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Health landscape report: 20 April – 24 April

  • Latest news

This weekly report shares new data and policy information relating to general practice, with selected facts and figures highlighted.

This report is a flexible summary, with the aim of sharing and highlighting a wide range of data and policy information relating to London general practice published in a given week. Where we view information to be of significant interest it is reproduced directly below the links to make the key points quicker to digest.  

Please feel free to share any useful stats/links you think we could include in future reports.  

Official bodies    

NHS Digital 

Department of Health and Social Care 

UK Health Security Agency 

Medicines and Healthcare products Regulatory Agency 

BMA 

Policy, think tanks, charities, and representative bodies  

The Health Foundation 

  • The Neighbourhood Health Framework: enabling the ‘left shift’ or entrenching the ‘right drift’? [21/4].  
  • This blog argues that while the government’s Neighbourhood Health Framework is intended to drive a “left shift” of care from hospitals into communities, it risks reinforcing the opposite “right drift” by pulling resources back into secondary care. The framework sets out ambitions to improve GP access, expand integrated neighbourhood teams and develop alternatives to hospital care, but many proposals place additional workload and risk on general practice without clear funding, workforce capacity or supporting infrastructure. New provider contracts could significantly reduce GP autonomy and, if dominated by acute trusts, may perpetuate hospitalcentred spending rather than genuinely strengthening primary and community services. The authors conclude that without clearer commitments on resources, workforce, metrics and funding flows, neighbourhood health may become more about managing hospital demand than delivering a truly placebased, preventative model of care.  

The King’s Fund 

  • What does climate change mean for the future of public services? [24/4].  
  • This blog argues that climate change is not a peripheral environmental issue, but a central force reshaping the future of public services by increasing demand, disrupting operations, and deepening existing inequalities. It highlights how extreme weather, fragile global supply chains and rising costs of essentials like food are already affecting health and public services, while also changing patterns of illness and need. At the same time, public services themselves contribute significantly to carbon emissions, meaning decarbonisation will require fundamental changes to how services are designed and delivered, with a stronger focus on prevention, efficiency and lowvalue care reduction. The blog stresses that progress is being held back by shortterm budgeting and narrow definitions of “value” and argues that governments must embed environmental and social costs into decisionmaking if services are to remain resilient. Ultimately, it calls for longterm political leadership and a renewed relationship between the state, communities, and individuals to ensure public services can survive and thrive in a rapidly changing climate. 
  • The Tobacco and Vapes Act – a landmark win for health [22/4]. 
  • This blog argues that the Tobacco and Vapes Act represents a landmark public health achievement, marking one of the most significant advances in tobacco control in decades. It highlights the overwhelming evidence that smoking remains the UK’s leading preventable cause of illness and death, and makes the case that the Act’s measures – including banning the sale of tobacco to people born after 1 January 2009, tightening controls on vaping marketing aimed at children, and introducing retailer licensing – will deliver major longterm health and economic benefits. The author notes that these reforms are strongly backed by public and crossparty support, despite criticism framed around personal freedom, and credits decades of campaigning and evidencebased policy for shifting political and public attitudes. While celebrating the Act as a historic step towards a smokefree future, the blog stresses that continued investment in smoking cessation and targeted support for deprived communities is essential, as the burden of smoking is now increasingly concentrated among the poorest and most vulnerable groups. 

YouGov 

  • Holland & Barrett ad awareness rises following ‘Back Your Body’ campaign launch [24/4].  
  • Health and wellness retailer, Holland & Barrett, launched its “Back Your Body” campaign on 9 April 2026, encouraging consumers to take a more proactive, informed and holistic approach to their health and wellbeing. Early data from YouGov BrandIndex suggests the campaign is already delivering a meaningful uplift in visibility. 
  • Key findings: 
    • Advertising awareness among the general population rises from 8% on launch day (9 April) to 18% by 19 April (+10pp), 
    • Women drive uplift in ad awareness (20% vs. 15%) by 19 April, 
    • Holland & Barrett shoppers are more likely to prioritise working out to stay fit (61% vs 45%) and use supplements for training (32% vs 17%). 

Institute of Health Equity 

  • Why the UK is Now Less Equipped for a Pandemic Than Before COVID Hit [21/4].  
  • The IBTimes article reports warnings from public health experts and campaigners that the UK is now less prepared for a future pandemic than it was before COVID19, despite the lessons of recent years. Published alongside the UK COVID19 Inquiry’s latest findings, the piece highlights low confidence among NHS staff in the country’s pandemic readiness, ongoing weaknesses in vaccine development capacity, and underinvestment in public health infrastructure. Experts argue that preparing for future pandemics requires not only better emergency planning but also longterm action to improve population health and reduce widening health inequalities, which make the public more vulnerable to infectious disease. While the UK’s COVID19 vaccine rollout demonstrated strong public engagement and scientific capability, the article concludes that without sustained investment in prevention, workforce capacity and tackling chronic illhealth, the country risks repeating past failures when the next major health crisis strikes. 

General Medical Council 

  • GMC opens first detailed survey of LE and SAS doctors for seven years [21/4].  
  • The GMC has launched its first detailed survey in seven years of doctors working in locally employed (LE) and specialty and associate specialist (SAS) roles, aiming to better understand the experiences of an estimated 85,000 practitioners across the UK. The survey, which builds on findings from 2019 that highlighted barriers to career progression and experiences of unfair treatment, asks respondents about their roles, motivations, workplace culture, and access to training and development. The GMC says the results will inform its forthcoming fiveyear review of medical education and training, the first such review for over a decade, as well as future workforce planning. Senior clinicians and professional bodies have welcomed the survey as a chance to raise the visibility of LE and SAS doctors, whose contributions are often underrecognised, and to use robust evidence to drive improvements in support, development opportunities and working conditions. 

Nuffield Trust 

  • Can social care ever become a true political priority? [22/4].  
  • This blog argues that social care has repeatedly failed to become a lasting political priority because it is poorly understood, largely invisible to the public, and politically toxic for governments to reform. Drawing on Baroness Casey’s call for a “moment of reckoning” similar to the creation of the NHS, Natasha Curry explains that low public awareness about how social care works, who pays for it, and who benefits fuels backlash whenever reform proposals emerge. Past attempts at change have been derailed by electiontime pointscoring and a narrow focus on costs to individuals, making politicians riskaverse. While public engagement and a national conversation could help build support, the blog argues this must be swift, meaningful and paired with political bravery, as reform will inevitably require difficult decisions about funding, priorities and who pays if social care is to meet growing demand in future. 

London Trusts    

Barts Health NHS Trust 

Imperial College Healthcare NHS Trust 

King’s College Hospital NHS Foundation Trust