Part-time GPs and the decline in continuity of care: a cause or a symptom?
In our recent paper we explore why levels of care continuity have been declining and what might be done to turn things around.
Two sides of the same coin
Hospital demand arising from GPs not seeing patients, is eating into the resources that they would use to manage down the elective backlog. In turn, this is creating more demand for GPs.
Are GP consultation rates rising or falling? Who or what should we believe?
If the "data suggests" GP appointments are substantially higher than pre-pandemic, then what is behind patients reporting recieving fewer appointments?
How data makes things worse
All light brings shade. My list of ‘changes that have been all upside and no downside’ is short and debatable.
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.
Could a peer review methodology help drive continual learning within and across local systems?
In this blog Karen describes how peer review methodologies are being used to support learning in Long COVID services.
‘Might’ is right
A good idea can be ruined by over-selling.
Bringing patient flow modelling into general practice
With general practice appointments hitting the highest numbers on record (34.8 million in England alone in November 2021), careful organisation and planning for patient appointments is increasingly important.
Treating people on waiting lists: who decides what is fair?
Waiting lists for elective care are in the news. The national plan has been issued, with the expectation that lists will continue to rise for some years - and that long waiting will not disappear anytime soon. Addressing this ‘backlog’ will remain a fundamental challenge for some time to come.
The Intellectual Forum: a source of fresh perspectives on decision making
The literature on decision making is like a disaster movie highlights reel. Barely has one calamity registered before another serious misstep takes its place. Case study after case study flashes past, each with its own lessons and warnings.
How do we develop analysts as leaders? Early thoughts from our ‘leadership for analysts’ programme
“What is an analyst?”
How can analysis help clinicians improve services? Interview with Dr Anna Lock
Dr Anna Lock, Justine Wiltshire and Lucy Hawkins reflect on the Strategy Unit's innovative end of life care analysis. How can this work help clinicians to improve services?
A framework for understanding policy change
A new policy, strategic direction or major programme is announced.
Localism and the NHS: a case in four stories
In this blog, Fraser Battye makes the case for localism in the NHS. He tells four short stories. He suggests that these stories highlight an opportunity as the NHS enters a period of reform.
Strategy Unit releases opensource model for planning vaccine centre capacity
The UK is running its largest ever vaccination programme. The stakes are enormous.
Is ‘Integrating Care’ bold enough?
In this blog, Fraser Battye leaves the Strategy Unit’s usual careful and empirical view of the world. He reflects on NHS England and Improvement’s ‘Integrating Care’ paper from the perspective of wider ideological and societal trends. In doing so, he suggests that there is scope for bolder reform – and that localism is the way to go.
What might ‘Integrating Care’ mean for analysts?
In this blog, Fraser Battye looks at NHS England/Improvement’s ‘Integrating Care’ paper. While not looking forward to another NHS re-organisation, he sees a lot that analysts will like. Fraser also notes the potential advantage that the Decision Support Unit model gives systems in the Midlands. What can analysts do to seize these opportunities?
A learning NHS and ‘black box’ analysis aren’t compatible
Data analysis presents a limitless opportunity to improve decision making within the NHS.
Why are deaths set to rise?
In our recent analysis of healthcare use in the last 2 years of life, we point out an important change that’s taking place to life and death in the UK.
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.