Lightnews — Scholar-powered news

Becks Fisher

@becksfisher.bsky.social

1.6K followers 120 following 48 posts

Director of Research & Policy @nuffieldtrust.bsky.social, NHS GP, Harkness 22/23, co-founder of Next Generation GP. She/her. Views my own. Usually running.

Posts Media Videos Starter Packs

Pinned

Becks Fisher @becksfisher.bsky.social · Dec 12

The funding of #generalpractice is unfair and inequitable.

New @nuffieldtrust.bsky.social with the Health Equity Evidence Centre looks at why, why it matters, options to ‘fix’ the problem and makes clear what we think is the way forward.

www.nuffieldtrust.org.uk/resource/fai...

Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do?

General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. This briefing, produced i...

www.nuffieldtrust.org.uk

3 16 23

Reposted by Becks Fisher

Nuffield Trust @nuffieldtrust.org.uk · Jul 10

Read our Director of Research and Policy Dr @becksfisher.bsky.social's response to the results of the GP patient survey.

📈 There are signs of improvement but inequalities still persist.

Signs of improvement in general practice but inequalities still persist

Becks Fisher responds to the GP patient survey results.

www.nuffieldtrust.org.uk

2 3

Reposted by Becks Fisher

Nuffield Trust @nuffieldtrust.org.uk · Jul 8

The 10 Year Health Plan is rightly ambitious. But there are several areas where it could come unstuck, not least when it comes to the money that's required to turn grand ambitions into reality.

Read the blog from Director of Research and Policy @becksfisher.bsky.social 👇
buff.ly/4yrJLjs

3 5

Reposted by Becks Fisher

Nuffield Trust @nuffieldtrust.org.uk · Jul 3

It's been a landmark day for the NHS. But what does it all mean?

We asked @becksfisher.bsky.social, Director of Research and Policy

10 18

Becks Fisher @becksfisher.bsky.social · Jun 25

Still - this Government committed to reducing health inequalities in its manifesto and has repeated that commitment - with tangible policy today. I'm calling that progress.

Becks Fisher @becksfisher.bsky.social · Jun 25

This is where the rubber hits the road. Govt is promising to find funding by clawing back £2.2bn of deficit.

Can they do that? Is the £2.2bn question.

Reducing deficits without reducing services is a tough ask.

Becks Fisher @becksfisher.bsky.social · Jun 25

So - to go beyond reviewing CH, to actually *changing* it to make funding fairer, you probably need to inject cash.

The idea is to hold 'above allocation' practices at a steady level of income whilst you bring others' up. That's much more palatable to the profession.

Becks Fisher @becksfisher.bsky.social · Jun 25

Government are clearly thinking ahead. Reviewing Carr-Hill is one thing. Its been promised in three previous national plans. Reviews have happened. They've said it should change, and it hasn't. Why? Mostly because unless you put in more £ it'll be a hard sell to GPs - some will lose out.

Becks Fisher @becksfisher.bsky.social · Jun 25

First, there's a big bank of evidence showing that Carr-Hill drives inequitable funding across general practice.

This is good, evidence-led decision making from Govt. And if they want to tackle health inequalities through the NHS, they need to tackle this

www.nuffieldtrust.org.uk/resource/fai...

Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do?

www.nuffieldtrust.org.uk

Becks Fisher @becksfisher.bsky.social · Jun 25

Fourth time lucky?!

Why am I hopeful that this time, a promise of review might lead to actual change?

🧵👇

Nuffield Trust @nuffieldtrust.org.uk · Jun 25

🆕 It’s good news that the government has promised to review the unfair GP funding formula. Read @becksfisher.bsky.social’s thoughts about this in @theguardian.com.

Our full statement on the announcement is here: www.nuffieldtrust.org.uk/news-item/gp...

Poorest parts of England to get £2.2bn more for NHS to cut care inequalities

Deprived and coastal areas to get extra cash this year for staff and resources in effort to improve health outcomes

www.theguardian.com

2 7 5

Becks Fisher @becksfisher.bsky.social · Jun 25

Women spend more of their working-age years living with ill health than men.

Brilliant new #Qualitywatch analysis from my @nuffieldtrust.org.uk colleagues unpicking the factors driving this 🔽

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

Silence, sexism and stigma: The state of working-age women’s health in England

Women spend more years of their life living in poor health than men, including through their working years. This QualityWatch data story shows how the burden of disease affects working-age women and m...

www.nuffieldtrust.org.uk

2 3

Reposted by Becks Fisher

Emma Bower @emmabower.bsky.social · Jun 25

Today @rthonwesstreeting.bsky.social will announce plans to overhaul GP funding. If you're interested in more on how we can make GP funding fairer have a listen to this podcast I did with @becksfisher.bsky.social from @nuffieldtrust.org.uk last year www.gponline.com/podcast-gp-f...

4 8

Becks Fisher @becksfisher.bsky.social · Jun 6

The excellent @sallygainsbury.bsky.social dissecting #NHS finances to show why £22.6bn really isn’t much of a ‘downpayment’ on the 10 year plan….

Sally Gainsbury @sallygainsbury.bsky.social · Jun 5

Ahead of the SR next week, my long read today looks at where the £22.6bn extra cash chancellor Reeves added to health spending in England for this year has gone. A thread >>

2 2

Reposted by Becks Fisher

Shaun Lintern @shaunlintern.bsky.social · Jun 1

Resident doctor pay: How do different methods affect how pay changes appear? Thanks to @nuffieldtrust.bsky.social for their analysis in The Sunday Times this week: www.nuffieldtrust.org.uk/news-item/re...

