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Our work

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summary flow chart
Tool 02/10/2025

Shifting care ‘from hospital to community’: where to start?

What are the opportunities to shift activity from hospital to community? Our analysis provides an evidence-based place to start.

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’.

Sarah Cumbers (RSS) presenting Florence Nightingale Award to Strategy Unit staff Tom Jemmett, Jac Grout, YiWen Hon & Chris Beeley
News 16/07/2025

Strategy Unit demand model wins prestigious Florence Nightingale Award

Our open-source demand model, developed in collaboration with the New Hospital Programme, has been named the 2025 winner of the Florence Nightingale Award for Excellence in Health and Care Analytics.

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.

Old medicine bottles
Blog post 16/07/2024

The risks of risk stratification

Medical history is full of bizarre and gruesome procedures.

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.

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.

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?

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.

Blog post 01/04/2022

Bringing patient flow modelling into general practice

With general practice appointments hitting the highest numbers on record (34.8 million in England alone in November 2021), careful organisation and planning for patient appointments is increasingly important.

Report 16/03/2022

What do we know about the benefits of digital social care records?

The pace of change in the development and use of digital technology is astonishing. The use of such technology has been an essential element in the health and care services response to the COVID-19 pandemic. In many cases, the previously unthinkable became commonplace.

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. 

Report 20/04/2021

Evidence review: Early diagnosis of cancer

Detecting cancers early is essential to saving lives and reducing the need for invasive treatments.

Blog post 03/02/2021

Strategy Unit releases opensource model for planning vaccine centre capacity

The UK is running its largest ever vaccination programme. The stakes are enormous.

Principles of integrated care
Report 01/02/2019

New care models - what's the evidence

High level findings from a series of evidence reviews on new care models.

Blog post 13/07/2018

Integrating health and care services - what works? It’s complicated…

Coinciding nicely with the NHS 70th Birthday celebrations and the parallel discussions of ‘where next and how to do it better’ for the NHS, last we

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

research signpost
Blog post 19/03/2018

What works for primary care led integration?

We recently shared highlights from our realist synthesis on primary care-led integrated models, at the Health Policy and Planning Network workshop. Take a look at our presentation for a flavour of our findings ahead of publication later in the summer.

improvement for success
Blog post 22/12/2017

Want to have better access to general practice appointments?

Here’s how we can support practice staff to improve access.

Report 01/10/2016

Referral management: rapid evidence scan

Aiming to inform the design of a new primary care-led model of care, this report summarises evidence on referral management.

Pagination

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