Clinical and operational expertise

Redesigning and improving front line services

We work in partnership with NHS organisations to design sustainable services that are patient-centred, are resource-efficient, and improve patient outcomes.

Our clinical and operational capability delivers service reviews, pathway redesign, and operational improvement programmes across all areas of health and care, from acute and community services to mental health and primary care.

We combine clinical insight and operational credibility to develop practical, evidence-based solutions that deliver measurable impact to ensure safe, efficient, and sustainable care.

Collaboration is at the heart of our approach. We engage directly with clinical, operational, and managerial colleagues to co-create services that are realistic, scalable, and aligned with strategic objectives. Through peer review and a commitment to continuous improvement, we ensure our work reflects best practice and drives excellence.

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Commercial and procurement delivery

Saving the NHS money through procurement, spend analysis, and contract management

Our commercial and procurement delivery capability supports NHS organisations to save money and ensure compliance with public sector procurement regulations through stand-alone projects, jointly delivered functions, and fully outsourced services. From October 2024 to October 2025, our commercial capability has saved the NHS over £55 million.

We provide end-to-end sourcing and CIP delivery support, including opportunity assessment (spend and contract analysis), workplan development, procurement delivery, and contract management. We also lead the delivery of complex procurements and large-scale commercial cost improvement programmes, many of which involve a formal procurement exercise under PA23 or PSR regulations.

We work in multi-year partnerships to provide procurement services and deliver stand-alone commercial programmes across NHS providers and ICBs. Many of our experienced team are Chartered Institute of Purchasing and Supply-qualified with wide industry experience, and have collectively delivered over 700 health and care service projects, representing a total value exceeding £3 billion.

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Healthcare analytics

Turning healthcare data into actionable insight, supporting the NHS to deliver value-based healthcare

Our analytical capability enables the NHS to shape population health strategy, redesign pathways, and deliver long-term sustainability through better service planning and improved productivity and efficiency.

Our analysts integrate deep sector expertise with advanced technical capability to convert complex data into clear, actionable intelligence and provide a seamless link between data, decisions, and planning. We offer comprehensive analytical support, from population health and activity analysis to demand and capacity, workforce, and financial modelling.

Our analytical team has over 60 years of combined experience. All of our team have worked in the NHS with a focus on clarity, accuracy, and impact.

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Programme and change management

Leading well managed change that delivers its intended benefits

We provide programme and change management capability to the NHS, ensuring that large scale digital transformation, service redesign, and CIP programmes are well planned and delivered, their intended benefits are realised, and change is managed effectively across all stakeholders to secure adoption and lasting impact.

We recognise the value that rigorous programme and change management approaches bring to delivery, and deploy these throughout the programme lifecycle. We also deliver embedded programme management functions to our clients to provide ongoing rigour, control, timeliness, and transparency, while ensuring risks are managed effectively.

We have a team of programme and change management experts with a proven track record of deploying capability within the NHS who are well-positioned to support delivery from strategic planning through to post-implementation benefit tracking. All our team is PRINCE2 qualified.

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Working with us

We have a deep, hands-on understanding of the NHS and provide practical support that delivers measurable improvements for patients, staff, systems, and spend.

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Where we focus

We support our clients to improve performance, deliver better clinical outcomes, and save money through practical, collaborative support.

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Impact

We are the UK’s largest independent delivery partner dedicated solely to the NHS. We care passionately about delivering tangible impact and value for money.

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