
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

Review of Ophthalmic Managed Clinical Networks (MCNs) in Staffordshire and Shropshire
The aim of the MCNs is to bring together primary care optometrists with local ophthalmologists within a geographical area. This is a review Strategy Unit were commissioned by NHS England to work with a medical retina MCN in Shropshire, Telford and Wrekin and a glaucoma MCN in Staffordshire and Stoke on Trent, to review their work so far and look at the opportunities the networks present.

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.

Could a peer review methodology help drive continual learning within and across local systems?
In this blog Karen describes how peer review methodologies are being used to support learning in Long COVID services.

Decision Making Blog #8: Infinity-shaped debate
I’m argumentative.

Decision Making Blog #7: Should we 'go with the gut'? Yes, but...
I’m not sure there’s a superlative strong enough to describe ‘T

Decision Making Blog #6: The most powerful question in decision making?
I’m a fan of Shane Parrish and his organisation Farnam Street (strapline: ‘Helping you master the best of

Decision Making Blog #5: Reaching disagreement
Two starting points:

Decision Making Blog #4: Embrace uncertainty - it's a badge of honour
Imagine this:

Decision Making Blog #3: The black hole of the status quo
Learning is one of the joys of teaching. And I’ve learnt a lot while helping people develop their decision making skills.

Decision Making Blog #2: Two under-appreciated sources of leadership power
Some forms of leaders’ power are obvious. Leaders hire and they fire.

Decision Making Blog #1: Better decision making: a neglected route to improvement?
There are two main routes for health and care services to improve the health of the populations they serve. The

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.

‘Might’ is right
A good idea can be ruined by over-selling.

Urgent Community Response – What Works?
The Strategy Unit, with our partners Ipsos, has been commissioned by NHS England and NHS Improvement (NHSEI) to provide a long-term national evaluation of the Urgent Community Response programme rolled-out across England. The programme aims to shift resources to home and community-based services as part of the NHS commitment to providing the right care, to the right people, at the right time. And there are a range of outputs from the early work that provide learning for local systems as they develop their services.

Appointing an ICS ‘Chief Analyst’
The Strategy Unit has, over the last ten years, developed a way of working that has allowed us to become recognised as a leading analytical organisation in the NHS.

Treating people on waiting lists: who decides what is fair?
Waiting lists for elective care are in the news. The national plan has been issued, with the expectation that lists will continue to rise for some years - and that long waiting will not disappear anytime soon. Addressing this ‘backlog’ will remain a fundamental challenge for some time to come.

The Intellectual Forum: a source of fresh perspectives on decision making
The literature on decision making is like a disaster movie highlights reel. Barely has one calamity registered before another serious misstep takes its place. Case study after case study flashes past, each with its own lessons and warnings.