted a round table to discuss this question. Taking part were: David Bennett, Chairman and CEO, Monitor Paul Corrigan, Management consultant, Southside Penny Dash, McKinseys Nigel Edwards, Kings Fund Clare Gerada, RCGP Gareth Goodier, CEO, Cambridge University Hospitals NHS Foundation Trust, Cambridge Alastair McLellan, Editor, Health Services Journal James Morrow, GP, Sawston, Cambridge Judith Smith, Nuffield Trust Simon Stevens, CEO, Global Health, United Health Group, USA Helen Thomas, Medical Director, Sentinel Commissioning, Plymouth For more from the summit, and to watch some of the keynote speeches, go to the Nuffield Trust site.

The BMJ held a round table in January 2013 to discuss the future of primary care in England and Wales. The wide ranging topics included out of hours care, commissioning, education, time management, and integration. This is the full version, lasting one hour and 20 minutes. Edited highlights are available in this week's podcast. Chair: Domhnall MacAuley, primary care editor, BMJ. Participants: Helen Thomas, former GP partner, and current GP Strategic Health Authority lead for the south west of England Clare Gerada, chair of the Royal College of General Practitioners. Nav Chana, postgraduate dean of GP and community based education at the London Deanery. Judith Smith, director of policy at the policy think tank, the Nuffield Trust.

Recorded at the recent Nuffield health policy summit, this round table asks how to impliment the Francis reports recommendations. Taking part were: Robert Francis, chair of The Mid Staffordshire NHS Foundation Trust Public Enquiry Simon Stevens, president of global health at the UnitedHealth Group Sam Barrell, chief clinical officer of South Devon and Torbay CCG Niall Dickson, CEO of the General Medical Council Stephen Dorrell MP, chair of the HOC Health Select Committee Nigel Edwards, director of the Global Healthcare Group, KPMG Jan Filochowski, chief executive, Great Ormond Street Hospital for Children NHS Foundation Trust Julie Moore, chief executive of University Hospitals Birmingham Bruce Keogh, medical director of the NHS Alastair McLellan, Editor of Health Services Journal Jeremy Taylor, chief executive, National Voices Ruth Thorlby, senior fellow at the Nuffield Trust.

Katie Marriner interviews UK health leader, Nuffield Trust policy head Judith Smith