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summary flow chart
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’.

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.

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. 

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.

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

10 min review
test2
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.

12/10/2021

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

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

12/10/2021

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

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

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.

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?

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 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.

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

Report 30/04/2018

Palliative and End of Life Care Report for Children and Young People

Commissioned by NHS England, this report describes the the characteristics and levels of resource required by children and young people (CYP) (0-25

Report 26/09/2017

Changes in Dementia Incidence, Prevalence, Severity and Mortality

Dementia is a key priority for NHS England and is estimated to affect around 676,000 people in the country.

Report 12/05/2017

Making the Case for Integrating Mental and Physical Health Care - Full Report.

An analysis of the physical health of people who use mental health services: life expectancy, acute service use and the potential for

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