
Expectations: The hidden driver of healthcare demand
How well do we understand changing expectations and implications for the NHS?

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’.

“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.

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.

‘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.

Contracting for health outcomes: from concept through theory to implementation
In this new report, jointly authored with colleagues from the University of York and The Royal Orthopaedic Hospital NHS Foundation Trust, we set out in detail how an outcomes-based contract for elective knee replacements might be constructed, and the potential implications for commissioners, providers, and policy-makers.

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?

What’s philosophy got to do with evidence reviews?
Ever wondered how to make better use of evidence in decision-making? Follow our latest blog series to find out more about how our Evidence and Knowledge Mobilisation team can help you to make sense of and use evidence from research and practice.

Could a peer review methodology help drive continual learning within and across local systems?
In this blog Karen describes how peer review methodologies are being used to support learning in Long COVID services.

Emergency department acuity measurement and process: quick scoping review
This review was commissioned to inform NHS England’s Acuity Standardisation Project which aims to agree a standardised method of allocating acuity category (a triage method) for Emergency Departments (EDs) and Urgent Treatment Centres (UTCs).

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

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.

Helping ICSs to reduce inequalities in access to planned care
Are there inequalities in access to planned care? If so, what are they? Which groups ‘gain’ and which groups suffer? And what could be done to address any inequalities? In pursuing their objective of reducing inequalities, what could Integrated Care Systems (ICSs) do? What strategies and approaches are likely to be successful?

Blog: Strategies to reduce inequalities in planned care
MDSN responds to recent reports addressing the NHS waiting list crisis

‘Might’ is right
A good idea can be ruined by over-selling.

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.

Appointing an ICS ‘Chief Analyst’
The Strategy Unit has, over the last ten years, developed a way of working that has allowed us to become recognised as a leading analytical organisation in the NHS.

Treating people on waiting lists: who decides what is fair?
Waiting lists for elective care are in the news. The national plan has been issued, with the expectation that lists will continue to rise for some years - and that long waiting will not disappear anytime soon. Addressing this ‘backlog’ will remain a fundamental challenge for some time to come.

Decision makers can make much better use of analysis
Part of the Strategy Unit mission is to improve the use of analysis in decision making. Current use is, to employ a euphemism, variable.