The Conclusio team works across boundaries; a compact group of cross-sector professionals with a combined experience of over 200 years.

Understanding health and care systems is a core discipline at Conclusio and all its associates are experienced in the decision-making landscape. This means that we can advise at the optimal level and deliver.

Core Team

James Roach

James Roach

Founder & Managing Director

Mike Proctor

Mike Proctor

Non-Executive Chair

Anant Jani

Anant Jani

Director of Clinical Insights

Jeremy Hooper

Jeremy Hooper

Health Economics & Intelligence Consultant

Johnny Skillicorn-Aston MCIPR

Johnny Skillicorn-Aston MCIPR

Communications & Engagement Consultant

Caroline Howden

Caroline Howden

Client Delivery Lead

James Roach

Founder & Managing Director

James Roach founded Conclusio in 2014 and since that time it has developed effective working relationships with  the Pharmaceutical Industry, NHS organisations, National Clinical Organisations,  Local Authorities, Independent Sector, third sector, Academia and a wide range of private sector organisations.  James has also been active internationally working with a number of a systems on healthcare reform and service transformation.

James brings with him 10 years experience of working at board level and as a senior NHS Director, having been the CEO of two large Clinical Commissioning Groups, Joint Director of Health Social Care (CCG and Local Authority) and more recently an Integrated Care Partnership. In all of these roles, James has been at the forefront of developing innovative clinical solutions, integrating organisations under a common endeavour and developing high performing and financially efficient organisations and systems, which in some instances were recognised as national exemplars and areas of best practice.

Nationally, James speaks regularly at conferences, has authored a number of national transformation reports and brokered and led a range of innovative service partnerships between the NHS and the Pharmaceutical Industry.  James is passionate about population health and developing new clinical innovations and has a track record of working in partnership with clinicians and practitioners to radically change service provision and deliver enhanced outcomes for the patient.

Mike Proctor

Non-Executive Chair

Mike has 45 years of experience gained within the NHS, half of which were spent in senior executive roles that included Chief Nurse, Chief Operating Officer, Deputy Chief Executive and Chief Executive.  Mike retired from his substantive NHS role as Chief Executive of York Foundation Trust in July 2019. Following that, he performed an interim role as Chief Operating Officer at North Cumbria Trust, from where he joined Conclusio at the completion of his engagement.
As a high profile healthcare leader Mike has advised healthcare systems across Europe and North America.

Anant Jani

Director of Clinical Insights

Anant is currently an Oxford Martin Fellow at the University of Oxford.  His work focuses on how to reorient healthcare systems to focus more on population health - namely, keeping people healthy and preventing them from getting sick.  Prior to his role at Oxford, Anant was Executive Director at Better Value Healthcare, a working with governments in the UK, Europe, Middle East and Southeast Asia to help them redesign their healthcare systems to focus more on value based healthcare.  He received his PhD from Yale University and BSc from Brandeis University.

As an academic clinician, Anant will work with the pharma industry and heath systems to define clinical outcomes that matter to patients, advise on how the use of real world outcomes data will inform the design and optimisation of care pathways and therapeutic regimens and position clinical outcomes to highlight the value proposition of products and services.

Jeremy Hooper

Health Economics & Intelligence Consultant

Jeremy has a degree in Statistics and a Masters in Corporate Administration. He has been a Graduate and Associate member of the Institute of Chartered Secretaries and Administrators for over 15 years.

Jeremy has worked on the analysis of large and complex data sets in the Defence and Health Sectors internationally for over 25 years.  As part of this he has built predictive models for understanding the cost of ownership of large systems of systems as part of defence procurement. He has also built demand models to support NHS contract negotiations. He has recently built a demand model for Adult Social Care for a Local Authority in the South West of England. 

Jeremy has supported evaluation and performance reporting helping a number of Public Sector organisation understand their performance and how that can be used to improve outcomes for the organisation and patients.

Johnny Skillicorn-Aston MCIPR

Communications & Engagement Consultant

Johnny has a quarter of a century of experience in strategic communications and issues management, gained within the public and private sectors and civil society organisations. He also writes on issues within the healthcare sector, and is regularly published in the sector media. 

He has supported large-scale transformation projects in the UK and globally, with both health providers and commissioners, designing communication plans and campaigns to drive effective relationship management within health and social care systems. He has influenced, developed and delivered consultation methodologies and strategies across policymakers, payers, clinical professionals and the public.

Johnny has authored public engagement campaigns for a range of medicines and services and to elicit support for clinical, social and policy change. 

He has also delivered corporate communications programme for the pharmaceutical industry and was editor of the 2020 London Community Pharmacy Strategy.

Caroline Howden

Client Delivery Lead

Caroline has over 20 years experience working across the NHS, local government, public and private sectors in programme and project management; client relationship management and partnership working.  Caroline has also provided programme leadership and policy development in healthcare systems in the UK and large global entities such as G4S, Mitie and Virgin Healthcare.

Caroline has developed and lead complex partnerships across health and care, involving both the public and private sectors; including working with MPs and elected representatives, increasing their awareness of delivery of health and care outcomes at community level.

