Charles Tallack @CharlesTTHF Twitter profile

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Charles Tallack

2 years

The argument that’s often made for why we need an alternative model to the NHS or radical reform is that the NHS is unsustainable. The latest to make the argument is Sajid Javid. But *is* the NHS unsustainable? A Friday🧵

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Charles Tallack

@CharlesTTHF

3 months

When, on 12 June, Elon Musk made Likes on X private (so that only a post author can see who likes their post) this seemed like a small change. But small changes in complex systems like X can have big, unpredictable effects. 1/7

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Charles Tallack

@CharlesTTHF

3 months

In other words, the change Musk introduced means racist posts are now being liked more, which is giving them an extra boost. 5/7

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Charles Tallack

@CharlesTTHF

3 months

So, just two months after the changes were made we may be seeing their horrific consequences. It seems incredible that we have allowed a billionaire owner of a social media platform to have such power. 7/7

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Charles Tallack

@CharlesTTHF

3 months

Racist posts are likely to benefit. More likes for these posts means that X promotes them more. 4/7

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Charles Tallack

@CharlesTTHF

3 months

This subtle change made by Musk seems likely to have fuelled the race riots which have erupted across England. I think it's also likely that Musk foresaw what the effects of his change could be. 6/7

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Charles Tallack

@CharlesTTHF

3 months

Certain posts see bigger increases in likes. These will tend to be those that people wouldn't want others to see them liking. 3/7

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Charles Tallack

@CharlesTTHF

3 months

What the change means is that if you like a post, no one can see that you've liked it (apart from the poster). This increase the likes posts get. 2/7

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Charles Tallack

@CharlesTTHF

3 months

This is speculation about the effects and consequences of the changes to Likes based on what I think is a plausible theory. The theory needs testing with data, eg to understand whether certain types of tweets (eg offensive, racist ones) now get more likes than other types. 7+1

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Charles Tallack

@CharlesTTHF

3 months

And, to clarify, I'm not saying Musk foresaw the race-related riots in England. The change to Likes seems motivated by his belief in unrestricted free-speech. But he's a clever man who will have been aware that the change could have far reaching (if unknown) consequences. 7+3

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Charles Tallack

@CharlesTTHF

3 months

We also don't know to what extent X and engagement with racist posts fueled the riots. There's sure to be more research into this, helping fill gaps in our understanding. 7+2

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Charles Tallack

@CharlesTTHF

3 months

@zone789 That is certainly one effect. But it also reduces the effect of social norms on behaviours

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Charles Tallack

@CharlesTTHF

2 years

Long ambulance response times and their devastating impacts on patients and families are frequently in the news. We wanted to get behind the stats and take a whole system view. A🧵based on our new analysis, which featured in a powerful ITV report last night . 1/13

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Charles Tallack

@CharlesTTHF

5 years

Aside from other benefits, Sure Start reduced chance of hospital admission by 19% at age 11 in poorest areas. This is more than the effect of most NHS programmes whose *goal* is to reduce admissions. A case for rethinking how money is spent?

Institute for Fiscal Studies

@TheIFS

5 years

New IFS report finds #SureStart significantly reduced hospitalisations in children in poorer areas. Gabriella Conti (UCL & IFS) says “Access to Sure Start can help close around half the gap in hospitalisations between rich & poor areas” @NuffieldFound

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Charles Tallack

@CharlesTTHF

8 months

NHS E are making A&E performance a competition with million pound cash prizes for the top ranked trusts. This does not seem like a good incentive system. Note that letter issued today (12 March) for performance in March.

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Charles Tallack

@CharlesTTHF

2 years

@RichardJMurphy I agree with this, but alongside increasing numeracy and real world maths skills I would add more general analytical and critical-thinking skills so people are better at analysing problems and examining claims.

