Alfie Fielder.jpg

Alfie Fielder


Alfie is an experienced management consultant with a background in policy and health strategy. He has worked with NHS regulators, providers and commissioners on strategic development, including operational efficiency, finance improvement, organisational development and strategic options for whole system transformation.

Alfie combines his broad knowledge of the health and care sector with skills in problem-solving, programme management, business case development and commissioning strategy. Prior to joining CF, he worked in the Government and Health Strategy team at PWC.

Key areas of expertise

  • * Health policy
  • * Commissioning strategy
  • * Business case development, especially case for change
  • * Programme management
  • * System-level transformation



  • * BA, Politics, Philosophy & Economics, University of Oxford


Example client projects

Conducting a financial review of a Clinical Commissioning Group to understand historic performance, identify the drivers of the in-year deficit, and assess the capability and capacity available to develop and deliver a financial recovery plan.

Helping a system serving a population of 490,000 to reach a common understanding of the drivers of performance and agree a focussed set of collective priority actions to address them.

Developing a regional strategy for specialised commissioning culminating in a 90-page report setting out the case for change, a region-wide commissioning framework and implementation recommendations.

Developing a three-year financial plan for a health system in the north of England which considered the transformational options for the local care model that would impact health outcomes and finances over the medium to long term.

Establishing a productivity workstream within a Sustainable Transformation Partnership, building a system wide savings dashboard, and creating a pipeline process for embedding new productivity schemes into the savings plan.

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