Advising on healthcare policy and service review

We have worked extensively to provide advice on health service design, policy design and evaluation.  We draw on our vast experience of applying cost-benefit and market analysis techniques across the public and private sectors to evaluate policies, pilots and the functioning of healthcare markets.  Combined with our deep understanding of the healthcare sector, we are able to deliver practical, high quality advice to Government, regulators, independent sector reviewers, commissioners and providers.

We work with governments and regulators on matters relating to both physical and mental health. This includes access to healthcare services, integration of care, the appropriate role for choice and competition, and the impact of policy change on those who use services.

We have advised Monitor on models for integrating health and social care services. We also supported the Fair Playing Field Review which assessed the ability of NHS providers and those from independent and charitable sectors to compete on an equal footing.  We also developed Monitor’s framework for assessing local modifications to the national tariff.

We have worked with many organisations to design frameworks for evaluating health services.  For example, for three years, we ran the Department of Health’s “modelling unit”.  Our work for DH included designing frameworks and models to evaluate ways of treating diabetes, more quickly diagnosing cancer, preventing smoking, treating chronic obstructive pulmonary disease (COPD) and providing home oxygen services. We have also provided evidence for senior policy makers on issues of public interest such as the cost of clinical mistakes or benefits of redesign of A&E departments. We have assessed the use of high cost area supplements in how health staff are paid for NHS Staff Council.

70% of NHS budget accounted for by long term health conditions.

Source: NHS Five Year Forward View, October 2014

Our work on mental health and wellbeing has helped public sector organisations and businesses alike understand the potential impacts on individuals, the healthcare system and business productivity of common mental health conditions. We have delivered assessments of the workplace triggers for mental health problems; the costs to businesses of mental-health-related sickness, absence and presenteeism; and the impacts on the mental health of individuals of life-changing events such as when homes are destroyed due to flooding. We have also investigated the benefits of appropriately managing mental health conditions where patients present at acute hospitals.

We have contributed to the research into some of the most important issues linked to healthcare. For instance, we researched the potential for economies of scale and scope for Monitor and the potential for savings in the pathology market for the Lord Carter review of pathology services. We are currently taking part in the Efficiency Research Programme of the Health Foundation.

Finally, we have also worked with third-sector organisations.  For example, working with Whizz-Kidz to evaluate their pioneering model to obtain better wheelchairs more quickly for children in need.  We also carried out a Social Return on Investment (SROI) assessment for the UK’s largest charity – the Royal Voluntary Service – evaluating the effectiveness of their hospital and community-based services for older people.


Read more on our public policy work.