Learning about what works in urgent community response
The initial report from the national urgent community response (UCR) evaluation, along with an economic modelling tool to help service providers and systems understand the impact of UCR, is now available.
Diagnosing harms?
All medicines are poisons. Everything that cures could kill if administered in the wrong doses, to the wrong people, at the wrong times, in the wrong ways.
How is growth in diagnostic testing affecting the hospital system?
Diagnostic services, such as medical imaging, endoscopy, and pathology, have grown substantially in recent years and at a faster rate than most other healthcare services. Increased diagnostic testing brings benefits to patients, but rapid growth of this service area within a complex, adaptive system such as the NHS is likely to have had unintended consequences. Midlands ICBs wanted to understand the impact of diagnostic growth on hospital services.
The NHS as an anchor institution: addressing fuel poverty
The number of households in fuel poverty in Staffordshire and Stoke-on-Trent (SSoT) is higher than the national average. As anchor institutions, NHS organisations can use their assets to influence the health and wellbeing of their local communities. The Strategy Unit was asked by the Midlands NHS Greening Board to evaluate a cross-sector initiative in SSoT to help alleviate fuel poverty using savings generated through solar panels on NHS buildings. The project is called Keep Warm, Keep Well.
Population health implications of the Covid-19 pandemic
Our new report for The Midlands Decision Support Network (MDSN) presents findings of the effects of the care disruption, from the Covid-19 pandemic, on population health. The in-depth analysis identifies which patients and health conditions should be the focus of future efforts in reducing inequalities caused by the pandemic.
Urgent Community Response – What Works?
The Strategy Unit, with our partners Ipsos, has been commissioned by NHS England and NHS Improvement (NHSEI) to provide a long-term national evaluation of the Urgent Community Response programme rolled-out across England. The programme aims to shift resources to home and community-based services as part of the NHS commitment to providing the right care, to the right people, at the right time. And there are a range of outputs from the early work that provide learning for local systems as they develop their services.
Evaluation of Building the Right Support: Final Reports
Building the Right Support was a national plan to provide better support to people with a learning disability or autism.
Strategy Unit devises a new method for classifying outpatient appointments
The number of outpatient attendances in England is now approaching 100 million each year.
Measuring the effect of the coronavirus pandemic on population health
Measuring the effect of the coronavirus pandemic on population health
Less noise and more light: using criteria-driven analysis to tackle inequalities
Reducing health inequality is a long-standing aim of health policy. Yet the gap between policy aim and population outcome has grown in recent years: on most measures health inequalities have got worse.
Equity and Cost Growth in Specialised Services
NHS specialised services provide care for people with complex or rare medical conditions.
A free guide to support high quality evaluation in the NHS
The Strategy Unit issues free guide to evaluation principles and practice
Evaluating Artificial Intelligence: a significant new win
The Strategy Unit, the Health Economics Unit and Leicester Clinical Trials Unit have been announced as evaluation partners to support success in the Artificial Intelligence (AI) in Health and Care Awards.
How can we learn from changes in practice under COVID-19
During the COVID-19 pandemic we have seen rapid changes in ways of working.
Primary and Community Qualitative Insights
The COVID-19 response required rapid change and innovation across health and care.
How will we know if Integrated Care Systems reduce demand for urgent care?
The implications of a blended payment system are far reaching: Decisions about planned activity levels will determine the total funding envelope for urgent care within a system and will influence the behaviour of healthcare providers and the services they deliver to patients.
Have cuts to public spending on social care for older people led to more emergency hospital admissions?
Cuts to council social care budgets are often cited as a cause of pressure on NHS urgent and emergency care services. Much of the evidence supporting this link, however, is anecdotal. We set out to try and quantify the effect of cuts to social care on older people’s use of emergency healthcare services, and our research has just been published in BMJ Open.
Evaluation of an Integrated Mental Health Liaison Service (Rapid Assessment Interface and Discharge Service) in Northern Ireland
A high proportion of patients treated for physical health conditions also have co-morbid mental health problems; and there is growing acceptance of
New Perspectives on the Perennial Problem of Urgent Care
Waiting times in A&E are never far from the headlines. It threatens to become the defining healthcare performance issue of our time