Sectors

Supporting public sector organisations to provide better outcomes 

We are a provider of assurance and consultancy services to the NHS and wider public and third sectors. We also work with regional and national bodies, and the private sector.

Our commitment to customer focus, ensures a personal and tailored approach to adding value where it matters most for our clients.

Our clients deliver vital services under intense public scrutiny and regulation. We bring an in-depth understanding of the complex environments that characterise public service organisations.

Our focus is simple: helping organisations save money, manage risk, improve performance, and achieve sustainable change.

NHS


NHS

With our origins as an NHS shared service, we bring over 36 years of experience supporting healthcare organisations across the UK.

We help NHS organisations to:

  • Strengthen governance and assurance
  • Improve financial performance and recovery
  • Deliver transformation at scale
  • Enhance patient outcomes through robust systems and controls

Local Authorities


We work alongside local authorities to provide flexible support—whether as an extension of in-house teams, a fully outsourced internal audit service, or specialist expertise.

We support local authorities to:

  • Improve risk management and resilience
  • Strengthen governance and accountability
  • Access additional capacity and specialist skills
  • Deliver sustainable service improvements

Outcome Example:
Our independent expertise has enabled authorities to recover from critical audit ratings and embed stronger, more sustainable risk management frameworks.

Local Authority Risk Management Case Study

Local

Primary Care


Primary

We bring deep understanding of whole-system pathways and the evolving primary care landscape.

We support primary care organisations to:

  • Optimise new delivery models
  • Navigate regulatory and strategic change
  • Improve operational and financial performance
  • Strengthen governance across networks and partnerships

Outcome Example:
We have helped organisations unlock the full potential of modern general practice models, improving efficiency and service delivery.

Unlocking Sustainable Performance in Primary Care Case Study 

Emergency Services


We provide comprehensive assurance and advisory services across policing, fire, and ambulance services.

We help these organisations to:
•    Strengthen oversight and governance structures
•    Manage operational and organisational risk
•    Improve efficiency and service delivery
•    Maintain public confidence and accountability

Emergency

System, Regional and National Bodies


System

We have a strong track record of supporting organisations operating at scale across complex systems.


We support national and regional bodies to:
•    Drive system-wide transformation
•    Align governance across organisations
•    Enable collaboration and integration
•    Deliver large-scale programmes with confidence

Housing


We support housing organisations with assurance and governance expertise, as well as strengthening links between housing and health.


We help housing providers to:
•    Improve board effectiveness and governance
•    Strengthen risk management frameworks
•    IT Assurance on digital systems 
•    Support collaboration with health partners
•    Deliver better outcomes for tenants and communities

Housing

Charities


Charities

We provide tailored assurance and consultancy services to charities of all sizes, from local organisations to national bodies.


We support charities to:
•    Strengthen governance and compliance
•    Improve financial oversight and sustainability
•    Enhance service quality and impact
•    Build confidence with stakeholders and regulators

 

LOCATIONS

MIAA, Regatta Place
Brunswick Business Park
Summers Road
Liverpool
L3 4BL

Email: miaa.admin@miaa.nhs.uk

Tel: 0151 285 4500 (9am - 5pm Mon-Fri)

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