We work with NHS Trusts and healthcare clients to create and implement strategic plans that optimise their estate, delivering long-term value and operational efficiency. Our consultants develop strategic, data driven plans that improve efficiency and enable new ways of delivering services, whether through shared assets, alternative delivery models or the impact of emerging technology.

Our services include:

• Collaborative asset management
• Redevelopment and planning
• Property optimisation
• Joint ventures
• Strategic property reviews
• Lease acquisition or exits
• Freehold acquisition or disposal
• Property valuation and negotiations
• Development appraisals
• Portfolio management
• Relocations management

We prepare clear, robust Business Cases that secure capital investment and stand up to scrutiny. Working closely with you and your advisers, we build well‑evidenced cases from early strategy through options appraisal and the preferred solution. Our teams keep each scheme viable throughout development and provide all required documentation for approval across NHS and government bodies, supported by the full range of technical inputs, from drawings and specifications to BREEAM, LEED and other sustainability assessments.

Our experts can provide Green Book Business Case development support in alignment with the Five Case Model, including:

• Strategic Outline Case (SOC)
• Outline Business Case (OBC)
• Full Business Case (FBC)

We lead digital transformation across the NHS, shaping digital strategies for new hospitals and healthcare facilities. Our team blends strategic, technical and clinical expertise to design digital approaches that strengthen workflows and elevate patient experience. By staying close to emerging technologies and national guidance, we ensure digital workstreams are well‑led from the outset and which strive for achieving ambitious and strategically aligned clinical and operational outcomes.

We help you rethink how care is delivered and design the facilities that make new models work in practice. We collaborate with clinicians, operational teams, patients and design partners to create briefs and clinical designs that are safe, efficient and future‑ready. By challenging assumptions and bringing fresh thinking, we shape solutions that deliver strong clinical value.

Our services include:

• Clinical service and target operating model development
• Healthcare demand and capacity planning
• Healthcare workforce planning
• Preparing clinical and functional briefing and schedules of accommodation
• Developing operational policies and support with design interpretation and development

Our major projects and change management advisory supports health and life sciences leaders make confident decisions on their most complex programmes. Acting as trusted advisors to Boards and senior executives, we provide strategic insight, independent challenge and assurance across major projects, programmes and transformation initiatives.

We support NHS organisations to translate net zero alignment ambitions into practical, deliverable programmes that improve estates, services and outcomes for patients and staff. Working across strategy, planning and implementation, we combine advisory insight with technical expertise to help reduce emissions, strengthen climate resilience, unlock funding opportunities and deliver measurable progress in line with NHS policy, targets and local priorities.

Our services include:

• Net Zero Alignment Strategy and NHS Green Plans
• Carbon management and reporting
• Climate adaptation and resilience
• Heat decarbonisation and energy transition
• Travel and behavioural change
• Governance, programme delivery and funding

Moving into a new healthcare building is a major transition, and we guide you through every stage to make it safe, efficient and seamless. We plan how services will operate, prepare the facility and coordinate the relocation of patients, staff and equipment with minimal disruption. Our teams understand the sequencing behind hospital commissioning, what needs to happen, when and how long each step should take, to protect continuity of care and manage cost and risk.

Public sector sponsors are required to review and learn from completed projects, and in many cases this evaluation underpins future Business Case approvals. Our Post‑Project Evaluations help clients understand what worked, what didn’t and where greater value can be realised from their investment. We look closely at the processes used, identify lessons in a constructive, outcome-focused environment and assess how well the project has delivered against its objectives through detailed benefits analysis.

We can help you efficiently manage projects from inception to completion, providing tailored project, programme and commercial management solutions to help you overcome complex challenges while maximising value, maintaining cost certainty and proactively managing risk. From strategic planning to implementation and from feasibility to operational readiness, we bring global, cross-sector knowledge, capability and experience, underpinned by rigorous commercial oversight, to deliver lasting impact.

We help leaders turn policy ambition into action – combining rapid service improvement with longer‑term transformation across acute, community, primary, mental health and specialist pathways. Through disciplined governance, benefits‑led delivery and deep stakeholder engagement, we enable health systems to improve access and productivity, reduce unwarranted variation, and embed sustainable change at scale.