Associates Team

Dr John Niland

Dr John Niland

NHS Strategy Associate

John Leslie

John Leslie

NHS Finance Associate

Andrew Geldard

Andrew Geldard

NHS Commissioning Associate

Keith Davies

Keith Davies

CEO of i5

Dr Harald Braun

Dr Harald Braun

Operations Director of i5

Richard Brown (MRPharmS)

Richard Brown (MRPharmS)

VirtualOutcomes

Judith Poulton (MRPharmS)

Judith Poulton (MRPharmS)

VirtualOutcomes

Adam Irvine

Adam Irvine

CEO Community Pharmacy Cheshire & Wirral

Dr John Niland

NHS Strategy Associate

John is an experienced NHS Trust Chief Executive and System Leader.

John established and was Chief Executive of Provide Community Healthcare Trust for 10 and was a senior leader and influencer across Essex as well as the Mid and South Essex Integrated System.

John was awarded the EY Entrepreneur of the year 2014 (social enterprise) and an honorary Doctorate from Anglia Ruskin in 2015.

John Leslie

NHS Finance Associate

John is an experienced NHS Finance Director and has also been a Chief Officer of a large CCG.

He has worked as a Finance Director in some of the biggest systems in the country such as Cambridgeshire & Peterborough and North West London, working for both Provider and Commissioning organisations. 

John has a history of delivering financial surplus and balance in very difficult circumstances and has been at the forefront of developing innovative financial and contractual strategies. He has also been instrumental in the development of merged CCGs and Integrated Care Systems.

Andrew Geldard

NHS Commissioning Associate

Andrew is an experienced leader at Provider and Commissioner level in the NHS. He was recently the Chief Officer of  West Essex CCG and senior leader across the Hertfordshire and West Essex ICS.

Previously Andrew was Chief Executive at North Essex Partnership Trust for 8 years, having previously been its Finance Director.

He was also a Finance Director across the Commissioning landscape in Essex.

He is currently an Academy Tutor for the Health Financial Management Association.

Keith Davies

CEO of i5

Keith Davies, CEO of i5, has extensive experience in senior leadership roles, including those of Chairman and CEO, of multinational organisations in the Financial Services and Health sectors. He has led the transformation of international insurance groups and banks, was National Director for Turnaround at the Department of Health and has headed up major health projects in China, Australia, the Middle East and Canada.

Dr Harald Braun

Operations Director of i5

Dr Harald Braun is Professor of Health Economics and Artificial Intelligence at University of Chester. He has over 25 years’ experience in the analytics and technology innovations field – the last decade of which has been spent in the service of the NHS, latterly with i5 of which he is co-founder. Harald has played an instrumental role in supporting health economies with advanced AI tools at the request of NHS England, CSUs, multiple CCGs, provider trusts, ambulance trusts and mental health trusts. 

Richard Brown (MRPharmS)

VirtualOutcomes

Richard is a pharmacist and has extensive experience working as the Chief Officer of Avon LPC whilst also running a successful Pharmacy Consulting business, BRR Consulting and online training company, VirtualOutcomes.

His passion for supporting and promoting community pharmacy has led to the successful deployment of the newly commissioned NHS Community Pharmacist Consultation Service and Discharge Medicines Service across Avon with support offered to LPCs across the country.

His vision for the future of community pharmacy is for the highly skilled pharmacy team to be offering both preventative health advice to stop people becoming ill, whilst also supporting people with a diagnosed condition.  That way pharmacies can truly be part of the local community.

Richard is also has a PhD in Medicinal Chemistry and is currently a Senior Visiting Lecturer at eh University of Bath, Pharmacy and Pharmacology department.

Judith Poulton (MRPharmS)

VirtualOutcomes

Judith is passionate about the difference pharmacy teams can make to their local community’s health and wellbeing and sees that community pharmacy has a key role to play in the strategic health agenda. She is energetic and highly motivated, always looking for new ideas to engage with people.

An experienced community pharmacist, Judith was an Area Manager for Boots, before moving into the role of Healthy Living Pharmacy Project Manager and Implementation Manager for Avon LPC. She also is a director of an online training company VirtualOutcomes. Her main focus is to develop and coach teams so that they reach their full potential enabling them to make a difference to the community they serve. More recently, she has been working with NHSE&I and local CCG’s, to implement GP CPCS both nationally and locally by working closely with GP practices, community pharmacies and LPC’s. In Avon she has implemented it in 92 practices who have delivered over 25,000 referrals to date.

Adam Irvine

CEO Community Pharmacy Cheshire & Wirral

Adam Irvine is the current Chief Executive Officer of Community Pharmacy Cheshire & Wirral.

Adam is a successful healthcare leader with experience of system reform, health and social care devolution and local integrated care systems.

He has been involved in a hugely successful outsourcing business integrating 3rd party pharmacies within NHS Trusts to deliver outpatient services effectively.

He has 10 years healthcare system strategy experience within LPC as both member and CEO operating with a high level of political and strategic awareness. He has a passion and vision for creating innovative services which best utilise the breadth of the skilled teams within Community Pharmacy. He also represents his contractors at local, regional and national levels and has been a key part of the primary care leadership within the newly forming integrated care system.

Delivery Network

Once engaged, Conclusio can mobilise an impressive and experienced delivery network to include the following lead areas of expertise

  • Programme Director
  • Programme management and assurance
  • Application of service improvement methodology
  • Data science and analysis
  • Communications and engagement
  • Clinical assurance
  • Senior health and care sector SME
  • Impressive reach and range of clinical and operational contacts at ICS, Provider, Commissioner, PCN. Community Pharmacy and Clinician level