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Sally Gainsbury

@sallygainsbury.bsky.social
1.9K followers 391 following 149 posts

Senior Policy Analyst for the Nuffield Trust, writing and doing whatever-things-on-here-are-called about NHS funding, finance and healthcare equity

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Reposted by Sally Gainsbury
The Association of Anaesthetists @assocanaes.bsky.social · 28/09/2026
Excited for our event “Fix the workforce, fix the NHS” with @tmeek.bsky.social @tomdolphin.bsky.social @peterprinsleymp.bsky.social @simonforstroud.bsky.social @sallygainsbury.bsky.social
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 27/08/2026
Our Senior Policy Analyst @sallygainsbury.bsky.social has served a Notice of Appeal asking the Information Rights Tribunal to review the ICO decision to allow the government to withhold its impact assessment of the 2025 pharmaceutical trade deal with the US. @theasrstein.bsky.social explains why 👇
nuffieldtrust.org.uk
UK-US medicines deal: the public interest in publishing the evidence behind it
The Information Commissioner's Office decided last month that the Department of Health and Social Care can continue to withhold the government’s impact assessment of the UK-US pharmaceuticals trade de...
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Sally Gainsbury @sallygainsbury.bsky.social · 08/07/2026
Understatement of the year award goes to the OBR for this footnote in today's report on the implications of the US-UK pharma trade deal on health spending. For reasons unknown, the OBR has NOT updated its economic assumptions on the drivers of cost in NHS spending, but has included this footnote >>
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Nuffield Trust @nuffieldtrust.org.uk · 08/07/2026
ICYMI: The UK signed a trade deal with the US that is increasingly being called into question 🔎 In a blog published by the BMJ, @sallygainsbury.bsky.social and James Lomas called for the deal's impact assessment to be released so its implications can be properly scrutinised. Read on our website 👇
nuffieldtrust.org.uk
US-UK medicines partnership: the impact assessment of the costs and benefits must be published
Sally Gainsbury and York University’s James Lomas argue that the terms of the recent US-UK medicines agreement will clearly reduce the cost effectiveness of the NHS’s finite resources. The blog was or...
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Nuffield Trust @nuffieldtrust.org.uk · 06/05/2026
The US-UK trade deal will have a "very stark impact" on what the NHS can deliver for patients, says our Senior Policy Analyst @sallygainsbury.bsky.social on the latest @bmj.com podcast. Hear what the deal could mean and why greater transparency is needed. 👇
podcasts.apple.com
The US UK trade deal will cost the NHS billions, and only serve to increase pharma profits
Podcast Episode · Medicine and Science from The BMJ · 1 May · 43min
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Sally Gainsbury @sallygainsbury.bsky.social · 17/04/2026
The gov's trade deal with the US means the NHS spend on branded meds will grow at least 4 X faster than the NHS budget as a whole. If you think that's possible without stark trade offs for what the NHS is able to do for population health, pls read our new piece here>> www.bmj.com/content/393/...
bmj.com
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Nuffield Trust @nuffieldtrust.org.uk · 01/12/2025
We've responded to reports that the NHS will pay a higher price for branded new medicines as a condition of a UK-US trade deal. Read the statement from @sallygainsbury.bsky.social 👇
nuffieldtrust.org.uk
Nuffield Trust responds to reports that NHS will pay more for branded new medicines
Sally Gainsbury responds to reports that the NHS will pay a higher price for branded new medicines.
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Sally Gainsbury @sallygainsbury.bsky.social · 08/10/2025
Trump and pharma are lobbying gov hard to water-down the NHS’s ability to contain spending on new branded drugs. Today’s long read from me and the LSE’s Huseyin Naci sets out why the gov should hold firm to protect the health of the NHS and UK public nuffieldtrust.org.uk/news-item/th... >>
nuffieldtrust.org.uk
The tough choices at the heart of the government’s dispute with big pharma
The government has been locked in a dispute with pharmaceutical companies for a number of months over how much the NHS pays for new branded medicines. Sally Gainsbury and Huseyin Naci set out the issu...
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Sally Gainsbury @sallygainsbury.bsky.social · 25/08/2025
PSA that the purpose of the #NHS is NOT to provide investment opportunities or lucrative income streams for the pharmaceutical industry #r4today >>
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Sally Gainsbury @sallygainsbury.bsky.social · 19/08/2025
Editorial from me and LSE’s Huseyin Naci on the government's bid to use the NHS as a means to attract more med tech and pharma investment into the UK. TLDR: great for profits, less great for getting the most value for patients out of the NHS www.bmj.com/content/390/...
