Founded by clinically-focused productivity experts Dr Henry Carleton and Brian Wells in 2012, Four Eyes has worked with over 1500 clinicians to date with key successes including, transforming a £5m deficit into a £2m surplus through creating a 45 per cent increase in cases delivered through a trust’s operating theatres.

Our success lies in our ability to build confidence from the clinical workforce combined with a full design, delivery and implementation process that ensures embedded change.

Our values

We work with Integrity

We have Impact

We Invest in each other

We add value through Insight

  • Dr Henry Carleton

    Chief Executive Officer

    Dr Emma Stanton, BM MBA

    Emma is CEO of Four Eyes Insight and brings international experience of health care management. Originally trained as a doctor in the NHS, Emma has spent the last 3 years working in Boston, USA, most recently as Chief Partnership Officer for Beacon Health Options. During this time, she led Beacon’s role implementing Accountable Care Organisations (ACOs) in Massachusetts, USA, and led the service redesign of the company’s utilisation management operations. Prior to this, she launched and led UK operations for Beacon UK (now Simplify Health).

    Nominated as one of HSJ’s most inspirational women in health and also one of the HSJ Top Innovators in the NHS, Emma holds an executive MBA from Imperial College, London, a MRCPsych from the Royal College of Psychiatrists and a BM from Southampton University.

    Emma’s publications include Clinical Leadership: Bridging the Divide (Quay Books, 2009) and MBA for Medics (Radcliffe, 2010).

  • Dr Henry Carleton

    Executive Chairman

    David Bennett

  • Dr Henry Carleton

    Chief Operating Officer

    Rod Davis

  • Dr Henry Carleton

    Products Executive Director

    Dr Henry Carleton, MBBS BSc (Hons)

    Henry is a trained doctor with extensive hospital experience who co-founded Four Eyes Insight to put his talent for finding strategic solutions and planning into helping the NHS.

    His interest in medical resource management developed during his junior doctor training at Bart’s and the Royal London and he helped trusts tackle the significant challenges of rotas and the New Deal as Junior Doctors’ Advisor at the London Regional Action Team.

    Establishing Zircadian Ltd, a software development company focusing on a portfolio of solutions to help NHS organisations plan and organise their medical workforce more strategically and effectively in 2000, he sold it on 11 years later to Allocate with over 140 NHS clients using its products.

  • Dr Henry Carleton

    Executive Director, Clinical Insights

    Brian Wells, BSc (Hons) MBA

    Brian trained as a Registered Nurse before specialising in theatres and anaesthetics, having a long clinical career before moving into management. Working for the Health Service inspectors, the Audit Commission and the Healthcare Commission, he led service improvement programmes across London healthcare organisations.

    In his six years as Managing Director of the Elective Orthopaedic Centre (EOC), an internationally-renowned centre of excellence for elective orthopaedic surgery and one of the volume leaders in the UK hip and knee replacement service, he grew it into one of the most productive orthopaedic services in the NHS while ensuring it continued to deliver clinical excellence.

    Brian was most recently Director of Orthopaedics at Guy’s and St Thomas’ NHS Foundation Trust where he provided senior leadership in the development and implementation of a new service delivery model for its elective orthopaedic services. His focus on medical workforce productivity, process standardisation and operational grip helped the clinical leadership deliver its high quality service in a sustainable way. Brian is a co-founder of Four Eyes Insight and has a BSc (Hons) degree in Health Studies and the Executive MBA.

  • Dr Henry Carleton

    Executive Director & Consulting Partner

    James Fleet

    James is a clinical workforce efficiency specialist. James has significant experience in clinical workforce productivity and transformation within Health and works closely with Hospitals to secure sustainable efficiency improvements, optimum productivity and high levels of performance.

    James has previously worked within the NHS as an Executive Director and also led PwC’s health workforce consulting team, which involved him working with a large range of FT’s and Trust’s, as well as the Department of Health and NHS regulators – Monitor, NTDA and the CQC. James has led the delivery of major efficiency and productivity programmes, with huge success.

  • Dr Henry Carleton

    Director of Products

    Laurence Wells, BSc (First Class – Hons)

    Laurence gained valuable practical experience in clinical systems and the importance of information technology in providing care to patients during an undergraduate placement for his Forensic Computing degree from De Montfort University, Leicester, where he graduated with a First.

    After six months of his placement year, at the IT department of Guy’s and St Thomas’ (Essentia), Laurence was assigned to the software development team where he took part in developing software for clinical needs.

    After graduating, he moved to Four Eyes Insight as Technical Lead and Data Architect.

