Governance & Transformation
Alongside our Human Factors training and education, we offer a suite of governance and transformation services to help NHS organisations implement new tools, technology and ways of working. Whether change is driven by inspection findings, audit recommendations, incident learning or an ambition to innovate, we support you to design, deliver and evaluate improvements that strengthen quality, safety and performance.
Why choose us: We combine governance expertise with a human factors-informed approach to help you deliver change safely and at pace. We provide independent, evidence-based assurance; work alongside clinical, operational and corporate teams; and focus on practical implementation and measurable outcomes (including benefits realisation and evaluation).
We are experienced in delivering both small and large, complex transformation projects in NHS and non-NHS healthcare organisations, achieving improved outcomes and efficieny.
Services
Digital and Technology assessment & implementation plans
Whether you are procuring a new digital system, optimising an existing tool, or redesigning pathways and processes, we help you create a robust, user-centred case for change grounded in quality and safety. We work alongside clinical and operational teams to clarify requirements, assess risk, and plan implementation with clear governance and board-ready assurance. Post go-live, we support benefits realisation and evaluation so you can evidence impact, learn what works and sustain improvement. Contact us to discuss your requirements.
psirf implementation & evaluation
We support you to analyse your patient safety insight, design a proportionate PSIRF approach, implement your plan and evaluate its effectiveness. We bring a human factors-informed lens to strengthen investigation quality and ensure learning translates into improvement, with practical support on governance, oversight and decision-making. Where helpful, we provide independent feedback and assurance to help you demonstrate a credible, consistent approach to regulators and boards. Training delivered as part of this programme is available at a reduced rate—contact us to discuss your requirements.
board & committee effectiveness reviews
Whether you are preparing for a regulatory inspection or want an independent review of board or committee effectiveness, we work with you to design an assessment that is proportionate and focused on what matters. As governance professionals, we review structural, behavioural and developmental factors to strengthen oversight and evidence-informed decision-making, with clear line of sight to quality, safety, workforce and finance. You will receive practical recommendations and a prioritised action plan to support delivery. Contact us to discuss your requirements.
cqc/quality improvement Support
Where improvement opportunities have been identified (including through CQC inspection, internal audit or performance review), we help you move quickly from findings to a clear, deliverable improvement plan. We support you to establish the right governance, milestones and measures so you can maintain grip, evidence progress and sustain improvement. We also evaluate impact once changes are embedded, helping you demonstrate outcomes and understand variation. Contact us to discuss your requirements.
Independent Investigations
We provide timely, impartial investigations across a range of matters, including patient safety incidents (e.g., PSII), information governance, cyber security and workforce/HR. Our approach is fair, confidential and evidence-based, with clear terms of reference, robust documentation and defensible reporting—particularly important in complex or disciplinary contexts. We produce actionable recommendations that support learning and improvement. Contact us to discuss your requirements.
coaching & Mentoring
As accredited coaches and mentors, we tailor support to individual and team needs—helping senior leaders build capability, navigate complexity and deliver strategic priorities. We bring deep NHS governance and quality-and-safety context, supporting reflective practice, confident decision-making and sustainable leadership behaviours that translate into practical impact. Contact us to discuss your requirements.