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Nuffield Trust

@nuffieldtrust.org.uk

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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Latest posts by Nuffield Trust @nuffieldtrust.org.uk

Teun Toebes at Nuffield Trust Summit: "Working towards zero risk means working towards zero life. Because life brings risk." Watch the talk via the link in our post.

Teun Toebes at Nuffield Trust Summit: "Working towards zero risk means working towards zero life. Because life brings risk." Watch the talk via the link in our post.

Humanitarian activist @teuntoebes.bsky.social has a mission: to improve the quality of life of people living with dementia.

It involves rethinking how we manage risk while still allowing people to live fulfilling lives.

Teun's powerful #ntsummit talk is now available on YouTube.

πŸ‘‰ buff.ly/IqJIRWv

06.03.2026 19:07 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Martha Hall at Nuffield Trust Summit: "My dog Greg and I are now permanently housed in a home that meets our needs. A massive weight has been lifted, and I feel like I can breathe again."

Martha Hall at Nuffield Trust Summit: "My dog Greg and I are now permanently housed in a home that meets our needs. A massive weight has been lifted, and I feel like I can breathe again."

Our closing session challenged us to rethink what living well at home really means.

For our #ntsummit panelist, Martha, her dog Greg made a huge difference. πŸ•β€πŸ¦Ί

06.03.2026 12:44 πŸ‘ 7 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
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What’s holding back the β€œhospital to home” shift? 🏠

Tune in now for our panel of experts asking how housing can support β€” rather than obstruct β€” safe discharge from hospital, recovery and care at home.

πŸŽ₯ Watch live at #ntsummit

πŸ‘‰ buff.ly/9RtiYiq

06.03.2026 11:20 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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@teuntoebes.bsky.social opens Day 2 of #ntsummit with a powerful reminder that we don't lose our humanity when living in a care home.

πŸ“½οΈ Live: buff.ly/6z8wFQS

06.03.2026 10:21 πŸ‘ 6 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
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#ntsummit

Teun Toebes, a social science researcher in his 30s who lived in a specialist dementia care home for 3 years to describe the experience for residents including attitude to risk, autonomy, personalisation, self-defined quality of life

06.03.2026 09:35 πŸ‘ 16 πŸ” 3 πŸ’¬ 2 πŸ“Œ 0
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We're kicking off day 2 of #ntsummit with a powerful talk from @teuntoebes.bsky.social

Tune in: events.zoom.us/ev/AleCC_gRU...

06.03.2026 09:22 πŸ‘ 1 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
9:15am on Friday 6 March, join us for a session led by Teun Toebes, challenging us to reframe how we think about care and consider how a different narrative could help place dignity, possibility and human connection at the centre of reform. Register to watch via the link in our post.

9:15am on Friday 6 March, join us for a session led by Teun Toebes, challenging us to reframe how we think about care and consider how a different narrative could help place dignity, possibility and human connection at the centre of reform. Register to watch via the link in our post.

▢️ Watch live now: Changing the narrative around care

Joined by our Deputy Director of Policy, @natashacurry.bsky.social, @teuntoebes.bsky.social reflects on how care is understood, and why more relationship‑centred approaches must be part of the conversation.

πŸ‘‰ buff.ly/9RtiYiq

πŸŽ₯ at #ntsummit

06.03.2026 09:10 πŸ‘ 0 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Highlights and recordings Catch up with the video highlights from sessions at Nuffield Trust's 2026 Summit here, as well as presenter slide decks and 'snapshot' interviews with speakers discussing the most important issues aff...

Yes, the recordings will be available on our website later today.
www.nuffieldtrust.org.uk/summit/nuffi...

06.03.2026 08:14 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Nuffield Trust Summit 2026 The Summit is the Nuffield Trust's annual flagship event. Sessions from the conference will be available to watch here.

Join us for Day 2 of #ntsummit

Live from 9:15am πŸ“½οΈ

buff.ly/9RtiYiq

06.03.2026 07:46 πŸ‘ 0 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
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There's a lot that health and care can learn from other public services.

Yesterday, Dame Lynne Owens, former Deputy Commissioner of the Met, reflected on the shared challenges of understanding and making system‑wide change.

And there's much more to come at #ntsummit...

