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Our work

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watch the gap written on the edge of a train line
Blog post 25/09/2025

Expectations: The hidden driver of healthcare demand

How well do we understand changing expectations and implications for the NHS?

Carer giving seated elderly woman a glass of water
Report 21/08/2025

Hydration, UTIs and older people: learning from NHS pilots about how to improve care

Our evaluation of hydration-focused interventions for older people found promising signs of impact and highlighted the practical and systemic challenges of delivering and sustaining change.

Woman's arm around sitting elderly man with back to screen
Report 16/05/2024

How Does Access to Community Health Services for Older People Vary Across the Midlands?

Support elderly woman
Report 10/05/2024

MDSN: Community Healthcare Services

How Does Access to Community Health Services Vary Across the Midlands?

white greek naked statue sitting on white chair
Blog post 21/06/2023

What’s philosophy got to do with evidence reviews?

Ever wondered how to make better use of evidence in decision-making? Follow our latest blog series to find out more about how our Evidence and Knowledge Mobilisation team can help you to make sense of and use evidence from research and practice.

Diagnostics
Blog post 12/05/2023

Diagnosing harms?

All medicines are poisons. Everything that cures could kill if administered in the wrong doses, to the wrong people, at the wrong times, in the wrong ways.

Senior Patient Lady Signing Papers With Doctor In Hospital
Long read 10/05/2023

Inclusive Elective Care Recovery

These case studies present the key features and learning from local initiatives which championed inclusive approaches to elective care recovery.

Cropped Hospital Scanner
Report 03/05/2023

How is growth in diagnostic testing affecting the hospital system?

Diagnostic services, such as medical imaging, endoscopy, and pathology, have grown substantially in recent years and at a faster rate than most other healthcare services. Increased diagnostic testing brings benefits to patients, but rapid growth of this service area within a complex, adaptive system such as the NHS is likely to have had unintended consequences. Midlands ICBs wanted to understand the impact of diagnostic growth on hospital services.

Long Covid
Blog post 21/04/2023

Could a peer review methodology help drive continual learning within and across local systems?

In this blog Karen describes how peer review methodologies are being used to support learning in Long COVID services.

Hospital emergency department with ambulance
Report 30/01/2023

Emergency department acuity measurement and process: quick scoping review​

​​This review was commissioned to inform NHS England’s Acuity Standardisation Project which aims to agree a standardised method of allocating acuity category (a triage method) for Emergency Departments (EDs) and Urgent Treatment Centres (UTCs). ​

Image of young child wearing sunglasses
Blog post 28/04/2022

We saw them before they were famous: reflections on AphA’s away day

In June 1976, the Sex Pistols played Manchester's Lesser Free Trade Hall.

Clinician wearing white coat and stethoscope with finger on tablet device
Report 15/10/2021

Strategy Unit devises a new method for classifying outpatient appointments

The number of outpatient attendances in England is now approaching 100 million each year.

Coloured blocks with text relating to Initial opinion, Structured Review, Urgent Investigation, Treatment, Diagnostic Procedure, Post Op, Pre Op, Discuss Results
14/10/2021

A new resource to support analysis of outpatient services: Classifying activity by function

 

Andrew Jones and Steven Wyatt
07/10/2021

INSIGHT 2021: A new resource to support analysis of outpatient services

In this session, Andrew Jones presented a new classification system designed to enrich analyses of outpatient activity.

Jonathan Breckon
06/10/2021

INSIGHT 2021: Insight to Action. What Works?

It has been estimated that it can take up to 17 years to translate evidence into practice – how can we change that?

Looking through a camera lens held by a hand at view of countryside
Report 22/06/2021

Less noise and more light: using criteria-driven analysis to tackle inequalities

Reducing health inequality is a long-standing aim of health policy. Yet the gap between policy aim and population outcome has grown in recent years: on most measures health inequalities have got worse.

Female support worker wearing white scrubs with arm around elderly patient walking to a seating area
11/06/2021

Learning the lessons of Long Covid in real time

Round table event, 12 July

I've had my covid vaccine sticker with crown and heart in centre
Report 04/06/2021

Increasing vaccine uptake

The purpose of this work was to identify the key features of local initiatives which encourage vaccine uptake in different population groups, and share these for others to learn from.

NHS-R Community Banner showing organisation logos
05/02/2021

NHS-R: 2020 in Review

In 2020, collaboration and community meant more than ever.

Graph Equity of access to specialised services
Report 22/01/2021

Equity and Cost Growth in Specialised Services

NHS specialised services provide care for people with complex or rare medical conditions.

Pagination

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