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Thea Stein

@theasrstein.bsky.social
2.5K followers 98 following 104 posts

Chief Executive @NuffieldTrust - curious and questioning. Listening and learning. Views my own.

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Reposted by Thea Stein
Nuffield Trust @nuffieldtrust.org.uk · 15/07/2025
🆕 Q&A: With the new 10 Year Plan for the #NHS featuring a central role for neighbourhood health teams, we spoke to @theasrstein.bsky.social about what they are and what needs to happen for them to be successful. www.nuffieldtrust.org.uk/news-item/ne...
nuffieldtrust.org.uk
Neighbourhood health teams: a Q&A with Thea Stein
With the new 10 Year Plan for the NHS featuring a central role for neighbourhood health teams, we spoke to Thea Stein about what they are and what needs to happen for them to be successful.
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Nuffield Trust @nuffieldtrust.org.uk · 05/07/2025
In both print and online versions of today’s @financialtimes.com, our Chief Executive @theasrstein.bsky.social says the vision behind the 10 Year Health Plan is the right one. The ambition for England’s NHS is clear, but it will be harder to achieve. www.ft.com/content/eeff...
ft.com
NHS plan is long on the ‘what’ and short on the ‘how’
The vision of community healthcare is right but marred by the belief it will save money
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Thea Stein @theasrstein.bsky.social · 29/06/2025
I wrote on linkelfin about one of the “leaks” on the 10yp www.linkedin.com/posts/thea-s...
linkedin.com
Yesterday I did three radio/TV interviews about leaked proposals from the 10YP. | Thea Stein
Yesterday I did three radio/TV interviews about leaked proposals from the 10YP. I was asked in all three for my view on the withholding of money from hospital payment when a patient says they are diss...
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Nuffield Trust @nuffieldtrust.org.uk · 27/06/2025
Through #QualityWatch, we're tracking over 200 indicators to find out whether the quality of health and social care in England is getting better or worse. The latest indicator updates cover A&E waiting times, NHS dental services and cancer screening, among others 👇
nuffieldtrust.org.uk
Indicators
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The Health Foundation @healthfoundation.bsky.social · 27/06/2025
NEW: The latest analysis from our #QualityWatch programme with @nuffieldtrust.org.uk​ explores a range of factors affecting working-age women’s health. Read more ⬇️
bit.ly
Silence, sexism and stigma: The state of working-age women’s health in England
Women spend more years of their life living in poor health than men, including through their working years. This QualityWatch data story shows how the burden of disease affects working-age women and men differently. It considers the health conditions and societal issues behind some of these differen...
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Reposted by Thea Stein
Nuffield Trust @nuffieldtrust.org.uk · 14/06/2025
The latest data on #NHS performance is now available to view on our #QualityWatch dashboard, updated each month. Includes performance against key targets in A&E and access to planned treatment. View the dashboard: buff.ly/5xIF5sK
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Reposted by Thea Stein
Nuffield Trust @nuffieldtrust.org.uk · 12/06/2025
📢 Calling all ICS strategic staff at #NHSConfedExpo working on community-based care, inequalities, or support for older people 🏘️ Take part in our survey for the CQC and inform this year's State of Care report 📋 Survey link 👇 forms.office.com/Pages/Respon... Deadline 25 June
The Nuffield Trust is running a survey of ICSs and local partnerships for CQC
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
He articulated clearly that the only way to turn things around in the ailing health service is by working collaboratively. We saw none of the previous language of “blockers and checkers” or implication that the health service was anti reform. In fact the opposite.
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
He gave a flavour of what’s to come in the forthcoming 10 year health plan - and in many ways it’s back to the 2000s (but without the money): a greater role for NHS regional tier, Foundation Trusts, financial incentives.
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
The diagnosis that sits behind this is that bureaucracy and top down control are at the heart of the NHS’s problems. There is no doubt that looking upwards and numerous onerous reporting requirements have not always served the NHS and its patients well.
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
But there is little evidence that simply changing structures leads to better health outcomes. This will be something to watch when the 10YP is finally published. Are structural solutions expected to do the heavy lifting for what is essentially a huge cultural shift in how the health service works?
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
Also interesting remarks from Streeting in the Q&A about how he has worked to improve relations between the DHSC, NHS and HMT. Tensions between these Depts have undoubtedly had a big impact in the past as the excellent @markgdayan.bsky.social has argued www.nuffieldtrust.org.uk/news-item/nh...
nuffieldtrust.org.uk
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
It will be an interesting few months. And thanks to @danielreynolds.bsky.social @confedmatt.bsky.social and the wider Confed team for a v impressive conference.
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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
It will be interesting to see if this more collaborative and friendly tone from SofS sticks when the rubber hits the road in the face of continued financial pressures. Will the language of blockers and reactionaries return when difficult things are revealed to be difficult?
