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Our work

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Blog post 27/03/2025

‘Internal Consultancy’: INSIGHTS from evidence and experience

In this blog, our Head of Policy, Fraser Battye, shares his reflections on a recent ‘SU INSIGHTS’ event on the ‘Internal Consultancy’

Long read 05/03/2025

From ‘right drift’ to ‘left shift’?

Our Head of Policy, Fraser Battye, looks at the challenges facing the intention to shift care ‘from hospital to community’. He suggests that we have missed a critical part of the explanation for why this ‘left shift’ hasn’t taken place following previous initiatives.

Blog post 14/02/2025

Charisma

In this long read, which first appeared in the HSJ, Fraser Battye - our Head of Policy – looks at the role of charisma and innovation in the way that NHS resources are allocated.

Blog post 10/10/2024

Ara Darzi, Wes Streeting and English health policy. Part 2: cutting the knot

Following on from part one, Fraser continues exploring the Gordian Knot of English health policy.

Blog post 04/10/2024

Ara Darzi, Wes Streeting and English health policy. Part 1: the Gordian Knot

Health policy is not at a crossroads, it is in a bind. Strands so entangled, so complex they resemble a Gordian knot. Can this knot be untied?

Old medicine bottles
Blog post 16/07/2024

The risks of risk stratification

Medical history is full of bizarre and gruesome procedures.

Confused man
Blog post 20/05/2024

Want to ease pressure in urgent care? Simply cut community services!?!

What should decision makers do with analysis that challenges deeply held assumptions? In this blog, Fraser Battye reflects on a surprising recent finding about community services.

Report 16/05/2024

How Does Access to Community Health Services for Older People Vary Across the Midlands?

02/04/2024

Ghosted by an old friend

“…personal contact was a vital element in general practice from the beginning. By 1959 50% of people in England regarded their GP as a personal friend.”

Blog post 26/03/2024

Part-time GPs and the decline in continuity of care: a cause or a symptom?

In our recent paper we explore why levels of care continuity have been declining and what might be done to turn things around.

Blog post 19/03/2024

Two sides of the same coin

Hospital demand arising from GPs not seeing patients, is eating into the resources that they would use to manage down the elective backlog. In turn, this is creating more demand for GPs.

Blog post 12/03/2024

Are GP consultation rates rising or falling? Who or what should we believe?

If the "data suggests" GP appointments are substantially higher than pre-pandemic, then what is behind patients reporting recieving fewer appointments?

Report 04/03/2024

GP services: new analysis and fresh insights

In our latest analysis for the Midlands Decision Support Network (MDSN), we explore the long standing problem of access to GP practice consultations we consider the implications, and explore potential solutions.

Report 29/02/2024

MDSN: GP practice productivity, efficiency, and continuity of care

GP Practice productivity, efficiency, and continuity of care

Report 29/02/2024

MDSN: The gap between need and supply of GP practice consultations

The gap between need and supply of GP practice consultations

Podcast 29/02/2024

MDSN: Long-term trends in GP practice Consultation Rates

GP practice consultations are, by some distance, the most common interaction between the NHS and the population it serves.

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

Video 28/10/2021

Securing the future of domiciliary care

The Strategy Unit is embarking on an exciting project with WM ADASS, the Association of Directors of Adult Social Care Services in the West Midlands to explore the challenges facing domiciliary care and the opportunities that exist to transform and improve the service.

Blog post 09/09/2021

The impact of social care on demand for urgent hospital care: have we reached a consensus?

The care home COVID crisis and the effects of longstanding staffing and funding shortages has meant that social care has featured heavily in the media over the last 12 months. 

News 10/02/2021

Some positive news for integrating GP practices with hospital trusts

The drive for greater integration of health and care services has been the central theme of UK health policy for most of

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