Lean and QI Training for Health and Social Care

Delivered face to face or online

In addition to consulting and programme design assignments, I design and deliver bespoke Lean and QI masterclass courses.

These courses are completely customised for each client to reflect their work and challenges.

Clients include:

Central improvement organisations

Mental health trusts

District general hospitals

Foundation trusts

Teaching hospitals

General practices

Medical device and pharmaceutical companies (including Lean for market access teams)

Community teams

My training is immersive and features a wider range of media and simulations. It features not only the tools of Lean and Quality Improvement, but it covers key areas that are skirted over by many other training providers.

Understanding value – truly understanding need and developing skills to question the work.

Failure demand and systemic issues.

Raising the prominence of quality thinking in addition to quality improvement techniques.


These bespoke courses are available for CPD accreditation, allowing participants to gain points for their personal development and also ensuring accredited delivery and learning standards for the organisation.

Possible subject areas:

Lean principles (original and for service sectors)

Lean in health / social care VS Lean in industry

Quality thinking

Quality improvement

PDSA (Plan, Do, Study, Act)

Capacity, demand and flow (community and in-centre)

Failure demand and understanding need (see my blog on this)

Dominant leadership epistemologies (see my blog on the impact of this on constraining service innovation)

System conditions

Rework and the 7 wastes

The 9 service wastes

Pokeyoke (error proofing)

Standardisation / standard work (including applicability to certain settings – see my blog on this)

Measurement for improvement

Run charts and SPC charts


Process mapping

Value stream mapping

Set-up reduction (SMED)

Value stream identification

Theory of contraints / constraint management

Load levelling / demand smoothing

Demand amplification

Problem solving


Visual control and management

Staff engagement

Influencing others

Facilitation skills

Feedback and comments from people Nick has worked with: 

Explains complicated things very simply!

Offers fresh ideas and perspectives.

Relaxed, approachable, supportive.

Engaging teaching style.

Brilliant teacher.

The best training course I have ever been on.

Overly was his professional manner combined with a disciplined friendliness. He has obvious skills and knowledge of other technical disciplines which provided a sound framework for his delivery and engagement.

Friendly, engaging and allowed the time to listen when the group held discussions.

Depth of understanding of change theory and business models. Ability to listen, assimilate information and adapt material.

I appreciated his engineering perspective as it made challenges feel less complex and overwhelming.

I liked the fact that he was able to pull on past experience outside of the health sector.

I learned a lot (working with you) with direct application to my work – which will make life better for my patients – thank you.

I wish he (Nick) could do my work!

Bright and helpful.

Collective and calm.

Really great, excellent communication.

Clear in thought process.

Contact Nick