After qualifying from the University of York with an MSc in Health Economics Tom began his career as a Health Economist, working at both NHS regional and district levels in the mid-1980s. He was heavily involved in developing quality of life indicators at both an academic and practical level which are still referenced today. Tom has led Niche since its creation in the early 1990’s and has guided the development of the management consultancy ever since. This included playing a significant role in developing NHS mental health policy during the development of National Service Frameworks and Tom was instrumental in designing performance frameworks for their monitoring.
He has used his strategic and analytical training within Niche ever since. Tom continues to specialise in developing analytic solutions to complex healthcare quality, finance and capacity challenges. He leads on major assignments and retains his passion for the delivery of cost effective and efficient services. Tom leads Niche’s Improvement Analytics team both delivering numerous projects as well as spearheading our product development considerations. Tom also leads for the board on the financial aspects of Niche’s development and our marketing strategy.
James has been with Niche for over two decades. With a MSc in Evidence-based Healthcare, an MA and MBA, his emphasis is on service evaluation and modelling-based service strategy, grounded in evidence-based practice and sound business approaches. James leads our evaluation and assurance based areas and has a major role in modelling assignments. Prior to joining Niche, James spent 14 years within the NHS, managing mental health and learning disability services in both rural and urban areas of the North West of England.
He has also served as a Director of the National Institute for Mental Health in England and has served as a Trustee of several local charities, and of a charitable company. James has also been elected as a Fellow of the Royal Society of Arts, in recognition of his work in the development of mental health services. Within Niche James plays a significant role in our assurance and Improvement Analytics areas and leads on HR and quality aspects for the board.
Kate joined Niche having very successfully worked for several years as a Quality Governance Practice Director for Deloitte LLP. Prior to this she worked in a large acute NHS Foundation Trust managing all aspects of patient experience (including complaints, litigation and public involvement). Kate is a strongly values driven partner who enjoys building teams, relationships and supporting the development of others.
Kate specialises in undertaking major multi agency independent investigations, quality assurance reviews and governance and due diligence reviews in line with core regulatory frameworks. She has undertaken many investigations and complaint reviews into serious quality failures including G.P conduct, Never Events, catastrophic incidents and culture reviews.
She has significant experience in analysing the effectiveness of the escalation systems, processes and information from which the Boards derives assurance on quality and particularly on the culture and structures required to deliver excellent healthcare. Within Niche Kate plays a lead role in both our investigations and assurance work, as well as with major investigations, and leads on quality and compliance.
Nick has been with Niche for over two decades. A former nurse (RGN and RMN) he has a thorough understanding of clinical practice and the ethical and legal issues of managing healthcare services. He has an MBA from Sheffield University, and a Post Graduate Diploma in Law from Cardiff Law School.
Nick has an unparalleled level of knowledge of how mental health services operate within the context of patient safety, best-practice and operational delivery. As such Nick leads and develops our mental health investigations area delivering high quality robust investigations helping organisations learn from incidents and embed changes in clinical and board assurance processes.
Nick is a highly credible lead investigator delivering well over two hundred high profile investigations and reviews in all areas, from mental health homicides to never-event surgery, and from quality of care reviews to clinical laboratory incidents. He has been instrumental in setting the tone of our investigations, which are accepted as being fair, proportionate and robust. Nick has also presented at national conferences and continues to develop investigation assurance processes for both our team and our clients.
Nick has an ongoing passion for helping Trusts and systems learn lessons when things go wrong, and his excellent facilitation skills and engaging manner are renowned in the NHS in this regard. Nick also leads on IT issues for the Niche Board.
Mary-Ann joined Niche from Mazars LLP where she lead the Health Advisory team. Mary-Ann trained as a registered general and sick children’s nurse in London, and a Health Visitor in the North East. She has over 30 years NHS experience predominantly in the community, mental health and primary care space and associated services. She also has an MBA.
Mary-Ann is best known for her work on Mortality Governance – since the high-profile publication of the Southern Health NHS Foundation Trust report she has been working and liaising with over 60 NHS trusts on this subject. This includes speaking widely on governance, Learning from Deaths approaches, thematic reviews of patient safety learning and system wide reviews of deaths to inform joined up learning. Her publicly available work includes a ground breaking system-wide Structured Judgement Review across Leicestershire. Mary-Ann was also a key member of the CQC Expert Advisory Group for the subsequent CQC report commissioned by the Secretary of State – Learning, Candour and Accountability following her work at Southern Health NHS Foundation Trust.
Mary-Ann is an integral part of our investigations and major reviews team.
Carol has had a career in forensic mental health nursing as a Director of Nursing in an independent secure mental health provider. With a Doctorate in Professional Practice and a Master’s in nursing, Carol specialises in complex independent investigations and reviews. Carol also provides supervision and project management for many of our mental health investigations.
