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About the Role

Shape system-wide improvement across UK healthcare by leading complex, high-impact engagements for NHS Trusts, Integrated Care Systems, and national bodies. This role focuses on addressing pressing challenges in productivity, workforce, financial sustainability, and service transformation, with a hands-on approach to delivering measurable operational and financial improvements that directly impact patient outcomes.

Responsibilities

Lead delivery of large-scale NHS transformation programmes
Drive operational and financial productivity improvement
Manage Cost Improvement Programmes (CIPs) and efficiency portfolios
Oversee system-wide transformation across ICSs and provider collaboratives
Act as a trusted advisor to senior NHS stakeholders
Engage at Board / Executive level within Trusts and systems
Navigate complex stakeholder environments and competing priorities
Drive delivery of measurable outcomes
Translate analysis into actionable change
Ensure benefits realisation and sustainability of improvements
Lead and develop project teams
Provide direction, coaching, and quality assurance

Requirements

Possess a powerful combination of NHS operational expertise and consulting delivery experience
Demonstrate a track record of leading complex improvement programmes and delivering measurable impact
Be comfortable rolling up your sleeves to drive delivery as well as advising senior stakeholders and shaping direction
Experience in leading and delivering measurable operational and financial improvement within NHS organisations
Experience in driving large-scale Cost Improvement and Productivity programmes within a consulting environment, with clear evidence of benefits realised
Extensive experience working across the UK healthcare system, including Trusts, ICSs and/or central bodies
Experience in delivering outcomes, not just recommendations, taking accountability for real, sustained improvement
Experience applying a range of improvement approaches, including digital enablement, workforce and capacity optimisation, and change transformation
Experience leading and inspiring multidisciplinary teams, often in complex, high-pressure delivery environments
Experience partnering effectively with clinical and operational leaders to drive performance improvement
Experience operating confidently at senior levels, with the ability to influence, challenge, and build trust with Exec and Board stakeholders
Experience bringing creativity and pragmatism to solve complex operational challenges
Demonstrate strong consulting fundamentals, including structured problem solving, clear storytelling, and stakeholder management
Have built a career within a consulting environment, delivering across NHS providers, systems or national bodies
Combine analytical rigour with practical delivery instinct, translating insight into action at pace
Comfortable working independently and stepping into leadership roles on engagements, setting direction and maintaining momentum
Ability to move seamlessly across system finance, care model design, workforce, governance, and operational performance
Natural ability to facilitate senior conversations, lead workshops, and align diverse stakeholders around a clear plan
Take pride in partnering with clients to deliver lasting change, not just short-term outputs
Motivated by continuous development, both for themselves and the teams they lead
Must be a British citizen or have been resident in the UK for the past 5 years for security clearance

Skills

NHS operational expertise
Consulting delivery experience
Leading complex improvement programmes
Delivering measurable impact
Driving delivery
Advising senior stakeholders
Shaping direction
Operational improvement
Financial improvement
Cost Improvement Programmes (CIPs)
Efficiency portfolios
System-wide transformation
Stakeholder management
Problem solving
Storytelling
Digital enablement
Workforce optimisation
Capacity optimisation
Change transformation
Team leadership
Performance improvement
Influencing
Challenging
Building trust
Creativity
Pragmatism
Analytical rigour
Practical delivery instinct
Facilitation
Workshop leadership
Strategic planning

Location

London Victoria
Manchester

Work Type

Hybrid working
On client site

Experience Level

Experienced Principal Consultant
Senior levels

Benefits

Health and lifestyle perks accompanying private healthcare
25 days annual leave (plus a bonus half day on Christmas Eve)
Opportunity to buy 5 additional days annual leave
Generous company pension scheme
Opportunity to get involved with community and charity-based initiatives
Annual performance-based bonus
PA share ownership
Tax efficient benefits (cycle to work, give as you earn)

About the Company

We believe in the power of ingenuity to build a positive human future.
Our teams of interdisciplinary experts combine innovative thinking and breakthrough technologies to progress further, faster.
Our clients adapt and transform, and together we achieve enduring results.
We are over 4,000 strategists, innovators, designers, consultants, digital experts, scientists, engineers, and technologists.
We have deep expertise in consumer and manufacturing, defence and security, energy and utilities, financial services, government and public services, health and life sciences, and transport.
Our teams operate globally from offices across the UK, Ireland, US, Nordics, and Netherlands.
PA. Bringing Ingenuity to Life.
Our purpose guides how we work with our clients and our teams, and support our communities, to deliver insight and impact, solving the world’s most complex challenges.
We're focused on building a workplace that values human difference and diverse mindsets, and a culture of inclusion and equality that unlocks the potential in our people so everyone can be their best self.
We are dedicated to supporting the physical, emotional, social and financial well-being of our people.

Equal Opportunity

We are committed to advancing equality.
We recruit, retain, reward and develop our people based solely on their abilities and contributions and without reference to their age, background, disability, genetic information, parental or family status, religion or belief, race, ethnicity, nationality, sex, sexual orientation, gender identity (or expression), political belief, veteran status, or any other range of human difference brought about by identity and experience.
We welcome applications from underrepresented groups.
Should you need any adjustments or accommodations to the recruitment process, at either application or interview, please contact us on [email protected]