01 / DIRECTION
Strategy & direction
Clarify priorities, frame choices and align people, resources and purpose.
Explore →Strategy · systems · public service
Small systems. Decisions that carry weight.
NAVYR works alongside leaders navigating complex public systems, bringing independent judgement, rigorous evidence and practical delivery experience when the path forward matters.
We help leaders find a clear way through complexity, pressure and change.
Why NAVYR
Smaller does not mean simpler.
In a small system, decisions move quickly through institutions, communities and relationships. Capacity is finite. Scrutiny is close. Context cannot be treated as an afterthought.
NAVYR brings senior, proportionate support to the decisions that matter most, helping leaders understand complexity, establish a clear course and turn sound strategy into practical action.
01
Senior attentionExperienced practitioners stay close to the work.02
Context firstAdvice shaped around place, capacity and relationships.03
Defensible decisionsEvidence, judgement and clear reasoning under scrutiny.04
Practical movementRecommendations designed to be used, not admired.What we do
Guidance when systems are under pressure.
From strategic choices to operational delivery, we work with leaders who need clarity, confidence and a route forward.
02 / DELIVERY
System improvement
Strengthen pathways, operating models and the conditions for change to hold.
Explore →03 / EVIDENCE
Evidence & review
Turn data, economics and evaluation into decisions that can withstand challenge.
Explore →04 / ADVISORY
Trusted advisory
Independent support for leaders facing difficult choices, scrutiny or uncertainty.
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How we work
Guidance that stays close to the work.
We combine outside perspective with an operator’s understanding of what it takes to make change happen inside public systems.
- Clear without being simplistic.
Complexity made understandable and actionable. - Independent without being detached.
Constructive challenge grounded in partnership. - Rigorous without losing judgement.
Evidence used in context, not by formula.
Where we add value
Built around real public-system challenges.
Our work is especially valuable where local context matters, organisational boundaries blur and the consequences of a decision travel quickly.
Small health systems
Strategy, commissioning, pathways, population health, improvement and sustainable delivery.
Government & public bodies
Policy choices, evidence, governance and decisions that must retain public confidence.
Local services & partnerships
Cross-boundary priorities where no single organisation holds the whole solution.
Boards & leadership teams
Independent challenge, decision support and a clear route through periods of pressure.
A clear course
From uncertainty to movement.
Every assignment is shaped around the question at hand, but our working rhythm remains deliberately simple.
Understand
Listen closely, map the system and surface what is really shaping the decision.
Clarify
Separate signal from noise, frame choices and make trade-offs explicit.
Move
Translate the chosen course into practical actions, ownership and momentum.
Strengthen
Build capability and confidence so improvement can continue after we leave.
Our people
Experience inside the systems we advise.
Our team brings public health, healthcare operations, policy, economics and system leadership experience, with senior people staying close to the work.
Ross Keat
Public health, strategy & small systems
Consultant in Public Health and senior public-sector leader, bringing evidence and complexity into proportionate decisions.
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David Fontaine-Boyd
Healthcare operations & delivery
London-based healthcare operations leader who translates strategy into practical improvement for services and teams.
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William Roberts
Health policy, economics & system reform
Senior healthcare executive and Harkness Fellow focused on equity, performance and sustainable reform.
Read profile →Thinking in public
Ideas for leaders carrying complex decisions.
Practical perspectives on small systems, defensible choices and turning strategy into delivery.
Small systems are not miniature large systems
Why imported models so often disappoint, and what proportionate strategy looks like instead.
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What makes a difficult decision defensible?
A practical framework for leaders balancing evidence, values, affordability and public confidence.
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The gap between a sound strategy and real movement
How to design delivery into the decision rather than bolt it on afterwards.
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Find a clear course through what comes next.
Tell us about the decision, system or change you are navigating.