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Why Implementation Matters More Than Diagnosis

Traditional consultancy succeeds 20% of the time. Our implementation partnership: 87%.

The difference isn't the diagnosis. It's the implementation.

The Implementation Gap

Traditional Consultancy

×

6-12 month strategy development timelines

×

Reports that gather dust

×

Imposed solutions creating resistance

×

Consultants leave before implementation

×

No genuine co-ownership

20%
Implementation success rate

Implementation Partnership

1-day collaborative workshops

Strategies people actually implement

Co-created solutions with genuine ownership

We stay until change embeds

Sustained implementation support

87%
Implementation success rate (Fit to Care client outcomes)

Why Most Change Initiatives Fail the Serve-Energise-Matter Test

Traditional approaches fail all three:

Serve? Reports that nobody reads don't serve patients, staff, or citizens
Energise? 6-12 months of meetings drain leadership teams
Matter? 80% of strategies sit on shelves, those heartbeats didn't matter

Implementation partnership passes all three:

Serve: Change that reaches frontline staff serves patients directly
Energise: Co-creation energises participants who own the solution
Matter: 87% implementation rate means heartbeats invested actually matter

The difference isn't better diagnosis. It's ensuring every heartbeat invested serves, energises, and matters.

Our Implementation Partnership Model

1

Co-Creation, Not Consultation

We don't interview stakeholders and disappear to write reports. We bring everyone together in collaborative workshops where solutions emerge from the people who will implement them.

Why it works: People implement strategies they co-create. When 10-15 diverse stakeholders shape solutions together, ownership is genuine, not manufactured.

2

Compress Development, Expand Implementation

Traditional consultancy spends 6-12 months developing strategy, then leaves. We compress development into 1 day using AI-powered synthesis, then invest the reclaimed time in implementation support.

Why it works: Long development timelines don't create better strategies. They create batch-and-queue waste. We eliminate that waste and redirect those heartbeats to implementation.

3

We Stay Until Change Embeds

Implementation doesn't happen in a workshop. It happens in the weeks and months that follow. We provide sustained support, troubleshooting, and momentum maintenance until transformation reaches patients and staff.

Why it works: Change fails when early momentum dies. We maintain that momentum through regular check-ins, problem-solving sessions, and adaptive support.

4

Return on Heartbeats Methodology

Every decision is evaluated through the lens of heartbeat investment. We help you identify where heartbeats are being consumed without return, reclaim that capacity, and redirect it to transformation.

Why it works: You can't implement transformation without capacity. ROH™ helps you stop heartbeating on waste and reclaim capacity for change.

The Evidence

Our 87% implementation success rate isn't marketing. It's measured across client outcomes where change reached patients and staff.

Compare that to the 20% success rate for traditional consultancy (MIT Sloan Management Review 2022) and 23% for traditional PMO approaches (McKinsey Transformation Research 2023).

87%
Our Implementation Success
20%
Traditional Consultancy
23%
Traditional PMO

Real Implementation Success

6 Months to 1 Day

Multi-Academy Trust, 21 Schools

"I'm talking about producing a full, almost complete 80-85% complete strategic plan in a day. That's like a term's work, a document that potentially would have taken us the best part of six months to put together in a couple of afternoons essentially."

Phil Banks, CEO, St Christopher's School Trust

Why Phil chose us: Traditional consultancy had failed to deliver implementable strategies. The key difference? Co-creation with implementation support. Phil's team didn't just get a strategy, they got genuine ownership and sustained support until change embedded.

Ready to Stop Heartbeating and Start Implementing?

We don't just diagnose problems. We partner with you until change embeds.

No pressure. No sales pitch. Just an honest conversation about your implementation challenges.