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Charles Tallack

@CharlesTTHF

2 years

Excellent from @BBCRosAtkins on the social care crisis. Concise, clear, fact-based and fair. His summing up: "social care needs more money and reform and patients need two systems that can act as one"

Ros Atkins

@BBCRosAtkins

2 years

If you're just getting going, you'll see more stories about the NHS crisis in the news. There are many elements to it - but the social care crisis is crucial to understanding what's happening in hospitals. Here's 6 mins on why.

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Charles Tallack

@CharlesTTHF

4 years

Deprived areas have experienced many more deaths from Covid than richer areas. As vaccines are being targeted to reduce mortality you’d think that this would mean that more people would be being vaccinated in deprived areas. (1/5)

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Charles Tallack

@CharlesTTHF

9 months

Our prospective Conservative MP's campaign leaflet, telling us she didn't put sewage in rivers. Pretty sure that this is not a message Comms experts would advise...

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Charles Tallack

@CharlesTTHF

2 years

Overdue 🧵on social care charging reform. It's been more than 2 weeks since the govt announced delay, but I wanted to let my anger and frustration settle. I’ve spent much time & energy working on this issue so here are my thoughts. 1/22

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Charles Tallack

@CharlesTTHF

3 months

Rachel Reeves says she will not take forward adult social care charging reform and the cap on care costs. During the election campaign Wes Streeting said Labour were committed to the cap. 1/3

BBC Politics

@BBCPolitics

4 months

"One of the things we have committed to is the cap on care costs" Shadow health secretary Wes Streeting agrees it's not "fair" that a viewer's mother has had to spend £430,000 during the seven years she has been living in a care home #BBCLauraK

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Charles Tallack

@CharlesTTHF

3 months

This, from X's director of engineering in May, confirms that the change was intended to incentivise people to like content that might be "edgy", by protecting their public image. 7+4

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Charles Tallack

@CharlesTTHF

2 years

But a new funding model for the NHS won’t help and would create years of distraction. What’s needed is a longer-term view, a realistic vision and a resourced plan for achieving it. This would also give hope to the public and demotivated staff that things will get better. /end

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Charles Tallack

@CharlesTTHF

2 years

Almost a year ago, the Lancet published estimates comparing excess deaths across countries. These, which were flawed and misleading, made news here because they suggested the UK had fared much better than had been thought (below from Daily Telegraph).

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Charles Tallack

@CharlesTTHF

2 years

But having more to spend on other things whilst healthcare is growing as share of GDP depends on economic growth. This has been weak. So it’s our economic model rather than the NHS model that has failed us over the last 15 years.

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Charles Tallack

@CharlesTTHF

1 year

On BBC R4 Today this morning, Wes Streeting said that patients who can’t get a GP appointment, costing £40, can end up going to A&E, costing £360. Can it be true that 10 minutes of a GP’s time costs so much less than 10 minutes of a hospital doctor’s time?

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Charles Tallack

@CharlesTTHF

2 years

None of this is to say that the NHS can’t be improved and that improving its efficiency is not important. Not though, that NHS productivity does tend to increase year by year: since 2010 the productivity of the NHS has outperformed the rest of the economy.

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Charles Tallack

@CharlesTTHF

2 years

The social insurance models of France and Germany are sometimes held up as examples of better. But health systems in both countries spend more and since 2010 have been better funded.

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Charles Tallack

@CharlesTTHF

2 years

The NHS/govt sees the independent (private) sector as a way of expanding capacity for the 6.5m (and growing) NHS patients waiting for hospital treatment. A🧵on what’s been happening and implications. 1/10

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Charles Tallack

@CharlesTTHF

8 months

How do you make a slow start to doubling the number of medical school places by 2031, sound impressive? By saying you're growing capacity exponentially.

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Charles Tallack

@CharlesTTHF

2 years

@LiorSteinberg Or this one in Hamburg

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Charles Tallack

@CharlesTTHF

2 years

So what can be done? No silver bullet, but these things can help: (1) Invest in hospital capacity eg beds & staff. It's not the time for infrastructure cuts (HMT pls note). (2) Invest in social care & out of hospital care - so people leave hospital when they are able to. 9/13

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Charles Tallack

@CharlesTTHF

4 years

As a nation we applaud NHS and care workers for their huge contributions during the pandemic. But yesterday social care workers were left out of pay increases announced by the government. My thoughts below ⬇️ (1/7)

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Charles Tallack

@CharlesTTHF

6 years

The opportunity to work for @HealthFdn creating this new centre is like a dream come true. I've loved working in partnership with them on the #ImprovementAnalytics unit; now I get to join them!

