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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.

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).

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.

10 min review
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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.

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.

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.

Report 10/11/2020

Mental Health Surge Model

Early in the Covid pandemic, it became clear that people’s mental health would suffer. Whether through bereavement, unemployment, social isolation, not being able to access support services – or a host of other routes – an alarming picture began to emerge and attract attention.

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 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.

Long read 29/09/2019

Lessons, Evaluation and Learning from the Dudley MCP

Learning from Dudley MCP

Report 30/07/2019

Clinical Workforce Scenarios for the Black Country

The future is highly uncertain.

Blog post 18/12/2018

Let’s face the music and (not) dance

David Frith leads our strategy consultancy work with NHS and third sector organisations.

Report 09/10/2018

Making a priority of mental health and wellbeing in Nottinghamshire

Nottinghamshire has been an early mover in the transition from Sustainability and Transformation Partnerships (STP) to Integrated Care Systems (ICS

Report 05/07/2018

Making the case for integrating physical and mental health services in England - National overview

This is a national overview report of our Making the case for integrating physical and mental health services reporting which took place in July 20

Blog post 09/02/2018

Scenario planning – an antidote to the false certainties of forecasts and grand plans

The resurgence of uncertainty

Blog post 09/02/2018

Scenario planning – an antidote to the false certainties of forecasts and grand plans

The resurgence of uncertainty

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