Long-term conditions

Nuffield Trust | March 2020 | March 2020 | Long-term conditions

The Nuffield Trust has produced its latest update on long-term conditions, it looks specifically at the quality of care for people with long-term conditions.

The long-term conditions included in the update are:

Care for heart attack patients

Stroke care

Care for COPD patients

Cancer survival rates

Further details from the Nuffield Trust 


Supporting patients to manage their long-term condition(s)


Adult social care in the UK

The Nuffield Trust has published Adult social care in the four countries of the UK. This explainer looks at key themes in social care around funding, eligibility and ‘offer’ in each of the four UK countries, while considering the direction of current reform efforts.

Full detail: Adult social care in the four countries of the UK.

See also: Social care across the four countries of the UK: what can we learn?| Nuffield Trust blog

Quality and inequality

How have inequalities in the quality of care changed over the last 10 years? | QualityWatch | The Health Foundation | Nuffield Trust


The NHS aims to provide high quality care for everyone that needs it. But inequalities in health care persist. The recent NHS Long Term Plan made it a priority to address ‘unwarranted’ differences in the care people receive.

QualityWatch has been looking across a whole range of services and performance measures to find out how inequalities in health care have changed over the last decade.

There are different types of inequalities in health care that might arise from the region of the country you live in, your ethnicity, gender, or socio-economic status. This data story takes a closer look at the association between deprivation in the area that a patient lives and quality of care.

The analysis finds people living in the most deprived areas of England experience a worse quality of NHS care and poorer health outcomes than people living in the least deprived areas. These include spending longer in A&E and having a worse experience of making a GP appointment.

Full detail: Quality and inequality | QualityWatch

See also: Poorest get worse quality of NHS care in England, new research finds | Nuffield Trust

Patient experience of NHS and social care services

Nuffield Trust | August 2019| Patient experience of NHS and social care services

The Nuffield Trust has published its latest indicator which considers how patient experience of NHS and social care services has changed over time.

Overall experience

  • Parents with a child who had been admitted to hospital tended to rate their child’s overall experience highly, with over 80% of respondents rating their child’s experience as ‘8’, ‘9’ or ‘10’ (very good).
  • Only 52% of Community Mental Health Survey respondents rated their overall experience of NHS mental health services in the last 12 months as ‘8’, ‘9’ or ‘10’ (very good), and 10% rated their experience as ‘2’, ‘1’ or ‘0’ (very poor).
  • Adult inpatients’ overall experience has improved over time, with the proportion of survey respondents rating their experience as ‘8’, ‘9’ or ‘10’ (very good) increasing from 67% in 2012 to 73% in 2017. However, overall experience declined slightly to 71% in 2018.
  • The proportion of GP Patient Survey respondents who had a good overall experience (‘very good’ or ‘fairly good’) decreased from 88% in 2012 to 85% in 2017. In 2018, 84% of patients had a good overall experience and this declined slightly to 83% in 2019.*
  • Service users’ satisfaction with adult social care services has remained stable over time, with 65% of respondents ‘extremely or very satisfied’ in 2017-18.
  • Between 2012 and 2019, the proportion of patients who had a good overall experience (‘very good’ or ‘fairly good’) of NHS dental services increased from 83% to 85%.

The patient experience indicators include:

  • Confidence and trust in clinicians
  • Respect and dignity
  • Patients’ involvement in decisions
  • Medication side effects
  • Access to GP services
  • Carers’ views of social quality
  • Mixed-sex accommodation breaches (Source: Nuffield Trust)

Full details are available from the Nuffield Trust 

Why a “risk pool” must underpin a social care system

Nuffield Trust | July 2019 | Why a “risk pool” must underpin a social care system

A new publication from the Nuffield Trust looks at the social care system, in the one-page document the think-tank explains why it thinks relying on individual funding options is unlikely to provide a viable basis for the system. 

Read the briefing  Why a “risk pool” must underpin a social care system