Property development, NHS clinical governance, refeeding syndrome awareness, medical education, regeneration, evidence based medicine. While most developers are in a room today discussing funding structures, planning constraints, CIL liabilities and title deed complexities for seven-figure projects, I am walking into a medical ward to teach a brand new intake of junior doctors the dangerous mistakes we keep seeing repeated, because duty sometimes matters more than deal flow. Today is Developers Club day, and ordinarily I would be sitting with high net worth investors and property developers dissecting viability appraisals and exit strategies, yet the new cohort of junior doctors are starting their medical placements and I have always held a teaching session on what not to do on the ward, particularly the blind spots that quietly harm patients. One of the biggest barriers I have had to break within the Trust is the lack of awareness around refeeding risks in vulnerable patients, which some dismiss as a myth and others assume only applies when BMI is 14, and after pushing through resistance, dragging the conversation brick by brick into mainstream teaching, and ensuring even my own clinical pharmacy team attended lectures and understood the biochemical and cardiac implications, we have now written the first Trust guideline on the subject. So the question I asked myself this morning was simple. Do I sit in a room discussing million-pound property funding, or do I stand in front of the next generation of doctors who will one day prescribe for you and me when we are no longer in a position to challenge unsafe decisions? Whether in property or medicine, I build by breaking through brick walls of ignorance and relaying stronger foundations, be that higher EPC sustainable homes or better evidence-based clinical practice, because lived experience and pattern recognition prevent costly mistakes far more effectively than theory alone. If this resonates with you as a leader balancing commercial growth with responsibility, connect with me, follow for more insights across property and healthcare, and comment with your view on where you would choose to spend your time today. If you want to understand how we build ethically sustainable projects or influence systems from within, send me a direct message.

Posted by Per & Lily at 2026-03-04 06:54:16 UTC