Who we are
What is Vivideer
Founded in 2014, Vivideer is an independent consultancy service helping NHS leaders find clarity of purpose and action in a congested, and often fraught, operating environment.
“My aim is to help staff flourish in their professional roles and through them, benefit the organisation.”
At the Heart of Vivideer: Lesley Stephen
An experienced Executive Director of Strategy, Operations, and Improvement portfolios in large organisations, including group-models and across systems, Lesley helps leaders understand and respond effectively in complex, high-stakes environments, navigating people, policy and regulatory challenges.
Core Values
With a strong belief in the value of acting with integrity and compassion, Lesley understands the challenges and pressures of the responsibility for upholding standards that rest with the Board, and between managers and clinical professionals.
What we do
Leadership support & development
Lesley uses her experience to help leaders successfully tackle the competing and sometimes contradictory objectives and regulatory demands driving systems. Her collaborative approach encourages leaders and their teams to reconsider how processes operate and feel comfortable challenging familiar patterns of behaviour, exploring options and scrutinising outcomes, to create a sustained momentum for change.
As well as directly supporting teams, Vivideer also works with specialists in organisational development to design and deliver leadership development programmes, focusing on adaptive leadership, influencing via framing, and psychological safety within cohesive teams.
Service reviews
An independent review of how a service is functioning can identify strategic gaps and process issues affecting performance and highlight factors driving poor team behaviours. By understanding the causes behind problems, Lesley works with clients to develop, prioritise and action next steps to improve service delivery.
Freedom to speak up and whistleblowing
The use of an external reviewer to bear witness to concerns raised by individuals demonstrates to staff that leaders are actively listening and seeking improvements in response to information shared with them. Vivideer undertakes FTSU and whistleblowing reviews and investigations to enable people and organisations to address issues and move forward together.
Team reviews: An alternative to Maintaining Higher Performance Standards Procedure
Team reviews can be a powerful tool in addressing concerns. The Maintaining Higher Performance Standards (MHPS) process locates problems with an individual practitioner, yet the environment in which an individual practices will always affect their work. A well-functioning team identifies and addresses concerns early-on together, whilst in a dysfunctional team, poor behaviours and practices can continue unchecked and escalate.
Lesley’s extensive senior leadership experience, combined with her training and ability to call upon OD colleagues, ensures that independent team reviews fulfil safety and policy requirements and provide the steps to a positive resolution.
Independent investigation of grievance allegations
As an ACAS and NHS Resolution (MHPS) trained investigator, Lesley conducts independent investigations of allegations for disciplinary procedures, interviewing people from diverse professional backgrounds, considering contradictory evidence, and comparing practice to organisational policies, employment law and professional standards. Lesley puts people at their ease, enabling them to feel confident to share their experiences and answer probing and sometimes uncomfortable questions. She produces balanced reports and is a credible presenter at hearings.
Moral injury
Lesley recently completed a Masters at UCL affording her a new lens through which to view NHS policy and practice. Lesley’s dissertation “The Harm in Healing” explores the moral injury of doctors, enabling her to examine one of the oft-cited drivers of low morale in the NHS, considering where moral injury sits on the continuum of workplace psychological harms, its causes, and possible mitigations at the system, organisational and team levels. Leaders need to understand moral injury and adopt practical interventions to reduce its prevalence and its impact.
Get in touch
Lesley is a Chartered Accountant with an Honours degree and Masters in Public Administration: a disciplined professional with intellectual curiosity.
Lesley also works in association with the Organisational Development consultancy
Space4 Consulting.
© Vivideer 2026