Over half (53%) of this public spending in the final year of life is spent on healthcare (£11.7bn) – or £18,020 per person who died. Hospital care represents the largest share of healthcare spending, ...

Our new report today with the Health Economics Unit, commissioned by Marie Curie, is the most comprehensive analysis of ...

Supporting people at the end of life is a crucially important element of public spending, yet there is remarkably little ...

The Nuffield Trust is an independent health think tank. We aim to improve the quality of health care in the UK by providing ...

Sally Gainsbury responds to the Public Accounts Committee report on NHS financial sustainability. The Nuffield Trust is an ...

In England, NHS general practice contracts (‘GP contracts’) are held between NHS England and individual general practices, and are managed by the primary care commissioning team in each integrated ...

The need to revisit and agree the purpose and functions of general practice within the NHS is no less urgent than it was when highlighted in the 1950 Collings report into general practice! Recent ...

This article describes four international examples of how contract and payment innovation and the use of incentives have been used to change and improve general practice services. The examples are ...

Rebecca left the Nuffield Trust in December 2024. Rebecca joined as a Senior Fellow in Health Policy at the Nuffield Trust and is a General Practitioner in Greenwich. She is also an accredited public ...

The first contract in 1948 – the General Medical Services (GMS) contract – was held between individual GPs and the Secretary of State for Health and drew GPs into the NHS. This built on the terms of ...