06.03.2026 07:46 πŸ‘ 2 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
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Why hasn’t social care reform stuck?

Baroness Casey sets out what needs to change to meet today’s needs.

#ntsummit

05.03.2026 21:15 πŸ‘ 7 πŸ” 5 πŸ’¬ 2 πŸ“Œ 2

πŸ“½οΈ Recordings from all of today's #ntsummit sessions are now available to watch on our YouTube channel.

Catch up on what Prof Sir Chris Whitty, Baroness Casey and all our panelists had to say πŸ‘‡

www.youtube.com/@nuffieldtru...

05.03.2026 16:56 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
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Baroness Casey shows bold thinking on social care reform at Nuffield Trust Summit Natasha Curry responds to Baroness Casey’s update on the Independent Commission on Adult Social Care at the Nuffield Trust Summit.

Nuffield Trust Deputy Director of Policy @natashacurry.bsky.social has responded to the speech from Baroness Casey on social care reform.

Read our statement πŸ‘‡

www.nuffieldtrust.org.uk/news-item/ba...

05.03.2026 16:33 πŸ‘ 2 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

It's been a packed day at the Nuffield Trust Summit, where we've just heard from Baroness Casey on social care reform.

We'll be making the recording available on our YouTube channel shortly www.youtube.com/@nuffieldtrust

Join us again tomorrow morning when we'll hear more on social care.

05.03.2026 15:59 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Chart showing the pay of various NHS staff groups relative to 2010/11. The chart shows that 15 years since, real terms pay for most NHS staff has recovered slower than the public sector average.

Chart showing the pay of various NHS staff groups relative to 2010/11. The chart shows that 15 years since, real terms pay for most NHS staff has recovered slower than the public sector average.

πŸ†• How do #NHS staff earnings compare to 15 years ago?

Our analysis finds that real terms pay for most NHS staff has recovered slower than the public sector average. Pay recovery to 2010 levels for #nurses and #midwives in particular is still out of reach.

Read here: buff.ly/xQD2Nhw

05.03.2026 15:55 πŸ‘ 7 πŸ” 7 πŸ’¬ 0 πŸ“Œ 0

#ntsummit

Baroness Casey

The evidence from various reports and recommendations and research outputs only takes us so far with social care reform

In a democracy with a political/electoral cycle, we will not take things further without a major public engagement and conversation and public support

05.03.2026 15:23 πŸ‘ 11 πŸ” 6 πŸ’¬ 3 πŸ“Œ 0
Baroness Casey tells the Nuffield Trust Summit: "For all the reforms and reviews that we’ve seen, none of them have had the full political backing that was needed. Social care has never had its own creation moment. Instead we’ve inherited a system from a different age, without ever having the moment of reckoning that we now need." Watch our Zoom livestream and find the recordings via our YouTube channel.

Baroness Casey tells the Nuffield Trust Summit: "For all the reforms and reviews that we’ve seen, none of them have had the full political backing that was needed. Social care has never had its own creation moment. Instead we’ve inherited a system from a different age, without ever having the moment of reckoning that we now need." Watch our Zoom livestream and find the recordings via our YouTube channel.

Baroness Casey tells #ntsummit that a public mandate is needed for social care to finally get the action it needs.

▢️ Watch our Summit livestream:

πŸ‘‰ buff.ly/9RtiYiq

πŸ“½οΈ Find the recording as soon as it's available via our YouTube channel:

πŸ‘‰ buff.ly/YrLrtEW

05.03.2026 15:10 πŸ‘ 4 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0

#ntsummit

The divide between what is counted as "Health" or "Social Care" is defined by professionals and policy makers but is not apparent to or understood by the general public who see it as a continuum based on need, not on who pays, how it is paid for, which organisation is responsible

05.03.2026 14:50 πŸ‘ 18 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0

#ntsummit
Baroness Casey

Since 1997, 21 separate reports on how to fix and fund a social care "system" that does not really exist

Councils hit so hard by cuts that they effectively gatekeep access to scarce social care

Giving people statutory rights to care with no matched resource is pointless

05.03.2026 14:31 πŸ‘ 19 πŸ” 6 πŸ’¬ 2 πŸ“Œ 0

Watching Louise Casey’s speech at @nuffieldtrust.org.uk Health Summit.

She traces the history of care from 1948, where Beveridge’s lack of focus on social care was in large part down to lower life expectancies & unpaid care.

That’s changed but she says β€˜we haven’t looked it in the face’.

05.03.2026 14:34 πŸ‘ 17 πŸ” 7 πŸ’¬ 3 πŸ“Œ 0
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Big moment for social care as Baroness Louise Casey makes her first ever speech about the Adult social care commission.

Chuffed that she chooses our small but mighty @nuffieldtrust.org.uk think tank to make it

05.03.2026 14:24 πŸ‘ 7 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
2:15pm on Thursday 5 March: what should a reformed adult social care system look like? Follow the link to watch.

2:15pm on Thursday 5 March: what should a reformed adult social care system look like? Follow the link to watch.

NEXT: Baroness Casey will share insights from her ongoing independent review into adult social care in England at #ntsummit.

Watch for free via Zoom.

πŸ‘‰ buff.ly/9RtiYiq

05.03.2026 14:10 πŸ‘ 1 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Refreshing to hear Thea Stein CEO of Nuffield Trust explicitly naming moral distress in senior healthcare leaders. There's something vulnerable & human in this which we dont often see. Thea emphasised the importance of emotional intelligence & the central importance of psychological safety #NTSummit

05.03.2026 12:49 πŸ‘ 21 πŸ” 4 πŸ’¬ 1 πŸ“Œ 2
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How worried should we be about the impact of mis- and disinformation on health?

We asked @becksfisher.bsky.social, our Director of Research and Policy and a practising GP.

05.03.2026 13:18 πŸ‘ 8 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0

#ntsummit interesting contrast with senior police officer expectations discussed by Dame Lynne Owens former Met Deputy Chief Constable where Senior Police ranks are expected to have operational independence and to be candid and on the record about operational issues/risks/threats/expectations

05.03.2026 12:54 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Navigating complexity: moral distress among NHS chief executives With financial constraints, record waiting lists and recent staff strikes, the role of being an NHS chief executive has arguably never been harder. But what impact is it having on those health service...

Read Thea's blog on this topic πŸ‘‡

05.03.2026 12:59 πŸ‘ 1 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Thea Stein at the Nuffield Trust Summit: "An NHS Chief Exec I spoke to said the most morally distressing things they did were to manage NHS money – but I couldn’t publish that as it would identify them. By the sixth one who said that, I knew it wouldn’t." Watch the livestream via the link in our post.

Thea Stein at the Nuffield Trust Summit: "An NHS Chief Exec I spoke to said the most morally distressing things they did were to manage NHS money – but I couldn’t publish that as it would identify them. By the sixth one who said that, I knew it wouldn’t." Watch the livestream via the link in our post.

@theasrstein.bsky.social shares the reality of being an NHS leader today, as part of a packed #ntsummit programme.

Watch the livestream and look out for the recordings on our website πŸ“½οΈ

πŸ‘‰ buff.ly/9RtiYiq

05.03.2026 12:57 πŸ‘ 3 πŸ” 6 πŸ’¬ 1 πŸ“Œ 1
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At #NTsummit former Met Police deputy commissioner Dame Lynne Owens says talking about distress among top public sector leaders risks sounding like whining to the public, but it is needed because of the risk they stop talking openly and honestly - watch at www.nuffieldtrust.org.uk/summit/nuffi...

05.03.2026 12:36 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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#ntsummit @nuffieldtrust.org.uk CEO Thea Stein (who was an experienced NHS CEO before she took up this post) kicking off the session with her work interviewing senior managers/leaders on moral distress in their work

05.03.2026 12:11 πŸ‘ 6 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0
11:50am on Thursday 5 March: What does it mean to lead ethically and compassionately in a period of sustained pressure on health and care systems?

Follow the link to watch via our livestream.

11:50am on Thursday 5 March: What does it mean to lead ethically and compassionately in a period of sustained pressure on health and care systems? Follow the link to watch via our livestream.

Up next at #ntsummit…

Our panel of public sector leaders across policing, the NHS and social care will be discussing the challenges of leading ethically.

That's all after our chief exec @theasrstein.bsky.social sets the scene.

Watch for free via Zoom πŸ“½οΈ

πŸ‘‰ buff.ly/9RtiYiq

05.03.2026 11:50 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0