Painful Conversations
The conversations nobody wants to have.
Twenty years of watching healthcare commercial teams struggle with the same six conversations. The board. The CFO. The compliance team. The sales leader. The founder. Here’s how they go when you have them properly.
The sales leader
"We just need more reps."
It's the answer boards reach for. More bodies, more calls, more coverage. The problem is the infrastructure those reps depend on has quietly collapsed. Here's how to have the conversation that nobody wants to have — and what the data shows when you do.
What happened when this conversation happened well
Redirected budget from headcount to demand infrastructure. £2.4m in pipeline generated in Q1.
The compliance team
"We can't say that."
Compliance teams exist for good reasons. But 'we can't say that' is often 'we haven't checked'. The difference between what's actually restricted and what's organisational risk avoidance masquerading as compliance is significant. And worth the conversation.
What happened when this conversation happened well
Patient marketing programme approved across 7 EMEA markets. 23% procedure volume increase.
The CFO
"What's the ROI on this event?"
The correct answer isn't a number. It's a framework. Badge scans aren't ROI. Meetings aren't ROI. Here's how to reframe the question — and build the measurement system that answers it honestly.
What happened when this conversation happened well
Congress strategy signed off. 340% documented ROI in year one.
The board
"The launch missed forecast. Again."
73% of healthcare product launches miss forecast. The reason is almost never the product. This is the conversation about the three things that separate the 27% that hit from the 73% that don't — and how to have it without scapegoating sales.
What happened when this conversation happened well
Post-mortem used to redesign launch process. Next product in same category hit forecast by month 4.
The sales team
"The deck doesn't work in the room."
When the messaging your marketing team built doesn't survive first contact with a clinician, something went wrong in the translation. Here's how to diagnose whether the problem is the message, the messenger, the medium, or all three.
What happened when this conversation happened well
Sales playbook rebuilt from rep interviews. Onboarding time for new reps cut by 40%.
The founder
"We have a great product. Why aren't people buying?"
The most uncomfortable conversation in healthcare commercial strategy. Because the answer is almost always about demand infrastructure — not the product, not the sales team, not the market. And building that infrastructure takes time most founders don't budget for.
What happened when this conversation happened well
Market entry strategy reframed. First ten clinical champions identified and onboarded in 90 days.
Ready to have one of these?
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