Charlotte Pickles
Director @re-state.bsky.social; all things State and public services.
- V exciting to have shifted our @re-state.bsky.social blog, Re:Think, to Substack. Even more exciting to have such a corker for a first post from @jo3hill.bsky.social dissecting why mission government has failed 👇 substack.com/home/post/p-...
- Reposted by Charlotte PicklesNEW REPORT - Capital at risk London is a global capital. But it doesn't have the governance to match. The Mayor is much less powerful than his international counterparts, with too many boroughs which hold too much influence. The city needs reboot. 🔗👇
- Day 7 of our festive '12 days to remake the State' Today... devolve fiscal firepower! You should check out the mini blog series if for no other reason than the images are just so good (as are the ideas of course!) 🔥🎄 re-state.co.uk/rethink/12-d...
- Reposted by Charlotte Pickles🎄 ‘Tis the season of hope and gifting. And in that festive spirit, we gift you this uplifting series of mini blogs. 🎁 For our second day of remaking the State, Director @charliepickles.bsky.social calls for an acceleration to the rationalisation of our public bodies re-state.co.uk/rethink/12-d...
- Our pre-Christmas gift to you... '12 days to remake the State' Starting today, we'll open a new door on the @re-state.bsky.social advent calendar to reveal a bold idea to remake the State Just bringing the wonky festive cheer! Day 1: 'Give the gift of Governors' re-state.co.uk/rethink/12-d...
- Reposted by Charlotte Pickles🗣️ New Meetings with Mayors alert! 🗣️ Re:State’s Policy Director, Dr Simon Kaye, will be in conversation with Helen Godwin Mayor of the West of England, for the 8th event in our Meetings with Mayors series. 🕚 11:00am 🔗 Register here: lnkd.in/eGjjJegy
- Reposted by Charlotte PicklesAhead of this afternoon’s Budget, the promise of a new tourist tax looks like progress — but it barely scratches the surface. Research Assistant, Laxshia Ganesharatnam, writes about the gulf between one revenue stream and meaningful fiscal devolution. re-state.co.uk?p=12472&prev...
- At some point we have to *actually* take tough public spending decisions Promising cash today for reform tomorrow is irresponsible (see blog) I hope the Budget has some rabbits but right now it looks like further expanding an increasingly unsustainable welfare state re-state.co.uk/rethink/the-...
- So proud of the team today. First place for Think Tanker and second for Think Tank of the Year. We're a tiny (9 people), scrappy think tank with limited resources, risking saying what we really think. Hall of Famer Dirk Nowitzki once described JJ Barea as 'undersized, but all heart'. That's us.
- Very proud of Our Policy Director @jo3hill.bsky.social winning 'Think Tanker of the Year' at last night's inaugural @smartthinking.bsky.social Think Tank Awards Also chuffed to have been named the runner up to the esteemed IFS as Think Tank of the Year.
- Today we've published our latest Hospital of the Future paper What's the answer to corridor care, backlogs & the Winter Crisis? More doctors, more beds NO! @rosiebeacon.bsky.social @alicesemark.bsky.social have the actual, evidenced solutions- as ever cutting through the bullshit 👏
- & if you don't believe me, take it from NHS data legend Steve Black: "Too many think tank reports about the NHS produce waffle and accept tired cliches...This isn't one of those" You can read the paper here 👇 re-state.co.uk/publications...
- Reposted by Charlotte PicklesDelighted to see this endorsement from Daniel Elkeles, Chief Executive of @nhsproviders.bsky.social, for our new paper 'Ending the Patient Gridlock' – out today as part of our Hospital of the Future programme. Read the paper here: re-state.co.uk/publications...
- Reposted by Charlotte PicklesExtremely grateful for this endorsement from the inimitable Stephen Black - exactly how we hoped this paper would be received. Read the paper here: re-state.co.uk/publications...
- "It's the year 2040, and Dame Louise Casey has been asked to lead a taskforce to tackle the [insert institution failure]. This is her 234th review/taskforce in the past 15 years. Her commission on social care is now due to report in 2042" A slightly tongue-in-cheek but deadly serious blog from me
- Dame Louise Casey has become the State’s go-to troubleshooter. But what does that say about Whitehall’s own capacity to solve problems? In our latest Re:Think, Director @charliepickles.bsky.social asks why Whitehall keeps summoning the same hero to fix its failures. re-state.co.uk/rethink/whit...
