The Nuffield Trust is a centre of research and analysis, and focus their activities on six priority areas: workforce; technology and digital; primary care; small hospitals; quality and equity; and politics, legislation and governance. Since its foundation the Nuffield Trust has commissioned a wide range of research on how to improve the health system in the UK, for instance by a
Rock Carling Fellowship. In 1971, the epidemiologist
Archie Cochrane received a Rock Carling Fellowship to write
Effectiveness and efficiency: Random reflections on health services. He argued for greater use of
randomised control trials in assessing medical evidence and led to the creation of
Cochrane. In 1976, the British public health scientist and health care critic,
Thomas McKeown, MD, received the Rock Carling Fellowship, which allowed him to write The role of medicine: Dream, mirage or nemesis?. Therein he summarized facts and arguments that supported what became known as the McKeown's thesis, i.e. that the growth of population can be attributed to a decline in mortality from infectious diseases, primarily thanks to better nutrition, later also to better hygiene, and only marginally and late to medical interventions such as antibiotics and vaccines. McKeown was heavily criticized for his controversial ideas, but is nowadays remembered as
the founder of social medicine. On 28 February 2020, the Trust published a new five-year strategic plan, stating that it aims to produce commentary and research with three main aims: • To challenge and support those involved in planning and delivering health care to think more creatively and innovatively about how to adapt and redesign services to meet changing patient needs • To provide information on the evidence, statistics, facts and research which politicians and policy-makers use in their interventions in the health and care system in the UK • To be respected and highly regarded by their main audiences; to remain separate from but expert in the NHS and social care; and above all to use their independence, highly skilled staff and unique position to be a force for good in improving the health and social care of the UK population. ==See also==