Carol is vastly skilled in clinical risk management, prevention and management of violence and aggression and serious incident management and investigations. She has a particular focus on complex investigations across boundaries, including domestic homicide and safeguarding reviews. Carol is a member of the Niche senior leadership team playing an active role in ensuring we continue to maintain the highest standards in our investigations.
Before joining Niche Emma worked as the Clinical Nurse Lead for the Board Advisory practice at Deloitte LLP. She participated in quality, board and specialist governance reviews in line with core regulatory frameworks at more than 100 organisations. She has also been a Patient Flow Manager in a large acute NHS Foundation Trust. Emma has a passion for delivering complex reviews and investigations into clinical practice, governance and culture.
As a former Registered General Nurse, Emma has extensive experience with care of the elderly in the acute setting. Emma now works within the assurance and investigations area for Niche and has worked with a wide range of NHS providers including community, acute, ambulance and mental health undertaking specialist and internal audit reviews and investigations on quality and governance.
She is also a member of the Niche senior leadership team and helps ensure all our work meets the highest quality standards.
Kathryn has previously worked for Mazars LLP and Verita, where she gained extensive consultancy experience. She has operational experience, having worked as the Head of Governance at HCA Princess Grace Hospital. Kathryn also has broad public sector experience, previously working at the Healthcare Commission, and later the Care Quality Commission, in a range of investigative, analytical and management roles.
Kathryn brings to Niche and our clients a wealth of experience in investigations, regulation and governance, gained in the public and private health sector. She is a core member of our team, leading, delivering, and supervising complex Niche investigations across all NHS sectors. She is a member of the Niche senior leadership team.
Sue is a former nurse (RGN and RMN). Sue completed a BSc (Hons) in Psychology and an MSc in Occupational Psychology at Birkbeck College, University of London. She also completed a MSc in Culture and Mental Health at University College London.
Sue has been with Niche for 14 years and has undertaken a wide range of consultancy projects of varying size and complexity. Sue has an interest in acute mental health, forensic mental health and in cross cultural mental health care. Sue is also interested in innovative and evidence-based practice. Sue is an experienced project manager. She has strong analytical, reporting, communication, and interpersonal skills. She can develop positive relationships with a wide range of stakeholders including managers, clinicians, service users, family members, carers and voluntary sector organisations.
Jenny is a former qualified nurse with a wealth of experience across the health sector in clinical, developmental and management roles. She joined Niche almost ten years ago from the Patients Association where she led a national project to improve complaints management. Before this she worked for over ten years at the Audit Commission as a Senior Performance Specialist, supporting a wide range of health organisations, to improve the effectiveness and efficiency of their services.
Throughout her career Jenny has been interested and involved in service improvement; with a focus on how evaluation and analysis can be used to drive this. She takes a lead role in our evaluation work, with a particular interest and experience in ensuring that patient and carer perspectives are included within it.
Elizabeth has an extensive background in the NHS, particularly in relation to incident management and investigations between health and social care. Elizabeth is experienced at supporting the NHS to implement improvement solutions locally in line with service-level protocols.
Elizabeth is a specialist in serious incident management and investigation, with experience in setting up serious incident reporting, investigation and governance systems. She has completed several dozen Serious Incident Reviews including mental health and domestic homicide investigations and reviews.
Mary is an experienced social worker of 20 years, operating as an Approved Social Worker (ASW) and then Approved Mental Health Professional (AMHP) under the Mental Health Act. Mary is a qualified Best Interest Assessor (BIA) under the Mental Capacity Act. Over her career Mary has held various senior roles including senior social worker, Caldicott guardian, adult safeguarding lead, service manager, lead AMHP and Head of Adult Social Care. Mary is a Specialist Advisor for the Care Quality Commission, taking part in regulation visits and projects to support performance and delivery of mental health services nationally. Mary completed her MSc in Advanced Interventions in Mental Health during 2011; trained in Cognitive Behaviour Therapy (CBT) for people experiencing psychosis and family intervention (FI) and family education for families and people experiencing psychosis.
Prior to joining Niche Kim was the head of Mental Health Act Operations at the CQC. Kim has worked in governance, legal and quality improvement roles in health and social care for 18 years, with over 12 years in senior leadership and management positions. She has specialised in mental health law, policy and practice in local and national organisations, and is committed to protecting the rights of people affected by mental health or learning disabilities.
Kim has experience of governance and regulation across different pathways and sectors including acute, adult social care, community and prison services. She has a strong track record of using her skills and passion to develop solutions that improve safety, experience and outcomes for people.
Michelle is a highly experienced finance professional and a Chartered Accountant. Before joining Niche she had over 30 years’ experience in finance, governance and performance roles in the public, private and third sector including a successful career in audit/assurance and advisory services.
She has held senior finance and performance roles in community providers, Commissioners and was also a Non-Executive Director at an acute Trust. She has a wealth of experience from working with clients across the health and social care sector.