- That's a wrap. Labour party conference 2025 is done. Brilliant work by the @re-state.bsky.social team - but a special shout out to Beth who bossed the whole thing 👏
- The PM is announcing the government is setting up a virtual hospital This is game changing - & a reform we exclusively called for in our paper paper out a few months ago: 'Hospital as a service, not a building' Huge win for @rosiebeacon.bsky.social & @alicesemark.bsky.social Real world impact 👏
- There is a common misconception that moving care into the community should be done by physically moving hospital services into community services - that's not the answer Moving care into the home is That's what a virtual hospital does
- You can read our paper, and a full analysis of, and set of proposals for, virtual hospitals here 👇 re-state.co.uk/publications...
- Reposted by Charlotte PicklesIn our latest Re:Think, Policy Director, @stkaye.bsky.social explores the big themes from our event with Sarah Olney MP at the Liberal Democrat Party Conference last weekend. Check it out here: re-state.co.uk/rethink/libe...
- Really proud of this new project We've put our money where our mouth is and launched the Re:State Leaders Network, a programme to support senior civil servants to lead during a time of immense complexity and challenge Read @jo3hill.bsky.social on the why and what 👇
- Whitehall can’t tackle 21st-century problems with 19th-century tools. In this Re:Think, Policy Director, @jo3hill.bsky.social, reflects on the launch of our Leaders Network in partnership with Newton, and why fresh ideas matter for leadership. Check out the blog👇 re-state.co.uk/rethink/laun...
- Hospitals are struggling with productivity. That means fewer patients seen and treated. This new paper from @floconway.bsky.social and @rosiebeacon.bsky.social lays out the quick wins that automation could deliver - not only for productivity but also patient safety and workforce satisfaction 👇
- 🚨New paper out today!🚨 There are countless avoidable inefficiencies in hospitals today - many of which could be automated overnight. We explored what steps government, ICSs & trusts need to make in order to grasp the potential of these innovations. Read here: re-state.co.uk/publications...
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- Reposted by Charlotte PicklesIf you're at Conservative Party Conference this year, don't miss what will be a fascinating conversation on a Conservative vision to remake the State, with Claire Coutinho MP, Alex Burghart MP, and @charliepickles.bsky.social Email events@re-state.co.uk to attend!
- Reposted by Charlotte PicklesToday: Policy Director, Joe Hill, writes to The Rt Hon Darren Jones MP, newly appointed Chief Secretary to the Prime Minister, and Chancellor of the Duchy of Lancaster, with his take on where focus should lie. re-state.co.uk/rethink/resh...
- Reposted by Charlotte Pickles⭐ Special blog series: Re:Shuffle ⭐ We’re marking the ministerial reshuffle with daily open letters from our researchers to newly appointed ministers – setting out what we think should top their priority list for better public services.
- Looking forward to joining Newsnight tonight to discuss, well, a whole lot of politics!!
- Reposted by Charlotte PicklesShould one national agency really hold the keys to solving England’s housing crisis? In our latest Re:Think, Researcher, @coryberman.bsky.social , writes about why Homes England should be abolished and its powers devolved to local leaders. Read the blog here 👇 re-state.co.uk/rethink/home...
- 👀 One more sleep... Cracking read from the @re-state.bsky.social Local State team @stkaye.bsky.social If you want ambitious devolution, you can't leave central government machinery as is 👇
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- This opening line from @rthonwesstreeting.bsky.social to the BMA is absolutely 🔥 "I never left"
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- Reposted by Charlotte Pickles📢NEW REPORT: 'GO BIG OR GO HOME' The 'devolution revolution' may yet result in small and underpowered Strategic Authorities in England's low-density, rural, and polycentric places. This report proposes a system of full-scale Provinces to ensure England's regions can take flight.
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- Reposted by Charlotte PicklesResearcher, @floconway.bsky.social, has written about the urgent need for Govt to act following another child death from measles Check out her piece here👇 re-state.co.uk/rethink/we-b...
- Reposted by Charlotte PicklesWe at @instituteforgovernment.org.uk have coordinated a letter in @thetimes.com today in which numerous individuals and organisations call on the government to withdraw its mistaken rules which are having a serious chilling effect on civil servants speaking in public…
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- Reposted by Charlotte PicklesWe read it so you don't have to! Check out our snap analysis on the 10 Year Plan - highly ambitious but minimal on delivery. But nevertheless some interesting ideas in there. Read below 👇🔗 re-state.co.uk/react/react-...
