The team
Founded in 2018, we are a team of 30 value and access experts with deep experience across a wide range of therapy areas and product challenges. Based in London, UK, we have a global reach and are supported by a broad network of payer and clinician stakeholders spanning over 50 countries.

We are trusted by many of the world’s top 20 pharma companies and provide support to medtech, biotech, and SMEs alike. Meet our team and discover how our insights and expertise can help drive patient access for your health technologies.
Sami Agush
Principal Consultant
Sami holds an MSc in International Health Management from Imperial College Business School and a BSc in Biomedical Science from Kings College London. He was the winner of the Harvard M&A Simulation competition for Best Acquisition during his masters studies.
Sami brings over nine years of experience in market access strategy across pharmaceutical, MedTech, and digital health innovations spanning Europe, North America, APAC, and MENA regions. His expertise encompasses developing payer value propositions, evidence generation strategies, and HTA submissions across diverse therapeutic areas including obesity, diabetes, CKD, immunology and rare diseases.
Sami has led and supported over 50 projects, ranging from Phase III evidence generation strategies to rare disease price testing and global international market access initiatives. His experience includes extensive primary research with payers, KOLs, and patient representatives. Prior to consulting, Sami gained valuable policy experience at ABHI (Association of British HealthTech Industries), where he managed cross-industry policy groups and developed deep expertise in the NHS environment and integrated care systems.
Sami is fluent in multiple languages (Bulgarian, German, and English) and has co-authored publications on rare disease and market access across the Maghreb region. He is a trained facilitator of the NICE META (MedTech Early Technical Assessment) Tool process.

“I’m passionate about helping companies unlock the full value of their healthcare assets and ensuring patients have access to life-changing innovations.”

Nick Stringfellow
Consultant

Nick’s educational background comprises of a BSC in Biology and a Biotechnology and Enterprise MSc, both awarded at the University of Manchester. During his bachelor’s, Nick gained lab experience while investigating the effects of the parasite Trichuris muris on intestinal myofibroblast activation using fluorescent microscopy. His Masters research focussed on a bioinformatic analysis of Single Nucleotide Polymorphisms within human YKL-40 gene and how these may contribute to disease conditions through alteration of the protein’s tertiary structure. This gave Nick an appreciation of the importance of both laboratory and desk-based research in uncovering scientific breakthroughs.

His Masters also had a heavy focus on the commercial aspects of the life sciences industry in the form of a business project with the aim of bringing a novel electronic biosensor to market. Everything from product design, clinical trial requirements, regulatory processes, market selection and product launch had to be reported on, culminating in a final business pitch. Nick found the process to be highly stimulating and this led him to pursue a career in market access.

“I am passionate about working at the forefront of scientific breakthroughs and am excited to see the impact I can have on the commercialisation of new medicines. I believe I will find it rewarding both intellectually but also morally, knowing that I was able to contribute to the medical access of some of the most neglected diseases.”

Ethan Shum
Senior Analyst

Ethan holds an MSc in MedTech Innovation & Entrepreneurship from King’s College London and a BSc in Infection and Immunity from University College London. His academic background uniquely positions him with a solid foundation in both scientific research and business. At UCL, he gained experience in clinical research, investigating the impact of immune responses in HIV-positive and negative individuals post-vaccination against SARS-CoV-2, and co-authored a scientific paper published in iScience Cell Press. Driven by his passion for understanding disease, innovative technologies, and helping people, Ethan co-founded a diabetes MedTech start-up during his MSc. The start-up focused on developing a novel medical device for Lipohypertrophy in Type-1 Diabetics. Here, he gained firsthand experience in the intricacies of running a business, leading market research, forging strategic partnerships, and understanding the importance of working with key stakeholders to understand their unmet needs. He also navigated regulatory processes and honed his public speaking skills through numerous pitches to demonstrate the commercial viability of the device.

“I thoroughly enjoyed the dynamic nature of start-up life and am dedicated to improving patients’ quality of life through innovative medicines and health technologies. I believe market access will allow me to bring a unique perspective from my experiences in clinical research and co-founding a startup to continue making a meaningful impact.”

Stuart Hurst
Executive Advisor (Launch Excellence)

Stuart has over thirty years’ experience in the pharmaceutical industry. During this time, he has worked across sales, marketing, public affairs and market access. Stuart started his pharmaceutical career with Servier before moving to Astra and then joining Pfizer UK in 1997.

Stuart had a number of roles at Pfizer, starting in Sales Management before setting up the Market Access team, one of the first in the UK at the time. Stuart then moved to Pfizer’s Government Affairs team in Brussels, before joining Eli Lilly as Head of European Public Affairs. There he was responsible for a cross-functional team covering Government Affairs, Communications, Policy Development, Patient Advocacy and Corporate Responsibility.

Stuart then moved into rare disease, firstly with Synageva as VP, European Market Access & Government Affairs, where he took an ultra-orphan medicine from phase III results to being ready for pricing & reimbursement submission in all major markets in nine months. He then joined Akcea as Head of Global Market Access, Pricing and Reimbursement and established the function at global and country level, prior to the launch of an ultra-orphan medicine in mid-2019.

Stuart now works as an independent advisor, supporting biotech companies looking to commercialise medicines for rare diseases internationally. His work includes commercial strategy & sequencing, global market access capacity and competency development and market access due diligence. Most recently, Stuart spent three years as a senior advisor for the public affairs firm Rud Pedersen, where he helped establish their EU healthcare team.

