How We Work

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Impact is a Consulting company of the Type 2 variety ie instead of hunting around for multiple short term brief jobs (Type 1), it prefers to select long term comprehensive projects. These tend to last years not days /weeks.
It marshals resources for each project and co-ordinates them for the client. We have multiple contacts with different types of consultants from nurses to practice managers to graphic design consultants.

Every facet of the job can be covered.

It selects projects only after examination of each project for its potential for a win-win deal. It will not consult only for the purposes of making money eg "do a feasibility" when it is obvious that it is not possible. It is for this reason many projects have been declined because they wouldn't be fun or profitable for both parties.

The key success feature is the rare combination of an experienced clinician with skills of management at multiple levels right up to major corporate board experience (see cv on 'people' page) .

Many doctors want to do projects in the private sector but lack the management experience.
Many managers set up projects totally oblivious to the medical nuances and demographics and are surprised when they fail.
Many hospital operators with years of experience still do not understand how doctors think and believe me the differences are considerable.

The aim of recruiting Impact as a consultant operator is primarily to act as a navigator through a minefield who already knows where the mines are and how to defuse them.


Here is a list of mines for you to consider with an ED project.

  • Strategic Marketing
  • General Practitioners response
  • Ambulance relationships
  • Effective patient relations
  • Customer service standards
  • Medico-political issues
  • Architectural design staff efficient or expensive?
  • Management style
  • Specialist relationships
  • Staff selection & training
  • Understanding the business
  • Fundamental principles of success
  • Medical recruiting
  • Budgeting & financial control
  • Fees strategy

Before the commencement of a project the level of experience and resources within the host hospital is discussed. An agreement occurs between both parties and Impact supplies those that are not available. This is why each project is significantly different. Eg the variation in marketing personnel numbers and experience between hospitals is staggeringly different.

A contract is drawn up to cover the brief, scope and business models.

Impacts aims are;

  • To reduce the workload and stress on hospital management in this politically and managerially difficult area.
  • Guide management as to what works and what doesn't.
  • Meet with VMO's /GPs as early as possible to cover and prevent medico-political problems.
  • Ensure the design is appropriate. (Architects have very little experience in this specific area.)
  • Set up the appropriate staffing model and recruit.
  • Minimise the hospital losses through launch to consolidation stage. (Ie fast track to appropriate volume and casemix.)
  • Maximise the Image and reputation of the Unit for the hospitals and doctors benefit.
  • Set up quality monitoring systems
  • Develop monthly reporting systems both qualitative and quantitative with lead and lag indicators.
  • Assist the hospital in developing systems to cope with an emergency center. (Wards/switch/kitchen /support services etc are all effected.)
  • Assist with systems for ancillary services. (XR/Pathology etc)
  • Assist with sub business unit reporting systems.
  • Maintenance of a cohesive and effective medical group.

The effect is to minimize the early losses and maximise the outcome