CTO Consulting and IT Strategy for One Consequential Decision
Technology and IT strategy consulting for one business commitment: a CTO from the Grand Rounds network tests the options for a consequential decision and orders the dependencies around it.
Our network includes CTOs, engineering leaders,
and technical advisers with experience at and around companies such as:
Signs a decision needs a CTO strategy review
A strategy review is relevant when an existing digital or technology product has a concrete next milestone the team cannot resolve alone.
An enterprise rollout
A customer rollout is the next milestone, and you need to know which buyer gaps block the commitment.
A supplier or build/buy choice
You must find the option that preserves useful work at an acceptable whole-route cost.
An architecture constraint
The team cannot resolve a limit alone and needs to know what it blocks.
A leadership transition
A transition is coming, and you need to see which decisions lose an owner.
What a strategy review can produce for you
It starts from one decision and one milestone; agree the decision and usable outputs before starting.
01
Dependency-ordered gaps
For a rollout: the buyer gaps that block the commitment, in dependency order, with next-evidence owners.
02
A costed recommendation
For a supplier or build/buy choice: a recommendation with cost, rights and exit conditions.
03
Options and a trigger
For an architecture constraint: the options, and the evidence that would change the choice.
04
An ownership map
For a leadership transition: which decisions lose an owner. Ongoing coverage needs a leadership mandate.
05
A decision memo
Why the recommendation fits, what evidence could overturn it and which commitments still need authorization.
06
A roadmap with named owners
Work ready to execute, separated from choices that still depend on evidence, with an owner for each decision.
Your leaders decide, your team implements
Your authorized leaders decide; your team or selected provider implements.
1
The network CTO
Tests the options for one consequential decision and orders the dependencies around it, under a bounded advisory scope.
2
Your sponsor
The founder or CEO sponsors the work, authorizes its budget and authorizes the decision.
3
Your reviewers
Your CTO or engineering lead tests the technical reasoning; product checks customer and roadmap consequences; finance evaluates resource commitments.
4
Implementation and specialist acceptance
Your team or selected provider implements under a separate mandate. Security and legal acceptance stay with the qualified reviewers responsible for them.
One consequential decision
Network CTO
Your sponsor
Your reviewers
Build & specialists
From one decision to a scoped strategy review
01
Write a one-page record
The choice, its milestone, today's workaround, the credible alternatives, what you know and what you still need.
02
Ask the curator
Use the record internally first. If senior challenge would help, ask the curator about a CTO strategy review.
03
Agree a bounded scope
Establish relevant experience and whether a bounded advisory scope can be agreed; then confirm timing, price and participation.
04
Set the ground rules
Agree access, confidentiality, conflicts, output reviewers and handover before commissioning the work.
05
Decide, then implement
Your sponsor authorizes the decision. Implementation needs its own mandate with your team or selected provider.
Bring us your case
If senior challenge would help, ask the Grand Rounds curator about a CTO strategy review. The next step is to establish relevant experience and whether a bounded advisory scope can be agreed.
Illustrative example · a fictional product company
Example: three teams compete for one release window
Told in three steps: the situation, the questions to settle first and what to take from it.
1The situation
One release window, three requests: sales wants a customer integration, engineering wants to resolve a data-model limitation, and product wants self-service onboarding.
One release window
Customer integration
Data-model limitation
Self-service onboarding
Who gets the capacity?
2What the strategy review asks
Does onboarding depend on the data-model change?
Does the integration serve a separate committed buyer?
Who authorizes the release-capacity trade-off?
3What to take from it
If onboarding depends on the data-model change, resolve that dependency before promising its date. The sponsor authorizes the release-capacity trade-off.
What we believe
We work best with founders who believe in what they are building
Every founder brings a different challenge. What stays the same is how we approach it.
David CarrollFounder of EuryanDavid 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.
Susie WilliamsFounder of LinkEDtohomeSusie 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.
Alexander GorrieFounderAlex 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.
Tomas JankauskasFounder of Neural DEEPTomas came to Grand Rounds with a question he'd been wrestling with while bringing AI-driven innovation into Toyota: which ideas to pursue, and how much to build before anything was approved, in an organisation where every new idea needs to pass through many hands.
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Products with a purpose
Technology that delivers a real outcome for people, not technology for its own sake.
Energy and enthusiasm
Founders and teams with the passion and drive to address a problem they have seen for themselves.
The story before the numbers
The first question is what you are trying to do and why: what you saw and why you started.
Listening more than talking
Nobody walks in to say “I know better.” We ask what drives a decision and what has not been considered, then work through the options together.
Understanding before fixing
First the people, the business and the why, and what has and has not worked, so the first problem found does not start constant firefighting.