Resident doctor pay: How do different methods affect how pay changes appear?

www.nuffieldtrust.org.uk

2 9 15

Becks Fisher @becksfisher.bsky.social · May 14

Packed room at #rapidevaluation conference for opening plenary. Lots of potential for tech enabled change in the #NHS, but lots required to make it happen: interoperability, better procurement, cultural change etc. Will 10y.p help?!

@nuffieldtrust.bsky.social @healthfoundation.bsky.social

Reposted by Becks Fisher

Nuffield Trust @nuffieldtrust.org.uk · May 9

NEW ANALYSIS explores how approaches to #AssistedDying vary internationally.

The Nuffield Trust holds a neutral position on the legalisation of assisted dying in the UK.

Our analysis reviews the evidence for jurisdictions where it has been implemented, to help inform debate.
🧵1/9
buff.ly/CTLXDjs

Diverging paths: How other countries have designed and implemented assisted dying

As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from…

www.nuffieldtrust.org.uk

3 16 13

Reposted by Becks Fisher

Sarah Jane Reed @sjanereed.bsky.social · May 9

1/ New analysis with @nuffieldtrust.bsky.social colleagues today on Assisted Dying, and what we can learn from other countries as the UK considers legalisation.

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

Diverging paths: How other countries have designed and implemented assisted dying

As the assisted dying Bill returns to the House of Commons next week, this in-depth analysis offers evidence from a wide range of contexts to further inform the debate. What can the UK learn from othe...

www.nuffieldtrust.org.uk

1 6 10

Reposted by Becks Fisher

steve the skeptic @policyskeptic.bsky.social · Apr 16

It is very easy and very tempting to assume that management is merely a (useless) cost to be saved not something that adds value to the rest of the system. That's not what the evidence says and it is possible to have too little management.

1 5 10

Reposted by Becks Fisher

Nuffield Trust @nuffieldtrust.org.uk · Apr 2

In 2024, just 1 in 5 British adults (21%) were satisfied with the way in which the NHS runs – the lowest level of satisfaction since the #BritishSocialAttitudes survey began. It’s a decline of 39 percentage points since 2019. @thekingsfund.bsky.social

www.nuffieldtrust.org.uk/research/pub...

6 8

Reposted by Becks Fisher

Victoria Tzortziou Brown @victoriatb.bsky.social · Mar 30

At the Congrès de la Médecine Générale in Paris presenting with @becksfisher.bsky.social and John Ford. We covered GP retention, workforce data, unequal GP distribution, lack of job opportunities. #sustainableGPcareers #addressingbottlenecks @rcgp.bsky.social @nuffieldtrust.bsky.social @qmul.ac.uk

1 2 15

Reposted by Becks Fisher

Mark Dayan @markgdayan.bsky.social · Mar 21

Today with @cglobont.bsky.social @tamarahervey.bsky.social and excellent colleagues not on Bsky we publish our final Brexit report on how health and care in the NHS have pulled apart from Europe, and the consequences – funded by @healthfoundation.bsky.social www.nuffieldtrust.org.uk/research/hea...

Health in the UK after Brexit: Moving apart or stuck together?

How has Brexit reshaped health in the UK? The final report in our Health and International Relations Monitor series, supported by the Health Foundation, tracks the ongoing impact from EU exit on medic...

www.nuffieldtrust.org.uk

1 10 11

Reposted by Becks Fisher

Nuffield Trust @nuffieldtrust.org.uk · Mar 19

The partnership model in #GeneralPractice predates the #NHS. Is now the time to change it?

Read our briefing to find out more: www.nuffieldtrust.org.uk/resource/the...

@becksfisher.bsky.social also shared her thoughts at our Summit earlier this month 👇

2 1

Reposted by Becks Fisher

Sally Gainsbury @sallygainsbury.bsky.social · Mar 19

Job alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>>

Nuffield Trust @nuffieldtrust.org.uk · Mar 18

WE'RE HIRING: The Nuffield Trust is looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services. #ResearchJobs #ThinkTankJobs

Find out more and apply here. 👇

Fellow (Funding & Finance) (F03/25)

We are looking to recruit a new Fellow to work on projects relating to the funding and financing of health and social care services.

www.nuffieldtrust.org.uk

4 6

Reposted by Becks Fisher

Hugh Alderwick @hughalderwick.bsky.social · Mar 18

On the end of NHS England in @bmj.com

www.bmj.com/content/388/...

Feels like a massive distraction

Labour government scraps NHS England

Performative politics that will disrupt the health service when patients most need it On 13 March, the UK prime minister announced that the Labour government will scrap NHS England—the national body ...

www.bmj.com

1 4 5

Reposted by Becks Fisher

Liam @aidstationfireb.bsky.social · Mar 17

iykyk #bm100

2 7 86

Becks Fisher @becksfisher.bsky.social · Mar 15

‘nine months into its term of office the government is embarking on a major reorganisation of the superstructure of the NHS that is not fully thought through and which it did not intend to do in the first place’

Nick Timmins on excellent form 👇🏻

www.instituteforgovernment.org.uk/comment/keir...

Keir Starmer's decision to abolish NHS England is a high-risk strategy | Institute for Government

Wes Streeting seems to have dramatically shifted his position on NHS England.