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Sally Gainsbury @sallygainsbury.bsky.social · 19/07/2025
Growth or bust. The one where the purpose of the NHS is to rescue capitalism: www.nuffieldtrust.org.uk/news-item/an...
nuffieldtrust.org.uk
An engine for economic growth? Why it won’t be a piece of cake for the NHS
With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 17/07/2025
NEW: A long read from @sallygainsbury.bsky.social examines a conundrum for policy makers: How can the NHS meet public demand while also positioning the NHS as an engine for economic growth? www.nuffieldtrust.org.uk/news-item/an...
nuffieldtrust.org.uk
An engine for economic growth? Why it won’t be a piece of cake for the NHS
With the newly published Life Sciences Sector Plan coming soon after the 10 Year Health Plan for England, Sally Gainsbury reflects on the government’s gamble on the NHS as a driver of economic growth ...
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Sally Gainsbury @sallygainsbury.bsky.social · 17/07/2025
The quaint idea the #NHS exists to improve health has been supplemented with the idea it can also drive economic #growth. My thoughts on the gamble the gov is making by inviting in more tech- and pharma- and whether we’ll end up with less as a consequence: www.nuffieldtrust.org.uk/news-item/an...
nuffieldtrust.org.uk
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Nuffield Trust @nuffieldtrust.org.uk · 09/07/2025
ICYMI: Senior Policy Analyst @sallygainsbury.bsky.social discussed the 10 Year Health Plan on this week's episode of Inside Health. Listen back 👇 www.bbc.co.uk/sounds/play/...
bbc.co.uk
Inside Health - Can the ten-year plan save the NHS? Heart scans with AI, and who invented condoms? - BBC Sounds
The PM says it's 'reform or die' for the NHS, we discuss ambitious plans to restructure it
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Reposted by Sally Gainsbury
Greg Fell @felly500.bsky.social · 06/07/2025
gregfellpublichealth.wordpress.com/2025/07/05/p... Polygenic risk scoring and precision prevention Cynics view
gregfellpublichealth.wordpress.com
Polygenic risk scoring and precision prevention
I’ve had occasional long and at times difficult correspondence with various bodies who are busy promoting polygenic risk scoring who want me to be a “strategic partner” or something (ie “Greg Fell …
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 01/07/2025
🆕 Following recent press speculation that the UK may soon agree to pay more for drugs used within the #NHS as part of a trade deal with the USA, we asked experts @markgdayan.bsky.social and @sallygainsbury.bsky.social to explain the situation. 💊
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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Sally Gainsbury @sallygainsbury.bsky.social · 13/06/2025
The government has set the NHS’s budget for the next 3 years, now it needs to be realistic about its priorities - my comment piece in the BMJ: www.bmj.com/content/389/...
bmj.com
Spending review leaves a greater need for clarity on healthcare priorities
The notion that the health service has emerged as a “winner” from the chancellor’s spending review is a bit like congratulating someone who has just won back the face value of a scratch card. It certa...
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 11/06/2025
The #NHS settlement from the #spendingreview may look generous, but it soon melts away in the context of existing commitments - govt must be clear about the compromises. Social care is also unlikely to see the transformation we were promised. @sallygainsbury.bsky.social‬ response 👇
nuffieldtrust.org.uk
Nuffield Trust response to the Spending Review
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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 Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 26/03/2025
What does today's #SpringStatement mean for health and social care? 💷 Read our response from @sallygainsbury.bsky.social to find out some of the most important takeaways. 👇
buff.ly
Nuffield Trust response to the Spring Statement
Sally Gainsbury responds to the Spring Statement.
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Sally Gainsbury @sallygainsbury.bsky.social · 24/03/2025
It's going to be a busy week in the public finances, with the Spring Statement on Weds. Our small team of #NHS & social care funding analysts will be poring over the detail. If you fancy joining us for the NEXT fiscal event, see here>> Closes 23.59 Weds >> www.nuffieldtrust.org.uk/job/fellow-f...
nuffieldtrust.org.uk
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
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Sally Gainsbury @sallygainsbury.bsky.social · 21/03/2025
A must-read report from my colleagues here >>>
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Sally Gainsbury @sallygainsbury.bsky.social · 19/03/2025
Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>
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Sally Gainsbury @sallygainsbury.bsky.social · 15/03/2025
Me in the FT on the economic imperative behind this week’s move to abolish NHSE www.ft.com/content/4331...
