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Hands of two children
Report 13/06/2025

Mending smarter, not harder: Changing fracture care for children

The report demonstrates there is significant variation between trusts in England in how paediatric fractures are managed. Widespread adoption of less interventional approaches to paediatric fracture management could result in significant savings in hospital activity, particularly reduced follow-up appointments for uncomplicated fractures.

Image of London at night
23/04/2025

“Champion, challenge, collaborate.”

Being commissioned by the Mayor of London to produce independent reviews of proposals for major service change, affecting Londoners, perfectly aligns with our commitment to help the health and care system make better decisions and ultimately achieve benefits for population health and wellbeing. 

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?

 An ophthalmologist examining a patient's eye with an ophthalmoscope
Podcast 09/10/2023

Review of Ophthalmic Managed Clinical Networks (MCNs) in Staffordshire and Shropshire

The aim of the MCNs is to bring together primary care optometrists with local ophthalmologists within a geographical area. This is a review Strategy Unit were commissioned by NHS England to work with a medical retina MCN in Shropshire, Telford and Wrekin and a glaucoma MCN in Staffordshire and Stoke on Trent, to review their work so far and look at the opportunities the networks present.

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.

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.

ICS intelligence functions graph
Report 21/03/2023

ICS intelligence functions – a toolkit to support the implementation of NHSE guidance

In 2020, NHSE

Menopause and the NHS workforce graphic
Long read 07/03/2023

No more suffering in silence, we want to talk about the menopause

To mark International Women’s Day on March 8, Karen Bradley, Principal Consultant at the Strategy Unit, and Susan Blakey, Senior People Consultant at MLCSU, two advisors involved in the recent project, ‘Menopause and the NHS Workforce’, discuss its significance and share what they want to see happen as a result of the published report.

Stock image showing web of connections
30/03/2022

‘Developing your ICS Intelligence Functions’: A Free Webinar Series

What is an ‘Intelligence Function’? What value can they add to decision making? How can they be configured and who needs to be involved? What lessons can be drawn from current practice?

10 min review
Mental health words in scrabble letters on white background
Report 19/10/2021

Estimating the impact of the proposed reforms to the Mental Health Act on the workload of psychiatrists

In January 2021, the Government published a White Paper, setting out its plans to reform the Mental Health Act.

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.

Professor Jon Glasby
06/10/2021

INSIGHT 2021: Insight into action for adult social care. how? IMPACT Centre

This session began with Professor Jon Glasby describing IMPACT – a new £15 million UK centre that he leads for implementing evidence i

people sitting on chairs at a conference with view from back of room to speaker
Report 27/07/2021

Inequities in children and young people’s mental health services

Good mental health during early years and childhood has a great bearing on health throughout life.

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.

Image of London arear with heat spots showing access to healthy assets and hazards
Report 17/02/2021

Strategy Unit analysis of air quality highlights inequalities

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.

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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