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Our work

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  • Rachel Caswell
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  • Sheila Ali
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carer holding had with elderly person in wheelchair
Blog post 24/09/2025

A missing element in ‘shifting care’

Our Director, Peter Spilsbury, outlines the scale of the task when it comes to making ‘the shift from hospital to community’.

Report 06/06/2025

Scoping a Health Needs Assessment for Adults on Probation in England

This scoping report explores the health inequalities experienced by people on probation and the limited data on their health needs and engagement with health services. It sets out recommendations for commissioning and delivering a national health needs assessment to address that data gap and support local health needs assessments for the probation population.

Report 07/05/2025

Are there any non-technical ‘rules of thumb’ for assessing the quality of analysis?

The report below is from a short project that explored a simple set of questions:

Report 13/12/2024

‘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.

Report 15/10/2024

What are the downsides of digital?

What are the downsides of digital?

Report 29/02/2024

MDSN: GP practice productivity, efficiency, and continuity of care

GP Practice productivity, efficiency, and continuity of care

Report 29/02/2024

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

The gap between need and supply of GP practice consultations

Podcast 29/02/2024

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.

dandelion with seeds floating away
Report 31/01/2024

A Picture of End-of-Life Care in England

Working with Macmillan our analysis investigates who is more likely to experience poor outcomes associated with shortcomings in end-of-life care? Are there particular areas in England where those at end-of-life face significant challenges and how might the supply of services in an area be influencing these?

Summary of findings from the study
Report 18/10/2023

Menopause and the NHS workforce

The impact of the menopause on the NHS workforce. The Strategy Unit and Health Economics Unit report on their mixed methods findings.

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.

ICS intelligence functions graph
Report 21/03/2023

ICS intelligence functions – a toolkit to support the implementation of NHSE guidance

In 2020, NHSE

graphic showing inequality being erased with eraser
Report 04/11/2022

What are the ethical challenges in addressing inequities?

Produced by Angie Hobbs - the world’s first Professor in the Public Understanding of Philosophy – this paper examines the ethical questions raised by our report outlining strategies for reducing inequity.

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.

Report 29/03/2022

Autism evidence scan identifies knowledge gaps

Diagnosing autism takes account of a person’s differences in social interaction and communication, sensory sensitivity, interests and behaviours. Yet autism varies hugely from person to person, both in how it looks and how it is experienced.

Report 23/03/2022

We don’t just need to hear ‘you are more affected’ - what’s the action?

The experience of minority ethnic people symptomatic for COVID-19 in the first UK wave of the pandemic.

Report 12/11/2021

Evaluation of Building the Right Support: Final Reports

Building the Right Support was a national plan to provide better support to people with a learning disability or autism.

Report 28/10/2021

Advancing the analytical capability of the NHS and its ICS partners

The Strategy Unit were asked by the Strategy and Development Team in the Directorate of the Chief Data and Analytics Officer, NHSE/I, to make recommendations for advancing analytical capability across the health and care workforce.

Report 15/10/2021

Strategy Unit devises a new method for classifying outpatient appointments

The number of outpatient attendances in England is now approaching 100 million each year.

Report 27/07/2021

Inequities in children and young people’s mental health services

Good mental health during early years and childhood has a great bearing on health throughout life.

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