『Delivery by Design』のカバーアート

Delivery by Design

Delivery by Design

著者： Alastair Mitchell-Baker
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Welcome to Delivery by Design, the podcast that explores how organisations move from good ideas to real impact. Hosted by Alastair Mitchell-Baker from Tricordant, this podcast looks at what it truly takes to deliver results in complex organisations. Each episode brings conversations with leaders, consultants, and practitioners who are working on the front lines of organisational change, leadership, and system transformation. From strategy and organisation design to leadership development and systems thinking, Delivery by Design uncovers how successful organisations align people, structure, and culture to achieve meaningful outcomes. Whether you're navigating transformation, improving how teams work together, or shaping the future direction of your organisation, this podcast offers practical perspectives and real-world experiences from those doing the work. Tricordant has spent years helping organisations design healthier, more effective systems that allow people and teams to perform at their best. In this podcast, those ideas come to life through stories, lessons, and conversations that show what it takes to turn vision into delivery. If you care about leadership, organisational effectiveness, and creating workplaces that truly work, Delivery by Design brings the thinking and experience behind successful change.Copyright 2026 Alastair Mitchell-Baker マネジメント マネジメント・リーダーシップ 経済学
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  • How Healthcare Operating Models Fail Without Culture and Leadership with Andrew Hines

    How Healthcare Operating Models Fail Without Culture and Leadership with Andrew Hines
    2026/05/27
    In this episode of the Healthcare Leadership Podcast, host Alastair Mitchell-Baker speaks with Andrew Hines, the recently appointed Chief Executive Officer of Surrey and Sussex Healthcare NHS Trust. Andrew, with extensive experience in NHS management, shares insights from his journey into SASH, touching on the organisation’s challenges and how he is steering it through a transformative phase. He discusses the importance of leadership, organisational culture, and the development of a unified operating model to improve healthcare delivery.Andrew highlights key challenges, including emergency flow management, financial sustainability, and enhancing staff engagement post-COVID. He also shares how SASH’s commitment to quality improvement and a robust management system, like SASH Plus, is helping drive operational excellence. With a focus on integrated healthcare, Andrew outlines his vision for SASH’s role in the evolving NHS landscape, including its potential involvement in integrated healthcare organisations (IHOs).Key Takeaways:Leadership & Culture: Effective leadership and a strong organisational culture are key to managing change in healthcare systems.Quality Improvement: SASH’s long-standing quality management system, SASH Plus, fosters a culture of continuous improvement.Emergency Flow & Financial Sustainability: Addressing emergency department congestion and aligning workforce growth with demand are ongoing challenges.Staff Engagement: Ensuring staff feel valued and engaged is essential for maintaining high-quality care and organisational effectiveness.Partnership Working: Collaborating with community providers and primary care is essential to creating an integrated health system.Key Timestamps:00:00 - Introduction to Andrew Hines and SASH Healthcare02:40 - What is an operating model and why it matters08:06 - The legacy of SASH’s quality management approach and future plans11:49 - Overcoming barriers in applying quality management to large-scale changes14:53 - Balancing bottom-up and top-down leadership in healthcare transformations17:21 - Approaching change and leadership continuity at SASH21:09 - Insights from Andrew's previous role at Barts Health24:07 - The evolving system in Surrey and Sussex and SASH’s role in integrated care30:21 - Working with primary care, community services, and social care33:13 - The future of integrated healthcare organisations (IHOs)36:50 - The value of leadership development in navigating complex healthcare change44:32 - Advice for other leaders in healthcare facing organisational challengesFollow Our Guest, Andrew Hines:Andrew Hines LinkedIn: https://www.linkedin.com/in/andrew-hines-87bbb151/ Surrey and Sussex Healthcare NHS Trust LinkedIn: https://www.linkedin.com/company/surrey-&-sussex-healthcare-nhs-trust/ Surrey and Sussex Healthcare NHS Trust Website: https://www.surreyandsussex.nhs.uk/ Connect with the Host, Alastair Mitchell-Baker:LinkedIn: https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/ Follow our Colleagues from Tricordant: Andrew Liles: https://www.linkedin.com/in/andrew-liles-282b1792/ Yasmin Wills: https://www.linkedin.com/in/yasmin-wills-b72535146/ Nick Richmond: https://www.linkedin.com/in/nickgmrichmond/ Helen Blanchard: https://www.linkedin.com/in/helenblanchard21/ More from Tricordant:Website: https://www.tricordant.com/YouTube: https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36QLinkedIn: https://www.linkedin.com/company/tricordant-ltd/Email: office@tricordant.comFollow the Podcast:Apple Podcast: https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753Spotify: https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc
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    46 分
  • The Redesigning Operating Models After Mergers to Improve Performance in Healthcare with Andy Heeps

