Senior Policy Analyst for the Nuffield Trust, writing and doing whatever-things-on-here-are-called about NHS funding, finance and healthcare equityhttps://bsky.app/profile/sallygainsbury.bsky.socialhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3mjp3jrssis2eThe gov's trade deal with the US means the NHS spend on branded meds will grow at least 4 X faster than the NHS budget as a whole. If you think that's possible without stark trade offs for what the NHS is able to do for population health, pls read our new piece here>> https://www.bmj.com/content/393/bmj.s73317 Apr 2026 14:00 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3mjp3jrssis2ehttps://bsky.app/profile/sallygainsbury.bsky.social/post/3m2ovgm3j5k2rTrump and pharma are lobbying gov hard to water-down the NHS’s ability to contain spending on new branded drugs. Today’s long read from me and the LSE’s Huseyin Naci sets out why the gov should hold firm to protect the health of the NHS and UK public https://nuffieldtrust.org.uk/news-item/the-tough-choices-at-the-heart-of-the-government-s-dispute-with-big-pharma >>08 Oct 2025 14:53 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3m2ovgm3j5k2rhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lx7lpzzvjk2oPSA that the purpose of the #NHS is NOT to provide investment opportunities or lucrative income streams for the pharmaceutical industry #r4today >>25 Aug 2025 08:34 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lx7lpzzvjk2ohttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lwrevbhtkc2xEditorial from me and LSE’s Huseyin Naci on the government's bid to use the NHS as a means to attract more med tech and pharma investment into the UK. TLDR: great for profits, less great for getting the most value for patients out of the NHS https://www.bmj.com/content/390/bmj.r172219 Aug 2025 16:54 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lwrevbhtkc2xhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3luci5omwcc2oGrowth or bust. The one where the purpose of the NHS is to rescue capitalism: https://www.nuffieldtrust.org.uk/news-item/an-engine-for-economic-growth-why-it-won-t-be-a-piece-of-cake-for-the-nhs19 Jul 2025 07:52 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3luci5omwcc2ohttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lu5h6kjne22zThe quaint idea the #NHS exists to improve health has been supplemented with the idea it can also drive economic #growth. My thoughts on the gamble the gov is making by inviting in more tech- and pharma- and whether we’ll end up with less as a consequence: https://www.nuffieldtrust.org.uk/news-item/an-engine-for-economic-growth-why-it-won-t-be-a-piece-of-cake-for-the-nhs17 Jul 2025 07:52 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lu5h6kjne22zhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lrhsn7dcns25The government has set the NHS’s budget for the next 3 years, now it needs to be realistic about its priorities - my comment piece in the BMJ: https://www.bmj.com/content/389/bmj.r122313 Jun 2025 06:28 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lrhsn7dcns25https://bsky.app/profile/sallygainsbury.bsky.social/post/3lqujbezq5k24Ahead 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 >>05 Jun 2025 14:19 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lqujbezq5k24https://bsky.app/profile/sallygainsbury.bsky.social/post/3ll56fpnczk2jIt's going to be a busy week in the public finances, with the Spring Statement on Weds. Our small team of #NHS & social care funding analysts will be poring over the detail. If you fancy joining us for the NEXT fiscal event, see here>> Closes 23.59 Weds >> https://www.nuffieldtrust.org.uk/job/fellow-funding-finance-f032524 Mar 2025 16:28 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3ll56fpnczk2jhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkvm2lsx622rA must-read report from my colleagues here >>> [contains quote post or other embedded content]21 Mar 2025 16:11 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkvm2lsx622rhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkq3ne6enc2rJob alert! Come join our team investigating funding and spending in health and social care. It’s going to be interesting…. >>>> [contains quote post or other embedded content]19 Mar 2025 11:34 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkq3ne6enc2rhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkgkhuyvxc2kMe in the FT on the economic imperative behind this week’s move to abolish NHSE https://www.ft.com/content/4331127e-a542-4a12-b279-d29d9b332ffc15 Mar 2025 16:32 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkgkhuyvxc2khttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkgearmysc2kThis essay which is free to read in The Times this weekend is essential reading on the real harms created by over-diagnosis, including the inequity it creates when those most in need are crowded out: https://www.thetimes.com/comment/columnists/article/our-new-health-crisis-were-diagnosing-too-much-too-early-gr3xktpdm15 Mar 2025 14:41 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkgearmysc2khttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkb3nvpm542bIf you're wondering how far abolishing NHS England will go to filling the NHS's £6.5bn funding gap for the year ahead, the answer is: not very. NHSE spent a total £1.8bn on staff last year, of which £400m was on staff working for local NHS orgs. Many of these posts will need to continue in DHSC13 Mar 2025 12:24 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkb3nvpm542bhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkawa62vz22bAs NHS England’s chiefs sit down with local trust chairs and chief execs to discuss a “financial re-set”, a quick reminder of how difficult the financial situation is in the NHS right now. A short thread >>13 Mar 2025 10:47 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkawa62vz22bhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lkaplffmrc2hGovernment this week: “we need to get people off out-of-work benefits”. Also the gov this week: “we need to get rid of 1000s of low paid civil servants and replace them with AI”. Genuinely interested in how that vicious circle can be squared13 Mar 2025 08:48 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lkaplffmrc2hhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3lk6dv3wppc2xThe financial situation in the NHS right now is seriously bleak. If you are interested in joining our small team of researchers dedicated to bringing the facts to public debate and holding those in power to account, do check out our newly-created post: https://www.nuffieldtrust.org.uk/job/fellow-funding-finance-f032512 Mar 2025 10:13 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3lk6dv3wppc2xhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3ljmjcij5jk2lJob alert: We’re looking for someone who wants to play a key part in our forensic analysis of NHS funding and finance, working closely with me as well as my other brilliant colleagues at Nuffield Trust on health and social care policy, details here https://www.nuffieldtrust.org.uk/job/fellow-funding-finance-f032505 Mar 2025 08:02 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3ljmjcij5jk2lhttps://bsky.app/profile/sallygainsbury.bsky.social/post/3ljam3nttfs23The Department for Health and Social Care's resource budget for this current financial year will get a ~£900m funding boost to help it deal with cost pressures, which I suspect largely relate to the escalating overspends in NHS trusts >>28 Feb 2025 14:20 +0000at://did:plc:dpq45rdjcebfj23ggh3vbwbs/app.bsky.feed.post/3ljam3nttfs23