For UK HealthTech & MedTech companies
You need senior commercial leadership but you're not ready for a full-time hire, and the gap is costing you momentum
The gap between founder-led sales and a properly structured commercial function is one of the most expensive stages in a company's growth. Without senior commercial experience in the room, the wrong GTM decisions get made, the wrong hires follow, and the window for efficient growth narrows.
Cost of Inaction
Enter your target accounts, contracts live today, average contract value, and achievable conversion rate. The calculator shows the annual revenue gap a missing senior commercial lead is leaving unrealised.
How it breaks down
- Current contracted revenue£270,000
- Revenue at target penetration£324,000
Two minutes, no typing, and I read every one myself.

From Paul
Tell me where that £54,000 is coming from, and I'll come back with the three things to fix first.
A few quick questions, about two minutes, and no typing. I read every one myself and reply with the three things costing you most and where I'd start. If it's useful, we talk. If not, you've still got a clear picture.
No obligation, no sales call unless you ask for one, and nothing automated lands in your inbox.
Paul, Solvable
- Founder is still the main closer of new business
- Commercial team exists but lacks senior direction
- GTM strategy changes frequently without a stable framework
- Investor conversations reveal gaps in commercial thinking
- GTM decisions made without sufficient experience cost more to correct than to prevent
- founder bandwidth consumed by commercial activity that should be delegated
- Strategic: growth timeline slips because commercial momentum isn't building fast enough
- Full-time commercial director seen as the only option
- Junior commercial hires brought in before the strategy is clear
- Founder carrying commercial responsibility alongside everything else
- No external commercial perspective on GTM decisions
- Commercial infrastructure not built, so each new hire starts from scratch
How to fix it
A fractional commercial leader with the right sector experience can do 80% of what a full-time hire would do in the first six months, at a fraction of the cost and with no hiring risk. The right engagement covers: GTM strategy build, pipeline structure, commercial narrative, team coaching, and investor-ready commercial metrics. It also makes the full-time hire, when it comes, far more likely to succeed, because the infrastructure is already in place.
Frequently asked questions
Why does this problem persist?
The assumption is that a full-time commercial director is the only option, and the cost of a full-time senior hire feels premature. The result is that founders either bring in someone too junior to have the impact needed, or they delay until the commercial situation is more serious than it needed to become.
This is exactly what I do with UK private practices. Answer the few questions above and I'll come back personally with where to start. Paul.