Fit to Care assists NHS Trusts and Integrated Care Boards in reducing clinical variation through leadership alignment. We compress 6-12 month strategy development into 1-day collaborative workshops using our proprietary Insight Genie, Dynamic Genie, and Meeting Genie tools.
Command-and-control creates failure demand, friction, and waste. These three signature problems plague public sector strategy development.
Strategies that look professionally written but fail to drive change
Real cost of batch-and-queue strategy development processes
Stakeholders feel unheard in top-down strategy processes
Sound familiar? You're experiencing the Overheating Spiral. But it doesn't have to continue.
The Overheating Spiral accelerates: Each failed initiative increases cynicism. Command-and-control tightens as performance drops. Best staff leave. The system becomes increasingly brittle.
But there's good news: The cycle can be broken. And it doesn't take years or millions. It takes a different approach.
Three complementary products that work together to break the Overheating Spiral and transform how your organisation creates strategy and makes decisions.
Diagnose Your Overheating Spiral
Go beyond surface symptoms to reveal root causes. Surface hidden blockages, amplify unheard staff voices, pinpoint critical friction points.
Co-Create Strategy in Days Not Months
Compress 6-12 month strategy development into 1 collaborative day. AI-powered multi-stakeholder co-creation that people actually own and implement.
Sustain Momentum, Eliminate Waste
Transform meetings from productivity drains to collaboration engines. Reclaim 40% of leadership time, accelerate decisions, maintain accountability.
Insight Genie reveals your Overheating Spiral
Dynamic Genie co-creates your strategy
Meeting Genie maintains momentum
Use all three together for complete transformation. Learn about packages →
Choose based on where you are in your transformation journey. Or use all three for complete results.
| Feature | Insight Genie | Dynamic Genie | Meeting Genie |
|---|---|---|---|
| Primary Purpose | Diagnose system blockages and Overheating Spiral patterns | Co-create strategy in 1 day with multi-stakeholder ownership | Transform meetings from time-wasters to productive collaboration |
| Timeline | 2-4 weeks | 1 day workshop + synthesis | Ongoing |
| Investment | £5,000-£15,000 | £8,000-£15,000 | £2,500-£5,000/month |
| Best For | Understanding root causes before transforming | Creating strategies that get implemented | Sustaining momentum and preventing meeting overload |
| Key Output | Comprehensive diagnostic report identifying £Ms in hidden waste | Co-created strategy + individual persona impact reports | Productive meetings + 40% time reclaimed |
| Participants | Hundreds, even thousands of stakeholder insights captured | Workshop with 10-15 diverse stakeholders | Regular meeting attendees across organisation |
| Use When | Starting transformation journey with clarity on problems | Need strategy developed quickly with genuine buy-in | Maintaining transformation momentum ongoing |
Not sure which is right for you?
Book Free Discovery CallWe'll help you choose the right approach for your specific situation. No pressure, no sales pitch.
The Transformation Trilogy is delivering measurable results across public sector organisations
NHS Trust compressed their strategy development from 8 months to a single day using Dynamic Genie's co-creation approach.
"This transformed how we approach strategy. What used to take months of back-and-forth happened in real-time."
— Phil Banks, Chief Executive Officer, St Christophers Multi Academy Trust
Helped develop ten-year strategy by sourcing, synthesising, and making sense of insights from staff and public across the system.
"I would strongly recommend Insight Genie to any organisation seeking to develop a truly systemic, insight-led approach to transformation."
— Andy Wilkins, Programme Director, Imperial College Business School
AI answers questions live in meetings using approved knowledge bases. Avoid meeting after meeting with real-time decision support.
"Meeting Genie transformed our meetings. Instead of scheduling meeting after meeting to answer questions, we get answers live."
— NHS Strategy Lead
Anthony Lawton brings deep expertise in NHS transformation and systems thinking
Available for keynote speaking, workshops, and consulting engagements on NHS transformation, systems thinking, and AI-powered strategy development.
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Traditional consultants spend 6-12 months creating strategy documents that nobody owns. Dynamic Genie compresses this into a single collaborative day, using AI to synthesise 12 stakeholder perspectives in real-time, creating strategies people actually implement because they co-created them.
The numbers: 87% implementation rate vs 20% for traditional approaches.
Investment varies based on organisation size and scope:
ROI typically achieved within 3-6 months through waste reduction. We offer discovery calls to discuss your specific needs.
10-15 key stakeholders representing all affected groups: executives, operational managers, clinical or frontline staff, finance, strategy, and external partners. Diverse perspectives are essential for genuine co-creation. The more varied the viewpoints, the richer the strategy and the stronger the ownership.
Typical outcomes across our clients:
Absolutely. Anthony has 18+ years NHS experience and has worked with NHS trusts, Integrated Care Systems, and local authorities across England. We understand the unique challenges of the Overheating Spiral in NHS contexts and have proven results across health and care systems. The approach is designed specifically for complex public sector organisations.
The Overheating Spiral is a systemic pattern where command-and-control cultures create a vicious cycle: failure demand leads to more top-down controls, which increases friction and siloed working, lowering morale and causing more failures. This spiral accelerates over time unless root causes are addressed. Breaking it requires genuine co-creation and system redesign, not just treating symptoms.
No. We handle all AI orchestration behind the scenes. Participants engage in a facilitated workshop using familiar collaboration methods like breakout discussions, post-its, and structured dialogue. The AI synthesis happens invisibly to create a coherent multi-perspective strategy from all contributions. You experience a workshop. We handle the technology.
All three of our solutions are driven by cutting-edge AI systems developed over the past 2 years. Our belief is that AI should take the hard work out of our working lives so that humans can focus their cognitive energy on judgment and decisions.
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Book a 20-minute discovery call to learn how we can help break your Overheating Spiral
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