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Sally Gainsbury @sallygainsbury.bsky.social · 15/03/2025
This essay which is free to read in The Times this weekend is essential reading on the real harms created by over-diagnosis, including the inequity it creates when those most in need are crowded out: www.thetimes.com/comment/colu...
thetimes.com
Our new health crisis — we’re diagnosing too much, too early
Spotting disease early can save lives but advances in medicine have produced an epidemic of overdiagnosis — and in many cases this is doing more harm than good
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 13/03/2025
🚨 NEW BLOG: #NHSEngland is being scrapped, but the reasons for its rise and fall are not going away. @markgdayan.bsky.social & @leonoramerry.bsky.social look at how far things have changed since NHSE was created 12 years ago. www.nuffieldtrust.org.uk/news-item/th...
nuffieldtrust.org.uk
The reasons for NHS England's rise and fall are not going away
With the news today that NHS England will be abolished, Mark Dayan and Leonora Merry look at how far things have changed since NHSE was created 12 years ago.
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Sally Gainsbury @sallygainsbury.bsky.social · 13/03/2025
If you're wondering how far abolishing NHS England will go to filling the NHS's £6.5bn funding gap for the year ahead, the answer is: not very. NHSE spent a total £1.8bn on staff last year, of which £400m was on staff working for local NHS orgs. Many of these posts will need to continue in DHSC
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Sally Gainsbury @sallygainsbury.bsky.social · 13/03/2025
As NHS England’s chiefs sit down with local trust chairs and chief execs to discuss a “financial re-set”, a quick reminder of how difficult the financial situation is in the NHS right now. A short thread >>
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Sally Gainsbury @sallygainsbury.bsky.social · 13/03/2025
Government this week: “we need to get people off out-of-work benefits”. Also the gov this week: “we need to get rid of 1000s of low paid civil servants and replace them with AI”. Genuinely interested in how that vicious circle can be squared
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Sally Gainsbury @sallygainsbury.bsky.social · 12/03/2025
The financial situation in the NHS right now is seriously bleak. If you are interested in joining our small team of researchers dedicated to bringing the facts to public debate and holding those in power to account, do check out our newly-created post: www.nuffieldtrust.org.uk/job/fellow-f...
nuffieldtrust.org.uk
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 05/03/2025
🆕 Ahead of this week’s Nuffield Trust Summit, our Chair Martin Marshall picks out some highlights from the two-day programme and explains why this year it’s so important to gather together to have difficult conversations about health and care. #NTSummit buff.ly/hglNcUU
buff.ly
Difficult conversations about the future of health and care
Ahead of this week’s Nuffield Trust Summit, our Chair Martin Marshall picks out some highlights from the two-day programme. He explains why this year it’s so important to gather people together at the...
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Reposted by Sally Gainsbury
Nuffield Trust @nuffieldtrust.org.uk · 05/03/2025
Tomorrow, you can tune in to a discussion with #NHS 10 Year Plan Director @sallywarren.bsky.social at our Summit. How can the plan succeed? #NTSummit Find out more about the livestream here: events.zoom.us/ev/Ahm9SLEL2...
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Sally Gainsbury @sallygainsbury.bsky.social · 05/03/2025
Job alert: We’re looking for someone who wants to play a key part in our forensic analysis of NHS funding and finance, working closely with me as well as my other brilliant colleagues at Nuffield Trust on health and social care policy, details here www.nuffieldtrust.org.uk/job/fellow-f...
nuffieldtrust.org.uk
Fellow (Funding & Finance) (F03/25)
We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.
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Sally Gainsbury @sallygainsbury.bsky.social · 28/02/2025
The Department for Health and Social Care's resource budget for this current financial year will get a ~£900m funding boost to help it deal with cost pressures, which I suspect largely relate to the escalating overspends in NHS trusts >>
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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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Sally Gainsbury @sallygainsbury.bsky.social · 02/12/2024
Bit mean of the big girls to break poor Gregg Wallace’s dog whistle
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Sally Gainsbury @sallygainsbury.bsky.social · 02/12/2024
Really important points and crucial research questions too: are privately-purchased wearables driving up publicly-funded healthcare costs (inc on unnecessary diagnosis and treatment) and further skewing expenditure away from those most in need?
