Evaluation of Building the Right Support: findings to date
Integrated Care
January 2019

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.

This is because too many people are living in hospitals and assessment and treatment centres. Many have been living in such places for a very long time. Often they are a long way from their home, family and friends.

Logic Models for Complex Programmes
Service improvement
November 2017

Logic models have become a standard tool for planning and evaluation. This short presentation offers a step-by-step guide to assembling logic models for complex programmes.

The Strategy Unit is well known for its use of logic models. We use them to help programmes and organisations – including Vanguard sites and Sustainability and Transformation Partnerships – to set out the thinking behind their work. Logic models clarify thought at the outset. This brings two main benefits: better design and increased ability to evaluate.

Palliative and End of Life Care in the West Midlands
Secondary care
October 2017

Commissioned by NHS England, this report describes the status and context of palliative and end of life care services in the six Sustainability and Transformation Partnerships in the West Midlands. The report contains data on trends and forecast numbers of deaths, place of death, palliative care registers, acute healthcare use prior to death, availability of specialist-level palliative care and summarises the results of recent palliative care reviews and audits.

Reviewing the evidence on digital inclusion
Service improvement
April 2021

Digital technology is a significant part of our daily lives. It has changed the way we interact with each other, the services we use, and the ways we work.   

The NHS is no exception. Digital technology has begun to change the way health and care services are delivered. And the Covid-19 pandemic radically accelerated the use of these technologies – speeding the transition to delivering remote care, for example.  

A framework for understanding policy change
Service improvement
March 2021

A new policy, strategic direction or major programme is announced. How do we begin to understand, interpret and explain it? And how can we start the task of analysing and critiquing it?

I see three main approaches:

1: Personal views

As an individual, we might ask whether we like or agree with the proposed change. Here, we will draw on some combination of personal experience, position and world view. This is a starting point, but results are limited to expressions of individual opinion.  

Strategy Unit analysis of air quality highlights inequalities
Service improvement
February 2021

Poor air quality is the largest environmental risk to public health in the UK and central London has the highest levels of particulate matter and nitrogen dioxide.  The Guy’s and St. Thomas’ charity, now operating its programmes under the Impact on Urban Health banner, have committed to 10 years of funding to improve air quality-related health in the residents of South London boroughs of Lambeth and Southwark. The charity commissioned the Strategy Unit to explore the health of several key groups and the factors that most influence health alongside air quality within the area.

Equity and Cost Growth in Specialised Services
Needs assessment
January 2021

NHS specialised services provide care for people with complex or rare medical conditions. Treatments for these conditions are often expensive: While specialised services support a small proportion of the population, approximately one-sixth of the total NHS budget - over £19 billon - was allocated to this area in 2019/20.

The reports published here, address two important and enduring questions about specialised services: