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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Delivering general practice with too few GPs


11/10/2019 Dr Rebecca Rosen

With an increasing number of GPs leaving clinical practice or working part time, and many practices unable to fill vacant GP posts, this briefing presents some ideas on how general practice can continue to be provided as the shortage of GPs becomes chronic.

What can England learn from the long-term care system in Germany?


11/09/2019 Natasha Curry | Laura Schlepper | Nina Hemmings

The current social care system in England is widely regarded as unfair, complex, confusing and failing to meet growing care needs in the population. Germany was in a similar situation 24 years ago, but successfully brought about far-reaching reform. As the UK government promises to fix our social care system, what can England learn from Germany's experience of reform?

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.