Solving the challenges that slow you down

Whether you’re scaling, entering new markets, or stuck in operational quicksand - Pivots helps you move forward with focus, structure, and a plan that fits.

When performance slips - but the root cause isn’t clear

We work with healthcare, aesthetics, and pharma brands navigating complexity, change, and growth. Many have strong teams, proven products, and traction in the market - but something still isn’t clicking.

It might be that profit margins are under pressure, growth is sluggish despite continued effort, or teams feel misaligned and out of sync. The bigger questions companies are asking post-pandemic? Are we holding, growing, or losing share - and is the issue structural, strategic, executional, or driven by the wider macroeconomic climate.

That’s where we come in. We cut through the noise to pinpoint what’s really getting in the way -then bring the structure, tools, and direction needed to move forward with purpose. Whether you need a strategic reset or a sharp course correction, we tailor support to your reality, not a one-size-fits-all playbook.

This is what we do best. With deep experience across launches, expansions, and operational pivots, we ask the questions others overlook, interrogate the data, map the competitive landscape, and pressure-test your assumptions - helping you move faster, smarter, and with confidence.

These are some of the patterns we help surface and solve

❱ Lack of a clear go-to-market plan or brand positioning

❱ Commercial underperformance despite strong assets or IP

❱ Pricing and channel strategy that doesn’t match product and market positioning

❱ Disconnected customer journeys across channels and functions

❱ Uncertainty preparing for funding, exit, or international expansion

❱ Growth momentum outpacing internal systems or team structure

From one-off diagnostics to embedded project delivery - We adapt to your pace, priorities, and internal bandwidth.

Not every challenge needs a strategy overhaul. Sometimes, you just need a fast, focused read on where things stand - what’s working, what’s not, and where to focus next. Other times, you need a partner who can help shape direction and get things over the line.

That’s why Pivots offers flexible, modular consulting built around three core formats - so you can bring us in early, often, or when the stakes are highest. The shape of the work adapts to your bandwidth, priorities, and internal momentum.

  • Short, structured assessments across strategic, commercial, and operational areas.

    Ideal when you need to get clear - fast.

    Our diagnostic work surfaces blind spots, sharpens commercial focus, and helps leadership teams align on where to act. Using a 10-lens framework, we assess everything from brand positioning and pricing to sales execution, market dynamics, and internal alignment.

    Typical use cases:
    • Clarifying brand positioning and go-to-market strategy

    • Prioritising commercial focus post-fundraise or M&A

    • Diagnosing underperformance in sales, marketing, or country execution

    • Resetting strategic direction after leadership changes or market shifts

    What you walk away with:
    A focused summary of key gaps, opportunities, and 2–3 next-move recommendations - ready to act on immediately.

  • High-value partnership that shapes direction and drives progress alongside leadership.

    Designed for moments where real-time input matters.
    We work closely with founders, general managers, and commercial leads to help clarify strategic direction, shape business plans, pressure-test decisions and build long-cycle thinking. This is partnership, not oversight - flexible, fast, and focused on outcomes.

    Typical use cases:
    • Navigating cross-functional friction
    • Supporting leaders in developing strategic and commercial plans
    • Preparing for scale or investment
    • Realigning priorities mid-growth

    What you can expect:
    Targeted working sessions, prioritisation frameworks, and steady senior-level input that brings clarity without adding complexity.

  • Hands-on support to turn plans into progress - and embed change where it matters.

    When it’s time to execute, we work alongside your team to move fast and stay focused. Delivery work ranges from helping build a go-to-market rollout to leading a commercial reset across teams. We design and deliver alongside you - not as a report handover, but as part of the action.

    Typical use cases:
    • Scoping and launching a new geography
    • Reworking sales enablement and CX flows
    • Operational readiness for investor conversations

    What it looks like:
    Roadmaps, facilitation, toolkits, team alignment - and momentum that’s felt across the organisation.

Ready to find what’s getting in the way?

Whether you’re navigating growth, expanding into new markets, or facing internal friction - I’ll help you move forward with clarity, structure, and momentum.

We’ll cut through the noise, focus on what matters, and build the confidence to act decisively - with support that fits your business, your team, and your pace.