What Prism Improvement does

Prism Improvement is a London-based healthcare management consulting firm founded in 2017 by Jez Tozer, a former NHS Chief Operating Officer. The company delivers hands-on operational improvement programmes to NHS Trusts across England, embedding experienced ex-NHS operational and clinical practitioners inside client sites to drive measurable performance gains in urgent and emergency care, elective care, theatre productivity, endoscopy, and patient flow. Its core offering is a professional services engagement model — not a software product — that emphasizes capability transfer so that improvements are owned and sustained by Trust staff after the engagement ends.

The firm's day-to-day work centres on a proprietary "Prism Improvement Approach" that combines evidence-based improvement methodologies with first-hand NHS operational experience. Notable documented outcomes include A&E 4-hour performance improvements (e.g., Cambridge University Hospitals moving from as low as 68% to consistent 90%+), reductions in average length of stay at Oxford University Hospitals (3.5 to 2.95 days), and a 30% productivity uplift through High-Performance Listing at partner sites. The company is now part of Arqis Health, operating alongside analytics partners Four Eyes Insight and Dr Foster, which provide benchmarking and performance data to support improvement programmes.

Prism Improvement generates revenue through bespoke, quote-based consulting engagements, primarily procured through direct NHS Trust engagement, NHS England/NHS Improvement commissions, and referrals. The client base is concentrated entirely in the UK public healthcare sector, with a roster that includes Cambridge University Hospitals, Oxford University Hospitals, Frimley Health, London North West University Healthcare, Manchester University Foundation Trust, Shrewsbury and Telford Hospital, Barking Havering and Redbridge, and East Kent. The company employs approximately 18 people and is led by founder-CEO Jez Tozer alongside Managing Director Peter Fry and Delivery Director Debbie Johnston.

Name

Prism Improvement

Legal name

PRISM IMPROVEMENT

Website

https://prismimprovement.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

11–50 employees

Short description

Prism Improvement is a London-based NHS consultancy that embeds experienced ex-NHS practitioners inside UK hospital trusts to deliver hands-on operational improvement in urgent care, elective care, theatres, and patient flow.

Ownership category

akta.pro rank

Product category

NHS Healthcare Management Consulting

NAICS

Other Management Consulting Services (541618)

SIC

Services-Management Consulting Services (8742)

akta.pro primary industry

Operations & Process Improvement Consulting (BPAHACAB)

akta.pro secondary industries

Organization Design & Change Management Consulting (BPAHACAD), Monitoring, Evaluation, Performance Management & Quality Improvement (HLAJAMAJ), Financial Management & Performance Improvement Consulting (BPAHACAF)

Keywords

• Healthcare management consulting
• NHS operational improvement
• Urgent and emergency care
• Theatre productivity services
• Patient flow optimization

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Healthcare Consulting Services: Professional consulting services provided to NHS Trusts for operational improvement, performance enhancement, and transformation programmes. Services include hands-on delivery support, improvement methodology implementation, and capability building.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Prism Improvement is a healthcare consulting firm that delivers hands-on operational improvement programmes to NHS Trusts across the UK. Services span Urgent and Emergency Care, Theatre Productivity, Endoscopy, Outpatient, and Patient Flow optimization, delivered by experienced ex-NHS operational and clinical practitioners who embed on-site with trust staff to build and sustain improvements.

Product overview

Prism Improvement is a healthcare management consulting company that provides NHS trusts with hands-on operational improvement support. Founded in 2017 by Jez Tozer (former NHS Chief Operating Officer), the company delivers evidence-based improvement methodologies coupled with extensive operational experience. The company offers consulting services across several practice areas: Urgent and Emergency Care (UEC) improvement programmes, theatre productivity programmes, outpatient improvement services, endoscopy improvement services, and patient flow optimization. Prism Improvement was formerly known as Hunter Consulting and now operates as part of a partnership combining operational expertise with analytics from Four Eyes Insight and Dr Foster. Services are delivered by experienced ex-NHS operational and clinical practitioners who work alongside trust staff to implement sustainable improvements. The company is not a software product company but rather a consultancy that may utilize various analytics tools and platforms in service delivery.

