Publications




 

 Breaking the Cycle: Why the NHS Winter Crisis Is a Choice, Not a Certainty



 Every winter, without fail, headlines scream of the NHS in collapse — overcrowded A&E departments, cancelled elective procedures, ambulances queueing for hours, exhausted clinicians on the verge of tears. But what if this chaos wasn't inevitable? What if it was the result of decisions — or more accurately, the lack of effective ones?



 Solving the NHS Waiting List Crisis 

Why Planning, Not Funding, is the Missing Link


Waiting lists are not inevitable. They are a choice — or more precisely, the outcome of choices made in how we plan, manage, and allocate our healthcare resources. At Health System Intelligence (HSi), we believe the NHS is capable of delivering world-class care without delays, without inefficiency, and without a perpetual sense of crisis.


This report brings together data analytics from over 300 million real-time datapoints analysed through our own AI platform, HSi Insight . It offers an unflinching look at how we can move from reactive firefighting to proactive system optimisation. In the short term, we have modelled exactly how much resource would be required to reduce outpatient and inpatient backlogs to within compliance. 



 Optimising Demand and Capacity in the NHS (England)

A Roadmap to Sustainable Healthcare


The NHS in England is at a crossroads. For years, it has struggled with increasing patient demand, inefficiencies in workforce allocation, infrastructure bottlenecks, and growing financial pressures. Every year, we hear about how the NHS is in 'crisis mode,' yet little fundamentally changes. The system continues to operate based on outdated methodologies, using historical data to plan the future instead of embracing the power of predictive analytics to model real healthcare demand.



Calculating Population Health Demand and Capacity in the Republic of Ireland using Insight™ AI Advanced Business Intelligence 


The Republic of Ireland Government funds the Health Service Executive (HSE) with €22.5B per annum.  This funding theoretically covers every Irish citizen for public health provision: population total is assumed at 5,149m.  The government-funded healthcare capitation rate is therefore c.€4,855 or $5,297.  Compared to other healthcare system rates, this is high (Dubai: $1,270, Bahrain $1,800, UK c. $3,841 – all of whom have plans to reduce costs and improve efficiency). To understand the reasons behind the levels of government spending, the HSi population modelling, and associated Insight™ AI systems assessed the actual population health demand capacity requirement (including integrated finance, workforce, assets), and compare to the current factors in the Irish healthcare eco-system.

Intelligence Can Save the NHS


The obligation to transform the NHS is indisputable. 


The Service is broken and is progressively becoming less functional.  The same strategic mistakes are being made with catastrophic consequences for patient care and outcomes.  The UK population deserves better healthcare and demands better value for money.  Reform is achievable but only if we are intelligent and bold.  An innovative system for accelerating transformation of healthcare services is now at our disposal.  The methodology is disruptive, insightful and transparent.  It is predictive, truly integrated and based on advanced healthcare data analytics.


The latest report by Lord Darzi is compelling.  Now the most important matter is the formulation and delivery of a coherent plan to deliver holistic change that improves patient outcomes, whilst reducing the growing cost burden.  To achieve this, we must stop taking short term, siloed decisions based on flawed data, incomplete understanding, unchallenged orthodoxies and vested interests.  Instead, we must embrace the unprecedented appetite for change and reform.


The Tail Wagging the Dog


HSi has conducted a forensic study on private healthcare costs across four countries and compiled a full report. Findings show ‘the tail wags the dog’ in reference to the fact that hospital providers dictate high pricing levels and payers – such as insurers – are often blind to true costs.


The results prove the US is by far the most expensive country for healthcare treatments and is 2-3 times more expensive than the United Kingdom (UK), Republic of Ireland (ROI) or Kingdom of Saudi Arabia (KSA).




GCC Universal Health Insurance


Health System Intelligence Limited (HSi) has conducted intensive and detailed research over the past 7 years analyzing GCC health systems, and the potential to deliver fast-tracked universal health insurance.


Utilizing the specialist business intelligence system and artificial intelligence platform Insight™ - HSi has conducted significant predictive planning which has shown the need to relieve current and growing pressures on fiscal budgets due to increased ageing populations with associated rising burdens of disease.