『How Risk-Based Operating Models and Five Things Rule Fix Failing Organisations with James Sumner』のカバーアート

How Risk-Based Operating Models and Five Things Rule Fix Failing Organisations with James Sumner

How Risk-Based Operating Models and Five Things Rule Fix Failing Organisations with James Sumner

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In this episode of the Delivery by Design Podcast, Alastair Mitchell-Baker speaks with James Sumner, Group Chief Executive Officer at NHS University Hospitals of Liverpool Group, about how operating models, governance, and leadership can transform complex healthcare organisations. Drawing on his experience leading one of the UK's largest NHS hospital groups, James explains why operating models are much more than organisational charts, they define governance, decision-making, leadership behaviours, and accountability across large-scale healthcare systems.The conversation explores how a risk-based governance model has helped drive performance improvement, strengthen assurance, and support large-scale organisational transformation following major NHS mergers. James shares practical insights into devolved leadership, group operating models, clinical leadership, and how focusing on a small number of strategic priorities can create sustainable improvements in patient safety, quality, and organisational performance.Key Takeaways:Why an effective operating model extends beyond structure to include governance, leadership, risk management, and decision-making.How risk-based governance improves organisational assurance and uncovers hidden operational risks.Why focusing on a small number of strategic improvement priorities leads to faster and more sustainable transformation.How devolved leadership empowers local decision-making while maintaining consistency across large hospital groups.The role of clinical leadership and multidisciplinary collaboration in improving patient care.How group operating models enable organisations to share expertise, improve services, and deliver better outcomes across multiple hospitals.Noteworthy Quotes:“An operating model is much more than just the wiring diagram.” – James Sumner“The only way to really understand your organisation is to embed a different approach to managing risk.” – James Sumner“Let's sit down and work out the five to ten things that matter most, then relentlessly pursue those.” – James Sumner“You need clarity about where ownership sits and how decisions are made.” – James Sumner“Ninety-five percent of the decisions should be made at the hospital level.” – James Sumner“Once people start understanding risk, you'll discover things about your organisation that you never knew existed.” – James SumnerKey Timestamps00:00 - Introduction to James Sumner and the University Hospitals of Liverpool Group02:23 - What an operating model means in modern NHS organisations06:50 - Why risk-based governance uncovers hidden organisational issues12:22 - Embedding continuous improvement across complex healthcare systems15:54 - Leadership structures, accountability, and organisational design16:53 - Clinical leadership and devolved decision-making within hospital groups23:48 - Managing services across multiple hospitals within a group model24:21 - The benefits of group operating models for patients, staff, and healthcare delivery30:23 - Workforce development, talent deployment, and executive board experience32:28 - Issues retained for group-level oversight35:29 - Group-level opportunities and cross-site collaboration37:25 - Role of NHS providers in system-wide planning and ten-year strategy43:04 - Population segmentation, diagnostics, and neighbourhood care integration43:57 - Practical applications and benefits of AI in clinical and administrative workflowsFollow Our Guest, James Sumner:James Sumner LinkedIn: https://www.linkedin.com/in/james-sumner-201640357/NHS University Hospitals of Liverpool Group LinkedIn:https://www.linkedin.com/company/nhs-university-hospitals-of-liverpool-group/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 Podcasts: https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753Spotify: https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc
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