Differentiator

Problem solved

Functional benefit

Products and services

• Urgent and Emergency Care Improvement Programme Hands-on improvement programmes for NHS urgent and emergency care pathways, covering A&E 4-hour performance, ambulance handovers, SDEC development, front-door optimisation, discharge planning, and criteria-to-reside management. Aimed at NHS Trusts seeking to recover A&E performance standards.
• Theatre Productivity Improvement Programme Programme to improve NHS theatre scheduling, list utilisation and surgical productivity, including the High-Performance Lists methodology, reduction of dropped sessions, and surgical hub productivity improvements. Targets NHS Trusts struggling with theatre underperformance, RTT pathway management and long elective waiting lists.
• Endoscopy Improvement Service Improvement support for NHS endoscopy services, including list utilisation, demand and capacity modelling, and preparation for JAG accreditation. Delivered by Prism experts who serve as JAG assessors, targeted at NHS diagnostic services facing capacity constraints or accreditation requirements.
• Outpatient Improvement Service Improvement programmes for NHS outpatient services aimed at optimising capacity, reducing waiting times and improving patient flow in outpatient settings. Targeted at NHS Trusts seeking outpatient capacity optimisation.
• Patient Flow Optimisation Whole-hospital patient flow improvement engagements focused on reducing length of stay, improving discharge processes, and optimising system-wide patient movement within NHS Trusts.

Quantifiable outcome

• A&E 4-hour performance improved from 68% to 90%+ at Cambridge University Hospitals
• +6 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Three partnerships are on record, tiered core.

• Four Eyes InsightcoreTechnology or IntegrationStrategic partnership combining Prism Improvement's operational expertise with Four Eyes Insight's track record in healthcare data and analytics. Together they support NHS improvement at scale, providing both on-the-ground operational support and analytical capabilities to help NHS leaders understand what is happening and deliver measurable, lasting improvement across whole pathways.
• Dr FostercoreTechnology or IntegrationPartnership with Dr Foster provides access to comprehensive healthcare analytics, benchmarking data, and performance insights that complement Prism Improvement's operational improvement services. Dr Foster data is used in multiple case studies and articles to illustrate NHS performance challenges and improvement opportunities.
• Arqis HealthcoreStrategic or Co-development PartnerPrism Improvement is now part of Arqis Health, combining operational expertise with trusted analytics from Four Eyes Insight and Dr Foster to support NHS improvement at scale under the Arqis Health umbrella.

Scale indicators2 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• McKinsey & Company (Healthcare Practice): Global management consultancy with a long-standing NHS England engagement history and a healthcare operations improvement practice. Overlaps with Prism on NHS Trust operational and performance improvement mandates, though at vastly larger scale and price point.
• GE HealthCare Consulting: Global healthcare-focused consultancy practice providing operational improvement, performance, and transformation services to health systems, including NHS work. Comparable in healthcare operational improvement remit but materially larger and broader than Prism.
• Newton (part of EY): Operational improvement and transformation consultancy with a strong NHS footprint (now part of EY-Parthenon). Directly comparable in delivery model (hands-on, embedded practitioners driving measurable operational outcomes), but with significantly larger scale and broader sector coverage.
• PA Consulting: Global consultancy with a substantial UK public sector and NHS practice spanning operational improvement, digital, and strategy. A broader incumbent competitor that overlaps directly with Prism in NHS operational and performance improvement engagements.
• PwC UK (Healthcare): Big Four firm with a sizeable UK healthcare practice that competes for NHS operational improvement, finance, and transformation work. A broader incumbent comparable whose NHS engagements frequently overlap with Prism's addressable market.
• Deloitte UK (Healthcare and Life Sciences): Big Four advisory with a substantial UK NHS operational consulting practice spanning performance improvement, workforce, and digital. Directly overlaps Prism in NHS Trust transformation and operational mandates, with greater scale and broader capability mix.
• KPMG UK (Healthcare Advisory): Big Four advisory practice with a large NHS and healthcare operational improvement team in the UK. Competes with Prism on Trust-level mandates, typically via framework agreements and at higher price points and broader scope.

Direct peers

• Edge Health: UK healthcare-focused consultancy combining analytics with operational improvement for NHS providers. Comparable in scale, NHS focus, and combined data-plus-operations positioning relative to Prism's Arqis Health offering.
• Carnall Farrar: UK-based boutique healthcare management consultancy focused on NHS and independent sector providers, with a similar mix of operational improvement, strategy, and analytics work. The closest direct comparable in size, geography, and client base to Prism Improvement.
• Four Eyes Insight: Healthcare analytics and improvement consultancy now operating as a sister company of Prism Improvement under Arqis Health. Highly comparable as a UK NHS-focused data-and-improvement firm, with a closely related service offering and the same leadership overlap (Jez Tozer is CEO of both).

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/prism-improvement

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Prism Improvement