Programme Initiation is where the tone of a delivery gets set. The governance you put in place, the plan you build, the roles you define, and the relationships you form in the first few weeks decide whether the rest of the programme runs smoothly or spends two years catching up.

We mobilise fast. From day one we help clients establish governance, define the delivery model, build the integrated plan, and stand up the structures and reporting lines that keep a programme moving. Whether the work is an EPR deployment, a data quality initiative, an optimisation programme, a training academy, or a wider digital transformation, the discipline of a well run initiation phase is the same.

Our blended teams combine HSS staff with embedded Trust resource, so you scale up against delivery targets without overloading the people you already have. NHS organisations are being asked to deliver transformation alongside day to day services, often with less headroom than the programme really needs. Our model is designed to add capability without adding burden, and to leave a clear, well governed foundation for everything that follows.

We deliver full journey training programmes including strategy, TNA, course design, classroom and blended delivery, super user programmes and floorwalker support. Our HSS TNA Toolkit validates ESR data and maps thousands of staff to the right courses, often improving the underlying workforce data quality as a by product. Our scheduling tool streamlines course allocation across sites, and our trainers are experienced across Oracle Health, Epic, Nervecentre, SystmOne and other major platforms. With the 10 Year Plan placing digital fluency at the heart of NHS productivity, sustained adoption matters as much as initial training, and our programmes are designed for both.

We design and build bespoke e-learning that matches each client's build, workflows and staff groups. We have developed large libraries of interactive modules using Trust build and test domains, sequenced for phased completion and rigorously tested with EPR build teams to ensure technical accuracy. Content is hosted on the Trust LMS and structured to give clinical staff flexibility around their commitments. As the NHS continues to expand its digital workforce and adopt AI enabled tools, ongoing role based digital learning will only grow in importance, and our materials are built to be maintained, refreshed and reused.

Our configuration specialists work alongside clinical and administrative  teams to design and build EPR functionality that is safe, standardised and usable. Across multi Trust collaboratives we have established shared design principles, usability and clinical safety, standardisation and consistency, data and adaptability, and smart design rules, to ensure that build is intuitive, reduces variation in care, and makes the most of available functionality. We bring deep product knowledge across all systems implemented in the NHS including; Oracle Health, Epic, Nervecentre, SystmOne and IMS Maxims., We drive combined with  adoption through clinical engagement, workshops with CCIO’s,  CNIOs and SMEs, and deploying structured governance to ensure configuration decisions are clinically led and operationally sound. As convergence, regional collaboration and interoperability become central to the NHS's digital future, a disciplined approach to build is essential. All underpinned by our applications and dashboards for transparency and continuity.

We supply experienced technical and functional testing teams covering UAT, integration testing, dress rehearsals and readiness assessments, scoring outcomes against agreed criteria for project board review. Our teams have delivered large scale technical dress rehearsals across multiple hospital sites, validating not just software but the supporting hardware estate including printers, scanners, mobile devices and clinical workstations. As Trusts integrate more clinical systems, wearables and AI tools into their digital ecosystems, robust end to end testing is critical to clinical safety and a smooth transition into live use.

We provide real-time and management reporting throughout every stage of delivery — from TAIC trend analysis at go-live, to training completion dashboards, to custom metrics dashboards for data quality programmes. Built using our own in-house applications, this reporting gives leadership the transparency to see progress as it happens, broken down by staff group, role and location, and the assurance to respond to risks before they escalate.

Our reporting is designed to inform decisions, not just record them, and to give you repeatable, consistent oversight across every site and programme — supporting the wider NHS direction of using data and analytics to drive productivity and improvement.

We provide cutover management, planning and large scale go live support across acute, community and mental health settings 24/7. Our purpose built tool TAIC manages real time ticket triage, floorwalker (or internal champion or super users), dispatch and trend reporting from the command centre, giving leadership clear visibility of issues as they (or before they) emerge. We have delivered cutover and go live support across all systems implemented in the NHS including Oracle Health, Epic, IMS Maxims, Nervecentre, Sunquest ICE, BetterMeds and SystmOne, adapting our model to the scale and complexity of each programme.

We don't leave when the lights come on. Our teams stay through early life support, monitoring trends through TAIC data, running targeted reviews of clinical and operational hotspots, and addressing process and data issues as they emerge.

Once You progress from the go live- we work with you to rive the clinical adoption and help your staff to utilise the system to realise both the clinical and operational benefits. With the NHS's growing reliance on accurate, sharable information through the Federated Data Platform, the Single Patient Record and AI enabled services, getting data quality right at stabilisation lays the foundation for everything that comes after.

We design and manage the transition from project delivery to BAU. This includes producing handover documentation, embedding internal training teams, building reporting routines, agreeing support models and upskilling Trust staff to take ownership. We have managed full handovers of EPR training, new starter and junior doctor rotation processes, cross trained Trust trainers across multiple applications, and developed sustainable Champion User programmes. Our aim is always to reduce long term external dependency and build NHS capability for the long haul.

Once we’ve identified the root cause of your data issues, our validation service will help you to understand the reasons for the errors and improve your RTT performance and data accuracy.  Our dedicated data quality teams have helped Trusts reduce backlogs, retrospectively trace patient records, and establish lasting Data Quality Validation governance. With the NHS's growing reliance on accurate, sharable information through the Federated Data Platform, the Single Patient Record and AI enabled services, getting data quality right at stabilisation lays the foundation for everything that comes after.

Our Revive and Thrive approach, also known as Sustainability and Optimisation, recognises that an EPR's real benefits take five years or more to be fully realised. We support clients through structured business change reviews, clinical engagement groups across medical, nursing, AHP and administrative communities, and prioritised optimisation lists rated against organisational readiness, supplier readiness, cost, benefit and time to deliver, all underpinned by rigorous change management. As the NHS moves from analogue to digital, hospital to community, and sickness to prevention, sustained optimisation is what turns a successful go live into long term transformation