Chris Teale
Executive Advisor (Rare Diseases and Advanced Therapies)

Chris brings with him 25+ years practical and academic experience within the pharmaceutical industry, across both Marketing and R&D having been Director of Global Pricing and Market Access (Oncology) at Astra Zeneca, Director Health Economics, Pricing, Reimbursement and Access at Allergan, Commercial Planning Manager at Fisons, and Portfolio Planning Manager at Novartis in Switzerland.

For the past 10 years he worked in Consultancy (Bridgehead International, GfK, and Ipsos) and in 2023 founded TealeHealth Ltd, a consultancy providing expert Advisory, Access, and Analytic support on Advanced Personalised Therapies.

Chris brings significant experience of identifying and overcoming hurdles along the whole value chain – clinical development, manufacturing, distribution, regulatory assessment, health technology assessment, market access, pricing, marketing, and product uptake. He specialises in helping companies understand the value and sustainability of their differentiation relative to the competition and the evidence requirements to underpin this.

Chris has a mathematics and operational research background having studied at Newcastle and Loughborough universities, and at INSEAD Business School in France. He is an occasional lecturer on health economics and pharmaceutical pricing and reimbursement at Kings College London and University of California (San Diego), a member of ISPOR (International Society for Pharmacoeconomics and Outcomes Research) and PMSA (Pharmaceutical Management Science Association).

Rosemarie Delaney
Executive Advisor (Value & Access)

Dr Rosemarie (Rosie) Delaney is an accomplished Market Access and Pricing leader with over 25 years of experience across pharmaceuticals, biotech, vaccines and medical devices. She brings deep expertise in global market access strategy, pricing and reimbursement, international reference pricing (IRP), value development and health technology assessment (HTA), supporting companies navigating increasingly complex global pricing and policy environments.

Rosie offers a rare combination of senior in-house leadership experience within global pharmaceutical organisations, and independent consulting expertise, enabling her to advise clients with a strong understanding of both corporate decision-making and practical execution.

Her most senior leadership role was at Indivior UK, where she led European and Canadian Access and Pricing strategies for treatments in Opioid Use Disorder. She has also held senior Market Access roles at Bristol-Myers Squibb (Cardiovascular Europe) and Sanofi Pasteur MSD (Vaccines, UK), underpinned by a strong commercial background from her earlier career in marketing and leadership roles at Servier Laboratories Ltd and Pall Medical. This blend of commercial and access experience gives Rosie a broad perspective on value, pricing, and access strategy. She began her career in academia, as a Lecturer in Clinical Pharmacology giving her a strong scientific foundation and a rigorous, evidence-based approach to strategy development.

Alongside her industry career, Rosie has extensive consultancy experience, providing fractional and project-based support to pharmaceutical and biotech companies including Pfizer, Norgine and Eisai EMEA, across multiple therapeutic areas, including Oncology, Atrial Fibrillation, Iron Deficiency Anaemia & Asthma.

In recent consulting engagements, Rosie has supported biotech clients on projects in Oncology and Anti-microbial Resistance, with her most recent work focused on evaluating the ex-US implications of emerging Most Favoured Nation (MFN) pricing policies, including international reference pricing exposure and launch sequencing risk.

Through Delaney Pharmaceutical Consulting (DPC) Ltd, Rosie partners with organisations seeking experienced strategic support, helping teams define value, assess policy risk and make informed global access and pricing decisions.

Maria Rizzo
Executive Advisor (JCA and Evidence Synthesis)
Maria Rizzo has more than 18 years of experience in evidence synthesis and HTA strategy, supporting pharmaceutical and biotechnology companies across global evidence generation and reimbursement programmes.
Throughout her career, Maria has led over 100 evidence synthesis projects spanning systematic literature reviews, network meta-analyses, indirect treatment comparisons, and global HTA evidence packages. She has completed more than 40 ITC feasibility assessments, supporting evidence strategies across oncology, rare diseases, haematology, immunology and other therapeutic areas.
Maria has held senior leadership positions within global consulting organisations, including Evidera, Cencora, Cytel, and GIPAM. She has built and led evidence synthesis teams, directed complex global HTA programmes, and developed evidence generation strategies aligned with the requirements of NICE, the EU JCA, and other global HTA agencies.
Most recently, Maria has supported complex evidence generation programmes for the EU JCA, including systematic literature review packages in rare diseases involving novel treatment pathways. She has extensive experience designing evidence strategies that align with evolving HTA requirements, helping ensure evidence generation programmes remain clinically relevant, methodologically robust, and fit for future HTA assessment. This includes developing pragmatic approaches to evidence generation that incorporate multiple evidence sources when needed to address complex decision problems.

Built on values that continue to guide us today, our principles form the foundation of everything we do. They shape our culture, inform our decisions and behaviours, and support us every day as we work to achieve our mission.

Our values

We empower our
team to thrive

 

Motivating | Inclusive | Knowledgeable

 

We support our team to grow, both professionally and personally, with a strong emphasis on maintaining a healthy work-life balance. We genuinely appreciate every individual team member, and aim to inspire a sense of purpose in all their work.

We care

 

 

Committed | Inspired | Understanding

 

We are committed to supporting the life sciences sector, to improve patient care in areas of unmet need. We extend our values and aspirations to our clients, so that together, we understand and appreciate the needs of the patients who benefit from our research.

We achieve things that
we are proud of

 

Collaborative | Experienced  Courageous

 

We empower clients our with technology and support them with our expertise. As a trusted partner, we act with uncompromising integrity and dedication, and can be relied upon to deliver high quality insights and informed advice.

We have fun

 

 

Friendly | Supportive | Vibrant

 

We nurture an environment where we encourage, appreciate and take care of each other; because fun happens when people are trusted. We are selective when finding new people to join us, to ensure we maintain the welcoming and inclusive culture.