The NHS is judged by Lord Darzi to be two thirds of the way through the reform programme set out in the NHS Plan of 2000 and 2002. The plan set out to transform the health service in England over a ten year period, and Lord Darzi's assessment is to see the current set of reforms through to its conclusion.

The early drive for national IS systems has evolved to accomodate more 'systems of choice' for primary care and greater 'local ownership' for the IS implementation as part of a renewed engagement between CFH and clinicians.

Much has been achieved in patient care: waiting times are at a record low; clinical outcomes for major diseases have improved; and many hospitals have been modernised. But much still remains on the NHS improvement agenda including:

• World class commissioning,
• 18 week referral to treatment,
• Payment by Results,
• Equitable access to primary care,
• Personalised services.

AMTEC Consulting is working successfully at the top levels of government and on highly visible projects throughout the health sector. We focus on the following areas:

• integrated service improvement,
• pathway re-engineering ( Lean, Six Sigma),
• benefits planning and realisation,
• sourcing strategies and collaborative working,
• organisational change and transition,
• leadership development and coaching,
• performance management,
• programme and project management (Prince2, MSP, PSO).