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
Logic Models for Complex Programmes
Logic models have become a standard tool for planning and evaluation.
HSJ Article - Why are A&Es feeling the strain?
Article published by HSJ on 3rd November 2017.
Identifying Potential QIPP Opportunities - Dudley Example
Given the pressures within the NHS, being able to identify opportunities for efficiencies and improvements is
Changes to Admission Thresholds
This analysis builds on a paper, Changes in Admission Thresholds in Engli
Scoping the Strategic Analytical Requirements for Clinical Neurosciences in England
Neurosciences encompasses a large number of services and interventions, delivered to individuals with a wide range of conditions by numerous provid
Economic impact of NHS spending in the Black Country - Full Version
The Strategy Unit is a strategic partner to the Black Country and West Birmingham Sustainability and Transformation Partnership.
Stage 2 Clinical Assurance Evidence Framework
Service change assurance exists to give confidence to the NHS and public that proposals are well thought through, have taken on board a wide range
Evaluation of the Dudley Multidisciplinary Teams (MDTs) Summary of Final Report
Multi-disciplinary Teams (MDTs) in primary care are a core component of Dudley's care model; they are also widely used elsewhere.
Making the Case for Integrating Mental and Physical Health Care - Full Report.
An analysis of the physical health of people who use mental health services: life expectancy, acute service use and the potential for
Commissioning Healthcare Analysis for Complex Problems
This document is a guide to commissioning healthcare analysis for complex problem which has been developed by the Strategy Unit.
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
Review of patient reported measures for the MCP
Embedding PROMs and PREMs into Dudley's MCP Contract
Dudley MCP Public Consultation and Equalities Impact Assessment Report
The MCP will be a new organisation, with a new contract and a remit to change the way that care in Dudley is delivered.
Integrated care: rapid evidence scan
Exploring what integration can mean in different contexts, we have summarised evidence on effectiveness and cost effectiveness of integrated care, alongside lessons for implementation and considerations for measurement and evaluation.
Unplanned admissions: rapid evidence scan
Reducing unplanned admissions is a key priority for local health economies. This rapid evidence scan will help you to navigate the evidence base on various service interventions and their impact on unscheduled care.
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
Identifying Potential QIPP Opportunities - Dudley Example
Given the pressures within the NHS, being able to identify opportunities for efficiencies and improvements is
Modelling Patients Flows under Potential Configurations of Emergency Centres with Specialised Services
Onsite, 24/7 access to complex vascular surgery, hyper acute stroke services and primary percutaneous coronary interventions are expected to be a p