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

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.

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

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

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.

A Picture of End-of-Life Care in England
Working with Macmillan our analysis investigates who is more likely to experience poor outcomes associated with shortcomings in end-of-life care? Are there particular areas in England where those at end-of-life face significant challenges and how might the supply of services in an area be influencing these?

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.

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.

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

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.

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.

Evidence review: Early diagnosis of cancer
Detecting cancers early is essential to saving lives and reducing the need for invasive treatments.

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.
Primary and Community Qualitative Insights
The COVID-19 response required rapid change and innovation across health and care.

New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.

The Status of Electronic Palliative Care Coordination Systems in the West Midlands
Commissioned by NHS England, this report describes the state of electronic palliative care coordination systems in the West Midlands.
Evaluation of the Dudley New Care Models Programme
This is the final system-wide report from the evaluation.
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems

Palliative and End of Life Care Report for Children and Young People
Commissioned by NHS England, this report describes the the characteristics and levels of resource required by children and young people (CYP) (0-25