Author: Alastair Mitchell-Baker
10 February 2026
An operating model is how an NHS organisation is structured to deliver care every day. It’s the clear plan that connects strategy to action—mapping out who does what, how decisions are made, and how resources are used to support patients.
At Tricordant, we help NHS organisations build operating models that support better patient outcomes. By aligning clinical teams, admin support, and governance, we smooth processes so patients get timely, safe, and joined-up care. This means fewer delays, clearer communication, and better experiences for patients and their families.
Meeting Today’s NHS Executive Challenges
We recognise the pressures facing Trust Executive Directors: the drive for performance recovery, the need to deliver significant efficiency savings, and the challenge of supporting and retaining a valued workforce. There’s a clear expectation to boost productivity and harness digital and AI tools—while ensuring technology delivers real value, not just novelty. Leaders are also tasked with shifting care into communities, focusing on prevention, and integrating services, all while managing change fatigue and maintaining local autonomy.
Co-Design at the Heart of Our Approach
What sets Tricordant apart is our commitment to genuine co-design. We work shoulder-to-shoulder with clinical, operational, and corporate leaders, using proven facilitation methods—such as LEGO® SERIOUS PLAY®—to unlock insight, creativity, and shared ownership. This collaborative approach ensures that operating models are not only robust but also practical, actionable, and tailored to your Trust’s unique context.
Diverse, Multi-Disciplinary Expertise
Our team brings together senior leadership experience from across the NHS and wider sectors—spanning clinical, operational, corporate, and digital disciplines. This diversity means we understand the realities you face and can act as a critical friend, providing both challenge and support.
AI-Powered Organisation Design with Reconfg
Central to our offer is Reconfg, our AI-powered organisation design tool. Reconfg creates a digital twin of your Trust, mapping how work really happens. It uses AI to spot bottlenecks, highlight opportunities to work smarter, and model changes that can release up to 25% of staff time for higher-value care. By testing new ways of working virtually, we help you make confident, evidence-based decisions—delivering real improvements for patients and staff.
In Summary
A well-designed operating model—co-created with your leaders, powered by Reconfg’s AI insights, and supported by Tricordant’s multi-disciplinary expertise—enables Trusts to deliver safer, faster, and more joined-up care, making the most of every resource and supporting the people who matter most: your patients and your staff.