012–4 weeksFixed fee
Health Growth Diagnostic
A rapid, independent assessment of where your business stands and what to do first.
Is this for you?
- You know something needs to change but not exactly what
- The board wants an objective view before committing money
- You are preparing for growth, investment or a sale
What we do
- Interviews with the board, managers and key staff
- Review of performance, finance, governance and operations
- Analysis of risks, constraints and opportunities
- A prioritised plan agreed with you
What you get
- A clear baseline
- A short, prioritised action plan
- A board-ready summary paper
028–12 weeksStaged fixed fee
Strategy & Operating Model
A strategy and an operating model your board can approve and your team can run. Includes acquisitions and integration planning where growth is by acquisition.
Is this for you?
- Growth ambition is ahead of the plan to deliver it
- You are moving from founder-led to board-led
- You plan to grow by acquisition
What we do
- Agree strategic choices and priorities
- Design the target operating model across seven layers
- Build the roadmap and financial model
- Set the governance and reporting cadence
- For acquisitions: target profiles, operational due diligence, Day 1 and 100-day plans
What you get
- Strategic plan and roadmap
- Target operating model
- Financial model
- Governance calendar
- Integration plan where relevant
03Monthly retainer
Board Advisory
An experienced, independent sounding board for founders and boards.
Is this for you?
- Founders want challenge from someone who has run healthcare services
- The board is making decisions with incomplete information
- You need support between board meetings
What we do
- Regular one-to-one sessions with the founder or chair
- Board paper review and challenge
- Attendance at board meetings where useful
What you get
- Better-prepared decisions
- Independent challenge
- Clear actions and follow-through
04Monthly retainer
Fractional COO
A senior operator in the seat, running the agreed model and building your team's capability until it can run without us.
Is this for you?
- There is a leadership gap you cannot fill quickly
- An integration or rapid growth needs senior operational grip
- You need a COO's experience but not full-time cost
What we do
- Lead operations for an agreed number of days each month
- Run the management rhythm and hold teams to account
- Coach and develop your future leaders
- Plan and deliver a clear handover
What you get
- Operational leadership in place
- Measurable progress against plan
- A stronger team ready to take over
05Recurring monthly service
Central Support Office
Ongoing central back-office support for growing and multi-site groups that do not yet have a full head office.
Is this for you?
- Each site handles its own admin in its own way
- Clinicians and managers spend too long on paperwork
- You have grown faster than your central functions
What we do
- Finance and management reporting
- HR and people administration
- Compliance and governance support
- Procurement and systems
- Scaled to the number of sites and linked to the Performance Office
What you get
- Consistent central services
- More time for patients and growth
- Lower risk as you scale
06Recurring monthly service
Performance Office
A reporting and review rhythm that helps you spot problems early and act on them.
Is this for you?
- Reports arrive late and look backwards
- Sites measure things differently
- Meetings discuss numbers but agree no actions
What we do
- Agree a KPI dictionary that every site uses
- Build weekly and monthly dashboards
- Run review meetings and track actions
What you get
- A balanced scorecard covering quality and finance
- Weekly and monthly dashboards
- Actions, owners and dates that get followed up
07Fixed work packageOptional monthly support
People & Documentation Programme
Practical support for the people and paperwork side of growth.
Is this for you?
- You are recruiting for new sites or roles
- Restructuring or TUPE needs careful coordination
- Policies and protocols have not kept up with growth
What we do
- Recruitment design and onboarding
- Change coordination with your legal advisers
- Training plans
- Practical, controlled policies, protocols and evidence packs
What you get
- Safer mobilisation
- Stronger retention
- Documentation that matches how you really work
08Fixed work packageOptional monthly support
JV Design & Mobilisation
Design and launch joint ventures with clinicians and partners that are built to last.
Is this for you?
- You are partnering with a clinician entrepreneur or local provider
- You want to open sites with a partner rather than alone
- An existing JV is not working as intended
What we do
- Partner profiles and strategic purpose
- Governance, economics and reserved matters, with your legal advisers
- Mobilisation plan and shared dashboard
What you get
- A clear JV structure
- A mobilised partnership
- Shared measures of quality, access and value
