Designing Better Systems. Enabling Better Decisions.
Independent strategic advisory and institutional design.
From understanding to design.
Our work is informed by Value Navigation Architecture, an original methodology developed to examine institutional misalignment, navigate competing rationales of value and design pathways towards more coherent decision-making and institutional change.
Diagnose misalignment
Identify where institutional assumptions, decision criteria and operational arrangements diverge from intended objectives.
Examine competing rationales of value
Explore how different definitions of value influence institutional priorities, judgements and decisions.
Design pathways to alignment
Develop frameworks and institutional arrangements that reconcile competing considerations and support more coherent decisions.
Embed change in institutional practice
Translate strategic and institutional design into workable processes, responsibilities and implementation arrangements.
Strategic expertise
for complex systems.
We combine strategic analysis, policy expertise and systems design to help organisations navigate complex decisions, challenge established approaches and develop more effective governance and delivery arrangements.
01
Institutional &
Decision Architecture
Examine how institutional rules, governance arrangements and decision-making processes shape outcomes, and design frameworks that strengthen coherence, accountability and institutional effectiveness.
02
Policy Strategy &
Systems Design
Navigate complex policy environments, examine systemic challenges and develop strategic approaches that connect policy objectives with institutional responsibilities and practical implementation.
03
Health Policy, Value &
Access
Address complex questions of value, evidence, uncertainty and access within healthcare systems, connecting strategic policy analysis with assessment, reimbursement and decision-making frameworks.
04
Equity, Capability &
Systems Change
Examine how institutional assumptions, decision criteria and established systems shape opportunity and participation, and design approaches that support more equitable and effective outcomes.
From complex questions to practical design.
Our work brings together strategic analysis, policy expertise and systems design to address challenges in governance, access and decision-making. These examples illustrate how we translate strategic questions into practical frameworks and approaches.
EUROPEAN POLICY & INSTITUTIONAL DESIGN
EU Rare Disease Policy & Delivery Framework
VALUE, ACCESS & POLICY DESIGN
Orphan Track Netherlands
GOVERNANCE & DECISION ARCHITECTURE
Governance Architecture for Orphan Medicine Access
Sophie H. Turner
A European health policy strategist and institutional designer whose work examines how definitions of value, governance arrangements and decision-making structures shape policy and practical outcomes.
As founder of Empowered By Us and developer of Value Navigation Architecture, she connects specialist policy expertise with interdisciplinary analysis and systems design to develop more effective approaches to complex challenges.
require more than
better intentions.
They require better
systems.