The Change Challenge: Developing a robust business case for the procurement of life saving surgical technology

Senior Consultant Julie Smith leads the implementation of state-of-the-art surgical equipment

Our ability and experience in taking complex issues, carrying out in-depth analysis and presenting them in a clear and concise way for multiple stakeholders to digest, is where we excel. By creating support and understanding at the start of any change journey is vital in order to deliver a smooth and successful delivery, particularly in a dynamic and complex environment such as health. We are incredibly proud to have worked on delivering the business case and supported further programme management beyond this.

Eman, Al-Hillawi, CEO, Entec Si


A hospital Trust had an urgent requirement to develop a watertight business case to secure investment approval to introduce state-of-the-art surgical equipment. This would enable the Trust to offer patients in its region access to more advanced and less intrusive surgery, and to realise wider potential benefits, such as reduced patient pain and risk of complication and reduced length of stay in hospital.


Reflecting on years of writing compelling business cases for complex change challenges, it was paramount to firstly identify key stakeholders – from executive, clinical and operational areas; both  internally and externally. This allowed for everyone’s interests, concerns and expertise to be considered and incorporated.  We helped the clinical service articulate the journey of change and how this aligned to wider strategic initiatives.

In order to present a clear picture of the project’s projected savings and income potential, we analysed  and clarified the options available, the associated risks and capex / revenue costs.  This enabled us to present the wide range of benefits that could be realised if the technology was introduced.

Collaboration is key to success when implementing any change, particularly in complex and demanding environments. It was therefore essential for our consultants to work side by side with the Trust’s operational, financial and clinical teams to build a virtual project environment and rapidly identify and prioritise the business case objectives and key milestones to meet all governance and procurement processes. This was particularly pertinent to meet critical approval and procurement deadlines.

To maintain progress, weekly meetings were facilitated where the plan was continually driven forward, challenges identified and unblocked at pace. The forum captured collective thinking, solved problems quickly and managed expectations, providing sharp focus as the project progressed. Working closely with the finance department, our analysis expertise ensured the cost and benefit analysis process was razor sharp.


  • Business case was successfully approved by the Trust Board on first submission
  • Approval given to progress funding for phase 1 of the change journey, commencing with the purchase of the surgery technology
  • Agreed capital expenditure requirement for capital equipment and building works costs, to enable the installation of the technology
  • Agreement to proceed with and develop the high level implementation plan, to initiate the project and commence with recruitment
  • Further Entec Si change support sought and agreement to mobilise and manage the programme

If you would like to find out more about this work, or think that we can help you, then please contact us.


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