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
One care pathway Clinical evidence and technical decisions meet before anything is built.
One pathway from patient need to useful care Patient need follows a clinical evidence route and a technical decision route. The routes meet in a shared plan and continue into useful live care. Patient need Clinical evidence Technical decision Shared plan Useful live care One pathway from patient need to useful live care Patient need follows clinical evidence and technical decision routes. The routes meet in a shared plan and continue into useful live care. Patient need Clinical evidence Technical decision Shared plan Useful live care
  1. Patient need
  2. Shared decision
  3. Useful care
Clinically grounded Technically ambitious Hands-on delivery

Healthcare is not another vertical.

Products meet patients, clinical safety, live workflows and teams already under pressure. Those realities belong inside every technical decision.

Three moving realities around safe and useful change Patients and staff, live workflow and digital systems move inside overlapping territories while remaining connected to safe and useful change in real care. Patients + staff need, safety, judgement Live workflow care as it happens Digital systems technology that holds up SAFE + USEFUL CHANGE IN REAL CARE
Useful change only holds when all three realities move together.

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

  1. 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
  2. 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
  3. 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
Shared result Care works
in practice
Three routes. One care pathway. One accountable outcome.

Keep the clinical context in the loop.

Observe the work. Make the call. Build in context. Return what you learn.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
Learning returns to observation before the next cycle begins.

Bring us the gap between care and the system.

Bring the decision, delivery risk or operational drag that needs an accountable owner.

  1. Interim leadership

    Technical ownership is needed before a full-time CTO is justified.

    We restore the thread

    Set a costed direction and own it into delivery.

  2. Operational efficiency

    Manual work and duplication are constraining care.

    We restore the thread

    Map the workflow, remove friction and build around it.

  3. Deployment + safety

    NHS or enterprise deployment exposes safety and integration gaps.

    We restore the thread

    Resolve the gaps with clinical and technical evidence.

  4. Diligence + recovery

    A fundraise, supplier choice or stalled delivery needs technical diligence.

    We restore the thread

    Make the risk, cost and next decision explicit.

Dr Daniel Howard, founder of Sagittarius Health
Dr Daniel Howard Fractional CTO + accountable lead
One accountable lead. Specialist capability only where it adds value.
  1. Clinical + safetyWorkflow insight, safety and assurance
  2. Strategy + architectureRoadmap, architecture and supplier choices
  3. Engineering + deliverySoftware, integration and delivery
  4. 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.

Engagement model

A costed roadmap. Working systems. Spend you can control.

For health-tech founders, provider and NHS digital leaders, investors and delivery partners: start with a focused assessment, fractional CTO support, interim leadership or a delivery team assembled around the work.

  • Spend controlCosted options, suppliers and delivery forecast
  • Technical directionRoadmap, architecture and build/buy decisions
  • Delivery controlOwners, milestones, risks and escalation
  • Operational efficiencyManual work, duplicate tooling and rework
Discuss your priorities

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.com

Please do not include patient-identifiable information in an initial email.