Episodes

  • The NHS Operating Model Broke for Healthcare Leaders to Rebuild Systems & Restore Care

    The NHS Operating Model Broke for Healthcare Leaders to Rebuild Systems & Restore Care
    Mar 25 2026
    In this episode of the Delivery by Design Podcast, host Alastair Mitchell-Baker is joined by John Deverell and Andrew Liles to discuss the "Operating Model" - the essential bridge between a strategy and its execution. They explore why many NHS organizations are stuck in a cycle of "firefighting" and how a well-designed model can empower clinicians and improve population health.Key Takeaways:The "How" vs. The "What": Strategy is the destination, but the operating model is the machinery and culture that actually delivers the results.Firefighting as a Symptom: Constant operational crises usually indicate that the staff doesn't believe in or understand the current operating model.Post-COVID Shift: The NHS must transition from "command and control" recovery back to a model that empowers local providers and communities.The Foundation Trust Blueprint: Reflecting on the "high point" of the first Foundation Trusts as a model for systemic strength and clinical leadership.Clinical Design: For a model to work, clinicians must be architects of the system rather than just subjects of external targets.Episode Timestamps:[00:00:00] - Introduction - Defining the operating model as the "how" behind the strategy.[00:02:10] - Guest Introductions - John Deverell and Andrew Liles’ backgrounds in NHS leadership.[00:03:18] - John and Andrew discuss the meaning and importance of operating models in healthcare.[00:12:34] -The need for NHS organizations to rethink their operating models post-Covid.[00:18:10] - Focus on rebuilding operating models for long-term transformation in the NHS.[00:44:10] - Max raises the question of creating citizen-centered operating models in healthcare.[00:49:27] - Closing remarks and a preview of future webinars on operating model design🔗 Connect with the Guests:👉 John Deverill: https://www.linkedin.com/in/john-deverill-a04a7b1/👉 Andrew Liles: https://www.linkedin.com/in/andrew-liles-282b1792/🔗 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-tszOIc87O36Q👉 LinkedIn: https://www.linkedin.com/company/tricordant-ltd/👉 Email: office@tricordant.com🔗 Follow the Podcast:👉 Apple Podcast: https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753👉 Spotify: https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc#NHS #HealthcareLeadership #OperatingModels #Tricordant #HealthSystems #ClinicalLeadership #NHSStrategy #HealthManagement
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    50 mins
  • New Episode Coming Soon!

    New Episode Coming Soon!
    Mar 10 2026

    Welcome to Delivery by Design, hosted by Alastair Mitchell-Baker, leadership consultant and director at Tricordant. This podcast explores how organisations turn strategy into meaningful results through thoughtful organisation design, strong leadership, and systems thinking.

    In each episode, Alastair speaks with leaders, practitioners, and change-makers who are working inside complex organisations to improve how people, teams, and systems function together. The conversations look at the real challenges behind transformation, from aligning strategy with structure to building cultures that support long-term performance.


    Drawing on Tricordant’s experience in organisational consulting, the podcast examines practical approaches to leadership development, organisational effectiveness, and navigating large-scale change. Guests share lessons from the field, offering perspectives that help leaders design organisations that deliver, adapt, and thrive in an increasingly complex world.


    Whether you're leading transformation, managing organisational change, or exploring new ways to improve how your organisation works, Delivery by Design brings thoughtful conversations and practical insights from those shaping the future of leadership and organisational design.
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    1 min