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Resource · White paper

Health equity risk in clinical research: how to see patient recruitment failure before it happens

A structured framework for using lived-experience data to de-risk protocols. Free to download.

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Thought leadership

In-depth articles for clinical development leaders

The Frequency of Exclusion · Vol. 1
1,204
voices from underrepresented UK communities, on the record.
New · Report launch
The industry said trust. The data says design.
What 1,204 people from underrepresented UK communities told us about clinical research, healthcare avoidance, and what would change their minds about taking part.
Ashish Rishi · 20 May 2026 · 6 min read
Read the article →
Inclusion as Clinical Infrastructure
Clinical infrastructure
Inclusion as Clinical Infrastructure: How to Build a Data Layer That De-Risks Trial Design
16 min read
Using Lived-Experience Data
Protocol design
Using Lived-Experience Data to De-Risk Protocols Before You Lock the Design
14 min read
Portfolio-Level Inclusion
Portfolio strategy
Portfolio-Level Moves That Make Trials More Representative
12 min read
28 Apr
2026
Regulation
MHRA 2026: the regulatory revolution that changes everything for inclusivity and patient engagement
12 min read →
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02
1,200 people told us the truth. The industry won't like it.
Diversity and inclusion is becoming a dirty phrase. That is exactly why I won't stop saying it.
18 May 2026
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03
The comfortable framing is the expensive one
On why the wrong framing keeps winning, what conviction actually costs, and the first results from the field.
11 May 2026
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04
When the industry backs off, we lean forward
On third places, what the floor revealed, and why I lean forward when the industry backs off.
30 March 2026
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05
The conversation the industry keeps avoiding
On patient advisory boards, portfolio-level thinking, and the argument I am taking to Boston.
23 March 2026
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06
The window of opportunity is shorter than you think
On regulatory trajectories, why GDPR is actually an advantage, and what I am bringing to Boston.
16 March 2026
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07
The uncle that only comes for Christmas
On follow-through failures, algorithmic assumptions, and what a patient summit reminded me.
9 March 2026
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08
Your patient advisory board is not community engagement
Why the distinction matters and what real infrastructure looks like.
2 March 2026
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09
Health equity is not a communications problem
Why the industry has been solving the wrong problem for decades.
23 February 2026
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10
2,000 people joined our platform in 6 weeks. Here is what worked.
The honest account of what drove early traction and what we would do differently.
16 February 2026
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11
This week at Unwritten Health: data gaps, Europe, and what comes next
A look at where things stand and what the European opportunity looks like.
9 February 2026
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12
Chapter one of 2026 is complete. Now the real work begins.
What January taught us and why this moment in the market matters.
2 February 2026
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13
When community engagement becomes recruitment, everyone loses
The line between genuine engagement and extraction, and what to do instead.
26 January 2026
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14
Funding, lived experience, and the cost of accountability
On who pays for real community involvement and what changes that.
17 January 2026
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