Boardroom Notes

Boardroom Notes and occasional ramblings.

Essays and frameworks on boards, governance, AI, healthcare and private capital.

Essays

Recent writing

Chairmanship and board effectiveness 3 October 2026 4 min read

Incorruptible: Culture Follows Structure

Eric Ries's Incorruptible argues that good companies go bad because of how they are owned and governed, not because of who runs them. His diagnosis of short-termism is right. His cure is harder to apply.

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Chairmanship and board effectiveness 3 October 2026 4 min read

Inside the Box: The Discipline of Limits

David Epstein's Inside the Box argues that constraints, not freedom, produce our best work. For boards, it reframes budgets, deadlines and scope as design choices rather than mere controls.

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Chairmanship and board effectiveness 3 October 2026 4 min read

The Algorithm: The Best Part Is No Part

Jon McNeill, Tesla's former President, sets out the five-step method behind Tesla's hypergrowth. Its most valuable lesson for boards is also the simplest, delete before you automate.

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AI in the boardroom 3 October 2026 4 min read

The Meaning of Your Life: What AI Leaves to Us

Arthur C. Brooks's The Meaning of Your Life is not a business book. But its argument about the two halves of the brain offers one of the clearest lenses I have found on what AI will, and will not, take from leaders.

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Healthcare Innovation 11 September 2026 3 min read

Joining Qinecsa Solutions as Chair of the Board

I have been appointed Chair of the Board of Qinecsa Solutions, a global pharmacovigilance specialist combining scientific expertise with a technology-powered platform. Here is why this sector, and this company, matter.

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Healthcare Innovation 13 June 2026 5 min read

Healthcare AI Is Not a Technology Project

A model performing well in a study is not the same as an organisation being ready to deploy it safely. Healthcare AI is an operating-model change — and that gap is the board's to govern.

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Frameworks

Tools for the same problem set

Compact, practical frameworks you can take straight into a board conversation.

Chairmanship and board effectiveness

The Board Pack Test

Use the board pack to test whether the board is being asked to think or merely to absorb information.

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