About Me

The Beginning

My path into healthcare was conventional enough. Medical school, clinical training, years of patient care. But somewhere along the way, I started noticing patterns that couldn't be explained by individual cases or clinical protocols.

A patient would improve under our care, only to return months later with the same problem. We'd implement a new process to reduce errors, and errors would shift elsewhere. We'd introduce technology to save time, and staff would spend more time than ever on documentation.

These weren't failures of competence or commitment. They were symptoms of something deeper—problems with the system itself.

The Systems Lens

That realisation led me to systems thinking. Not as an academic exercise, but as a practical necessity. If we want to build healthcare that actually works—for patients, for clinicians, for society—we need to see the whole picture.

This isn't about adding complexity. It's about recognising the complexity that's already there, and designing with it rather than against it.

Healthcare doesn't have a technology problem. It has a systems problem. Technology is only as good as the system it serves.

What I Do Now

Today, I split my time across several ventures:

Building: Through DonnaOS, I'm working on the future of healthcare workforce management. Through Annicha Labs, I advise and invest in healthcare systems innovation.

Clinical Practice: I continue to practice as a physician with Neko Health, keeping one foot firmly in the realities of patient care.

Bridging Worlds: Through the Tattva Fellowship, I'm building capacity for creative and public leadership in the UK-India space.

Philosophy

A few principles guide my work:

See the whole, not just the parts. Most interventions fail because they optimise locally while creating problems globally. The Chandegra Model—my approach to healthcare systems design—starts with understanding interconnections.

Design with humans, not for them. The people closest to the problem usually understand it best. My role is to help surface that knowledge and translate it into actionable change.

Embrace uncertainty. Complex systems can't be controlled, only influenced. The goal isn't to predict the future, but to build systems that can adapt to whatever comes.

Start where you are. Grand visions are important, but change happens through small, deliberate actions. I'd rather make incremental progress than wait for perfect conditions.

Get in Touch

I'm always interested in conversations with people working on hard problems in healthcare, systems design, or the intersection of technology and human wellbeing.

If you'd like to explore working together—whether that's advisory, speaking, or just exchanging ideas—book a call or reach out at hello@annicha.co.

If you're curious about the ideas that inform my work: