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Hospital building
News 08/04/2025

Our role in the New Hospital Programme

​​Learn how the Strategy Unit’s innovative model is transforming hospital planning by providing a consistent, data-driven approach to forecast future demand and evidence-based decision making.

Report 13/12/2024

‘To risk stratify or not risk stratify, that is the question’ (At least, it should be)

Risk stratification tools are ubiquitous in healthcare. The concept is simple and seductive.

woman in winter dress holding heart
Report 22/03/2023

The NHS as an anchor institution: addressing fuel poverty

The number of households in fuel poverty in Staffordshire and Stoke-on-Trent (SSoT) is higher than the national average. As anchor institutions, NHS organisations can use their assets to influence the health and wellbeing of their local communities. The Strategy Unit was asked by the Midlands NHS Greening Board to evaluate a cross-sector initiative in SSoT to help alleviate fuel poverty using savings generated through solar panels on NHS buildings. The project is called Keep Warm, Keep Well.

Blog post 28/01/2021

Strategy Unit analysis published showing changes in use of emergency departments under lockdown

We know that patterns of access to healthcare have changed during the pandemic.

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.

Blog post 11/12/2018

Why community alternatives to hospital admission don’t (typically) reduce total admission levels

Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**

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 01/06/2018

Do you like to integrate horizontally or vertically? NHS positions examined

Our latest research paper explores the impact of the different options for integration implemented as a result of the Transforming Community Services policy in 2010. This accompanying commentary reflects on potential implications for the current policy drive towards Integrated Care Systems.

Report 01/06/2018

Horizontal or Vertical: Which way to integrate?

In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems

Blog post 06/11/2017

HSJ Article - Why are A&Es feeling the strain?

Article published by HSJ on 3rd November 2017.

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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