‘To risk stratify or not risk stratify, that is the question’ (At least, it should be)
Better use of analysis and decision making, System thinking and system working, Urgent and emergency care
October 2021

Risk stratification tools are ubiquitous in healthcare. The concept is simple and seductive. By predicting the risk of future adverse events, we should be able to target efforts to avoid/mitigate them. Doing so would save both money and misery.  

Inequities in children and young people’s mental health services
Inequalities, Mental health, Specialised services
July 2021

Good mental health during early years and childhood has a great bearing on health throughout life. By contrast, poor mental health can cast a long shadow. Consequences may include depression, self-harm, and poor physical health.

Services recognise this. They aim to provide access to support in a timely and suitable way. A national target has been set, namely that 35% of children and young people with diagnosable needs should be able to access the necessary services.

Measuring the effect of the coronavirus pandemic on population health
Inequalities
July 2021

Measuring the effect of the coronavirus pandemic on population health

One feature of the pandemic has been the fast-flowing stream of facts and numbers about the impact of Covid-19. At the same time, we’ve had to absorb the meaning of terms that were previously the preserve of epidemiologists and public health professionals.

A framework for understanding policy change
Better use of analysis and decision making, System thinking and system working
March 2021

A new policy, strategic direction or major programme is announced. How do we begin to understand, interpret and explain it? And how can we start the task of analysing and critiquing it?

I see three main approaches:

1: Personal views

As an individual, we might ask whether we like or agree with the proposed change. Here, we will draw on some combination of personal experience, position and world view. This is a starting point, but results are limited to expressions of individual opinion.  

Strategy Unit analysis of air quality highlights inequalities
Wider determinants of health and prevention, Inequalities
February 2021

Poor air quality is the largest environmental risk to public health in the UK and central London has the highest levels of particulate matter and nitrogen dioxide.  The Guy’s and St. Thomas’ charity, now operating its programmes under the Impact on Urban Health banner, have committed to 10 years of funding to improve air quality-related health in the residents of South London boroughs of Lambeth and Southwark. The charity commissioned the Strategy Unit to explore the health of several key groups and the factors that most influence health alongside air quality within the area.