Experience, not just knowledge
Modern and AI tools assist. Architecture, security, recovery and user experience still need people who have built and run real systems.
CTOs in the network, strategy experience first
CTOs whose own profiles name this field come first. Open a profile to read its attributed experience.
40+ yearsof experience
Andrew Frith
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.
Brisbane, AustraliaUK & AustraliaDigital transformationHealth & care sectorBoard advisory (NED/Interim)
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.
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.
Hamilton, Ontario, CanadaEnterprise technology & data modernizationSecurity, risk & compliance (SOC 2, GDPR, HIPAA)Large-scale program & operations leadership
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.
Gloucester, UKPlatform recoveryProduct and engineering strategyVendor and technical due diligence
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.
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.
London, UKApplied AI & enterprise adoptionWealthTech & family office technologyHigh-performance team coaching
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.
Greater Dundee Area, UKPrecision medicine & drug discoveryOrganoid biology, disease modelling & assay developmentCommercial translation for biotech & pharma
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.
CanadaAI agentsFintech & creditEarly-stage MVPsFull-stack architectureStartup to enterprise
Gabriel began his career as a technical systems analyst and test engineer in the Israeli Air Force, reaching the rank of Major and taking part in several satellite launches, before leading system engineering and testing on large multidisciplinary programmes at Israel Aerospace Industries. He went on to senior system engineering and technical product roles at Orbotech and OSR Enterprises, then moved into regulated medical devices in Sydney as Technology Development Lead at Nanosonics and Principal Engineer for robotics and automation across Cochlear's global manufacturing operations.
Sydney, AustraliaScale-ups, pivots & health servicesMedical devices, AI, robotics, aerospaceSingle-owner projects to 400-person global teams
Fractional CTO & AI Engineer — AI for High-Compliance B2B SaaS
Márton began his career in research, completing a PhD in computer systems and networking at the Budapest University of Technology and Economics, with a research internship at Deutsche Telekom's T-Labs in Berlin, followed by four years as a postdoctoral research fellow at the Hungarian Academy of Sciences, where he published peer-reviewed research in neuroscience and distributed systems. He moved to Berlin to join KILT Protocol as Research Lead, Product Owner and Full Stack Developer, designing its self-sovereign digital identity protocol and token economics, authoring its white paper, and leading delivery from research through to mainnet, including a Deloitte-partnered KYC integration.
Ryan is an electrical and electronic engineer who began his career as a semiconductor market analyst at IMS Research, later IHS, where over a decade he built one of the industry’s leading wireless-power research practices and led international analyst teams to around 64% year-on-year revenue growth. He has worked with Aircharge for eleven years, progressing from commercial development to CTO and Managing Director, and now serves on its board as a Non-Executive Director. There he helped lead the evolution of a wireless-charging hardware business into an international physical-digital platform spanning hardware, SaaS, IoT and data, deployed across 4,500+ venues in 45+ countries with major global hospitality, QSR and technology brands.
London Area, United KingdomFounders, CEOs & leadership teamsConnected hardware, IoT, SaaS/data & AI-enabled productsProduct launch to international scale
Reon began his career as an electronic engineer at TEGEMA, a high-tech engineering company in the Eindhoven Brainport region, designing electronics and electrical systems for machines and products in semiconductor, life science and automotive markets, including his first medical products.
Fractional CTO — Scientific Computing, AI & Data for Life Sciences
Arno is a mathematician who has spent more than 25 years building software that applies algorithms and machine learning to life science questions, long before “AI” became the word for it. He joined Definiens as a software developer in 1998 and spent over two decades there, progressing through Director of Platform Development, Chief Architect, VP Product Development and VP & Chief Architect to VP Product & Innovation at Definiens, The Tissue Phenomics Company. Along the way he took the company’s image analysis technology from an early prototype to its core product, was responsible for that product for many years, and later brought up and matured new products and technologies in digital and computational pathology. Since 2020 he has been CTO of Noselab, a Munich biotech company, where he built the entire digital side of the business, from software and IT to data, along with the team behind it, working hands-on throughout. He is a named inventor on multiple patents in image analysis, has co-authored publications on tissue phenomics and cancer research, and serves as a panel CTO with CTO Grand Rounds. He holds a Diplom in Mathematics from Ludwig-Maximilians-Universität München.
Munich Area, GermanyBiotech, pharma & digital pathologyFrom research to productEarly prototype to early scaling
I've spent 12 years building partnerships between founders, technical teams, and the people
who fund them. Somewhere along the way I noticed the same pattern over and over:
brilliant fractional CTOs with real availability, and founders who had no idea they
existed, let alone how to reach them.
