How I work
What the work is
A small number of upstream engagements with founders and investors, at the point where clinical adoption strategy, evidence design, and product-clinical fit are still open questions. The work is judgement, not delivery: pressure-testing assumptions against clinical and system reality before time, capital, and credibility are committed.
Read this before emailing
Not NHS market access, under that name or any other. No procurement introductions, no brokered meetings with NHS organisations, no selling into bodies where I hold roles, no delivery teams, and no advocacy for a product inside the health service. If the engagement you have in mind needs a door opened rather than a decision sharpened, I am the wrong person, at any price.
What qualifies an approach
A genuine clinical problem, stated as the problem rather than the product. A team that wants its assumptions tested rather than blessed. A decision on the table within the next two quarters that the work would actually change. And comfort with candour: the most useful sentence I offer is often the one explaining why the current plan will not survive contact with a health system.
How engagements start
One focused conversation, by email first: ryan@thesurgeon.io. Two or three lines on the problem, the decision you face, and the timeline. If there is a fit, we scope something time-boxed. If there is not, I will say so quickly and, where I can, point you somewhere better.