
Whatever we are doing on health, it isn't enough to prepare for the wave of morbidity that is clearly in sight.  



Recent Health Foundation modelling estimates 1 in 5 will be living with major illness by 2040, mostly because more of us will be older. But it's not just about age. A record 2.5 million working-age people are already not in work due to ill health. So what can be done to improve the state of nation’s health?  



To discuss, our Chief Executive Jennifer Dixon is joined by:







Jeanelle de Gruchy, Deputy Chief Medical Officer for England and lead for the Office for Health Improvement and Disparities at the Department of Health and Social Care.  

Kevin Fenton, President of the UK Faculty of Public Health.




Show notes






The Health Foundation (2023). Health in 2040: projected patterns of illness in England.
UK government (2023). Major conditions strategy: case for change and our strategic framework.





ONS. Rising ill-health and economic inactivity because of long-term sickness, UK: 2019 to 2023.
The Health Foundation (2022). Addressing the leading risk factors for ill health.
The Health Foundation (2022). Is poor health driving a rise in economic inactivity?

The Health Foundation (2022). Health is wealth? Strengthening the UK’s immune system. 
UK government (2021). Chief Medical Officer’s annual report 2021: health in coastal communities.


35: Our health in 2040: are we getting sicker? – with Jeanelle de Gruchy and Kevin Fenton

Interviews with experts and high-profile guests discussing the most important issues affecting the future of health and care for people in the UK.

Social Sciences

Science & Medicine

National

Government & Organizations

News

Science

Politics

Government


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. 

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

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.

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


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. 


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

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. 


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


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?



35: Our health in 2040: are we getting sicker? – with Jeanelle de Gruchy and Kevin Fenton

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