Guiding change leaders to reform healthcare systems

Balancing health systems for improved performance and outcomes

The challenge

Today’s health systems are a function of history, not need

Today’s health systems are characterised by a ‘patchwork quilt’ of service provision that has evolved out of the needs of the post-war era. Health systems have more to do with legacy and history than the demands placed on them by today’s populations.


Change leaders require more creative responses to improve population health outcomes

Change leaders need to re-imagine the potential of their health systems. They need to develop a clear health system blueprint explaining how to improve population health outcomes. We need more creative responses to address health needs and inequities.

New care pathways enable shorter hospital stays and more integrated care centred around the citizen’s needs. These can be delivered in more convenient settings that are closer to or in people’s homes.

Technological advances in pharmaceuticals, telemedicine, telecare and system interoperability support a more effective health system.


Leaders must form ‘coalitions of change’ that carry the confidence of the populations they serve

However, even if system leaders agree on a more radical and affordable blueprint, how can they build a ‘guiding coalition for change’ that carries the confidence of citizens, patients, health professionals and politicians?

Only by coupling advanced commissioning techniques with a deep understanding of the potential for service improvement can leaders construct confident and achievable change programs.


It’s less about top-down transformation and more about clinically-led, consumer empowered change

It is less about large scale, high risk, multi-year, top-down transformation.

It is more about clinically-led, consumer empowered and carefully sequenced change management programs that progressively ‘tune’ the system towards an affordable system blueprint.

What we do

We guide system leaders to reform healthcare systems by delivering care in more appropriate settings

We guide system leaders to reform healthcare systems and develop achievable blueprints for change.

We explain how system leaders can provide care in different settings and how appropriate investment in technology will underpin multi-disciplinary integrated care pathways. 

We facilitate strategies for population health management that deliver better outcomes at lower cost.

We support systems to initiate medium-term change in parallel with ‘quick wins’ based on proven system reform techniques. This enables system leaders to engage in sustainably reform healthcare systems.

We establish the underpinning public and patient engagement, financial, workforce, digital and communications strategies.

We deploy robust program management arrangements to track progress and maintain confidence across system leaders, by developing a ‘guiding coalition for change’ supported by insights from system-wide performance dashboards.

Get in touch to discuss how we can support your journey to reform healthcare systems and pursue international commissioning excellence