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Blogs
February 2025

Experimenting with policy and with policy evaluation

Being given early exposure to new policy ideas and their implementation is one of the most interesting things about conducting research for PRU HSSC, but thinking about the policy making process and its evaluation is not without its challenges.

Reports
December 2024

Effective commissioning for integrated service delivery at Place: what functions and structures does the literature suggest are required?

Our ‘Place’ project has been exploring what we know from the literature about effectively commissioning local integrated services. Our interim report highlights the things which research suggests need to be in place to support integrated service delivery.

Blogs
November 2024

Understanding the health policy landscape: our history, and what we've learnt

Policy making is hard. Those responsible must account for a wide range of interests and ideas, as well as understanding the political issues relevant to the area. Evidence, therefore, can only ever be one aspect of what goes into the policy making ‘pot’. This can be hard for researchers to get to grips with – especially those of us who come from a medical or science background, where evidence is seen as the foundation on which decisions are made.

Blogs
November 2024

Still early days? The development of Integrated Care Systems

Since 2015, health care policy in England has shifted away from a focus on competition, as a way to drive performance towards more collaborative and integrated ways of working. Integrated Care Systems are at the forefront of this shift, intended to ensure better collaboration between NHS organisations and other NHS partners such as Local Authorities, and the voluntary sector.

Reports
November 2024

The Architecture of System Management (2022-2023)

Since 2015, health care policy in England has shifted away from a focus on competition, as a way to drive performance towards more collaborative and integrated ways of working. Integrated Care Systems are at the forefront of this shift, intended to ensure better collaboration between NHS organisations and other NHS partners such as Local Authorities, and the voluntary sector. This research investigates how governance, accountability and decision-making arrangements are developing to support the achievement of system goals.

Blogs
October 2024

What can we learn from the past? New policies, old lessons

Before the election, the Labour Party in the UK promoted neighbourhood health centres, based on a system being introduced in Australia. These centres offer walk-in services seven days a week for urgent but not major emergencies. Stephen looks back at health policy over the decades, to see what we can learn from the past. 

Blogs
September 2024

The National GP Worklife Survey returns

The GP Worklife Survey is back today for its 12th edition. If you are a GP, please check your inbox over the coming weeks in case you are one of the GPs selected at random to take part, and ask your colleagues to do the same.

Reports
November 2023

Financially Incentivising Quality Improvement Activity in Primary Care – Literature Review

From Dr Donna Bramwell, Professor Kath Checkland, Professor Lindsay Forbes, Dr Sarah Partridge, Professor Stephen Peckham, and Dr Sharon Spooner. We reviewed the international published literature on processes and outcomes of financial incentivisation of QI activity in primary care.

Reports
August 2023

User research into referrals to expert work and health services: Final Report of Phase 2 research

This report summarises the Phase 2 findings of a short, qualitative study commissioned by the DHSC and delivered through PruComm on behalf of the DWP and DHSC Joint Work and Health Directorate to explore: What are the user needs of GPs from publicly available work and health services for workers (employees and the self-employed)?

Journal publications
February 2023

Developing architecture of system management in the English NHS: evidence from a qualitative study of three Integrated Care Systems

Sanderson M, Allen P, Osipovic D, et al. (2023) BMJ Open 2023;13:e065993.

Reports
January 2023

Community Nursing Services in England

This book provides a historical account of the ways in which community nursing services have been shaped by policy changes; offers an important
assessment of how community nursing has evolved under successive governments; and considers how lessons learnt from the past can inform the organisation of current community nursing services.

Journal publications
December 2022

Effects of chain ownership and private equity financing on quality in the English care home sector: retrospective observational study

Sharvari Patwardhan, Matthew Sutton, Marcello Morciano. Age and Ageing, Volume 51, Issue 12, December 2022, afac222.

Reports
October 2022

PRUComm Research Review 2021/22

This review covers the work of the Policy Research Unit in Health and Social Care Systems and Commissioning during 2021 and 2022 – the research outlined here builds on our work from the past three years.

Journal publications
September 2022

Evaluation of the introduction of QOF quality improvement modules in English general practice: early findings from a rapid, qualitative exploration of implementation

Bramwell D, Hotham S, Peckham S, et al (2022). BMJ Open Quality 2022;11:e001960.

Reports
July 2022

The Developing Architecture of System Management: Integrated Care Systems and Sustainability and Transformation Partnerships

This final report sets out findings of our study of the development of Integrated Care Systems.