Phuket is on general downward slide due to overdevelopment. Fancy that? Some expats I know are thinking to move somewhere else. Some things have gotten better and some worse. The traffic is super bad. Beaches are mostly trashed. I drive a scooter and the roads require "Bangkok driving" (on sidewalks, running reds, on the wrong side for distances, etc.).
The food situation has improved. There are so many restaurant options that it feels like a large western city. Supermarkets like Villa Market, Tops Central Floresta, etc. have most things any foreigner would want and the rest can be bought on-line. The airport has good connections. The health care/ dental services are very good.