NEXA Health and Care
Leading with Evidence, Strengthening Care.
NEXA undertakes independent investigations across health and social care, as well as projects focused on healthcare analytics and assurance. We are a trusted and reliable partner, providing expert guidance when you need it most.
NEXA Services
We combine clinical expertise with robust data analysis to identify where change delivers the greatest impact. Our insights drive targeted action, meaningful learning, and measurable, cost-effective improvement.
Thematic Learning
We carry out impartial investigations into serious incidents and concerns. By analysing human factors, we help organisations learn, build trust, and improve safety.
We use proven methods and insights to help organisations achieve their goals through investigation, assurance, evaluation, and governance support.
Independent Investigations and Reviews
We are experienced in conducting thematic reviews, both within evaluations and in alignment with the new PSIRF framework. Our reviews reveal system-level learning and guide strategic improvement.
We combine clinical expertise with robust data analysis to identify where change delivers the greatest impact and return on investment. Our insights drive targeted action, meaningful learning, and measurable, cost-effective improvement.
Improving Analytics
Assurance and Evaluation
NEXA - Expert in Consulting you
NEXA Health and Care Consultancy offers tailored support for NHS and private clients, specialising in strategic transformation, service improvement, and leadership development through a diverse team of experienced professionals.
Transforming Health Care Together
Your Partners in Improvement
Our core services include independent investigations, assurance evaluations, and thematic learning analysis, all aimed at enhancing care quality, governance, and fostering system-wide learning for sustainable improvement.
NEXA Projects
Explore our consultancy projects enhancing healthcare quality and governance.
Independent Investigations
Service Improvement
The Integrated Care Board (ICB) led a system-wide improvement programme to address delays in Emergency Department (ED) care for frail older adults. Working with acute and community partners, Frailty Assessment Units (FAUs) were established within EDs, introducing frailty screening at triage and early access to therapy and discharge planning. Prompted by a patient’s 14-hour ED wait, the initiative improved collaboration across teams. Within six months, admissions for patients aged 80+ fell by 30%, and assessment times improved significantly.
Clinical Leadership Development
Thematic Learning
The Trust set out to strengthen its response to deteriorating patients after the unexpected death of an individual with complex comorbidities. Leaders wanted to improve the reliability of early sepsis recognition, ensure timely escalation, and embed learning across teams. A Structured Judgement Review highlighted missed NEWS2 scores, delays in sepsis bundle initiation, and limited senior oversight in the first 12 hours of admission.
In response, the Trust implemented mandatory sepsis huddles, launched targeted ‘recognise and rescue’ training, and upgraded electronic alerts. The patient’s family was engaged throughout, with their feedback shaping internal safety messaging. Within six months, sepsis bundle compliance improved by 23%, and staff reported greater clarity and confidence in escalation pathways.
A Mental health Trust commissioned an independent investigation to strengthen the early recognition and response to physical health deterioration among patients with serious mental illness.
Aiming to address long-standing disparities in physical health outcomes, senior leaders sought to embed a culture of shared responsibility, sustained clinical focus, and learning.
The initiative was designed to improve staff confidence, reduce diagnostic bias that delays recognition of physical health conditions, and ensure timely escalation—aligning with national priorities to deliver safe, integrated care for patients with complex health needs.
The Executive team at the Trust were committed to creating a culture of continuous learning and clinical excellence, underpinned by compassion, safety, and accountability. Recognising the critical role of staff in delivering high-quality care, senior leaders aimed to foster an environment where clinical insight was valued, escalation was supported, and system learning was prioritised. Their strategic focus was to strengthen clinical engagement, empower decision-making at the front line, and promote psychological safety through structured improvement and targeted investment in patient safety initiatives.
NEXA can provide invaluable support in our strategic transformation, enhancing our care quality and governance significantly.
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