$160 million finance transformation, designed
Five-year benefits realisation exceeding 50 per cent of cost within five years.
2025 - Present
CFO · Private Equity Board Adviser ·
National Transformation Leader.

Infrastructure · Saudi Arabia
Five-year benefits realisation exceeding 50 per cent of cost within five years.



Five-year benefits realisation exceeding 50 per cent of cost within five years.
2025 - Present
$32bn, 5,000-facility system restructured into a holding company and 20 care-delivery groups; five clusters now operate as subsidiaries
2017 - 2024
EBITDA up 43 per cent year-on-year with a 13 per cent revenue uplift at a 400-bed Jeddah provider.
2016 - 2017
Disposal mandate completed within 12 months, with more than $500mn in combined value.
2014 - 2015
APT Controls exited to SWARCO AG at over 2x cost through a competitive process.
2009 - 2014
The London Clinic's Cancer Centre taken from feasibility study to Royal inauguration.
2002 - 2009
Boards engage me when reform must be delivered, not described.
Privatising healthcare is not a transaction, but a policy rebuild: the PPPs succeeding across the UAE, Saudi Arabia, and Qatar worked because the rules changed first. What has to be true before public health assets can carry private capital.
Read →MedEdge MEAEight years after AI was meant to replace radiologists, it has replaced no one: augmentation, not substitution, is the real story. From Harvard's cancer-detecting Chief model to agentic AI in business, progress is incremental, and trust is the constraint.
Read →ACCAThe NHS is in a doom loop: attrition drives strain, strain drives attrition. The way out is structural, regional councils on the German model, Singapore-style funding, and payment that rewards prevention, because reverence alone will not save the institution.
Read →DawnPakistan's IMF programme is also a reform window: healthcare, with workforce density 70 per cent below WHO norms, is where the state can prove it delivers. Sequenced right, better access could add 1.5 to 2 per cent to GDP.
Read →Forbes Middle EastA German study of health disparities carries a warning the Gulf should read as its own: longer lives are being distributed unequally, with health tracking wealth. Closing the gap is a policy choice, prevention reaching those medicine misses.
Read →Forbes Middle EastMental illness costs the GCC billions in lost productivity, hidden in absenteeism, attrition, and conditions the culture prefers not to name. Treating mental health as economic infrastructure, screening, coverage, and workplace care, pays for itself.
Read →Commentary on healthcare finance, public-sector transformation, value-based care, and leadership across the UK and GCC.
Water is a fiscal disclosure problem
The European Commission estimated cumulative additional water sector expenditure of €289bn to 2030 across member states to meet compliance requirements, on top of a baseline that the OECD cited at €100bn per year in existing water and sanitation spending. Those are large numbers by any sovereign standard. They are also numbers that most sovereign treasuries do not disclose at the granularity used for pension liabilities or climate exposures.
Issue 48Four hospitals, three landlords and one £226mn lesson
Between 2015 and 2024, four private hospitals in Greater London answered to owners in Toledo, Dallas, Abu Dhabi, Toronto and London again. The buildings never moved; everything around them never stopped moving.
Issue 46Water joins the project-finance asset class
$2.3bn, 587-kilometre pipeline financed entirely by private capital on a 35-year concession: water is quietly joining the project-finance asset class, on the template that built independent power. The markets have not repriced yet; they will.