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Thinking and perspective

Practical thinking for complex change

Perspectives on transformation and delivery, written for people responsible for making change happen rather than commenting on it.

The aim of this page is not to add noise. It is to share useful thinking on the challenges organisations face when they are trying to modernise, improve delivery, make better use of technology, or decide how data and AI should fit into the wider change agenda.

Some pieces will focus on strategy. Others will look more closely at delivery, implementation, or the practical implications of change. In each case, the intention is the same: to offer clear, grounded perspectives that are worth a client's time.

What you will find here

Topics we write about

Insights from TTAG focus on the issues that matter most in transformation work. The emphasis is on practical relevance rather than commentary for its own sake.

Transformation and Delivery

How organisations move from strategy into action, and what helps change land more effectively.

Digital and Technology Change

How digital ambition, service improvement, and technology decisions can be shaped in ways that support real organisational progress.

Data and AI in Practice

How organisations can think more clearly about data, insight, and AI without losing sight of purpose, value, and delivery reality.

Operating Clarity and Improvement

How structure, governance, coordination, and better ways of working support stronger outcomes.

Latest articles

Black and white photograph of a records clerk in a hospital archive between floor-to-ceiling shelves of paper patient files

The single patient record will run late. The Treasury priced that in two decades ago.

The Treasury has assumed government IT projects can overrun by 200% since 2003. Applied to the last comparable NHS programme,…
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A clinician holding a pen over patient notes during a consultation, the patient gesturing

NHS AI diagnostics don’t have an accuracy problem. They have a liability problem.

Just 28% of GPs use AI clinically, despite tools clearing regulatory approval by the hundred. What's holding them back is…
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Manufacturing engineer working at a laptop on a factory floor

Manufacturing’s AI adoption isn’t slow. It’s normal speed, which is the actual problem.

AI use among US manufacturers has risen sevenfold in under three years, faster than the sector adopted robotics. The real…
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A team working through sticky notes on a glass wall, coordinating together

AI Can Delete a Manager. It Can’t Delete the Decisions They Made.

Oracle, Meta and Microsoft have all cut management layers on the strength of AI doing the coordination work. None has…
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Clinical staff moving through a hospital corridor, one working at a wall-mounted workstation

NHS waiting lists are falling. The transformation programme paying for it is only half built.

England's waiting list has fallen by over 600,000 patients. Part of that fall is treatment, and part of it is…
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A factory technician using a tablet at an older industrial control panel

The manufacturers getting hacked hardest are the ones modernising fastest

Manufacturing has been the most attacked industry for five years running, even as security ownership more than tripled. The connectivity…
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Take it further

If the thinking is useful, the conversation may be too

If you are working through a transformation challenge, trying to improve delivery, or deciding how digital, technology, data, and AI should support the next phase of change, TTAG can help.