Blog post Emergency care
The Strategy Unit, with our partners Ipsos, has been commissioned by NHS England and NHS Improvement (NHSEI) to provide a long-term national evaluation of the Urgent Community Response programme rolled-out across England. The programme aims to shift resources to home and community-based services as part of the NHS commitment to providing the right care, to the right people, at the right time. And there are a range of outputs from the early work that provide learning for local systems as they develop their services.
Waiting lists for elective care are in the news. The national plan has been issued, with the expectation that lists will continue to rise for some years - and that long waiting will not disappear anytime soon. Addressing this ‘backlog’ will remain a fundamental challenge for some time to come.
Blog post Primary, community and social care services
The Strategy Unit is embarking on an exciting project with WM ADASS, the Association of Directors of Adult Social Care Services in the West Midlands to explore the challenges facing domiciliary care and the opportunities that exist to transform and improve the service.
Blog post Comparative Analysis | Emergency care | Problem Structuring
From our previous work, with Nuffield Trust and Health Foundation, we know that lockdown had a significant effect on attendance at Emergency Departments (ED). We also know that this effect was very unevenly distributed: some demographic groups stayed away far more than others.
The care home COVID crisis and the effects of longstanding staffing and funding shortages has meant that
Blog post Comparative Analysis | Elective care | Emergency care
Whether or not to admit a patient is one of the most routine yet important decisions a doctor in an Emergency Department
Blog post Complex Modelling | Emergency care | Inequalities
We know that patterns of access to healthcare have changed during the pandemic.
It's time to celebrate World Evidence-Based Healthcare (EBHC) Day. In a world dominated by COVID-19 and the associated infodemic, this day arguably has more resonance. Closer to home, EBHC Day also coincides with our Insight 2020 festival and the launch of the Midlands Decision Support network. What better opportunity to ask, 'what does evidence-informed decision making actually mean'?
Eye health and sight loss services have historically had a lower profile in service provision compared to many other specialities. There is a view that the importance of eye health has been underrepresented in many Sustainability and Transformation Partnership (STP) plans.
Blog post Better use of analysis | Futures thinking | Problem Structuring
The Strategy Unit and Ipsos MORI launch guide to implementing Person-Centred Intelligence.
Have cuts to public spending on social care for older people led to more emergency hospital admissions?
Cuts to council social care budgets are often cited as a cause of pressure on NHS urgent and emergency care services. Much of the evidence supporting this link, however, is anecdotal. We set out to try and quantify the effect of cuts to social care on older people’s use of emergency healthcare services, and our research has just been published in BMJ Open.
On International Womens Day 2019, Abeda Mulla from the Strategy Unit reflects on our gendered society that has led to poorer health outcomes in women.
Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**
Health and care services in England are labouring under a chronic state of stress – where for many organisations, ‘just about coping’ has become the new normal.
Waiting times in A&E are never far from the headlines. It threatens to become the defining healthcare performance issue of our time, much lik