• “We’re recruiting the same posts over and over.” • “Our most experienced people are going early, and taking the corporate memory with them.” • “Sickness absence is up and nobody can say exactly why.” • “People are at their desks but they’re not really here.”
• “We’ve run the survey three years running and the scores haven’t moved.” • “We know what the survey says. We don’t know what to do about it.” • “Nothing gets improved without a working group.” • “The same problems keep coming back with different names.”
• “The strategy isn’t landing.” • “We’ve had four restructures in six years and people have stopped believing the next one will be different.” • “Everyone is busy and nobody can say what we’re prioritising.”
• “Meetings have quadrupled and decisions have slowed.” • “The same three people are holding everything together.” • “People do exactly what is asked and nothing more.” • “Managers won’t decide anything without checking upwards first.”
| Staff Turnover | Every departure costs a multiple of salary to replace, and the people who go first are the ones with options. |
| Unplanned Absence | Tracked, expensive, and more closely associated with local leadership than with the work itself. |
| Agency/Bank Spend | The direct consequence of the first two, and often the largest avoidable cost on the balance sheet. |
| Productivity | Work that takes three people because nobody is trusted to decide alone, and time lost to sign-off that distributes responsibility rather than improving decisions. |
Which is why they combine well, and why you can start with one.
For organisations where people are tired, turnover is rising, or sustained pressure has flattened the energy out of teams. You get: retention, lower sickness absence, reduced agency spend, and engagement that holds under pressure rather than collapsing at the first difficult quarter.
For organisations that must improve services with fewer resources, and teams where people have quietly stopped saying what they think. You get: improvement generated from inside rather than commissioned from outside, problems surfaced early rather than hidden, and a workforce that adapts rather than waits.
For leadership teams whose strategy isn’t landing, and organisations needing strategic thinking further down than the top three people. You get: alignment, decisions made at the right level and at speed, less duplication and rework, and a strategy that survives contact with the organisation.
Whether people believe that acting will change anything. Without it, the other three cannot hold — which is why every programme builds it first, and why the diagnostic is called what it is.

The people leaving are offered outplacement — often generic, often too early to be useful. The people who stay, who watched it happen, absorbed the extra work and drew their own conclusions about how the organisation treats people, are offered nothing at all.
For the people remaining: Survivor effect is real, under-addressed and expensive: reduced trust, lowered discretionary effort, and a spike in voluntary turnover six to twelve months later among exactly the people you most wanted to keep.
Very few providers do both halves. Doing only the first is a duty of care exercise. Doing both is a retention strategy.
Cohort and embedded programmes measure at intake and at close, against published instruments used in research — not scales invented for a brochure.
You receive an anonymised pre and post report for the group, with commentary on what moved, what didn’t, and what I’d recommend next. It is written to be shared with a board or a people committee.
| What is measured | Instrument |
| Energy and vitality | Subjective Vitality Scale |
| Quality of motivation | Self-determination self-regulation scales |
| Confidence and self-efficacy | Occupational Self-Efficacy Scale |
| Connectedness | Social Connectedness Scale |
| Clarity of identity and role | Self-Concept Clarity Scale |
| Sense of direction and purpose | Meaning in Life Questionnaire |
| Field | Credentials |
| PRACTICE | Leading and developing teams in local government, education, a health charity and the NHS, to Head of Service and Director level. Chief Executive of two complex, multi-faceted charitable operations |
| ACADEMIC | MBA · Lecturer in Leadership, BPP University — teaching senior leaders across England and Wales |
| QUALIFIED | Coach training accredited by the International Coaching Federation (ICF Level 1) |
| PUBLISHED | Author of two books, on returning to work and on burnout |
| RECOGNISED | Executive Contributor, Brainz Magazine · Creo 2026 Award Winner |
| EVIDENCE | Work grounded in Bandura, Fredrickson, Edmondson, Luthans and self-determination theory as well as thought leaders in business strategy — and measured with validated instruments. |
| VOICE | Host of The Reframing Room — real stories of career transition and reinvention |
Not in a survey. Surveys are how organisations avoid asking. Ask them out loud, to a person, and then be quiet long enough to hear the answer.
If the answers are good, you have something most organisations don't and it is worth protecting. If they worry you, you have found the actual problem — which is considerably more useful than another engagement or satisfaction score.