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.
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.
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
Blog post Better use of analysis | Problem Structuring
I was quoted in a recent Guardian newspaper article which described a London Clinical Commissioning Group’s wasteful use of external
Our latest research paper explores the impact of the different options for integration implemented as a result of the Transforming Community Services policy in 2010. This accompanying commentary reflects on potential implications for the current policy drive towards Integrated Care Systems.