Is an already tough year for the NHS about to get a lot tougher?

via Nuffield Trust

With tax cuts high on the political agenda for Conservative party leadership candidates, and inflation fuelling pay rise expectations significantly higher than budgets allow, many will be concerned the NHS will be caught in the crossfire of conflicting demands. This article describes how the health service is already having to deal with Covid, alongside rising levels of demand for care, with substantially less money than before.

Full detail: Is an already tough year for the NHS about to get a lot tougher?

Was the NHS overwhelmed last winter?

Nuffield Trust

Throughout the pandemic, politicians and other policymakers have emphasised the need to protect the NHS from collapse or overwhelm: even before Covid-19, the health service struggled to stay above water given worsening capacity, staffing and demand issues, especially during the colder months. This briefing looks at what happened to urgent and emergency hospital care last winter, when another wave of the virus hit the country during a time when it would be stretched to its absolute limits even absent of a pandemic.

Full briefing: Was the NHS overwhelmed last winter?

What do NHS leaders want from the Health Disparities White Paper?

Ahead of the publication of the health disparities white paper, NHS Confederation members have identified four priorities they hope it will reflect | Nuffield Trust

  • Health disparities in England were widening before the pandemic and risk becoming further entrenched in society if appropriate action is not taken urgently.
  • With a significant and growing gap in life expectancy between the country’s most and least deprived areas, we need to create opportunities for local health and care systems to drive population health improvement.
  • This briefing lays out four key priorities the government must include in the upcoming health disparities white paper: health equity in all policies, incentivise prevention, inclusive innovation, integration and access and action on the cost-of-living crisis for communities.

Full briefing: What do NHS leaders want from the Health Disparities White Paper?

Where are NHS nurses recruited from?

Chart of the week: Where are NHS nurses recruited from? | Nuffield Trust

The government’s pledge to have 50,000 more NHS nurses by 2024 is ambitious, but there has been welcome, significant progress on it at a national level. To February this year, the number of NHS nurses has increased by 25,458 full-time equivalents since the 2019 general election. This equates to almost 1,000 more a month, and is on a par with the rate needed to achieve 50,000 more within this parliament. But where are these nurses coming from? This article takes a closer look.

Full detail: Where are NHS nurses recruited from?

NHS performance summary

The latest NHS performance data, updated monthly | via Nuffield Trust

This analysis includes the latest data on key activity and performance measures up to March and April 2022, as published by NHS England on 14 April 2022. This includes data on the NHS’s performance against some key targets, including some of those set out in the latest planning guidance, as well as other indicators of patient safety and care.

Key findings:

  • In April 2022, 28% of people attending A&E spent more than four hours from arrival to admission, transfer or discharge – the worst performance for any April since records began.
  • Trolley waits increased to record levels – in April 2022, 24,138 patients waited over 12 hours from a decision to admit to admission, 46 times higher than in April 2021.
  • The mean ambulance response time for emergency incidents exceeded 51 minutes in April 2022, with one in ten patients waiting almost two hours.
  • As of March 2022, 306,286 patients were waiting for over one year for planned hospital treatment – 264 times higher than the level seen pre-pandemic in March 2019.

Full detail: NHS performance summary

See also:


Public satisfaction with the NHS and social care in 2021

Nuffield Trust | March 2022 | Public satisfaction with the NHS and social care in 2021

NatCen Social Research’s (NatCen’s) British Social Attitudes (BSA) survey has asked members of the public about their views on health and care services. NatCen carried out the most recent survey between 16 September and 31 October 2021 and asked a nationally representative sample of more than 3 000 people about their satisfaction with the National Health Service (NHS) overall, and 1,039 people about their satisfaction with specific NHS and social care services, as well as their views on NHS funding.

Image source: kingsfund.org.uk Image description: front cover of the report

Nuffield Trust Public satisfaction with the NHS and social care in 2021: Results from the British Social Attitudes survey

Public satisfaction with the NHS and social care in 2021: Results from the British Social Attitudes survey [news release]

In the news

Guardian Public satisfaction with NHS sinks to lowest level since 1997

BBC News Public satisfaction with NHS drops to 25-year low

Sky News NHS public satisfaction at lowest level for 25 years, new survey finds

Independent Stress, pressure and concern for patients highlighted in NHS staff survey

The long goodbye? Exploring rates of staff leaving the NHS and social care

Nuffield Trust | February 2022 | The long goodbye? Exploring rates of staff leaving the NHS and social care

This analysis from the Nuffield Trust looks at NHS staff before moving to social care, uses figures from the thin-tank’s NHS staffing tracker ,but also draws on wider analysis and research to explore the topic in greater detail.

Nuffield Trust The long goodbye? Exploring rates of staff leaving the NHS and social care

Chart of the week: The rise, fall and rise again of NHS staff sickness absences

Nuffield Trust | January 2022 | The rise, fall and rise again of NHS staff sickness absences

Each week the Nuffield Trust present analysis of data in chart form to illustrate some key issues and invite discussion. With staff absences in the NHS having been in the headlines recently, Billy Palmer looks at the daily number of staff absent through sickness or self-isolation across NHS acute trusts in England since the start of the pandemic. The numbers are presented as an average across seven days.

Chart of the week: The rise, fall and rise again of NHS staff sickness absences

Integrating health and social care. A comparison of policy and progress across the four countries of the UK

Nuffield Trust

The integration of health and social care has been a long-standing policy priority in each country of the UK. However, there is limited evidence these policies are delivering the results expected of them. This report looks at the impact of integration across the four countries and compares the policies and approaches each one has trialed to deliver their goals.

Full report: Integrating health and social care. A comparison of policy and progress across the four countries of the UK

Press release: Benefits of integration of health and social care services across UK countries continues to be over-estimated