In this episode of Strategy Thinkers, I speak with Dr Angela Wong, Consultant Gastroenterologist, at Royal London Hospital Barts Health NHS Trust, Group Clinical Director at Barts Health NHS Trust and Chief Medical Officer at North East London Cancer Alliance.
Angela shares the story behind the creation of an early diagnostic centre designed to expand diagnostic capacity, reduce waiting times, and improve cancer outcomes across a large and complex health system.
This conversation is about strategy under real pressure. Demand for diagnostics was rising. Capacity was limited. Access varied across the system. And the cost of delay was not abstract; later diagnosis means worse outcomes.
We explored:
☑️ How a data-driven case for change was built around rising demand, limited capacity, and variation in access
☑️ Why prioritisation mattered when not every cancer pathway could be addressed at once ☑️ How stakeholder engagement across hospitals, commissioners, clinicians, and patients shaped both the bid and the model itself
☑️ Why patient experience, operational efficiency, and financial discipline all had to be designed together
☑️ How tenacity, clarity, and governance helped move the project from vision to implementation
If you lead transformation in healthcare or any other complex system, this episode offers a practical view of strategy where the stakes are high, constraints are real, and execution matters.