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’.
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.
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?
‘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.
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.
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**
Part of the solution or part of the problem? Management Consultants and the NHS
I was quoted in a recent Guardian newspaper article which described a London Clinical Commissioning Group’s wasteful use of external
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.
Scoping study: the economics of caring
There is a clear moral case for supporting unpaid carers.
HSJ Article - Why are A&Es feeling the strain?
Article published by HSJ on 3rd November 2017.
Scoping the Strategic Analytical Requirements for Clinical Neurosciences in England
Neurosciences encompasses a large number of services and interventions, delivered to individuals with a wide range of conditions by numerous provid