- Reposted by Charlotte Pickles& we’re off! Our flagship ‘Re:Imagining Health’ conference at Salesforce Tower begins Starting with an ‘In conversation’ with hospital CEOs. We’re thrilled to be joined by Dr Nnenna Osuji, North Middlesex Hospitals, and Richard Mitchell, University Hospitals Leicester and Northamptonshire 🏥
- An absolutely brilliant start to our @re-state.bsky.social ‘Reimagining Health’ conference Two inspiring trust chief execs speaking candidly and optimistically about the future of the health system
- Senior civil servants can’t speak on panels and do Q&A but the head of the NHS can do interviews with the telegraph…
- Reposted by Charlotte PicklesThe Re:View is out!🎉 This week, our Director, @charliepickles.bsky.social, reflects on the first of the government's Spending Review plans, ‘UK Infrastructure: A 10 Year Strategy’, and the Stuart Review... Read here 👉 re-state.co.uk/review/revie...
- Reposted by Charlotte PicklesAnd we’re off! Great start to the day at our annual Re:Imagining Whitehall conference. @charliepickles.bsky.social reflecting on why this matters @stkaye.bsky.social chairing our first panel on mission government Susan Acland-Hood, Permanent Secretary at DfE on early years
- *Boom* ready for our annual Reimagining Whitehall conference 🔥
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- Reposted by Charlotte PicklesCan this Government deliver? Our Director @charliepickles.bsky.social spoke to The Rundown with @politicshome.bsky.social about how the Government is getting on with its priorities. Have a listen 🎧 podcasts.apple.com/gb/podcast/c...
- Reposted by Charlotte PicklesWhat does the Spending Review mean? We've got you covered with our usual snap analysis 👍 The good 👎 The bad ⚖️ The jury's out 🧐 The M.I.A. Read our Re:Act here 👇 re-state.co.uk/react/react-...
- Reposted by Charlotte PicklesToday, we're thrilled to see @england.nhs.uk announce a huge increase in robotics assisted surgeries in the NHS🏥 We are the only think tank who has comprehensively called for more robotics surgeries and detailed how to do this! Read our paper here: re-state.co.uk/publications...
- Reposted by Charlotte PicklesPrior to the Spending Review tomorrow, Head of Health @rosiebeacon.bsky.social has written about our newest proposal for Remote General Hospitals and why this is important for the public finances 💸 re-state.co.uk/rethink/30-b...
- Reposted by Charlotte PicklesToday we welcome @coryberman.bsky.social and @joemartin25.bsky.social to the Re:State team! Give them a follow to see more of our thinking and research.
- This is madness if true £30bn more for NHS *at the cost* of spending on the stuff that *reduces* demand on the NHS Ageing & increasingly unhealthy pop’n? Ah, must ensure that effective social care & health creating services are in place via local government. Right? Right? Mad.
- £105 billion. @labourgrowth.bsky.social. & the upcoming spending review. A short blog on why prioritisation, bold reform & a hard grip on the public finances is essential re-state.co.uk/rethink/poli...
- Bang on from @labourgrowth.bsky.social. There is no trade-off free spending, & no public service investment w/out growth. We’re spending more than £100bn on debt interest. Get a grip. Love this quote from @chriscurtis94.bsky.social www.thetimes.com/article/92ea...
- Love this from @jo3hill.bsky.social on the Spending Review and why the 'isn't the Treasury the problem' argument is so misguided... re-state.co.uk/rethink/trea...
- This is v good & so important from @stephenkb.bsky.social Setting aside clear evidence that knowledge-based ed'n systems = better results than skills-based (eg Scotland), the foundational truth that applying skills requires knowledge is so well illustrated here www.ft.com/content/1369...
- Reposted by Charlotte PicklesNearly a year into government, and two years since the Government's missions were announced, how's it going? Today we have published our evidence to the House of Commons and their inquiry into mission government. It draws on our paper 'Mission control' from 2024. re-state.co.uk/publications...
- Reposted by Charlotte Pickles🏥Hospital staff levels have increased significantly, while demand has been stable. Yet patient satisfaction is at an all time low & spending is at an all time high. This cannot go on! Yday we published ‘Hospital as a service, not a building’, outlining our solutions👇
- Reposted by Charlotte PicklesTime to meet the health team at Re:State! While at its inception the NHS was visionary, three quarters of a century later, with demand rising and outcomes deteriorating, a bold and urgent rethink is needed. This programme explores what that should look like.
