Building consensus for change and navigating complex legislation to improve quality and outcomes in healthcare

Our clients operate in an environment where healthcare needs are changing, service pressures are increasing, and best practice evolves with research and innovation. There is an ongoing need to respond to this environment to ensure everyone has access to high quality care, on occasions this requires the reconfiguration of services.

We understand how demanding the reconfiguration process can be: the complexities of the legislative framework, the assurance requirements of NHS England, the role of the Secretary of State and the IRP, and the engagement needed with staff, the public and politicians. We appreciate the level of energy required to build a consensus for change that is strong enough to carry through the delivery of change.

We have successfully supported the delivery of 15 complex reconfiguration programmes, working in a range of geographies, serving different types of populations including Kent, London, Devon and Greater Manchester. Our experience means we have an unparalleled appreciation of the processes and challenges involved in service reconfiguration. But we also have a deep understanding of how to rise to the challenges and find innovative solutions for local populations. We have a proven record of supporting clinicians and NHS leaders to deliver change, successfully improving the quality and sustainability of care.

We bring a holistic approach to delivering whole system reconfiguration, from developing the case for change and care models; to identifying options and evaluating; and, to producing a business case and planning public consultation. We also have a set of unique analytical tools for understanding the needs of the population, modelling access, workforce, estate and assessing financial impact.

Our approach places continuous engagement at the centre, including with leaders, clinicians, frontline staff and service users, ensuring the work we deliver is theoretically and legally fit for purpose, and also matches the practical realities faced by our clients.

We offer the knowledge and insight of our Partners, who between them have over 100 years of direct NHS experience and, have been at the forefront of the most significant service reconfigurations of the last decade. We combine this vast experience with an award-winning in-house analytics function, which has provided analysis to support successful PCBCs and DMBCs across the country. We focus our knowledge and skills on supporting our clients to change services for the better.

Our offer
We can offer support based on first-hand experience and best practice throughout the whole process of system reconfiguration, including developing a case for change, developing care models, producing a range of analysis important for decisions, options appraisal, business case development and leadership support. We are also able to support discrete aspects of your programme as required. We would be happy to talk to you about how we can tailor our approach and support to your specific needs.

The case study section of this website gives some examples of how we have helped others to make real and lasting change for their population.

CF are a refreshingly different form of consultancy, using a range of very skilled professionals who have worked within and across real services. They are responsive to feedback, deliver to tight timescales and provide great-quality, ensuring an overall outstanding experience. Most importantly, there is compassion and a real understanding of why services need to change and improve. The philosophy is about facilitation, evidence, challenge and most of all support and appreciation of the staff delivering the change and respect and inclusion of the public voice. The attention to detail and expertise, has been pivotal to the stroke review alongside the very real passion to land the best services for the Kent and Medway community.”

Patricia Davies
Director of Acute Strategy, Kent and Medway STP

If you are interested about the work we do in our service reconfiguration service line, contact Hannah or Alice for more information.



Hannah Farrar             Alice Caines

Partner                         Principal


Email Hannah               Email Alice