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’.
Blog: Strategies to reduce inequalities in planned care
MDSN responds to recent reports addressing the NHS waiting list crisis
INSIGHT 2021: Insight to action - lessons from think tanks
The Midlands Decision Support Network exists to support health and care leaders generate insights from high quality analysis and evalu
INSIGHT 2021: The most valuable value - a health and care resourcing dilemma
We heard discussions from experts from the NHS, NICE and academia (Andi Orlowski, Gwyn Bevan, Deborah O’
INSIGHT 2021: What can we learn from the pandemic to reduce health inequalities
The COVID pandemic has highlighted the stark inequalities in health that exist in the UK and globally.
Insight 2021: Welcome to INSIGHT 2021
Peter Spilsbury (Director, Strategy Unit) welcomes you to INSIGHT 2021 and i
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.
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**
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.
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
Scoping study: the economics of caring
There is a clear moral case for supporting unpaid carers.