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Charles Tallack

@CharlesTTHF

8 months

We know how the UK’s health compares to that of other countries* using life expectancy as a measure. But less discussed is how our levels of health inequality compare? 🧵1/10 * below that of western European countries, ahead of US

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Charles Tallack

@CharlesTTHF

5 months

There's no doubt the NHS is in crisis and is letting too many patients down. Underinvestment and COVID are partly to blame but the causes go deeper than that. Good solutions are desperately needed but changing the funding model is not one, and would be a costly distraction.

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Charles Tallack

@CharlesTTHF

3 years

Three years ago Babylon GP at Hand's digital first model (with 13% of appmts conducted F2F) was being promoted by SofS Matt Hancock as the model of the future. In today's new plan for GPs, Govt says <20% F2F likely to be contrary to good clinical practice.

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Charles Tallack

@CharlesTTHF

4 years

So far around a third of the nation have had a first vaccine dose. What are the challenges and issues ahead? 1/7

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Charles Tallack

@CharlesTTHF

2 years

What problem is @RishiSunak 's fine for missed appmts trying to solve? I think he believes that missed appointments are wasting time (that could be used for other patients). But if someone doesn't turn up, time is only wasted if doctors don't do something else valuable. 1/5

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Charles Tallack

@CharlesTTHF

2 years

We are hearing horrific stories from patients and families about waits for ambulances, waits in A&E, and waits on floors/corridors for beds. These waits cause pain and suffering and delay treatment and care. How many people are dying as a result? A 🧵1/12

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Charles Tallack

@CharlesTTHF

1 year

@JackTShaw This could be a parody

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Charles Tallack

@CharlesTTHF

2 years

Read our full analysis here: (11/13)

Why have ambulance waiting times been getting worse?

In England, people are waiting longer than ever for ambulances to arrive. Our analysis explains why and suggests three ways in which ambulance service performance can be improved.

www.health.org.uk

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Charles Tallack

@CharlesTTHF

2 years

Spending more of our income on something we value is a good thing. We see it elsewhere. For example the share of our income going on culture and recreation is more than 50 years ago – is that unsustainable?!

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Charles Tallack

@CharlesTTHF

2 years

(3) Invest in community services which can prevent hospital admission. (4) Increase ambulance capacity eg by doing things which reduce ambulance staff sickness rates (highest across the NHS). But not a fix and note that without improving flow, ambulances will still queue. 10/13

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Charles Tallack

@CharlesTTHF

2 years

And finally, as advocates for analytical transparency and reproducibility, our data and code are here on GitHub: 13/13

GitHub - HFAnalyticsLab/ambulance_and_emergency_care

Contribute to HFAnalyticsLab/ambulance_and_emergency_care development by creating an account on GitHub.

github.com

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Charles Tallack

@CharlesTTHF

5 years

On the eve of the latest @ONS weekly deaths publication, here's the Spanish version of @EdConwaySky 's remarkable chart. 68% excess mortality in month to 18 April.

Ed Conway

@EdConwaySky

5 years

Here is the story of today's @ONS mortality statistics in a single chart. The worst week for UK mortality (all causes) since records began. The blue area shows the minimum and maximum mortality each week since 2010. The red line shows you this year so far.

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Charles Tallack

@CharlesTTHF

6 months

Ancient and decrepit equipment -> staff time wasted -> lower productivity.

