B-Glass
Tom Ashdown

Kingdon Diagnostics / BG-Demo – Discovery

Callcompleted

Kingdon Diagnostics logo Kingdon Diagnostics · 2 Oct 2024 11:30

Aisha Bukhari wants contract terms, turnaround and invoices side by side per trust, and needs a value case before she can go to leadership. Tom Ashdown gave an indicative £54k for Growth, implementation included.

What was said

What this says

As at Fri 9 Oct 2026

Aisha Bukhari wants contract terms, turnaround and invoices side by side per trust, and needs a value case before she can go to leadership. Tom Ashdown gave an indicative £54k for Growth, implementation included.

What happened: Aisha described an independent imaging network whose team stitches referrals, tickets, invoices and contract schedules together in spreadsheets before each trust review. Tom pitched the brain built inside her own Snowflake account.

Customer view: She wants to see turnaround problems before the trust does, and asked for a live demo on her own data, not a slide deck. Information governance will need the sample scope, who sees it and how long it is kept.

Commercial: Tom gave a working figure of £54k for the Growth tier, total including the one-off implementation, as indicative and not an offer. The decision date of 8 Nov 2024 was a placeholder.

Watch: She cannot go to leadership until she can show what it is worth, so the value case matters as much as the demo.

AI · claude-sonnet-5-5 · as at Fri 9 Oct 2026

Themes

As at Fri 9 Oct 2026
Theme
Contract turnaround evidence
Importance
neutral
Sentiment
positive
Voice
champion

Who was there

BG-Demo

Them

Follow-up

Next steps

As at Fri 9 Oct 2026
  • Tom Ashdown to send Aisha the sample data scope in writing before proposing demo dates.
  • Hannah to write up the Snowflake and data handling description for information governance.
  • Tom to arrange a live demo on Kingdon Diagnostics data with Hannah, Ryan and Leanne attending.

Risks

As at Fri 9 Oct 2026
  • Aisha cannot go to leadership until she can show what the brain is worth, so the decision may slip without a value case.
  • Information governance must approve the anonymised sample scope before any demo data is built.

Opportunities

As at Fri 9 Oct 2026
  • A Growth tier sale with a named-connector implementation covering referrals, turnaround tickets and invoices per trust.
  • Contract managers, Leanne Armstrong and Ryan Heslop are named users who would attend the demo.

