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Governance & Operating Model Development

11th November 2024

How we can support you with governance & operating model development

Delivering services collaboratively is a key strategic priority for improving the efficiency, sustainability and quality of care. Collaborative arrangements vary in structure, but all seek to bring together multiple organisations to work at scale in order to benefit their local populations. Collaborative arrangements include provider collaboratives, clinical and operational delivery networks and even shared services for corporate functions such as human resources or estates management. Many Integrated Care Boards are also required to scale their operations and adapt how various statutory duties are to be delivered.

We have many years of experience in working with provider collaboratives and a range of networks – including pathology networks and cancer alliances – and so we understand the key ingredients for successful collaboration. Enabling effective collaboration requires careful design, agreement and implementation of new operating models that are co-developed with stakeholders, focused on benefits realisation, and have robust governance processes in place.

Examples of the work we have delivered include:

  • Co-design of a new target operating model for Surrey Heartlands Integrated Care Board – defining how the ICB will work with partners across the system
  • Delivery of a benefits framework to articulate the benefits that will be realised through implementation of a new target operating model for Cheshire & Merseyside Pathology Network
  • Support to Cheshire & Merseyside Pathology Network to implement a new digital strategy to enable their new operating model
  • Feasibility for implementation of a shared HR services approach across two acute trusts in Greater Manchester.

30 July 2022

Co-production of a new ICB operating model for Surrey Heartlands

In anticipation of transition to a statutory Integrated Care Board, Surrey Heartlands ICS Executive commissioned a partnership of the TU and Prospect Business Consulting to support co-production of a new…

Co-production of a…

We can support you throughout the process of developing and implementing a new target operating model. From early planning including assessment of feasibility and readiness for change to agreeing the case for change, designing the TOM, securing capital and revenue, planning for implementation and delivering the required change.

We have a tried and tested approach to designing new operating models that:

  • Is rich in engagement involving the full range of stakeholders
  • Prioritises function before form
  • Focuses on how value is delivered for beneficiaries
  • Considers delivery options through the lenses of statutory responsibilities, benefits, risk, capability and dependencies, therefore optimising the likelihood of success of any change or development required.

Operating model development and implementation is also supported through our wider specialist skills including analytics, clinical redesign, finance, workforce and business cases.

Case studies

The Walton Centre NHS Foundation Trust Transformation Programme Support

We reviewed the Walton Centre’s approach to transformation and its governance between October 2022 and…

Options appraisal and implementation support to improve stakeholder engagement across local medical…

The Challenge LMC leaders in South Yorkshire recognised that effective collective working, enabled by formal…