We are


Partners in building value

Three guiding principles shape how we work


We take an open, honest and transparent approach to how we work together.


We commit to doing the right thing, reacting to the changes as they happen, and delivering what is needed – not only what is asked for.


We focus on addressing your most difficult challenges – shaping your thinking and guiding your actions.

We balance client focus with technical expertise

We wrap a dedicated, multi-disciplinary team around each of our clients – allowing them to speak your language, share in your strategic priorities and foresee the next wave of challenges before they arrive.

To deliver the innovative solutions needed, these teams are supported by three technical pillars of expertise:


Product and organisational strategy.

Define internal and external processes and plans to develop product and portfolio differentiation that meet stakeholder needs.

Example solutions: Gap analysis & mitigation planning / Payer requirements mapping / Early economic modelling / Value proposition development / Competitor price benchmarking / Consensus generation (Delphi panel) / Organisational audit & re-design


Health economics and evidence generation.

Build and refine data and evidence to maximise product value for all stakeholders.

Example solutions: BOI retrospective chart review / Phase 3 design optimisation / Systematic literature review / PRO design & testing / Cost-effectiveness analysis


Market access, medical and policy communications.

Communicate product value to maximise access and commercial success.

Example solutions: HTA preparation and submission / In-market value materials / Core value dossier / HEOR Publications

Our thinking

The best way to understand what we can do, is to understand how we think.

Below are our recent thought leadership articles, discussing some of the recent challenges facing our industry. Contact us if you would like to discuss any of these topics, or how we could support your specific challenges.

Lack of cost-effectiveness at zero price

Paying for patient-specific therapy: à la CAR-T

Early economic modelling to optimise clinical development

A real approach to real-world evidence

The meaning of Wickenstones

Combining innovation with real-world pragmatism, we tackle our client’s most challenging issues – focusing on the whole of the problem, not just a small part.

We ground our approaches and solutions in common sense and pragmaticism.
We gain and maintain internal alignment to strengthen implementation.
We apply fresh thinking to each new question or challenge we are faced with – never re-heating old ideas.


Old English place name for a location where a rowan tree grows from a harsh and seemingly barren stone plateau.


The persistence of this tree to overcome the savage nature of its environment and to anchor itself deep into the crevasses within the rock represents the nature of our business – grounded in evidence and dedicated to overcoming the challenges that the environment presents us with.

The senior team at the heart of your projects