Nuffield Trust

@nuffieldtrust

We are an independent health think tank aiming to improve the quality of health care in the UK by providing evidence-based research & policy analysis. www.nuffieldtrust.org.uk

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Nuffield Trust@nuffieldtrust· 11h

The proportion of dementia-related deaths occurring in hospitals decreased from 30.9% in 2016 to 26.3% in 2023. Read more about this and other #QualityWatch indicators of health and care in England 🔎 👉 buff.ly/I0qidEU

Line chart showing the proportion of dementia-related deaths occurring in hospital between 2016 and 2023. Headline reads: “How has the proportion of deaths associated with dementia that occurred in a hospital changed over time?” The chart shows a gradual decline from around 30.9% in 2016 to around 25% in 2020, followed by a partial increase to around 28% in 2021 and 2022 before falling slightly to 26.3% in 2023. Subheading reads: “Proportion of dementia related deaths in hospital”.

Nuffield Trust@nuffieldtrust· 2d

Our analysis identified several factors affecting women's risk of going to hospital in an emergency in the year after giving birth in England. Especially notable was the relationship with having a mental health diagnosis. Read the report: buff.ly/f9lvOLD

Graphic comparing emergency care use after birth among mothers with and without a mental health condition. Headline reads: “Having a mental health condition is associated with an increased risk of needing emergency hospital care post-birth”. Two large pink blocks are shown side by side, with the taller block displaying 30% and the shorter block 19%. Text explains that 30% of mothers with a mental ill health diagnosis had an emergency care visit, compared with 19% of mothers without a mental health condition.

Nuffield Trust@nuffieldtrust· 3d

How do social care systems manage different costs? For residential care, the UK countries bundle care and accommodation costs together, but many of the countries and regions we studied treat them separately. Find out more: ➡️ buff.ly/z9hYeWN

Graphic featuring a simple outline of a house with a green square at its centre. Headline reads: “Most systems treat accommodation costs separately”. Supporting text states: “Separating accommodation from care costs offers a greater level of transparency as to what people are paying for, allows them to pay more or less for the level of luxury desired, and focuses the social contract on care only. It does, however, mean that people in residential care can be at risk of substantial bills for living costs.”

Nuffield Trust@nuffieldtrust· 8d

Stories of patients enduring A&E waits of more than 12 hours for a hospital bed have become all too commonplace since the pandemic. In February 2026, over a third of admitted cases waited over 12 hours from arrival to admission. Follow the trend in our video 👇

Nuffield Trust@nuffieldtrust· 12d

NEW: Elderly & frail patients are worst affected by the A&E crisis. New #QualityWatch findings show that 43% of over-80s wait more than 12 hours between arrival in A&E & admission to a ward – compared with 19% of 21-30-year-olds. www.nuffieldtrust.org.uk/news-item/lo...

Nuffield Trust@nuffieldtrust· 13d

One in five women require emergency care in the year after giving birth 🚑 Our analysis of 1.6 million births in England reveals stark inequalities and shows why improving women's health means looking beyond maternity services alone. Follow the link to find out more ➡️ buff.ly/kfW13ED

Infographic on a light grey background using rows of illustrated baby icons to represent 1.6 million births analysed. Headline reads: “We analysed… 1.6 million births”. Below, five outlined person icons are shown, with one highlighted in orange. Headline reads: “we found…” followed by the statistic: “1 in 5 women attend A&E in the year after giving birth”. The graphic highlights that analysis of 1.6 million births found that one in five women attend A&E within a year of childbirth.

Nuffield Trust@nuffieldtrust· 14d

A slow return to the dentist...🦷 During the pandemic, dental appointments dropped sharply. While children’s visits have largely recovered, adult's visits struggle to increase, with both groups remaining below recommended levels. Visit our #QualityWatch page to find out more here: buff.ly/mUXHai6

Nuffield Trust@nuffieldtrust· 17d

How could reform of social care in England make means testing work better? 🏥 Our latest analysis provides insight into how 12 different countries approach eligibility and means testing for social care. So, how do other countries compare, and what is there to learn? Find out more ➡️ buff.ly/8C1lQAQ

Simple graphic on a light grey background featuring a green curved arrow pointing down between two horizontal lines, representing a gradual transition rather than a sudden drop. Headline reads: “Means tests can be designed to feel fair and avoid cliff edges.” Supporting text explains that having to sell a home to pay for care is a persistent source of discontent in England, and that Australia uses tapers and exemptions to gradually increase contributions as people’s means change. It adds that some countries require people to contribute a share of their income without forcing them to sell assets.

