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Our work

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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. 

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.

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?

Summary of findings from the study
Report 18/10/2023

Menopause and the NHS workforce

The impact of the menopause on the NHS workforce. The Strategy Unit and Health Economics Unit report on their mixed methods findings.

11/10/2023

Leadership training and support for organisational development: an offer from the Strategy Unit

The Strategy Unit has long been known for the quality of its analytical work, and the clear, critical thi

Blog post 23/06/2023

Exploring the Edge of Tomorrow, Today

Exploring the critical building blocks for a resilient social care system in 2035 with the West Midlands Association of Directors of Adult Social Services (WM-ADASS).

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.

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.

Mug of black coffee
Report 06/11/2022

Evaluating and embedding social values in procurement at East London NHS Foundation Trust

This report presents emerging findings from the early development stages of a social value approach to procurement by East London NHS Foundation Trust (ELFT). These findings provide insights for other organisations beginning to explore how to use procurement to contribute to improving health and reducing health inequalities.

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.

14/10/2021

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

 

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.

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.

Report 22/01/2021

Equity and Cost Growth in Specialised Services

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

Report 20/10/2020

COVID-19: breaking the cycle of deprivation and ill health

Promoting whole-system action on the wider determinants of healthy life expectancy in the shadow of the COVID-19 pandemic

Report 05/10/2020

Socio-economic and environmental impact of Herefordshire and Worcestershire STP

Anchor institutions are large, typically non-profit, public sector organisations whose long-term sustaina

Report 02/04/2020

Outcomes based commissioning: A framework for local decision making

This local decision-making framework aims to empower systems as they look to design new contracting approaches aimed at improving outcomes.

Report 09/01/2020

How will we know if Integrated Care Systems reduce demand for urgent care?

The implications of a blended payment system are far reaching: Decisions about planned activity levels will determine the total funding envelope for urgent care within a system and will influence the behaviour of healthcare providers and the services they deliver to patients.

Report 11/12/2019

Opening the ‘black box’ of scenario planning through realist synthesis

Scenario planning is recognised as an effective aid to strategic planning in complex, uncertain conditions. It is an approach that the Strategy Unit is increasingly building into its work with health and care systems and third sector organisations.

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