Transform your big ideas into achievable, actionable plans
We are a consultancy built with the public sector in mind. We are dedicated to understanding your world, simplifying complex challenges, and working alongside you to achieve long-term success.
What We Do
At Keystream Consulting, we specialise in providing strategic guidance, operational problem-solving, and technical expertise to address the unique challenges faced by the NHS, local government, and the wider public sector.
Our goal is to empower your workforce through the sustainable implementation of digital solutions that streamline operations, improve service delivery, and drive long-term transformation.
Our Expertise
Tailored Solutions for Public Sector Success
At Keystream, we combine deep industry knowledge with a tailored approach to help the public sector navigate complex challenges. We work closely with you to deliver solutions that are not only strategic but also practical, ensuring sustainable success and measurable impact.
Strategic Planning
We work with you to develop and implement strategic plans that align with your long-term goals and community needs. Our services include:
- Discovery and problem scoping
- Options appraisals
- Business case development
- Benefits realisation frameworks
Operational Excellence
We enhance public sector efficiency through strategic planning, process improvements, and resource optimisation. Our offerings cover:
- Change management
- Implementation and delivery planning
- Process, pathway & system optimisation
- Service and program design
Healthcare Transformation
We support the NHS in transforming services to improve patient outcomes, from integrating new healthcare technologies to optimising clinical pathways. Our focus areas include:
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Integration of new healthcare technologies
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Clinical pathway optimisation
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Patient outcome improvement strategies
Data & Technology
We ensure your data is clean, accurate, and ready for the introduction of new Electronic Patient Records (EPR) and other digital systems. Our services cover:
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Data cleaning and management
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Electronic Patient Record (EPR) preparation
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Digital system implementation
Capacity Building
We empower your team with the skills and knowledge to sustain improvements and drive future initiatives. Our approach includes:
- Training programs
- Skill development workshops
- Knowledge transfer initiatives
How We Work
In today’s fast-paced environment, rapid transformations can sometimes overshadow the essentials. While innovation is crucial, laying solid foundations ensures enduring success
Our work is grounded in 8 core principles that provide a clear framework for achieving real-world results. These principles guide us from vision to execution:
| 1. Vision | 5. Opportunities & Innovation |
| 2. Goals | 6. Capability & Capacity |
| 3. Delivery Plans | 7. Collaborative Design |
| 4. Storytelling & Engagement | 8. Measuring Impact |
Our Values
A collaborative approach to help each other succeed
At Keystream, we don't just provide services – we become an integral part of your team. We understand the demands on your time and resources, so we've developed an approach that seamlessly integrates with your existing processes while minimising disruption.
Meet our team
Testimonials
Keystream Consulting have engaged with CHS Trust to complete a detailed analysis of Maternity workflows in preparation for an upgrade in the toolset, as well as some domain testing in preparation. They have been extremely professional, very competent and have delivered to our budget envelope. The results achieved have been targeted and helpful in progressing our needs and I very much would enjoy working with them again in the future.
Digital Services Programme Manager, Croydon Health Services NHS Trust.
John McGuiness
The support received from my consultant was consistent, professional and supportive. I have never in all my years of contracting had the consistent support that I received from Beth at Keystream. Regular follows up were done to see how I was progressing. If I had any issues, I found the consultant approachable and empathetic. There was a true and genuine want for me to succeed in my role from the consultant. Fantastic advice and guidance on working in government and the public sector
Project Manager
Lizette
“Despite advertising the post “Data Engineering Coach” four times, we were unable to successfully recruit for the position. But, with the support from Keystream Analytics we were able to take a novel approach to our unique requirements to obtain a tailored solution. The sessions offered before agreeing to their services were a great opportunity to understand their approach and the value they bring, and we couldn’t be happier with the results.”
Deputy Head of Information Services, The Mid Yorkshire Hospitals NHS Trust
Jonathan Gee
CDS COO & Clinical Director were very impressed and thanked all involved for the hard work, so thank you to everyone involved from Keystream. They appreciated the team’s expertise in data management, their understanding of the healthcare sector, and their commitment to achieving tangible results.
Community Dental Service NHS
J Williams & M Woods
We were very impressed with the attention to detail and rapid turnaround of a viable solution by the digital team
Consultant Occupational Health Physician, London North West University Healthcare NHS Trust
Dr Shriti Pattani
“Keystream Analytics helped with numerous challenging NHS data projects. I was impressed by Keystream Analytics technical knowledge and patience with the projects and delighted with the results. Because of the success of the projects, DBTH NHS Trust is now able to report on wide ranging, complex data sets with the ability to drill down from Trust to divisional and specialty level via the dashboards. In the long term, this will help the Trust to identify gaps in our delivery capabilities. Thank you so much for all your work on this – Keystream Analytics have worked incredibly hard to get to where we are now and the light at the end of the Integrated Quality Performance Report (IQPR) tunnel is definitely in sight!”
Head of Performance, Doncaster & Bassetlaw Teaching Hospitals NHS Foundation Trust
Julie Thornton MSc
All the staff I dealt with at Keystream were excellent, very helpful and supporting of my application and interview process with Horder Healthcare. Keeping me up to date with progress and advising of any questions that arose. Being the first time I have applied for a job in IT in the healthcare industry it was a little daunting, but I felt very prepared for the whole process.
IT Operations Lead
George Marks
Keystream are not only great to work with, but also know the industry really well. They knew I would be a good fit for the role based on my CV and I love it! the role and am really glad to have been placed where I am. They also have placed several other candidates within the community trust and they are all fantastic. I would turn to Keystream for another role, but I would also call them if I needed people. They care about the candidates, and also the organisations they place into. There is genuinely no problem too big and they always come back with answers to questions really quickly. I would recommend them time and time again.
Performance Manager
Christopher Pine
Case Studies
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…
Central Surrey Health – Patient Care across Surrey
Consolidation of systems and alignment of patient care with GP Practices across the Surrey Heartlands. Following a review of patient care strategy in Surrey, Central Health Surrey (CSH) decided to transition to a new electronic patient record system –EMIS, a primary care system used by most GP Practitioners within the Surrey Heartlands.
Surrey and Borders Partnership NHS Trust
A complete network transformation delivering central management, increased efficiencies, and improved security. After facing ongoing issues with their data and network configuration, SABP decided to engage Keystream Consulting to help rid of the disparate Domain Name System (DNS), deliver a refined network management system with increased monitoring and performance capabilities as well as security.
