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Long read 06/03/2026

Discharged without a diagnosis

In 2023/24, one million people who were admitted to an NHS hospital in an emergency, were later discharged without a diagnosis. This long-read examines what this means for patients and providers.

A Healthcare Worker Measuring a Patient's Blood Pressure Using a Sphygmomanometer
Long read 04/03/2026

Continuity in primary care: the safest bet we aren’t able to make?

In this long-read, which first appeared in the HSJ, Fraser Battye asks whether focusing on continuity might also improve access to primary care

hospital staff running down a corridor wearing masks and scrubs
Blog post 23/02/2026

What explains the recent growth in hospital activity?

In this long read, Fraser Battye describes our analysis of what has driven the growth in hospital activity.

summary flow chart highlighting potentially mitigable activity at the top with boxes for redirection, prevention, relocation and efficiences and further boxes underneath
Tool 02/10/2025

Shifting care ‘from hospital to community’: where to start?

What are the opportunities to shift activity from hospital to community? Our analysis provides an evidence-based place to start.

man in wind
Blog post 26/09/2025

The decline in care continuity is not inevitable

Relational continuity of care, the extent to which patients have an ongoing relationship with a specific clinician in their GP practice, is perhaps

Aging tool: most deprived (51.9 years in good health) vs least deprived (70.7 years in good health)
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.    

Image of female carer leaning over elderly female patient and holding her hand
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.

Image of four boxes in an arrow pointing to Outputs (Report, Slides, Workshops, Journal Article and Blogs)
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

Image of four connected jigsaw pieces representing Geography, Timing, Site Selection and Target Population
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.

Image of fairground ride swings swinging high in air
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.

Change NHS logo
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.

Sword floating in water with rope around it
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.

Blue tied rope
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?

Senior Patient Lady Signing Papers With Doctor In Hospital
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.

Long read 23/02/2021

Analytical Collaboration for COVID-19

  Between March and December 2020 the Health Foundation; King’s Fund; Nuffield Trust; and the Strategy Unit collaborated to provide 

Long read 29/09/2019

Lessons, Evaluation and Learning from the Dudley MCP

Learning from Dudley MCP

Tool 28/09/2019

Learning and Development of Problem Solving Techniques

What is innovation?

Tree
Tool 29/11/2018

Tools & templates: Problem structuring

Problem trees and driver diagrams can help you to understand the causes and effects of your problem.

Tool 12/11/2018

Pre-mortem

The pre-mortem technique was developed by Klein (2007) using ‘prospective hindsight’ to identify risks at the outset of a project.

Party Hats
Tool 29/09/2018

Tools & templates: Other points of view

Use Edward deBono’s ‘Six Thinking Hats’ or consider a wider point of view, to approach a problem or potential solution from different perspectives.

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