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.
Socio-economic inequalities in coronary heart disease
There are substantial differences in mortality rates from cardiovascular disease between socio-economic groups. Our new tool provides an overview, for ICBs, of the points on the care pathway where inequalities emerge and are amplified
Advancing the analytical capability of the NHS and its ICS partners
The Strategy Unit were asked by the Strategy and Development Team in the Directorate of the Chief Data and Analytics Officer, NHSE/I, to make recommendations for advancing analytical capability across the health and care workforce.
Strategy Unit devises a new method for classifying outpatient appointments
The number of outpatient attendances in England is now approaching 100 million each year.
‘To risk stratify or not risk stratify, that is the question’ (At least, it should be)
Risk stratification tools are ubiquitous in healthcare. The concept is simple and seductive.
Decisions to admit patients are not solely determined by clinical risk
Whether or not to admit a patient is one of the most routine yet important decisions a doctor in an Emergency Department
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.
Socio-economic inequalities in access to planned hospital care: causes and consequences
Tacking inequalities in health is a long-standing NHS policy objective. Variation in the experiences and outcomes of different communities during the COVID-19 pandemic served to bring this issue back into focus.
Strategy Unit analysis published showing changes in use of emergency departments under lockdown
We know that patterns of access to healthcare have changed during the pandemic.
Equity and Cost Growth in Specialised Services
NHS specialised services provide care for people with complex or rare medical conditions.
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.
Accessibility of perinatal mental health services for women from Ethnic Minority groups
Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women.
Bringing NHS analytics into the 21st Century
A marriage usually needs (at least): a matchmaker, two entities, a (little) money, a proposal and a home.
Key opportunities for eye health and well being
Eye health and sight loss services have historically had a lower profile in service provision compared to many other specialities. There is a view that the importance of eye health has been underrepresented in many Sustainability and Transformation Partnership (STP) plans.
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.
The Strategy Unit have been awarded funding from the Health Foundation to continue promoting the use of R in the NHS via the NHS-R Community
The value of R and its use within the NHS
Population Health Management Analyst Development Programme: An overview
The Population Health Management (PHM) Analyst Development Programme will introduce analysts from the Midlands CCGs, NHS Trusts, CSUs, Local Author
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.