Large-scale efficiency and productivity - that actually banks the benefits
Most NHS efficiency programmes deliver less than they promise and unravel in year two. We design and lead efficiency programmes that hit their year-one targets and - crucially - sustain the benefits into year two and beyond. Because we treat efficiency as a workforce, OD and operational problem, not a spreadsheet exercise.
What we do
- Efficiency programme design - the strategy and structure of a multi-workstream efficiency programme, calibrated to the specific opportunity in the organisation.
- Workstream leadership - leading specific workstreams within a broader programme - corporate services, clinical productivity, agency spend, procurement, digital.
- Clinical productivity work - clinician-led productivity improvement in specific services or specialties.
- Corporate services efficiency - from single-organisation review through to integrated shared services.
- Workforce-led efficiency - programmes whose primary lever is workforce redesign, temporary staffing reduction, or new-role design.
- Benefits realisation - the discipline of actually banking the benefits the case for change promised.
How we work
We build workforce and OD into efficiency programmes from day one. Efficiency programmes that treat workforce as an afterthought deliver less and unravel faster. Our workforce practice is woven into every efficiency programme we lead.
We work with clinicians, not around them. Real clinical productivity is delivered with clinical leadership, not by benchmarking papers.
We are honest about the size of the opportunity. Consultants are famous for oversized promises. We would rather promise less and deliver.
What you can expect from us
- A senior programme director with real NHS efficiency experience.
- Workstream leads who have delivered similar work in real organisations.
- A benefits framework that survives internal audit and external scrutiny.
- A clear sustainability plan for year two and beyond.
Typical engagements
- A multi-year efficiency programme for a large acute trust.
- A workforce-led efficiency programme for a mental health provider.
- Corporate services efficiency and integration across a group.
- Clinical productivity work in a specific service or specialty.
Working on an efficiency programme?
Whether you are designing the programme, in the middle of delivery, or trying to bank the benefits, we can help.