
Making sense of failure demand in the NHS
I must be an unpleasant creature to share a room with. I snore. I smell. And I’m seemingly addicted to my way of doing things.

Transforming Hospital Planning with an Open-Source Demand and Capacity Model
We are proud to announce the open-sourcing of a demand and capacity model, developed with the New Hospitals Programme, to transform NHS hospital planning with transparency, collaboration, and efficiency.

‘Internal Consultancy’: INSIGHTS from evidence and experience
In this blog, our Head of Policy, Fraser Battye, shares his reflections on a recent ‘SU INSIGHTS’ event on the ‘Internal Consultancy’

Are ‘Internal Consultancies’ a good option for the NHS?
Ahead of a SU INSIGHTS event on the topic, Fraser Battye, our Head of Policy suggests ways the NHS could make better use of consultancy support.

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.

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.

How data makes things worse
All light brings shade. My list of ‘changes that have been all upside and no downside’ is short and debatable.

Exploring the Edge of Tomorrow, Today
Exploring the critical building blocks for a resilient social care system in 2035 with the West Midlands Association of Directors of Adult Social Services (WM-ADASS).

Diagnosing harms?
All medicines are poisons. Everything that cures could kill if administered in the wrong doses, to the wrong people, at the wrong times, in the wrong ways.

Could a peer review methodology help drive continual learning within and across local systems?
In this blog Karen describes how peer review methodologies are being used to support learning in Long COVID services.

‘Might’ is right
A good idea can be ruined by over-selling.

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.

Infant feeding problems, lockdown and attendance at Emergency Departments: what’s going on?
From our previous work, with Nuffield Trust and Health Foundation, we know that lockdown had a significant effect on attendance at Emergency Departments (ED). We also know that this effect was very unevenly distributed: some demographic groups stayed away far more than others.

The impact of social care on demand for urgent hospital care: have we reached a consensus?
The care home COVID crisis and the effects of longstanding staffing and funding shortages has meant that social care has featured heavily in the media over the last 12 months.

Decisions to admit patients are not solely determined by clinical risk
Whether or not to admit a patient is one of the most routine yet important decisions a doctor in an Emergency Department

A framework for understanding policy change
A new policy, strategic direction or major programme is announced.