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

    Managing Partner

    Dr Emma Stanton, BM MBA

    Emma is a Managing Partner at 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


    Nick Kirkbride

    Nick brings a wealth of experience in growing businesses across a wide range of sectors, including consultancy. Most recently he was CEO for NHS Professionals, a staffing business owned by The Secretary of State for Health and Social Care.

    Nick remains a non-executive director of NHS Professionals and is also Deputy Chair of Bridge Farm Group, a leading grower of ornamental plants for the UK retail trade.

  • Dr Henry Carleton

    Chief Finance Officer

    Rory Webster

  • Dr Henry Carleton

    Chief Products Officer

    David Thompson

  • Dr Henry Carleton

    Non-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

    Clinical Engagement Partner

    Brian Wells, BSc (Hons) MBA

    Brian trained as a Registered Nurse in the Army specialising in theatres and anesthetics. He experienced a long clinical career working in both military hospitals and NHS Trusts 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 Orthopedic Centre (EOC), an internationally-renowned centre of excellence for elective orthopedic surgery and one of the volume leaders in the UK hip and knee replacement service, he grew it into one of the most productive orthopedic services in the NHS while ensuring it continued to deliver clinical excellence.

    Brian was most recently Director of Orthopedics 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 orthopedic 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

    Associate Partner

    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.