Old and New

Our Services

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The type of strategy work we do includes:-

  • Co-production of organisational strategies

  • Development of supporting strategic plans

  • Creation of Board Assurance Frameworks


We have worked with a large mental health provider to develop a Board Assurance Framework in response to their new Strategy. The BAF is now in operation and has gone through three cycles of quarterly assurance and reporting through Committees to the Board.


We devised and led a Board Development Session with a multi-site acute services provider in response to its new Strategy. We facilitated a shared understanding of the role of the Board in delivery of the Strategy, and the importance of clarity of risk appetite. We are now working with the Trust to develop a new Board Assurance Framework, which will go live in April 2022.



The type of governance work we do includes:-

  • Reviews of risk management processes

  • Co-ordination of investigations into failings of corporate governance

  • Revision of corporate documents, e.g., Constitution, Policies, SFI’s

  • Executive team development and Board development

  • Operational governance support 

  • Board governance support 

We undertook a comprehensive review of risk management processes in a major London teaching hospitals trust, generating a report and recommendations for their Risk Governance Committee.


We have supported a large mental health trust to deliver changes to its corporate governance arrangements in response to an external review. We were their governance partner as they improved their report writing and cover sheets, ensured greater cross-fertilisation between Committees, developed a board development programme, refreshed Committee terms of reference, and updated Standing Orders and Standing Financial Instructions. The trust is now prepared for its next Well-Led inspection.


We provided interim Company Secretary cover for a foundation trust, collating and quality assuring Committee and Board papers, minuting those meetings, and providing Committee Assurance Reports on behalf of the Committee Chairs.


Co-ordinated a series of investigations in a foundation trust, liaising with NHSEI and the Company Secretariat. We then worked with the trust to revise its Constitution and Codes of Conduct in response to lessons learned and gaps identified.

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The type of systems work we do includes:-

  • Provider Collaborative governance arrangements

  • Partnership Agreements

  • Cross-sector and multi-sector strategic planning


We led the development of governance arrangements for the West Midlands adult secure care and learning disabilities and autism secure care provider collaborative. We developed their governance architecture, produced terms of reference for the various governance forums, developed risk registers, created a new Board sub-committee, revised terms of reference for existing Committees, and offered independent assurance to the Board of Directors that the provider collaborative was ready to go live in October 2021. The governance arrangements have been praised by NHSEI as one of the top in the country.


We have also supported the Birmingham and Solihull mental health provider collaborative and the community mental health transformation programme to develop partnership arrangements, a shared governance architecture, and a full suite of governance documents.



The type of projects we do includes:-

  • Large system or functional reviews, e.g. Estates

  • Well-led developmental reviews 

  • CQC Well-led preparatory support


We have led a comprehensive review of the estate of major mental health and community services provider. We are considering their compliance, capture of property information, the suitability of their estates team, their strategic estates options to support the trust’s clinical services and partnership aspirations and, as an overarching piece, we are reviewing their stewardship of that estate in terms of reporting, risk identification and management, safety management, and capital expenditure.


We advised a major construction company on tenders for two major capital schemes in the East Midlands and the Black Country. We helped them to understand the issues behind the ITN questions, and we co-produced answers to some of the questions. We joined the construction teams for their interviews to demonstrate the broader benefits that they offered.


We co-ordinated the merger of a children’s hospice with a larger adult hospice.  We worked with the Board of Trustees to manage the financial, human resources, and membership activities related to the legal transfer.  We then led the process to discharge remaining liabilities and to strike off the company.

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