From ‘right drift’ to ‘left shift’?
Our Head of Policy, Fraser Battye, looks at the challenges facing the intention to shift care ‘from hospital to community’. He suggests that we have missed a critical part of the explanation for why this ‘left shift’ hasn’t taken place following previous initiatives.
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.
Our collective responsibility to share evaluation findings
The Strategy Unit is increasingly being commissioned to undertake evaluations on the pre
A Guide to Effective Evaluation: Design, Principles and Practice
Evaluation is key to making better decisions in health and care– understanding what works, for whom, and why.
Why can’t I prove my programme is effective?
Evaluation blog series continues with Impact Evaluation Lead Mike Woodall looking at how programme designers can maximise the chances of success.
The merry-go-round of evaluation recommendations
A blog series and short reports sharing how to design projects to best support evaluation.
‘To risk stratify or not risk stratify, that is the question’ (At least, it should be)
Risk stratification tools are ubiquitous in healthcare. The concept is simple and seductive.
‘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.
What are the downsides of digital?
What are the downsides of digital?
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.
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?
The risks of risk stratification
Medical history is full of bizarre and gruesome procedures.
Want to ease pressure in urgent care? Simply cut community services!?!
What should decision makers do with analysis that challenges deeply held assumptions? In this blog, Fraser Battye reflects on a surprising recent finding about community services.
Outcome-based commissioning: can we rescue promise from the rubble of hype?
The first effect of policy is on expectations. In every case I can think of, the effect is inflationary.
MDSN: Community Healthcare Services
How Does Access to Community Health Services Vary Across the Midlands?
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.”
Part-time GPs and the decline in continuity of care: a cause or a symptom?
In our recent paper we explore why levels of care continuity have been declining and what might be done to turn things around.
Two sides of the same coin
Hospital demand arising from GPs not seeing patients, is eating into the resources that they would use to manage down the elective backlog. In turn, this is creating more demand for GPs.
Are GP consultation rates rising or falling? Who or what should we believe?
If the "data suggests" GP appointments are substantially higher than pre-pandemic, then what is behind patients reporting recieving fewer appointments?