Parth Patel

@pathwithanr

6 months

There’s little point in training more doctors if they’re all fighting to get on a Windows XP that is ceaselessly restarting to install important updates. My piece in today's @guardian

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Charles Tallack

@CharlesTTHF

1 year

The govt & Labour see the private sector as key to tackling the 7m+ NHS waiting list. The Elective Recovery Taskforce reports on this soon. What are the lessons from ophthalmology (eg cataracts) & orthopaedics (eg hips) - two specialties where the private sector is biggest? 1/14

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Charles Tallack

@CharlesTTHF

4 years

Vaccinating all over 2.8m over 80s in England should reduce deaths by about 60%. Vaccinating all 10.4m over 65s should get deaths down by 90%. What's the plan for vaccination and how long will it take to deliver?

Charles Tallack

@CharlesTTHF

4 years

The COVID-19 vaccine hopefully marks the beginning of the end of the pandemic. As the vaccine can’t be given to everyone immediately, the govt's advisers, the JCVI, have set out the order in which the first 25 million people will be vaccinated.

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Charles Tallack

@CharlesTTHF

2 years

Note that the mid 1990s were also a time when the NHS had had a period of low funding growth. Underfunding can allow the narrative that the model is broken to take hold.

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Charles Tallack

@CharlesTTHF

2 years

BBC reports that excess deaths in 2022 were among the worst in 50 years. This is based on a crude comparison with deaths in 2019 (9% more) – not adjusting for changes in population size and age. But there are other (in my view better) ways of looking at excess deaths/mortality.

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Charles Tallack

@CharlesTTHF

2 years

Yesterday the govt announced £200m to get 2,500 people who are medically fit for discharge out of hospitals into care homes. The policy has been criticised by social care experts. I’ve been trying to make sense of the numbers.

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Charles Tallack

@CharlesTTHF

6 years

40% reduction in emergency admissions from (some) housing improvements (tho mechanisms unclear) Evaluations of *NHS service interventions* aimed at reducing emergency admissions frequently show no or negative impact, so perhaps the NHS is looking in the wrong place for ideas!

David Buck

@davidjbuck

6 years

V significant, longitudinal study on long-term impact on #NHS admissions of #housing improvement. If you're looking for the (demand reduction) case for housing in your #STP & #ICS here it is (read the devil in the detail though) . Tx @wouterpoortinga et al.

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Charles Tallack

@CharlesTTHF

3 years

Here’s Japan (the differences between the red and blue markers in 2021 and 2022 add up to 111k - their excess deaths estimate). It looks like they’ve estimated a level of expected deaths way below the trend line. Why? The paper doesn't explain. Was there a check on plausibility?

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Charles Tallack

@CharlesTTHF

3 years

Astonishing that MPs are being asked to vote on the Care Act amendment without any sight of the financial savings and the impact on people. So great that Mel Stride, chair of Treasury Committee has written to Chancellor asking for this info pronto.

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Charles Tallack

@CharlesTTHF

2 years

Long waits & overcrowding in A&E are often due to a shortage of hospital beds. But 14,000 (1 in 7) beds are occupied by patients fit to be discharged. With the pressure on hospital beds, why is this number so high and why has it been increasing? A 🧵based on new analysis. 1/15

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Charles Tallack

@CharlesTTHF

2 years

Spending is rising because we are living longer. It’s rising because when we prolong life there are more people with long term conditions (in the past they were dead). These are a the result of the success of public health and healthcare.

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Charles Tallack

@CharlesTTHF

2 years

Patient flow beyond hospitals is also a big challenge - with an increasing number of patients medically fit for discharge facing delays leaving hospital. Helpful exploration of this issue in this @NuffieldTrust QualityWatch analysis. 8/13

Hospitals at capacity: understanding delays in patient discharge

This QualityWatch blog from Sophie Flinders and Sarah Scobie takes a closer look at the rising number of patients facing delays in leaving hospital – and explores the reasons for why it’s happening.

www.nuffieldtrust.org.uk

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Charles Tallack

@CharlesTTHF

3 years

Comparing excess deaths across countries is an important way of understanding countries’ relative pandemic performance. The cross-country comparisons in 10 Mar Lancet/IHME excess deaths analysis are quite different to others (eg World Mortality Dataset).

