Primary and Community Qualitative Insights
The COVID-19 response required rapid change and innovation across health and care. As part of a wider package of evaluation support, from April to June, the Strategy Unit led some qualitative work (training and supporting CCG staff to conduct interviews) across an STP to capture learning from…
How can Integrated Care Systems collect and use more ‘person-centred intelligence’?
Working with our partners Ipsos MORI, we have produced detailed guidance and an offer of services to address this question. This webpage contains information about the work, and all the products from it. Please get in touch if you would like to improve your use of person-…
How will we know if Integrated Care Systems reduce demand for urgent care?
The implications of a blended payment system are far reaching: Decisions about planned activity levels will determine the total funding envelope for urgent care within a system and will influence the behaviour of healthcare providers and the services they deliver to patients.
Exploring Mental Health Inpatient Capacity
This report explores the pressures on inpatient mental health services across Sustainability and Transformation Partnerships in England, drawing on a wide range of datasets, published research and interviews with staff working on mental health services. The report was commissioned by and includes…
Clinical Workforce Scenarios for the Black Country
The future is highly uncertain. Unless we consider the diverse factors that could affect health, our plans will lack creativity and sustainability. The challenges facing NHS systems are headline news: NHS structures are frequently the subject of organisational change; new policy directives; funding…
New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.
Evaluation of Building the Right Support: findings to date
Building the Right Support is a national plan to provide better support to people with a learning disability or autism. It says what services and supports are needed to help people whose behaviour challenges services or who have mental health problems.
Evaluation of an Integrated Mental Health Liaison Service (Rapid Assessment Interface and Discharge Service) in Northern Ireland
A high proportion of patients treated for physical health conditions also have co-morbid mental health problems; and there is growing acceptance of a need to raise awareness of mental health issues in acute hospitals and improve the experience of care and treatment for this group.
Lessons from the Vanguard: Innovation and Evaluation
The problems facing health and care services are so well known as to be documented in the media most days. These problems arise from a mismatch between need and provision: a mismatch where there is no reason to assume fundamental change. So innovation – in both product and process – is needed. Yet…
Making a priority of mental health and wellbeing in Nottinghamshire
Nottinghamshire has been an early mover in the transition from Sustainability and Transformation Partnerships (STP) to Integrated Care Systems (ICS) within the NHS in England. As part of that transition, it made a conscious commitment to prioritise the transformation of mental health and wellbeing…
Lessons from the Vanguard: Procurement
Dudley was unique within the New Care Models programme for using a large-scale procurement exercise. This exercise therefore offers lessons for both policy and practice. These lessons are set out in a short ‘lessons from the vanguard’ paper, joint-authored by the Strategy Unit and Dudley Clinical…
Evaluation of the Dudley New Care Models Programme
The Strategy Unit led the evaluation of the Dudley Vanguard programme. This is the final system-wide report from that work. It draws on in-depth interviews with over 20 strategic level stakeholders from the Dudley system. The report looks at both the large-scale procurement process and the…
Neighbourhood Network
The Strategy Unit wants to support Neighbourhood Working. We want to help make a success of different services – health, social care, voluntary sector (etc) – coordinating their efforts to improve health outcomes for local populations. To do this, we have initiated a learning network. …
Making the case for integrating physical and mental health services in England - National overview
This is a national overview report of our Making the case for integrating physical and mental health services reporting which took place in July 2017. The original reports looked at the physical health of people who use mental health services; life expectancy, acute hospital use and…
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally…
Dudley MCP Scenario Analysis
Dudley is one of fourteen vanguard sites nationally developing the Multispecialty Community Provider (MCP) care model. The MCP involves the implementation of new organisational relationships that are intended to result in new system dynamics, incentivising the actions that can improve population…
Identifying Potential QIPP Opportunities - Dudley Example
Given the pressures within the NHS, being able to identify opportunities for efficiencies and improvements is vital to inform commissioning intentions. This report is an example of analytical work which to support commissioners. The objective of this report is to provide information to…
Scoping the Strategic Analytical Requirements for Clinical Neurosciences in England
Neurosciences encompasses a large number of services and interventions, delivered to individuals with a wide range of conditions by numerous providers in many settings. Describing the full range of patients, interventions and services will provide those who work in and support NHS commissioned…
Economic impact of NHS spending in the Black Country - Full Version
The Strategy Unit is a strategic partner to the Black Country and West Birmingham Sustainability and Transformation Partnership. Our innovative work has built on the local appetite for focusing on transformations that can make a real different to local populations. As well as our national work for…
Stage 2 Clinical Assurance Evidence Framework
Service change assurance exists to give confidence to the NHS and public that proposals are well thought through, have taken on board a wide range of views and will deliver real benefits. At the heart of the NHS England assurance process are the ‘five tests for service change’ that are in the…