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.

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Support at the end of life: The role of hospice services across the UK


23/05/2022 Eilís Keeble | Sarah Scobie | Rachel Hutchings

Covid-19 created huge disruption to end of life care services, with many thousands more people dying at home than previously. Hospices play a vital role supporting people and their families at the end of life, but little is known about how these services are being delivered and the issues they are grappling with. This new analysis by Nuffield Trust based on a survey carried out by Hospice UK plugs that gap and provides a picture of a sector undergoing rapid change in the face of fast-changing circumstances.

Supporting patient engagement with digital health care innovations: Lessons from the Care City test bed


05/05/2022 Rachel Hutchings | Chris Sherlaw-Johnson

Health apps and digital tools have the potential to help alleviate some of the huge pressures the NHS faces from Covid-19, the backlog of care and rising demand. But introducing these tools into health care and supporting people to use them is never a quick fix, and they will not work for everyone. This summary provides a set of lessons for ensuring digital health innovations are applied in optimal ways for the people using them. The findings are based on a large-scale evaluation of digital technologies being implemented in health and social care in East London.

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


30/03/2022 Dan Wellings | Danielle Jefferies | David Maguire | John Appleby | Nina Hemmings | Jessica Morris | Laura Schlepper

Analysis of NatCen's 2021 British Social Attitudes survey by Nuffield Trust and The King's Fund shows a huge and unprecedented drop in public satisfaction with the NHS and its individual services, despite widespread support for the fundamental principles of the health service. So what's driving this change?

Health system recovery from Covid-19: International lessons for the NHS


02/03/2022 Sarah Reed | Laura Schlepper | Nigel Edwards

The challenges confronting the NHS in recovering from the pandemic are huge, with elective services that were scaled down during the worst of the crisis now with waiting lists of over 6 million patients. Yet worldwide, the pandemic has left even the most well-equipped health systems vulnerable. What approaches have other countries used to move towards recovery, and what might the NHS learn? This major new Nuffield Trust report looks across 16 different countries to gain an understanding of the recovery challenge worldwide.

Growing problems: What has been the impact of Covid-19 on health care for children and young people in England?

Annual Statement


This scrolling data story explores the dramatic and concerning effect of the pandemic on children and young people's health, and the care they receive.

Digital primary care: Improving access for all? Rapid evidence review


04/02/2022 Dr Charlotte Paddison

With so many changes to way patients access care at their GP surgery, including a shift to online booking, 'total triage', and remote consultations - are these changes to primary care a move in the right direction? This evidence review looks at international and UK evidence to draws together key insights for policy-makers and GP practices.

Deaths at home during Covid-19 and implications for patients and services



This project will use the OpenSAFELY platform to understand the service impact of the shift in place of death during the Covid-19 pandemic.

Going it alone: health and Brexit in the UK


20/12/2021 Mark Dayan | Martha McCarey | Professor Tamara Hervey | Nick Fahy | Prof Scott L Greer | Holly Jarman | Ellen Stewart | Dan Bristow

After nearly a year out of the Single Market and Customs Union, Brexit is still fuelling uncertainty in many aspects of health and social care. This report looks at six key areas that are being impacted, what has already happened and what NHS, government and business figures expect for the future.

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


14/12/2021 Sarah Reed | Camille Oung | Jenny Davies | Mark Dayan | Sarah Scobie

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 trialled to deliver their goals.

Elective backlog and ethnicity:



Is there variation in “lost activity” and treatment rates for common procedures between ethnic groups?