UK healthcare technology practice
Technology
that works in
the real world
of healthcare.
Fractional CTO leadership, clinical product and safety strategy, and bespoke software for health-tech founders and healthcare leaders—from decision to working system.
- Clinical product + safety
- Fractional CTO
- Healthcare software
- Patient need
- Shared decision
- Useful care
Healthcare is not another vertical.
Products meet patients, clinical safety, live workflows and teams already under pressure. Those realities belong inside every technical decision.
-
Patients + staffNeeds, safety and judgement
-
Live workflowCare as it happens
-
Digital systemsTechnology that holds up
Three routes into one care problem.
Enter through leadership, product or software. We keep care connected.
Three engagements connected to one live care pathway
Three entry routes / one connected care pathway
-
Fractional CTO + technology leadership
Own the technical call.
Pressure No technical owner.
Intervention Cost the direction, make the calls and lead delivery.
- Costed roadmap
- Architecture + suppliers
- Delivery recovery
-
Clinical product + safety strategy
Make the product useful in care.
Pressure Product meets clinical reality.
Intervention Observe workflow, define the product and design for safety.
- Workflow evidence
- Safety requirements
- Product roadmap
-
Bespoke healthcare software delivery
Build the system care needs.
Pressure Spreadsheets and workarounds.
Intervention Build, integrate and test in live use.
- Tested releases
- Integrations
- Deployment + handover
in practice
Keep the clinical context in the loop.
Observe the work. Make the call. Build in context. Return what you learn.
-
Observe
See care as it is.
Watch the real pathway: people, pressure, risk and the systems already in the room.
- Focus
- Patients · staff · workflow · safety
- Output
- Workflow map + shared risk record.
-
Decide
Make the useful call.
Turn evidence into priorities, architecture and an accountable next move.
- Focus
- Priority · ownership · architecture · risk
- Output
- Decision record + costed next move.
-
Build
Ship alongside the work.
Make and test alongside care without stripping away the clinical context.
- Focus
- Prototype · integration · delivery · adoption
- Output
- Production increment + integration evidence.
-
Learn
Return evidence to care.
Use adoption, outcomes and friction to shape the next observation.
- Focus
- Use · outcomes · failure modes · constraints
- Output
- Adoption + outcome review for the next cycle.
Bring us the gap between care and the system.
Bring the decision, delivery risk or operational drag that needs an accountable owner.
-
Interim leadership
Technical ownership is needed before a full-time CTO is justified.
We restore the threadSet a costed direction and own it into delivery.
-
Operational efficiency
Manual work and duplication are constraining care.
We restore the threadMap the workflow, remove friction and build around it.
-
Deployment + safety
NHS or enterprise deployment exposes safety and integration gaps.
We restore the threadResolve the gaps with clinical and technical evidence.
-
Diligence + recovery
A fundraise, supplier choice or stalled delivery needs technical diligence.
We restore the threadMake the risk, cost and next decision explicit.
- Clinical + safetyWorkflow insight, safety and assurance
- Strategy + architectureRoadmap, architecture and supplier choices
- Engineering + deliverySoftware, integration and delivery
- Adoption + ownershipAdoption, capability transfer and handover
A healthcare CTO. Without the full-time overhead.
Dr Daniel Howard, MB BChir Founder · Fractional CTO
Daniel is a Cambridge-trained doctor and health technologist. He turns clinical and operating priorities into a costed roadmap, owns architecture and supplier decisions, and stays accountable until the system works in practice.
Cambridge-trained doctor and health technologist, accountable from a costed decision to working software in care.
Have a difficult healthcare problem?
Let’s talk it through.
Tell us the decision, deadline and where care or delivery is stuck. We’ll reply with a practical next step.
enquiries@sagittariushealth.comPlease do not include patient-identifiable information in an initial email.