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Delivery by Design

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by Alastair Mitchell-Baker

10 episodes

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Podcast Overview

Welcome to Delivery by Design, the podcast that explores how organisations move from good ideas to real impact. Hosted by Alastair Mitchell-Baker from Tricordant, this podcast looks at what it truly takes to deliver results in complex organisations. Each episode brings conversations with leaders, consultants, and practitioners who are working on the front lines of organisational change, leadership, and system transformation. From strategy and organisation design to leadership development and systems thinking, Delivery by Design uncovers how successful organisations align people, structure, and culture to achieve meaningful outcomes. Whether you're navigating transformation, improving how teams work together, or shaping the future direction of your organisation, this podcast offers practical perspectives and real-world experiences from those doing the work. Tricordant has spent years helping organisations design healthier, more effective systems that allow people and teams to perform at their best. In this podcast, those ideas come to life through stories, lessons, and conversations that show what it takes to turn vision into delivery. If you care about leadership, organisational effectiveness, and creating workplaces that truly work, Delivery by Design brings the thinking and experience behind successful change.

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3/10/2026

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Recent Episodes

July 22, 2026

How Risk-Based Operating Models and Five Things Rule Fix Failing Organisations with James Sumner

In this episode of the Delivery by Design Podcast, <a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank">Alastair Mitchell-Baker</a> speaks with <a href="https://www.linkedin.com/in/james-sumner-201640357/" rel="noopener noreferrer" target="_blank">James Sumner</a>, Group Chief Executive Officer at <a href="https://www.linkedin.com/company/nhs-university-hospitals-of-liverpool-group/" rel="noopener noreferrer" target="_blank">NHS University Hospitals of Liverpool Group</a>, about how operating models, governance, and leadership can transform complex healthcare organisations. Drawing on his experience leading one of the UK's largest NHS hospital groups, James explains why operating models are much more than organisational charts, they define governance, decision-making, leadership behaviours, and accountability across large-scale healthcare systems.The conversation explores how a risk-based governance model has helped drive performance improvement, strengthen assurance, and support large-scale organisational transformation following major NHS mergers. James shares practical insights into devolved leadership, group operating models, clinical leadership, and how focusing on a small number of strategic priorities can create sustainable improvements in patient safety, quality, and organisational performance.Key Takeaways:<ul><li>Why an effective operating model extends beyond structure to include governance, leadership, risk management, and decision-making.</li><li>How risk-based governance improves organisational assurance and uncovers hidden operational risks.</li><li>Why focusing on a small number of strategic improvement priorities leads to faster and more sustainable transformation.</li><li>How devolved leadership empowers local decision-making while maintaining consistency across large hospital groups.</li><li>The role of clinical leadership and multidisciplinary collaboration in improving patient care.</li><li>How group operating models enable organisations to share expertise, improve services, and deliver better outcomes across multiple hospitals.