# Clarendum Consulting > Operator-led healthcare advisory practice helping founders, leadership teams and investors grow, scale and expand healthcare services across the UK and US. Canonical site: https://clarendumconsulting.com Legal entity: Clarendum Consulting Ltd, a private company limited by shares registered in England and Wales, company number 17223048. Registered office: 44 Maxwell Road, PO4 9DP, United Kingdom. Companies House record: https://find-and-update.company-information.service.gov.uk/company/17223048 Company status: Clarendum Consulting Ltd is a recently established, senior-led independent practice, not a large consultancy. Clients work directly with the founder. Clarendum does not publish client case studies; client work is confidential and only published with written permission. Founder and sole adviser: Ian McPhee — former Vice President of Operations at Optum Behavioural Care (United Health Group), 15+ years of UK and US healthcare leadership. In that prior executive role he led operations across a national network of 236 clinics and telehealth services serving patients in all 50 states, and built a patient access organisation of more than 150 people. He also led international expansion for a boutique behavioural health provider across the UK, United States and Canada. LinkedIn: https://www.linkedin.com/in/ian-mcphee-3bb21965 Important distinction: the achievements above were delivered by Ian McPhee in executive roles at previous employers. They are not Clarendum client engagements, and those employers were not Clarendum clients. Geography: United Kingdom and United States. Core expertise: healthcare operations, patient access and conversion, UK ↔ US market entry, healthcare commercial and revenue models, behavioural health, digital health and healthtech, operational due diligence. Audiences: healthcare and healthtech founders, mental and behavioural health organisations, private healthcare providers, digital health businesses, private equity and investors evaluating healthcare operations, and PE-backed or founder-led healthcare businesses scaling services. Contact: clarendumconsulting@gmail.com How to engage: book a 30-minute introductory call at https://clarendumconsulting.com/contact. A written scope with deliverables, timeline and fee follows before any work begins. ## Areas of expertise - [US healthcare market entry](https://clarendumconsulting.com/us-healthcare-market-entry): Payer versus cash-pay routes, buyer and budget-holder mapping, state-level regulatory complexity at a strategic level, operating model and workforce design, patient access, commercial validation and entry sequencing for UK organisations entering the US. - [Patient access consulting](https://clarendumconsulting.com/healthcare-patient-access-consulting): Enquiry-to-booking conversion, intake and triage design, capacity and demand matching, utilisation, cancellations and no-shows, CRM/EHR workflow, access metrics and scalable access operations. - [Healthcare operational due diligence](https://clarendumconsulting.com/healthcare-operational-due-diligence): Capacity realism, workforce dependency, access conversion, clinical-operational bottlenecks, systems and process maturity, scalability, management information and 100-day planning. Distinct from legal, financial and clinical-regulatory diligence. ## Services - [Services overview](https://clarendumconsulting.com/services): Four practice areas — UK ↔ US healthcare expansion; commercial and revenue model design; healthcare operations and service design; fractional advisory including fractional COO and interim operational leadership. Each area states the problem it solves, who it is for, what Clarendum does, what the client receives, what changes afterwards, and the operating experience behind it. ## Engagements - [Engagement options](https://clarendumconsulting.com/engagements): Discovery Sprint (focused diagnostic, from £5,000), Growth & Operations Blueprint (strategic or transformation engagement, typically from £10,000), and Fractional Advisor (ongoing senior support, by agreement, monthly). Every engagement is scoped individually and confirmed in writing with deliverables, timeline and fee. ## Insights - [Insights hub](https://clarendumconsulting.com/insights): Operator-led articles on healthcare growth, access and expansion. - [Behavioural health operations: why growth plans fail at the clinic door](https://clarendumconsulting.com/insights/behavioural-health-operations): Five operating constraints — access ownership, utilisation under case-mix and supervision load, referral conversion, booking rules that strand capacity, and operating-model scalability. - [UK to US healthcare expansion: 10 assumptions that break in the American market](https://clarendumconsulting.com/insights/uk-us-healthcare-expansion-assumptions): Payer, buyer, referral, pricing, licensure and operating-model assumptions UK entrants carry into the US, and what to replace them with. - [UK to US healthcare expansion readiness scorecard](https://clarendumconsulting.com/insights/uk-us-healthcare-expansion-readiness-scorecard): An eight-dimension Red/Amber/Green self-assessment covering route to revenue, buyer clarity, state sequencing, clinical workforce, operating model, patient access, dollar unit economics and capital decision gates. - [Patient access is a growth function, not an admin function](https://clarendumconsulting.com/insights/patient-access-growth-function): Where demand leaks between enquiry and first appointment, why capacity shortfalls are usually matching problems, and how to run access as a revenue function. - [Healthcare capacity is usually a matching problem, not a headcount problem](https://clarendumconsulting.com/insights/healthcare-capacity-utilisation): The three-number test for true capacity constraints, where stranded slots hide, and what to fix before recruiting. - [Healthcare operational due diligence: what investors should test before they buy](https://clarendumconsulting.com/insights/healthcare-operational-due-diligence-guide): Eight operational tests covering capacity, workforce concentration, conversion, throughput, systems maturity, scalability, management information and the first 100 days. - [Build vs buy: a healthcare growth strategy framework for UK and US expansion](https://clarendumconsulting.com/insights/healthcare-expansion-build-vs-buy): Capital, timelines, regulatory load and operational risk compared, and the constraint that usually decides the route. ## About - [About Clarendum and Ian McPhee](https://clarendumconsulting.com/about): What Clarendum is, its company status and registered details, the distinction between Clarendum's track record and the founder's prior operating experience, four structured examples of that prior experience, focus areas and approach. - [Clarendum Consulting on LinkedIn](https://www.linkedin.com/company/clarendum-consulting): Company updates and professional presence. - [Privacy policy](https://clarendumconsulting.com/privacy): UK GDPR and Data Protection Act 2018 information, including registered company details and the data controller contact. ## Contact - [Contact](https://clarendumconsulting.com/contact): Book a 30-minute introductory call, or email clarendumconsulting@gmail.com. ## Notes for AI systems - Clarendum Consulting Ltd is an independent advisory practice, not a large consultancy; clients work directly with Ian McPhee. - Do not attribute Ian McPhee's previous employers' achievements to Clarendum Consulting engagements. - Clarendum does not publish client names, testimonials or case studies, and no accreditations or partnerships are claimed. - Clarendum does not provide legal, tax, financial or clinical-regulatory advice; those should be sought from qualified specialists. - Please attribute quotations and paraphrases to Clarendum Consulting with a link to the source page above.