Perspectives on healthcare growth, access, and expansion.
Practical thinking drawn from operating, scaling, and advising healthcare services across the UK and US. Written for founders, executives and investors making decisions with real operational consequences.
Articles
UK to US healthcare expansion readiness scorecard
Eight operating dimensions to score Red, Amber or Green before US entry capital is released — route to revenue, buyer clarity, state sequencing, workforce, operating model, access, unit economics and decision gates.
Read the article →Behavioural health operations: why growth plans fail at the clinic door
Access, clinician utilisation, referral conversion and operating model design decide whether behavioural health growth plans are deliverable.
Read the article →UK to US healthcare expansion: 10 assumptions that break in the American market
The assumptions UK healthcare leaders carry across the Atlantic — about payers, referrals, clinicians and regulation — and what to replace them with.
Read the article →Patient access is a growth function, not an admin function
Most providers spend on demand generation while losing the majority of that demand between enquiry and first appointment. Where the leakage actually sits.
Read the article →Healthcare capacity is usually a matching problem, not a headcount problem
A waiting list beside empty diaries is the classic signal. Where capacity hides, how to test whether you are truly constrained, and what to fix before recruiting.
Read the article →Healthcare operational due diligence: what investors should test before they buy
Financial diligence tells you what happened. Operational diligence tells you whether it can happen again at twice the volume.
Read the article →Build vs buy: a healthcare growth strategy framework for UK and US expansion
Capital, timelines, regulatory load and operational risk compared side by side — and the constraint that usually decides it.
Read the article →Where these questions usually lead.
US healthcare market entry
Payer versus cash-pay routes, buyer mapping, state complexity and the sequencing of a credible entry plan.
Patient access and conversion
Enquiry-to-booking conversion, intake and triage design, capacity matching and utilisation.
Operational due diligence
The operator's view of an asset: capacity realism, workforce dependency, systems maturity and 100-day planning.
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