The Healthtech Podcast

Tom Keith-Welsh is Client Partner for Healthcare and Life Sciences at Endava, and he has worked in almost every seat in this industry: regulatory affairs at Glaxo Wellcome, pharma sales for Merck, two pharma advertising agencies, marketing at an infection control software company, project management inside two NHS trusts, and then senior digital health and innovation roles at Merck and GSK.

He takes James through the whole route, and the stories are the point. A hijacked lorry full of cuddly toys for a children's growth hormone pen. A Nintendo Wii hacked into a mode-of-action demo for a haematology congress. The salt mine two miles from a hospital where paper records were kept for thirty years, and the one question that made most of the scanning project unnecessary: which of these pages do you actually read?

Then the harder conversation. James asks whether pharma, with the deepest pockets in healthcare, does enough to make digital health business models work. Tom's answer is no, and his reasoning is worth hearing if you are building anything you hope pharma will pay for. He explains the two year innovation cycle, why those teams keep getting cut, and the connected asthma inhaler that was shut down over the gap between 80p and five pound eighty.

Tom Keith-Welsh on LinkedIn: https://www.linkedin.com/in/tomkw/

Endava: https://www.endava.com/

Apply to be a guest: ⁠https://thehealthtechpodcast.com⁠

Produced by ⁠SomX⁠

Steve Burnell is managing director of Tenmile, the health technology and biotech investment business Andrew and Nicola Forrest's Tattarang set up with a 250 million dollar allocation. He is also a PhD marine ecologist who spent his twenties putting satellite trackers on right whales and making natural history documentaries, then spent fourteen years in big pharma, latterly running digital pathology and clinical decision support businesses for Roche.

He and Dr James Somauroo spend a long stretch on antimicrobial resistance, which Steve calls contrarian, and for good reason. Antibiotics have been the place capital goes to die, and big pharma has largely walked away. He explains why Tenmile went in anyway, across a vaccine company, a gram negative antibiotic and a point of care test that tells a GP whether an infection is bacterial or viral.

The most useful part for founders is on money. Steve is candid that he became a digital health sceptic after being the digital health guy in 1998, and he names a miss, Heidi Health, an Australian company Tenmile passed on. His line on it is "who looks like the idiot now".

There is also his advice on leadership, which starts from never having felt unworthy, why he thinks the best uses of AI in hospitals are the unglamorous ones, the regulatory absurdity of proving an algorithm against two pathologists who cannot agree with each other, and what Australia's R and D tax incentive is worth to a company on the register.

Steve Burnell on LinkedIn: https://www.linkedin.com/in/steveburnell

Tenmile: https://www.tenmile.com

Apply to be a guest: https://thehealthtechpodcast.com

Produced by SomX

Ross Drynan has spent twelve years at the intersection of technology and healthcare, almost all of it in go to market, including building the go to market that took a small dental software company to international market leadership. He now runs We Don't Consult, which despite the name is a consultancy, working with clinicians becoming founders, SaaS companies stuck after their first few percent of market share, and established teams trying to work out AI adoption.

The conversation opens on why so many clinical founders fail, and it is not the product. Ross argues most spend years and their own money building something nobody has seen, then find they have never practised explaining it. He makes the case for validating cheaply first, including a defence of vibe coding as a founder's tool rather than an engineering embarrassment.

From there it gets less comfortable. Healthcare buyers, unlike buyers in most B2B markets, are not thinking about your problems at all, and Ross has the best piece of feedback he has ever received to prove it. He walks through what he calls the narrow bridge: foundations, codifying your expertise, giving your ideas away for free, selling with a diagnostic rather than a demo, proving value so customers attribute the outcome to you, and leverage.

There is also a hopeful stretch near the end about redeploying people rather than replacing them.

Ross Drynan on LinkedIn: https://www.linkedin.com/in/ross-drynan/

We Don't Consult: https://wedontconsult.co.uk

Nader Alaghband co-founded Ampersand Health with two NHS gastroenterologists, Dr Gareth Parkes and Dr Bu Hayee, and has spent about eight years building it. His argument here is uncomfortable and worth hearing. Too much of a hospital appointment is spent on the things doctors care about, and not enough on the things patients care about. People living with Crohn's and colitis do not measure their week by an inflammation marker. They measure it by whether they held down a job and kept up with their kids.

Nader and Dr James Somauroo get into what that means in practice. Nader explains why Ampersand moved from clinical decision support into real world evidence, and why pharmaceutical companies and payers benefit from watching the movie rather than looking at a few stills. He is blunt about UK health policy, pointing out that countries doing this well are not running their health systems on seven different people's vision in ten years. He is equally blunt about the innovator's problem of not knowing which of five competing NHS frameworks will turn out to be the one that matters. James brings his own view from intensive care and from working in policy at NHS England and Health Education England.

They close on how you survive eight years of this, which for Nader means a hard separation between work and everything else.

Nader Alaghband on LinkedIn: https://www.linkedin.com/in/nader0102/

Ampersand Health: https://ampersandhealth.co.uk

Produced by SomX: https://somx.health

Dr Nikita Kanani MBE is Global Medical Director at Neko Health and still a practising NHS GP. Before Neko she was medical director for primary care at NHS England, through the pandemic and the vaccine rollout, and she and Dr James Somauroo start there because it explains everything that comes after.

She is precise about what those years were actually like. Two or three in the morning on Teams in her pyjamas, her daughter building a diorama of the Roman empire beside a call with the Prime Minister, and her mother running the family pharmacy without PPE while her father shielded. She was asked to join the vaccine programme the week before Diwali, argued for delivering it through primary care rather than around forty hospitals, and ended up with thousands of sites and a map on the wall.

