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Mark Dayan

@markgdayan.bsky.social
1.2K followers 46 following 38 posts

Nuffield Trust head of public affairs and particularly nerdy about medicine policy, Brexit, NHS plans, and the Scottish and Northern Irish health systems. Edinburgh to Crystal Palace

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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 21/07/2026
NEW: It's clear that devolution will be a key theme under Andy Burnham's leadership. As @markgdayan.bsky.social & @sjanereed.bsky.social argue, making the NHS part of that devolution agenda will not be easy for him & Yvette Cooper, but it’s not impossible. www.nuffieldtrust.org.uk/news-item/ho...
nuffieldtrust.org.uk
How could the Burnham government overcome three barriers to NHS devolution?
With new Prime Minister Andy Burnham having pledged the “biggest rebalancing of power our country has ever seen”, it is clear that devolution will be a key theme under his leadership. As Mark Dayan an...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 26/06/2026
How did Brexit affect the NHS's finances? A decade since the UK voted to leave the EU, @markgdayan.bsky.social says it is not a matter of opinion that Brexit has meant less money being available for the health service at key moments since. www.nuffieldtrust.org.uk/news-item/th...
nuffieldtrust.org.uk
Five ways that Brexit changed the NHS
A decade ago to the day, the United Kingdom voted to leave the European Union. Mark Dayan looks back at the 10 years since and picks out five ways in which Brexit has affected health and social care i...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 28/05/2026
NEW: The latest British Social Attitudes survey showed that 26% of British adults were satisfied with the NHS in 2025. In a @bmj.com briefing, @markgdayan.bsky.social & Bea Taylor look at why public satisfaction with the NHS has gone up, but also why it is still so low. www.bmj.com/content/393/...
bmj.com
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Mark Dayan @markgdayan.bsky.social · 14/05/2026
Wes Streeting is running for PM largely on the strength of his 23 month stint as Health and Care Secretary. Here are five things he got wrong or right to leave to his successor www.nuffieldtrust.org.uk/news-item/wh...
nuffieldtrust.org.uk
What can Wes Streeting’s successor learn from his record on the NHS and social care?
With Wes Streeting moving on from his role as the Secretary of State for Health and Social Care, Mark Dayan looks back at his tenure and picks out the key lessons that his successor would do well to h...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 23/04/2026
We’ve published our expert briefings before Scotland and Wales go to the polls in two weeks' time. 🗳️ What is the state of health and social care in each country – and what are the political parties promising to do about it? Scotland 👉 buff.ly/WeNJvyS Wales 👉 buff.ly/8Kngqja
Cover graphic for our election briefing series on the state of health and social care ahead of the elections in Scotland and Wales. Follow the links in our post to read the briefings.
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Mark Dayan @markgdayan.bsky.social · 05/03/2026
At #NTsummit former Met Police deputy commissioner Dame Lynne Owens says talking about distress among top public sector leaders risks sounding like whining to the public, but it is needed because of the risk they stop talking openly and honestly - watch at www.nuffieldtrust.org.uk/summit/nuffi...
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Mark Dayan @markgdayan.bsky.social · 05/03/2026
Baroness Casey just gave her first big interview as social care reform commissioner on BBC R4, trailing her main speech at @nuffieldtrust.org.uk summit. She called for politicians to back 25 years of change and warned it will matter to us all. Tune in at 2.15 www.nuffieldtrust.org.uk/summit/nuffi...
nuffieldtrust.org.uk
Nuffield Trust Summit 2026
The Summit will take place on 5-6th March 2026
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Reposted by Mark Dayan
Anand Menon @anandmenon.bsky.social · 24/02/2026
+++OUT NOW+++++ The definitive assessment of regulation after Brexit. Masterminded by @jreland.bsky.social 1/?
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 23/02/2026
Our Policy Analyst @markgdayan.bsky.social commented on the government's recent announcement about access to dental appointments. 🦷 The increase in NHS dental treatment is significant, but not transformational. Read 👇
nuffieldtrust.org.uk
Nuffield Trust response to government announcement on access to dental appointments
Mark Dayan responds to the DHSC's announcement on access to dental appointments.
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 30/12/2025
We are so proud of our fantastic Deputy Director of Policy Natasha Curry who has been awarded an MBE in the King’s New Year Honours for services to social care policy. Congratulations Natasha! www.nuffieldtrust.org.uk/news-item/na...
nuffieldtrust.org.uk
Natasha Curry awarded MBE
We are delighted that Natasha Curry has been awarded an MBE in the New Year Honours.
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 20/12/2025
Northern Ireland faces some of the longest waits for planned hospital treatment anywhere in the UK. There is not only a need for immediate improvement, but for a shift towards keeping people out of hospital and keeping them well. @markgdayan.bsky.social in VIEWdigital. 👇
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Comment: Bringing in more external scrutiny should be a priority - VIEWdigital
Mark Dayan (above), policy analyst and Head of Public Affairs with the Nuffield Trust, argues that political courage is perhaps the key ingredient in what can now be achieved Few would dispute that Northern...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 18/12/2025
🆕 What do the changes to local government funding mean for social care? @camille-oung.bsky.social describes what the impact of yesterday’s Local Government Finance Settlement could be for the beleaguered social care sector. www.nuffieldtrust.org.uk/news-item/co...
nuffieldtrust.org.uk
Coal or chocolate coins: What do the changes to local government funding mean for social care?
As the government makes changes to how local government works and how it is funded, Camille Oung takes a closer look at those changes and explores what it all might mean for the beleaguered social car...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 17/12/2025
Policy Analyst @markgdayan.bsky.social has written for VIEWdigital about the troubles facing the health service in Northern Ireland. Improvement requires political leadership across parties, matched by changes to the system to make services more specialised and efficient. But it won’t be easy.
viewdigital.org
Comment: Bringing in more external scrutiny should be a priority - VIEWdigital
Mark Dayan (above), policy analyst and Head of Public Affairs with the Nuffield Trust, argues that political courage is perhaps the key ingredient in what can now be achieved Few would dispute that No...
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Reposted by Mark Dayan
Institute for Government @instituteforgovernment.org.uk · 08/12/2025
WEBINAR | How can the government make a success of the abolition of NHS England? This webinar will explore the risks and opportunities associated with abolishing NHS England. @markgdayan.bsky.social @sjanereed.bsky.social @nuffieldtrust.org.uk www.instituteforgovernment.org.uk/event/govern...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 11/12/2025
Listen to insights from our Policy Analyst @markgdayan.bsky.social on this week's edition of The Briefing Room 👇
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 11/12/2025
📻 Coming up on Radio 4 at 4pm, hear from our Policy Analyst @markgdayan.bsky.social on #TheBriefingRoom. With more strikes planned and a new offer on the table to try to end the dispute, this episode will unpick some of the key issues for resident doctors at the moment.
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BBC Radio 4 - The Briefing Room, Why are early career doctors angry?
Why is there a shortage of training posts for resident doctors?
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 02/12/2025
🆕 As our report with @instituteforgovernment.org.uk looks at the opportunities and risks that come from the decision to abolish NHS England, a blog from @markgdayan.bsky.social argues that the abolition alone can't solve what is wrong at the top of the NHS. www.nuffieldtrust.org.uk/news-item/sc...
nuffieldtrust.org.uk
Scrapping NHS England won’t cure the health service’s ills
The announcement of the abolition of NHS England earlier this year represents the biggest restructure within the health service for over a decade. As our new report with the Institute for Government l...
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Mark Dayan @markgdayan.bsky.social · 02/12/2025
Is scrapping NHS England a good idea? Will it solve problems in the centre? What would Streeting need to do to get the upsides? I argue the key points in brief from our report with @instituteforgovernment.org.uk @sjanereed.bsky.social @becksfisher.bsky.social www.nuffieldtrust.org.uk/news-item/sc...
nuffieldtrust.org.uk
Scrapping NHS England won’t cure the health service’s ills
The announcement of the abolition of NHS England earlier this year represents the biggest restructure within the health service for over a decade. As our new report with the Institute for Government l...
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Reposted by Mark Dayan
Nick Davies @njdavies.bsky.social · 01/12/2025
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.
instituteforgovernment.org.uk
Abolished to perfection? Building a better centre for the NHS | Institute for Government
The abolition of NHS England creates both risks and opportunities.
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 01/12/2025
NEW REPORT: The abolition of NHS England presents a rare opportunity to reset the centre of the NHS, but it carries significant risks. Nuffield Trust and IfG researchers have spoken to experts involved in current and past reforms and assessed historical examples of major restructures.
nuffieldtrust.org.uk
Abolished to perfection? Building a better centre for the NHS
Reorganisation has been a regular feature of NHS history, but has often failed to deliver its goals. The abolition of NHS England marks the biggest restructure of the health service’s command structur...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 27/11/2025
What effect has leaving the EU had on NHS finances? @markgdayan.bsky.social and @martinmckee.bsky.social have summarised the evidence for @bmj.com. Read the piece👉 www.bmj.com/content/391/... And see Martin's thread👇
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Mark Dayan @markgdayan.bsky.social · 12/08/2025
Reports in @telegraphnews.bsky.social that UK Govt will accept Trump's demands to pay more for medicines - by pledging a % of GDP. That would be another chunk of a dwindling NHS budget already pledged to a very long list of things. What could we get for it? www.telegraph.co.uk/business/202...
telegraph.co.uk
NHS to spend more on US drugs as Britain bows to Trump
Government prepares to boost spending on medicines to avoid a tariff hit
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Reposted by Mark Dayan
The BMJ @bmj.com · 05/08/2025
"The white paper’s measures to clamp down on migration, many put into effect on 22 July, could mean at a difficult time for health and care." The government’s immigration crackdown threatens the NHS and social care workforce, write @markgdayan.bsky.social and colleagues www.bmj.com/content/390/...
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Mark Dayan @markgdayan.bsky.social · 22/07/2025
The Government hopes the new 10 Year Plan can repeat the NHS miracle of the 2000s. But this newer new Labour government has less money, and bigger targets. What can we expect? For @@thehousemag.bsky.social with Siva Anandaciva and ‪@davefinch.bsky.social‬ www.politicshome.com/news/article...
politicshome.com
The 10-Year Plan: Will It Work?
Three health experts get their teeth into the government plan to fix the NHS.
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 14/07/2025
🆕 The #NHS 10 Year Plan - Satisfaction not guaranteed. @markgdayan.bsky.social explores the current context for the government's health plan compared with what happened during the last Labour government. Read via @politicshome.bsky.social @thehousemag.bsky.social
politicshome.com
The 10-Year Plan: Will It Work?
Three health experts get their teeth into the government plan to fix the NHS.
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Mark Dayan @markgdayan.bsky.social · 01/07/2025
How could Donald Trump force the NHS to spend more on medicines? Is it going to work? Actually, should we want to spend more? @sallygainsbury.bsky.social and I look at these questions after the latest round www.nuffieldtrust.org.uk/news-item/tr...
nuffieldtrust.org.uk
Trump, medicines and the NHS
Following recent press speculation that the UK may soon agree to pay more for drugs used within the NHS as part of a trade deal with the USA, we spoke to Mark Dayan and Sally Gainsbury to discuss the ...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 20/06/2025
Today's vote means assisted dying is likely for England & Wales. It is time to answer the hard questions about how to address concerns through its implementation - and face the gaps in end of life care MPs highlighted Reaction of @sarahscobie.bsky.social 👇 www.nuffieldtrust.org.uk/news-item/no...
nuffieldtrust.org.uk
Now assisted dying is likely to become reality, the debate on how it happens begins: Nuffield Trust responds to the passing of the Terminally Ill Adults (End of Life) Bill
Now that assisted dying is likely to become a reality in England and Wales, the debate on how that happens must begin: what organisations and staff will deliver it, what systems will be needed to ensu...
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Mark Dayan @markgdayan.bsky.social · 16/06/2025
The #NHS is already stretched beyond the financial limit. If it is to spend more on the same medicines in order to save other sectors from tariffs, that reduces the money for healthcare goals - whether that's staff pay, waiting times, or digitisation www.telegraph.co.uk/business/202...
