Posts by rlloyd@key-stream.com
The Traitors Within: Tackling Hidden Inefficiencies in NHS Waiting List Management
As The Traitors returns to our screens tonight (highly recommend if you haven’t seen it), it’s a good reminder that not every challenge is visible at first glance – especially in healthcare. Just like in the show, NHS teams are working together towards a shared goal, but sometimes unseen forces quietly work against progress. In…
Read MoreFrom 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…
Read MoreNHS 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…
Read MoreAI, 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…
Read MoreHow Higher Education’s Challenges Are Reshaping Tech and Digital Teams
The UK higher education sector is at a crossroads. Once known for stability and long-term thinking, universities are now navigating uncertainty on every front, from squeezed budgets and changing student demographics to rising expectations for digital-first services. As someone who has spent the past six years recruiting into this space, I have seen how these…
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