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Charles Tallack

@CharlesTTHF

1 year

The waiting list was plateauing before the strikes and has been rising since. But this is the usual annual pattern and can't be attributed to strikes. Pre-pandemic, the waiting list was rising year-on-year with a fall Sep-Jan and then a bigger rise.

Sam Coates Sky

@SamCoatesSky

1 year

No10: “Waiting lists were falling before the strikes” I’ve just been sent this helpful context

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Charles Tallack

@CharlesTTHF

2 years

Children’s & young people’s #mentalhealth has been worsening across the UK. Services are expanding but not by enough. Addressing the crisis requires understanding it. A🧵based on work with our Networked Data Lab 1/11

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Charles Tallack

@CharlesTTHF

5 months

It’s hard to argue that NHS England’s A&E incentive scheme, which rewarded A&E performance in March with capital funding, is a good way of allocating capital. But did it succeed in improving A&E performance? The data and our analysis are in. 1/10

Charles Tallack

@CharlesTTHF

8 months

NHS E are making A&E performance a competition with million pound cash prizes for the top ranked trusts. This does not seem like a good incentive system. Note that letter issued today (12 March) for performance in March.

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Charles Tallack

@CharlesTTHF

5 years

An alternative plan for resolving Brexit? ©my daughter Thea, trying to distract herself from impending A level results and political chaos.

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Charles Tallack

@CharlesTTHF

1 year

Against a long-term trend of rising hospital admissions, policymakers have had an enduring aim of slowing their growth. So it’s remarkable that between 2019 & 2022 admissions fell by 800k (12%). A thread. 1/16

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Charles Tallack

@CharlesTTHF

2 years

Just ordered my wife a battery powered heated vest. Now slightly concerned about the products Amazon has suggested are related

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Charles Tallack

@CharlesTTHF

4 years

Yesterday's NHS data shows that 59% of over 80s have had 1st vaccine dose but there is huge variation across STPs. 85% of over 80s in Gloucestershire, which may be approaching a ceiling, have been vaccinated compared to 36% in Suffolk and North East Essex. Why this variation? 1/5

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Charles Tallack

@CharlesTTHF

2 years

Conclusion: protection against social care costs is a missing part of our welfare state. A capped cost model is a cheaper way of offering protection then providing free care to everyone (= cap of £0). In the 11 years since Dilnot no-one has come up with anything better. 21/22

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Charles Tallack

@CharlesTTHF

2 years

Interesting review by Sir Andrew Dilnot and Michael Blastland of BBC economic coverage. Concludes not wilful bias but journalists' lack of understanding of basic economics that puts impartiality at risk.

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Charles Tallack

@CharlesTTHF

2 years

The NHS could (like every system) achieve more health gain for the it money spends. E.g. from re-allocation of resources (eg towards primary care and prevention, infrastructure), and from better system design/mgmt (eg ambulances waiting because not enough beds is not efficient).

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Charles Tallack

@CharlesTTHF

2 years

They did so because they had an emotional response: the results proved they were right (lockdown was bad, govt managed the pandemic well). We are all prey to this. As @TimHarford says, when you see a claim first ask yourself, how does that make me feel?

Tim Harford

@TimHarford

4 years

So, Rule One: SEARCH YOUR FEELINGS. What we believe, or refuse to believe, is strongly influenced by our emotional reaction. A lot of the statistical claims we see aren’t just data: they are weapons in an argument. Social media thrives on emotion. So do media headlines.

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Charles Tallack

@CharlesTTHF

2 years

Not a health🧵 Ever since information about new voter ID requirements for elections came through our letterbox I’ve been curious about the rationale. So I’ve studied the Impact Assessment – the official explanation of objectives, costs and benefits. 1/20

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Charles Tallack

@CharlesTTHF

2 years

An illustration. Assume health is 10% of GDP. Let’s assume GDP doubles over the next 30 years (respectable 2.2% pa) and health grows to 15% of GDP. Health spend will have tripled in size. But GDP available for non-health spend will have increased 1.9 times.

