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Transforming Health and Care Systems Through Strategic Leadership

Expert consultancy, advisory, and coaching for NHS, public and private sector leaders.

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Customized Growth Plans

Why Choose Us?

Navigating Complexity with Confidence

Expert Advisors

Our team brings deep expertise in public and private sector leadership, strategy, and delivery. We act as trusted partners to executive teams, providing insight, challenge, and practical solutions tailored to complex environments.

Holistic Approach

From strategic planning and transformation delivery to coaching and team facilitation, we offer joined-up support across all areas of system leadership, ensuring sustainable impact and alignment with wider priorities.

Our Services

Tailored Solutions for System Leaders and Teams

Flexible consultancy, strategic support, and leadership development for organisations navigating complexity and transformation.

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Project-Based Consultancy & Strategic
Support

Tactical delivery and expert oversight for complex initiatives, from service redesign to system transformation and strategy development.

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Strategic Advisory Retainers

On-demand, ongoing support for executive teams needing a trusted thought partner and experienced guide through change and uncertainty.

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Executive & Leadership Coaching

Confidential 1:1 coaching for senior leaders, helping build resilience, navigate transitions, and lead with clarity and confidence.

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High-Impact Workshops & Facilitation

Bespoke facilitated sessions including board-level away days, problem-solving workshops, and team alignment for high-stakes challenges.

Case Studies

Proven Impact Across Health and Care Systems

Real-world results delivered for NHS, public and private sector organisations. 

1

System Redesign for Better Patient Outcomes

Led the transformation of urgent care pathways, improving patient flow and reducing A&E wait times across a large integrated care system.

2

Strategic Advisory Through Organisational Change

Supported executive leaders during a major restructure, providing strategic insight and continuity through a period of uncertainty and transition.

3

Executive Coaching to Strengthen Leadership

Delivered 1:1 and group coaching programmes to senior leaders, improving confidence, resilience, and decision-making at board level.

4

Facilitated High-Stakes Team Workshops

Designed and ran bespoke workshops that helped multidisciplinary teams align on priorities and accelerate delivery of strategic initiatives.

5

Service Integration for Community Care

Worked with primary and community providers to align services, reduce duplication, and improve care continuity for vulnerable populations.

6

Delivering Impact at System Scale

Partnered with ICS leadership to embed population health approaches into planning and delivery, driving measurable improvements in outcomes.

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Who We've Worked With

Trusted by Health and Care Leaders

Helping leaders navigate complexity and deliver meaningful change.

FAQs

Commonly Asked Questions

We work closely with NHS, public, and third-sector leaders to navigate complexity, accelerate change, and deliver meaningful outcomes. Here are answers to common questions about our approach.

  • We partner with leaders across NHS systems, local government, the VCSE sector, and private health and care organisations. Our flexible support adapts to your sector, scale, and strategic goals.

  • Every engagement begins with understanding your priorities, pain points, and ambitions. From there, we co-design solutions aligned with your system context, timelines, and intended outcomes.

  • It starts with a no-obligation discovery call, followed by a proposal tailored to your needs. We’re collaborative from day one, mapping your challenges, identifying opportunities, and aligning expectations.

  • We help organisations unlock clarity, confidence, and cohesion, often within the first few engagements. While long-term transformation takes time, clients frequently report early shifts in leadership alignment, decision-making, and team focus.

Key Features

Trusted by System Leaders for a Reason

Discover the expertise, values, and methods that make us a trusted partner for system-wide transformation.

Solutions designed to meet the unique challenges of health and care systems, aligned with local and national priorities.

Tailored Strategies

Decades of NHS leadership experience guiding strategic change, transformation, and team development.

Trusted Leadership

Working alongside you to co-design solutions that engage stakeholders and enable meaningful, measurable progress.

Collaborative Delivery

Support that spans transformation delivery, executive coaching, and high-impact facilitation.

Integrated Services

A track record of success supporting senior leaders, ICSs, and NHS providers through complex change.

Proven Results

Let’s Talk About Your System Challenges

Whether you're navigating transformation, seeking executive coaching, or simply want a sounding board, book a free discovery call to explore how we can support your goals.

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- Chris Harrop, CEO, MIAA

Exceptional System Leadership

“Andy’s superpower is his ability to lead and influence multiple stakeholders across a complex system, like his leadership of the Cheshire & Merseyside urgent care programme."

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- Louise Ward, Operations & Quality Director, Knowledge Brief

Thought Leadership with Lasting Impact

“Andy brings warmth, intelligence and energy to every session. Our leaders leave inspired and equipped with practical tools they can apply immediately.”

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- Paul Johnson, Managing Director, 3Dk Solutions Ltd

Executive Insight in Housing & Health

“Andy’s deep understanding of organisational change and leadership is a real asset. His support has been invaluable during times of transformation.”

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- Alex Robertson, Director, AJM Robertson Consulting Ltd

Outcome-Focused Leadership

“Andy’s outcome-led approach and ability to foster shared purpose across partners drove measurable change and clarity across the frailty programme in Warrington.”

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-  Nick Jenkins, Generation Leader

Strategic Coaching & Organisational Development

“Andrew’s leadership and coaching during complex NHS transformations have helped over 30 leaders achieve significant personal and system-level goals.”

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- Julie Guildford Smith, CEO, Honeycomb Group

Non-Executive Excellence

“Andy’s contribution to governance, culture and accountability has shaped the direction of our organisation. He’s an exceptional Non-Executive Director.”

Reviews

Read our clients’ experiences.

Trusted by over 30 leaders across NHS, VCSE, and local government organisations.

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