You decide at every gate.
Each stage has defined outputs, price, acceptance criteria and an explicit go / no-go decision. There is no obligation to continue.
The four stages
Consult: validate the baseline
A fixed-scope diagnostic of services, staffing, provider contracts, ambulance cost, exposure surveillance, emergency pathways, insurance cost and records maturity. You receive a validated baseline, target-model options and a business case.
Design: cost the target model
Three costed operating choices, with service levels, staffing, risks, transition plan and total annual cost shown before you decide.
Implement: mobilise the change
Govern (0–30 days), Build (31–60), Ready (61–90) and Stabilise (90–180), protecting emergency readiness and clinical continuity throughout.
Operate: run and optimise
Ongoing management against agreed KPIs, with early savings validated alongside your Finance team.
Three operating choices
Enhance
Strengthen current arrangements. Preserve continuity and clarify role standards, protocols, KPIs and governance.
Hybrid
A lean onsite team with X5 Health oversight: nurse-led delivery, fractional occupational physician, tele-support and external diagnostics.
Procure
An integrated managed service. Tender a performance specification covering clinic, occupational health, emergency and data.
Choose your level of partnership
Fractional medical governance
We direct clinical standards, audit delivery, review complex fitness cases and chair performance governance while your provider employs operational staff. Best for independent oversight at lower fixed cost.
Integrated managed service
We operate through a properly licensed delivery structure or partner, with one SLA across onsite care, occupational health, emergency response, providers and analytics.