From Knowing to Doing
Delivering sustainable operational improvements in healthcare requires more than just great ideas and recommendations. It requires hands-on expertise, collaborative leadership and a genuine commitment to working alongside your teams to turn improvement plans into lasting reality.
At Almco, implementation support means rolling up our sleeves and leading change with you, not doing change to you. Using proven Lean, PDSA and quality improvement methodologies within our ACTION Framework, we bridge the knowing-doing gap to deliver measurable results that stick.
What Makes Our Implementation Support Different
Hands-On Leadership
We don’t just advise from the sidelines. We work directly with your teams on the ground, leading implementation activities, facilitating problem-solving sessions, and supporting daily improvement work until new ways of working become embedded.
Co-design and Collaboration
Sustainable change happens when people feel ownership. We prioritize listening, building rapport, and creating trust with stakeholders at every level. Through co-design approaches, your teams shape the solutions, ensuring improvements are practical, relevant, and embraced.
Focus on Human Factors
Technical solutions alone rarely succeed. We place the human elements of change—engagement, communication, capability building and cultural shifts—at the heart of our implementation approach. This ensures your organisation builds the internal capability to sustain and continue improving long after our involvement ends.
Comprehensive Support Across All Stages
Our implementation support covers the full transformation journey:
- Hands-on execution of improvement activities and tests of change
- Change management to engage stakeholders and navigate resistance
- Training and capability building to develop internal improvement expertise
- Project governance to maintain momentum, manage risks, and ensure accountability
Our Approach: The ACTION Framework
We deliver implementation support using our proven ACTION Framework, a structured methodology refined through years of successful healthcare transformation projects:
- Assess: Deep understanding of your current state, challenges and opportunities
- Control Communications: Robust stakeholder engagement and visual management
- Time and Quality: Process mapping and identification of waste and value
- Improve: Co-designed solutions and prioritised improvement plans
- Operationalise: Testing changes, refining approaches, and embedding new ways of working
- Normalise: Sustaining improvements through audits, learning, and continuous refinement
Learn more about the ACTION Framework →
Proven Results in Healthcare
Our hands-on implementation support delivers tangible, sustained outcomes:
Patient Flow Transformation
Led a comprehensive patient flow improvement project that achieved:
- 12% reduction in overall length of ward stay (from 4.37 to 3.85 days)
- 22% decrease in non-elective length of stay (from 5.79 to 4.51 days)
- 17-bed reduction in specialty bed base through improved capacity planning
- Zero patient theatre cancellations achieved through weekly and daily demand forecasting
Theatre Efficiency Improvement
- Improved in-session theatre utilisation from 86% to 88% through targeted process improvements and stakeholder engagement
Handing over a report did not achieve these results. Clinical and operational teams worked collaboratively with sustained, hands-on implementation support to deliver these results.
What We Support
We work with healthcare organisations of all sizes—from small team-based improvements to large-scale, organisation-wide transformations. Whether you’re improving a single pathway or transforming system-wide operations, our implementation support scales to your needs.
Our expertise spans:
- Patient flow and capacity management
- Theatre efficiency and utilisation
- Outpatient optimisation
- Diagnostic pathways
- Ward and department-level improvements
- System-wide transformation programmes
Implementation Support Services
If you want to break down the support into specific service offerings, consider:
Improvement Project Leadership
Leading your transformation projects from design through to delivery, managing all aspects of implementation while building your team’s capability.
Embedded Improvement Support
Providing ongoing, hands-on support to teams implementing improvements, offering coaching, facilitation, and problem-solving expertise.
Change Management and Engagement
Designing and delivering stakeholder engagement strategies, communication plans and change readiness activities.
Training and Capability Building
Developing your internal improvement capability through practical, hands-on training embedded within real improvement work.
Implementation Health Checks
Reviewing in-flight improvement projects to diagnose barriers, re-energise teams, and get stalled initiatives back on track.
What You Can Expect
When you engage Almco for implementation support, you get:
✓ A dedicated improvement partner who works alongside your teams daily
✓ Practical, hands-on support from planning through to sustainable delivery
✓ Expertise in Lean, PDSA and quality improvement methodologies
✓ Focus on capability building so your teams continue improving independently
✓ Transparent communication and visual management throughout
✓ Proven track record of delivering and sustaining measurable results
Ready to move from Knowing to Doing?
If you have improvement plans that need bringing to life, or transformation goals that require hands-on expertise to deliver, let’s talk about how our implementation support can help you achieve lasting change.
Schedule a Conversation | Call Us: 01709 456 786 | Contact Us