</li></ul> Noteworthy Quotes:<ul><li>“An operating model is much more than just the wiring diagram.” – James Sumner</li><li>“The only way to really understand your organisation is to embed a different approach to managing risk.” – James Sumner</li><li>“Let's sit down and work out the five to ten things that matter most, then relentlessly pursue those.” – James Sumner</li><li>“You need clarity about where ownership sits and how decisions are made.” – James Sumner</li><li>“Ninety-five percent of the decisions should be made at the hospital level.” – James Sumner</li><li>“Once people start understanding risk, you'll discover things about your organisation that you never knew existed.” – James Sumner</li></ul> Key Timestamps00:00 - Introduction to James Sumner and the University Hospitals of Liverpool Group02:23 - What an operating model means in modern NHS organisations06:50 - Why risk-based governance uncovers hidden organisational issues12:22 - Embedding continuous improvement across complex healthcare systems15:54 - Leadership structures, accountability, and organisational design16:53 - Clinical leadership and devolved decision-making within hospital groups23:48 - Managing services across multiple hospitals within a group model24:21 - The benefits of group operating models for patients, staff, and healthcare delivery30:23 - Workforce development, talent deployment, and executive board experience32:28 - Issues retained for group-level oversight35:29 - Group-level opportunities and cross-site collaboration37:25 - Role of NHS providers in system-wide planning and ten-year strategy43:04 - Population segmentation, diagnostics, and neighbourhood care integration43:57 - Practical applications and benefits of AI in clinical and administrative workflowsFollow Our Guest, James Sumner:<ul><li>James Sumner LinkedIn: <a href="https://www.linkedin.com/in/james-sumner-201640357/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/james-sumner-201640357/</a></li><li>NHS University Hospitals of Liverpool Group LinkedIn:</li><li><a href="https://www.linkedin.com/company/nhs-university-hospitals-of-liverpool-group/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/company/nhs-university-hospitals-of-liverpool-group/</a></li></ul> Connect with the Host, Alastair Mitchell-Baker:<ul><li>LinkedIn:<a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank"> </a><a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/</a> </li></ul> Follow our Colleagues from Tricordant: <ul><li>Andrew Liles: <a href="https://www.linkedin.com/in/andrew-liles-282b1792/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/andrew-liles-282b1792/</a></li><li>Yasmin Wills: <a href="https://www.linkedin.com/in/yasmin-wills-b72535146/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/yasmin-wills-b72535146/</a></li><li>Nick Richmond: <a href="https://www.linkedin.com/in/nickgmrichmond/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/nickgmrichmond/</a></li><li>Helen Blanchard: <a href="https://www.linkedin.com/in/helenblanchard21/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/helenblanchard21/</a></li></ul> More from Tricordant:<ul><li>Website:<a href="https://www.tricordant.com/" rel="noopener noreferrer" target="_blank"> https://www.tricordant.com/</a></li><li>YouTube:<a href="https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q" rel="noopener noreferrer" target="_blank"> https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q</a></li><li>LinkedIn:<a href="https://www.linkedin.com/company/tricordant-ltd/" rel="noopener noreferrer" target="_blank"> https://www.linkedin.com/company/tricordant-ltd/</a></li><li>Email: office@tricordant.com</li></ul> Follow the Podcast:<ul><li>Apple Podcasts:<a href="https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753" rel="noopener noreferrer" target="_blank"> https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753</a></li><li>Spotify:<a href="https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc" rel="noopener noreferrer" target="_blank"> https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc</a></li></ul>

