Beyond the Tools – Making Digital Transformation Work for the NHS 

I’ve seen the NHS’s digital transformation from all angles….as a patient, working on the frontline and in the programme room. I’ve felt the frustration of handwritten notes, siloed systems, and digital tools that promised productivity but rarely delivered. But I’ve also seen the difference when technology truly works, when it empowers rather than overwhelms, when it simplifies rather than complicates, and when it supports…

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From Perfectly Choreographed Groceries to Well-Orchestrated Public Services: What We Learned from a Leading UK Supermarket

As part of our work exploring how operational design principles translate across sectors, we recently visited one of the UK’s leading supermarket micro-fulfilment centres (MFC). We were curious to see how one of the country’s most complex logistics operations balances automation, efficiency and human input to meet high-volume demand. On the surface, it seems far…

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NHS Group Structures: Navigating the Shift

Across the NHS, a clear pattern is emerging: the rise of the group structure. Some trusts were early adopters, but we’re now seeing more organisations coming together, whether by uniting corporate functions or pursuing a full merger. This shift is being driven by real pressures: financial constraints, workforce shortages, duplicated services, and the ongoing drive…

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AI, Communities and a Fit-for-Future Public Sector

Navigating a New Vision for Health and Local Services The government’s 10-Year Plan for the NHS lays out a bold vision of a “fit for the future” health service, with three major shifts: care closer to home, digital-first services, and a focus on prevention. It is a plan to reimagine how care is delivered by…

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