Logic Models for Complex Programmes
Service improvement
November 2017

Logic models have become a standard tool for planning and evaluation. This short presentation offers a step-by-step guide to assembling logic models for complex programmes.

The Strategy Unit is well known for its use of logic models. We use them to help programmes and organisations – including Vanguard sites and Sustainability and Transformation Partnerships – to set out the thinking behind their work. Logic models clarify thought at the outset. This brings two main benefits: better design and increased ability to evaluate.

Palliative and End of Life Care in the West Midlands
Secondary care
October 2017

Commissioned by NHS England, this report describes the status and context of palliative and end of life care services in the six Sustainability and Transformation Partnerships in the West Midlands. The report contains data on trends and forecast numbers of deaths, place of death, palliative care registers, acute healthcare use prior to death, availability of specialist-level palliative care and summarises the results of recent palliative care reviews and audits.

Public engagement on self-management
Service improvement
March 2018

One of the core features of Dudley’s new care model is a change in relationship between professional and patient. In essence, and especially for patients with long-term conditions, there is a need to move away from a conversation based on the question of ‘what is the matter with you?’ to one based on consideration of ‘what matters to you? How can we achieve that?’. This change is not easy. It requires changes in both professional and patient behaviour. This presentation, given at a public engagement event, outlines some of the starting considerations implied by this.

Evaluation of the Patient Activation Measure (PAM) pilot
Service improvement
February 2018

As a concept, patient ‘activation’ holds promise; evidence suggests an enhanced ability to self-manage long-term conditions (LTCs) and an associated reduction of healthcare use. The Patient Activation Measure (PAM) has been promoted as a tool for measuring activation. It can also be used to structure conversations with patients who have LTCs. Dudley therefore piloted the use of the PAM, backed by health coaching, in one GP practice. This report presents the results of the evaluation.

Evaluation of patient reported measures pilot
Service improvement
February 2018

There is wide consensus that the NHS needs to generate and act upon more patient reported data on outcomes and experience. These measures will also feature in Dudley MCP’s contract. A pilot to use these measures was therefore run in GP practices and evaluated. This report presents the results. It highlights the practical challenges associated with the generation of this data, showing the need for significant further efforts before this type of data becomes ‘mainstream’.

Evaluation and complex change
Service improvement
December 2017


Feedback is a vital component of any complex change programme. Without feedback, it is impossible for policy makers, programme and frontline teams to learn, adapt and improve. The Strategy Unit therefore sees evaluation as a vital part of the mix in making large-scale change.

Evaluation is all too often a late – or even an after the event – addition to programmes. Traditionally undertaken as a removed and academic exercise, evaluation has not fulfilled its potential as a tool for change.