
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?

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: 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.

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

MDSN: AI tools for evidence synthesis
With the advancing sophistication of AI and automation-based tools, we explore their use for evidence synthesis.

Rural Health Inequalities
The UK Government (2016) define rural areas as those which

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.

Exploring MSK Patient Pathways – Produced by Healthier Futures, Black Country
Exploring MSK Patient Pathways Patient Experiences: Facilitators and Barriers. And The Way Forward Full ReportJune 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.

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.

MDSN: Evaluating Social Prescribing Literature Review
Evaluating Social Prescribing – Literature review for the MDSN Evaluation Community of Practice collaborative project

MDSN: Decision-making by senior leaders to support recovery from COVID
This paper summarises experiences of Integrated Care System leaders in making strategic decisions to support recovery of services from

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
Insight 2022 - Day 1 - ICSs working together to be intelligence-led organisations: lessons from history
ICSs working together to be intelligence-led organisations: lessons from historyHow can Integrated Care Systems (ICS

Blog: Strategies to reduce inequalities in planned care
MDSN responds to recent reports addressing the NHS waiting list crisis

Urgent Community Response – What Works?
The Strategy Unit, with our partners Ipsos, has been commissioned by NHS England and NHS Improvement (NHSEI) to provide a long-term national evaluation of the Urgent Community Response programme rolled-out across England. The programme aims to shift resources to home and community-based services as part of the NHS commitment to providing the right care, to the right people, at the right time. And there are a range of outputs from the early work that provide learning for local systems as they develop their services.

Bringing patient flow modelling into general practice
With general practice appointments hitting the highest numbers on record (34.8 million in England alone in November 2021), careful organisation and planning for patient appointments is increasingly important.