Platform Modernisation – HealthTech
Sector: HealthTech
Role: Fractional Staff Engineer / Technical Coach
Engagement: Embedded leadership during platform transformation
Type: Hands-on engineering leadership and architecture modernisation
A national HealthTech provider was shifting to a digital-first model, but delivery was slowing faster than the organisation could react. Legacy systems made every change feel risky, releases were unpredictable, and the engineering team was stuck in a cycle of firefighting and fatigue.
They didn’t just need new technology – they needed delivery to become stable, predictable, and safe again.
The Challenge
- Tightly coupled legacy systems where small changes caused big, unpredictable side effects
- Daily hotfixes and manual releases that drained time and confidence
- Inconsistent quality and ways of working after vendor churn and rapid growth
- Delivery slipping from weeks to months with no dependable cadence
- Rising stress and falling trust in engineering as problems kept resurfacing
What I Did
Improved Flow & Safety
- Broke large, risky changes into smaller, safer steps
- Decoupled legacy parts so teams could deliver without constant side effects
- Introduced fast, reliable CI/CD paths to move from manual to on-demand releases
- Created a simpler, clearer system shape that supported predictable delivery
Shortened Feedback Loops
- Moved teams from slow, manual regression to fast automated checks
- Introduced feature flags and safe-launch techniques to control risk
- Set clear feedback targets to keep cycle time short and changes small
- Helped teams adopt releasable-by-default habits and trunk-based workflows
Embedded Leadership
- Worked inside teams as a Staff Engineer to unblock delivery and reduce stress
- Paired, reviewed, and coached to build capability and shared ownership
- Aligned engineering, product, and delivery on scope, risk, and flow
- Helped reshape teams around domains to cut coordination load
What Changed
From Two-Week Releases to Two-Day Cycles
- Release cadence moved from every two weeks to every two days when needed
- Legacy systems stabilised, removing the constant firefighting
- Work flowed cleanly across four teams instead of one overloaded group
From Fragile to Safe
- Hotfixes dropped sharply as changes became smaller and safer
- Feature flags and observability made production a controlled learning space
- Issues were caught upstream instead of recovered from downstream
From Stress to Confidence
- Short feedback loops calmed delivery and reduced pressure on engineers
- Developers felt trusted, in control, and able to improve the system
- Teams went from burnout to ownership and steady, predictable flow
From Bottleneck to Business Partner
- Product decisions sped up because delivery became reliable
- Engineering shifted from a perceived risk to a trusted partner
- Momentum returned across the organisation
Reflections
Modernising delivery isn’t just about better tech – it’s about shifting how teams feel and how businesses trust.
By embedding as a fractional leader, I helped this team move from reactive chaos to confident flow – and when they no longer needed me, I knew the work had stuck.
Stuck in firefighting or struggling to ship predictably?
Let’s get delivery flowing again so your teams can move fast with confidence.
Book a 20-minute discovery call