Posts by rlloyd@key-stream.com
Tuition Fees, Talent, and Quality: The Real Challenge for UK Universities
The government’s recent announcement allowing universities in England to raise tuition fees in line with inflation has made headlines across the sector. While this move may provide welcome financial relief, the bigger challenge for universities isn’t tuition – it’s people. Universities simply cannot meet quality standards without the right teams in place. IT, digital, and…
Read MoreBeyond 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…
Read MoreThe 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…
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