Boutique consultancy Project One has launched a new episode of its inhouse podcast. The episode, entitled ‘The Miracle Programme: Delivering £35 million EBITDA in just two years’, features expert testimony from a recent project the firm oversaw in the healthcare space.
This is our description: In the first episode of Transformation Talks in 2026, the podcast features expert testimony from Project One consultant Richard Carter. Unpacking a programme delivered for one of the UK’s big four private healthcare providers, built entirely on ideas from frontline teams and senior management, he explores how it worked, and what other organisations can learn from it.
Carter explains, “The company had a number of material challenges, including a general erosion of profit margins, a highly decentralised operational model, with a strong sense of local variation, underperforming core assets, and a general backdrop of a high level of organisational turbulence with acquisitions and restructuring. The COO needed to make a positive difference to the bottom line without making material capital investments, and not wanting to lean on an already over-stretched IT department.”
The guiding principles of the transformation that followed – with help from Project One – centred on the guiding principles of “engaging broadly across the business at all levels, to capture ideas about what could be done to improve efficiency and uplift revenues”. According to Carter, it was important to “give accountability for the delivery of the opportunity to those closest to the issue”, so each project within the programme was sponsored by a hospital director, which meant “we utilised the expertise and experience of across the senior talent of the business” – while ensuring the measures we put in place “were pragmatic and doable”.
Finally, Project One provided active support to the delivery teams to drive their implementation with a small central programme team. The results speak for themselves, with the changes earning the name “the miracle programme” because they were able to deliver “material in-year cost-savings, and revenue enhancements, with a relatively low investment.”
Carter adds, “When compared to other investments the company was making, the investment was relatively modest, and the returns were high.”
To hear more about the programme, and how it delivered “£35 million EBITDA in just two years”, listeners can find Project One’s Transformation Talks podcast on Spotify, Amazon Music, Apple Music, and YouTube.
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