NHS Improvement and Transformation Partner

We support healthcare teams to become more efficient, productive and successful.

Primary and Secondary Care Interface

Support for leaders who want stronger collaboration across the interface between primary and secondary care. Expert facilitation and focused leadership development bring people together, build shared purpose and improve communication. 

Explore Primary and Secondary Care Interface

Integrated Neighbourhood Teams

With a strong focus on leadership development, improving system interfaces, and making the most of digital tools. We can help teams strengthen collaboration across primary, secondary, and community services, while embedding practical sustainable improvements.

Explore Neighbourhood Teams

Leadership Programmes

Bespoke leadership facilitation give both leaders and leadership teams the skills, confidence and insight needed to navigate demanding environments. Our programmes are created around real challenges and equips people to lead with clarity, empathy and purpose.

Explore Leadership Programmes

Supporting Digital Transformation

Digital change succeeds when people feel confident and aligned around a shared direction. This support helps teams build capability, understand what matters most and embed changes that improve care, strengthen efficiency and make daily work easier for staff.

Explore Supporting Digital Transformation

Practice Level Support (PLS)

Practice Level Support, formerly known as the General Practice Improvement Programme (GPIP) is designed to help practices operate more efficiently, improve productivity, and enhance the patient experience—particularly in relation to access to care.

Explore Practice Level Support – PLS

Practice Improvement

We work with you to eliminate waste, reduce errors and optimise resources. Our teams enable you to improve patient care delivery and we equip you to continually innovate and improve in the future through healthcare process improvement.

Explore Practice Improvement

It has been great to have Lee drive and support us in the move to modern general practice.

London GP

The programme has enabled us to create the momentum to make changes and improvements that would not of been possible.

London GP

The programme has helped us at looking at things in a different way …and question ourselves on why we do something the way we do.

Leicestershire Practice Manager

We have looked at many processes that we do and how by utilising technology/staff that we already have available what time can be saved for clinicians, staff and patients if we implement change.

Leicestershire Practice Manager

I didnt even notice that I had stopped moaning about the work until one of the administration team pointed it out to me. The work we have done on reducing the outstanding Medical Reviews has really had an impact on my day.

Lincolnshire Administrator

As my workload pressure has reduced, I think this programme has helped me to become more confident in managing the team and dealing with the ongoing curveballs.

Lincolnshire Administrator

It really feels like everything has been simplified and will be much easier for us to complete workflow now.

Wells Administrator

This work has been like undoing a roadblock which has been stopping us from getting things done.

Gloucestershire Reception Manager

It’s helped to provide a focus and clear direction through a facilitator, who uses extensive knowledge of NHS system changes to support the process.

Gloucestershire Practice Manager

As a practice we have always been very reactive, constantly firefighting, this programme has clearly highlighted to me the benefit of making the time to plan for the future to work smarter not harder.

Gloucestershire Office Manager

These changes will save a huge amount of time with staff planning & recruitment, but most of all safety.

Gloucestershire Office Manager

Superb support, guidance and insight from the Xytal facilitator. Looking forward to the next session.

Cambridgeshire

Really good communication and clear information. explained in great detail.

London

Finding the sessions really useful to focus on things we can try and develop often they are thoughts we have had but not found the time to focus on them this is allowing us to develop a plan to tackle some of our issues.

Dewsbury

A great facilitator and very knowledgeable with a great understanding of primary care pressures.

Bristol

Really helpful session – we made proper progress and have been able to move forward with a tangible plan.

Devon

Very positive conversations during this session which led to some immediate actions being set and executed well.

Devon

Really intense but productive session. We collectively feel the practice will definitely reap the benefits of being part of the programme.

Liverpool

The session was very useful and interesting; to have an independent body, with a fresh pair of eyes, looking at the way things are done is refreshing and has highlighted issues the Practice can reflect on.

Camberley

It has been great to have Lee drive and support us in the move to modern general practice.

London GP

The programme has enabled us to create the momentum to make changes and improvements that would not of been possible.

London GP

The programme has helped us at looking at things in a different way …and question ourselves on why we do something the way we do.

Leicestershire Practice Manager

We have looked at many processes that we do and how by utilising technology/staff that we already have available what time can be saved for clinicians, staff and patients if we implement change.

Leicestershire Practice Manager

I didnt even notice that I had stopped moaning about the work until one of the administration team pointed it out to me. The work we have done on reducing the outstanding Medical Reviews has really had an impact on my day.

Lincolnshire Administrator

As my workload pressure has reduced, I think this programme has helped me to become more confident in managing the team and dealing with the ongoing curveballs.

Lincolnshire Administrator

It really feels like everything has been simplified and will be much easier for us to complete workflow now.

Wells Administrator

This work has been like undoing a roadblock which has been stopping us from getting things done.

Gloucestershire Reception Manager

It’s helped to provide a focus and clear direction through a facilitator, who uses extensive knowledge of NHS system changes to support the process.

Gloucestershire Practice Manager

As a practice we have always been very reactive, constantly firefighting, this programme has clearly highlighted to me the benefit of making the time to plan for the future to work smarter not harder.

Gloucestershire Office Manager

These changes will save a huge amount of time with staff planning & recruitment, but most of all safety.

Gloucestershire Office Manager

Superb support, guidance and insight from the Xytal facilitator. Looking forward to the next session.

Cambridgeshire

Really good communication and clear information. explained in great detail.

London

Finding the sessions really useful to focus on things we can try and develop often they are thoughts we have had but not found the time to focus on them this is allowing us to develop a plan to tackle some of our issues.

Dewsbury

A great facilitator and very knowledgeable with a great understanding of primary care pressures.

Bristol

Really helpful session – we made proper progress and have been able to move forward with a tangible plan.

Devon

Very positive conversations during this session which led to some immediate actions being set and executed well.

Devon

Really intense but productive session. We collectively feel the practice will definitely reap the benefits of being part of the programme.

Liverpool

The session was very useful and interesting; to have an independent body, with a fresh pair of eyes, looking at the way things are done is refreshing and has highlighted issues the Practice can reflect on.

Camberley