  • Dr Henry Carleton

    Consulting Director

    Kayley Taggart

    Kayley is the Director of Delivery for Four Eyes Insight and has worked across the public sector for 10 years. Kayley has a strong NHS operational management background, having recently been the General Manager for Surgery at Guys and St Thomas’ NHS Foundation Trust. Here Kayley led the team to achieve RTT, performance and efficiency targets in Orthopaedics, ENT and Plastic Surgery.

    Kayley also led the transformation of administrative services and patient pathways within the Trust.   Kayley has an excellent approach to clinical engagement and exceptional interpersonal skills, which enable Kayley to ‘take clinicians with her’.

    Kayley has previously operated as Service Manager for The Elective Orthopaedic centre and is currently studying at Westminster University for the Exec. MBA.

  • Dr Henry Carleton

    Consulting Director

    Clare Baldwin

    Clare is a Delivery Director at Four Eyes Insight with a strong background in NHS hospital operational management.  Clare has worked in the NHS for 18 years as a service and quality focused NHS Manager with clinical leadership experience, able to form positive and effective working relationships with management and clinical teams of all skill levels. Clare’s track record is one of delivering key targets including the turnaround of RTT and cancer performance in a number of large, complex organisations.   Clare has very strong analytical skills with an ability to identify information requirements, analyse data and form conclusions which contribute to the development of well planned, deliverable actions that achieve set objectives.

  • Dr Henry Carleton

    Consulting Director

    Mark Kelly

    Mark has a strong background in NHS hospital operational management, and over 20 years’ experience of successfully managing both NHS and UK Civil Service Departments, in transformation, operations and performance as a senior level in both domains. He also has a First Class Honours Degree in Applied Management from the University of Sunderland

    Mark has extensive experience of leading clinical teams to drive efficiency and high quality services, including successful CIP delivery. Mark has a strong track record of delivering key targets including the turnaround of theatre performance, CIPs, financial recovery and performance improvement in several large, complex organisations. Mark has lead the delivery of major Four Eyes clinical efficiency programmes, including Central Manchester Foundation Trust, Stockport Foundation Trust, University Hospitals of South Manchester and Christie Foundation Trust, covering Theatres, Outpatients, Patient Flow and Medical Productivity

  • Dr Henry Carleton

    Consulting Director

    Neil Bowman

    Neil has a range of experience working in both the private and public sectors in a range of Operational management and Programme management roles. Before joining Four Eyes , Neil was Head of Programme Management for a large Acute Trust with responsibility for Cost Improvement , Planned Care Improvement and Urgent Care Improvement , Neil was also a member of the Executive team. Neil’s other experience includes being the General Manager for Theatres and Anesthesia at a large teaching hospital, Neil has also held a diverse range of NHS operational management roles in surgical divisions and been a Service Improvement manager. In the private sector Neil worked in Operational management in a multi-national manufacturing business and as a Programme leader for the roll out of Lean manufacturing in its UK business. Neil’s key skills are Programme and Project Management, Governance, Systems and Process re-design, Operational Management and Lean Management.


  • Dr Henry Carleton

    Consulting Director

    Tom Quilty

    Tom is a Director at Four Eyes Insight and has an extensive background both within the NHS and as a management consultant. Tom commenced his career as an NHS graduate trainee, qualifying as an accountant and working across all sectors of the NHS. Tom subsequently worked in acute commissioning and finance before moving in to management consultancy. Tom has worked for the past ten years as an advisor across all sectors of the NHS from large acute hospitals to commissioners, from the Cabinet Office and regulators to local GPs and third sector organisations. Tom has led a broad range of projects including most recently strategy development for an NHSFT, estate development for a large London Acute Trust and the development of accountable care and integrated provision across the commissioners and providers of a large city.

  • Dr Henry Carleton

    Consulting Director

    Paul Chandler

    Paul is a Delivery Director for Four Eyes Insight, having previously held the roles of Regional Director (North) for Monitor, and Delivery & Improvement Director (Cheshire & Merseyside) for NHS Improvement.  His roles at these regulators focussed on providing advice, support and challenge to Boards and senior management teams of provider Trusts, and formulating and enacting formal regulatory action when required.  Paul was also required to provide strategic and system leadership, alongside senior NHS England and Department of Health colleagues, to some of the most challenged local health economies in the country.

    Prior to his roles at Monitor and NHS Improvement, Paul spent eight years as an operational manager in a range of NHS Acute Trusts managing a broad range of medical and surgical specialties.  He also led the A&E and Acute Medicine turnaround programmes in two different Trusts.  Paul has therefore been accountable for the successful delivery of all the key NHS constitutional standards (A&E, RTT, Cancer and Diagnostic waiting times standards) during his operational management career.