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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.

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.

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’

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.

Change NHS logo
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.

Sword floating in water with rope around it
Blog post 10/10/2024

Ara Darzi, Wes Streeting and English health policy. Part 2: cutting the knot

Following on from part one, Fraser continues exploring the Gordian Knot of English health policy.

Blue tied rope
Blog post 04/10/2024

Ara Darzi, Wes Streeting and English health policy. Part 1: the Gordian Knot

Health policy is not at a crossroads, it is in a bind. Strands so entangled, so complex they resemble a Gordian knot. Can this knot be untied?

Cropped Hospital Scanner
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.

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