John Jeans is a consultant anaesthetist and a director of healthcare transformation agency 33n and leads the NHS CLEAR program nationally. Following his father's experience of care in 2013, John learned about healthcare modelling and system redesign. Working with like-minded people, John created a way to deliver data-informed and clinically-led improvements to patient care within the NHS through the creation of the National CLEAR Programme – a work-based learning initiative delivered by 33n and hosted by East Lancashire Hospitals NHS Trust. The National Clinically-Led workforceE and Activity Redesign (CLEAR) Programme combines clinical insight, data analysis and technology to create innovative new models of care and workforce redesign. CLEAR projects provide clinically sound, co-developed recommendations that are operationally possible and financially viable.