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Our work

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  • Peter Spilsbury
  • Rachel Caswell
  • Rhian Davies
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  • Romaana Kapadi
  • Sheila Ali
  • Shiona Aldridge
  • Steven Wyatt
  • Thomas Jemmett
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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’.

Report 21/08/2025

Hydration, UTIs and older people: learning from NHS pilots about how to improve care

Our evaluation of hydration-focused interventions for older people found promising signs of impact and highlighted the practical and systemic challenges of delivering and sustaining change.

Report 16/06/2025

Virtual wards: Patient and unpaid carer experiences of ‘hospital at home’ care

Our evaluation of patient and carer experiences of virtual wards found widespread benefits and highlights areas for improvements parti

Report 16/05/2024

How Does Access to Community Health Services for Older People Vary Across the Midlands?

Support elderly woman
Report 10/05/2024

MDSN: Community Healthcare Services

How Does Access to Community Health Services Vary Across the Midlands?

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.

Report 29/02/2024

MDSN: GP practice productivity, efficiency, and continuity of care

GP Practice productivity, efficiency, and continuity of care

Report 29/02/2024

MDSN: The gap between need and supply of GP practice consultations

The gap between need and supply of GP practice consultations

Podcast 29/02/2024

MDSN: Long-term trends in GP practice Consultation Rates

GP practice consultations are, by some distance, the most common interaction between the NHS and the population it serves.

 An ophthalmologist examining a patient's eye with an ophthalmoscope
Podcast 09/10/2023

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.

Report 29/09/2023

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.

Population health implications of the Covid-19 pandemic graph
Report 16/01/2023

Population health implications of the Covid-19 pandemic

​​Our new report for The Midlands Decision Support Network (MDSN) presents findings of the effects of the care disruption, from the Covid-19 pandemic, on population health. The in-depth analysis identifies which patients and health conditions should be the focus of future efforts in reducing inequalities caused by the pandemic. ​

Socio-economic inequalities in coronary heart disease
Report 09/12/2022

Socio-economic inequalities in coronary heart disease

There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups.  Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified

Report 16/03/2022

What do we know about the benefits of digital social care records?

The pace of change in the development and use of digital technology is astonishing. The use of such technology has been an essential element in the health and care services response to the COVID-19 pandemic. In many cases, the previously unthinkable became commonplace.

10 min review
test2
Report 19/10/2021

Estimating the impact of the proposed reforms to the Mental Health Act on the workload of psychiatrists

In January 2021, the Government published a White Paper, setting out its plans to reform the Mental Health Act.

Report 27/07/2021

Inequities in children and young people’s mental health services

Good mental health during early years and childhood has a great bearing on health throughout life.

Report 04/06/2021

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.

Report 20/04/2021

Evidence review: Early diagnosis of cancer

Detecting cancers early is essential to saving lives and reducing the need for invasive treatments.

Report 08/02/2021

Learning from lockdown: support for people experiencing homelessness

There are few clearer measures of societal health than homelessness.

Report 10/11/2020

Mental Health Surge Model

Early in the Covid pandemic, it became clear that people’s mental health would suffer. Whether through bereavement, unemployment, social isolation, not being able to access support services – or a host of other routes – an alarming picture began to emerge and attract attention.

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