Building Performance Consultant in City of London

Nexus is a health and social care transformation consultancy. Our purpose: We help health and care leaders solve their hardest problems - the ones that sit between teams, across organisations, and beneath the surface – and help them deliver genuine, sustainable transformation.

Internally, we’re the anti-burnout consultancy. We work a four-day week as standard. This isn’t a perk or a policy for policy's sake — it’s a deliberate choice, rooted in how we believe great work actually gets done: by people who are energised and mentally present, not burned out and stretched thin.

We believe health and social care deserve the best support, support that actually makes a meaningful difference to staff and service users. We don’t write reports to just gather dust. We get on-site, work alongside clinical and operational teams, and we stay until change is embedded and value is proven.

At the moment, we work wholly in patient flow and unplanned (urgent and emergency) care, from population health management and crisis prevention through to reablement outcomes, on problems that have often been years in the making. The work is complex, but it matters.

The role involves leading workstreams and analytical pieces on live programmes, working directly with frontline teams and senior client stakeholders. You’ll structure ambiguous problems, dig into data, build the evidence base, and help clients move from diagnosis to action — and then stay to make sure it sticks.

This isn’t a support role. You’ll be trusted to own your work, challenge what needs challenging, and bring your own thinking. In Nexus, you’ll always have two jobs: do the work, and improve the work. If you see a better way to do something that will help us be more efficient or effective for clients, we’ll give you the space, support, and backing to run with it.

You’ll be on-site with clients three days a week — Tuesday to Thursday tend to be the most valuable days — when client teams are in, decisions get made, and momentum builds. But we’re flexible. Your four-day working pattern will depend on your needs, the programme, and the client.

The fourth ‘day’ — worked from home — is yours to shape. It can be one full day, or split across evenings, or however works for you. We don’t prescribe when or how. We care about outcomes, not clocks. We do this because we know that life doesn’t fit neatly into a nine-to-five: childcare, personal commitments, mental health, and individual working preferences all matter, and we build our culture around accommodating them.

The team comprises operations consultants, urgent care subject matter experts, medical consultants, and former CEOs of acute hospitals. Our combined knowledge and internal challenges drive the outcomes we deliver. But more than that, we’re human. And having work that supports how we want to live is how we’ll develop the best teams and deliver the best outcomes for our clients.

What we’re looking for:

• Experienced in consulting, with at least three years in management or operations consulting.
• Experience working in health or social care is a significant advantage.
• Comfortable with data, numbers, and structured problem-solving.
• A people person who can build trust and understand that delivery happens through people.
• Comfortable in ambiguity and expected to do the work and improve the work.
• Someone who loves improvement and has significant experience in actually getting things done.

What you’ll get:

• Salary: £70,000–£100,000, depending on experience, knowledge, and sector depth.
• Four-day work week as standard.
• 5% employer pension contribution, non-contributory.
• 25 days holiday, rising by one day each year to 30 days at year five, plus bank holidays.
• Company-provided phone, laptop, and home-working equipment.
• £2,500 annual training budget from year two.
• Life assurance.
• Annual profit share bonus based on company performance.

If this sounds like the kind of place you want to be, we’d love to hear from you. Send a CV and a short note on why Nexus, and why you. Tell us something real, and show your personality.