July 8, 2026

How leadership visibility transforms outcomes & why hope is the leadership tool with Claus Madsen

In this episode of Delivery by Design Podcast, <a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank">Alastair Mitchell-Baker</a> speaks with <a href="https://www.linkedin.com/in/clausmadsennhs/" rel="noopener noreferrer" target="_blank">Claus Madsen</a>, Chief People Officer at <a href="https://www.linkedin.com/company/greatermanchestermentalhealthnhsfoundationtrust/" rel="noopener noreferrer" target="_blank">Greater Manchester Mental Health NHS Foundation Trust</a>, 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 way organisations function and why successful change requires much more than structural redesign.The conversation explores Greater Manchester Mental Health NHS Foundation Trust’s transformation journey following significant organisational challenges, including the aftermath of the BBC Panorama investigation and regulatory intervention. Claus shares how a new executive team introduced clearer governance, a stronger strategic direction, leadership development programmes, and a renewed focus on culture. He also discusses the importance of psychological safety, employee engagement, and creating hope within organisations to improve staff experience, retention, and ultimately patient care.Key Takeaways:<ul><li>Why culture has a greater influence on success than strategy alone.</li><li>How leadership visibility and accountability can rebuild trust within organisations.</li><li>The importance of creating hope and a clear sense of direction during transformation.</li><li>Why co-designing change with staff leads to better adoption and outcomes.</li><li>How leadership development helps sustain long-term cultural change.</li><li>The connection between staff experience, retention, and quality of patient care.</li></ul> Noteworthy Quotes:<ul><li>“Culture will dictate what can happen and how.” – Claus Madsen</li><li>“You can have the best plans in the world, but if the culture isn’t ripe for it, it will be very difficult.” – Claus Madsen</li><li>“We can say we want psychological safety, but if people don’t experience it, then it doesn’t exist.” – Claus Madsen</li><li>“What we generated in the organisation was hope.” – Claus Madsen</li><li>“Everybody deserves to come to work and be happy at work.” – Claus Madsen</li><li>“Being kind and compassionate doesn’t cost anything.” – Claus Madsen</li></ul> Key Timestamps00:00 - Introduction to Claus Madsen and Greater Manchester Mental Health NHS Foundation Trust02:25 - What operating models mean from a people and HR perspective05:47 - Why culture often determines whether change succeeds or fails10:38 - Leadership, structure and organisational layers12:15 - The impact of the BBC Panorama investigation and organisational challenges15:17 - Leadership visibility and reconnecting with frontline staff23:34 - Building leadership development programmes across the organisation33:11 - How hope became a catalyst for cultural transformation39:14 - Understanding why employees leave and how to improve retention45:37 - The role of kindness, compassion and psychological safetyFollow Our Guest, Claus Madsen:<ul><li>Claus Madsen LinkedIn: <a href="https://www.linkedin.com/in/clausmadsennhs/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/clausmadsennhs/</a></li><li>Greater Manchester Mental Health NHS Foundation Trust LinkedIn: <a href="https://www.linkedin.com/company/greatermanchestermentalhealthnhsfoundationtrust/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/company/greatermanchestermentalhealthnhsfoundationtrust/</a></li><li>Greater Manchester Mental Health NHS Foundation Trust Website: <a href="https://www.gmmh.nhs.uk/" rel="noopener noreferrer" target="_blank">https://www.gmmh.nhs.uk/</a></li></ul> Connect with the Host, Alastair Mitchell-Baker:<ul><li>LinkedIn:<a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank"> </a><a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/</a> </li></ul> Follow our Colleagues from Tricordant: <ul><li>Andrew Liles: <a href="https://www.linkedin.com/in/andrew-liles-282b1792/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/andrew-liles-282b1792/</a></li><li>Yasmin Wills: <a href="https://www.linkedin.com/in/yasmin-wills-b72535146/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/yasmin-wills-b72535146/</a></li><li>Nick Richmond: <a href="https://www.linkedin.com/in/nickgmrichmond/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/nickgmrichmond/</a></li><li>Helen Blanchard: <a href="https://www.linkedin.com/in/helenblanchard21/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/helenblanchard21/</a></li></ul> More from Tricordant:<ul><li>Website:<a href="https://www.tricordant.com/" rel="noopener noreferrer" target="_blank"> https://www.tricordant.com/</a></li><li>YouTube:<a href="https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q" rel="noopener noreferrer" target="_blank"> https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q</a></li><li>LinkedIn:<a href="https://www.linkedin.com/company/tricordant-ltd/" rel="noopener noreferrer" target="_blank"> https://www.linkedin.com/company/tricordant-ltd/</a></li><li>Email: office@tricordant.com</li></ul> Follow the Podcast:<ul><li>Apple Podcasts:<a href="https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753" rel="noopener noreferrer" target="_blank"> https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753</a></li><li>Spotify:<a href="https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc" rel="noopener noreferrer" target="_blank"> https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc</a></li></ul>

June 24, 2026

How Centralised Healthcare Fails and Place-Based Care Is the Future of the NHS with Matthew Kershaw

