Anita Charlesworth Director of Research and REAL Centre

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Anita Charlesworth is the Director of Research and the REAL Centre (Research and Economic Analysis for the Long term) at the Health Foundation, and Honorary Professor in the College of Social Sciences at the Health Services Management Centre (HSMC) at the University of Birmingham.
Anita is a health economist and has a background in government and public policy. Before joining the Health Foundation in May 2014, she was Chief Economist at the Nuffield Trust from 2010–14, where she led the Trust’s work on health care financing and market mechanisms. Prior to that she had roles as Chief Analyst and Chief Scientific Advisor at DCMS (2007–10), Director of Public Spending at the Treasury (1998–2007), and worked as an Economic Advisor at the Department of Health and for SmithKline Beecham pharmaceuticals.
She has worked as a non-executive director in the NHS – for Islington PCT (2007–2011) and The Whittington Hospital (2011–2016).
Anita was specialist advisor to the House of Lords' Select Committee on the long-term sustainability of the NHS in 2016/17, and has recently been appointed as an expert adviser for the Health and Social Care Select Committee and also sits on the expert and advisory panel for the Independent Review of Criminal Legal Aid. Anita is Chair of the OHE Policy Committee (2020) and is also a Commissioner for The Lancet Global Health Commission on Financing Primary Health Care.
Anita has an MSc in Health Economics from the University of York. She is a Trustee for Tommy’s, the baby charity, and also a Trustee for the Office of Health Economics. She was awarded a CBE in The Queen's 2017 Birthday Honours List for Services to Economics and Health Policy.
Featured content
Analysis
The bigger picture
In the REAL Centre's first report, we look back at the care and treatment provided by the NHS in...
Discover
REAL Centre
The Health Foundation’s REAL Centre is here to support better long-term decision making in health...
Latest articles
Report
NHS workforce projections 2022
The REAL Centre sets out its projections of future NHS workforce supply and demand in England, up to...
Blog
The capacity challenge: workforce, funding and beds
Anita Charlesworth rounds up the REAL Centre’s recent work looking at the capacity challenges in the...
Analysis
Projections: General practice workforce in England
We summarise key findings of our analysis on workforce supply and demand in general practice in...
Data analysis
Where next for NHS nurses' pay?
This analysis looks at the impact of high inflation and other factors affecting nurse pay, and...
Working paper
How many NHS workers will we need over the coming decade?
The latest REAL Centre working paper examines how many full-time equivalent staff the NHS in England...
Newsletter blog
Beyond COVID-19: Adapting to the new challenges ahead
Anita Charlesworth reflects on the changes afoot for the health and care service this spring, from...
Report
Health and social care funding projections 2021
The REAL Centre sets out projections of the funding the NHS and social care system in England may...
Newsletter blog
Pandemic to endemic and the challenges ahead
Anita Charlesworth summarises the challenges facing the health and care system and brings together...
Analysis
Health and social care funding to 2024/25
New analysis from the Health Foundation’s REAL Centre sets out the scale of the challenge facing...
Briefing
The future of the NHS hospital payment system in England
The whole health service needs to recover well from COVID-19 and transform to meet the challenges of...
Podcast
Is it time for another Wanless Review?
Episode 9. Given the pandemic, do we need another Wanless Review to assess the NHS's future funding...
Blog
What action is required to make NHS workforce shortages a thing of the past?
What is needed to overcome short-termism in workforce planning for the NHS and social care? Anita...
Blog
If not now, when? The long overdue promise of social care reform
Despite government promising to 'fix the crisis in social care once and for all', no plan to reform...
Newsletter blog
Rescue to recovery: why we must keep looking ahead
‘In the middle of a global pandemic it has sometimes felt strange to be thinking long term’,...
Blog
The Chancellor’s squeeze on public spending signals a long and deep period of austerity
While the Chancellor is spending big on the rescue phase of COVID-19, the Budget was silent on how...
Article
Years of underinvestment made the UK’s death toll so much higher than it need have been
The scene for the current crisis was set long before the virus arrived. Anita Charlesworth explores...
Blog
Staff shortages left the NHS vulnerable to the COVID-19 storm
We are seeing the consequences of years of workforce planning failures, says Anita Charlesworth.
Report
Building the NHS nursing workforce in England
The current shortfall of nurses represents a major long-term and growing problem for the NHS. This...
Data analysis
Spending Review 2020: Managing uncertainty
Our REAL Centre analysis explores the impact of the COVID-19 pandemic on health care spending, and...
Blog
To govern is to choose
Choices about health and social care must be made with a strong emphasis on their long-term...
Analysis
The bigger picture
In the REAL Centre's first report, we look back at the care and treatment provided by the NHS in...
News
Health Foundation statement on racial inequalities in health and health care
A statement from the Chief Executive and directors of the Health Foundation on racial inequalities...
Newsletter blog
Shock to the system: COVID-19’s long-term impact on the NHS
The coronavirus (COVID-19) pandemic is a major shock to the NHS and social care systems and has...
Blog
Early insight into the impacts of COVID-19 on care for people with long-term conditions
The Health Foundation has supported an online YouGov survey, designed by the Resolution Foundation,...
Long read
Returning NHS waiting times to 18 weeks for routine treatment
In January 2020 there was a backlog of over 1,000,000 patients awaiting elective surgery which...
Blog
What does the Budget mean for health and social care?
Anita Charlesworth explores the contrasts at the heart of the March Budget and the implications for...
Research report
Falling short: the NHS workforce challenge
Our fourth annual report analysing the staff profile and trends in the NHS workforce in England in...
