The bigger picture
Today, the Health Foundation launched the REAL Centre (Research and Economic Analysis for the Long term), an incredibly important initiative to imp
Health service use in the last two years of life
Health and care services get just one opportunity to support people at the end of their life. When this support is compassionate and appropriate, unnecessary suffering can be avoided and grieving can be eased. When this is not the case, harm and distress can result. The difference in these experiences can be profound.
Socio-economic and environmental impact of Herefordshire and Worcestershire STP
Anchor institutions are large, typically non-profit, public sector organisations whose long-term sustaina
Outcomes based commissioning: A framework for local decision making
This local decision-making framework aims to empower systems as they look to design new contracting approaches aimed at improving outcomes.
Opening the ‘black box’ of scenario planning through realist synthesis
Scenario planning is recognised as an effective aid to strategic planning in complex, uncertain conditions. It is an approach that the Strategy Unit is increasingly building into its work with health and care systems and third sector organisations.
Lessons, Evaluation and Learning from the Dudley MCP
Learning from Dudley MCP
Clinical Workforce Scenarios for the Black Country
The future is highly uncertain.
Let’s face the music and (not) dance
David Frith leads our strategy consultancy work with NHS and third sector organisations.
Why community alternatives to hospital admission don’t (typically) reduce total admission levels
Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**
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
Part of the solution or part of the problem? Management Consultants and the NHS
I was quoted in a recent Guardian newspaper article which described a London Clinical Commissioning Group’s wasteful use of external
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 20
Mental Health and integration: Cinderella or the Ugly Sisters?
Introduction
Do you like to integrate horizontally or vertically? NHS positions examined
Our latest research paper explores the impact of the different options for integration implemented as a result of the Transforming Community Services policy in 2010. This accompanying commentary reflects on potential implications for the current policy drive towards Integrated Care Systems.
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 integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems
Scenario planning – an antidote to the false certainties of forecasts and grand plans
The resurgence of uncertainty
Scenario planning – an antidote to the false certainties of forecasts and grand plans
The resurgence of uncertainty
Dudley MCP Scenario Analysis
Dudley is one of fourteen vanguard sites nationally developing the Multispecialty Community Provider (MCP) care model.
Dudley MCP Scenario Analysis
Dudley is one of fourteen vanguard sites nationally developing the Multispecialty Community Provider (MCP) care model.
Scoping study: the economics of caring
There is a clear moral case for supporting unpaid carers.