Services we deliver

We have delivered extensive programmes of independent assurance, advisory, and transformation projects across NHSE, ICBs, Providers, local authorities and 3rd sector. These assignments reflect our position as a trusted partner in delivering financial recovery, governance improvement, digital readiness, and system transformation. 

Our work focuses on strengthening financial performance, ensuring compliance, and enabling sustainable change.

Services

Independent reviews of cost improvement and recovery plans

  • Financial leadership and operational support for recovery delivery.
  • Ledger harmonisation, financial reporting, and governance improvement.
  • Strengthened forecasting and accountability frameworks.
  • Finance & Corporate Performance: Support on financial sustainability, governance, transformation.
  • Leadership, Governance & Risk Management

Procurement, Commercial & Contracting Assurance

  • Independent assurance of procurement and commissioning exercises.
  • Compliance reviews against NHS procurement frameworks.
  • Provider contract coding and data validation for financial accuracy.
    Clinical Governance, Quality & Outcomes

Estates, Capital & Infrastructure Assurance

  • Independent review of estates invoice validation and process mapping.
  • Business case development for regeneration and capital investment.
  • Assurance against Treasury Green Book and governance standards.
    Workforce, Leadership & Governance Reviews

Sustainability, Social Value & System Integration

  • Development of social value and sustainability frameworks.
  • Creation of metrics for ESG impact tracking and reporting.
  • Integration of sustainability principles within health system governance.

System Transport Review and Efficiency Programme

  • A comprehensive analysis of transport operations was undertaken to identify opportunities for cost reduction, route optimisation, and efficiency across non-emergency and internal fleet transport services.
  • Review of courier, patient, and internal fleet transport data.
  • Governance assessment of booking, authorisation, and contract arrangements.
  • BI dashboard development to visualise transport activity, costs, and route efficiency.
    Digital Transformation & Data Integrity

Leadership, Governance & Risk Management

  • Well led reviews, board and committee effectiveness, organisational form and cross organisation governance, and board development support
  • Board Workshops, covering areas including Board Assurance Frameworks and Risk Appetite
  • Risk Management Training
  • Leadership board competency framework assessment and workshops
    Procurement, Commercial & Contracting Assurance

Clinical Governance, Quality & Outcomes

  • Support for clinical engagement frameworks and outcome registries.
  • Financial modelling for clinical service reconfiguration.
  • Independent reviews of continuing healthcare and enhanced observation models.
  • Estates, Capital & Infrastructure Assurance

Workforce, Leadership & Governance Reviews

  • Independent workforce and HR governance reviews.
  • Strategic workforce planning and leadership development support.
  • Resourcing at scale to reduce agency spend.
    Alignment of HR frameworks with organisational objectives.

PMO Support and Programme Governance Strengthening

  • Design and implementation of portfolio-wide reporting frameworks.
  • Development of standardised project documentation, KPIs, and dashboards.
  • Support for programme governance forums and delivery teams.
  • Embedded PMO processes and governance tools across multiple care groups.
  • Enhanced visibility of programme performance and risk management.
  • Delivered consistent project delivery standards through training and tool adoption.

Digital Transformation & Data Integrity 

  • Cyber Security: Strategy development, security testing, implementation support, incident exercises, and assurance.
  • Technology Risk: Development and assessment of technology risk frameworks and safe adoption of emerging technologies.
  • Information Governance & Data Protection: Outsourced IG, interim and virtual DPO services, and system impact assessment support.
  • Digital Transformation & Delivery: Digital and data strategy delivery, implementation support, project management, and assurance.
  • Clinical Coding: Coding training and comprehensive accuracy, completeness, and thematic audits for organisational improvement.
  • Data & Analytics: Data engineering, advanced analytics, reporting, and AI development and governance to support informed decision making.

Contact our team for an informal conversation about how we can support you. 

We’re proud to work with incredible organisations…

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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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