Long read
Health and social care workforce
We explore the health and social care workforce, how shortages are impacting on services and set out...
Long read
Health and social care funding
We explore the level of funding that the next government will need to commit to in order to maintain...
Blog
Politicians can’t shake a magic people tree to staff the NHS
We need to move beyond an exclusive focus on money, to challenge the notion of a ‘magic people...
Blog
Social care funding: public perceptions and preferences
Anita Charlesworth reflects on findings about public preferences for adult social care funding.
Briefing
Investing in The NHS long term plan
A briefing analysing the challenges for health and social care following the publication of the NHS...
Blog
The real cost of a fair adult social care system
Anita Charlesworth and Toby Watt look at the funding and workforce challenges facing the adult...
Blog
The NHS must focus on becoming a better employer
Anita Charlesworth, Candace Imison and Richard Murray look in detail at solutions across the...
Research report
Closing the gap
Staffing is the make-or-break issue for the NHS in England. This report sets out a series of policy...
Working paper
Labour market change and the international mobility of health workers
This working paper explores the migration and mobility of health workers. It summarises the...
Blog
No country is an island
How does the UK compare with competitor countries in international health workers labour markets?
Briefing
Failing to capitalise
A report outlining how short-term thinking has resulted in years of inadequate capital spending for...
Newsletter blog
Improving productivity – what does The NHS Long Term Plan expect?
Anita Charlesworth explains how realising the ambitions of The NHS Long Term Plan, within the...
Research report
A critical moment
Our third annual report analysing the staff profile and trends in the NHS workforce in England in...
Blog
A new frontier
Anita Charlesworth blogs about the establishment of a new centre to provide independent projections,...
Blog
Running to stand still: Why £20.5bn is a lot but not enough to do everything
The funding increase announced by the Prime Minister, while substantial, is below the estimates of...
Blog
Even on its 70th birthday, social care remains a Cinderella service
For the sake of our ageing population, resolving the thorny issue of how to pay for this vital...
Research report
False economy
The latest report in the Health Foundation’s annual series on NHS finances.
Research report
Securing the future: funding health and social care to the 2030s
This research looks at how much health spending would need to rise to provide the level of service...
Analysis
Social care funding options
Health Foundation financial modelling looking at various funding options for social care, how much...
Newsletter feature
How can we ensure the NHS has the workforce it needs?
Bill Clinton famously said ‘it’s the economy stupid’. In the case of the NHS delivering high...
Research report
Rising pressure: The NHS workforce challenge
This report analyses the profile and trends of the NHS workforce. It also focuses on two pressure...
Blog
Brexit may be dominating political debate, but the NHS cannot be ignored
The main parties’ conferences are now over and the dust is settling on the post-election landscape....
Blog
What the manifestos might mean for health care funding
How much would be spent on the NHS in England under the different parties’ proposals?
Briefing
Election briefing: A sustainable workforce
The third and final Health Foundation briefing ahead of the 2017 General Election considers the...
Blog
Three unavoidable challenges ahead for the NHS and social care sector
There are three fundamental issues that any incoming government will need to address if health and...
Briefing
Election briefing: NHS and social care funding
This is first of three Health Foundation briefings ahead of the 2017 General Election.
Research report
In short supply: Pay policy and nurse numbers
This report examines the current position with regard to two of the most important issues in...
Research report
A year of plenty?
The NHS is facing unprecedented financial pressures 2.5 years after the publication of the Five year...
Journal article
Shifting from under supply to over supply: does NHS workforce planning need a paradigm shift?
The National Health Service in England is currently halfway through the most austere decade in its...
Briefing
The social care funding gap: implications for local health care reform
This briefing offers an analysis of the size of the gap in adult social care funding in England – at...
Research report
Staffing matters; funding counts
This report examines the profile and features of the NHS workforce in England, including; health...
Blog
A failed firebreak
The firebreak is not enough and the plan is unravelling at frightening speed. All parts of the NHS...
Research report
A perfect storm: an impossible climate for NHS providers’ finances?
This report examines the financial performance of the NHS in England, with the main focus on the...
Blog
Beware false dawns: this will be the NHS's toughest decade
Through this decade of austerity, health will have been protected relative to other government...
Research report
Filling the gap
The Health Foundation and the Institute for Public Policy Research (IPPR) have worked together to...
Blog
Time for a new year’s resolution
With bonfire night over most of us are now counting down to Christmas – letters to Santa being...
Blog
The 18-month plan
This week marks the anniversary of the publication of the Five Year Forward View - Anita...
Research report
Hospital finances and productivity: In a critical condition?
In this report we examine the financial performance of NHS providers, focusing on hospitals.
Analysis
Public attitudes to the NHS
Analysis of the results of questions about the NHS from the 2014 British Social Attitudes Survey.
Blog
What are the implications of objections to the 2015/16 tariff?
Last week Monitor and NHS England announced that, due to the number of objections raised against...
Blog
A transformation fund for the NHS
It is now widely accepted that, in order to meet the challenges facing the health and care system,...
Blog
Some Christmas cheer for the NHS?
A little bit of Christmas cheer might be in the offing for the NHS in George Osborne’s Autumn...
Blog
The toxic mix of politics, money and the NHS - a possible way forward?
The Scottish referendum has given politicians across the three main UK parties a timely reminder of...
Blog
Turning the supertanker
The NHS is often compared to a supertanker – huge and slow moving – but, in at least one regard,...
Blog
We owe it to patients and taxpayers
The annual report on the sustainability of public finances was published today by the Office for...
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