The Delivery Cell
A model for safety-critical clinical programmes.
Complex clinical programmes fail when visibility, responsibility, and support fall out of alignment. The Delivery Cell is how Inference Clinical keeps them together.
Autonomy for delivery teams, within agreed boundaries
Shared orientation without interference or redirection
Business functions that activate around delivery, not inside it
Structure
What a delivery cell is
A delivery cell is a small, accountable unit responsible for a clearly bounded piece of clinical, governance, or platform work. Each cell has explicit scope, clear clinical responsibility, and known safety and governance constraints.
Cells own execution. They decide how work is done, within agreed boundaries. Responsibility is never implicit. It is always owned.
In insured and multi-provider contexts, this clarity is essential. It enables traceable responsibility, contained risk, and progress without dilution of accountability.
Visibility
Situational Review
Situational Review provides shared visibility across delivery, without interfering in execution or redirecting work mid-flight. It is not a steering group, a checkpoint, or a decision-making forum.
It exists to maintain shared orientation, surface emerging pressure early, and anticipate upcoming change. No scope is altered. No priorities are reset. No delivery authority is overridden.
Situational Review maintains alignment without destabilising delivery.
For insurers, delivery rarely fails in one obvious place. It fails in the spaces between: authorisation and care, digital and physical delivery, private and NHS handover, monitoring signal and clinical action. Situational Review makes these pressures visible early.
For insurers, this provides early visibility without assuming operational control or delivery liability.
Support
Business support activation
Business support functions do not sit inside delivery cells. They remain situationally aligned through regular review.
This allows:
People and capability teams to prepare resourcing
Training to activate ahead of adoption risk
Communications to align expectations early
Operational teams to anticipate downstream clinical and commercial impact
Support becomes ready, not reactive. It does not direct delivery or expand scope.
Rhythms
Clinical delivery rhythms
Modern delivery requires rhythm. In clinical environments, the language and intent of those rhythms matter. Inference Clinical retains the discipline of modern delivery but adapts its practices to clinical and insurer contexts.
Evidence Review
In safety-critical delivery, confidence cannot be narrated. It must be demonstrated.
Technical demonstrations often show that a feature exists, that a system runs, that an interface responds. They rarely show how the system behaves under real-world conditions, how safety constraints hold when data is incomplete, or how responsibility is traced when something goes wrong.
Evidence Reviews focus on observable system behaviour: what the system actually did with real data, how it behaved under uncertainty or partial failure, where decisions were taken and where they were deliberately not taken, what artefacts exist to support safety and traceability.
This shifts discussion from opinion to shared evidence. Everyone is looking at the same reality. This is how delivery remains aligned to safety and functional intent, even as technical capability evolves.
Clinical Retrospective
Held within delivery cells. Focused on system learning, not individual performance. Which assumptions held, where friction emerged, what failed safely, and what should be adapted next.
Readiness Check
Before any increase in visibility, usage, or responsibility. Confirms scope boundaries hold, safety controls remain valid, responsibility is explicit, fallback paths are intact.
Situational Review
Shared orientation across cells. Surfaces pressure, anticipates change, activates support. Does not alter scope or override delivery authority.
Execution with accountability
The Delivery Cell: execution with accountability, visibility without interference, support that stays ready.