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Charles Tallack

@CharlesTTHF

3 years

One more thing to add to the social care debate. The Dilnot Commission recs and Care Act legislation were based on people with the same needs reaching the cap at the same time. Under Govt proposals those with less wealth will take longer to reach the cap (and some never will).

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Charles Tallack

@CharlesTTHF

4 years

JCVI criteria were meant to target vaccines at those at greatest risk of death. But more deprived communities in which covid death rates are higher, have younger populations and therefore lower rates of vaccination per head. It's the inverse care law, designed in.

𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

4 years

Manchester: Where vaccines have gone vs Where deaths were occurring @RuthWatkinson @carolin_sanders @Mons93Stephanie @SueWoodARCGM

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Charles Tallack

@CharlesTTHF

2 years

First, a reminder of those response times stats. Category 1 incidents (life threatening): 7 mins pre-pandemic now 8.5 mins. But cat. 1 rightly prioritised so much bigger increases for other incidents. Cat. 2 emergency (e.g. stroke) up from 22 mins to 41 mins (target=18 mins) 2/13

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Charles Tallack

@CharlesTTHF

2 years

As the problem won’t go away, Dilnot's proposals may one day be back on the table. But if they are, any weakness (<100% PM support, a lukewarm or fragmented social care sector) will once again be exploited by the Treasury. /end

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Charles Tallack

@CharlesTTHF

2 years

@itvnews included our analysis in their report last night, alongside the heartbreaking stories of ambulance staff. 12/13 @PhilipSime @emilymorganitv

'It's heartbreaking': Ambulance workers tell of strain of rocketing wait times | ITV News

Having spoken to a couple of members of ambulance staff, I can tell you that what is happening today, is breaking them., Emily Morgan writes. | ITV National News

www.itv.com

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Charles Tallack

@CharlesTTHF

6 years

NAO report on NHS New Care Models published today praises my team's evaluation approach and reports on our analysis of impact. Poll of vanguards put evaluation at the top! @MichaelLawrie1

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Charles Tallack

@CharlesTTHF

2 years

Ambulance services have little or no slack. This means small reductions in capacity can have major knock-on effects (as chance of no ambulance being available to respond rapidly increases). Similar to how closing a lane on a busy motorway can slow traffic to a standstill. 6/13

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Charles Tallack

@CharlesTTHF

2 years

Onto (2), that NHS share of our national income can’t continue to grow. It can and should, if as a society, we want it to.

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Charles Tallack

@CharlesTTHF

5 months

Work by the OECD, referenced in our blog on different funding models, shows there is no clear evidence that social insurance systems are more efficient than tax-funded systems.

Social health insurance: be careful what you wish for

What would it mean to switch the NHS to a social health insurance system? Ruth Thorlby looks at the policy choices that would have to be made – and the possible cost.

www.health.org.uk

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Charles Tallack

@CharlesTTHF

1 year

Since 2013, the waiting list for planned hospital care has tripled in size to 7.75m and it’s still increasing. When will it peak, and what is the effect of continued strikes by doctors? We’ve just published analysis with scenarios and an interactive calculator. A 🧵1/18

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Charles Tallack

@CharlesTTHF

2 years

How about capacity? More paramedics, but fewer available ambulances to respond because more waiting outside hospital to hand over patients. In Jul 2019 1 in 50 waited >60mins; in Jul 2022 1 in 10 (& average of 20% of ambulances waiting at any one time). 5/13

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Charles Tallack

@CharlesTTHF

5 months

When the NHS is chronically undermanaged, reducing manager numbers further to free up money will simply further damage productivity. @sib313

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Charles Tallack

@CharlesTTHF

5 years

@the_tpa If you want to balance the books you also need to ask people to RT the public services they'd want to cut to pay for these

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Charles Tallack

@CharlesTTHF

3 months

Whilst our pre-welfare state social care charging system continues to exist, people will continue to face a care cost lottery - with those with the greatest needs bearing the highest costs. The cap could have been a first step towards Labour's National Care Service. 3/3

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Charles Tallack

@CharlesTTHF

2 years

@so_says_sally @Gabriel_Pogrund @mrjamesob Maybe his advice will be proprietary, and owned by his company?