The second half is Neko's year three data, which James had read on the train in and came armed to argue about. More than eighty thousand scans in 2025. Life threatening findings holding steady at about one percent across three years, which is her answer to the charge that scanning more people only finds more noise. Five or six dermatology referrals to find a melanoma, against fifteen or twenty in general practice. People with a chronic condition improving two and a half times more than people without one.
There is also an honest stretch on why she thinks worried well is the wrong argument, and where an NHS partnership might go next.

Dr Nikita Kanani on LinkedIn: https://www.linkedin.com/in/drnikkikanani/
Neko Health: https://www.nekohealth.com

Apply to be a guest: https://thehealthtechpodcast.com

Produced by SomX: https://somx.health

Deborah Cohen is a medically qualified investigative journalist, formerly science editor at ITV News and health correspondent at BBC Newsnight, where she led the programme's COVID coverage. Her book, "Bad Influence: How the Internet Hijacked Our Health", shortlisted for the Royal Society science book prize, started from one question: are influencers making us sick? She spoke to more than 200 people to answer it, and the answer turned out to be more nuanced than the title suggests.

She and James get into what happens when health information travels through people rather than institutions. Where companies get into trouble, which she puts at the point the hype outflanks the evidence. Why the Advertising Standards Authority is playing regulatory whack-a-mole, and how a prescription only migraine drug ended up advertised in her feed by a Kardashian, in a country where that advertising is banned. Why she would ban the words anti-vaxxer and anti-masker before she banned anything else. And what she thinks would actually help, from a register of influencers working with companies to better health literacy and real transparency about where our information comes from.

James puts himself in the frame too, on the Instagram ad promising employers a better bottom line if their staff take GLP-1s, and on the work SomX turns down.

Deborah's LinkedIn: https://www.linkedin.com/in/deborah-cohen-journalist

Deborah's Book: https://oneworld-publications.com/work/bad-influence/

Apply to be a guest: ⁠www.thehealthtechpodcast.com⁠

Subscribe to Healthtech Pigeon 🐦: ⁠www.healthtechpigeon.com⁠

Get in touch with James: ⁠www.jamessomauroo.com⁠

This podcast was brought to you by ⁠SomX⁠.

This week, James is joined by Dr Sai Narimetla, an A&E doctor who simultaneously works in investment banking at SSG Capital, to ask why healthtech hasn't produced the exits that biotech and medical devices have. They get into fragmentation, why the deals that are happening don't make headlines, and what a clinical lens actually adds when you're diligencing a company.

Connect with Sai: https://www.linkedin.com/in/sainarimetla/

Learn more about SSG Capital: https://www.ssgcapital.uk/

Apply to be a guest: https://www.thehealthtechpodcast.com

Subscribe to Healthtech Pigeon: https://www.healthtechpigeon.com

Get in touch with James: https://www.jamessomauroo.com

This podcast was brought to you by SomX.

Martin Ratz co-founded Doccla after a heart attack at forty-four that he had no reason to have. Lying in a hospital bed in Stockholm, he noticed something obvious. Inside the building you are monitored constantly, and the minute you leave, nobody is watching at all.

He and Dr James Somauroo trace what Doccla became from there. A research study at Northampton General that COVID shut down, then a virtual COVID ward stood up in a fortnight, then integrated care boards across England, plus Ireland, Germany and Austria. Martin is precise about who these patients are: multimorbid, mostly older, several long-term conditions each, and nothing like the customer of a consumer wearable. He is equally precise about what is actually blocking this, which is not the technology. It is commissioning. Doccla can take activity out of a hospital, but somebody still has to take the cost out, and the trust losing the income has no reason to help.

There is also a good exchange on the something-is-better-than-nothing argument, where James revisits a position he now thinks was wrong about AI and mental health, and Martin's answer to the safety objection, which is that the alternative to a virtual ward is usually not a hospital bed.

Doccla: https://www.doccla.com

Apply to be a guest: www.thehealthtechpodcast.com

Subscribe to Healthtech Pigeon: www.healthtechpigeon.com

Get in touch with James: www.jamessomauroo.com

This week, James is joined by Dr Kapil Savania, Medical Lead at Voy (formerly Manual) and a practising NHS GP, for a candid look at the fast-blurring line between healthcare and wellness. They dig into who should own preventative medicine, what TRT actually is — and where it gets abused — and why "fat loss," not weight loss, has to be the goal in the GLP-1 era. It's an honest conversation about holding both hats: the NHS clinician and the industry medical lead.

Connect with Kapil: https://www.linkedin.com/in/ksavania/

Learn more about Voy: https://www.joinvoy.com/

Apply to be a guest: www.thehealthtechpodcast.com

Subscribe to Healthtech Pigeon 🐦: www.healthtechpigeon.com

Get in touch with James: www.jamessomauroo.com

This podcast was brought to you by SomX.

This week, James is joined by Yasir Sacranie, pharmacist, content creator and founder of MicroPharm, the education platform helping thousands of trainee pharmacists pass their registration exam. Yasir talks candidly about bootstrapping a healthcare education business alongside a demanding NHS role, the family moment that finally pushed him to leave the NHS for good, and why he's deliberately keeping AI at arm's length in his business. They also get into why he still works one day a week as a barista — and what that teaches him about craft.

Connect with Yasir: https://www.linkedin.com/in/yasir-sacranie/

Learn more about MicroPharm: https://www.micropharm.uk/

Apply to be a guest: www.thehealthtechpodcast.com

Subscribe to Healthtech Pigeon 🐦: www.healthtechpigeon.com

Get in touch with James: www.jamessomauroo.com

This podcast was brought to you by SomX.