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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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Thea Stein @theasrstein.bsky.social · 12/06/2025
So…. Welcome recognition of how hard it is and good that he sees that the NHS is up for change - much more realism - but a bit too much of a love affair with FTs - but let’s see …
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Thea Stein @theasrstein.bsky.social · 12/06/2025
6) Fewer targets, focus on health disparities - to be welcomed - no mention of the health mission….
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Thea Stein @theasrstein.bsky.social · 12/06/2025
5) says this is not a top down re organisation - get the point but wouldn’t feel like that in an ICB or NHSE
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Thea Stein @theasrstein.bsky.social · 12/06/2025
4) recognises the money is not going to be enough without reform. @nuffieldtrust.org.uk would add the need to make difficult choices ….
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Thea Stein @theasrstein.bsky.social · 12/06/2025
3) Organisational form can be flexible to place - GPs leading, GPs run by acutes -maybe a bit too much on structures - not enough on relationships & trust
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Thea Stein @theasrstein.bsky.social · 12/06/2025
2) the return of the Foundation Trust as a driver of change & entrepreneurship - hmmm - evidence mixed as to whether it was FTs drove big improvements or the £ at that time
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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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Leonora Merry @leonoramerry.bsky.social · 12/06/2025
Proud of our small but mighty think tank @nuffieldtrust.org.uk today. Our remarks on the SR were put to Rachel Reeves on the Today programme today. And Wes Streeting starts his speech at #NHSConfedExpo by referencing our analysis with @thekingsfund of British Social Attitudes
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Thea Stein @theasrstein.bsky.social · 12/06/2025
Completely agree
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Nuffield Trust @nuffieldtrust.org.uk · 31/05/2025
Which parts of England are worst affected by poor child dental health? Find out about our new analysis here. 👇🦷 @stutibagri.bsky.social #dentistry #oralhealth www.the-dentist.co.uk/content/news...
the-dentist.co.uk
Child dental decay rates highest in London and northern England - The Dentist
The Nuffield Trust has published a new analysis on the state of child dental health across different regions of England.
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Helen Buckingham @hbuckingham.bsky.social · 11/05/2025
This is really excellent. Too many pertinent points to pull individual quotes out, but should be read by anyone and everyone working on the 10 year plan for the NHS. Change isn't driven by structures, it's led by people.
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Thea Stein @theasrstein.bsky.social · 02/05/2025
Please read this thread q out the terms of reference on the casey review from my colleagues,too important to overlook on a sunny friday afternoon …. bsky.app/profile/cami...
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Camille Oung @camille-oung.bsky.social · 02/05/2025
Phase 2 (long-term recommendations) of the commission is only mentioned briefly. This gives Baroness Casey more freedom to set the direction it will take as evidence is gathered by the team. Given the urgent need for reform, we hope to see firm plans, not just options for consideration, by 2028.
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Camille Oung @camille-oung.bsky.social · 02/05/2025
The commission will sit under the Cabinet Office, which should support its independence – acknowledging also the role of govt departments beyond DHSC: the Treasury, MHCLG & DWP. Strong & decisive leadership will be key to develop a coherent implementation plan recognising these interdependencies.
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Camille Oung @camille-oung.bsky.social · 02/05/2025
There are risks that financial pressures in the sector will escalate as the commission begins work. It’s too early to understand the impact of the new Employer National Insurance regime, but it could have potentially devastating implications for providers www.nuffieldtrust.org.uk/news-item/wi...
nuffieldtrust.org.uk
Will the Autumn Budget push the social care sector beyond breaking point?
While the recent budget brought better news for hard-pressed public services, social care was not so lucky. With many organisations fearing that changes to the Employer National Insurance Contribution...
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Camille Oung @camille-oung.bsky.social · 02/05/2025
It’s good to see the TORs include the interactions between the Fair Pay Agreement & Employment Rights Bill. We also note the mention of the interface between health &social care – watch out for our work on CHC highlighting the existing and oft ignored challenges that urgently need to be addressed
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Camille Oung @camille-oung.bsky.social · 02/05/2025
But there are risks that the narrow ‘focus to support the health mission’ - esp on elective care waiting lists & delayed discharges - means social care once more being lost to NHS priorities. It will be difficult to see results when social care is only one part of the puzzle: shorturl.at/oQSdR
nuffieldtrust.org.uk
Delayed discharges from hospital
We look at the number of patients experiencing delayed discharges from acute hospitals, their reasons for delay and where bottlenecks are most apparent.
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Camille Oung @camille-oung.bsky.social · 02/05/2025
It’s good to see the TORs allude to giving more power to people and their carers. While a positive broad intention, we hope that the commission also doesn’t lose sight of what adult social care is meant to achieve: supporting people and their carers to live independent and fulfilling lives.
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Camille Oung @camille-oung.bsky.social · 02/05/2025
...The financial envelope will need to offer enough scope to truly enable change, not just redirect existing financial flows.
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Camille Oung @camille-oung.bsky.social · 02/05/2025
A national conversation is welcome to raise the visibility and awareness of social care among the public. But reaching consensus may prove ambitious, particularly when recommendations will need to be set within the constraints of the spending review...
