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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.
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News
Ghosted by an old friend
“…personal contact was a vital element in general practice from the beginning. By 1959 50% of people in England regarded their GP as a personal friend.”
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News
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.
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Blog post Better use of analysis | Learning and development
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.
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News Elective care | Inequalities | Policy | Strategy Development
Helping ICSs to reduce inequalities in access to planned care
Are there inequalities in access to planned care? If so, what are they? Which groups ‘gain’ and which groups suffer? And what could be done to address any inequalities? In pursuing their objective of reducing inequalities, what could Integrated Care Systems (ICSs) do? What strategies and approaches are likely to be successful?
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News Futures thinking
‘Might’ is right
A good idea can be ruined by over-selling.
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News Elective care | Inequalities
Strategies to reduce inequalities in access to planned hospital procedures
UPDATE 10th August: Now including briefing note for Integrated Care Boards on legal duties in respect of reducing inequalities. This report guides ICBs through the process.
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News Better use of analysis
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.
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News
Appointing an ICS ‘Chief Analyst’
The Strategy Unit has, over the last ten years, developed a way of working that has allowed us to become recognised as a leading analytical organisation in the NHS.
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Blog post
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.
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News Better use of analysis | Futures thinking | Learning and development
Decision makers can make much better use of analysis
Part of the Strategy Unit mission is to improve the use of analysis in decision making. Current use is, to employ a euphemism, variable.
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Blog post Better use of analysis | Learning and development
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.
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Blog post Primary, community and social care services
Securing the future of domiciliary care
The Strategy Unit is embarking on an exciting project with WM ADASS, the Association of Directors of Adult Social Care Services in the West Midlands to explore the challenges facing domiciliary care and the opportunities that exist to transform and improve the service.
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News Better use of analysis | Comparative Analysis | Elective care | Finance and payments | Problem Structuring
Strategy Unit devises a new method for classifying outpatient appointments
The number of outpatient attendances in England is now approaching 100 million each year.
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Blog post Comparative Analysis | Emergency care | Problem Structuring
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.
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Blog post
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.
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Blog post Complex Modelling | Emergency care | Inequalities
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.
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Blog post
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.
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Blog post
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?
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News Elective care | Emergency care | Evaluation and impact assessment | Mental health | Primary, community and social care services
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.