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.
Evaluating and embedding social values in procurement at East London NHS Foundation Trust
This report presents emerging findings from the early development stages of a social value approach to procurement by East London NHS Foundation Trust (ELFT). These findings provide insights for other organisations beginning to explore how to use procurement to contribute to improving health and reducing health inequalities.
Strategy Unit devises a new method for classifying outpatient appointments
The number of outpatient attendances in England is now approaching 100 million each year.
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.
COVID-19: breaking the cycle of deprivation and ill health
Promoting whole-system action on the wider determinants of healthy life expectancy in the shadow of the COVID-19 pandemic
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.
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.
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.
Clinical Workforce Scenarios for the Black Country
The future is highly uncertain.
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
Palliative and End of Life Care Report for Children and Young People
Commissioned by NHS England, this report describes the the characteristics and levels of resource required by children and young people (CYP) (0-25
Dudley MCP Scenario Analysis
Dudley is one of fourteen vanguard sites nationally developing the Multispecialty Community Provider (MCP) care model.
Economic impact of NHS spending in the Black Country - Full Version
The Strategy Unit is a strategic partner to the Black Country and West Birmingham Sustainability and Transformation Partnership.
Integrated Impact Assessment for Major Hospital Reconfiguration
The Strategy Unit worked as a strategic partner of the NHS Future Fit Programme in Shropshire and Telford and Wrekin from its initiation and u