Working with the national collaboration to coordinate covid-related analysis, and the NHSE/I Midlands region, the Strategy Unit has produced a ‘systems dynamics’ model of waiting lists for planned care. The model is freely available for non-commercial use across the NHS. Here, Steven Wyatt and Mike Woodall explain what we did and how we did it.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Building the Right Support is a national plan to provide better support to people with a learning disability or autism.
It says what services and supports are needed to help people whose behaviour challenges services or who have mental health problems.
This is because too many people are living in hospitals and assessment and treatment centres. Many have been living in such places for a very long time. Often they are a long way from their home, family and friends.
Innovation & evaluation – a proposition for change and an offer of support
In this interactive PDF, we set out our thinking on innovation and evaluation, as well as our overall offer of support at individual, organisation and system level for each stage of the innovation process.
Evaluating innovations – why, what and how? A menu of potential options…
In this document, we set out the core principles underlying high quality evaluation. We also describe some of the methods that can be used, highlighting potential pros and cons and our advice on when they should be used in the innovation process.
Logic models have become a standard tool for planning and evaluation. This short presentation offers a step-by-step guide to assembling logic models for complex programmes.
The Strategy Unit is well known for its use of logic models. We use them to help programmes and organisations – including Vanguard sites and Sustainability and Transformation Partnerships – to set out the thinking behind their work. Logic models clarify thought at the outset. This brings two main benefits: better design and increased ability to evaluate.
Commissioned by NHS England, this report describes the status and context of palliative and end of life care services in the six Sustainability and Transformation Partnerships in the West Midlands. The report contains data on trends and forecast numbers of deaths, place of death, palliative care registers, acute healthcare use prior to death, availability of specialist-level palliative care and summarises the results of recent palliative care reviews and audits.
Accessibility of perinatal mental health services for women from Ethnic Minority groups
Mental health services
Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women.
The COVID-19 response required rapid change and innovation across health and care. As part of a wider package of evaluation support, from April to June, the Strategy Unit led some qualitative work (training and supporting CCG staff to conduct interviews) across an STP to capture learning from primary care (primarily PCN clinical leads) and community nursing leads about their experiences. The interviews explored the rapid move to total triage, video and online team communications, changes to day-to-day practices, working with care homes and their views on the backlog and unmet need.
This local decision-making framework aims to empower systems as they look to design new contracting approaches aimed at improving outcomes.
How will we know if Integrated Care Systems reduce demand for urgent care?
The implications of a blended payment system are far reaching: Decisions about planned activity levels will determine the total funding envelope for urgent care within a system and will influence the behaviour of healthcare providers and the services they deliver to patients.