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.
Chief Operating Officer
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.
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.
Executive Director & Consulting Partner
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.
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.
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.
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.
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
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.
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.