From vision to value — specialist consulting for NHS, private and independent healthcare providers.
I'm Josh Boxall — a project & transformation consultant with over a decade delivering complex digital, clinical and operational change. When a programme needs traction, clarity or a reset, I turn strategy into delivery.
Engaged on contract and interim assignments through BXL Consulting Ltd — from business case to benefits realisation, and everywhere a programme tends to stall.
Strategic roadmaps that align technology with organisational goals — and a credible path to deliver them.
End-to-end delivery of complex healthcare IT programmes, from business case to benefits realisation.
EPR upgrades, clinical systems and digital health solutions — delivered with adoption designed in.
Strategic advisory that bridges IT and clinical/operational objectives to keep investment fit for purpose.
People-centred approaches to technology adoption, so new ways of working actually stick.
Reporting frameworks, analytics and automation that turn programme activity into measurable outcomes.
Robust governance frameworks, RAID discipline and assurance that keep complex delivery accountable.
Senior, PRINCE2- and APM-accredited project and programme leadership on demand.
A selection of the digital, clinical and operational change I've led — from national rollouts and EPR upgrades to platform migrations and automation.
Bridging strategic design and hands-on delivery — shaping the service blueprint, journey maps and implementation plan, while standing up agile ways of working in Jira and leading the Section 251 / IRAS approvals for lawful use of confidential patient data. Client confidential.
Planned and oversaw migration from a legacy environment to a target integration platform — scope, governance, channel migration, script refactoring and data integrity throughout.
Moved a mental health service off an unfit solution onto a purpose-built platform — protecting continuity of care through a tightly governed transition.
Introduced RPA capability into the organisation — business case, pilot processes, operating model and a prioritised backlog to remove repetitive manual work.
Mobilised a direct-to-counselling digital triage solution, bringing together partner platforms and integrating with case management systems to speed access to care.
Upgraded the organisation's electronic patient record, focused on new usability and features to drive adoption and adherence to clinical processes.
Took the entire national business from paper expenses to electronic — a cross-organisation rollout with change, training and go-live support.
Replaced the organisation's endoscopy imaging and reporting solution, aligning clinical requirements, workflow and regulatory needs.
Delivered Imprivata single sign-on with follow-me desktop infrastructure — cutting friction for clinicians moving between shared devices.
Complex change fails in predictable places. My method removes those failure points one at a time — in order.
Get the sponsors, clinicians and delivery teams around one shared outcome before a single task starts.
Name what "done" looks like and how it will be measured — so effort maps to value, not activity.
Surface dependencies and risks early, and challenge the assumptions that quietly derail delivery.
Well-paced execution through to go-live, adoption and benefits realisation. No fluff.
Project & Transformation Consultant · Director, BXL Consulting Ltd · East Sussex, UK
I bring structure to ambiguity, keep stakeholders engaged, and challenge assumptions when it's needed to keep momentum.
Over ten years I've led high-impact digital, clinical and operational change — EPR upgrades, digital triage rollouts, service migrations, MSK redesign and national initiatives — across NHS trusts, private healthcare and the voluntary sector.
My career runs from registration authority and SystmOne deployment, through IT project and business-partner roles at Sussex Community and University Hospitals Sussex, to senior delivery at Ramsay Health Care and Vita Health Group. In 2025 I founded BXL Consulting to do that work independently.
Executives trust me for clear communication, disciplined risk management and momentum-building leadership — turning strategy into delivery, fast.
If your programme needs any of the three, I'm open to conversations. Tell me where it's stuck.
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