CHC and AACC savings programmes
Planning, phasing and tracking cash-releasing and cost-avoidance savings, with a PMO that finance and executives trust.
Alexandra Kent Consulting
Right care. Right cost.
CHC, AACC and complex care transformation for ICBs, local authorities and care providers.
£56.8msavings and cost avoidance delivered against a £53m plan, 2025/26
£5.2mcost avoided through a Care Assurance Panel for high-cost care
8 yrsin NHS Continuing Healthcare and complex care
25+ yrsacross the NHS, local government and social housing
Who I work with
Senior support for the organisations that fund and deliver complex care
Continuing Healthcare spend keeps rising while teams are stretched and structures change. I help you get it under control without losing sight of the people the care is for.
Integrated care boards
Commissioners under pressure to deliver CHC and AACC savings plans.
- Savings schemes that are behind plan
- High-cost packages with weak assurance
- Data that can't show where the money goes
Local authorities
Councils managing joint-funded care, S117 and disputes with health partners.
- Joint-funding and disputes procedures
- S117 aftercare policy and funding splits
- Interim cover during restructures
Care providers
Care homes, homecare and complex care providers working with NHS commissioners.
- Understanding CHC commissioning and brokerage
- Performance and contract reporting
- Practical support sized to your organisation
Services
From diagnosis to delivery
Short, defined pieces of work or longer interim placements. Scope, deliverables and measures of success are agreed at the start.
Diagnostic reviews
An independent look at your CHC or complex care service: processes, spend, caseload and data, with a practical action plan.
Commissioning and contracting
Individual patient commissioning, brokerage, contracting, provider negotiation and market management.
High-cost care panels and governance
Setting up Care Assurance Panels with clinical and financial sign-off, plus Quality and Equality Impact Assessments for every scheme.
Data, dashboards and reporting
CHC and AACC dashboards that track phasing, savings, risk and RAG ratings for executive, finance and NHS England reporting.
Interim programme leadership
Experienced senior capacity during vacancies, backlogs or recovery, without the delay of permanent recruitment.
I also advise on joint-funding and disputes procedures, S117 aftercare, Personal Health Budgets and discharge to assess (D2A).
Results
A 17-scheme AACC programme that beat its plan
At NHS Staffordshire and Stoke-on-Trent ICB, I managed the All Age Continuing Care Quality Improvement and Value programme: 17 schemes across AACC and mental health.
- Schemes centred on least restrictive care and the Equity and Personal Health Budget policies, alongside care package reviews, D2A, brokerage, provider negotiation and S117.
- I designed and built the programme dashboard, tracking every scheme's phasing, savings, risk and RAG rating.
- I ran the Care Assurance Panel, with clinical sign-off from the Director of Nursing, financial approval from the Head of Finance and local authorities for joint-funded care.
- NHS England recognised the programme as regional best practice and used it as a regional template.
How I work
Clear scope, visible progress, a proper handover
Every assignment follows the same four stages, whether it lasts two weeks or six months.
- STAGE 1
Discovery conversation
A short, free call to understand the problem, the pressures and what a good result looks like for you.
- STAGE 2
Scope and baseline
A written proposal with deliverables, milestones, measures of success and a fixed fee or day rate.
- STAGE 3
Delivery
Hands-on work alongside your clinicians, finance and operational teams, with proportionate reporting.
- STAGE 4
Handover
Documented processes, tools your team can keep using, and knowledge transfer so the improvement lasts.
You work with me directly
The person you speak to is the person who does the work. No account managers and no junior team.
Quick to start
I know NHS, council and provider structures, so I can be useful from the first week.
Delivery, not just a report
I build the dashboards, run the panels and write the procedures as well as recommending them.
Proportionate cost
Senior expertise without big-consultancy overheads, with fees agreed in writing up front.
About
I'm as comfortable building the evidence as acting on it
I've spent eight years in NHS Continuing Healthcare and complex care, covering commissioning, brokerage and contracting, data and operating procedures, system policy and savings programmes. Before that I spent 18 years in local government benchmarking, social housing performance, procurement consultancy and business intelligence.
I'm proud of the results, and just as proud of how clinicians, finance, operational teams and local authorities came together to make a different approach work.
- 2025–2026AACC Senior Data and Programme ManagerNHS Staffordshire and Stoke-on-Trent ICB. Led the 17-scheme programme above.
- 2021–2023Senior Programme Manager, Lancashire and South Cumbria ICSRan the transformation programme across eight CCGs and four local authorities, delivering the joint-funding Disputes Procedure and CHC Practitioner Guidance.
- 2018–2025Midlands and Lancashire CSULed a 22-person commissioning, brokerage and contracting team for three Merseyside CCGs. Rewrote the at-scale CHC operating procedure across six regions.
- 1999–2018Local government, housing and public healthAPSE national benchmarking for 200+ councils, ForHousing performance, and Head of Business Intelligence at ABL Health.
Contact
Let's talk.
Tell me about your programme, service or vacancy. I'll come back within one working day to arrange a short discovery conversation.
Email
LinkedIn
Phone
WhatsApp
Location
Chorley, Lancashire