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Our work

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Woman's arm around sitting elderly man with back to screen
Report 16/05/2024

How Does Access to Community Health Services for Older People Vary Across the Midlands?

Red stethoscope on a desk with hands on some paper
Blog post 26/03/2024

Part-time GPs and the decline in continuity of care: a cause or a symptom?

In our recent paper we explore why levels of care continuity have been declining and what might be done to turn things around.

Two pennies side by side, one showing front, one showing back
Blog post 19/03/2024

Two sides of the same coin

Hospital demand arising from GPs not seeing patients, is eating into the resources that they would use to manage down the elective backlog. In turn, this is creating more demand for GPs.

Hand holding pen pointed at a graph on a report
Blog post 12/03/2024

Are GP consultation rates rising or falling? Who or what should we believe?

If the "data suggests" GP appointments are substantially higher than pre-pandemic, then what is behind patients reporting recieving fewer appointments?

Two graphs with a magnifying glass lying on top of one
Report 04/03/2024

GP services: new analysis and fresh insights

In our latest analysis for the Midlands Decision Support Network (MDSN), we explore the long standing problem of access to GP practice consultations we consider the implications, and explore potential solutions.

Two graphs showing Primary Medical Services and All NHS Services
Report 29/02/2024

MDSN: GP practice productivity, efficiency, and continuity of care

GP Practice productivity, efficiency, and continuity of care

Graph showing mean consultations per person by ICB
Report 29/02/2024

MDSN: The gap between need and supply of GP practice consultations

The gap between need and supply of GP practice consultations

Graph showing consultations per patient per year by year
Podcast 29/02/2024

MDSN: Long-term trends in GP practice Consultation Rates

GP practice consultations are, by some distance, the most common interaction between the NHS and the population it serves.

Socio-economic inequalities in coronary heart disease
Report 09/12/2022

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

Male healthcare worker kneeling alongside elderly woman holding knee
Video 28/10/2021

Securing the future of domiciliary care

The Strategy Unit is embarking on an exciting project with WM ADASS, the Association of Directors of Adult Social Care Services in the West Midlands to explore the challenges facing domiciliary care and the opportunities that exist to transform and improve the service.

Middle aged woman with arm around smiling older woman, sitting
Blog post 09/09/2021

The impact of social care on demand for urgent hospital care: have we reached a consensus?

The care home COVID crisis and the effects of longstanding staffing and funding shortages has meant that social care has featured heavily in the media over the last 12 months. 

Stethoscope
News 10/02/2021

Some positive news for integrating GP practices with hospital trusts

The drive for greater integration of health and care services has been the central theme of UK health policy for most of

Trends in emergency admissions and bed days rate per head of population 75+
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

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