01 · Design
Health services design
Design the structure, staffing, interfaces, and capacity needed for a medical or health service to meet demand.
Advice for defence medical planning, readiness, surge, and medical governance.
We work where broad advisory teams usually miss the technical detail: casualty load, evacuation, treatment capacity, staffing, supply, readiness, governance, and surge. The output is a short set of options, the assumptions behind each one, the evidence used, and the risk that remains.
- Sectors
- Defence medical; health authorities; critical care
- Engagement
- 6-16 weeks; on-site, remote, or embedded
- Outputs
- Options, assumptions, model, risk, briefing pack
- Availability
- Selected engagements through 2026
What we do
Problems we take on.
Typical questions: Can the service absorb demand? Where does capacity fail? What should be funded first? Who owns the risk? What can leadership approve?
02 · Assessment
Readiness assessment
Measure doctrine, equipment, personnel, training, sustainment, and governance against the demand the service must absorb.
03 · Operating model
Operating model development
Define roles, decision rights, command relationships, escalation paths, and patient or casualty flow.
04 · Planning
Investment planning
Sequence what to build, what to fund, what can wait, and what risk remains.
05 · Assurance
Governance & assurance review
Test who owns the risk, who sees the evidence, who can intervene, and what assurance is missing.
06 · Analysis
Operational analysis & wargaming
Stress-test plans against demand, enemy action, degraded conditions, resource limits, and time pressure.
How the work runs.
We start by writing down the question the engagement has to answer. Then we collect evidence, test options, write the recommendation, and hand over the material needed to explain or update the work.
01
Frame
State the question, audience, deadline, constraints, and risk tolerance.
02
Assess
Collect demand, capacity, readiness, dependencies, and failure points.
03
Model
Compare options against doctrine, resources, timelines, known gaps, and sensitivity to assumptions.
04
Design
Produce the operating model, laydown, governance changes, or investment sequence.
05
Hand over
Provide the model, assumptions, evidence log, and briefing pack.
The assessment, in one view
Readiness gaps, ranked by risk.
Each domain is scored against a named standard and the demand it must meet. The output is a ranked list of gaps, evidence, owners, and actions required, not a heatmap for its own sake.
IllustrativeExample only. A real assessment uses your evidence, standards, and target date.
Readiness Assessment6 domains · gap to target
- Overall index
- 68/ 100
- Domains assessed
- 6domains
- Gaps to close
- 6of 6
- Target horizon
- Q42026
DomainCurrent vs targetScore
DoctrinePlans & policy78-2
EquipmentMatériel & supply64-11
PersonnelManning & skill71-9
TrainingCurrency & exercise58-12
SustainmentLogistics & resupply66-12
GovernanceAssurance & control73-9
CurrentTargetBaseline · 68/100 overall
Who brings us in
Who brings us in.
Our clients are accountable for health services where bad assumptions create clinical, operational, or governance risk.
Defence medical organisations
Casualty estimates, force health protection, evacuation, treatment capacity, and sustainment for large-scale operations.
Health authorities & ministries
Capacity, workforce, emergency care, reform, and surge planning across a jurisdiction.
Critical-care institutions
Hospital and network resilience: critical services, staffing, escalation, infrastructure, and demand spikes.
What we deliver.
You should be left with the recommendation, the assumptions, the evidence, the risk, and the material needed to explain it.
Independent by default
We carry no product or vendor stake. The recommendation is the one the evidence supports, whether or not it leads to more work for us.
No vendor stakeDoctrine and standards
We use the doctrine, standards, and staff language your organisation uses every day.
AJP-4.10 · APP-23Evidence over assertion
Findings tie back to data, modelling, interviews, observed practice, or named assumptions.
Modelled · sourcedHandover included
You receive the model, assumptions, evidence log, briefing pack, and instructions for updating the work.
Method handed overBegin an engagement
Begin an enquirySend the question, deadline, and audience.
Include what must be decided, the deadline, audience, sector, and constraints. We will reply directly with what we would produce, or say if it is outside our work.