System Integration and Collaboration

Our passion to support whole system working derives from our belief that the health and social care system needs to address the inter-connected roots of ill health and work to establish communities that actively facilitate health and well being as well as working to provide a more integrated response to health and care needs and demand. Much of our work is designed to help you work collaboratively across boundaries and shift towards a system leadership style.


We support the drive towards integration and we help leaders mobilise holistic approaches that enable whole systems to use their collective resources to tackle the roots of ill-health and health inequalities in localities. We understand this requires a shift in focus from the provision of episodic treatment for acute illness towards the promotion of wellbeing, self-care and joined up support for older people and people with long term conditions and we offer support in working through the practical and philosophical implications of adopting and spreading this new conceptualisation of individual and organisational purpose.

  • We are skilled in enabling leaders to understand and engage in systems thinking and we help you see the whole picture, create connections between the moving parts and focus on emergence
  • We help you work with multiple perspectives, embrace difference, manage conflict, see possibilities, tolerate ambiguity and adapt
  • We understand that successful systems leadership relies on collaboration and we know that many current leaders have emerged from a competitive climate so we help you identify and build commitments around system gain instead of organisational outcome
  • We support system leaders with the challenges of distributing financial resources and applying digital and data methods of driving system working whilst merging organisations with different and sometimes conflicting purpose, strategic ambitions, operational priorities, accountability structures, decision making processes, cultures and values
  • We know the focus on system development is challenging for those whose identity is defined by delivering organisationally defined treatment and care services and we appreciate that current and future system leaders are struggling with the volume and complexity of their workloads and the scale and pace of change, so we offer support in navigating the cultural changes, leadership challenges and need for high levels of personal resilience that derive from such seismic shifts in the environment

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