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Charles Tallack

@CharlesTTHF

2 years

Why do handovers take so long? As with A&E waits, hospital capacity is an issue. Low number of beds per capita, recent reductions in bed numbers with increases in % occupied, mean fewer unoccupied beds. This gives very little flexibility to cope with spikes in demand. 7/13

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Charles Tallack

@CharlesTTHF

2 years

Of course, at some point the NHS + other public spending may grow to such a large share of the economy that taxation strangles growth. But we’re some way off this (other countries with high economic growth have higher levels of taxation).

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Charles Tallack

@CharlesTTHF

4 years

The COVID-19 vaccine hopefully marks the beginning of the end of the pandemic. As the vaccine can’t be given to everyone immediately, the govt's advisers, the JCVI, have set out the order in which the first 25 million people will be vaccinated.

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Charles Tallack

@CharlesTTHF

3 years

@UKHouseofLords has just voted against the proposed govt amendment to the Care Act, which seeks to change the way that people would progress towards the £86k social cap on social care costs. A short thread on why this is important and why it's time for a re-think. 1/6

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Charles Tallack

@CharlesTTHF

2 years

(1) is true. NHS spending has risen from c3% in 1948 to c8% now and is projected to continue to rise. This is a pattern we see in almost all countries (exceptions - countries with totalitarian regimes or in economic difficulty)

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Charles Tallack

@CharlesTTHF

3 years

@GidMK Counterfactuals. They are forecasts of what would happen if you do nothing. If you take action, of course reality will be different from the forecast. Doesn't mean the model producing the forecast is wrong. ("Half a million didn't die so Ferguson was wrong")

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Charles Tallack

@CharlesTTHF

4 years

Why has Germany so fewer COVID deaths per million than we do and what can we learn? 1/6

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Charles Tallack

@CharlesTTHF

3 years

Statement today on social care funding fills in some of the detail that was missing from the Sept announcement. Lots to digest but what follows are first thoughts from @so_says_sally and me. More thoughts and analysis will follow from us both. 1/15

Written statements - Written questions, answers and statements - UK Parliament

Information from UK Parliament on written questions & answers, written statements and daily reports.

questions-statements.parliament.uk

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Charles Tallack

@CharlesTTHF

4 months

@ShaunLintern @wesstreeting Next step will be for NHSE to drop its relentlessly +ve spin, & be more open to challenge. “We have improved against almost every headline objective of 2023-24 – we have either done what we set out to do, or made meaningful progress towards it.” - 24/25 planning guidance @sib313

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Charles Tallack

@CharlesTTHF

2 years

So what's driving the sharp deterioration in response times? Could it be increased demand? Our analysis shows overall number incidents attended hasn’t changed much though the proportion of most serious calls has increased slightly. 4/13

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Charles Tallack

@CharlesTTHF

2 years

And spending is rising because we want to take advantage of advances in medical science and tech which give us the opportunity to live longer healthier lives. Like in other areas of our lives, when there are innovations which can improve our lives we spend money on them.

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Charles Tallack

@CharlesTTHF

11 months

@JackTShaw In that table, as SW has zero tables, the number of people per table (the last column) should be infinite?!

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Charles Tallack

@CharlesTTHF

2 years

Excellent analysis that busts the commonly held belief that social care workers leave for better paid jobs in retail. Only 3% of leave for retail. Far more - 28% - leave for nursing related jobs.

Elaine Kelly

@ElaineKTHF

2 years

This chart shows occupations social care staff worked in before and after leaving the sector. Sales & retail assistants (inc supermarket workers) are biggest single source but only account for 10% of all entrants. V few (up to 2021) leave for sales & retail (2/7) @hscwru

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