Clients include
The NHS National Programme for IT
University of Oxford
NHS England
Greater London Authority
Real World Health
South London and Maudsley NHS FT
Sirius Open Source
Royal National Orthopaedic Hospital NHS TrustA-Commotion Ltd provides senior programme leadership, digital transformation strategy, and executive consulting to organisations navigating their most demanding technology-enabled change.
Clients include
The NHS National Programme for ITUniversity of OxfordNHS EnglandGreater London AuthorityReal World HealthSouth London and Maudsley NHS FTSirius Open SourceRoyal National Orthopaedic Hospital NHS TrustAbout A-Commotion
Most digital transformation programmes don’t fail because of the technology. They fail because of poor programme discipline, misaligned stakeholders, and the gap between strategy and execution.
We’ve spent 30 years closing that gap — as Programme Directors, Project Managers, and senior consultants on some of the most complex programmes in UK public sector and technology history and as COOs, IT Managers and Operations Leads driving organisational change.
A-Commotion is deliberately boutique. Our founder, Andrew Bucknor, leads every engagement personally — bringing executive-level judgement to your challenge from day one. For larger programmes, we scale through a trusted associate model built on 30 years of working relationships with proven practitioners.
Seamless at board level — shaping strategy, engaging C-suite stakeholders, and providing the governance that complex programmes demand.
We don’t just advise — we embed. When the situation calls for hands-on delivery leadership, we’re in the team solving problems alongside your people.
30 years across NHS, government, technology, and Life Sciences means we’ve seen most failure modes before — and know how to navigate around them.
Fluent in Agile, MSP, PRINCE2, and Waterfall — we apply the right approach for each context, not the one that’s just most fashionable.
Andrew has spent 30 years leading complex digital transformation programmes across the NHS, central and local government, and the private sector. He has managed programmes worth over £900m in total, from a successful role on the world’s then-largest civilian IT programme to delivering a digital research platform that now accesses 6 million+ NHS patient records for neuroscience research. He brings the same level of personal engagement and executive-level judgement to every engagement, whether as a strategic advisor, an embedded delivery leader, or an interim COO.
What we do
A focused range of senior advisory, leadership, and delivery services — all grounded in real programme experience at genuine scale.
From vision to actionable roadmap. We work with leadership teams to define, shape, and sequence transformation programmes grounded in delivery reality — not just strategic ambition.
End-to-end programme management for complex, multi-workstream technology and business change programmes. Agile, waterfall, or hybrid — whatever the programme needs.
Experienced in taking over stalled or troubled programmes and getting them back on track. We assess the real state of play, stabilise delivery, and rebuild stakeholder confidence.
Senior operational leadership, either fixed—term or interim cover for organisations in transition — e.g. restructures, operating model redesign, or building capability to scale or seek IPO. Board-ready reporting, real delivery accountability.
Independent assessment of technology landscapes, digital systems, and IT service arrangements. Actionable recommendations on rationalisation, consolidation, and strategic direction.
Expert support for complex technology procurement — from OBC—FBC, framework selection & tender management, to supplier governance, contract negotiation, and performance management.
How we work
We don’t arrive with a pre-packaged methodology. We listen, assess, and apply an approach that fits your organisation and the challenge at hand.
We begin by listening — not selling. Before recommending anything, we take time to understand your organisation, your stakeholders, and the realistic state of your challenge.
One of the most common causes of project failure is starting without a shared definition of what done looks like. We work with you to align on outcomes before any delivery activity begins.
Andrew leads every engagement. For larger programmes, we assemble the right associate team — people we have worked with and trust. No bench-filling, no unnecessary overhead.
We apply appropriate governance, clear reporting, and honest escalation. Boards and sponsors get real visibility — not green RAG statuses on programmes that are quietly drifting.
We aim to leave every client organisation with improved capability, not dependency on us. Knowledge transfer and coaching are built into how we deliver — not added on at the end.
Our track record
Where we work
Deep experience across healthcare, government, and technology — and the cross-sector perspective to bring the best ideas from each into the others.
20+ years of NHS programme delivery — from NPfIT to trust-level digital transformation, technology, SOPs & financial turnaround.
Central and local government digital programmes, GDS-standard delivery, and public procurement expertise.
Digital Software development, cloud-hosted SaaS platforms, data science inc. AI, Devops product delivery & IT services leadership.
Healthcare data analytics, clinical research infrastructure and data governance in highly regulated environments.
Strategic advisory on open source adoption, procurement, and implementation across public sector and enterprise.
Commercial and FTSE-250 environments — operational transformation, technology strategy, and programme leadership.
How we scale
A-Commotion is deliberately small — it means you always get Andrew’s personal attention, not a junior team. When your programme demands more resource, we scale through a trusted associate model built on three decades of working relationships.
How to engage us
We work in the way that best fits your need — from a short advisory engagement to a multi-year programme partnership.
Short to medium-term advisory engagements — strategy development, independent review, programme assurance, or expert input on a specific challenge.
Day rate / project
Embedded senior leadership on a part-time or full-time interim basis — COO, Programme Director, or senior delivery lead. Available at short notice.
Flexible commitment
Full programme leadership from definition to benefits realisation — including team assembly, governance, delivery management, and stakeholder engagement.
Programme partnershipGet in touch
Whether you have a specific programme in mind or just want to explore whether we’re the right fit — we’d welcome the conversation. No obligation, no sales pitch.
Based in London, UK. Available for engagements nationally and internationally. We typically respond to all enquiries within one working day.
Your details will only be used to respond to your enquiry. We don’t share data or send marketing emails.