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Hybrid working - our approach is to be in the office or on client site a minimum of 3 days per week. However, the actual time you spend and where you spend it will vary by role or assignment, including up to 5 days per week on a client site. This role can be based in our London Victoria or Manchester locations. Our Operations and Improvement team is looking for exceptional Urgent and Emergency Care (UEC) Improvement Consultants to join our expanding team. The NHS is at a crossroads. Demand is rising, complexity is rising — but the opportunity to redesign urgent and emergency care for a generation has never been greater. We’re looking for someone who isn’t afraid to challenge and disrupt the status quo, and who can work with visionary NHS leaders to push the Left Shift movement forward with conviction, clarity, and purpose. If you’ve ever looked at a congested ED, a spiralling ambulance queue, or a stretched primary care system and thought, “We can absolutely do better than this,” then you’re our kind of person. This is career‑defining work. The kind of work that leaves a legacy.
Job Responsibility
Reduces avoidable ED attendances and reroutes patients to earlier, preventative models of care, managing escalation differently
Delivers Left Shift for real — not just in slide decks — by redesigning pathways that intervene sooner and closer to home, in partnership with clinical and operational colleagues
Builds integrated, data‑driven UEC models that work for patients, clinicians, and systems
Supports systems, providers, and ambulance services to break out of crisis mode and into sustainable, future‑ready delivery
Cuts through noise and brings clarity to some of the most pressured environments in the NHS
Reimagine what urgent and emergency care could look like across England
Drive service redesign with real impact across primary, community, acute, and social care
Turn organisational friction into genuine alignment
Work alongside brilliant, mission‑driven people who care as much as you do
Deliver work that the NHS workforce values — because it makes their lives, and the lives of patients, better
Transform experiences for the patients who need it most
Requirements
A practitioner with hands‑on experience in improvement and transformation across the UEC space — operational, clinical, or consulting
Proven experience delivering change within UEC settings
Ideally, candidates will have a consultancy background
A strategist with the grit to operate within real‑world NHS complexity
A communicator who can influence clinical leaders, system architects, and executives alike
A problem‑solver who thrives in complex, multi‑agency, high‑stakes environments
Someone who believes that “this is how things are” is never the end of the conversation
Someone genuinely committed to improving the NHS and supporting delivery of the 10‑Year Health Plan
Experience with data modelling and analytics is advantageous
What we offer
Health and lifestyle perks accompanying private healthcare
25 days annual leave (plus a bonus half day on Christmas Eve) with the opportunity to buy 5 additional days
Generous company pension scheme
Opportunity to get involved with community and charity-based initiatives
Annual performance-based bonus
PA share ownership
Tax efficient benefits (cycle to work, give as you earn)