leadership
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The NHS Doesn’t Buy Technology
Here’s a curious thought. Imagine inventing a better parachute. You spend years proving it works. It’s safer, lighter and easier to use. Every independent test says it’s an improvement…but nobody buys it. Most people would conclude there must be something wrong with the parachute. What if there wasn’t? During my conversation with Vee Mapunde, Co-Director of…
Board Leadership, Change Management, Clinical Engineering, Clinical Governance, Clinical Innovation, Commercialisation, Decision Making, Executive Leadership, Governance, Health Systems, Health Technologies, Health Technology, Healthcare Adoption, Healthcare Commercialisation, Healthcare Ecosystem, Healthcare Innovation, Healthcare Investment, Healthcare Leadership, Healthcare Strategy, Healthcare Systems, Healthcare Transformation, HealthTech, HealthTech Founders, Implementation Science, Information Governance, Innovation Adoption, Innovation Ecosystem, leadership, Leadership Architecture, Medical Device Adoption, Medical Devices, Medical Technology, MedTech, MedTech Founders, NHS, NHS Innovation, NHS Procurement, NIHR, Organisational Change, Organisational Coherence, Organisational Complexity, Organisational Design, Organisational Leadership, Patient Care, Patient Outcomes, Precilium, Procurement, Scale-up, Scaling Companies, Series A, Series B, Series C, Signal Before Scale, Signal Before Scale Conversations, Systems Thinking, Technology Adoption, Translational Research, Vee Mapunde, Venture Capital, Workflow Design
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Why Great Executive Appointments Still Fail
Most executive search briefs are already obsolete by the time the successful candidate walks through the door. That sounds unlikely until you consider how long it takes to appoint a senior executive. Six to nine months can pass between defining the role and welcoming someone into it. In a scaling MedTech company, six months is…
ai, artificial-intelligence, Board Leadership, Board Strategy, business, digital health, Executive Leadership, Executive Search, Governance, HealthTech, leadership, Leadership Architecture, Leadership Strategy, Life Sciences, MedTech, Organisational Design, Organisational Growth, Private Equity, Scaling Companies, Succession Planning, technology, Venture Capital
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When Better Teams Make Slower Decisions
Leadership in Flow | Harun Rabbani, Precilium Last year, the regulatory submission went out late. Not because the science was weak. Not because the team lacked experience. But because three people believed they had authority over the final sign-off, and by the time that ambiguity was resolved, the window had narrowed. This year, the same…
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Why Most Scale-Stage Problems Are Misdiagnosed
The most important problems inside scale-stage MedTech organisations are often misdiagnosed. What appears to be a hiring issue, communication breakdown or operational slowdown may actually be a sign that organisational complexity has begun outpacing leadership architecture. Recent developments involving Ennov, xWave Technologies and ŌURA illustrate this particularly clearly. These are often presented as growth stories,…
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The Moment Optionality Begins to Narrow in MedTech Scale-Ups
If you have not yet watched this week’s Signal Before Scale episode on Olive AI and invisible momentum collapse in MedTech, I would strongly encourage you to begin there. The video explores a strange phenomenon increasingly visible across healthcare technology: How organisations can appear externally successful while internally becoming progressively heavier, slower, and more fragile.…
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The Leadership Timing Paradox Inside MedTech Scale-Ups
Most MedTech companies do not lose momentum because they chose the wrong leaders. They lose momentum because the company entered a new phase before the leadership structure changed with it. This is the leadership timing paradox. This short video explains why leadership timing risk rarely appears as failure first. It usually appears as lost momentum…
ai, artificial-intelligence, business, clinical to commercial transition leadership, executive alignment medtech scaling, leadership, leadership risk medtech scaleups, leadership timing risk medtech, medtech commercialisation leadership structure, medtech governance readiness, medtech leadership transitions, medtech scaleup governance strategy, phase transition leadership risk, portfolio chair medtech leadership risk, right leader wrong phase medtech, series a medtech leadership readiness, technology
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Why Good Boards Are Often Late to the Real Conversation
Most MedTech boards are not late because they are inattentive. They are late because they are responsible. That distinction matters more than it first appears. Boards exist to move organisations forward with confidence, not to reopen every decision once it has been prepared, reviewed, and presented. By the time something reaches the agenda, it is…
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When Boards Confuse Assurance With Control
Boards rarely seek control for its own sake. They seek reassurance that control exists. In regulated MedTech environments, that instinct is responsible. Decisions carry consequences, timelines compound exposure, and oversight is not optional. Assurance is how boards demonstrate care without pretending certainty is possible. The difficulty begins when assurance quietly takes on a second role.…
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The Leadership Gap MedTech Will Feel Before It Can Measure
In the coming years, many MedTech organisations will experience delays, friction, and regulatory setbacks that do not feel like failures. They will feel like bad luck. A certification that takes longer than expected. A product that stalls late in development. A launch window that quietly slips. In most cases, the root cause will not be…
ai, artificial-intelligence, business, CTO, How boards assess technical leadership, How MedTech leadership decisions affect regulation, leadership, Leadership risk in regulated healthcare, Leadership Strategy, management, MedTech, MedTech board advisory, MedTech CMO recruitment, MedTech CTO recruitment, MedTech executive hiring, MedTech leadership, MedTech leadership risk, Regulated MedTech leadership, Senior technical leadership MedTech, Tech Leadership, technology, Why MedTech hiring fails at senior level, Why MedTech launches get delayed
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The Most Dangerous Talent Blind Spot in Tech Leadership
The Hidden Leader Outside Your Field of Vision The next leader who will unlock growth for your company may be outside your current field of vision. You already know how much growth depends on the right technical leadership at the right moment. Some leaders operate in flow so deeply that they underestimate the scale of…
