Who we are
At Nexus Consulting, we are more than just a consultancy—we are transformation specialists dedicated to redefining health and social care. Our mission is simple yet profound: to solve the most complex challenges in the sector while delivering measurable outcomes that truly matter.
We are a values-driven, people-focused consultancy with deep expertise in health and social care. From hospital CEOs to national leaders in urgent care, our team comprises subject matter experts (SMEs) who have walked the walk. Whether it’s managing ambulance queues, navigating regulatory landscapes, or living through Winter pressures, we’ve been there—and we know what it takes to make meaningful change happen.
How we work
Opportunity Assessment
We begin with a rapid assessment to understand your strengths and challenges, and to identify if and where a full diagnostic is needed.
Diagnostic
Our diagnostics get to the very core of your problems. Not just describing opportunities, but detailing exactly what could change, where, why, and how.
Design and Delivery
We don’t just promise change—we deliver it. Our fees are tied to achieving measurable outcomes that align with your goals.
Chosen by health and social care leaders
31 Mar 2026
5
min read
Why Your Strategy Isn’t the Issue
The NHS doesn’t have a strategy deficit. It has an execution problem Spencer Humphrys, Founder, Nexus Consulting If culture hasn't eaten your strategy for breakfast already, the general NHS approach to execution is about to kill it. Let's start with the obvious. Walk into almost any NHS organisation right now, and you’ll find a 10 Year Plan response, a Medium Term Planning Framework submission, a clinical strategy, and a handful of improvement programmes. Probably all running simultaneously....
9 Mar 2026
5
min read
Maximising SDEC: reducing variation
In my last blog on Maximising SDEC (same day emergency care; you can read it here), I talked about how getting the right patients into SDEC, even if that means SDEC isn't 'full', can have a far more positive impact on flow than just sending everyone that 'could' go. Hopefully, my message was clear: SDEC works best when it treats the right patients. And when SDEC works well, flow improves, cost reduces, and quality gets better I got a few comments and direct messages on the importance of the...
5 Mar 2026
5
min read
Maximising the impact of Same Day Emergency Care
Same Day Emergency Care (SDEC) has been around for years under various names. I remember setting up the service with one of the best doctors I've ever met back in Basildon Hospital in 2015. Hagen isn't with us anymore, but I know I'm not the only person who is still influenced by his passion, his over-caffeinated excitement, and, most importantly, his absolute focus on patients and on making sure SDEC (or Ambulatory Care, as it was back then) was as efficient and effective as possible. When...
Featured case studies
Why Your Strategy Isn’t the Issue
The NHS doesn’t have a strategy deficit. It has an execution problem Spencer Humphrys, Founder, Nexus Consulting If culture hasn't eaten your strategy for breakfast already, the general NHS approach to execution is about to kill it. Let's start with the obvious. Walk into almost any NHS organisation right now, and you’ll find a 10 Year Plan response, a Medium Term Planning Framework submission, a clinical strategy, and a handful of improvement programmes. Probably all running simultaneously....
Maximising SDEC: reducing variation
In my last blog on Maximising SDEC (same day emergency care; you can read it here), I talked about how getting the right patients into SDEC, even if that means SDEC isn't 'full', can have a far more positive impact on flow than just sending everyone that 'could' go. Hopefully, my message was clear: SDEC works best when it treats the right patients. And when SDEC works well, flow improves, cost reduces, and quality gets better I got a few comments and direct messages on the importance of the...
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