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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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Kaleidoscope Health and Care @kscopehealth.bsky.social · 23/04/2025
What do Bob Dylan and Taylor Swift have to say about NHS reorganisations? Join our webinar with @theasrstein.bsky.social to find out, and for insights on why some change programmes succeed and others struggle. 28 April, 12-1pm. Sign up: www.kscopehealth.org.uk/event/track-...
kscopehealth.org.uk
Track changes: notes for change that works - Kaleidoscope Health and Care
If the NHS was on Desert Island Discs, our bet is that songs about ‘change’ would feature heavily. You can hear it now, as Sam Cooke tells us it’s gonna come, Dylan tells us it’s happening while Bowie...
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Nuffield Trust @nuffieldtrust.org.uk · 28/04/2025
12pm TODAY: Join this interactive webinar that brings together theory and practice on how change can work amid the complexity and uncertainty of health and care. 👇 Our Chief Executive @theasrstein.bsky.social will be speaking.
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Nuffield Trust @nuffieldtrust.org.uk · 16/04/2025
Tune in to BBC Radio 4 tonight at 8pm for a new episode of #MoralMaze recorded at our Summit last month. 📻 Guests debate the ethical purpose of the #NHS. Should we care more about equality of outcome – being equally healthy – or equality of access – treating everyone the same?
buff.ly
BBC Radio 4 - Moral Maze, What is the ethical purpose of the NHS?
Debate examining the moral issues behind one of the week's news stories.
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Dave West @ HSJ @davewwest.bsky.social · 07/04/2025
here's some more info on the 'Brazil model' from HSJ last March - www.hsj.co.uk/expert-brief...
hsj.co.uk
West Country Chronicle: An ICB finds inspiration in Brazil
From Cornwall to the Cotswolds, West Country Chronicle offers essential insight into NHS matters in the South West. Contact me in confidence here.
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Thea Stein @theasrstein.bsky.social · 07/04/2025
Agree. They need to be well paid. Well supported with progression as part of it. And embedded in supportive teams. Not much to ask ! 😊
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Thea Stein @theasrstein.bsky.social · 07/04/2025
Agree with that - but eradicating bereavement was what troubled me the most. To be fair - I imagine they mean (I hope) better bereavement support /signposting
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Kaleidoscope Health and Care @kscopehealth.bsky.social · 07/04/2025
What have NHS reorganisations got to do with Bob Dylan and Taylor Swift? Join our webinar with @theasrstein.bsky.social to find out, and for insights on why some change programmes succeed and others struggle. 28 April, 12-1pm. Find out more and sign up: www.kscopehealth.org.uk/event/track-...
kscopehealth.org.uk
Track changes: notes for change that works - Kaleidoscope Health and Care
If the NHS was on Desert Island Discs, our bet is that songs about ‘change’ would feature heavily. You can hear it now, as Sam Cooke tells us it’s gonna come, Dylan tells us it’s happening while Bowie...
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Thea Stein @theasrstein.bsky.social · 07/04/2025
Agree - as I said - ignore the headline - and certainly the bizarre idea you can “fix” bereavement 🙄. But the model if implemented well and over time can be really impactful @jacoblant.bsky.social
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Thea Stein @theasrstein.bsky.social · 07/04/2025
Need to ensure they are set up with time to embed - many professionals can be suspicious/unsure at the beginning - need at least a year to establish - can’t over emphasise that enough !! @leonoramerry.bsky.social
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Thea Stein @theasrstein.bsky.social · 07/04/2025
Agree !! These can really work. You can also utilise alongside/integrated with neighbourhood teams focussed on those who need domiciling care. Slightly different model but huge impact
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Thea Stein @theasrstein.bsky.social · 07/04/2025
Forgetting the sensationalist headline - this is not how these roles work (could be a by product) - this is good news. These roles can make a fantastic difference. Already having some impact in #Westminster - and a larger body of evidence from across the world. www.thetimes.com/article/0254...
thetimes.com
Health workers will be sent house to house to cut sick leave
A pilot programme in Westminster suggested the scheme could cut hospital admissions by 10 per cent
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Leonora Merry @leonoramerry.bsky.social · 02/04/2025
So this presents the Govt with a dilemma. Articulately put by @theasrstein.bsky.social and Sarah Woolnough here: www.nuffieldtrust.org.uk/news-item/te...
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Nuffield Trust @nuffieldtrust.org.uk · 28/03/2025
With claims that a social insurance model would be better than the current #NHS funding model circulating again, read our blog on this from last year. 👇 Sarah Reed says how much is invested in health is likely to matter more than the funding model. www.nuffieldtrust.org.uk/news-item/is...
nuffieldtrust.org.uk
Is French-style health care the answer? Why we should stop idealising other health systems
With debates ahead of the general election hotting up, it’s perhaps unsurprising we’ve already heard that how the NHS is funded is one reason why it has problems, and that a move to a social insurance...
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Thea Stein @theasrstein.bsky.social · 19/03/2025
Come and join us. Whats going to be better than talking about & researching finance & health & social care 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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