‘Internal Consultancy’: INSIGHTS from evidence and experience
In this blog, our Head of Policy, Fraser Battye, shares his reflections on a recent ‘SU INSIGHTS’ event on the ‘Internal Consultancy’
From ‘right drift’ to ‘left shift’?
Our Head of Policy, Fraser Battye, looks at the challenges facing the intention to shift care ‘from hospital to community’. He suggests that we have missed a critical part of the explanation for why this ‘left shift’ hasn’t taken place following previous initiatives.
Charisma
In this long read, which first appeared in the HSJ, Fraser Battye - our Head of Policy – looks at the role of charisma and innovation in the way that NHS resources are allocated.
‘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.
‘NHS 10 Year Plan’: Strategy Unit consultation response
The Strategy Unit’s response to the Government’s current consultation on the ‘10 Year Health Plan’ for England.
Ara Darzi, Wes Streeting and English health policy. Part 2: cutting the knot
Following on from part one, Fraser continues exploring the Gordian Knot of English health policy.
Ara Darzi, Wes Streeting and English health policy. Part 1: the Gordian Knot
Health policy is not at a crossroads, it is in a bind. Strands so entangled, so complex they resemble a Gordian knot. Can this knot be untied?
The risks of risk stratification
Medical history is full of bizarre and gruesome procedures.
Ghosted by an old friend
“…personal contact was a vital element in general practice from the beginning. By 1959 50% of people in England regarded their GP as a personal friend.”
Emergency department acuity measurement and process: quick scoping review
This review was commissioned to inform NHS England’s Acuity Standardisation Project which aims to agree a standardised method of allocating acuity category (a triage method) for Emergency Departments (EDs) and Urgent Treatment Centres (UTCs).
Infant feeding problems, lockdown and attendance at Emergency Departments: what’s going on?
From our previous work, with Nuffield Trust and Health Foundation, we know that lockdown had a significant effect on attendance at Emergency Departments (ED). We also know that this effect was very unevenly distributed: some demographic groups stayed away far more than others.
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.
New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.
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**
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
HSJ Article - Why are A&Es feeling the strain?
Article published by HSJ on 3rd November 2017.
Integrated Impact Assessment for Major Hospital Reconfiguration
The Strategy Unit worked as a strategic partner of the NHS Future Fit Programme in Shropshire and Telford and Wrekin from its initiation and u