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McKinsey Hospital Institute

The McKinsey Hospital Institute (MHI) works with the leaders of our member hospitals to help them define and realise their goals for improvement and develop a culture of continuous learning. In addition, we provide objective assurance to Boards.

About MHI

Established in 2011, MHI was created to serve UK hospitals in a new way—recognising that it takes time to transform hospitals and that local context truly matters. MHI is part of McKinsey’s global healthcare practice and is staffed by a dedicated team of specialists, including medical doctors and hospital managers, along with a network of experienced external associates.
Hospital leaders working with MHI can expect:
  • Objective analysis and challenge to help member hospitals make sense of both short-term performance and long-term organisational health, or culture
  • A structured approach to drive improvement in specific areas such as in-patient wards, outpatients, A&E and acute medical units and radiology departments
  • Collaboration with other hospital leaders through joint working groups, in-person meetings and online communities
  • Breathing space with peers to think strategically and creatively with fresh input and challenge, away from the day-to-day pressures of the hospital

A recent example of our work

MHI helped the radiology department of a district general hospital manage an anticipated increase in demand at the same time it was experiencing a reduction in projected spend. Working side-by-side with the hospital for 3 months, we analysed the current situation to identify the key issues, solved problems together, helped develop staff in lean operations and organisational design principles and helped to maintain momentum and buy-in. As a result, the department was able to reduce its projected spend in 2014 by £1.5m in recurrent savings and £1m in the avoidance of an MRI equipment purchase.

MHI Membership

Membership is designed as a package of support which forms the basis for a long-term partnership in which MHI, and our hospital members work together to develop solutions to common problems. Membership provides a cost-effective backbone of support for hospital leaders including strategic advice on their priorities, analysis of performance and peer-to-peer collaboration. We get to understand our clients’ needs, know them as people and support them in a flexible way—to improve operational performance and realise strategic goals.

MHI Campaigns

Hospitals face a common set of problems that require effective problem-solving tools, the expert use of data to understand root causes and track progress, and a change in mindsets and organization, led by credible, local clinicians.

MHI Improvement Campaigns:
  • Set specific goals for quality improvement based on a proper fact base
  • Inspire a step-change in staff engagement and motivation for improvement
  • Deliver rapid and measurable improvement within defined timescales
  • Build transferable skills amongst front line staff to lead change and improvement
In 2013, MHI Campaigns brought together 14 hospitals on three topics:
  • Patient experience—we designed and implemented a highly innovative program in partnership with the Disney Institute
  • Nursing culture, quality and productivity
  • Patient care—eliminating avoidable pressure ulcers


John Drew

John Drew

Head of MHI

"We work with hospital leaders and clinical teams to help them achieve their long-term goals by providing support, challenge, analytics and expert knowledge."


44 (20) 7961 7108


John Drew


HSJ Hospital Transformation

Learn more about the improvement journey of English hospitals through our work in partnership with the Health Service Journal.

“MHI’s concern to achieve high quality analysis is matched only by their passion for successful delivery.”
CEO, UK Teaching hospital
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