Sustainable Change for Better Care

From operational strain to strategic clarity — we help healthcare providers deliver lasting change.

What we do

Our company provides management solutions for health care providers through consultancy and interim management by our two Directors. We provide project-based management interventions using proven methods of scientific systems management, such as Lean, combined with practical experience of operational management on the shop floor. By combining modern management methodology with knowledge of policy objectives and practical operational experience we have been highly successful in implementing sustainable change in a variety of projects.

Our methodology

Modern management methods such as Lean offer tremendous potential to improve services in the healthcare environment. However, their disadvantage is that they require considerable scientific skill in areas such as needs assessment, planning, statistical modelling, pilot studies and process mapping to be successful. Our experience is that managers do not have the time to undertake such projects with rigour resulting in the failure of the project.

Our combination of formal training in management science, statistics and management combined with over 30 years of practical experience of healthcare puts us in an excellent position to avoid these failures. We ensure success through the most rigorous (yet simple and flexible) project management approach based on sound theory. We have a special knowledge of problem structuring methods used to scope problems and to develop strategic plans in the more rigorous way. Many times project fail because the nature of the problem has not been properly understood. Using such methods it is possible to restructure such projects and achieve better results.

Overall we believe our combination of sound methodology and practical experience allows us to develop solutions to problems in an effective and efficient way that we believe can contribute to the improvement of healthcare organisations.

Our experience

Our directors are experienced operational, project, service improvement and strategic managers. We hold masters level qualifications in management, management science and statistics. In addition, one has experience in informatics as a senior analyst and holds a PhD. We have wide experience at a senior level in Acute and Mental Health Hospitals, Commissioning (deciding where services should be delivered) and at the Care Quality Commission (regulations and compliance)

We are experts in change and service redesign, with experience of leading on projects at approximately 25 hospitals. We have special expertise in systems methods of management, including Lean, and the use of statistical analysis and IT systems to provide quantitative information to provide a sound foundation to guide change. We also have considerable experience of the use of qualitative soft systems problem structuring approaches as a way to change entrenched opinions and develop a culture of change. We have wide experience of the reengineering of pathways and queuing systems to meet efficiency and effectiveness targets. We have extensive knowledge of finance and budgetary management, with experience of developing and implementing successful sustainable cost savings and the development of new markets. We regularly undertake and implement successful strategic reviews in order to develop service and markets, and to meet financial and other targets.

Our achievements

We worked closely with all staff group including (medical and non medical) to ensure sustainability. Some of our major achievements were:
  • We led a project that achieved the first outstanding rating by the Care Quality Commission (CQC) for all five domains at any healthcare provider.
  • Better Care Lower Cost financial targets.
  • Outsourcing and insourcing of services.
  • Centralisation of services.
  • Demand and capacity modelling.
  • Getting It Right First Time (GRIFT) standards.
  • Commissioning for Quality and Innovation (CQUIN) standards.
  • Revised procurement and stock management systems to reduce overstocking and implement savings to meet financial targets. This included a new IT stock management system.
  • Restructured workforce to implement more clinically effective structure.
  • Undertook strategic review and implemented recommendations to successfully attract new activity and improve efficiency and financial position of the department.
  • Undertook strategic and financial review of budgets and implemented revisions to improve value for money.
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