You bring one thing keeping you up.
Architecture that won't scale, an AI bet you can't undo, a first senior engineering hire, a vendor that's failing, a migration that's stuck.
Stuck on a technical decision you can't afford to get wrong?
Bring it to two senior CTOs who've already made the same call. A live session, straight talk.
In medicine, Grand Rounds is where difficult cases get reviewed by a panel of specialists. This is the same thing, for technology.
One case. Two vetted CTOs. A direction you can act on.
Architecture that won't scale, an AI bet you can't undo, a first senior engineering hire, a vendor that's failing, a migration that's stuck.
They ask the questions you didn't think to ask yourself, challenge what you've taken for granted, and share how they solved the same thing before, leaving you with a clear direction you can act on.
A short written summary of what the panel found, what they disagreed on, and what they recommend you do next. Clear enough to act on.
When founders bring a case, we don't hand them a generalist. We take a look at their domain and choose the two or three people who have been there:
Not résumés. The decisions, scars and turning points behind them,
so you know
exactly who's reviewing your case.
Fractional CTO/CIO & Board Adviser — AI Governance & Technology Strategy
Neil began writing code for the nuclear industry three decades ago and has since held CTO, Chief Architect, and Director roles at BT, Wipro, Fujitsu, Sopra Steria, and Capita - spanning a £1.5bn digital transformation and a landmark Google data partnership at BT, a $1bn health infrastructure programme serving 400 million people across 11 medical cities and 6,500 remote clinics at Wipro, and a five-year strategic roadmap for UK Government Home Affairs at Fujitsu.
Full experience
Fractional CTO — technology strategy, delivery recovery and engineering leadership
Jerome MacGillivray has spent more than twenty-five years leading global technology teams and delivering digital platforms across regulated, customer-facing and operationally complex environments. His experience spans fintech, retail, travel, cybersecurity, robotics and AI, with roles covering CTO leadership, engineering scale-up, vendor management, platform delivery and technical recovery. He works with founders, boards and leadership teams to make technology decisions clearer, delivery more predictable, and engineering more closely aligned with business priorities.
Full experience
Fractional CTO/CIO — Health & Care, Government, Commercial | ex-NHS, ex-InHealth
With a career spanning founding and co-founding technology businesses, consultancy, interim executive, and non-executive board roles across the NHS, government, charity, and commercial sectors, Andrew has spent close to four decades helping organisations use information and technology to drive meaningful change.
Full experience
Applied AI Adviser — Oxford DPhil, ex-J.P. Morgan, UBS, Citi
Berkan has worked on AI in high-stakes settings since 2009, starting with an Oxford DPhil in AI and Medical Informatics, where he built clinical decision support systems that predicted patient outcomes and recommended treatment, published in leading medical and interdisciplinary journals. He has published on AI continuously since, most recently on the evaluation of retrieval-augmented LLMs in clinical use, and writes for industry on AI transformation and clinical AI.
Full experience
Fractional CTO & Board Adviser — Applied AI, WealthTech and High-Performance Teams in Regulated Markets
Neil Taggart has spent his career leading technology and product functions across financial services, wealth management and, more recently, applied AI. His experience includes two CTO roles in regulated financial markets, nearly nine years leading technology for a global strategy-execution consultancy through its acquisition by a Fortune 1000 firm, and building the technology function for a Family Office wealth management business, alongside hands-on AI coaching and product work with Tribe AI and Anthropic.
Full experience
Fractional CTO/CIO & Board Adviser — Enterprise Modernization, Security & Compliance and Large-Scale Operations in Regulated Industries
Amer Murad has spent 27+ years leading technology, product and operations functions across healthcare, human capital management, education, telecom and banking. His experience includes CTO and CIO roles spanning organizations from a 300-person SaaS communications platform to a 10,000-employee not-for-profit healthcare provider, 16 years at Ceridian leading product development, technology innovation and DevOps for global HCM and payroll platforms, and building a compliance and governance function from scratch for a 45-year-old software company through its growth by acquisition. He is TOGAF 9 certified in enterprise architecture.
Full experience
Fractional CTO — Precision Biology, Drug Discovery & Translational Science in Regulated Industries
Elad Katz has spent over two decades working at the intersection of deep biological science and commercial reality, leading translational research and venture creation across oncology, kidney, liver, cardiac, bone and women's health. His experience spans founding and leading Navigate Precision Biology, where he built the NaviPlate organoid platform from academic concept through customer discovery to commercial validation, alongside senior scientific and R&D leadership roles at Sartorius Stedim BioOutsource, amsbio, and the Universities of Edinburgh, Manchester and Pennsylvania. He holds a PhD in Immunology from the University of Glasgow and a BSc in Chemistry and Physics from the Hebrew University of Jerusalem.
Full experience
Fractional CTO / Co-Founder — ex-TransUnion
Carlos spent 14 years inside TransUnion, moving from software developer to DevOps engineer to Product Owner, learning exactly how large financial institutions think, what slows them down, and where the cracks are. Then he left to help founders build things faster than those institutions ever could.
Full experience
It's like a hackathon for your real business problems. You bring your challenges and bright minds work on them - with no obligation, no pressure. I walked away with perspectives on investors, encryption solutions, and a connection that could directly benefit my product. Honestly, why rely on one mind, when you can have many?
It was an incredibly welcoming space to connect with senior technical minds I wouldn't normally have access to as a non-technical founder. A fantastic opportunity to get real, honest answers to the challenges I was facing - and to walk away with meaningful connections who continue to support me.
CTO Grand Rounds was the best event by far. This is where the founder world and the tech world actually merge, with real introductions instead of leaving people to stay siloed. I was deep in a conversation about cybersecurity and feedback loops - practical advice I could act on immediately.
What I valued most was the mix of CTO styles at the table - some all-in on AI, others more measured. As a founder, you don't want someone else's answer, you want enough perspectives to make your own call. I walked away with two strong contacts - people who hit the mark on build support, strategic fit, and investor credibility. The relaxed format made room for real technical conversation, not just quick decisions. Worth coming back for.
David came to Grand Rounds with two open questions he wanted pressure-tested before taking them to investors: how Euryan should handle LLM and cloud strategy across different client environments, and whether the core product wedge, dynamic FMEA/8D automation, was the right foundation to build the rest of the roadmap on.
I was surprised by the seniority of the CTOs and the breadth of scope of discussion, with great debate around both technical, architectural topics, as well as business planning for future funding rounds.
I find open networking of limited value, but this format has opened my eyes to a potential route that helps Euryan's validation in the future. I am already connecting with both Neil and Edoardo to discover future opportunities to collaborate.
Susie came to Grand Rounds with two questions she wanted pressure-tested before LinkEDtohome moved beyond its first school: how to scale the team and technology without building too far ahead of real demand, and what needed to be in place around AI liability, training and governance before broader adoption.
The most useful part for me was how well matched Neil and Jerome were to our business. Their experience meant they already understood many of the complexities of working within education and safeguarding, so we didn't have to spend the session explaining the world LinkEDtohome operates in.
The session definitely made us think more carefully about scalability, both in terms of how we grow the team around LinkEDtohome and what the technology itself needs to cope with as we grow. We've already started looking at what that means practically for the next stage of the business.
Alex came to CTO Grand Rounds with several important technical decisions already being actively worked through. One question from the panel reframed the discussion: “How will you know that the result is actually good?” It sharpened the conversation around how those decisions should be sequenced and prioritised.
The session helped us sharpen how we think about the sequencing of some important technical decisions. Having our assumptions challenged in the context of the actual product was particularly useful and gave us a clearer framework for prioritising the work ahead.
Two cases per session, selected for quality and relevance. Tell us about your technical problem — we'll confirm within a few days.
Book 20 minutes with Jane, who runs Grand Rounds.
Tell her what you're wrestling with, and she'll line up the two CTOs who've solved it before.
If it's not a fit, she'll tell you straight and point you somewhere better.
Pick a time