NHS Board-Level Strategy. Built on Frontline Reality.
I help ICBs, PCNs and NHS providers turn commissioning intent into services that actually work, drawing on senior leadership on both sides of the system. Independent, fixed-scope advisory from £725 a day, under half the typical NHS interim rate.
Confidential, no obligation, reply within one working day. Or email liz@ldavisnhsconsultancy.com · 07523 036090
Years at senior and director level, built on frontline NHS service since the late 1990s
PCNs supported across three integrated care systems, designing and implementing local population health services
Intermediate care efficiency case, with reinvestment into Home First
System-wide UEC Improvement Programme
Provider delivery and strategic commissioning, in one perspective.
Most system change stalls at the interface between commissioning intent and operational delivery. This practice sits deliberately on that line.
Both sides of the system
Director-level experience in provider delivery and in strategic commissioning — so design reflects what providers can deliver and what commissioners can contract for.
Delivery, not documents
Programmes taken from case for change through to mobilisation, including out-of-hospital Urgent Care Hubs mobilised in partnership with acute trusts, and Integrated Community Teams.
Financially credible
Multi-million-pound portfolio accountability, including a £16m intermediate care efficiency case with reinvestment into Home First.
Governance fluency
Delegated commissioning governance, board chairing and assurance design across statutory NHS structures.
Independent and selective
Advisory undertaken outside any substantive NHS remit, with conflicts declared and scope agreed in writing.
“Liz is a compassionate, empathic, and collaborative leader. She brings a depth and breadth of knowledge and skill across the urgent, community, and neighbourhood agenda, blending her passion for people and public services with her inclusive style. She would be an asset to any team.”
“I would recommend Liz Davis, who often juggles a complex portfolio and ensures delivery. She has a lot of brilliant experience and is able to turn her leadership and commissioning hand to a variety of areas. I have had the pleasure of working with her in all-age commissioning, discharge and urgent care.”
“I have known Liz and placed her into NHS organisations over the years. Liz has always provided excellent value and works in a professional and friendly manner. Highly recommend.”
Integrated Care Boards
- — Commissioning strategy and contract reform
- — Delegated primary care commissioning and governance
- — Urgent care and discharge system redesign
Primary Care Networks
- — PCN maturity and development
- — Neighbourhood operating model design
- — Governance, accountability and partner working
NHS Providers & Collaboratives
- — Transformation portfolio oversight and assurance
- — Cases for change that survive the finance meeting
- — Recovery of stalled or high-risk programmes
Four areas of focused senior contribution.
Commissioning Architecture & Contract Reform
Design of coherent commissioning intent, contract structures and currency reform aligned to ICB strategy, provider collaborative arrangements and population health priorities.
Primary Care & Neighbourhood System Architecture
Strategic commissioning of primary care, PCN maturity development and neighbourhood operating model design — strengthening primary care as the structural foundation of integrated care systems.
Urgent Care & Discharge System Redesign
System-level redesign of urgent, emergency and discharge pathways — stabilising flow, reducing risk exposure and rebuilding out-of-hospital capacity across health and social care.
Senior Level Transformation Oversight
Independent oversight of complex transformation portfolios: prioritisation, delivery assurance, benefits realisation and the governance discipline boards require.
Strengthening Neighbourhood Foundations.
Many systems have established Primary Care Networks and Integrated Community Teams — but structural formation is not the same as functional maturity.
This work supports systems to move from formation to maturity — closing the gap between commissioning intent and neighbourhood delivery.
Clear accountability
Defined lines of responsibility across primary, community and place-based partners.
Financial alignment
Coherent flow of funding between commissioning, PCNs and neighbourhood teams.
Measurable outcome frameworks
Outcome architecture that connects population health intent to operational delivery.
Governance clarity
Assurance and escalation routes that hold across statutory and collaborative structures.
Operational coherence
Sequenced integration of workforce, pathways and estates at neighbourhood level.
Start with a 20-minute scoping call.
A confidential, no-obligation conversation to understand the challenge and whether I can help. Where there is a fit, you receive a written scope and a fee proposal shaped around your priorities, timescales and budget.
I take on a small number of engagements at a time, so capacity is limited.
Not ready to talk? Download the one-page capability statement (PDF)
liz@ldavisnhsconsultancy.com · 07523 036090