Current stage: Target Operating Models

Currently, Senior Responsible Officers (SROs) and their corporate services teams are defining their Target Operating Models (TOM), which is the high-level design of what their service will look like: their vision, the work they as teams carry out, and principles behind this.

By March, we will have the agreed blueprint for how corporate services will operate. This is 'phase 3' as detailed in the below design and implementation process.

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Strategy and Business Planning: Tom Pharaoh

Corporate Affairs: Daniel Scheffer

Corporate Operations and Performance: Beth Weston

People, Culture and OD: Heather Barnett

Finance: Rob Forster

Corporate Medical Teams: Jim Gardner

Quality Governance and Risk: Clare Alexander

Corporate Nursing: David Melia

Communications and Marketing: Chris Mawdsley

Estates and Facilities: Tom Pharaoh

Medical Education: Jim Gardner and Heather Barnett

Legal Services: Daniel Scheffer

Innovation: Lynn Greenhalgh

Transformation and Improvement: Tim Gold

Research: Lynn Greenhalgh

Data and Digital: Matt Connor

Commercial and Procurement: James Thomson

Quality Improvement: Siobhan Roberts

Quality Assurance Reviews (QAR)

TOMs will then go through a Quality Assurance Review (QAR). This is to ensure all corporate service models meet the needs of the organisation. These reviews help us make sure future service models are clear, consistent with our design principles, and shaped by the feedback we’ve had so far.

The QAR process gives us a structured way to test whether proposed changes are practical and well thought through, including what they might mean for colleagues.

  • QAR1 - The first version of the Target Operating Model is reviewed, and any further information or work is requested
  • QAR2 - An updated proposal is presented, with all outstanding queries addressed and approval granted
  • Partnership Group - The Senior Responsible Officer meets with Staff side Chairs to discuss the proposal and gather feedback
  • Readiness Assessment - The SRO confirms everything is in place to begin workforce change activity, including consultation documents, job descriptions, engagement plans and implementation timelines.

The final stage confirms readiness before any changes are implemented, with staff engagement and support built in throughout.

Following approval, implementation of TOMs will begin from April, where by then colleagues should know of any changes to their roles, structures or ways of working. These changes will be phased throughout April and June.

Most corporate services have now completed early Quality Assurance Reviews (QAR1), where first version is reviewed. Many are progressing through or are due to have QAR2 and partnership‑level discussion. You can view the latest QAR schedule here (please note some dates are subject to change).

This work is helping to ensure service designs are safe, workable and consistent across the Group before moving into implementation.

Alongside service design, we are placing greater emphasis on readiness for change, including systems, workforce arrangements and practical day‑to‑day impacts. This means some services are moving forward in phases, rather than all at once.