Research into the UK's health system is one of our core activities and has been since we were founded over 70 years ago. We undertake projects that will provide evidence on key areas of health and social care and which build upon our established areas of expertise.

All research

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31-40 of 569

Outcomes of hospital admissions among frail older people: a 2-year cohort study

Journal article


Study to determine long-term outcomes of older people discharged from hospital following short (<72 hours) and longer hospital admissions compared by frailty status.

Change or collapse: Lessons from the drive to reform health and social care in Northern Ireland


10/07/2019 Mark Dayan | Prof. Deirdre Heenan

Three years after Rafael Bengoa’s blueprint for improving the Northern Irish health service, this report uses interviews with health service leaders in Northern Ireland as well as outside experts and clinicians to assess which factors are helping or hindering Northern Ireland's efforts to change its health and social care system, finding that the political vacuum and culture of centralisation are impeding reform.

Achieving a digital NHS: Lessons for national policy from the acute sector


31/05/2019 Sophie Castle-Clarke | Rachel Hutchings

As a new body, NHSX, becomes established to lead national policy for technology, digital and data, and with the Secretary of State firmly behind plans to create a fully digital NHS, this report seeks to understand how national policy for digitisation is working from the perspective of acute trusts. Do digital leaders feel the commitment to digital over the last two decades is helping to move things forward? And what could be done differently to support digitisation on the ground?

Improving access out of hours: Evaluation of extended-hours primary care access hubs


20/05/2019 Helen Crump | Sandeepa Arora | Chris Sherlaw-Johnson | Holly Holder | Dr Alisha Davies | Silvia Lombardo

Could schemes aiming to increase the availability of primary care health care access out of hours improve the overall quality of services and patient experience in outer east London? The Nuffield Trust was commissioned by Barking, Havering and Redbridge CCGs to evaluate the impact of access programmes in these boroughs.

What can the NHS learn from learning health systems?


15/05/2019 Sarah Scobie | Sophie Castle-Clarke

Drawing on a seminar held at the Nuffield Trust and on evidence and experience from the UK and internationally, this briefing identifies opportunities for local organisations and systems to make better use of health data, and recommends ways that national policy could promote the collaboration and greater use of analytics which underpin the 'learning health system' concept. We focus on lessons for the NHS – but many of the same actions could be taken across the wider health and care system.

The gender pay gap in the English NHS: Analysis of some of the underlying causes


13/05/2019 John Appleby | Laura Schlepper

This briefing looks at differences in basic pay between men and women employed by the NHS in England, based on data from the NHS electronic staff record for one month. As well as drawing on previous analyses to describe the extent of overall pay differences by staff group, pay band, age and ethnicity, it also identifies factors that drive those differences.

Comprehensive geriatric assessment for frail older people in acute hospitals: the HoW-CGA mixed-methods study

Journal article


Comprehensive geriatric assessment improves outcomes for frail older people at risk in acute hospitals, but toolkits aimed at enhancing its delivery by non-specialists require prolonged geriatrician support.

Understanding physiological stability of hospital patients over the course of admission, using VitalPAC data



The aim of this project is to understand trends and patterns in the vital signs of patients on admission to hospital, with a particular focus on patients who have been admitted in an emergency. We hope that this work will provide insights into the scope for safely reducing patients’ length of stay.

Closing the gap: Key areas for action on the health and care workforce


21/03/2019 Jake Beech | Simon Bottery | Anita Charlesworth | Harry Evans | Ben Gershlick | Nina Hemmings | Candace Imison | Pinchas Kahtan | Helen McKenna | Richard Murray | Billy Palmer

The workforce challenges currently facing the health service pose a threat to the delivery and quality of care over the next 10 years. In advance of the NHS's workforce implementation plan later this year, the Nuffield Trust has joined forces with the Health Foundation and The King's Fund to outline a detailed and costed set of solutions for overhauling how the NHS recruits and keeps its staff, provided this can be backed by £900m a year in investment.

Public satisfaction with the NHS and social care in 2018: Results from the British Social Attitudes survey


07/03/2019 Ruth Robertson | John Appleby | Harry Evans | Nina Hemmings

Nuffield Trust and The King's Fund present results and analysis from the annual British Social Attitudes survey. This year's data shows that the British public’s satisfaction with the NHS is at its lowest level in over a decade.