About Us
Built on Practice.
Driven by Evidence.
Organisations that achieve lasting improvement in safeguarding, dementia care and governance work with consultants who have lived the challenges - not simply studied them.
60
Years Combined Experience
600+
Organisations Supported
19,700+
Professionals Trained
44,200+
People Positively Impacted
Why PMH exists
Because Too Many Improvement Programmes Changed Nothing
PMH was founded because too many consultancy reports gathered dust and too many training days changed nothing. Pat and Mark Hobson saw organisations receiving advice that sounded impressive but could not survive contact with the reality of a ward, a care home, or a safeguarding investigation.
Rather than offering borrowed theory, they spent nearly three decades developing original frameworks, assessment tools and practical methodologies - directly from the challenges they encountered leading clinical teams, conducting investigations and supporting individuals with the most complex needs.
Today, those frameworks are used by NHS Trusts, Integrated Care Systems and care providers across the country. PMH's consultancy does not begin with a template. It begins with original thinking, developed through practice.
Original methodologies
Three Decades of Innovation Through Practice
PMH's consultancy has been shaped by decades of frontline nursing, social work, clinical leadership and hands-on consultancy. That direct practice did not just inform our advice - it led to the development of original frameworks, assessment tools and practical methodologies that organisations continue to implement today.
These are not academic models. They are practical solutions created from real problems, tested through real engagements, and refined until they delivered measurable results.
Unique Life, Unique World, Unique Environment
Developed from direct dementia care practice
Born from Pat's frustration with behaviour-focused dementia care, this model reframes practice around the individual's biography, perception and environment. It has since been implemented across residential, nursing and acute care settings to achieve sustained reductions in distress and restrictive interventions.
Learn more about this frameworkIntegrated Complex Care
Developed from multi-agency case work
A multi-agency coordination framework for the most complex cases, integrating legal, clinical and social care decision-making into a single structured approach. Created to bring clear accountability to cases where no single agency owns the outcome.
Learn more about this frameworkGovernance to Frontline All Age Safeguarding Model
Developed from safeguarding governance reviews
Connects board-level safeguarding assurance directly to day-to-day frontline practice. Designed after Pat identified that governance failures rarely originated at the top or the front line alone - but in the gap between them. This framework creates auditable, sustainable improvement across the entire pathway.
Learn more about this frameworkImprovement and Compassion Fatigue
Developed from repeated transformation failures
A diagnostic model that identifies why previous improvement initiatives have stalled or collapsed. It helps organisations understand the organisational, cultural and emotional factors that prevent change from embedding - enabling them to build sustainable improvement without repeating past failures. This is based on a trauma-informed approach and practice and draws from the key principles of trauma-informed approaches.
Learn more about this framework
The people behind the thinking
Recognised Thought Leaders in Health & Social Care
Independent Consultant, Dementia, Safeguarding and Management of Complex Cases
Pat Hobson
experience
Independent nurse consultant, published author and developer of the Governance to Frontline All Age Safeguarding Model and the Unique Life, Unique World, Unique Environment dementia care model - practical methodologies now used by NHS Trusts and local authorities to close governance gaps, strengthen frontline practice and deliver consistent, person-led and person-centred dementia care.
Mental Health Specialist Expert
Mark Hobson
experience
A Social Worker of 28 years and a Mental Health Act specialist, Mark works across mental health, forensic mental health, prison settings, physical disabilities, children and families, older people and dementia care. A former advanced practitioner, Approved Mental Health Professional and Form F Assessor, he advises organisations on the Mental Health Act, the Mental Capacity Act and Care Act safeguarding - from assessment and investigation through to Court of Protection proceedings and Section 21A challenges. He works alongside Pat's consultancy practice where cases intersect with distress, risk and contested decision making.
Our philosophy
Better care begins by understanding people, strengthening organisations and embedding sustainable, evidence-based practice that endures long after our engagement ends.
This philosophy shapes every framework we develop, every consultancy engagement we undertake and every recommendation we make.
Our approach
How We Work
A structured methodology refined through hundreds of consultancy engagements, using our original frameworks to deliver sustainable organisational improvement.
Understand
Every organisation is different. We begin by understanding your specific challenges, culture and strategic objectives - not applying a template.
Assess
We apply our evidence-based frameworks to review current practice, governance and operational challenges - identifying precisely where change will have the greatest impact.
Support
We deliver practical consultancy and specialist education using our original methodologies - tailored to your organisation's capacity and culture.
Improve
We embed sustainable improvements - frameworks, tools and practices that remain robust and continue delivering measurable outcomes long after our engagement concludes.
What we deliver
Real Outcomes for Organisations
Strengthened Safeguarding Governance
Using the Governance to Frontline framework to connect board-level accountability to frontline practice - reducing risk and improving the quality of enquiries, reviews and decision-making.
Improved Dementia Care Pathways
Implementing the Unique Life model to reduce avoidable distress, restrictive practice and crisis admissions - creating measurable outcomes for individuals and the teams supporting them.
Greater Workforce Confidence
Equipping practitioners and managers with practical tools and professional confidence - through our specialist coaching - to navigate complex cases and high-risk situations.
0
Years Developing Original Frameworks
0+
Organisations Improved
0+
Professionals Trained in PMH Methodologies
0+
People Positively Impacted
Across the sector
Working Across Health & Social Care
Our consultancy work spans the full breadth of health and social care - from NHS acute trusts and integrated care systems to local authority commissioning teams, independent care providers and charitable organisations.
Whatever the scale or complexity, we bring the same rigour, discretion and commitment to practical improvement. Many of our longest partnerships began with a single conversation about a specific challenge.
Let us Improve Outcomes Together
Whether you require specialist consultancy, professional education or support with complex health and social care challenges, we are here to help. Most engagements begin with a single conversation.
Original methodology developed through decades of practice
Evidence-based frameworks that deliver measurable outcomes
Senior consultants who created the models they implement