42: Our health: is it the economy, stupid? – with Torsten Bell and Diane Coyle

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Uncuffed

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Uncuffed empowers people in California prisons to tell their own stories. The award-winning collaboration between incarcerated student producers and professional journalists shines light on the human experience of people before, during, and after their prison terms. The new Season 4 is hosted by formerly incarcerated producer Greg Eskridge. https://www.WeAreUncuffed.org

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Diane Coyle, Bennett Professor of Public Policy at the University of Cambridge and Co-Director of the Bennett Institute.
Torsten Bell, Chief Executive of the Resolution Foundation.

Show notes
The Health Foundation (2023). The unsustainable is not sustained: why productivity is fundamental to the future of the NHS.
The Resolution Foundation (2023). Ending stagnation: a new economic strategy for Britain.
The Health Foundation (2023). What we know about the UK’s working-age health challenge.
Coyle D and Muhtar A (2022). Contemporary Social Science. Levelling up policies and the failure to learn.
Bennett Institute for Public Policy (2023). A Universal Basic Infrastructure for the UK.
The Resolution Foundation (2024) (funded by the Health Foundation). We’ve only just begun: action to improve young people’s mental health, education and employment.

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#Science #Politics #News #Social Sciences #Government #Health Foundation

42: Our health: is it the economy, stupid? – with Torsten Bell and Diane Coyle

The Health Foundation podcast

published منذ عام واحد

MP3•منزل الحلقة

Diane Coyle, Bennett Professor of Public Policy at the University of Cambridge and Co-Director of the Bennett Institute.
Torsten Bell, Chief Executive of the Resolution Foundation.

51 حلقات

#Science #Politics #News #Social Sciences #Government #Health Foundation

كل الحلقات

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51: What should the NHS 10-year plan look like? – with Nigel Edwards and Hugh Alderwick 32:48

منذ 5 weeks32:48

32:48

There’s been no shortage of NHS plans over the years – what needs to be different this time? Health and care services are facing acute pressures and the NHS tops the public’s list of priorities. The government has pledged to ‘reimagine’ the NHS via a 10-year plan, expected in the spring. The pressure is now on to develop a credible reform plan. It will need to address the huge challenges of changing health care needs and capitalise on the opportunities ahead, including those stemming from new technologies. All within a challenging fiscal context. So what needs to be in the plan on key priorities – primary care, community services, and improving hospital services? What are the lessons from past NHS plans? And how can policymakers bring front-line staff with them and provide hope their working lives will improve? To discuss, our Chief Executive Jennifer Dixon is joined by: Nigel Edwards , former Chief Executive of the Nuffield Trust. Hugh Alderwick , Director of Policy at the Health Foundation. Show notes The Health Foundation (2024). Public perceptions of health and social care: five findings the new government should know . The Health Foundation (2024). The public’s views on the future of the NHS in England . Nigel Edwards. The Nuffield Trust (2018). Avoiding groundhog day: learning the lessons of NHS reforms . The Health Foundation (2025). Health Foundation response to consultation on 10-year health plan . The Health Foundation. Policy Navigator – NHS reform .…

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50: The year that was – 2024 47:31

منذ 11 weeks47:31

47:31

We look back at our pick of the pod from 2024 . As 2024 draws to a close, what to make of the year’s developments in health and care? As yet, a murky picture on NHS reform and on how the new Labour government’s five missions will work in practice; a pressing need to improve the health of the working-age population; and some promising ways forward for technology to improve care, quality and productivity in the NHS. In this episode, we also revisit how to drive the economic growth we need to fund high-quality public services, search for clues about what might be behind the worrying rise in cancer rates among younger adults, and explore what the latest evidence tells us about inequalities in health across ethnic groups in the UK. This episode also marks our 50th – meaning there’s a great back catalogue for you to enjoy. Join our Chief Executive Dr Jennifer Dixon as we reflect with guests who appeared on the podcast in 2024. All-time top performing episodes Health Foundation (2020). Low life expectancy in Glasgow, and what to do about it . Health Foundation (2021). Inside the teen mind: what’s happening to mental health? Health Foundation (2020). What should nanny do next? The government and obesity . Health Foundation (2023). AI in health care: hope or hype? Health Foundation (2021). We are what we eat: food, health and inequality . Show notes John Burn-Murdoch (2024). What if the UK isn’t actually the sick man of Europe? Financial Times. Barnsley MBC (2024). Pathways to Work: Commission Report . Edwards & Dayan (2024). Leagues tables for the NHS.…

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49: Analogue to digital in the NHS: is the shift within reach? – with Holly Krelle and Erik Mayer 39:35

منذ 14 weeks39:35

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Health secretary Wes Streeting has set out three big shifts the NHS must deliver – including moving from analogue to digital. National strategy on health technology and digital is developing at pace, with a 10-Year Plan for the NHS expected to set out new priorities in the spring. We’ve seen no shortage of initiatives, roadmaps and plans for tech and innovation in recent years – yet delivery has often lagged behind. Today, acute pressures on health and care services, demographic headwinds and trends in disease burden mean there’s an imperative to deliver at pace. Much recent attention has focused on AI and its revolutionary potential, but leveraging this depends on a range of other digital capabilities that not all NHS trusts and services have. So, where is the NHS on its journey to digitisation? And, given all of this, what will it take for the NHS to become a truly digital health system? To discuss, our Chief Executive Jennifer Dixon is joined by: Holly Krelle , Assistant Director at the Center for Healthcare Innovation & Delivery Science at New York University's Langone Medical Center. Erik Mayer , Consultant Surgeon at Imperial College Healthcare and the Royal Marsden NHS trusts, and Director of Imperial's clinical analytics unit. Show notes Darzi et al (2024). Independent investigation of the NHS in England . The Health Foundation (2025). Briefing on digital maturity in the NHS [forthcoming]. The Health Foundation (2023). What do technology and AI mean for the future of work in health care? Horwitz & Krelle (2023). Using rapid randomised trials to improve health care systems . Annual Review of Public Health. Honeyford et al (2022). Challenges and recommendations for high quality research using EHRs . Frontiers in Digital Health. NHS Confederation (2024). Frontline digitisation: creating the conditions for a digital NHS . Dearing & Cox (2018). Diffusion of innovations theory, principles and practice . Health Affairs.…

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48: Understanding race, ethnicity and health inequalities – with Heidi Safia Mirza and Shabna Begum 36:31

منذ 20 weeks36:31

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The UK is becoming more ethnically diverse: nearly 20% of the population reports being from a minority ethnic background and projections suggest growing diversity is the future. People from minority backgrounds in the UK experience a variety of inequalities. But what is the latest evidence telling us? A comprehensive analysis of race and ethnicity, recently published as part of The IFS Deaton Review of inequality, finds no single story of advantage or disadvantage across ethnicities. Instead, it presents a complex picture of inequality across and within ethnic minority groups. The findings highlight entrenched inequalities – including access to the building blocks of health such as a good education, stable employment, secure housing and fair pay. So what do we know about the groups that experience inequalities, what drives these – and how do they relate to health? And what do policymakers need to understand to respond effectively? To discuss, our Chief Executive Jennifer Dixon is joined by: Heidi Safia Mirza , Emeritus Professor of Equalities Studies in Education at IOE (UCL Institute of Education) and co-author of the race and ethnic inequalities chapter of the Deaton Review. Shabna Begum , Chief Executive Officer, Runnymede Trust, a charitable think tank working to reduce racial inequality in the UK. Show notes Oxford Open Economics (2024). Dimensions of Inequality: The IFS Deaton Review . Mirza H S, Warwick R (2024). Race and ethnic inequalities . Runnymede Trust (2022). Broken Ladders . Runnymede Trust (2020). Colour of Money . The King’s Fund (2023). The health of people from ethnic minority groups in England . Runnymede Trust (2024). Health Foundation supported report on ethnic inequalities and the wider determinants of health. (Forthcoming.)…

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47: Why are cancer rates rising among younger people? – with Kimmie Ng and Charles Swanton 37:46

منذ 25 weeks37:46

37:46

Since the early 1990s, there’s been a concerning uptick in cancer incidence among adults younger than 50 years. Scientists are racing to understand what’s driving these trends. Some evidence points to roles for established risk factors – including smoking and obesity. But some research is also exploring environmental exposures – such as microplastics and forever chemicals – and asking if these could be changing the microbiome and potentially causing inflammation within the body. So what do these trends mean for cancer research, for health services and national policy? And faced with such stark trends, where are there grounds for hope? To discuss, our Chief Executive Jennifer Dixon is joined by: Kimmie Ng , specialist in oncology and Director of the Young-Onset Colorectal Cancer Centre at the Dana Farber Cancer Institute in Boston, and Associate Professor of Medicine at Harvard Medical School. Charles Swanton , Deputy Clinical Director at Francis Crick Institute, Chief Clinician at Cancer Research UK, and a consultant oncologist at University College London Hospitals NHS Foundation Trust. Show notes Nature Reviews Clinical Oncology (2022). Is early-onset cancer an emerging global epidemic? Current evidence and future implications . BMJ Oncology (2023). Global trends in incidence, death, burden and risk factors of early-onset cancer from 1990 to 2019 . Gupta S et al (2023). Birth Cohort Colorectal Cancer (CRC): Implications for research and practice . Financial Times (2023). The unexplained rise of cancer among millennials .The New England Journal of Medicine (2024). Microplastics and nanoplastics in atheromas and cardiovascular events . Cancer Grand Challenges. Team OPTIMISTICC: Opportunity to investigate the microbiome’s impact on science and treatment in colorectal cancer . The Health Foundation (2023). How chronic stress weathers our health . The Health Foundation (2024). Rising cancer incidence in younger adults: what is going on? (Forthcoming)…

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46: A new government and health after the general election: part 2 – with Hannah White and John McTernan 31:18

منذ 33 weeks31:18

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There’s a new Prime Minister in Downing Street and a new political reality in the UK. But what does it all mean for health and care? The incoming government faces a range of complex policy challenges – many of them linked to health and care – and a daunting fiscal inheritance. While the public might show patience for a few months, they will expect to see some results quickly – and health is a top priority for voters. So how is the new government going to navigate these tensions? What will being ‘mission-led’ mean in practice? And where is the money going to come from? To discuss, our Chief Executive Jennifer Dixon is joined by: Hannah White , Director and CEO of the Institute for Government. John McTernan , Senior Adviser at BCW Global. John was formerly director of political operations for the Labour government from 2005 to 2007.…

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45: The general election and health: part 1 – with Sam Freedman and Paul Corrigan 36:54

منذ 37 weeks36:54

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As the general election approaches, what are the main parties planning on health and will it make a difference? Polling day is rapidly approaching and all the main party manifestos have now been published. But when it comes to health and care, do we know what we’re voting for? Many commentators have expressed deep frustration at the opacity of the political debate – not just about the state we are in, but on the plans to get out of it. This matters because whoever wins the election faces a daunting series of challenges. Not least cratering public satisfaction with NHS services, an elective care waiting list standing at 7.6 million, rising levels of ill health among working-age people, and an economy growing too slowly to support the funding and investment public services will require. So what are the main parties promising on health, are their pledges in tune with the public mood, and are their plans equal to the scale of the challenges? To discuss, our Chief Executive Jennifer Dixon is joined by: Sam Freedman , Senior Fellow at the Institute for Government and former Senior Policy Adviser to Michael Gove at the Department for Education. Paul Corrigan , Management Consultant and former Special Adviser to Alan Milburn and Tony Blair under New Labour. Paul is currently advising the Labour Party on health policy. Show notes The Health Foundation (2024). General election 2024 collection . The Health Foundation (2024). What's in the party manifestos on health and care? The Health Foundation (2024). Do the manifestos cut it on health? Institute For Government (2023). The NHS productivity puzzle: Why has hospital activity not increased in line with funding and staffing? Institute For Government and CIPFA (2023). Performance Tracker 2023: Hospitals . Timmins, N (2021). The Health Foundation. The most expensive breakfast in history: revisiting the Wanless review 20 years on . The Health Foundation.…

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44: Sure Start: a model for long-term policymaking? – with Naomi Eisenstadt and Donna Molloy 33:08

منذ 41 weeks33:08

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More long-term, mission-led policymaking is sorely needed, but how best to do it? The Sure Start programme was set up with the aim of giving young children the best possible start in life, narrowing gaps in outcomes for disadvantaged children. First announced by the New Labour government in 1998, it has evolved regularly over the past two decades. Recent evaluations have found early versions of Sure Start delivered positive impacts for children – supporting improved educational attainment, employment outcomes and long-term health. So what lessons does Sure Start hold for long-term policymaking? How can national policymakers drive long-term change in social outcomes, what pitfalls need to be avoided, and where should any new government be looking if they want to improve children’s lives and health today? To discuss, our Chief Executive Jennifer Dixon is joined by: Naomi Eisenstadt , former director for Sure Start and current Chair of Northamptonshire integrated care board (ICB). Donna Molloy , Deputy Chief Executive at Foundations – What Works Centre for Children & Families. Show notes IFS (2021). The health impacts of Sure Start . IFS (2024). The short- and medium-term impacts of Sure Start on educational outcomes . Eisenstadt (2022). Sure Start Review, The Therapeutic Journal . The Health Foundation (2024). Sure Start shows that to improve health, governments must keep the faith (blog) . Molloy & Asmussen (2021). Worth the wait: new evaluation data shows positive impacts of Family Nurse Partnership, EIF/WWCSC Hadley et al (2016). Implementing the UK's teenage pregnancy strategy for England. Reproductive Health .…

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43: Limp NHS productivity and what to do about it – with Anita Charlesworth and Neil Sebire 32:47

منذ 45 weeks32:47

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Improving NHS productivity is a key national priority. But what’s behind the slowdown and can it be reversed? Over the past few years, amid the turmoil of COVID-19, the NHS has seen substantial growth in funding and clinical staffing levels. Yet the numbers of patients treated haven’t risen in step – suggesting services, particularly NHS acute hospitals, have become less productive. Government has announced a wide-ranging review of public sector productivity and asked services to develop plans to recover productivity performance. At the Spring Budget 2024, £3.4bn in capital funding was announced to support digital and technology projects intended to boost NHS productivity. So why have activity levels not been keeping pace with recent increases in NHS funding and staffing, what can be done, and is implementing new technologies a solution worth banking on? To discuss, our Chief Executive Jennifer Dixon is joined by: Anita Charlesworth, Chief Economist and Director of the REAL Centre at the Health Foundation. Neil Sebire, Professor of Pathology and Chief Research Information Officer at Great Ormond Street Hospital for Children NHS Foundation Trust. Show notes Institute for Government (2023). The NHS productivity puzzle . Institute for Fiscal Studies (2023). Is there really an NHS productivity crisis? Health Foundation (2023). The unsustainable is not sustained: why productivity is fundamental to the future of the NHS. Bennett Institute (2021). Productivity in UK healthcare during and after COVID-19 pandemic. Chancellor’s speech on productivity growth (2023). Centre for Health Economics (2024). Productivity of the English National Health Service: 2021/22 update .…

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42: Our health: is it the economy, stupid? – with Torsten Bell and Diane Coyle 32:04

منذ 50 weeks32:04

32:04

What's happened to our economy and what does it mean for our health? Many developed economies have been growing more slowly since around 2008, but the UK economy has been struggling more than most. Wages haven't risen since 2008 leaving the average worker £14,000 worse off. Productivity growth – vital to rising living standards – has stalled. Regional inequalities are unusually large, and economic hardship is widespread with 2.8 million people reporting not working because of long-term sickness. So what’s driving this economic stagnation, how is it connected to our health, and what can politicians do to address the challenges? To discuss, our Chief Executive Jennifer Dixon is joined by: Diane Coyle , Bennett Professor of Public Policy at the University of Cambridge and Co-Director of the Bennett Institute. Torsten Bell , Chief Executive of the Resolution Foundation. Show notes The Health Foundation (2023). The unsustainable is not sustained: why productivity is fundamental to the future of the NHS . The Resolution Foundation (2023). Ending stagnation: a new economic strategy for Britain . The Health Foundation (2023). What we know about the UK’s working-age health challenge . Coyle D and Muhtar A (2022). Contemporary Social Science . Levelling up policies and the failure to learn . Bennett Institute for Public Policy (2023). A Universal Basic Infrastructure for the UK . The Resolution Foundation (2024) (funded by the Health Foundation). We’ve only just begun: action to improve young people’s mental health, education and employment .…

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41: Two commissions on the future of the NHS – with Rachel Sylvester and Parveen Kumar 35:38

منذ 1 year35:38

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Given the huge pressures on the NHS it's perhaps inevitable people ask, what's the future of it? The NHS and social care are struggling to deliver care and support to people who need it. With services so stretched, waiting times at record highs, public satisfaction falling and a demoralised workforce, is now the time to ask some fundamental questions about the NHS? In the past month, two independent commissions on the future of the NHS have reported – the Times Commission in early February, and the first of several papers from the BMJ Commission at the end of January. We speak to the commission chairs about what they found out and what they’d like to see future governments prioritise on health. And given the tight squeeze on public funds, what will it take to truly put the NHS on a sustainable footing? To discuss, our Chief Executive Jennifer Dixon is joined by: Rachel Sylvester, political columnist at The Times, and chair of the Times Health Commission. Parveen Kumar, Emeritus Professor of Medicine and Education at Queen Mary, University of London, and co-chair of the BMJ Commission on the Future of the NHS.…

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40: Why aren't we working? – with Sacha Romanovitch and Oliver Coppard 37:47

منذ 1 year37:47

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About a fifth of us of working age – just under 9 million people in the UK – are not looking for or are not able to work. Recently the biggest growth has been among those reporting long-term illness, now at a record high of around 2.7 million. This decline in working-age health is causing concern among employers, politicians and policymakers. Earlier this month the Health Foundation launched an independent Commission for Healthier Working Lives to build consensus around the kind of action needed. So what’s going on, and what do the solutions look like both at a local and national level? To discuss, our Chief Executive Jennifer Dixon is joined by: Sacha Romanovitch , Chief Executive of Fair4All Finance. Sacha is a member of the government’s levelling up Advisory Council, and Chair of the Commission for Healthier Working Lives, which is supported by the Health Foundation. Oliver Coppard , Mayor of South Yorkshire. Oliver was elected as the Labour Co-op mayoral candidate in May 2022. Oliver sits on a commission led by Alan Milburn, former Secretary of State for Health, investigating economic activity in Barnsley.…

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39: The year that was – 2023 36:41

منذ 1 year36:41

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Join us as we look back at the pick of the pod in 2023. It's been a turbulent year: the NHS under pressure, the health of the population not improving as fast as we’d like and economic inactivity remaining stubbornly high, especially among working-age people. But it's not all gloom. To some surprise, we saw government ditch its nanny state objections and take bold action on tobacco. And there have been breath-taking advances in technology, not least in artificial intelligence. A reminder that innovation and politics can open up new possibilities and hope for the future. Join our Chief Executive Dr Jennifer Dixon as we reflect with guests who appeared on the podcast in 2023. Show notes Jeanelle de Gruchy and Kevin Fenton, Our health in 2040: are we getting sicker? Alice Wiseman and Clare Bambra, Low life expectancy in the north east, and what to do about it Michelle Kelly-Irving and Nish Chaturvedi, How chronic stress weathers our health Sarah Neville and Hettie O’Brien, Going private: what’s happening and is it a bad thing? Rachel Wolf and Stephen Bush, What do the main political parties really have in store for health? Jagjit Chadha and Anita Charlesworth, NHS at 75: What are we up against? John Bell and Axel Heitmueller, AI in health care: hope or hype? Ashish Jha, Keeping up with AI in health care: what we need to do next Navina Evans and Penny Pereira, NHS at 75: The huge promise of technology Jane Dacre, Nikita Kanani and Gabrielle Mathews, International Women’s Day: Voices in health care Rachel Wolf and Stephen Bush, What do the main political parties really have in store for health? Alan Milburn and Stephen Dorrell, NHS at 75: Is political leadership up to the challenge?…

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38: Keeping up with AI in health care: what we need to do next 32:58

منذ 1 year32:58

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AI technologies are advancing rapidly. Yet when it comes to AI in health care we're still in the early stages. The prize could be big – the question is what will it take to realise the benefits? The applications of AI in health care will be far-reaching and profound, from high-quality personalised treatment advice made instantly available to automated systems that can cut bureaucracy, free up staff time and reduce costs. All this is exciting and could help with some of the big challenges ahead. But what of the risks? The current emphasis among policymakers is on AI safety – but a range of other considerations will need attention like serving the public interest, inclusion, cost, accountability, autonomy, privacy and more. And how can the NHS and social care rapidly get up to speed with all these developments? Join our Chief Executive Jennifer Dixon on location with expert guests including: Effy Vayena (Professor of Bioethics at the Swiss Institute of Technology); Alastair Denniston (Consultant Ophthalmologist and Honorary Professor at the University of Birmingham); Ashish Jha (Dean of Public Health at Brown University) and David Cutler (Professor of Applied Economics at Harvard University). Show notes The Health Foundation (2023). What do technology and AI mean for the future of work in health care? House of Commons Science, Innovation and Technology Select Committee (2023). The governance of artificial intelligence: interim report . UK government (2023). UK's AI Safety Summit 2023 . Institute for Government (2023). How is the UK government approaching regulation of AI? Financial Times (2023). How will AI be regulated? Air Street Capital (2023). State of AI report . OECD. OECD Artificial Intelligence Papers . The White House (2023). Fact Sheet: President Biden Issues Executive Order on Safe, Secure, and Trustworthy Artificial Intelligence .…

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37: What do the main political parties really have in store for health? – with Rachel Wolf and Stephen Bush 35:04

منذ 1 year35:04

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A general election is expected in 2024 and no party can ignore the NHS − but what do they plan to do on health? The health service regularly tops voter concerns, consumes a growing share of public spending and features daily in the media. The health of the nation is also moving up the agenda, with ill health the main reason why 2.6 million working-age people are economically inactive. So what are the main parties planning as we move towards an election and have the party conferences revealed anything new? To discuss, our Chief Executive Jennifer Dixon is joined by: Rachel Wolf , Partner at Public First, a consultancy specialising in public policy, public opinion and campaign strategy. Stephen Bush , Associate Editor and Columnist at the Financial Times. Show notes The Health Foundation (2023). Health in 2040: projected patterns of illness in England . The Health Foundation (2023). Public perceptions of health and social care: what are the priorities ahead of a general election? The Health Foundation (2023). What should be at the top of the political agenda for health and care? The Health Foundation (2023). Health Foundation responds to the Prime Minister’s announcement of smoke-free measures . The Health Foundation (2023). Social health insurance: be careful what you wish for . Institute for Government (2023). The NHS productivity puzzle: why has hospital activity not increased in line with funding and staffing? The Times. Tories as the party of change: that’s a hard sell (2023). Ipsos. Ipsos issues tracker: July 2023 (2023).…

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The Health Foundation podcast « » 42: Our health: is it the economy, stupid? – with Torsten Bell and Diane Coyle

42: Our health: is it the economy, stupid? – with Torsten Bell and Diane Coyle

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42: Our health: is it the economy, stupid? – with Torsten Bell and Diane Coyle