A trusted partner for meaningful change
NHS and healthcare improvement specialist, systems thinker, and expert facilitator helping organisations navigate complexity with confidence.

A career dedicated to helping organisations thrive
Rosanna Hunt is a highly experienced consultant specialising in healthcare improvement, organisational development, and systems thinking. With over two decades of practice across the NHS and wider public sector, she brings a rare combination of analytical rigour and compassionate, people-centred facilitation.
Her approach is grounded in complexity science and narrative research — understanding that organisations are living systems, not machines. She uses methods like SenseMaker® to help leaders and teams make sense of the patterns hidden in their everyday experience, turning insight into action.
Whether facilitating a board away-day, coaching senior leaders through change, or designing a whole-system improvement programme, Rosanna creates the conditions for honest conversation, fresh thinking, and lasting change. Her clients value her ability to hold space for difficult conversations while keeping the focus on practical, measurable outcomes.
Deep knowledge across multiple disciplines
Rosanna brings together expertise from healthcare, organisational development, systems thinking, and narrative research to offer a uniquely integrated approach.
NHS & Healthcare Improvement
Deep experience working across NHS trusts, integrated care systems, and healthcare organisations to improve patient outcomes, staff engagement, and system performance. Rosanna understands the unique pressures, culture, and opportunities within the health service.
- Quality improvement programme design and delivery
- Patient safety culture and narrative-based learning
- Integrated care system development
- Clinical leadership and team development
Organisational Development
Helping organisations build the culture, capabilities, and structures they need to adapt and thrive in complex environments. Rosanna takes a whole-system approach, working with the patterns of relationships, conversations, and habits that shape daily experience.
- Culture diagnosis and transformation
- Team development and cohesion building
- Structural and process redesign
- Employee engagement and wellbeing strategy
Facilitation & Systems Thinking
Expert facilitation that creates the conditions for honest dialogue, creative thinking, and aligned action. Rosanna draws on complexity science and systems thinking to help groups work with — not against — the complexity of their challenges.
- Board and senior team facilitation
- Complexity-aware strategy development
- Participatory sense-making workshops
- Conflict resolution and difficult conversations
Learning from Narratives
Trained in SenseMaker® narrative research methodology, Rosanna helps organisations collect, analyse, and learn from the stories people tell. This reveals the hidden patterns shaping behaviour — far richer than surveys or metrics alone.
- SenseMaker® narrative research design and delivery
- Patient and staff experience insight
- Pattern analysis and sensemaking
- Turning narrative insight into organisational action
Leadership Development
Supporting leaders at all levels to grow the self-awareness, relational skill, and systems perspective needed to lead effectively in complexity. Rosanna's coaching and development work is practical, challenging, and deeply supportive.
- Executive and senior leader coaching
- Leadership development programme design
- Action learning set facilitation
- Compassionate and inclusive leadership
An approach grounded in relationships & rigour
Rosanna believes that meaningful change happens through people — in the quality of their conversations, the clarity of their thinking, and the strength of their relationships. Her work combines intellectual rigour with warmth, humour, and a genuine commitment to the people she works with.
Every engagement is different. Rosanna starts by listening — understanding your context, your challenges, and what success looks like for you. She then designs an approach that draws on the right blend of methods to meet your needs, whether that's a single facilitated session or a long-term change programme.
People-centred
Change happens through people — Rosanna puts relationships, trust, and human experience at the heart of her work.
Evidence-based
Drawing on complexity science, organisational research, and rigorous narrative methods to ground recommendations in real insight.
Outcome-focused
Practical, action-orientated support that translates insight into measurable improvement and lasting change.
