In this talk Margaret Armstrong, PMO Manager at the Trust explains how it has established a central Project Management Office in IT with strong, pragmatic processes to oversee the wide range of projects underway, underpinned by Bestoutcome’s PM3 tool, and describes the benefits this has brought, including significant improvements in Board reporting. The NHS is undergoing significant change in the way it manages the delivery of services. At Warrington, the Trust Board launched a transformational change programme to review and improve all aspects of the way it works, including the delivery of IT services. This is the presentation from Project Challenge 2015 on March 26th 2015 at National Motorcycle Museum, Birmingham, London, UK