Healthcare Market Access
Pathway Over Product – five questions from the front line
Following my recent webinar on why strong NHS strategies fail to land (which you can watch a replay of here), I opened the session up for questions. What struck me was not the variety of questions. It was the consistency. Although the attendees represented different companies, different therapy areas and different parts of the healthcare…
Read MoreIf I were Yvette Cooper: I would turn the NHS strategy into a delivery plan
Yvette Cooper was appointed Secretary of State for Health and Social Care on July 20 2026, taking on what The King’s Fund has fairly described as an overflowing in-tray. She inherits the Health Bill, the abolition of NHS England, major changes to Integrated Care Boards, continuing waiting-list pressures, an unresolved social care challenge and an NHS workforce that has already…
Read MoreWhy some Integrated Neighbourhood Teams will fail to deliver NHS transformation
Integrated Neighbourhood Teams are rapidly becoming one of the defining operational shifts inside the NHS. Across the country, systems are talking about neighbourhood healthcare, integrated working, prevention, care closer to home and reducing reliance on hospital-based services. Conceptually, there is very little to disagree with. Most people support the idea that patients should experience more…
Read MoreThe organisations that will thrive in neighbourhood healthcare
For years, many organisations have approached the NHS in broadly the same way. Find a clinical champion. Generate interest. Run a pilot. Demonstrate outcomes. Then look for opportunities to scale. In a more stable NHS environment, that approach could often work, but today’s NHS is operating in a very different context. The problem is no longer…
Read MoreIntegrated Neighbourhood Teams are not about meetings
Everybody is talking about Integrated Neighbourhood Teams. Whether it’s the NHS 10-Year Plan, Neighbourhood Health Centres, place based care or integrated delivery models, the language is now everywhere. The direction of travel feels increasingly clear. Care should be delivered closer to home, organisations should work together more effectively, and services should be designed around populations…
Read MoreNHS Left Shift Part 4: What Top Gun Maverick Gets Surprisingly Right About the NHS
Every now and then, life hands you something quite rare, a bit of proper downtime. Recently, I found myself in exactly that position. No meetings, no calls, no slides to finish, no proposals to review. Just a quiet evening and the luxury of choosing something to watch without simultaneously answering emails. I decided to escape…
Read MoreNHS Left Shift Part 3: Why Most Left Shift Pilots Fail – And What the Ones That Worked Have in Common
The NHS Left Shift appearing in a national policy document might feel like a new idea but it isn’t. Over the last 20 years working as an NHS Management consultant, I’ve seen versions of Left Shift under many different labels: While the language changes, the intent does not. Move the right care to the right…
Read MoreWhy strong NHS market access strategies fail to land – and what the system is actually responding to
Free webinar for pharmaceutical, medtech and device teams Selling to the NHS is never as simple as having a great product and waiting for the system to recognise it. You can have a project that makes complete sense. The clinical case is strong, the pathway benefit is obvious and the clinicians you speak to can…
Read MoreNHS Left Shift Part 2: The NHS doesn’t have a demand problem – but it does have a placement problem
Demand in the NHS is often described as “unmanageable”, but that’s not quite right. What the NHS actually has is demand showing up in the wrong place at the wrong time, delivered by the most expensive workforce in the least flexible settings. Hospitals are full of activity that is clinically appropriate but operationally inefficient and…
Read MoreThe Embedded Left Shift Support Programme Explained
A board safe, subcontracted approach to releasing acute capacity without destabilising hospitals The problem we’re actually trying to solve Across the NHS, there is growing consensus that some care currently delivered in acute settings does not require an acute environment. However, despite policy intent, many left shift initiatives stall or fail once they reach Trust…
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