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.

Evaluation of Building the Right Support: Final Reports
Integrated Care
November 2021

Building the Right Support was a national plan to provide better support to people with a learning disability or autism.

It said which services and supports are needed to help people whose behaviour challenges services or who have mental health problems.

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

Estimating the impact of the proposed reforms to the Mental Health Act on the workload of psychiatrists
Impact assessment
October 2021

In January 2021, the Government published a White Paper, setting out its plans to reform the Mental Health Act. The Government invited views on the paper and in July 2021, it published a summary of the consultation responses and its plans to address the issues raised.

‘To risk stratify or not risk stratify, that is the question’ (At least, it should be)
Service improvement
October 2021

Risk stratification tools are ubiquitous in healthcare. The concept is simple and seductive. By predicting the risk of future adverse events, we should be able to target efforts to avoid/mitigate them. Doing so would save both money and misery.  

But, as Niels Bohr said wryly, “Prediction isn’t easy, especially about the future”. And the challenges of prediction increase as the thing we are trying to predict gets less specific (e.g. the risk of emergency admission in general). The challenges associated with risk stratification are nearly as great as its promises.  

Inequities in children and young people’s mental health services
Service improvement
July 2021

Good mental health during early years and childhood has a great bearing on health throughout life. By contrast, poor mental health can cast a long shadow. Consequences may include depression, self-harm, and poor physical health.

Services recognise this. They aim to provide access to support in a timely and suitable way. A national target has been set, namely that 35% of children and young people with diagnosable needs should be able to access the necessary services.