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.”
How data makes things worse
All light brings shade. My list of ‘changes that have been all upside and no downside’ is short and debatable.
Menopause and the NHS workforce
The impact of the menopause on the NHS workforce. The Strategy Unit and Health Economics Unit report on their mixed methods findings.
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
Learning about what works in urgent community response
The initial report from the national urgent community response (UCR) evaluation, along with an economic modelling tool to help service providers and systems understand the impact of UCR, is now available.
Inclusive Elective Care Recovery
These case studies present the key features and learning from local initiatives which championed inclusive approaches to elective care recovery.
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
The NHS as an anchor institution: addressing fuel poverty
The number of households in fuel poverty in Staffordshire and Stoke-on-Trent (SSoT) is higher than the national average. As anchor institutions, NHS organisations can use their assets to influence the health and wellbeing of their local communities. The Strategy Unit was asked by the Midlands NHS Greening Board to evaluate a cross-sector initiative in SSoT to help alleviate fuel poverty using savings generated through solar panels on NHS buildings. The project is called Keep Warm, Keep Well.
Evaluating and embedding social values in procurement at East London NHS Foundation Trust
This report presents emerging findings from the early development stages of a social value approach to procurement by East London NHS Foundation Trust (ELFT). These findings provide insights for other organisations beginning to explore how to use procurement to contribute to improving health and reducing health inequalities.