I co-founded Coyne Medical in 2016 and am the CQC registered manager for its regulated activities. That means I carry real accountability for clinical governance, information governance and regulatory compliance, across a clinic seeing over 11,000 consultations a year.
It also means I have taken new diagnostics from literature to live service more than once, and know where that process breaks: pricing, consent, result communication, clinician confidence, and what happens when a patient asks a question the evidence cannot yet answer.
Most advisory input to healthcare companies comes from academics who do not run services, or consultants who do not see patients. I do both, which is usually most useful on the questions that decide whether a product is adopted or quietly abandoned.
The most dangerous risk factor is the one that's never been measured. The same is true of the assumption no one tested with a real clinician.