Transform your big ideas into achievable, actionable plans

We are a consultancy built with the public sector in mind. We are dedicated to understanding your world, simplifying complex challenges, and working alongside you to achieve long-term success. 

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What We Do

At Keystream Consulting, we specialise in providing strategic guidance, operational problem-solving, and technical expertise to address the unique challenges faced by the NHS, local government, and the wider public sector.

Our goal is to empower your workforce through the sustainable implementation of digital solutions that streamline operations, improve service delivery, and drive long-term transformation.

Our Expertise

Tailored Solutions for Public Sector Success

At Keystream, we combine deep industry knowledge with a tailored approach to help the public sector navigate complex challenges. We work closely with you to deliver solutions that are not only strategic but also practical, ensuring sustainable success and measurable impact.

Readiness Assessment

Strategic Planning

We work with you to develop and implement strategic plans that align with your long-term goals and community needs. Our services include: 

  • Discovery and problem scoping 
  • Options appraisals 
  • Business case development 
  • Benefits realisation frameworks 
Analysis

Operational Excellence

We enhance public sector efficiency through strategic planning, process improvements, and resource optimisation. Our offerings cover: 

  • Change management 
  • Implementation and delivery planning 
  • Process, pathway & system optimisation 
  • Service and program design 
Healthcare Focus

Healthcare Transformation

We support the NHS in transforming services to improve patient outcomes, from integrating new healthcare technologies to optimising clinical pathways. Our focus areas include: 

  • Integration of new healthcare technologies

  • Clinical pathway optimisation

  • Patient outcome improvement strategies 

Data and Reporting

Data & Technology

We ensure your data is clean, accurate, and ready for the introduction of new Electronic Patient Records (EPR) and other digital systems. Our services cover: 

  • Data cleaning and management

  • Electronic Patient Record (EPR) preparation

  • Digital system implementation 

Management

Capacity Building

We empower your team with the skills and knowledge to sustain improvements and drive future initiatives. Our approach includes: 

  • Training programs 
  • Skill development workshops 
  • Knowledge transfer initiatives 
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How We Work

In today’s fast-paced environment, rapid transformations can sometimes overshadow the essentials. While innovation is crucial, laying solid foundations ensures enduring success

Our work is grounded in 8 core principles that provide a clear framework for achieving real-world results. These principles guide us from vision to execution:

1. Vision 5. Opportunities & Innovation
2. Goals 6. Capability & Capacity
3. Delivery Plans 7. Collaborative Design
4. Storytelling & Engagement 8. Measuring Impact
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Our Values

A collaborative approach to help each other succeed

At Keystream, we don't just provide services – we become an integral part of your team. We understand the demands on your time and resources, so we've developed an approach that seamlessly integrates with your existing processes while minimising disruption. 

Meet our team

Krishna Gandham

Managing Director - Consulting

Armelle Huitric

Integration Consultant

Geetika Karol

EPR Principal Consultant

Ted Hubbard

Change Management Consultant

Testimonials

Keystream Consulting have engaged with CHS Trust to complete a detailed analysis of Maternity workflows in preparation for an upgrade in the toolset, as well as some domain testing in preparation. They have been extremely professional, very competent and have delivered to our budget envelope. The results achieved have been targeted and helpful in progressing our needs and I very much would enjoy working with them again in the future.

Digital Services Programme Manager, Croydon Health Services NHS Trust.

John McGuiness

The support received from my consultant was consistent, professional and supportive. I have never in all my years of contracting had the consistent support that I received from Beth at Keystream. Regular follows up were done to see how I was progressing. If I had any issues, I found the consultant approachable and empathetic. There was a true and genuine want for me to succeed in my role from the consultant. Fantastic advice and guidance on working in government and the public sector

Project Manager

Lizette

“Despite advertising the post “Data Engineering Coach” four times, we were unable to successfully recruit for the position. But, with the support from Keystream Analytics we were able to take a novel approach to our unique requirements to obtain a tailored solution. The sessions offered before agreeing to their services were a great opportunity to understand their approach and the value they bring, and we couldn’t be happier with the results.”

Deputy Head of Information Services, The Mid Yorkshire Hospitals NHS Trust

Jonathan Gee

CDS COO & Clinical Director were very impressed and thanked all involved for the hard work, so thank you to everyone involved from Keystream. They appreciated the team’s expertise in data management, their understanding of the healthcare sector, and their commitment to achieving tangible results.

Community Dental Service NHS

J Williams & M Woods

We were very impressed with the attention to detail and rapid turnaround of a viable solution by the digital team

Consultant Occupational Health Physician, London North West University Healthcare NHS Trust

Dr Shriti Pattani

“Keystream Analytics helped with numerous challenging NHS data projects. I was impressed by Keystream Analytics technical knowledge and patience with the projects and delighted with the results. Because of the success of the projects, DBTH NHS Trust is now able to report on wide ranging, complex data sets with the ability to drill down from Trust to divisional and specialty level via the dashboards. In the long term, this will help the Trust to identify gaps in our delivery capabilities. Thank you so much for all your work on this – Keystream Analytics have worked incredibly hard to get to where we are now and the light at the end of the Integrated Quality Performance Report (IQPR) tunnel is definitely in sight!”

Head of Performance, Doncaster & Bassetlaw Teaching Hospitals NHS Foundation Trust

Julie Thornton MSc

All the staff I dealt with at Keystream were excellent, very helpful and supporting of my application and interview process with Horder Healthcare. Keeping me up to date with progress and advising of any questions that arose. Being the first time I have applied for a job in IT in the healthcare industry it was a little daunting, but I felt very prepared for the whole process.

IT Operations Lead

George Marks

Keystream are not only great to work with, but also know the industry really well. They knew I would be a good fit for the role based on my CV and I love it! the role and am really glad to have been placed where I am.  They also have placed several other candidates within the community trust and they are all fantastic. I would turn to Keystream for another role, but I would also call them if I needed people. They care about the candidates, and also the organisations they place into.  There is genuinely no problem too big and they always come back with answers to questions really quickly.  I would recommend them time and time again.

Performance Manager

Christopher Pine

Latest insights

Central Surrey Health – Patient Care across Surrey

Consolidation of systems and alignment of patient care with GP Practices across the Surrey Heartlands. Following a review of patient care strategy in Surrey, Central Health Surrey (CSH) decided to transition to a new electronic patient record system –EMIS, a primary care system used by most GP Practitioners within the Surrey Heartlands.

Surrey and Borders Partnership NHS Trust

A complete network transformation delivering central management, increased efficiencies, and improved security. After facing ongoing issues with their data and network configuration, SABP decided to engage Keystream Consulting to help rid of the disparate Domain Name System (DNS), deliver a refined network management system with increased monitoring and performance capabilities as well as security.