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Our work

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Long read 17/04/2025

Things can only get better (?)

Introducing a new online tool to help local health and care service planners think differently about healthy ageing.    

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’

Blog post 11/03/2025

Are ‘Internal Consultancies’ a good option for the NHS?

Ahead of a SU INSIGHTS event on the topic, Fraser Battye, our Head of Policy suggests ways the NHS could make better use of consultancy support.

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.

Report 15/10/2024

What are the downsides of digital?

What are the downsides of digital?

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?

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.

Gartner Hype Cycle
Blog post 14/05/2024

Outcome-based commissioning: can we rescue promise from the rubble of hype?

The first effect of policy is on expectations. In every case I can think of, the effect is inflationary.

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 26/10/2023

How data makes things worse

All light brings shade. My list of ‘changes that have been all upside and no downside’ is short and debatable.

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 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.

Decision blog_8
Blog post 01/04/2023

Decision Making Blog #8: Infinity-shaped debate

I’m argumentative.

Decision blog_7
Blog post 01/04/2023

Decision Making Blog #7: Should we 'go with the gut'? Yes, but...

I’m not sure there’s a superlative strong enough to describe ‘T

Decision blog_6
Blog post 01/04/2023

Decision Making Blog #6: The most powerful question in decision making?

I’m a fan of Shane Parrish and his organisation Farnam Street (strapline: ‘Helping you master the best of

Decision blog_5
Blog post 01/04/2023

Decision Making Blog #5: Reaching disagreement

Two starting points:  

Decision blog_4
Blog post 01/04/2023

Decision Making Blog #4: Embrace uncertainty - it's a badge of honour

Imagine this: 

Decision blog_3
Blog post 01/04/2023

Decision Making Blog #3: The black hole of the status quo

Learning is one of the joys of teaching. And I’ve learnt a lot while helping people develop their decision making skills.

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