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Agencia has worked at the heart of healthcare delivery in both the public and private sectors since its inception, in 1997, as Andrew Gibson Consulting.

Our work includes redesigning and delivering new services, working with government to deliver effective new policies and helping providers and commissioners improve frontline services.

So, whether you’re planning to deliver new models of service, commissioning new clinical pathways, requiring independent commissioning support services, or considering outsourcing your service, Mike Robson, our Director of Health, Social Care & Enterprise, and the Agencia team will be happy to talk to you about how we can help.

Working with and beyond the NHS, we have been very busy recently:

Supporting Quality, Innovation, Productivity and Prevention (QIPP) services – supporting commissioners to meet the NHS’s challenge to save £20 billion over 3 years.

Supporting Foundation Trusts and aspiring Foundation Trusts – including with clinical strategy development.

Helping organisations respond to the NHS transition – working across the commissioning landscape to support commissioners in their new role before, during and after unprecedented reorganisation.

Designing and implementing complex service reconfigurations – supporting health economies to deliver clinically-led redesign and improve front-line delivery.  Specific services we have worked on recently include child and adolescent mental health services , (CAMHS), musculoskeletal, falls, equipment, community cardiology, older people’s mental health and dementia.

Growing and developing the workforce – supporting organisations through organisational development, workforce planning, providing capacity support, clinical leadership development and training and coaching.

Engaging, consulting and involving those affected by proposed changes – public, communities and service users.  We have earned a reputation as an impartial, independent organisation, which operates sensitively and confidentially to listen to and faithfully report the issues raised by stakeholders.  Our approach to such sensitive exercises was identified as the appropriate solution during a judicial review.

 We have a wide range of Health and Social Care expertise

Our team includes many experienced consultants with extensive experience as Directors and Senior Managers in Health and Social Care organisations.  We can provide you with access to the best combination of these senior level managers.

Our team of focussed experts is able to bridge the key domains of needs assessment, finance, service user views and engagement with a range of clinicians and social care staff.  Our specific expertise in health and social care is outlined below.


Topic Specialist Expertise
Whole System Approaches Integrating health and social care; identifying strategic priorities, planning change; the role of public health in planning; commissioning and contracting for quality and efficiency; financial modelling of change programmes; engagement of users, carers, staff and stakeholders.
Strengthening primary and community care Developing care closer to home; reducing dependence on hospitals; decommissioning institutions (e.g. learning disability, residential care, mental health) in favour of community based solutions; specialisation in General Practice, practice management and systems.
Commissioning support Commissioning for outcomes; developing commissioning competencies; intelligent commissioning, tools and techniques for prioritisation; commissioning across pathways and the importance of working with stakeholders; managing risk (post Keogh); specification of services; procurement, and contract management; interfacing with  CSU’s.
Hospital management The roles of doctors and nurses in management; management structures and processes.
Leadership development The role of boards and senior teams; developing clinical champions and leaders; leading teams of professionals and clinicians.
Finance Identification of current costs in providing services; financial modelling the effects of service change and integration; good practice in health and social care accounting.
Professional development Workforce development; career planning for doctors, nurses and managers.
Governance, risk management and safety Senior management of health and social care organisations; board structures and processes; transparency and accountability; capturing and using the views of patients, carers and the public; managing clinical safety; protection of vulnerable children and adults; communication with the public; managing the relationship between public and private sector organisations.
Care of older people Design and management of older people’s services such as residential care homes; community based health and social care support for older people; managing dementia in the community and specialist units.


To discuss any aspects of our healthcare work please contact Mike Robson at, or give us a call.

To download our full health and social care portfolio, please click here: