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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.

Blog post 09/04/2025

Transforming Hospital Planning with an Open-Source Demand and Capacity Model​

​​We are proud to announce the open-sourcing of a demand and capacity model, developed with the New Hospitals Programme, to transform NHS hospital planning with transparency, collaboration, and efficiency. ​

Hospital building
News 08/04/2025

Our role in the New Hospital Programme

​​Learn how the Strategy Unit’s innovative model is transforming hospital planning by providing a consistent, data-driven approach to forecast future demand and evidence-based decision making.

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.

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 12/05/2023

Diagnosing harms?

All medicines are poisons. Everything that cures could kill if administered in the wrong doses, to the wrong people, at the wrong times, in the wrong ways.

Report 03/05/2023

How is growth in diagnostic testing affecting the hospital system?

Diagnostic services, such as medical imaging, endoscopy, and pathology, have grown substantially in recent years and at a faster rate than most other healthcare services. Increased diagnostic testing brings benefits to patients, but rapid growth of this service area within a complex, adaptive system such as the NHS is likely to have had unintended consequences. Midlands ICBs wanted to understand the impact of diagnostic growth on hospital services.

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.

10 min review
Report 12/05/2021

Socio-economic inequalities in access to planned hospital care: causes and consequences

Tacking inequalities in health is a long-standing NHS policy objective. Variation in the experiences and outcomes of different communities during the COVID-19 pandemic served to bring this issue back into focus.

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.

Report 14/10/2020

Health service use in the last two years of life

Health and care services get just one opportunity to support people at the end of their life. When this support is compassionate and appropriate, unnecessary suffering can be avoided and grieving can be eased. When this is not the case, harm and distress can result. The difference in these experiences can be profound.

Report 29/07/2020

Modelling the impact of covid on waiting lists for planned care

Working with the national collaboration to coordinate covid-related analysis, and the NHSE/I Midlands region, the Strategy Unit has produced a ‘systems dynamics’ model of waiting lists for planned care. The model is freely available for non-commercial use across the NHS. Here, Steven Wyatt and Mike Woodall explain what we did and how we did it.

Report 12/11/2018

The Potential Economic Impact of Virtual Outpatient Appointments in the West Midlands: A scoping study

The Strategy Unit was recently approached to examine the case for a shift from traditional outpatient services to the use of virtual a

Report 01/12/2015

The Effect of Demographic Change on Acute Hospital Utilisation

Recognising that the effect of population ageing can be overstated, we set out to ask what effect an older population will have on demand for

Report 01/09/2015

Scoping the Future (CRUK)

Within the context of rising demand for diagnostic services and concerns about capacity, Cancer Research UK commissioned this project to explore the issues for endoscopy services, to inform national strategic recommendations.

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