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Our work

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summary flow chart highlighting potentially mitigable activity at the top with boxes for redirection, prevention, relocation and efficiences and further boxes underneath
Tool 02/10/2025

Shifting care ‘from hospital to community’: where to start?

What are the opportunities to shift activity from hospital to community? Our analysis provides an evidence-based place to start.

carer holding had with elderly person in wheelchair
Blog post 24/09/2025

A missing element in ‘shifting care’

Our Director, Peter Spilsbury, outlines the scale of the task when it comes to making ‘the shift from hospital to community’.

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?

dandelion with seeds floating away
Report 31/01/2024

A Picture of End-of-Life Care in England

Working with Macmillan our analysis investigates who is more likely to experience poor outcomes associated with shortcomings in end-of-life care? Are there particular areas in England where those at end-of-life face significant challenges and how might the supply of services in an area be influencing these?

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.

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.

Socio-economic inequalities in coronary heart disease
Report 09/12/2022

Socio-economic inequalities in coronary heart disease

There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups.  Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified

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

 

Dr Katherine Mannix
12/10/2021

INSIGHT 2021: Data for the head, stories for the heart

Death is certain, yet our planning doesn’t reflect this.

Dr Katherine Mannix
12/10/2021

INSIGHT 2021: Data for the head, stories for the heart

Death is certain, yet our planning doesn’t reflect this.

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.

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.

10 min review
Graph showing planned care inequalities
Report 12/05/2021

Socio-economic inequalities in access to planned hospital care: causes and consequences

Tacking inequalities in health is a long-standing NHS policy objective. Variation in the experiences and outcomes of different communities during the COVID-19 pandemic served to bring this issue back into focus.

Dr Anna Lock on Microsoft Teams call with colleagues
Blog post 16/03/2021

How can analysis help clinicians improve services? Interview with Dr Anna Lock

Dr Anna Lock, Justine Wiltshire and Lucy Hawkins reflect on the Strategy Unit's innovative end of life care analysis. How can this work help clinicians to improve services?

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.

Figure 1: Deaths in England, long term trends and forecasts
Report 14/10/2020

Health service use in the last two years of life

Health and care services get just one opportunity to support people at the end of their life. When this support is compassionate and appropriate, unnecessary suffering can be avoided and grieving can be eased. When this is not the case, harm and distress can result. The difference in these experiences can be profound.

Black pregnant Woman
Report 11/09/2020

Accessibility of perinatal mental health services for women from Ethnic Minority groups

Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women.

Pagination

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