Grand Rounds is my answer to that gap. The name comes from medicine, when a case is hard,
doctors don't decide alone, they bring senior specialists around the table together.
I built the same thing for technology.
"People need people. Nothing else works."
I'm the one who listens to your problem, asks the questions you didn't think to ask
yourself, and figures out exactly which 2 or 3 people in my network have actually
lived through it before.
Jane has been working across the industry since 2014, connecting
startups, retailers, B2B companies, manufacturers, and expert teams around meaningful
partnership opportunities.
Her experience includes building bridges between companies and ecosystems, ready-made
technology solutions, manufacturing-focused initiatives, and sustainability-driven
projects. Over the years, she has helped create practical collaboration models between
businesses, technology providers, and industry experts.
For Jane, partnership strategy is not just part of the work - it is the DNA of her
professional experience. Her focus is on identifying where teams, platforms, products,
and industries can strengthen each other and turning those connections into real
opportunities.
What founders say after their Grand Rounds session
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?
Saif AlamCEO at Keepsta
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.
Audrey LeeFounder of Lumi
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.
Hélène Le RouxCEO at Trippin'
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.
Hew WilliamsFounder of Zeorb
What to write down before a strategy review
Write a one-page record and use it internally first.
01Decision
The choice the business must make
02Milestone
What the decision supports
03Current workaround
What you use today
04Credible alternatives
The options in play
05Evidence
What you know and still need
06Sponsor
Who authorizes the decision
07Reviewers and executor
Who accepts the analysis; who would execute
08Expected output
Decision memo and bounded roadmap
A scoped review needs a concrete decision, an existing team and a sponsor with authority.
FAQ
Questions before you commission a strategy review
CTO consulting here means technology and IT strategy consulting for one business commitment. A CTO from the Grand Rounds network, introduced through the curator, can test the options for a consequential decision and order the dependencies around it.
Agree whether the work should leave you with a decision memo and a roadmap with named owners. Use it for one enterprise rollout, supplier choice, architecture constraint or leadership transition. Any work beyond a Grand Rounds session needs its own scope and terms.
This is not an enterprise-wide IT strategy program covering many business units. It starts from one decision and one milestone; any wider work needs a new scope.
If your team already understands an isolated fix, commission that fix or a narrow specialist review. If it can make and execute the decision internally, external consulting may add little.
If the gap is day-to-day leadership, compare the roles described in fractional CTO for a part-time seat and interim CTO for temporary cover through a transition. Either needs its own mandate.
A useful roadmap distinguishes work ready to execute from choices that still depend on evidence. “Migrate in quarter two” conceals the decision if data portability, product constraints and receiving-team capacity remain unknown.
For each consequential item, record the business purpose, dependency, decision owner, executor, acceptance reviewer and next evidence needed. Mark ownership as proposed until it is accepted. Keep unknowns visible rather than turning them into optimistic dates.
In the fictional release example, the sponsor ends with a one-page decision memo listing which commitment, if any, waits on the data-model change and who authorizes the trade-off.
Its entries: the decision (which of integration, data-model work and onboarding receives the shared release capacity); the evidence (three requested priorities share one release window; the onboarding dependency still needs confirmation); the recommendation (have engineering establish the data-model dependency before committing the onboarding date); the competing commitment (if integration serves a separate committed buyer, the sponsor explicitly chooses its priority); proposed owners (engineering checks the dependency, product states onboarding requirements, the sponsor accepts the capacity trade-off); and when to reconsider (dependency evidence or the buyer commitment changes).
It records a conditional recommendation, not a delivered review or assigned mandate. The deliverable should let the sponsor explain why the recommendation fits, what evidence could overturn it and which commitments still need authorization.
Scope follows the decision and deadline, available architecture and dependency evidence, supplier contracts, credible alternatives, accepting reviewers and handover needs. An understood task can be estimated directly; a diagnostic addresses only material uncertainty. Confirm timing, price and participation after reviewing those inputs.
Agree access, confidentiality, conflicts, output reviewers and handover before commissioning the work.
For an existing system's evidence, use technology assessment; for a shortlist, use vendor selection. CTO consulting owns the business commitment and dependency order, not those narrower analyses.
Write the one-page record and use it internally first. If senior challenge would help, ask the Grand Rounds curator about a CTO strategy review. The next step is to establish relevant experience and whether a bounded advisory scope can be agreed.
A scoped review needs a concrete decision, an existing team and a sponsor with authority. Daily team leadership and implementation need separate mandates. Security and legal acceptance stay with the qualified reviewers responsible for them. Grand Rounds is an initiative of Dinarys, and a conversation may lead to cooperation with Dinarys.