Services

This work is about architecture, not activity.

Whether shaping strategy, exploring AI, or strengthening executive judgement, the aim is the same: to design decisions, operating models, and leadership practices that remain coherent under pressure.

Rigorous. Human. Built for consequence.

business consulting services

Consultancy

I work alongside healthcare leaders and systems where complexity, accountability, and long-term consequence intersect.

This is not advisory at arm’s length, and it is not execution handed off. It is strategic advisory grounded in how systems actually behave under pressure, and how decisions ripple across clinical, operational, workforce, and societal domains. 

Strategic Advisory Domains

  • I support leaders to interpret current conditions and future signals across healthcare, and translate them into coherent strategic direction that is viable, responsible, and sustainable.

    This work focuses on understanding where pressure is accumulating across the system, which signals matter now, and how strategy needs to adapt without destabilising care delivery.

    This is strategic sensemaking before it is strategic planning.

  • I work with organisations to design and recalibrate operating models that reflect how work actually happens, not how it is assumed to happen.

    This includes service and program design, scaling and rationalising models of care, strengthening operational resilience, and translating strategy into structures that can hold real-world complexity.

    The focus is coherence, not efficiency theatre.

  • I support leaders to design decision-making structures that can responsibly hold risk, innovation, and accountability, particularly as digital health and AI become more embedded in care delivery.

    Governance is treated as a design constraint and an ethical responsibility, not a compliance exercise. The emphasis is on decisions that carry enduring clinical, workforce, and societal consequences.

  • I work with leaders and teams to integrate digital health and AI into organisations in ways that align with real workflows, professional judgement, and organisational culture.

    This includes AI discovery and roadmapping, workforce readiness and capability building, and supporting leaders to make informed decisions about where technology adds value and where it does not.

    The aim is adoption that strengthens systems, rather than overwhelms them.

  • I support organisations to navigate partnerships, funding environments, and market dynamics across the health ecosystem, particularly where collaboration is required to achieve scale or impact.

    This includes private health fund and third-party contracting contexts, growth and partnership strategy, and acting as a strategic connector where alignment matters more than volume.

Discovery

Where complexity is made visible before decisions are locked in

Discovery is where leaders slow the system down long enough to understand what is actually happening.

It is not about ideation for its own sake, but about disciplined exploration once the real problem architecture is visible. It is about making layered pressures visible before capital, reputation, or people are committed to the wrong architecture.

This work sits at the intersection of human experience, strategy, and systems design. I examine what is accumulating beneath the surface: incentives, governance dynamics, decision rights, cultural patterns, risk appetite, market signals, and the behavioural responses they produce.

Often, what appears to be a performance problem is structural. What feels like resistance is misaligned incentives. What looks like urgency is architectural fragility.

Discovery creates the conditions for better judgement. It allows you to see the real problem before you invest in solving the wrong one.

  • When pressure is structural and the system feels busy but stuck

    Organisational Discovery is used when complexity has accumulated and performance symptoms are masking deeper architectural issues.

    I map how strategy, governance, incentives, and decision rights are interacting in practice. This work surfaces where friction is structural rather than personal, and where intervention will matter most.

    Typical contexts include restructures, strategic pivots, cultural tension, integration challenges, and periods of sustained change where clarity and trust have been eroded.

    The outcome is a clearer view of the system as it actually functions, and a more disciplined foundation for action.

  • When technology is accelerating faster than the system can absorb

    AI work is rarely a single workshop. Sometimes it is a Lab. Sometimes it is a series of executive conversations about governance, workforce impact, workflows, risk, and where to begin without creating harm.

    AI Discovery & Decision Lab creates structured space for sense-making. I help leaders build shared understanding, surface assumptions, reduce noise, and identify what matters most in your context before decisions harden into policy, procurement, or workflow change.

    Rather than starting with tools or hype, the focus is on the realities that determine whether AI will help or destabilise:

    • Capability and readiness

    • Governance, compliance, and risk exposure

    • Workforce impact and clinical safety

    • Operational workflows and service pressures

    • Practical use cases that reduce friction rather than add it

    • The organisation’s current risk profile, including shadow AI usage and informal tool adoption

    This work also includes building internal literacy where appropriate. I run focused sessions for executive teams or broader staff groups to strengthen understanding of AI fundamentals, safe usage, and responsible experimentation, particularly where AI tools are already being used informally.

