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Our work

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  • Strategy Unit
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  • Zaheera Teladia
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.

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

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.

 An ophthalmologist examining a patient's eye with an ophthalmoscope
Podcast 09/10/2023

Review of Ophthalmic Managed Clinical Networks (MCNs) in Staffordshire and Shropshire

The aim of the MCNs is to bring together primary care optometrists with local ophthalmologists within a geographical area. This is a review Strategy Unit were commissioned by NHS England to work with a medical retina MCN in Shropshire, Telford and Wrekin and a glaucoma MCN in Staffordshire and Stoke on Trent, to review their work so far and look at the opportunities the networks present.

Report 29/09/2023

Learning about what works in urgent community response

The initial report from the national urgent community response (UCR) evaluation, along with an economic modelling tool to help service providers and systems understand the impact of UCR, is now available.

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.

woman in winter dress holding heart
Report 22/03/2023

The NHS as an anchor institution: addressing fuel poverty

The number of households in fuel poverty in Staffordshire and Stoke-on-Trent (SSoT) is higher than the national average. As anchor institutions, NHS organisations can use their assets to influence the health and wellbeing of their local communities. The Strategy Unit was asked by the Midlands NHS Greening Board to evaluate a cross-sector initiative in SSoT to help alleviate fuel poverty using savings generated through solar panels on NHS buildings. The project is called Keep Warm, Keep Well.

ICS intelligence functions graph
Report 21/03/2023

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

In 2020, NHSE

Menopause and the NHS workforce graphic
Long read 07/03/2023

No more suffering in silence, we want to talk about the menopause

To mark International Women’s Day on March 8, Karen Bradley, Principal Consultant at the Strategy Unit, and Susan Blakey, Senior People Consultant at MLCSU, two advisors involved in the recent project, ‘Menopause and the NHS Workforce’, discuss its significance and share what they want to see happen as a result of the published report.

Report 30/01/2023

Emergency department acuity measurement and process: quick scoping review​

​​This review was commissioned to inform NHS England’s Acuity Standardisation Project which aims to agree a standardised method of allocating acuity category (a triage method) for Emergency Departments (EDs) and Urgent Treatment Centres (UTCs). ​

Population health implications of the Covid-19 pandemic graph
Report 16/01/2023

Population health implications of the Covid-19 pandemic

​​Our new report for The Midlands Decision Support Network (MDSN) presents findings of the effects of the care disruption, from the Covid-19 pandemic, on population health. The in-depth analysis identifies which patients and health conditions should be the focus of future efforts in reducing inequalities caused by the pandemic. ​

Socio-economic inequalities in coronary heart disease
Report 09/12/2022

Socio-economic inequalities in coronary heart disease

There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups.  Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified

Mug of black coffee
Report 06/11/2022

Evaluating and embedding social values in procurement at East London NHS Foundation Trust

This report presents emerging findings from the early development stages of a social value approach to procurement by East London NHS Foundation Trust (ELFT). These findings provide insights for other organisations beginning to explore how to use procurement to contribute to improving health and reducing health inequalities.

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.

Long read 27/09/2022

Helping ICSs to reduce inequalities in access to planned care

Are there inequalities in access to planned care? If so, what are they? Which groups ‘gain’ and which groups suffer? And what could be done to address any inequalities? In pursuing their objective of reducing inequalities, what could Integrated Care Systems (ICSs) do? What strategies and approaches are likely to be successful?

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.

Long read 01/04/2022

Strategies to reduce inequalities in access to planned hospital procedures

In our 2021 report, we described how people living in more deprived areas have poorer access to planned hospital care than their more affluent counterparts.

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.

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