The practitioner, not the pitch.

Twenty years in NHS digital and data, most recently at Integrated Care Board level. That career covered the full range of the problem: leading a £13M portfolio, growing a data team from twelve people to forty-five, integrating over a hundred datasets at scale, and halving a data platform bill from £1.8M to £900K without reducing what the platform could do.

Before that, Head of Information Governance — which is why the IG advice here is different in kind from a compliance checklist. We have experience of designing pseudonymisation-at-source patterns that have been running in live NHS services for over ten years.

The practice exists because that combination is unusual and in demand: someone who can hold an architecture conversation, a governance conversation and a board conversation in the same week, and has personally carried the consequences of getting each of them wrong.