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summary flow chart
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
Tool 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’.

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.

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

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.

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:

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 16/05/2024

How Does Access to Community Health Services for Older People Vary Across the Midlands?

Support elderly woman
Report 10/05/2024

MDSN: Community Healthcare Services

How Does Access to Community Health Services Vary Across the Midlands?

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