Working in failing environments where working standards have fallen to an unacceptable, or even dangerous level.  Identifying  and implementing remedial actions for immediate and medium term improvement.

Coaching and incentivising delivery of new services or working practices (increasing user satisfaction, increasing delivery rates, increasing levels of participation, and / or driving profitability)

Cost base restructuring (staff profiling & work load profiling, purchasing discipline)

Process Mapping and Analysis services

Operational experience in rolling out 'world class' initiatives from pilot sites to whole business adoption.

Work with the NHS and private sector to introduce disciplines aimed at reducing harm, and sharing best practice.