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.

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

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.

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

A new resource to support analysis of outpatient services: Classifying activity by function

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.