What do we do?  Here is a sample of our current and recent projects.

Would you like to talk?  Contact us


DeepMind Health Patient and Public Involvement

We’re working with DeepMind Health and Crowe Associates to help make Health technology at DeepMind to be the best it can be.

To do that, we need to work with the people who will interact with, use, and improve ideas and projects.

Currently we’re focusing our involvement and engagement work with people who have experience of living with long term conditions, living with ill health, or caring for others.

Our workshops in July 2017 provide a space to share ideas, challenge, to propose and develop projects… The possibilities for improvement are exciting and varied.


An Ecology of Health

We are working with the International Bateson Institute on a groundbreaking research project that reconsiders our conceptions of Health.  The project looks at what we mean by health and how it is shaped, for good or ill, by our contexts and the way we learn.

The project looks across contexts to seek out warm data – that is, to understand data as part of, as opposed to separate and distinct from, context.

In June we hosted a project conference at the remarkable Bromley by Bow Centre.  We were excited at the number and range of distinguished people participating.  And by the brilliant, insightful and quite unrepeatable conversations. People joined us from a wide range of disciplines and backgrounds, and from all round the world.  We gathered together scholars, practitioners, patients, and professionals: a significant step in a global action research dialogue to understand Health across contexts.  The dialogue is about transcending boundaries, national or otherwise. When taken at it’s broadest level, Health is a topic that unites us all.



Sickle Cell Society

The Sickle Cell Society is the UK’s charity that raises awareness of Sickle Cell Disease and improves the lives of people living with Sickle Cell and their families by providing support in the community where it is often most needed. We work on an ongoing basis with the Sickle Cell Society to evaluate and improve the effectiveness of community services, shape new services, and work with funding organisations to mediate the requirements for performance data with the need to make a meaningful difference at a personal level.


NHS England

We worked with NHS England and leading regional sites to develop an effective approach to creating and prioritising requirements for system interoperability.  This has been a significant challenge for some time, and we succeeded in overcoming a number of significant barriers.  In each case, we prioritised issues based on patient impact, worked closely with leading clinicians to understand the flaws in current processes and how they could be, then worked closely with enterprise architects and business analysts to translate this into information requirements.  As part of this process we developed a reusable toolkit that would enable sites to continue the work for themselves.  The project was highly interactive, based around small and large scale collaborative design workshops, interviews and the creation of a community of practice to continue the work remotely.



NHS Commissioning

We developed the design for integrated services to support early identification and supported self management of patients with lifestyle related Long Term Conditions including Type 2 Diabetes. Working with Commissioning Groups and innovative providers, we developed a whole system commissioning approach from stratification of risk, advanced analysis of adherence to quality standards, targeted support for self-management using digital tools and community based lifestyle interventions.

National Grid

We worked with the Gas Transmissions Organisation (GTO) to build a shared understanding of the future priority capabilities, and develop the design of the future organisation through feedback from stakeholders. We explored what was required, what the future business would need to do, the importance of data, and provided a forum for challenging and further development.


Philips Healthcare

Philips Personal Health Solutions provides hardware, software and services to facilitate wellness and healthy lifestyles, using monitoring, feedback and coaching to help prevent cardiovascular disease and diabetes. As with other preventive consumer digital health solutions, there are challenges in driving uptake, as the end users (purchase decision makers) and the economic beneficiaries (those avoiding costs of disease) are not the same. Preventive health businesses face similar challenges to public health professionals in driving and incentivising behaviour change. We worked with Philips Healthcare and Junicon to determine how population level health interventions could deliver benefit in the UK.


States of Guernsey

We worked with the States of Guernsey Contributions and Tax Services (CATS) and RedQuadrant to design the future (CATS) operating model. We:

  • Quickly undertook scenario planning to ‘future proof’ the Operating Model by understanding the world we might be living in
  • Generated different perspectives on requirements from different service worlds / stakeholder groups
  • Identified operating model design principles
  • Developed an emerging baseline picture and plan for further analysis
  • Evaluated and develop design options
  • Developed high level roadmap (plan) towards the delivery of the operating model


North Central London – creating world leading collaborative care for paediatric diabetes

Outcomes for paediatric patients with diabetes vary significantly, and North Central London committed to addressing this. To that end we set out to design the Best Diabetes Service For NCL’s Young People. We held focus group research with patients (ranging from 6 to 19 years old) and parents, along with clinicians who engaged in knowledge gathering and assignment-led collaboration. The objective was to design the future service model for NCL’s young people. We developed:

  • A globally leading service model design for a centre-based service that improves the outcomes for all
  • The business case for the new service
  • A plan for community support that will have the biggest impact on patient behaviours


The City of Sunderland – designing the innovation factory

We worked with the Sunderland health system, local authority, university, and local businesses to design a local innovation capability, identifying the right environment, resources, technology, and services that would power it, and the projects that it should focus on.


Suffolk County – better outcomes for Children, Young People, and their Families

Like many Councils, Suffolk faced increasing demands in both the quality and quantity of service expected from public services. As the quantum of demand increases, more and more time is spent on processing work and less spent on delivering services. Feedback from service users highlights that multi-agency responses can often be disparate, confusing and unhelpful. Add to this a budget challenge of 30%, Suffolk needed to make every penny count. If services made those savings separately we will decrease the quality and quantity of what we offer children and families and make failure in systems more likely. But by working together the services could make a difference, providing better services and delivering real savings.

We brought leaders from across public services together to determine how we to sustainably improve outcomes for Children, Young People and their Families. The work included:

  • Setting the partnership aspiration for Children, Young People and their Families, based on customer journeys and input
  • Challenging services think and work differently together for better outcomes Determining a joint commitment to the fundamental changes needed
  • Agreeing a plan for how things would be done differently
  • Iterating, testing, learning and developing the plan
  • Coaching leaders and future leaders to deliver the change for themselves


Would you like to talk?  Contact us