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- Reposted by Charlotte PicklesThe Re:View is out! 🎉 We have revamped our usual reflection on what’s happened in the last seven days given our new incarnation as Re:State... This week our Director, @charliepickles.bsky.social, recaps our relaunch! Read here 👉https://re-state.co.uk/review/review-23-may-2025/
- Was fun to chat to Annabelle at Politico about our rename, v grateful for the write-up! For the full read on Nigel nicking our name... www.politico.eu/newsletter/p...
- Reposted by Charlotte PicklesExcited to publish this today! If the Government want to slash wait times by the end of this Parliament, they should scrap the New Hospitals Programme & instead create Remote General Hospitals – hospital care without the hospital. And lots more...
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- Everyone talks about shifting care into the community & building a more preventative NHS, noone really talks about what that means for hospitals Well that's exactly the question @rosiebeacon.bsky.social, @alicesemark.bsky.social, @floconway.bsky.social have answered in this excellent new paper 👇
- Reposted by Charlotte PicklesThis portfolio of work is kindly supported by the Reimagining the Local State Advisory Group, including some huge names in the sector and the King of the North. Also, be sure to look out for our next 'Meetings with Mayors' with Oliver Coppard re-state.co.uk/event/in-con...
- Yes, yes that is a great photo. Must have been a great photographer... Seriously good work being done by this awesome team. You really should be following them. Get on it.
- Honestly, you should see our events programme - it's crazy good Come be part of the magic 🤩
- 🚨 Job vacancy 🚨 Could there be a more exciting time to join our team? We're looking for a high-energy, super organised individual to come help deliver our best in class events programme re-state.co.uk/opportunity/...
- At a time when we're in a pre-war state and when the government is developing a defence industrial strategy...
- Reposted by Charlotte PicklesWhen someone nicks your name, how do you come up with a new one? 📻Listen to Director, @charliepickles.bsky.social explain how we landed on Re:State👇
- Great to chat to @mattchorley.bsky.social about our rename just now. Probably should have had a better answer to what if Farage decides he likes Re:State now… 😱 It *is* a great name
- Reposted by Charlotte Pickles🚨Live now! 🗣️Policy Director, @jo3hill.bsky.social, is giving evidence to the Public Administration and Constitutional Affairs Committee on mission government
- Reposted by Charlotte PicklesIt's time to get serious about public health - there's no route to a sustainable NHS without it "The gov needs to lead from the front, or the health of the UK will remain at the back." Brilliant to have Tim Spector writing in our Re:Think collection re-state.co.uk/publications...
- This is a great essay, asking some pretty fundamental questions, from a key decision-maker in the NHS If you're interested in health reform it's a must read 👇
- "The NHS in England typifies our current concept of the State... we see inputs as a measure of success" Brilliant to have new @NHSEngland Chair Dr Penny Dash making the case for serious reform re-state.co.uk/publications...
- Reposted by Charlotte PicklesA key theme running through our essay collection is devolution. @andyburnham.bsky.social is first up making the case for an even more ambitious agenda from Gov. The centre cannot hold. Read what needs to come next... re-state.co.uk/publications...
- Less everythingism, more focus & throw in some fiscal devo. Yes please! Great read from the economist politicians fear!
- It's the economy, stupid. "The frog has now been boiling for long enough" - a new paradigm demands brutal focus on driving growth, underpinned by radical devo Read Paul Johnson @theifs.bsky.social on remaking the State re-state.co.uk/publications...
- Reposted by Charlotte Pickles"The years ahead must be ones not of managed decline, but of renewal. It's time to be bold. It's time to remake the State. Re:State: welcome back." Read former Cab Sec Lord Sedwill in our essay collection 👉 re-state.co.uk/publications...
- This is honestly a cracking read. Lots of different perspectives and topics, but one big message: only genuinely radical reform will do
- To mark becoming Re:State, today we've published a collection of short essays by leading thinkers, all making the case for bold action to remake the State What an honour to have this incredible line up involved READ the collection here: re-state.co.uk/publications...
- Reposted by Charlotte PicklesBrilliant to have @claire-ainsley.bsky.social making the case for a better State in our essay collection marking the launch of our new name READ her full article, & 22 others, here: re-state.co.uk/publications...
- Happy Re:State day! What an awesome guy @stkaye.bsky.social is ordering these beauts
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- Reposted by Charlotte PicklesToday is the day! 🔥 We could not be more excited to be launching our new name. No guesses for what's forced it, but actually, Re:State is the perfect fit. Read my blog for more on why and what 👇 re-state.co.uk/rethink/the-...
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