NHS boards that thrive won’t have the best intentions; they’ll have the best Decision Intelligence — the capability to turn data, insight and behaviours into better, faster, fairer decisions.
The Board Reality: Purpose vs Performance
An NHS Board’s purpose is to set strategy and values, steward risk and resources, and hold the executive to account, so populations get measurably better outcomes and value.
Yet the gap between purpose and performance is widening: information overload, rear-view metrics, strategies stuck in aspiration, delayed decisions, muddled priorities. The side-effect: leading to process-driven governance rather than delivery.
Strasys Board Operating System (SBOS)
A tailored capability development programme for Provider and ICB Boards, combining practical coaching with connected analytics to change how boards work on real priorities. Delivered within 12 weeks, aligned with your objectives and realities, and evidenced against the Well-Led framework.
Creating relentless focus, clarity on improvement and the board’s role in creating sustainable systems.
What changes?
Better Decisions. Better Boards. Better Outcomes.

What value is delivered?
Confidence to ask the right questions
Use data to connect agendas and remove silos.
01
Insight beyond national datasets
Get far more than your typical Integrated Performance Reports.
02
Richer, more focused board debates
Set the right priorities and address issues the right way.
03
Embed behaviours & measurement
Plan and track leadership habits and decision quality.
04
Visible behaviour & oversight improvement
Well-Led evidence, month by month.
05
Clarity on population impact
Board alignment to patient value and system contribution.
06
Focus on what matters
We use unique insight to tailor the programme to your context:
What you get
- Learn by doing — solving real problems
- 12-month complimentary access to the Strasys Decision Insight Platform
- Coaching and access to a peer network
Benefits for your organisation
- Faster, clearer decisions
- Stronger governance & assurance, integrated with the BAF
- Unitary behaviours and discipline
Frequently asked questions
How does SBOS align with Well-Led?
Directly supports all eight themes. We provide a structured framework of leading and lagging indicators to evidence behaviour change and impact.
Why not just take the national offer (often “free”)?
National offers help on specific topics. SBOS changes how your board works week-to-week. It’s evidence-led, independent, and built around your real priorities. We fit inside your existing schedule and show tangible value.
We’ve invested before with little lasting impact. Why is this different?
We embed decision intelligence into governance routines ensuring boards can objectively measure their improvement with sustained behaviour change.
We already have national data and an IPR. What’s different?
Our models and decision intelligence analytics provide insights unavailable anywhere else in the NHS. It’s the difference between information and actionable intelligence.
How does this fit with our existing board development schedule?
The programme integrates into your current board cycle, replacing rather than adding to existing development time. Board time is precious, we respect that.
Will this clash with system improvement work?
No. We complement and strengthen system working through clearer strategy, better decisions, and more effective leadership.