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.
Securing the future of domiciliary care
The Strategy Unit is embarking on an exciting project with WM ADASS, the Association of Directors of Adult Social Care Services in the West Midlands to explore the challenges facing domiciliary care and the opportunities that exist to transform and improve the service.
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.
Decisions to admit patients are not solely determined by clinical risk
Whether or not to admit a patient is one of the most routine yet important decisions a doctor in an Emergency Department
Increasing vaccine uptake
The purpose of this work was to identify the key features of local initiatives which encourage vaccine uptake in different population groups, and share these for others to learn from.
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.
Evidence review: Early diagnosis of cancer
Detecting cancers early is essential to saving lives and reducing the need for invasive treatments.
Some positive news for integrating GP practices with hospital trusts
The drive for greater integration of health and care services has been the central theme of UK health policy for most of
Strategy Unit releases opensource model for planning vaccine centre capacity
The UK is running its largest ever vaccination programme. The stakes are enormous.
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.
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.
Primary and Community Qualitative Insights
The COVID-19 response required rapid change and innovation across health and care.
Key opportunities for eye health and well being
Eye health and sight loss services have historically had a lower profile in service provision compared to many other specialities. There is a view that the importance of eye health has been underrepresented in many Sustainability and Transformation Partnership (STP) plans.
Lessons, Evaluation and Learning from the Dudley MCP
Learning from Dudley MCP
New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.
Let’s face the music and (not) dance
David Frith leads our strategy consultancy work with NHS and third sector organisations.
Why community alternatives to hospital admission don’t (typically) reduce total admission levels
Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**
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
Lessons from the Vanguard: Innovation and Evaluation
The problems facing health and care services are so well known as to be documented in the media most days.