telegraph.co.uk
Trump targets NHS in trade talks
British health service faces paying higher prices for US drugs
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Thea Stein @theasrstein.bsky.social · 12/06/2025
So what are the takeaways from @rthonwesstreeting.bsky.social address to @nhsconfed.org today? 1) a significantly more partnership-based approach to the leadership & staff of the #NHS. Good. They are crucial to delivery of any plan
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Mark Dayan @markgdayan.bsky.social · 11/06/2025
Our statement notes this may allow councils to keep up with social care demand, but note a lot of this is coming from big assumed council tax rises - 5% a year! Important gradual shift in how we pay for long term care in England, to quite a weird property tax. Nothing for major reform
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Reposted by Mark Dayan
Sally Gainsbury @sallygainsbury.bsky.social · 05/06/2025
Ahead of the SR next week, my long read today looks at where the £22.6bn extra cash chancellor Reeves added to health spending in England for this year has gone. A thread >>
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 03/06/2025
TODAY: Policy Analyst @markgdayan.bsky.social‬ will be on You & Yours to provide the evidence on the current state of health care access 🚑 How challenging is it to access NHS care, and how might things change? 📈 Tune in from 12pm on BBC Radio 4. buff.ly/nTpY8cU
bbc.co.uk
Radio 4 - Listen Live - BBC Sounds
Listen live to BBC Radio 4 on BBC Sounds
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 28/05/2025
🆕 blog on #AI in health care from @markgdayan.bsky.social‬ and @cglobont.bsky.social‬ in @bmj.com‬ today. The UK has decisions to make on AI regulation for medical technology - going our own way may help us get new tech, but would leave some uses unregulated and cement EU barriers. buff.ly/qGi5HgR
buff.ly
The UK is going its own way on AI regulation in health, but problems lie ahead
It is a frenzied time for UK health policy. NHS England is set to be abolished, amid an emerging 10 year plan, and every UK country faces difficult financial situations. This is set against two…
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Mark Dayan @markgdayan.bsky.social · 13/05/2025
The NHS is very skint right now, and has also just had to promise the pharma industry a review on the VPAG scheme from which the public sector was set to rake in massive cashback savings. If Trump has any success driving UK and US prices together, it will really call into question what we can afford
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Mark Dayan @markgdayan.bsky.social · 12/05/2025
It's not just social care. The pledge to raise thresholds and the end of the Immigration Salary List mean a growing range of #NHS staff roles won't qualify for skilled worker visas. Is the workforce situation healthy enough to be ready for that? assets.publishing.service.gov.uk/media/6821ae...
assets.publishing.service.gov.uk
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 09/05/2025
NEW ANALYSIS explores how approaches to #AssistedDying vary internationally. The Nuffield Trust holds a neutral position on the legalisation of assisted dying in the UK. Our analysis reviews the evidence for jurisdictions where it has been implemented, to help inform debate. 🧵1/9 buff.ly/CTLXDjs
nuffieldtrust.org.uk
Diverging paths: How other countries have designed and implemented assisted dying
As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from…
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Camille Oung @camille-oung.bsky.social · 02/05/2025
The terms of reference for the Casey Review have been launched today, with a focus on building consensus over tangible recommendations to improve adult social care over the next ten years. A few takes from me and @cglobont.bsky.social .social & @natashacurry.bsky.social: www.gov.uk/government/p...
gov.uk
Independent commission into adult social care: terms of reference
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 30/04/2025
The NHS is already facing challenges to getting the medicines it needs, and the prospect of US #tariffs only adds a further dimension. A trade deal could offer a way out, but the negotiations would not be without risk. @markgdayan.bsky.social explores the implications in our blog 👇 buff.ly/EIajryr
buff.ly
What do Trump's tariffs and US-UK trade negotiations mean for the NHS?
With global headlines still dominated by the latest news on tariffs, discussions about a possible US-UK trade deal have also received media attention. But what could the tariffs and transatlantic…
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Mark Dayan @markgdayan.bsky.social · 25/04/2025
Do Trump's tariffs pose a threat to UK medicine supplies? Does signing a deal risk reviving the worrying measures the USA pushed for in his first term? I'm saying it's a yes to both, but the situation is controllable with the right actions www.nuffieldtrust.org.uk/news-item/wh...
nuffieldtrust.org.uk
What do Trump's tariffs and US-UK trade negotiations mean for the NHS?
