Making sense of failure demand in the NHS
I must be an unpleasant creature to share a room with. I snore. I smell. And I’m seemingly addicted to my way of doing things.
‘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’
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.
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.
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.
What are the downsides of digital?
What are the downsides of digital?
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.
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?
The risks of risk stratification
Medical history is full of bizarre and gruesome procedures.
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.
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.
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.
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
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.
What are the ethical challenges in addressing inequities?
Produced by Angie Hobbs - the world’s first Professor in the Public Understanding of Philosophy – this paper examines the ethical questions raised by our report outlining strategies for reducing inequity.
Strategies to reduce inequalities in access to planned hospital procedures
UPDATE 10th August: Now including briefing note for Integrated Care Boards on legal duties in respect of reducing inequalities. This report guides ICBs through the process.
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.
A framework for understanding policy change
A new policy, strategic direction or major programme is announced.
Localism and the NHS: a case in four stories
In this blog, Fraser Battye makes the case for localism in the NHS. He tells four short stories. He suggests that these stories highlight an opportunity as the NHS enters a period of reform.
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.