Transcript

  1. Tom Ashdown
    Tom Ashdown
    Hello, Aisha, can you hear me alright? I've got a bit of an echo on my side, hang on.
  2. Aisha Bukhari
    Aisha Bukhari
    I can hear you fine, no echo here. Good morning, Tom.
  3. Tom Ashdown
    Tom Ashdown
    Morning. Right, that's gone, it was my headset. How's your week been so far? Busy?
  4. Aisha Bukhari
    Aisha Bukhari
    Busy, yes. We've got a contract review coming up with one of the trusts, so I've been buried in the schedules for most of the week. Nothing dramatic, just a lot of reading and a lot of cross-checking.
  5. Tom Ashdown
    Tom Ashdown
    No drama, that's good. And honestly that's pretty much why I wanted this in the diary, because a contract review is exactly the sort of thing I'd like to hear about. Before I start rambling, how would you like to use the time? I've got a few questions but I'd rather you steered.
  6. Aisha Bukhari
    Aisha Bukhari
    That's fine. Let me give you the background and then you can ask. We're an independent imaging network, MRI and CT, twelve sites across the North East and Cumbria. Most of our work comes through trusts under contract, and then there are the private insurers. What keeps me awake is that every trust contract has its own reporting turnaround commitments, and they're not the same from one trust to the next.
  7. Tom Ashdown
    Tom Ashdown
    Right. And when you say turnaround, you mean how long from the scan to the report being issued?
  8. Aisha Bukhari
    Aisha Bukhari
    Scan to report, yes, by modality and by priority. What does the contract say, that's my first question every time. Some trusts want a report within a set number of days, some have different rules for urgent referrals, and I have to be able to evidence it. Not roughly. Evidence it.
  9. Tom Ashdown
    Tom Ashdown
    And where does the evidence live at the moment?
  10. Aisha Bukhari
    Aisha Bukhari
    Everywhere, honestly. Referrals come out of the radiology system as exports, the turnaround tickets sit in the helpdesk, invoices are in the accounting system, and the contract schedules are, well, documents on a shared drive. My team stitch it together in spreadsheets before every review.
  11. Tom Ashdown
    Tom Ashdown
    Mm. And how long does the stitching take, roughly? Don't hold me to it, I'm just trying to get a feel.
  12. Aisha Bukhari
    Aisha Bukhari
    For one trust, a couple of days if nobody's off sick. For the whole portfolio before a quarter end, closer to a fortnight of someone's time. And then I'm never completely sure it's right, which I don't like. No surprises for the trust, that's my rule.
  13. Tom Ashdown
    Tom Ashdown
    Sure, and that's the bit the brain is meant to take off you. So the idea, and I'll keep it simple, is we build one layer over those sources inside your own Snowflake account, so the data stays in your environment, and your contract managers can ask it questions in plain English. Referrals, turnaround tickets and invoices, side by side, trust by trust.
  14. Aisha Bukhari
    Aisha Bukhari
    Inside our own Snowflake account. Say a bit more about that, because information governance will ask me on day one, and I'd rather have the answer before they do.
  15. Tom Ashdown
    Tom Ashdown
    Course they will. So it's built and run in your account, you hold the keys, and we don't take a copy off to ours. I'm not our technical person, mind, so what I'll do is get Hannah, our solutions engineer, to write that up properly rather than me waffling at you. She does all the security side.
  16. Aisha Bukhari
    Aisha Bukhari
    Please. I'd much rather have it in writing from someone who knows. I never cut a corner on that.
  17. Tom Ashdown
    Tom Ashdown
    Wouldn't expect you to. Leave that with me. Can I ask who'd actually use it day to day?
  18. Aisha Bukhari
    Aisha Bukhari
    The contract managers mainly, a handful of them. Then Leanne Armstrong, who's the service manager for reporting, she'd want the turnaround side. And Ryan Heslop, our information analyst, he'd be the one looking after the connections. I'd want both of them at anything you show us.
  19. Tom Ashdown
    Tom Ashdown
    Perfect, that's exactly who I'd want in the room. Have you looked at anything else, or tried building something yourselves?
  20. Aisha Bukhari
    Aisha Bukhari
    Ryan built some reports himself last year. They're good, but they only cover turnaround. They don't know anything about the contract terms or what we've invoiced. We haven't spoken to anyone else seriously. Someone mentioned an analytics suite, but it sounded aimed at much bigger groups than us.
  21. Tom Ashdown
    Tom Ashdown
    Fair enough. So, just so I've got the picture, when a trust asks for turnaround figures in a review, who asks, and what do they actually do with the number?
  22. Aisha Bukhari
    Aisha Bukhari
    Their contract management team, usually, and they compare it with the commitment in the schedule. If we're under, there can be a service credit, or at the very least an uncomfortable conversation. So I want to see the problem before they raise it. That's the whole point for me: let's see the turnaround figures before the trust does.
  23. Tom Ashdown
    Tom Ashdown
    Understood. That's a good test for a demo, actually. If we put a trust's schedule next to the real turnaround, would that land with you?
  24. Aisha Bukhari
    Aisha Bukhari
    It would. As long as it's your demo on our data and not a slide deck. I've sat through the slide deck.
  25. Tom Ashdown
    Tom Ashdown
    Ha, no slide deck, promise. Hannah would load a sample of your own data and we'd walk through it live. What would you need to sign off before we could do that?
  26. Aisha Bukhari
    Aisha Bukhari
    Anonymised, no patient detail, ever. Ryan would prepare the extract, but I'd need to approve exactly what's in it. And information governance would want that written down too, who sees it and how long it's kept.
  27. Tom Ashdown
    Tom Ashdown
    Course. We'll put that in writing, the scope of the sample, who sees it, how long it's kept. Leave that with me.
  28. Aisha Bukhari
    Aisha Bukhari
    Good. And I should be straight about timing. We'd want to decide before the end of the year, but I can't go to my leadership until I can show them the value. They'll ask what it's worth, and I want an answer that isn't a feeling.
  29. Tom Ashdown
    Tom Ashdown
    That's fair, and it's the right way round. Our working date on the deal is Friday 8 November 2024 for a decision, but that's a placeholder, we move it to suit you. On the money, and I don't want to quote from memory so I'll confirm it properly in writing, the working figure for the Growth tier is £53,800 all in, implementation included. Treat that as indicative, not an offer.
  30. Aisha Bukhari
    Aisha Bukhari
    Right. That's roughly what I'd assumed it would be. So that's the total including the set-up, not a yearly number?
  31. Tom Ashdown
    Tom Ashdown
    Total, including the one-off implementation. I'll split it out clearly in the proposal so there's no confusion about what repeats each year. I'd rather you saw that on paper than took my word on a call.
  32. Aisha Bukhari
    Aisha Bukhari
    Good, because I'll need to explain it to people who weren't on this call. How long is the implementation, roughly? Do we lose a quarter getting it going?
  33. Tom Ashdown
    Tom Ashdown
    It's a matter of weeks rather than months for Growth, but I'll let Hannah give you the exact plan, because it depends how many of your sources we connect and how tidy the exports are. No drama, we'd agree it up front, and it'd name the connectors we're committing to.
  34. Aisha Bukhari
    Aisha Bukhari
    Alright. Then what happens between now and a demo? I don't want this to drift while I'm chasing the trust review.
  35. Tom Ashdown
    Tom Ashdown
    Let's get something in the diary. I'll send you a short note after this with the sample data scope and a few dates for the demo, with Hannah on it, in a couple of weeks. You bring Ryan and Leanne. Does that sound sensible?
  36. Aisha Bukhari
    Aisha Bukhari
    That sounds sensible. Send me the scope first, though, so I can get it past information governance before Ryan builds anything.
  37. Tom Ashdown
    Tom Ashdown
    Scope first, then dates. And I'll ask Hannah to put the Snowflake and data handling description in writing so you've got something to forward. Anything else you'd want covered in the demo that I haven't asked about?
  38. Aisha Bukhari
    Aisha Bukhari
    Invoices against referrals, per trust. If the brain can show me what we've billed a trust next to what they've sent us and how quickly we reported, that's the page I'd want on screen in front of the trust.
  39. Tom Ashdown
    Tom Ashdown
    Noted, referrals, turnaround and invoices per trust, on one page. I'll make sure Hannah has that in the plan. Thanks for being so open about it, Aisha, that's really helpful.
  40. Aisha Bukhari
    Aisha Bukhari
    Thank you, Tom. Good luck with your afternoon. I'll look out for the note.
  41. Tom Ashdown
    Tom Ashdown
    Cheers, Aisha. Speak soon.

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