With global headlines still dominated by the latest news on tariffs, discussions about a possible US-UK trade deal have also received media attention. But what could the tariffs and transatlantic trad...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 25/04/2025
NEW BLOG: What do Trump's #tariffs and US-UK trade negotiations mean for the #NHS? @markgdayan.bsky.social explores the possible impact, including on medicines and AI. 👇 www.nuffieldtrust.org.uk/news-item/wh...
nuffieldtrust.org.uk
What do Trump's tariffs and US-UK trade negotiations mean for the NHS?
With global headlines still dominated by the latest news on tariffs, discussions about a possible US-UK trade deal have also received media attention. But what could the tariffs and transatlantic trad...
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Mark Dayan @markgdayan.bsky.social · 22/04/2025
Glad to give a quote with @martinmckee.bsky.social on this excellent @cancerresearchuk.org report laying out post-Brexit barriers to cancer research. With a wider EU-UK thawing we have a chance in the coming months to start doing something about these problems www.theguardian.com/science/2025...
theguardian.com
NHS cancer patients denied life-saving drugs due to Brexit costs, report finds
Exclusive: Britons found to have ‘lost out’ while rest of Europe benefits from golden age of research and treatments
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Mark Dayan @markgdayan.bsky.social · 08/04/2025
It's probably good that this Secretary of State is leaning away from intervention, but the closure of a single GP surgery or of 7 individual beds being referred to him is *exactly* what we warned would happen and not a sensible way to run a health system www.hsj.co.uk/service-rede...
hsj.co.uk
Streeting greenlights eight reconfigurations
Wes Streeting has declined to intervene over eight NHS service reconfigurations since taking up his post last summer, HSJ can reveal.
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 02/04/2025
🆕 Just 1 in 5 people in 2024 said they were satisfied with the NHS according to our analysis of the @natcen.bsky.social #BritishSocialAttitudes survey with @thekingsfund.bsky.social Read report: www.nuffieldtrust.org.uk/research/pub... @markgdayan.bsky.social explains more 👇 [1/5]
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Mark Dayan @markgdayan.bsky.social · 31/03/2025
Really enjoyed this thoughtful conversation with Henry Bonsu on @listentotimesradio.bsky.social - like me and many other people, he and his family have seen the story of migration in the NHS from all sides
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Mark Dayan @markgdayan.bsky.social · 21/03/2025
Today with @cglobont.bsky.social @tamarahervey.bsky.social and excellent colleagues not on Bsky we publish our final Brexit report on how health and care in the NHS have pulled apart from Europe, and the consequences – funded by @healthfoundation.bsky.social www.nuffieldtrust.org.uk/research/hea...
nuffieldtrust.org.uk
Health in the UK after Brexit: Moving apart or stuck together?
How has Brexit reshaped health in the UK? The final report in our Health and International Relations Monitor series, supported by the Health Foundation, tracks the ongoing impact from EU exit on medic...
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Reposted by Mark Dayan
Nuffield Trust @nuffieldtrust.org.uk · 21/03/2025
Red list recruitment "is difficult to justify ethically for a still much wealthier country," says report author @markgdayan.bsky.social. “British failure to train enough healthcare staff has been bailed out by those trained overseas.” www.theguardian.com/society/2025...
theguardian.com
Post-Brexit reliance on NHS staff from ‘red list’ countries is unethical, Streeting says
Exclusive: NHS England has dramatically increased recruitment of workers from states with critical medical staff shortages
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Sally Gainsbury @sallygainsbury.bsky.social · 12/02/2025
Our new analysis out today looks at the deteriorating finances of NHS trusts. NHS trusts consume over 75% of the English NHS budget, so if you want to know how the NHS is coping with its current funding, your starting point should be the doubling of the trust overspend to £1.2bn by March 2024 >>
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Mark Dayan @markgdayan.bsky.social · 16/01/2025
Great to see analysis and insight from our @nuffieldtrust.bsky.social Senior Fellow Liz Fisher picked up in the London Assembly Health Committee's troubling new report today on the state of dentistry in the capital, and what could be done about it www.london.gov.uk/who-we-are/w...
london.gov.uk
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Nuffield Trust @nuffieldtrust.org.uk · 15/01/2025
Introducing our #hospitaltohome social care debate, @natashacurry.bsky.social outlined successful models of care in Japan and Germany, who: achieved national buy-in while reframing the importance of social care, ensured sustainable funding, pooled risk and introduced fee schedules for providers.
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