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Our work

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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 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:

Long read 17/04/2025

Things can only get better (?)

Introducing a new online tool to help local health and care service planners think differently about healthy ageing.    

Long read 05/03/2025

From ‘right drift’ to ‘left shift’?

Our Head of Policy, Fraser Battye, looks at the challenges facing the intention to shift care ‘from hospital to community’. He suggests that we have missed a critical part of the explanation for why this ‘left shift’ hasn’t taken place following previous initiatives.

Blog post 30/01/2025

Our collective responsibility to share evaluation findings

The Strategy Unit is increasingly being commissioned to undertake evaluations on the pre

Blog post 24/01/2025

Why can’t I prove my programme is effective?

Evaluation blog series continues with Impact Evaluation Lead Mike Woodall looking at how programme designers can maximise the chances of success.

Blog post 16/01/2025

The merry-go-round of evaluation recommendations

A blog series and short reports sharing how to design projects to best support evaluation.

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.

Long read 12/12/2024

‘NHS 10 Year Plan’: Strategy Unit consultation response

The Strategy Unit’s response to the Government’s current consultation on the ‘10 Year Health Plan’ for England.

Report 15/10/2024

What are the downsides of digital?

What are the downsides of digital?

Blog post 10/10/2024

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.

Blog post 04/10/2024

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?

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?

Long read 10/05/2023

Inclusive Elective Care Recovery

These case studies present the key features and learning from local initiatives which championed inclusive approaches to elective care recovery.

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.

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