Thoughts on design, healthcare, and systems.
Insights
The Danegeld Problem
Why regulation accumulates, deregulation always fails, and the compliance industry is a civilisation you cannot tear out
Incerto: Antifragile by Design
Why most organisations confuse resilience with antifragility, and why the difference matters
Trade-offs Thinking
Making sense of Thomas Sowell's most important idea - why every policy and decision comes with costs
The Shadow We Carry
On constraints, healthcare innovation, and the work of strategic clarity in a multipolar world
The Gateway: The Translation Problem
Healthcare innovation rarely survives the journey from one context to another without deliberate translation
Move Fast and Break Things? Not in Healthcare
The collision between startup velocity and healthcare caution, and why the tension might be productive
UK Health Tech Compliance: See the System
Mapping the five UK regulatory subsystems—MHRA, NICE, DTAC, data protection, and procurement—and identifying leverage points for competitive advantage
The Fundamentals of Systems Theory
A comprehensive guide to systems thinking—interdependence, feedback, boundaries, and why the whole is greater than its parts
The Role of Design in Health Equity
Examining how thoughtful design can address disparities in healthcare access
Incerto: The Average is a Lie
We built our institutions for a bell curve world, but we live in a world of extremes
Incerto: Who Bears the Risk?
The decay of modern institutions traces directly to the separation of decision-making from consequence-bearing
Incerto: The Discipline of Less
Across medicine, design, and policy, the most reliable path to improvement is removing what harms
Incerto: How to Be Wrong and Still Win
The best strategies do not require you to predict the future; they require asymmetric positioning
Incerto: The Oracle of Time
Time is the ultimate filter. What has survived is what works, and we systematically ignore it
The Gateway: The Partnership Imperative
Why you cannot cross this gateway alone - and how to find the right bridge
The Gateway: Building Translation Capability
Five capabilities that distinguish companies that cross contexts successfully
UK Health Tech Compliance: Design the Pathways
MHRA registration, clinical evaluation, software/AI pathways, NICE evidence generation, and NHS DTAC requirements
UK Health Tech Compliance: Implementation & Case Studies
ISO 13485 quality management, acceleration strategies, post-market surveillance, and case studies from Sleepio, Skin Analytics, and Doccla
The Systems Paradigm: A Different Way of Seeing
Understanding the philosophical foundations of systems thinking—from linear to non-linear causality
Designing for Patient-Centered Healthcare Systems
How systems thinking and human-centered design can transform healthcare delivery
Building Resilient Healthcare Infrastructure
Applying systems design principles to create adaptable health systems
Wayfinding in Healthcare Environments
How spatial design reduces cognitive load for patients and caregivers
Why Less is More
Great design is about removing excess—a principle especially vital in healthcare systems
Why Health Tech Companies Should Set Up in the UK
How navigating UK regulation creates a foundation for scaling globally
The Interconnected Challenges in Rural Healthcare in India
Understanding the systemic barriers to healthcare access in rural India