Strategy &
system alignment
When leaders need to agree a direction, make choices, and get people from different organisations behind the plan.
- Shared priorities
- Partnership working
- Operating models
For leaders across health, care, and public services
Make progress where responsibility is shared.
When complex work crosses organisations, I help you clarify what matters, bring the right people together, and turn agreed plans into action.
Experience across
Selected organisations I’ve worked with across primary care, neighbourhood health, public services, and the voluntary sector.
When to bring me in
When the work matters, but no one organisation can do it alone.
The need for change may be clear, but it can be harder to agree what to do, who is responsible, and how to get started.
You can see the symptoms, but the real challenge is still unclear.
I help the people involved understand what is happening, agree what matters, and focus their effort where it can make a difference.
Several organisations share responsibility, but no one controls the whole system.
I help people talk openly, make sound decisions, and take responsibility for what happens next.
The strategy is agreed, but putting it into practice has proved difficult.
I help turn the strategy into clear priorities, practical next steps, and work that people can take forward.
Progress has slowed, stopped, or been pushed aside by day-to-day demands.
I help people understand what is getting in the way and agree how to move forward.
The aim is to help you make clearer decisions, agree who is responsible, and get things moving.
How I help
Support built around what you need.
We start by talking through the challenge. Together, we agree what support would help.
Strategy &
Service design
& improvement
When services need to work better for the people who use, deliver, and depend on them.
- Service redesign
- Process improvement
- Neighbourhood models of care
Facilitation &
mobilisation
When people need help to work through difficult issues, make decisions, and take action together.
- Leadership sessions
- System workshops
- Decision-making
Selected work
What changed for clients.
Setting a new direction for a primary care partnership
What changed: clearer strategic direction, better-defined choices, and an agreed route into action.
"A few things stand out from Lee’s work with us: respectful of our organisation, tailored to what we needed, challenging in the right way, grounded and realistic, delivered positive outcomes, practical ideas we could act on."
Moving an integrated service from pilot to sustainable delivery
What changed: a clearer service model and a practical route from promising pilot to commissioned provision.
“Lee’s insightful and dynamic engagement helped him quickly understand the project. His system expertise, combined with real enthusiasm for our direction, was instrumental in guiding our business planning for the Primary Care Mental Health Service.”
Redesigning an operational model across multiple sites
What changed: a stronger case for change and a redesigned model focused on capacity, flow, and sustainability.
“Lee guided us through a complex set of challenges, helping us distil what mattered and shape a clear, focused strategy. His collaborative approach meant the whole team was involved and aligned around the outcome.”
The Horizon Method
Clarify.
Align.
Act.
The Horizon Method is a simple structure for complex work. It is adapted to the situation, not imposed as a formula.
01Clarify the challenge, what is causing it, and what needs to change.
02Align people around shared priorities and agree how to work together.
03Act with clear priorities, agreed responsibilities, and regular reviews of progress.
Place shapes health.
Creating Health
Creating health takes more than healthcare.
Health is shaped by communities, relationships, housing, work, public services, voluntary organisations, and the opportunities people have to live well.
Creating Health is where I explore these wider conditions through conversations, writing, and events — and connect them to the practical work of improving health across organisational boundaries.
Explore the thinking
About Lee
Clear thinking for work that crosses boundaries.
For more than fifteen years, I have worked alongside leaders, teams, and partnerships trying to improve health, services, and organisations.
My background spans primary care leadership, neighbourhood and service development, organisational development, facilitation, and system working.
You work directly with me, with trusted associates involved where needed.
Ways to work together
Different problems need different levels of support.
Short and focused
A focused session
Work through an issue, make a decision, or agree a way forward.
Defined scope
A defined project
Support to understand the challenge, involve the right people, and put agreed plans into practice.
Alongside you
Ongoing advisory
A fresh perspective, honest advice, and practical support as the work develops.
How it starts
Begin with the challenge, not a polished brief.
- StartHave a conversation
We talk about what is happening, what is getting in the way, and what you want to change.
- ShapeClarify the right support
I’ll be clear about whether I can help and what support I can offer.
- AgreeAgree the next steps
If we decide to work together, we agree what we want to achieve, what the work will involve, and how to begin.
Thinking
Ideas for making progress across boundaries.
Lessons from my work, ideas for helping organisations work together, and conversations about what creates better health.
Practice
Making systems move
Clear thinking about shared responsibility, strategic direction, alignment, and action.
First series in development
Point of view
Creating Health
Conversations about the people, places, relationships, and conditions that shape health.
New conversations coming soon
Field notes
From the work
Short observations, practical tools, and honest lessons from complex work.
Field notes coming soon
A useful note, shared when there is something worth saying.
Ideas from my work, practical observations, and things I’ve found useful.
Start a conversation
You do not need a
finished brief.
We can talk through the challenge, what you want to change, and whether I’m the right person to help.
Email Lee