Guy’s and St Thomas’ NHS Foundation Trust (GSTT) faced a critical setback when its PMO was dismantled during a restructure, leaving a vacuum in governance and delivery oversight. The new Central PMO focused on administering a PPM tool but lacked the strategic functions to support the project management community. As a result, GSTT’s organisational maturity declined significantly (scoring 3/10), project delivery faltered, and risks escalated.
Veracity partnered with GSTT to deliver a phased, capability-building solution to rebuild the PMO. Through a discovery-led approach, we identified key skill gaps and delivered targeted coaching, training, and process standardisation. The strategy prioritised quality control, improved reporting, and empowered Programme Managers with actionable insights.
The transformation enabled project management competency to surge and delivery timelines to stabilise. GSTT’s organisational maturity improved significantly, enabling consistent, high-quality outcomes. With a full knowledge transfer completed, Veracity exited promptly, leaving the Trust equipped to sustain its PMO independently.
The Challenge
After a major restructure, GSTT dismantled its PMO, which had provided governance, delivery oversight, and quality assurance for programmes. It was replaced by a Central PMO with a limited role focused on managing project artefacts and administering a new PPM tool, lacking the strategic functions and capability to guide or support the project management community.
This shift triggered a cascade of delivery challenges:




