Want to ease pressure in urgent care? Simply cut community services!?!
What should decision makers do with analysis that challenges deeply held assumptions? In this blog, Fraser Battye reflects on a surprising recent finding about community services.
Playing our part in conversations about death
“Dad, why are all your ‘peptalks’ about death?” Children can be a source of fundamental insight. They seem to specialise in feedback of the unvarnished, unmediated and fully caffeinated variety. The kind of feedback that cuts straight to it. My youngest daughter, mid-way through our sunny walk down the hill to school, pressed on: “And you wear black all the time. You look like a crow…” Fundamental insight, and now fashion advice. This was quite the school run.
Need, demand, and supply of GP services: an old lens on an ever-present problem
About 20 years ago, I attended a lecture given by Andrew Stevens, a rather formidable and austere Professor of Public Health at the Un
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.
Analysts, we need to talk about…….
The future looks incredibly promising for ana
Infant-feeding problems during the pandemic
Emergency department attendances fell dramatically and systematically during the early phases of the COVID-19 pandemic. This effect was almost universal, affecting people from all parts of society and for all health conditions. But in our recent paper we highlight one notable exception to this rule -presentations at Emergency Departments for infant-feeding problems increased during the pandemic.
What was the question again?
We hear a lot about what’s stopping the NHS making the most of its army of talented analysts. Some say we just need more data, or data of better quality. Others point to deficiencies in our infrastructure, IT kit or the software we use. But I’m not so sure. For me the biggest shortfall is in good questions that we can feasibly address.
Inequalities in access to healthcare - what’s our next move?
Our research, published in the Lancet Regional Health Europe, highlights substantial inequities in access to elective hip replacement surgery. We found no evidence that these inequities reduced between 2006 and 2016.
We saw them before they were famous: reflections on AphA’s away day
In June 1976, the Sex Pistols played Manchester's Lesser Free Trade Hall.
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.
Infant feeding problems, lockdown and attendance at Emergency Departments: what’s going on?
From our previous work, with Nuffield Trust and Health Foundation, we know that lockdown had a significant effect on attendance at Emergency Departments (ED). We also know that this effect was very unevenly distributed: some demographic groups stayed away far more than others.
The impact of social care on demand for urgent hospital care: have we reached a consensus?
The care home COVID crisis and the effects of longstanding staffing and funding shortages has meant that social care has featured heavily in the media over the last 12 months.
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
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 analysis published showing changes in use of emergency departments under lockdown
We know that patterns of access to healthcare have changed during the pandemic.