At Niche Michelle provides financial insight across health and social care policy and a proven track record of working with Boards, senior teams and other stakeholders to improve performance and deliver value for money.
Danni is an experienced governance and board advisory consultant, who for the past seven years has specialised in reviewing and improving health care governance and leadership arrangements. Danni worked at Deloitte LLP for several years as part of their healthcare advisory practice and has undertaken dozens of Well-led governance reviews as well as strategic, service improvement and assurance reviews with a broad range of clients.
Danni brings a particular interest in staff experience and culture to our investigations and reviews. She is an Executive Coach, qualified with the Institute of Leadership and Management. Danni regularly provides programmes of coaching to Board members and senior leaders within the NHS to support them in undertaking their roles effectively.
Paul is a highly skilled and motivated healthcare analytics and finance specialist, with over 16 years’ experience in delivering complex quantitative and qualitative analysis. He also has several years’ commercial experience in healthcare consultancy delivering high-level projects for public and private sector healthcare organisations, regulators, and government bodies.
Prior to joining Niche he has held roles at the Care Quality Commission, McKinsey and Company, The Nuffield Trust, and Manchester University NHS Foundation Trust.
At Niche Paul leads a team of data scientists supplying a range of analytical services to harness the power of data to generate actionable client insights, enhance strategic decision-making, and drive improvements for organisations and patients. Recent services provided by the team include capacity and demand forecasting, discrete event simulation, evaluation of service initiatives, and patient safety analytics to inform a high-profile investigation.
Paul holds both a BSc and PhD in chemistry from the University of Manchester Institute of Science and Technology.
Ben joined Niche as a Data Analysist after graduating from Lancaster University with a MSci in Mathematics. He is equipped with an extensive understanding of mathematical and statistical theory, he is enthusiastic about applying learned knowledge, utilising statistical models to obtain solutions to analytical questions and presenting meaningful analyses to summarise complex data sets.
Ben joined Niche in September 2021 with a strong analytical background, including an MSc in Applied Mathematics from the University of Manchester and experience in data analysis and demand modelling consultancy for both public and private sector clients outside the healthcare industry. He is well-practiced in applying a wide range of analytical techniques to draw robust conclusions from complex data and deliver actionable insight.
George joined Niche as a Consultant Analyst after completing a PhD in Applied Mathematics at The University of Manchester. During his PhD, George was modelling solute transport past disordered uptake fields, where he specialised in uncertainty quantification and applied statistics. George’s extensive mathematical knowledge allows him to analyse complex data efficiently and evaluate recorded data using both new and existing statistical models.
George’s expertise and experience include:
Gosia is an experienced project manager. She joined Niche after 8 years of managing and overseeing a range of schemes with complex partnership arrangements for a global insurer.
Gosia has strong communication and inter-personal skills, including gathering and analysing management information data, providing written results and shared with the senior management.
Gosia has worked on a number of projects across the healthcare sector in England. Her most recent experience includes:
Saagar comes to Niche with a strong academic background having completed a first degree and Masters in International Development. He supports senior consultants in undertaking independent quality assessments, evaluations, governance and due diligence reviews in line with core regulatory frameworks. Saagar also supports the efficient management control of capacity and demand modelling assignments.
Sue has worked for Niche for almost 30 years and manages the day to day running of the office. Sue leads a team of project support assistants and has a wealth of knowledge and experience in consultancy business management.
She plays a central role in day to day financial and framework management, she coordinates our tender submissions and ensures the business continues to run smoothly.
Ros provides support to senior consultants on report production and is responsible for the formatting of all reports with an emphasis on quality and clarity.
Ros is a document formatting specialist, she is skilled in layout and design and specialises in working on complex, detailed reports and presentations. She previously worked for Deloitte LLP’s Board Advisory practice, overseeing report production and building, managing and analysing surveys. For some years before that she was in the Corporate Finance practice and was responsible for proof reading, editing and quality control of due diligence reports and pitches.
Edlin supports senior consultants in undertaking independent quality assessments, evaluations, governance and due diligence reviews in line with core regulatory frameworks.
Edlin supports senior consultants in undertaking independent quality assessments, evaluations, governance and due diligence reviews in line with core regulatory frameworks.
We work with our clients, families and regulators with absolute integrity at all times. We price our jobs responsibly and we deliver within agreed budgets and timescales. Where this is not possible, we communicate at an early stage to address any problems or blocks which may exist on the project.
We have an extensive team of associates who are subject matter experts in their own fields. We also have excellent links with the Royal Colleges to ensure that if an assignment needs a highly specialist expert we can cover this requirement. All our associates are inducted into the way Niche delivers projects and are fully integrated into the vision and values we hold dear as a firm.
You can therefore always be assured that the Niche Team on any project will fit your particular needs.