The shape of the work,
without the spin.

Appointments, diagnostics and billing each lived in separate systems bought at different times. Assembling a single patient history meant three logins and a phone call, and nobody could prove who had viewed a record.

• →Mapped every system, export and manual handoff currently keeping the sites in sync
• →Designed a canonical patient record with consent captured as structured data rather than a checkbox
• →Built integration adapters per source system so the clinics could keep the software their staff already knew
• →Added an immutable access log covering every read and write against a patient record

• ✓Unified patient record service with a role-based clinician interface
• ✓Integration layer with reconciliation and exception queues for each source system
• ✓Consent lifecycle covering capture, purpose, expiry and withdrawal
• ✓Audit trail and access reporting suitable for a DPDP Act review

Gateway settlements, bank statements and the internal ledger disagreed every month. The finance team spent the first week of each month in spreadsheets identifying which of three numbers was correct.

• →Rebuilt the internal ledger on double-entry principles with an append-only transaction log
• →Wrote ingestion for each settlement and statement format, with schema tests that fail loudly on change
• →Implemented matching rules with a review queue for anything the rules could not resolve confidently
• →Exposed a live exception dashboard so breaks are visible the day they occur, not at month end

• ✓Append-only ledger service with full transaction genealogy
• ✓Automated ingestion and matching across gateway, bank and internal sources
• ✓Exception queue with assignment, notes and resolution history
• ✓Daily reconciliation dashboard and month-end reporting pack

A storefront on ageing infrastructure was slow on mobile, impossible for the marketing team to update without a developer, and losing ground on the category pages that produced most of its organic traffic.

• →Audited traffic, rankings and conversion first, so the rebuild protected the pages already earning
• →Mapped every existing URL to its replacement before design work started
• →Rebuilt on a headless storefront with the category and product templates the catalogue actually needed
• →Moved content editing into a CMS the marketing team operates without engineering involvement

• ✓Headless storefront with a documented component library
• ✓Complete redirect map and structured data across category and product templates
• ✓CMS-driven landing pages for campaign and seasonal traffic
• ✓Search Console, analytics and Core Web Vitals monitoring configured at launch

Field staff worked in areas with unreliable data. The existing cloud-only app failed whenever the signal dropped, so teams fell back to paper and the office rekeyed everything the following morning.

• →Rebuilt the app local-first, treating the device as the source of truth until synchronisation succeeds
• →Designed an explicit conflict-resolution model instead of last-write-wins
• →Captured proof of delivery with timestamp and location at the point of work
• →Tested against a real device matrix reflecting the handsets the workforce actually carries

• ✓Cross-platform app with queued writes and deterministic synchronisation
• ✓Conflict resolution with a supervisor review path for genuine clashes
• ✓Proof-of-delivery capture attached automatically to the shipment record
• ✓Automated device-matrix test suite running on every release

A growing platform ran on manually configured servers nobody wanted to touch. Deployments happened at night, the environments had drifted apart, and the monthly cloud bill had never been reviewed by anyone.

• →Defined the entire target environment in Terraform before moving a single workload
• →Built the deployment pipeline and proved it in staging ahead of any production change
• →Migrated in waves, each with a rehearsed cutover and a tested rollback
• →Established a monthly cost review naming what changed and why

• ✓Infrastructure defined in code and reproducible from scratch in any region
• ✓CI/CD pipeline with automated tests, security scanning and staged rollout
• ✓Observability stack with alerting tied to service-level objectives
• ✓Disaster recovery plan with a restore tested rather than documented

Paid and organic were managed separately and reported different numbers. Ad platforms optimised toward form fills that the sales team routinely discarded, so spend grew while qualified pipeline did not.

• →Rebuilt measurement first: server-side tracking with qualified-lead status imported back from the CRM
• →Consolidated keyword targeting so paid and organic stopped competing for the same queries
• →Fixed the technical and content issues suppressing the service pages with real commercial intent
• →Established one dashboard both channels are reviewed against monthly

• ✓Server-side conversion tracking with CRM-qualified outcomes fed back to ad platforms
• ✓Keyword-to-page map removing cannibalisation across the site
• ✓Rebuilt service and landing pages with structured data and internal linking
• ✓Shared reporting dashboard covering spend, pipeline and cost per qualified lead