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Our work

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Blog post 27/03/2025

‘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’

Blog post 11/03/2025

Are ‘Internal Consultancies’ a good option for the NHS?

Ahead of a SU INSIGHTS event on the topic, Fraser Battye, our Head of Policy suggests ways the NHS could make better use of consultancy support.

Long read 05/03/2025

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.

Blog post 14/02/2025

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.

Report 13/12/2024

‘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.

Long read 12/12/2024

‘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.

Report 15/10/2024

What are the downsides of digital?

What are the downsides of digital?

Blog post 10/10/2024

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.

Blog post 04/10/2024

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?

Old medicine bottles
Blog post 16/07/2024

The risks of risk stratification

Medical history is full of bizarre and gruesome procedures.

Gartner Hype Cycle
Blog post 14/05/2024

Outcome-based commissioning: can we rescue promise from the rubble of hype?

The first effect of policy is on expectations. In every case I can think of, the effect is inflationary.

02/04/2024

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.”

11/10/2023

Leadership training and support for organisational development: an offer from the Strategy Unit

The Strategy Unit has long been known for the quality of its analytical work, and the clear, critical thi

ICS intelligence functions graph
Report 21/03/2023

ICS intelligence functions – a toolkit to support the implementation of NHSE guidance

In 2020, NHSE

graphic showing inequality being erased with eraser
Report 04/11/2022

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.

Blog post 08/06/2022

‘Might’ is right

A good idea can be ruined by over-selling.

Blog post 15/09/2021

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.

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. 

Tool 28/09/2019

Learning and Development of Problem Solving Techniques

What is innovation?

Blog post 11/12/2018

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**

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