Nuffield Trust@nuffieldtrust· 18d

Waits in A&E post-pandemic 🚑 Our #QualityWatch analysis shows how trolley waits rose sharply during the pandemic, with peaks in waiting times every winter for the past four years. How have waiting times changed since COVID? Check the link below to find out: buff.ly/s4AYAWv

Nuffield Trust@nuffieldtrust· 21d

When considering social care reform, there is much to learn from how social care systems are organised around the world. @camille-oung.bsky.social explains how a comparison between England and New Zealand offers food for thought 👇

Nuffield Trust@nuffieldtrust· 23d

There are many ways to fund a social care system, as emphasised by our latest study. Across 12 countries and regions, there are varying approaches to how individuals should contribute towards the cost of their own care. Read more and explore our comparative toolkit: buff.ly/8C1lQAQ

Graphic featuring a green tick and cross icon connected by an upward-pointing arrow. Large headline reads: “Countries/regions have different approaches to what is a fair, equal and equitable contribution”. Supporting text explains that all countries examined except Denmark expect eligible individuals to contribute to the cost of their care. Germany provides an equal allowance based on need regardless of wealth, while Japan and Australia combine universal support with means-tested contributions.

Nuffield Trust@nuffieldtrust· 24d

Our new analysis suggests women's postnatal experiences could be improved through better preventive care. Each health condition we studied was associated with a higher risk of a postnatal emergency care contact, with the risk greatest before and during pregnancy. Read the report: buff.ly/y1df9pP

There is a head and shoulders silhouette of three women, with two of the three coloured in. Below the silhouettes there is a large text graphic saying that 2 in 3 mothers had at least one pre-existing health condition. The text goes on to say that some of the most common pre-existing conditions were obesity, diabetes and hypertension - all potentially preventable.

Nuffield Trust@nuffieldtrust· 26d

It's proving to be a challenging summer for the #NHS... Explore our #QualityWatch dashboard for the latest on the key performance metrics in England: 👉 buff.ly/7uRMAhn Short 🧵 on the take aways 👇 (1/4)

An image with two charts side-by-side. The chart on the left shows the number of cases waiting to start NHS treatment in England. There were 7.28 million cases on the waiting list in May 2026, up 60k on the previous month. The chart on the right shows the percentage of patients waiting 18 weeks or less between referral and starting treatment in the NHS in England. The percentage had crept up to 65.6% in May 2026 but is still way below the target of 92% in the NHS constitution, or the objective for 70% for 2026/27.

Nuffield Trust@nuffieldtrust· 27d

NEW RESEARCH: 1 in 5 women attend A&E in the year after giving birth, with stark inequalities rooted long before pregnancy. Ethnicity, deprivation and health before pregnancy all have a big impact on whether a mother will need emergency care. Read the report: buff.ly/y1df9pP

Nuffield Trust@nuffieldtrust· Jul 6

NEW paper: Independent advocacy in maternity care creates opportunities for families to be listened to and heard. #RSET researchers, funded by @nihr.bsky.social, spoke to 34 families eligible for support during the Maternity and Neonatal Independent Senior Advocate pilot. 🔎 Read: buff.ly/A0xmUUn

Cover graphic displaying the title of the RSET paper: That's All We Wanted, to Be Heard, Listened to, Just to Be Validated and Believed”: Family Experiences of Advocacy Support in Maternity and Neonatal Services.

Follow the link in our post to read the paper.

Nuffield Trust@nuffieldtrust· Jul 4

Has the UK's post-Brexit freedom to strike its own trade deals helped or hindered the NHS and health? Ten years on from the EU referendum, @markgdayan.bsky.social explains the picture today.

Nuffield Trust@nuffieldtrust· Jun 30

Our research highlights the barriers prisoners face when accessing A&E services. Miranda Davies, co-author of our recent report, summarises the findings in an article for public sector focus. Read the article 👉 buff.ly/6zcaGyt

Nuffield Trust@nuffieldtrust· Jun 25

ICB exec and non-exec board members, and senior directors of strategy and transformation: There's just one day left to respond to our survey and help inform this year's CQC State of Care report. 👉 buff.ly/bnHBoFe The survey closes at midnight on Friday 26 June - we greatly value your input.

Description of the scope of this year's survey for the CQC State of Care report. The three key themes of the survey are: developing neighbourhood health and community-based care; reducing health inequalities; and supporting children and young people. Follow the link in our post for the full details. The survey closes at midnight on Friday 26 June 2026.

