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With more than 50 years' combined experience, ASR is home to some of the most talented consultants in the business.
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Latest insights
Northern Care Alliance – eDMS Discovery and Strategic Integration Readiness
Establishing a roadmap for eDMS consolidation and future EPR alignment. Northern Care Alliance NHS Foundation Trust commissioned Keystream to undertake a discovery phase to assess its fragmented Electronic Document Management Systems. Formed through multiple mergers, the Trust faced high costs, integration issues, and compliance risks. Keystream delivered a comprehensive review highlighting opportunities to consolidate systems,…
South Central and West CSU – Data Modelling Programme
Delivering a sustainable data analytics framework through collaborative programme design. NHS South Central and West CSU engaged Keystream to deliver a data modelling programme to enhance its analytics infrastructure. A contractor was appointed as Programme Manager to lead stakeholder engagement, build a roadmap, develop technical solutions, and implement staff training. The programme improved data access…
South West London Pathology – LIMS Implementation
Enhancing laboratory efficiency and collaboration across multiple hospital sites. South West London Pathology, including hospitals such as St George’s and Kingston, engaged Keystream to lead the deployment of a new Laboratory Information Management System (LIMS). A strategic programme director oversaw the project, assembling a specialist team and breaking the implementation into focused workstreams by pathology…
St George’s University Hospitals – Oracle Cerner RBAC Implementation
Delivering secure and compliant role-based access for over 10,500 users. St George’s University Hospitals NHS Foundation Trust partnered with Keystream to implement Oracle Cerner’s RBAC system, upgrading access controls in line with UK healthcare data standards. The project delivered 18 baseline roles and 48 variations, ensuring compliant, secure access for over 10,500 users. Keystream led…
Northern Care Alliance – Abandoned Referrals Classification
Using open-source technology to identify and categorise 1.1 million abandoned outpatient referrals. Keystream partnered with Northern Care Alliance NHS Trust to develop a repeatable, vendor-agnostic solution to address over 1 million abandoned outpatient referrals. The project delivered a classification tool that groups referrals by risk, enabling safe and efficient disposal. Built with open-source technologies, the…
St George’s University Hospital – Patient Flow and Capacity Management
Delivering operational improvements through real-time digital tracking and large-scale staff mobilisation. St George’s University Hospital partnered with Keystream to revitalise a stalled patient flow project, appointing a senior project manager to lead implementation. The aim was to roll out a new capacity management system that would serve as the core of digital operations. The result…
Croydon University Hospital – Maternity EPR Uplift and Optimisation
Enhancing maternity services through Cerner system optimisation and future-state planning. Croydon University Hospital engaged Keystream to assess and uplift its Cerner Electronic Patient Record system in the Maternity department. The work involved mapping current processes, completing a detailed gap analysis, and recommending future pathways for both Community and Maternity Services. The outcome positioned the hospital…
Barnet Hospital – Cerner Implementation in ICU
Linking ICU devices to the Cerner EPR system to improve efficiency and standardise data across the Royal Free London Group. As part of a group-wide upgrade to the Cerner Electronic Patient Record system, Barnet Hospital enlisted a Keystream consultant to lead ICU integration. The consultant worked within the Digital Devices Team to automate data flows…
Whatever you do, don’t wait, instead seize the moment!
Embracing the moment can be tricky for the public sector. With business-as-usual firefighting, multiple change projects on the go at any point in time, and major infrastructure programmes taking place all under the same organisation, navigating all of this is no small feat. So how do clients make sense of it all in a coherent…
Leadership Update at Keystream
[London, 07/04/2025] – Keystream today announces that Andrew Jukes, co-founder and Chief Operating Officer, will be stepping down from the business. Since co-founding Keystream, Andrew has played a pivotal role in shaping the company’s growth and operational strategy, helping to build a people-first culture and driving performance across both the recruitment and consulting divisions. Johnny…