Research, analysis and strategic change expertise from within the NHS Research, analysis and strategic change expertise from within the NHS The Strategy Unit. The Strategy Unit is Born from the NHS an established health The Strategy Unit was established in 2006, as a small specialist team within a Strategic Health Authority. Today, we’re an autonomous consultancy business (as part of the NHS Midlands and Lancashire CSU), with a team of 30 and an annual turnover in excess of £3 million. and care consultancy, born from the NHS. We help commissioners, healthcare providers, universities, charities, and Government to solve complex problems by providing evidence-informed analysis and advice – because we believe that better evidence leads to better decisions. In an ever-more challenging climate, Our mission is simple: to improve outcomes by helping our customers successfully navigate complexity and risk. We help commissioners, healthcare providers, universities, charities, national policy makers, and Government to understand the challenges they face, and make the best possible decisions. Our clients, who are at the forefront of UK healthcare, value us as a trusted partner to provide evidence-informed analysis and advice, and the ability to take that into implementation. Better evidence, better decisions, better outcomes. What we offer • TRUSTED ADVISOR SUPPORT FOR SENIOR LEADERS • EVIDENCE REVIEW • ANALYSIS • POLICY AND STRATEGY DEVELOPMENT • CONSENSUS BUILDING • PROGRAMME DESIGN • STRATEGIC FINANCIAL PLANNING • ASSURANCE AND IMPLEMENTATION AFTER PROGRAMME DESIGN • INTELLIGENT COMMISSIONING • CAPACITY BUILDING • TRANSFORMATIONAL CHANGE our rich experience, • SUPPORTING INNOVATION technical expertise, • EVALUATION and operational understanding, enables our clients to achieve success and provide a measurable benefit to society. 3 We provide project-based consultancy services on large and small scale change programmes, working with our clients to develop insight, and to determine: • What needs to change? • Where are the opportunities for change and improvement? • What can be done to effect change? • What’s the local context? • How can we implement improvement? • Are the changes working? We work with: Commissioners and providers of health and social care Whole-system health and care economies (a number of STPs) Local Authorities Vanguards National Innovation Test Bed Programme GP Federations Clinical Senates and Strategic Networks NHS England and other national bodies in health and social care National Third Sector organisations Research funders and providers The Strategy Unit are inspiring in their commitment, dedication to evidence and use of innovative analysis as a way to improve health and care. Professor Sir Bruce Keogh National Medical Director, NHS England Research, analysis and strategic change expertise from within the NHS Driven by our values. Improving health and care for patients and communities drives everything we do. Our sole purpose is to help find solutions to address complex and longstanding problems, and to embrace opportunities to achieve improvement. We aim to place patients and service users at the heart of our work, and we only take on projects where we are confident that our work can make a positive difference. We recognise that health and social care is a complex environment where uncertainty and volatility are inherent. We have a track record of driving innovation by supporting complex change. Where possible, we like to develop longterm partnerships where we can go on a shared journey with our clients, and where innovations arise that can be used elsewhere, generating benefits for both parties. The Strategy Unit recognises that our clients are often time poor, and under increasing pressure to deliver results more quickly. With this in mind, we offer a ‘real world’ balance of rigour and practical relevance.’ We adopt a collaborative coaching style when we work with clients, actively seeking to transfer skills and learning. We practice the open sharing of knowledge, and are committed to developing the evidence base to support complex change through robust and authentic evaluation. We’re committed to continuous learning and improvement, always seeking out, and acting upon, feedback from our clients. Having a strong public sector ethos, the profits from our work is reinvested into continual improvements which benefit our clients. Astonishing, just astonishing! It’s one of the coolest and cleverest pieces of work I’ve been involved in. Professor Simon Brake, Director of Primary Care Sustainability & Integration, Coventry City Council 5 Our portfolio covers areas such as: • Comprehensive strategic support packages for a number of STPs. • Developing currencies for community, mental health, social services and primary care services, based on cluster analysis of utilisation as an aid to modelling impacts of change – e.g. hospital services on other sectors. • National analytical work on mental health/physical health for all 44 STPs in England • Understanding the causes of urgent care demand. • The relationship between GP practice, organisation, and A&E utilisation. • Utilising proximity to death as an alternative way to plan future resource implications, and desirable service provision for populations and individuals. • Evaluation of multiple vanguards, a National Test Bed site, referral management systems, and of RAID services. • Introducing 'outcome based' Payment by Results, and Any Qualified Provider Arrangements for Stop Smoking Services across the West Midlands. • Modelling the impact of proposed changes to services for stroke, specialist hospital services. • Supporting national, and local, evaluation of the Five Year Forward View New Models of Care Programme, delivering national ‘logic model’ workshops and intensive support to the Dudley Vanguard. • Novel methods for forecasting dementia demands. • NIHR-funded research project on evidence for MCPs nationally. • Detailed analysis of QIPP opportunities, and demographic effects. • Modelling changes in bed utilisation – consequent on whole economy change programmes. • Producing the 'Towards Excellence in Primary Care' resource for the West Midlands Clinical Senate. • Evidence reviews to support Healthier Together change proposals in Greater Manchester. • National scoping studies for economies of carer support; personal health budgets; neurosciences strategy • Co-developing, specifying, and quantifying, strategic clinical models of care to underpin greater community based care, reconfiguration and system redesign. • Assessing future national demand for endoscopy services (with HSMC for Cancer Research UK). • Linking health and social care data to support analysis of opportunities for integration. If I was asked to choose leads for future strategic analysis my preference would always be to ask for this team to be involved. Their advice, expertise and approach has been invaluable. • Supporting integration programmes to identify highest priorities for service development and change. Nighat Hussain Hyper Acute Stroke Reconfiguration Lead, Sandwell and West Birmingham CCG • Supporting primary care capability development at a practice level and for primary care at scale. (EPIC programme in Dudley) • Research, analysis and strategic change expertise from within the NHS How we can support you. We offer a range of support services, from helping you to design, implement, and evaluate (in real time) transformation programmes, through to understanding the local context. In order to deliver an effective change programme you need to… … know about the nature, scale and likely evolution of need in your area. The Strategy Unit can help you with: • NEEDS ASSESSMENTS. • COACHING AND TRUSTED ADVISOR SUPPORT • RESILIENT PARTNERSHIP WORKING • COMPLEX ANALYSIS … define strategic priorities to address identified problems – and to know what interventions are most likely to be effective in achieving the desired change. • CLARIFYING THE PROBLEM • STRATEGY AND PROGRAMME DEVELOPMENT 7 In order to deliver an effective change programme you need to… … develop ways to work and make decisions in partnership. The Strategy Unit can help you with: • ACHIEVING CONSENSUS TO BEGIN WORKING TOGETHER AND, ULTIMATELY, TO DO SOMETHING INTENDED TO ACHIEVE CHANGE • THE RIGHT GOVERNANCE • TRUSTED ADVISOR SUPPORT FOR SROS • WHAT IT REALLY TAKES TO DELIVER CHANGE PROGRAMMES (RESOURCES AND TIMELINES) • CAPACITY BUILDING • BUSINESS CASE DEVELOPMENT … assess the likely impacts of proposed changes. • PROSPECTIVE IMPACT ASSESSMENTS … understand how well implementation is progressing and what needs to change ‘in real time.’ • EVALUATION AS INTELLIGENT IMPLEMENTATION … draw upon specialist technical inputs to aid implementation. • ACCESS TO A NETWORK OF SPECIALISTS, EMPLOYED AND VRA ESTABLISHED PARTNERSHIPS … understand the value of your efforts. • ECONOMIC ANALYSIS • DOCUMENTING YOUR CHANGE Research, analysis and strategic change expertise from within the NHS Connecting you to a network of expert specialists. The Strategy Unit works with three long-term partners: The Strategy Unit alliance partner, The Transformation Unit based in Greater Manchester The Transformation Unit is a highly innovative NHS team consisting of more than 25 people, delivering transformation support to a range of programmes including Healthier Together and the Greater Manchester devolution programme. Working predominately in Greater Manchester, the TU team operate to the same consultancy business model as the Strategy Unit. Specialists in large scale change programme; politics of change; engagement & consultation; complex system governance; clinical leadership development. 9 The Strategy Unit alliance partner, ICF International ICF is an international research consultancy that works across all areas of public policy – from health and social care, to climate change and food security; from labour markets and education, to migration and justice. ICF specialises in applied research and analysis and offers the same basic proposition across all of its work: that high quality applied analysis is needed to make best use of scarce resources. Specialists in complex evaluation; impact assessments; international knowledge transfer across sectors; economic analysis. Health Services Management Centre, University of Birmingham The Strategy Unit also works in partnership with the Health Services Management Centre (HSMC) at the University of Birmingham. Most recently, we have collaborated on a national review of endoscopy capacity for Cancer Research UK and, along with ICF, a high profile evaluation of NHS England’s learning disability programme. Academic rigour and research; policy advisory; evaluation; specialist consultancy. The Strategy Unit also works with a few other highly regarded Associates and partner organisations, selected for their expertise and experience in: • Strategic finance • Social care • Mental health and learning disabilities • Primary care commissioning • Large-scale change, and • Ethical leadership • Clinical peer review and clinical service standards setting • Digitial innovation Research, analysis and strategic change expertise from within the NHS Our offer to you. Our problem logically and intelligently described positive challenges, helpful dissonance, and great nudging: you didn’t just tell us what to do or how to do it! Simon Harlin, GP and Consultant in Integrated Care, Walsall The Strategy Unit is born from the NHS (which means shared values, and relevant experience). We’re subject matter experts. We have a cumulative Net Promoter Score of 80%. We work with clinical teams and we coproduce. We understand the pressures you’re under. We’ll work together to confront difficult situations. We’ll empower you to be autonomous – we’re not interested in long term dependency. We’ll walk with you – throughout the journey, and after completion. We’ll upskill / transfer skills to your team. You’ll be better equipped to inform better decisions. We can help you to save money. Our service, just like your challenge, is unique, it’s bespoke and built to fit. It’s a partnership: If you’ve succeed, then we’ve succeeded. 11 Get in touch. Ready to see how The Strategy Unit can help your organisation? Please contact PETER SPILSBURY for an initial discussion on: Email: [email protected] | Tel: 07971412240 Re: ‘Scoping the Future’, 2015, CRUK I thought this a very thorough and credible piece of work - it will become one of the key records in the story of Endoscopy in Britain. Dr Roland Valori, Consultant Gastroenterologist, Gloucestershire Hospital’s FT www.strategyunit.co.uk [email protected] @Strategy_Unit 📞 0121 612 3895 Kingston House 438-450 High Street West Midlands B70 9LD Part of Midlands and Lancashire Commissioning Support Unit
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