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Our work

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  • Tom Poustie
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 03/05/2023

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.

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 09/05/2022

Strategies to reduce inequalities in access to planned hospital procedures

UPDATE 10th August: Now including briefing note for Integrated Care Boards on legal duties in respect of reducing inequalities. This report guides ICBs through the process.

10 min review
Report 12/05/2021

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.

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 14/10/2020

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.

Report 29/07/2020

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.

Principles of integrated care
Report 01/02/2019

New care models - what's the evidence

High level findings from a series of evidence reviews on new care models.

Report 12/11/2018

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

Report 02/11/2016

Integrated Impact Assessment for Major Hospital Reconfiguration

The Strategy Unit worked as a strategic partner of the NHS Future Fit Programme in Shropshire and Telford and Wrekin from its initiation and u

Report 01/10/2016

Referral management: rapid evidence scan

Aiming to inform the design of a new primary care-led model of care, this report summarises evidence on referral management.

Report 01/12/2015

The Effect of Demographic Change on Acute Hospital Utilisation

Recognising that the effect of population ageing can be overstated, we set out to ask what effect an older population will have on demand for

Report 05/11/2015

Identifying Potential QIPP Opportunities - Dudley Example

Given the pressures within the NHS, being able to identify opportunities for efficiencies and improvements is

Report 01/09/2015

Scoping the Future (CRUK)

Within the context of rising demand for diagnostic services and concerns about capacity, Cancer Research UK commissioned this project to explore the issues for endoscopy services, to inform national strategic recommendations.

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