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Our work

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  • Strategy Unit
  • Thomas Jemmett
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  • Zaheera Teladia
white and grey leaf-printed pillow on armchair
Blog post 09/12/2025

Death (and taxes?)

Hospices are fundamental to end of life care, and the broader shift ‘from hospital to community’.

Man Wearing Brown Suit Jacket sitting at a table working with mixed group of other people on laptops and drinking coffee
Report 21/10/2025

10-Year Productivity Forecast for the English NHS: An Expert Elicitation Study

Expert elicitation exercise commissioned by and in collaboration with the Health Foundation has produced forecasts of NHS productivity rates over the next 10 years.

Elderly man sitting in a hospital chair, looking contemplative and wearing a hospital gown.
Report 17/10/2025

Cancer and comorbidities: An Evidence Review of Diagnosis, Treatment, and Experience

An evidence review on the challenges and disparities faced by individuals living with cancer alongside other long-term conditions.

Stethoscope on electrocardiogram ECG with red heart, heart wave, heart attack, cardiogram report.
Report 16/10/2025

Heart Failure Targeted Funding Programme 2023/24 Evaluation

The Heart Failure Targeted Funding Programme was an NHS England initiative to improve access to heart failure specialists in the commu

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

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’.

Carer giving seated elderly woman a glass of water
Report 21/08/2025

Hydration, UTIs and older people: learning from NHS pilots about how to improve care

Our evaluation of hydration-focused interventions for older people found promising signs of impact and highlighted the practical and systemic challenges of delivering and sustaining change.

Elderly man wearing arm monitor and female relative sitting on sofa looking at consultant on a computer screen with carer standing nearby
Report 16/06/2025

Virtual wards: Patient and unpaid carer experiences of ‘hospital at home’ care

Our evaluation of patient and carer experiences of virtual wards found widespread benefits and highlights areas for improvements parti

Hands of two children
Report 13/06/2025

Mending smarter, not harder: Changing fracture care for children

The report demonstrates there is significant variation between trusts in England in how paediatric fractures are managed. Widespread adoption of less interventional approaches to paediatric fracture management could result in significant savings in hospital activity, particularly reduced follow-up appointments for uncomplicated fractures.

Man sitting at desk with hands on table and female clinician completing form
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.

Rule of thumb card
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:

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.

Image showing people graphics to depict how much your intervention costs per person
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.

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.

Image of two young children wearing VR headsets
Report 15/10/2024

What are the downsides of digital?

What are the downsides of digital?

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