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Sally Gainsbury @sallygainsbury.bsky.social · 01/12/2024
Yep this
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Sally Gainsbury @sallygainsbury.bsky.social · 19/11/2024
Of course ministers and advisors talking up potential of health tech and “personal responsibility”: annual real terms increases in the #NHS budget after adjusting for population age are set to be around a third of the level they were last time Labour were in government #itisaboutthemoney
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Sally Gainsbury @sallygainsbury.bsky.social · 14/11/2024
With Alan Milburn back influencing NHS policy, a key point to grasp is that when Labour were last in gov, NHS funding rose on average by over 5% real terms per head each year, even after adjusting for population age. Last month’s budget left it at nearer 2% per age adjusted head >>
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Sally Gainsbury @sallygainsbury.bsky.social · 13/11/2024
My analysis for the BMJ on where the budget has left the NHS in England and its £4.8bn funding hole is now also available for free on our own website, here www.nuffieldtrust.org.uk/news-item/wh...
nuffieldtrust.org.uk
What did the Autumn Budget do for the NHS’s financial health?
Sally Gainsbury assesses what the recent budget means for the NHS. This blog was originally published in the BMJ on November 4.
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Sally Gainsbury @sallygainsbury.bsky.social · 04/11/2024
My post-budget analysis for the BMJ. NHS costs are rising faster than funding levels awarded in Rachel Reeve’s first budget www.bmj.com/content/387/...
bmj.com
What did the budget do for the NHS’s financial health?
A week before the chancellor of the exchequer Rachel Reeves delivered her first budget, the Nuffield Trust published analysis showing that the NHS in England was facing £4.8bn worth of unfunded cost p...
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Nuffield Trust @nuffieldtrust.org.uk · 29/10/2024
🆕 With all eyes on this week’s #budget announcement, will social care be overlooked again? Natasha Curry & Camille Oung say the government needs to invest in the sector now to stabilise it, otherwise there may be little left to reform in the longer term. www.nuffieldtrust.org.uk/news-item/so...
nuffieldtrust.org.uk
Social care and the budget: stabilisation for long-term reform
With all eyes on this week’s budget announcement, will social care be overlooked again? Natasha Curry and Camille Oung emphasise the pressures affecting the beleaguered sector and argue that a long-te...
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Sally Gainsbury @sallygainsbury.bsky.social · 25/10/2024
In my new analysis out today I look at the minimum the Chancellor needs to do next week to stablise the finances of the NHS in England and fill a £4.8bn funding gap for the current year A THREAD >> www.nuffieldtrust.org.uk/news-item/ho...
nuffieldtrust.org.uk
How much more money does the NHS need?
With plenty of speculation already about what next week’s Budget will mean for the NHS, Sally Gainsbury describes the numbers and context that need to be considered before any figures that emerge next...
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Sally Gainsbury @sallygainsbury.bsky.social · 18/10/2024
Whilst on the subject of obesity and the huge income inequalities we see in its prevalence, esp for children: the other no brainer that needs to be addressed is getting schools actively onboard with physical activity and giving them space in the curriculum to do that >>
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Sally Gainsbury @sallygainsbury.bsky.social · 18/10/2024
while politicians get excited about jabs for people with obesity, my annual(ish) reminder/rant that for a parent to take 2 school kids swimming during school holidays next week will cost £21.16 for a single trip in my local charity-ran not a-typical leisure centre >>
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Sally Gainsbury @sallygainsbury.bsky.social · 26/09/2024
We’ve avoided the question of what a fair and just NHS should prioritise for far too long. In the absence of clarity, those with the greatest resources and loudest voices often prevail. Not just in the waiting room, but also in setting the agenda (1/4) >>
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Sally Gainsbury @sallygainsbury.bsky.social · 12/09/2024
Darzi has set out the NHS’s major challenges, not least of which is the political reluctance to increase its funding amid low productivity. NHS Eng's budget this yr is 1.5% higher in real terms than last yr. Adjusted for pop growth and aging, that’s just a 0.2% real terms increase per person, or £6
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Sally Gainsbury @sallygainsbury.bsky.social · 24/08/2024
Just heard @stevewebb1.bsky.social proposing a universal winter fuel payment for those over 80 due to higher health-based need. Problem with age based eligibility tho is it misses the fact poorer people on average suffer poor health at much younger age www.nuffieldtrust.org.uk/resource/cha...
nuffieldtrust.org.uk
When being 64 for the most deprived feels like 90 for the better off
The 2021 Census asked everyone in the UK to report their general health from very bad to very good. As Sophie Julian and Sally Gainsbury show, there were some very revealing findings, with people from...
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