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Our work

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Emergency room entrance sign in a street outside of a hospital
Blog post 12/08/2026

Emergency Departments worked better during the strikes. But why?

New research published in the Journal of the Royal Society of Medicine explores why emergency departments worked better during strikes.

Clean empty bed in a hospital ,Patient bed in hospital,Empty hospital bed
Blog post 03/08/2026

The hidden challenge at the heart of the 10-year plan

A new tool exploring why hospital bed pressure is increasing and what this could mean for future NHS capacity planning.

Two people stand on opposite sides of a number on the ground; one sees a 6, the other sees a 9, each pointing and stating their perspective.
Blog post 30/06/2026

Neighbourhoods and hospital activity: oh yes it can, oh no it can’t?

Simple, intuitive ideas don’t draw critical attention. They stroll about the policy world, untested and unscathed.

An anonymised NHS appointment letter lying on a wooden table, photographed from above with a visible fold crease and NHS logo.
News 29/06/2026

Improving the experience of waiting: the evidence behind new NHS minimum standards

New NHS patient experience minimum standards aim to improve how people experience waiting for elective care

HDR waiting list conference banner 2026
Blog post 22/06/2026

Waiting List Conference 2026: From Backlog to Breakthrough

Reducing elective care waiting lists remains one of the most pressing challenges facing the NHS.

man wearing white sherwani robe beside graffiti
News 15/06/2026

Exploring cultural adaptations in dementia care: our work with the NHS Race and Health Observatory

Understanding what it takes to deliver culturally responsive dementia care.

ambulance in front of wall
Blog post 05/06/2026

The impact of failure demand on the ambulance service

Failure demand is described as the additional work created when services fail to meet people’s needs effectively the first time – and

Colorful wooden Tetris-like blocks are stacked and scattered on a wooden surface with a green background.
Blog post 02/06/2026

Complex problems and Multi-Disciplinary Teams

Many moons ago, I was fortunate enough to observe a multi-disciplinary team (MDT) in Dudley.

Young businesswoman in suit standing in concerete gray labyrinth.
Blog post 29/05/2026

Failure demand isn’t new. So why does it feel like a revelation?

Guest blog by Jacob Lant, Chief Executive, National Voices

A digitally illustrated, isometric view of an impossible staircase labyrinth inspired by M.C. Escher, rendered in a painterly style. Stone staircases loop and intersect in paradoxical, gravity-defying configurations within a deep stone structure. Several small human figures in colourful clothing are scattered across the staircases, appearing to walk in different directions. Vines and small plants grow along the upper edges of the walls, and the overall co
Blog post 14/05/2026

Failure demand as a route to success?

When we began looking at failure demand in the NHS, I assumed most of our time would be spent in familiar territory: productivity metr

Colorful watercolor brush stroke on transparent background
Blog post 06/05/2026

Adopting the Core20PLUS5 approach: different strokes for different folks?

This blog describes the headline findings from the first phase of the national evaluation of the Core20PLUS5 approach

Dr Lucy Morgan smiling in front of a board of mathematical equations. Text reads “Inside the Algorithm with Dr Lucy Morgan, live 6th May"
News 05/05/2026

Why NHS models should be built to be reused

Our Head of Simulation, Dr Lucy Morgan, recently appeared on the new podcast Inside the Algorithm, hosted by Cambridg

Space shuttle rocket isolated on blue cyan background with copy space. Elements of this image furnished by NASA.
Blog post 29/04/2026

Neighbourhood health should not be judged (solely) by its ability to reduce hospital activity

In 1962, President John F. Kennedy arrived at NASA headquarters for a progress update on the planned trip to the moon.

Caricature drawings satirising the conducting style of Gustav Mahler when he was director of the Vienna State Opera, 1897-1907
Blog post 15/04/2026

Commissioners as conductors?

Traditional NHS commissioning alone is not enough, and must be complemented by a “conductor” role that actively coordinates partners and drives system-wide change. Together, commissioners provide strategic direction while conductors enable delivery, which is essential for improving outcomes in complex health systems.

blue and pink string lights
Blog post 14/04/2026

Diagnosing the problems of non-diagnosis

Some descriptions of healthcare seem to be taken straight from the film Minority Report.

Blue rectangular sign mounted on a brick wall, with a large white left-pointing arrow above the white text ‘your local GP Surgery’
Blog post 25/03/2026

Big GP practices: light work or spoilt broth?

Larger GP practices may deliver more appointments, but are they the most efficient way to provide good 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.

Overhead view of a busy city intersection with wide white zebra crosswalks filled with dozens of pedestrians walking in different directions across the asphalt. People carry bags and backpacks, and some pull rolling suitcases, creating a dynamic crisscross pattern against the bold striped crossings.
Blog post 13/02/2026

A journey into intersectionality

A practical exploration of intersectionality, testing theory through quantitative analysis of hospital readmissions.

Realistic office table cluttered with scattered calendars, colourful sticky notes, and overlapping handwritten plans, with coffee stains and multiple wall clocks showing different times.
Blog post 03/02/2026

The enduring ‘messy programme’ with ‘mixed results’

The diagram below shows me at my most cynical.

picture of kidneys in a persons bare hands
Blog post 09/01/2026

Planning for rising renal demand: simulating capacity across the care system

Demand for kidney replacement therapy is rising, and current capacity will not be sufficient over the next decade. This work uses simulation modelling to help systems understand future pressures and test potential responses.

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