In this episode of Delivery by Design, host <a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank">Alastair Mitchell-Baker</a> is joined by <a href="https://www.linkedin.com/in/matthew-kershaw-b7124a88/" rel="noopener noreferrer" target="_blank">Matthew Kershaw</a> Chief Executive of <a href="https://www.linkedin.com/company/croydon-health-services-nhs-trust/" rel="noopener noreferrer" target="_blank">Croydon Health Services NHS Trust</a> 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 providers, local government, primary care, and the voluntary sector to improve outcomes for residents. He explains why devolved decision-making, strong relationships, and shared accountability are essential for delivering better services and tackling the growing challenges facing the NHS.Key Takeaways<ul><li>Why place-based leadership can improve health and care outcomes</li><li>How Croydon has built a collaborative model across health, social care, and the voluntary sector</li><li>The importance of strong relationships in delivering system-wide change</li><li>Why decisions should be made closer to the communities they affect</li><li>The challenges and opportunities of devolved budgets and local accountability</li><li>Why governance structures must evolve to support integrated care</li><li>The role of innovation, flexibility, and local autonomy in NHS transformation</li><li>Practical advice for leaders looking to develop place-based healthcare models</li></ul> Noteworthy Quotes:<ul><li>“The closer we can make decisions to the population, the better.” – Matthew Kershaw</li><li>“I’m not chasing the badge, I’m chasing the outcome.” – Matthew Kershaw</li><li>“The trust will not be successful if the place isn’t, and vice versa.” – Matthew Kershaw</li><li>“It’s built on strong relationships across the system.” – Matthew Kershaw</li><li>“We are working together as a single integrated whole.” – Matthew Kershaw</li><li>“The NHS is a super tanker; it takes time to turn around.” – Matthew Kershaw</li></ul> Key Timestamps00:00 - What the NHS operating model means in practice02:13 - Balancing the responsibilities of trust chief executive and place leader08:35 - The benefits of a place-based approach in Croydon11:59 - Devolved budgets and local decision-making13:35 - Matthew's perspective on Advanced Foundation Trusts16:48 - Governance through the One Croydon Health and Care Board19:54 - Integrated neighbourhood teams and reducing hospital admissions21:58 - Building sustainable relationships and long-term collaboration33:50 - What policy changes would accelerate place-based working40:57 - Advice for leaders pursuing integrated and neighbourhood-based careFollow Our Guest, Matthew Kershaw <ul><li>Matthew Kershaw LinkedIn: <a href="https://www.linkedin.com/in/andyheeps/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/andyheeps/</a></li><li>Croydon Health Services NHS Trust: <a href="https://www.linkedin.com/company/croydon-health-services-nhs-trust/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/company/croydon-health-services-nhs-trust/</a></li></ul> Connect with the Host, Alastair Mitchell-Baker:<ul><li>LinkedIn:<a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank"> </a><a href="https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/alastair-mitchell-baker-a01babb/</a> </li></ul> Follow our Colleagues from Tricordant: <ul><li>Andrew Liles: <a href="https://www.linkedin.com/in/andrew-liles-282b1792/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/andrew-liles-282b1792/</a></li><li>Yasmin Wills: <a href="https://www.linkedin.com/in/yasmin-wills-b72535146/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/yasmin-wills-b72535146/</a></li><li>Nick Richmond: <a href="https://www.linkedin.com/in/nickgmrichmond/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/nickgmrichmond/</a></li><li>Helen Blanchard: <a href="https://www.linkedin.com/in/helenblanchard21/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/in/helenblanchard21/</a></li></ul> More from Tricordant:<ul><li>Website:<a href="https://www.tricordant.com/" rel="noopener noreferrer" target="_blank"> </a><a href="https://www.tricordant.com/" rel="noopener noreferrer" target="_blank">https://www.tricordant.com/</a></li><li>YouTube:<a href="https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q" rel="noopener noreferrer" target="_blank"> </a><a href="https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q" rel="noopener noreferrer" target="_blank">https://www.youtube.com/channel/UCo2WP_UCnm-tszOIc87O36Q</a></li><li>LinkedIn:<a href="https://www.linkedin.com/company/tricordant-ltd/" rel="noopener noreferrer" target="_blank"> </a><a href="https://www.linkedin.com/company/tricordant-ltd/" rel="noopener noreferrer" target="_blank">https://www.linkedin.com/company/tricordant-ltd/</a></li><li>Email: office@tricordant.com</li></ul> Follow the Podcast:<ul><li>Apple Podcast:<a href="https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753" rel="noopener noreferrer" target="_blank"> </a><a href="https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753" rel="noopener noreferrer" target="_blank">https://podcasts.apple.com/us/podcast/delivery-by-design/id1884004753</a></li><li>Spotify:<a href="https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc" rel="noopener noreferrer" target="_blank"> </a><a href="https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc" rel="noopener noreferrer" target="_blank">https://open.spotify.com/show/1FZ3DP0DcivWcXv8bJH3Hw?si=64f2414b3fbd44cc</a></li></ul>

10 total episodes available

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Frequently asked questions

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What is Delivery by Design?: Welcome to Delivery by Design, the podcast that explores how organisations move from good ideas to real impact.

Hosted by Alastair Mitchell-Baker from Tricordant, this podcast looks at what it truly takes to deliver results in complex organisations. Each episode brings conversations with leaders, consultants, and practitioners who are working on the front lines of organisational change, leadership, and system transformation.

From strategy and organisation design to leadership development and systems thinking, Delivery by Design uncovers how successful organisations align people, structure, and culture to achieve meaningful outcomes. Whether you're navigating transformation, improving how teams work together, or shaping the future direction of your organisation, this podcast offers practical perspectives and real-world experiences from those doing the work.

Tricordant has spent years helping organisations design healthier, more effective systems that allow people and teams to perform at their best. In this podcast, those ideas come to life through stories, lessons, and conversations that show what it takes to turn vision into delivery.

If you care about leadership, organisational effectiveness, and creating workplaces that truly work, Delivery by Design brings the thinking and experience behind successful change.
How often does this podcast release new episodes?: This podcast updates daily.
Where can I listen to this podcast?: This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
Does this podcast accept guests?: Information about guest appearances is not available.

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