Healthcare systems

Supporting better health outcomes.

Growing pressure on healthcare systems is pushing many towards the point of failure. 

Growing and aging populations. Increased focus on disease prevention. Patients’ ever-greater expectations. Tighter budgets and staff shortages. The health effects of the climate crisis. Technological change. 

These are among the challenges requiring transformation in healthcare systems. 

We help you to envision transformation, plan, and achieve it, using sustainable, digitally enabled solutions focused on the needs of people.

What can we do for you?

We work in the health sector directly, advising on health systems policy, guiding public health programs, and providing the healthcare planning, technical, and management inputs required to deliver transformational projects. 

We support the development of sustainable healthcare systems through our focus on four key themes:

Reconfiguring

There is growing support among patient groups, clinicians and managers for reconfiguration of healthcare services, focusing on new service models capable of providing care in the right places at the right times. 

Reconfigured health systems will be less hospital-centric and more holistic to meet the needs of patients, improve the quality of care, and achieve better value for society. We can advise on options and guide you through the process of change.

Decarbonizing

Today, climate change is having a clear impact on health and well-being, which increases the demand for healthcare services. Care providers are starting to take ownership of the situation and act to minimize their contributions to climate change, as part of the imperative across all parts of the economy and society to curb climate change and avoid an exponential rise in climate-related health impacts. 

We can bring international best practice and innovation in decarbonization to help you set your own route to net zero — and achieve it.

Optimizing

Healthcare systems globally waste up to 45% of their resources (including resources procured to build and operate estates, provide clinical services, and for other operational purposes).

Rapidly rising demand for healthcare, constrained budgets, and tighter, more complex regulation provide powerful drivers to improve efficiency. We can help you configure healthcare provision, buildings, and estates to improve performance and cut waste. 

Digitalising

Digital adoption in healthcare has the potential to transform the efficiency and effectiveness of both service provision and the performance of health infrastructure. Technology can improve information management and connectivity within hospitals and healthcare facilities, as well as between care providers in the community, including general practitioners and social services. This enables greater collaboration between practitioners and clinicians. 

It also improves access and communication for patients, providing them with more agency in their healthcare decisions and experiences. We can help you deploy digital solutions that achieve improved efficiency and productivity, resulting in higher-quality care within specialist settings and the delivery of more health services in the community. 

Services we provide

Innovating healthcare systems for better outcomes

Health has been part of our portfolio for four decades. Our track record provides experience, knowledge, and learnings, deep understanding of health and social care cultures, behaviors, challenges, and needs, and a long-term perspective on opportunities.

We employ clinicians and healthcare planning experts alongside change managers, engineers, environmental scientists, digital specialists, carbon specialists, ergonomists, and many more. Our specialists inform one another’s practice to achieve higher-performing projects.

Our experience

  • Centre Hospitalier de l’Universite de Montreal (CHUM), Canada
    The biggest public-private hospital project in Canadian history, the Centre Hospitalier de l’Université de Montréal (CHUM) consolidates three existing teaching, research, and healthcare facilities onto a single site. The project faced the challenge of a tight city center location. Mott MacDonald was retained as the Independent Certifier for the construction phase, responsible for checking the compliance of the facility against the clients’ requirements.
  • Integrated impact assessment of acute services consolidation, Sutton, Merton, and Surrey Downs, UK
    Working for the National Health Service clinical commissioning groups for Sutton, Merton, and Surrey Downs (Improving Healthcare Together), we carried out an integrated impact assessment for consolidation of acute emergency services at a single site. We considered the populations and community groups most impacted, as well as travel and access.
  • Newtown multi-agency campus, Powys Teaching Health Board, UK
    We provided advisory and program management support for the development of a new campus that provides an integrated range of primary care, health, and community-based care services. As well as meeting National Health Service requirements, it caters to the needs of charitable organizations providing well-being and preventative services for the local community. Our work included development of a target operating model, schedule of accommodation, master planning, and concept design.
  • Outbreak containment management fund exercise for the Department of Health & Social Care, UK
    We evaluated 23 local authorities’ management of emergency funding to contain the spread of Covid-19. A key insight was that community groups and charitable organizations provided a targeted and impactful range of services to protect and support people’s health and well-being, thanks to their strong connections with and understanding of the communities they serve.
  • Program evaluation of primary care transformation team for National Health Service, UK
    We carried out a national evaluation of general practitioners’ readiness to participate in and benefit from an improvement program, Accelerate. It was aimed particularly at identifying struggling and challenged GPs and quantifying the early impacts of the program on the provision of primary care.