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carer holding had with elderly person in wheelchair
Blog post 24/09/2025

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’.

dandelion with seeds floating away
Report 31/01/2024

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?

Summary of findings from the study
Report 18/10/2023

Menopause and the NHS workforce

The impact of the menopause on the NHS workforce. The Strategy Unit and Health Economics Unit report on their mixed methods findings.

Report 09/05/2022

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.

Report 15/10/2021

Strategy Unit devises a new method for classifying outpatient appointments

The number of outpatient attendances in England is now approaching 100 million each year.

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.

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 04/07/2018

Mental Health and integration: Cinderella or the Ugly Sisters?

Introduction

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

Report 30/04/2018

Palliative and End of Life Care Report for Children and Young People

Commissioned by NHS England, this report describes the the characteristics and levels of resource required by children and young people (CYP) (0-25

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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