Decision Making Blog #1: Better decision making: a neglected route to improvement?
Blog post
1st April 2023

There are two main routes for health and care services to improve the health of the populations they serve. They can: 

  1. Decide what to do.  
  2. Do it well. 

Obviously, both are needed. But do services make the most of both routes? Or do they pursue one and neglect the other? And if they do, where is the room for improvement?  

Insight 2022 - Day 4 - Smarter decision-making for your population
Blog post
24th November 2022

Smarter decision-making for your population

NHS England has identified Population Health Management (PHM) as a core strategic aim for Integrated Care Systems, but what does this look like in practice? With complex systems, finite resources and multiple organisations delivering care and interventions, how should decisions be made, and who should be making them? 

Insight 2022 - Day 3 - Decision-making in the 21st century NHS – how does it really work?
Blog post
23rd November 2022

Decision-making in the 21st century NHS – how does it really work?

The NHS Long Term Plan placed an emphasis on better use of data in decision making, and before that the Five Year Forward View outlined a future of empowering and engaging patients and communities. But what has been the reality of decision-making in the 21st Century NHS?

Insight 2022 - Day 2 - How the science of systems thinking can support the craft of wise decision making – A GP practice case study
Blog post
22nd November 2022

How the science of systems thinking can support the craft of wise decision making – A GP practice case study

If you had a magic wand what decisions would you take to help make a ‘better world’ for GP practices? Would fixing a seemingly obvious ‘problem’ really make things better, or could you end up causing waves in the complex system in which GP practices sit? 

‘Systems thinking’ can be hugely valuable for complex decision making, taming complexity and bring decision makers to a shared understanding.

Insight 2022 - Day 2 - Understanding the links between delayed discharges and hospital congestion
Blog post
22nd November 2022

Understanding the links between delayed discharges and hospital congestion

In January 2022 NHS figures showed that more than 12,000 patients occupying hospital beds in England no longer met the ‘criteria to reside’.  

Eric Wolstenholme suggests that the potential savings to health from reducing delays to discharge are being significantly underestimated in current solutions but that realising these savings is very challenging …

Insight 2022 - Day 1 - ICSs working together to be intelligence-led organisations: lessons from history
Blog post
21st November 2022

ICSs working together to be intelligence-led organisations: lessons from history

  • How can Integrated Care Systems (ICSs) become more ‘intelligence-led’ in their approach to decision-making?
  • What role could regional learning networks such as the Midlands Decision Support Network play in this context?
  • How can we learn from history to maximise their potential?

Nigel Edwards (Chief Executive, The Nuffield Trust) opened INSIGHT 2022 with a session focusing on the Deci