    Typical questions explored include:

    • What does AI actually mean in our context?

    • Where might it reduce friction rather than add risk?

    • What would safe, low-regret use look like right now?

    • What governance and ethical constraints must be designed in early?

    • How do we build capability and confidence across teams?

    The outcome is clearer decision-making about where AI belongs, what to prioritise, and what to defer until the conditions are right.

  • When something is about to be built, scaled, restructured, or funded

    Problem & Solution Architecture is used when something important is forming a new service, product, operating model, partnership, or investment decision and the underlying shape of the problem is not yet clear.

    Organisations often arrive with a presenting issue that is really a symptom, or with a preferred solution that has emerged too early. This work slows things down long enough to surface what is actually driving the situation, what constraints are real, and what trade-offs are already in play.

    I map the problem architecture first: the actors, incentives, failure points, decision rights, risks, and the human dynamics shaping behaviour. From there, I shape a solution pathway that fits the system as it actually functions, not how it is imagined.

    This work is particularly valuable when you need to:

    • Reframe the real problem beneath the presenting issue

    • Clarify scope and success before investment is committed

    • Align stakeholders around what is actually being built, and why

    • Design an operating approach that can hold in practice

    • Avoid expensive misdirection or solutions that create new problems

    The outcome is a problem architecture you can stand behind, and a solution pathway that fits the system it must operate within.

     

Coaching

For leaders who need a thinking partner when the stakes are real

Most leadership pressure is not a time management problem.
It is a complexity problem.

I coach leaders and founders who are making decisions under pressure, inside complex systems, with real consequences for people, performance, and long-term sustainability.

This is not motivational coaching. It is a high-trust space for sharper thinking, stronger judgement, and decisions that can hold, especially when the environment is messy, political, or emotionally loaded.

My approach sits at the intersection of human experience, strategy, and systems design. I pay attention to what is happening in the room, what is happening in you, and what the system is quietly rewarding. From there, we decide what matters, and move with intent.

You can expect work that is clear, grounded, challenging when it needs to be, and focused on action rather than abstraction.

  • Navigating complexity, politics, and consequence

    Senior roles rarely fail just because of capability. They falter when decision environments become distorted: urgency replaces clarity, stakeholder pressure overwhelms judgement, culture and incentives pull in different directions, and you are expected to project certainty when none exists.

    You also become the person others look to when the story is messy.

    This is where my edge sits.

    I bring a behavioural and systems lens to executive work. We examine what is actually driving the patterns around you: incentives, governance, relationships, culture, power, and your own default responses under load.

    Executive coaching focuses on the real work of leadership:

    • Making decisions when the information is incomplete

    • Holding multiple truths without losing direction

    • Navigating power and stakeholder dynamics without becoming performative

    • Leading through tension, conflict, and trade-offs with calm authority and without collapsing into reactivity

    • Staying grounded while carrying responsibility

    This is high-trust work for leaders who want depth over performance and want to lead with coherence.

  • Business and Entrepreneurial Coaching

    For founders and operators building something that can survive you and hold

    Most founders are not short on drive. They are short on structured reflection.

    They need a thinking partner who can see both the commercial system and the human system inside the business, and help them make decisions that scale without breaking the work, the culture, or themselves.

    This work is for people building something real, especially when growth introduces second-order problems: blurred decision rights, shifting identity, uneven capacity, and the tension between opportunity and sustainability.

    I act as a thinking partner and system reader, helping you see what you cannot see from inside the business, then translate that insight into disciplined action.

    This work is particularly relevant when you are:

    • Growing, restructuring, or entering a new market and decisions are compounding

    • Carrying too much alone and need a rigorous place to test judgement

    • Navigating investors, boards, partnerships, or senior hires where power dynamics matter

    • Designing an operating model that aligns ambition with capacity

    In practice, we work across:

    • Strategic direction and operational rhythm

    • Narrative identity and structural reality

    • Commercial ambition and human sustainability

    • Decision architecture and where energy is leaking

    • Market signals and when to say yes or no

    We clarify what you are building, and what you are not.

    If you want a coach who can hold both commercial reality and human reality without drifting into abstraction, this is the work.

    We operate at the level of narrative and identity, and at the level of structure, execution, and trade-offs.

    The outcome is judgement anchored in coherence, and forward movement built on architecture rather than urgency.