Business Change Case Studies

Building a Change Management Culture and New Operating Model for Strategic Growth

Project Overview

Project Overview

As a healthcare workforce solutions provider serving the NHS, our client experienced dramatic and unprecedented expansion during 2020 as a direct response to the COVID-19 pandemic. The organization has emerged as the premier NHS flexible staffing network with more than 180,000 registered professionals, partnering with over 50 NHS Trusts throughout the United Kingdom. This accelerated growth, coupled with constrained infrastructure investment, created operational complexities that threatened the organization’s ability to meet escalating NHS requirements.

Leadership recognized the imperative for transformation that would be bold, radical and multifaceted. This strategic evolution would integrate cutting-edge technology platforms, operational excellence initiatives, and revolutionary workforce methodologies alongside cultivating a change management culture—all essential components for sustainable expansion. The transformation blueprint envisions positioning the organization as the preferred strategic workforce alliance within the healthcare and social care ecosystem.

To realize this vision, their most valuable resource—their workforce—must be energized to champion and advance deploying more professionals to more locations for enhanced care delivery.

Our Approach

Our Approach

  • We collaborated to develop a bold new brand identity and key message framework for the transformation initiative that would connect with both internal teams and external stakeholders.
  • These foundational messages and visual elements were then systematically deployed through dynamic executive engagement sessions supported by comprehensive multimedia resources.
  • We architected and led comprehensive Target Operating Model sessions, defining future operational frameworks for the enterprise.
  • We defined enterprise-level business workflows the client required to reach their envisioned future state across workforce, processes, technology infrastructure and information systems.
  • We built internal organizational capacity for operational independence in executing essential change initiatives, evaluations and oversight while maintaining people-first decision-making principles. This demanded extensive mentoring and guidance throughout the transformation organization, supporting them in developing a change management culture, enhancing performance and expanding capabilities.
  • Despite operating within a demanding environment with significant implications for the healthcare sector, we served as the strategic connector who could integrate the diverse project streams and deliver clarity and focus to executive decision-making, ensuring challenges were resolved by appropriate internal resources.
The Impact We Delivered

The Impact We Delivered

“I’ve been so impressed by the expertise and the knowledge that the Afiniti team have brought to our transformation. I can really see how the work that they’ve done will lead us to our future transformed target operating model. We’re thankful for all your expertise, passion and energy in working with us as partners.”

– Chief People Officer
  • The organization has achieved remarkable progress in transformation sophistication. We provided and activated success through multiple resource kits focused on change adoption and preparedness, professional development, strategic TOM architecture and business process governance and oversight.
  • Our client has successfully integrated strategic facilitation methodologies, ADKAR framework for technology implementations affecting more than 1000 employees and 180,000 NHS network professionals, systematic change oversight, readiness evaluations and milestone controls alongside a redesigned business process framework positioned for continued success.
  • Through close collaboration, developing their internal capabilities and functioning as their strategic advisor, the client now operates from a more resilient, enhanced and sustainable foundation to advance their transformation journey with an embedded change management culture and accomplish their mission to deploy more professionals to care locations with greater efficiency.

By establishing robust change governance frameworks and building internal transformation capabilities, the organization successfully transformed operational complexity into strategic advantage, positioning them to scale their impact across the healthcare sector while maintaining operational excellence.

Build lasting change capability
Creating a change-ready organisation takes strong leadership, clear governance and practical capability. Talk to our experts about building change that lasts.

Related Case Studies

© 2026 Afiniti