
The risks of risk stratification
Medical history is full of bizarre and gruesome procedures.

Want to ease pressure in urgent care? Simply cut community services!?!
What should decision makers do with analysis that challenges deeply held assumptions? In this blog, Fraser Battye reflects on a surprising recent finding about community services.

Outcome-based commissioning: can we rescue promise from the rubble of hype?
The first effect of policy is on expectations. In every case I can think of, the effect is inflationary.

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

Playing our part in conversations about death
“Dad, why are all your ‘peptalks’ about death?” Children can be a source of fundamental insight. They seem to specialise in feedback of the unvarnished, unmediated and fully caffeinated variety. The kind of feedback that cuts straight to it. My youngest daughter, mid-way through our sunny walk down the hill to school, pressed on: “And you wear black all the time. You look like a crow…” Fundamental insight, and now fashion advice. This was quite the school run.

Need, demand, and supply of GP services: an old lens on an ever-present problem
About 20 years ago, I attended a lecture given by Andrew Stevens, a rather formidable and austere Professor of Public Health at the Un

Part-time GPs and the decline in continuity of care: a cause or a symptom?
In our recent paper we explore why levels of care continuity have been declining and what might be done to turn things around.

Two sides of the same coin
Hospital demand arising from GPs not seeing patients, is eating into the resources that they would use to manage down the elective backlog. In turn, this is creating more demand for GPs.

Are GP consultation rates rising or falling? Who or what should we believe?
If the "data suggests" GP appointments are substantially higher than pre-pandemic, then what is behind patients reporting recieving fewer appointments?

GP services: new analysis and fresh insights
In our latest analysis for the Midlands Decision Support Network (MDSN), we explore the long standing problem of access to GP practice consultations we consider the implications, and explore potential solutions.

MDSN: GP practice productivity, efficiency, and continuity of care
GP Practice productivity, efficiency, and continuity of care

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.

MDSN: The gap between need and supply of GP practice consultations
The gap between need and supply of GP practice consultations

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?

How data makes things worse
All light brings shade. My list of ‘changes that have been all upside and no downside’ is short and debatable.

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.

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.

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.

Exploring the Edge of Tomorrow, Today
Exploring the critical building blocks for a resilient social care system in 2035 with the West Midlands Association of Directors of Adult Social Services (WM-ADASS).