    The Redesigning Operating Models After Mergers to Improve Performance in Healthcare with Andy Heeps
    2026/05/13
    In this episode of Delivery By Design Podcast, Alastair Mitchell-Baker talks to Andy Heeps, Chief Executive Officer of University Hospitals Sussex NHS Foundation Trust and a Generation Q Fellow at The Health Foundation, about the trust's transformation following its 2021 merger. Andy Heeps shares the challenges and successes of integrating multiple hospital sites under a unified leadership model, particularly during the COVID-19 pandemic.He discusses the importance of co-designing a new operating model, fostering clear leadership, and focusing on clinical leadership to improve patient care and operational efficiency. The conversation highlights key strategies for overcoming post-merger challenges and shaping the future of integrated healthcare at University Hospital Sussex.Key TakeawaysThe benefits and challenges of operating as a unified healthcare organisation post-merger.How leadership clarity and co-designing with staff contribute to a successful transformation.The role of clinical leadership in driving operational efficiency and improving patient care.The importance of balancing local autonomy with group-wide consistency.How University Hospital Sussex is focusing on innovation and leadership development to improve healthcare delivery.Key Timestamps00:00 - Introduction to Andy Heeps & University Hospital Sussex02:03 - Merger of Western Sussex & Brighton Hospitals07:05 - Integration challenges and early operating model12:44 - Co-designing the new operating model21:01 - Shifting to unified clinical leadership29:16 - Addressing unwarranted variation & improving efficiency31:07 - Leadership development in new model33:20 - Empowering local leaders for better decisions34:52 - Impact of new model on patient care37:28 - Closing thoughts on future visionFollow Our Guest, Andy HeepsAndy Heeps LinkedIn: https://www.linkedin.com/in/andyheeps/University Hospitals Sussex NHS Foundation Trust LinkedIn: https://www.linkedin.com/company/uhsussex/The Health Foundation LinkedIn: https://www.linkedin.com/company/the-health-foundation/University Hospitals Sussex NHS Foundation Trust Website: https://www.uhsussex.nhs.uk/Connect with the Host, Alastair Mitchell-Baker:LinkedIn: https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/Follow our Colleagues from Tricordant: Andrew Liles: https://www.linkedin.com/in/andrew-liles-282b1792/ Yasmin Wills: https://www.linkedin.com/in/yasmin-wills-b72535146/ Nick Richmond: https://www.linkedin.com/in/nickgmrichmond/ Helen Blanchard: https://www.linkedin.com/in/helenblanchard21/ More from Tricordant:Website: https://www.tricordant.com/YouTube: https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36QLinkedIn: https://www.linkedin.com/company/tricordant-ltd/Email: office@tricordant.comFollow the Podcast:Apple Podcast: https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753Spotify: https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc
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    38 分
  • NHS Trusts Can Scale and Succeed for Health Leaders Using the Group Model with Shane DeGaris

    NHS Trusts Can Scale and Succeed for Health Leaders Using the Group Model with Shane DeGaris
    2026/04/29
    In this episode, Alastair Mitchell-Baker sits down with Shane DeGaris, Group CEO of Barts Health NHS Trust, to talk about the complexities and successes of running one of the UK’s largest healthcare groups. Shane discusses the evolution of operating models in the NHS, the benefits and challenges of the group model, and the importance of collaboration across multiple hospitals to ensure better patient outcomes.Shane outlines how leadership at both the local and group levels plays a crucial role in the transformation of healthcare systems. He also shares how Barts Health is leveraging innovation, digital technologies, and AI to improve efficiency and patient care across their network. The conversation delves into the future of integrated healthcare, including how the "left shift" toward community and preventative care is reshaping the NHS landscape.From workforce development and leadership to the digital shift and collaboration within the NHS, Shane provides actionable insights for leaders in healthcare and beyond.Key TakeawaysThe benefits and challenges of operating in a large healthcare group model.How local autonomy and group-wide consistency can coexist to improve patient care.The role of digital innovation and AI in driving healthcare efficiency.Why collaboration within the NHS and with external partners is critical for success.How Barts Health is positioning itself for the future of integrated care and community-based health services.Key Timestamps00:00 - Introduction to Shane DeGaris and Barts Health NHS Trust06:23 - The benefits of the group model in managing multiple hospitals09:50 - Workforce development and leadership across a large healthcare network13:46 - Balancing local variation and group-wide consistency in healthcare standards15:59 - Transitioning to integrated care: The "left shift" towards community and prevention18:33 - The role of digital innovation and AI in transforming healthcare20:08 - Collaboration within the NHS and with external partners22:14 - Managing clinical leadership across a large and diverse healthcare group29:35 - Barts Health’s role in driving innovation and economic growth in East London33:18 - The impact of life sciences and job creation on local communities35:35 - The opportunities and challenges of adopting AI and automation in healthcare39:35 - Closing Thoughts: Shane’s vision for the future of healthcare and NHS transformationFollow Our Guest, Shane DeGarisShane DeGaris LinkedIn: https://www.linkedin.com/in/shane-degaris-12a7684?originalSubdomain=uk Barts Health NHS Trust LinkedIn: https://www.linkedin.com/company/barts-health-nhs-trust/ Barts Health NHS Trust Website: https://www.bartshealth.nhs.uk/ Connect with the Host, Alastair Mitchell-Baker:LinkedIn: https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/More from Tricordant:Website: https://www.tricordant.com/YouTube: https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36QLinkedIn: https://www.linkedin.com/company/tricordant-ltd/Email: office@tricordant.comFollow the Podcast:Apple Podcast: https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753Spotify: https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc
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    40 分
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