Transformation, change and improvement

TPHC provides end-to-end transformational change and improvement support to help health and care organisations and systems achieve long-term outcomes and efficiencies.

We help you to understand the drivers for change, identify opportunities for improvement, and design and implement comprehensive change programmes using first-in-class methodologies.

Our offer

Whether you are looking to win hearts and minds for a change project, or transform complex, whole-system patient pathways to achieve better outcomes and efficiencies along the way, our team of expert consultants can support you by designing and delivering bespoke change solutions.

We have a deep understanding of our clients’ challenges and priorities, as we are part of the health and care system. All TPHC consultants are trained in and utilise industry-leading consulting tools and techniques so you can trust us to guide you through the planning, mobilisation and implementation of your transformation, change and improvement priorities.

How we work

Year on year, TPHC works with health and care organisations across England to plan and mobilise complex transformation and improvement projects and programmes. Visit our Work with us page to find out more about what you can expect when becoming our client.

Our specialist services

Service reviews

We carry out evaluations and reviews of clinical and non-clinical services to assess their effectiveness, if they are fit for purpose, and that they provide high-quality, safe and effective care.

We identify areas of good practice and areas of improvement, helping lead to better care and outcomes for your patients.

Options development and appraisal

We develop bespoke frameworks to identify, assess and select the best course of action when planning or changing healthcare services.

We help you to define the problem or opportunity, develop and appraise options, and select the preferred option that balances benefits and costs and is most likely to achieve your desired outcomes.

Our track record

We are proud of the role we play in shaping and mobilising clients’ transformational change and improvement goals. We have seen programmes achieve significant results. including improved patient-centred care, increased efficiencies with improved experience for your staff, and greater shifts to preventative care, helping to improve patient outcomes and reduce demand on your organisations.

Get a flavour of our transformation, change and improvement delivery below:

Securing agreement for London’s first city-wide Appropriate Adults service for vulnerable adults

Following extensive consultation, we delivered an options appraisal of delivery models for an Appropriate Adults service for vulnerable adults in London who are in contact with the police.

The outcome was securing agreement for a flexible delivery model from all agencies and stakeholders involved, enabling the Mayor’s Office for Policing and Crime to move into the commissioning and tendering process for this city-wide service. Launched in February 2025, the service is the first of its kind for London, helping to safeguard the welfare, rights and interests of vulnerable adults.

Designing a framework to reduce inequalities in long term conditions outcomes

We supported North East London Integrated Care Board to reduce health inequalities among patients with long-term conditions by addressing historic imbalances in investment.

We enabled this system-wide approach by developing a business case, a financial model and an activity model in support of a Long Term Conditions Outcome Framework for implementation across primary care in North East London.

Place-based integration in City and Hackney

For over three years we provided strategy and programme support to embed Place-based working in City and Hackney CCG in North East London.

Our work helped to strengthen collaborative working and accelerate out-of-hospital partnership programmes around local strategic priorities.