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Leading a hospital transformation programme

We developed a strategic outline case setting out the ambitions and next steps in one of the NHS’s largest hospital transformation programmes.


The Transformation Unit at Midlands and Lancashire Commissioning Support Unit (MLCSU) supported Shrewsbury and Telford Hospital NHS Trust’s New Hospital Transformation Programme over a 12-month period.

The programme required experienced leadership as well as support for the production of an outline business case.

This is one of the NHS’s largest hospital reconfiguration programmes, with a capital spend of £500 million+.


An initial assessment of the programme status showed that the organisation was not yet at the stage to develop an outline business case and, in fact, required significant support to strengthen the work of the programme and re-write the strategic outline case.

Following the delivery of a readiness assessment, which provided us with an overview of the strengths and weaknesses of the programme, we devised a programme plan, engaged with stakeholders, and commenced work to support the areas requiring improvement.

We guided the client helping them understand the stages of each aspect of the project and engaged with NHSEI to formulate a plan for the strategic outline case submission.

We worked with internal clinical leads, the project team, as well as architects, to finalise a design for the new build and worked in partnership with the Programme Director to produce a robust strategic outline case.


A comprehensive completed strategic outline case was delivered within the agreed timeframe. This allowed the organisation to plan for the next stage of the programme – development of an outline business case – on a solid platform.

The strategic outline case was reviewed and scrutinised through the programme’s governance and assurance framework.

We continue to provide the trust with support to develop and submit an outline business case.

Additionally, we are supporting the client with other business cases not related to the Hospital Transformation Programme.