Fishbone
December 2018

The fishbone tool, developed by Kaoru Ishikawa, is a cause and effect analysis that helps you to understand a range of the causes to a problem, not just the obvious ones. Use this tool to determine why a particular problem is occurring.

The Potential Economic Impact of Virtual Outpatient Appointments in the West Midlands: A scoping study
Elective / planned care, System thinking and system working
November 2018

The Strategy Unit was recently approached to examine the case for a shift from traditional outpatient services to the use of virtual and remote access technologies for appropriate outpatient appointments. An essential part of this assessment was broadly scoping the potential socio-economic impacts of the shift – something that is arguably not always given enough consideration when thinking about transforming services. This work was commissioned by Andy Williams, Accountable Officer at Sandwell and West Birmingham CCG.