Delivery by Design

In this episode of Delivery by Design Podcast, Alastair Mitchell-Baker speaks with Claus Madsen , Chief People Officer at Greater Manchester Mental Health NHS Foundation Trust , about the critical role leadership, culture, and operating models play in transforming healthcare organisations. Drawing on experience across both public and private sectors, Claus explains how operating models shape the w...

In this episode of Delivery by Design, host Alastair Mitchell-Baker is joined by Matthew Kershaw Chief Executive of Croydon Health Services NHS Trust to discuss the role of place-based leadership in transforming health and care services. Drawing on more than 30 years of NHS leadership experience, Matthew shares how Croydon has developed a collaborative approach that brings together healthcare prov...

In this episode of Delivery by Design Podcast, Alastair Mitchell-Baker speaks with Shane Gordon , Executive Managing Director of Norfolk and Norwich University Hospitals NHS Foundation Trust , about the development of the Norfolk Acute Hospital Group and the challenges of creating a collaborative operating model across multiple NHS trusts. Shane shares insights into balancing site autonomy with gr...

In this episode of the Healthcare Leadership Podcast, host Alastair Mitchell-Baker speaks with Andrew Hines , the recently appointed Chief Executive Officer of Surrey and Sussex Healthcare NHS Trust . Andrew, with extensive experience in NHS management, shares insights from his journey into SASH, touching on the organisation’s challenges and how he is steering it through a transformative phase. He...

In this episode of Delivery By Design Podcast, Alastair Mitchell-Baker talks to Andy Heeps , Chief Executive Officer of University Hospitals Sussex NHS Foundation Trust and a Generation Q Fellow at The Health Foundation , about the trust's transformation following its 2021 merger. Andy Heeps shares the challenges and successes of integrating multiple hospital sites under a unified leadership model...

In this episode, Alastair Mitchell-Baker sits down with Shane DeGaris , Group CEO of Barts Health NHS Trust , to talk about the complexities and successes of running one of the UK’s largest healthcare groups. Shane discusses the evolution of operating models in the NHS, the benefits and challenges of the group model, and the importance of collaboration across multiple hospitals to ensure better pa...

In this episode of Delivery by Design, Alastair Mitchell-Baker speaks with Dr. Andrew Murray , a GP and senior NHS leader, about the reality behind clinical leadership and operating models in NHS organisations. What sounds like dry organisational jargon turns out to be deeply connected to frontline outcomes. Andrew breaks down how operating models influence decision-making, staff morale, and ultim...

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...

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 organisatio...