Nuffield Trust@nuffieldtrust· Jun 23

Ten years on from the EU referendum, how has Brexit changed NHS and social care staffing? We asked @markgdayan.bsky.social, our policy analyst leading research on the effects of Brexit on health and care.

Nuffield Trust@nuffieldtrust· Jun 18

The NHS in England met a big interim target in last month's performance data update - but how is it performing now? Scroll through our #QualityWatch dashboard for the latest 📊 👉 buff.ly/UVeKmtH

Nuffield Trust@nuffieldtrust· Jun 16

🗓️ It's the last week to complete our survey to inform this year's CQC State of Care. If you are an ICB board member or senior director working on strategy or transformation, we'd really like to hear from you. Access our short survey: buff.ly/fY8B5xJ

Description of the scope of the CQC State of Care survey carried out by the Nuffield Trust. Follow the link in our post for more details.

Nuffield Trust@nuffieldtrust· Jun 15

In today's @financialtimes.com (£) @markgdayan.bsky.social says that post-Brexit, "there are now more doctors, nurses and health visitors in England from India than from the EU." 🗞️ Read: buff.ly/JDJGUrY 🔎 Explore our NHS Workforce Explainer for more, including this chart: buff.ly/eggqINe

Chart showing how the number of internationally (non-EU/EEA) trained nurses and midwives has increased substantially since the Brexit referendum in 2016, peaking in 2023/24.

Nuffield Trust@nuffieldtrust· Jun 14

@sallygainsbury.bsky.social set out what the UK-US trade deal really means for health care at #ConfedExpo this week. 📽️ Watch back: buff.ly/ks3E3mL 🗨️ "The NHS budget is very much a finite thing. We can't spend more money on new branded drugs without taking that money away from somewhere else."

Photo of Sally and her fellow panelists on stage at Confed Expo.

Nuffield Trust@nuffieldtrust· Jun 13

AI in health care... it's a big topic with all too many pitfalls. We were fortunate to be joined by leading AI researcher @jessrmorley.bsky.social, in conversation with @theasrstein.bsky.social to round off the #RapidEvaluation conference. Watch the conversation: 📽️ buff.ly/PyilMYJ

Nuffield Trust@nuffieldtrust· Jun 8

How can #RapidEvaluation help improve maternity services? ↗️ RSET's @racheljlawrence.bsky.social spoke on our conference panel about moving from reactive reviews to proactive evaluation. She shared her reflections after the session 👇

Nuffield Trust@nuffieldtrust· Jun 7

In health and care, we often focus on new initiatives to improve people's lives - but what about stopping doing the things that are no longer working? Our #RapidEvaluation Conference panel, featuring @jonny-clarke.bsky.social and @sallygainsbury.bsky.social, considers this: Watch 📽️ buff.ly/TWuV3Nn

Nuffield Trust@nuffieldtrust· Jun 4

What can we learn from planning and delivering health care #RapidEvaluation? 🔍️ Last month's conference opened with a discussion between the leaders of England's five national Rapid Evaluation teams, reflecting on their work and sharing learning. Watch it back now: 📽️ buff.ly/QS8y7EE

Photo from the back of the room during the plenary session at the Rapid Evaluation Conference.

Nuffield Trust@nuffieldtrust· Jun 4

Public satisfaction with the NHS improved this year, but it's still at historic lows 🙁 In their @bmj.com data briefing, @markgdayan.bsky.social and Bea Taylor talk through the charts from the #BritishSocialAttitudes survey that help explain why. www.bmj.com/content/393/...

Not all predictors of public satisfaction are improving - figure 1 in the BMJ data briefing.

Nuffield Trust@nuffieldtrust· Jun 2

Inequalities in #NHS staff experiences persist, with Black and minority ethnic staff 38% less likely to be appointed from shortlisting compared to White staff. 📊 Find out more in our NHS Workforce in Numbers explainer: 👉 buff.ly/fv6QkYA

Chart showing how Black and minority ethnic staff are less likely to be appointed from shortlisting and more likely to enter a formal disciplinary process compared to their White peers.

Nuffield Trust@nuffieldtrust· May 31

The 31% increase in nurses between 2015-2025 has not been consistent across the different branches of nursing in England. The number of children’s nurses increased by 41% while the number of learning disability nurses fell by 10%. Read our NHS workforce explainer: 👉 buff.ly/fv6QkYA