FOR NHS TRUSTS
Helping NHS legal teams deliver more with less
Practical legal consultancy from people who have run NHS legal departments. We help Trusts cut external legal spend, clear backlogs and build legal teams that are respected across the organisation.
RESULTS FOR ONE ACUTE TRUST, IN 12 MONTHS
£250k
projected annual savings in external legal spend
90% to 30%
inquest work outsourced
Claims work brought fully in-house, workflows digitised and new KPIs in place.
Does this sound familiar?
NHS legal teams are asked to do more every year, usually with the same people and less money. These are the signs we see most often.
External legal spend keeps rising, with little control over it
A growing backlog of inquests, claims and legal queries
Missed deadlines and pressure from the Coroner
Key staff absent or leaving, and a team running on goodwill
Paper-based processes and little visibility of performance
A legal team seen as a cost, rather than a strategic asset
Our services for NHS Trusts
Start with a full review, or bring us in for the area that matters most to you right now.
WHERE MOST TRUSTS START
Full Departmental Review
An in-depth review of your legal team's structure, performance, processes, external spend and relationships with the Coroner and NHS Resolution. You receive a clear roadmap for your Chief Executive, with recommendations aimed at saving at least 20% of external legal spend within one to two years.
Typically 2 to 4 weeks | On-site with your team
How we work with Trusts
1
Review
We spend time with your team and stakeholders to understand how the department really works, then give you a prioritised plan.
2
Implement
Deliver the plan yourselves, or with our support, at a pace that suits your resources. We can check in on progress along the way.
3
Build Capability
Training and new processes so the improvements last, and your team keeps more work in-house.
Already in difficulty? Our Crisis Management support can start straight away, before or without a full review.
CASE STUDY
From outsourced to outstanding
An acute Trust was outsourcing over 90% of its inquest work. We restructured the team, recruited two specialists, digitised its workflows and introduced KPIs. Within 12 months, inquest outsourcing fell to 30% and claims work came fully in-house.
"Puja and Sarah are a skilled legal team who offer organisations the very best of legal support."
Catherine Pelley MBE
Retired Chief Nurse, Homerton Healthcare NHS Foundation Trust
Finalist, HSJ Partnership Awards 2026: Best Consultancy Partnership with the NHS
Why Trusts choose us
Built inside the NHS
We have been Heads of Legal Services in NHS Trusts. We understand Trust culture, governance and the pressures your team faces every day.
Cost effective, not cost cutting
We find real savings, from external legal spend to smarter processes, without compromising quality or patient safety.
Support beyond the report
We do not hand over a report and leave. We can help you deliver the changes, train your team and check progress.
The standards we review against include
CQC Regulations
GMC Good Medical Practice
Paterson Inquiry
Responsible Officer Regulations
ISCAS Code of Practice
PHIN
GIRFT
Frequently asked questions
Let's talk about your legal team
Send us a short message and we will arrange a call at a time that suits you.
We will talk through the pressures your team is facing and where we could help. No obligation.