Business Cases

From £5m emergency fixes to £1.5bn new hospital programs, we help healthcare leaders navigate the "art of the possible."

"Productivity relies on capital: both digital and physical. And in an undercapitalised system, we are acutely aware that results can't wait 6 years. Instead, capital has to be a catalyst for more modern ways of working before we even start spending. We build a vision of the future that means systems can take action much faster than you might have thought possible."

Russell Cake, Co‑founder, The PSC

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WHAT WE DO

Our Approach

Productivity is about a culture shift as much as a capital shift – so we start by working directly with frontline users to design integrated solutions that unify infrastructure, digital technology, and preventative clinical models into a single, cohesive strategy. We move beyond simple estate planning to solve the core challenges facing clinicians and patients.

By practicing Public Value Design we align these elements from the outset, ensuring that every capital bid and strategic plan is built to deliver maximum impact and long-term value for the entire healthcare system.

Delivering Immediate Results

Productivity cannot wait for a ribbon-cutting ceremony. We embed "Day Zero" gains into our strategy, using the capital planning process as a catalyst for modern ways of working and operational efficiencies that deliver value long before construction is complete.

Practical Business Case Expertise

We combine rigorous HMT Green Book technicality with a focus on “investability”, harnessing Narrative Building and Business Case expertise to secure the capital needed to make change.

Coalition Building

We unite clinicians, treasury officials, and technical partners around a shared vision to turn fragmented interests into a powerful, single voice for change. Our Investment Objectives strategy hinges on the art of the possible, combining philanthropy, industry, research, treasury and beyond.

Three Shifts

By starting with clinicians and users, we build the rigorous evidence base required to prove that your infrastructure is the essential engine for these shifts, translating high-level policy into "investable" technical architecture and clinical pathways.