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Doctor putting and stacking wooden block cube which print screen health care and medical icons for healthy and wellness concept.
Tool 01/07/2026

A new tool to help systems to deliver the left shift

Our new tool to help systems explore opportunities to reduce hospital care.

Two people stand on opposite sides of a number on the ground; one sees a 6, the other sees a 9, each pointing and stating their perspective.
Blog post 30/06/2026

Neighbourhoods and hospital activity: oh yes it can, oh no it can’t?

Simple, intuitive ideas don’t draw critical attention. They stroll about the policy world, untested and unscathed.

Colorful wooden Tetris-like blocks are stacked and scattered on a wooden surface with a green background.
Blog post 02/06/2026

Complex problems and Multi-Disciplinary Teams

Many moons ago, I was fortunate enough to observe a multi-disciplinary team (MDT) in Dudley.

emergency fire exit sign hanging from the ceiling
Long read 11/05/2026

Discharge before noon

Can data on discharge times help us to improve hospital flow?

Space shuttle rocket isolated on blue cyan background with copy space. Elements of this image furnished by NASA.
Blog post 29/04/2026

Neighbourhood health should not be judged (solely) by its ability to reduce hospital activity

In 1962, President John F. Kennedy arrived at NASA headquarters for a progress update on the planned trip to the moon.

blue and pink string lights
Blog post 14/04/2026

Diagnosing the problems of non-diagnosis

Some descriptions of healthcare seem to be taken straight from the film Minority Report.

Blue rectangular sign mounted on a brick wall, with a large white left-pointing arrow above the white text ‘your local GP Surgery’
Blog post 25/03/2026

Big GP practices: light work or spoilt broth?

Larger GP practices may deliver more appointments, but are they the most efficient way to provide good care?

Long read 06/03/2026

Discharged without a diagnosis

In 2023/24, one million people who were admitted to an NHS hospital in an emergency, were later discharged without a diagnosis. This long-read examines what this means for patients and providers.

hospital staff running down a corridor wearing masks and scrubs
Blog post 23/02/2026

What explains the recent growth in hospital activity?

In this long read, Fraser Battye describes our analysis of what has driven the growth in hospital activity.

2. Several individuals wearing scrubs discussing among themselves in outdoor setting.
Blog post 20/10/2025

The Strategy Unit contribution to neighbourhood health

Our role in supporting the national effort to turn the vision of neighbourhood health into action by providing evidence, analysis and insight.

man in wind
Blog post 26/09/2025

The decline in care continuity is not inevitable

Relational continuity of care, the extent to which patients have an ongoing relationship with a specific clinician in their GP practice, is perhaps

carer holding had with elderly person in wheelchair
Blog post 24/09/2025

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’.

Hands of two children
Report 13/06/2025

Mending smarter, not harder: Changing fracture care for children

The report demonstrates there is significant variation between trusts in England in how paediatric fractures are managed. Widespread adoption of less interventional approaches to paediatric fracture management could result in significant savings in hospital activity, particularly reduced follow-up appointments for uncomplicated fractures.

Rule of thumb card
Report 07/05/2025

Are there any non-technical ‘rules of thumb’ for assessing the quality of analysis?

The report below is from a short project that explored a simple set of questions:

Image of shocked goose
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’

Man wearing suit adjusting cuff
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.

Image of female carer leaning over elderly female patient and holding her hand
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.

Stock image of red first aid kit with contents spilling out: stethoscope, tablets, ear buds, tweezers, plasters
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.

Image of four boxes in an arrow pointing to Outputs (Report, Slides, Workshops, Journal Article and Blogs)
Blog post 30/01/2025

Our collective responsibility to share evaluation findings

The Strategy Unit is increasingly being commissioned to undertake evaluations on the pre

Image of four connected jigsaw pieces representing Geography, Timing, Site Selection and Target Population
Blog post 24/01/2025

Why can’t I prove my programme is effective?

Evaluation blog series continues with Impact Evaluation Lead Mike Woodall looking at how programme designers can maximise the chances of success.

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