Your Heart Beats Roughly 100,000 Times a Day
About 5,000 times per hour.
When you sit in a 2-hour meeting that achieves nothing, that's 10,000 heartbeats gone forever.
When you spend 3 months writing a strategy document that sits on a shelf, that's over 3 million heartbeats you'll never get back.
Every heartbeat you spend on work that doesn't help patients, staff, or your purpose is a heartbeat lost.
And their heartbeats too.
Can you really afford to lose them so easily?
Calculate Your Heartbeat Cost
Choose the calculator that fits your needs:
For Organisations: Heartbeat Budget Calculator
Calculate the total heartbeats your organisation consumes annually on strategies never implemented, meetings that achieve nothing, and processes that serve process over people.
Best for: Senior leaders, executives, and board members wanting system-wide insight into organisational capacity waste
What you'll discover:
- • Total annual heartbeats consumed on unimplemented strategies
- • Heartbeats wasted in unproductive meetings across the organisation
- • Equivalent capacity in working hours that could be reclaimed for transformation
For Individuals: ROH™ Summary Tool (Quick Assessment)
Get your personal Return on Heartbeats score in 5 minutes. Discover exactly where you're losing heartbeats to work that doesn't help patients, staff, or citizens.
Best for: Anyone wanting rapid personal insight into their heartbeating patterns
What you'll get:
- • Your overall ROH™ Score (0-100)
- • Breakdown of heartbeats wasted per year on bureaucratic activities
- • Practical steps to reclaim heartbeats for work that matters
- • Downloadable PDF report with complete analysis
Time: 5 minutes • Results: Immediate • Cost: Free
Start Personal ROH™ Assessment →For Individuals: ROH™ Detailed Tool (Deep Analysis)
1:1 FACILITATEDComplete in-depth 1:1 facilitated analysis of how you consume your finite heartbeats across all aspects of your work, with detailed breakdowns, behavioural insights, and actionable implementation roadmap.
Best for: Staff annual reviews and goal setting for the year. Contact us for a quote for team use.
What's included:
- • Comprehensive assessment of all work activities and their ROH impact
- • Behavioural pattern analysis and cognitive load assessment
- • Personalised implementation roadmap with specific actions
- • Follow-up session to embed changes and measure progress
Delivery: 1:1 facilitated session with Anthony Lawton
Contact Us for Team Quote →Not sure which tool? Start with the ROH™ Summary Tool, it takes just 5 minutes and gives you immediate insight into your heartbeating patterns. You can always progress to the detailed assessment later.
The Activities That Consume Your Heartbeats
That Weekly Executive Meeting (2 hours)
- → 10,000 heartbeats per meeting
- → If only 30% drives genuine decisions, you lose 7,000 heartbeats every week
- → That's the same as losing 1.4 working hours you could have spent redesigning a care pathway
That Strategy Document (6 months, 3 hours/week)
- → 3.6 million heartbeats invested
- → If it sits on a shelf, every single one wasted
- → That's enough heartbeats to have implemented 5 service improvements
That Follow-Up Meeting You Didn't Need (1 hour)
- → 5,000 heartbeats per person
- → 8 people = 40,000 heartbeats
- → Could have been an email. Or nothing at all.
This is happening every single day in your organisation.
Can you afford it?
What Is Return On Heartbeats?
It's a simple question: For every heartbeat you invest in this activity, what value reaches the people who matter—patients, families, staff?
Not "how many hours did it take." Not "did we complete the task."
But: Did those heartbeats create value for someone who matters?
Before you commit those heartbeats, ask yourself:
Serve.
Does this help patients, families, or staff?
If you invest 10,000 heartbeats (2 hours) in this meeting, does it tangibly improve someone's care or work?
Energise.
Does this fuel you or drain you?
Work that drains you reduces the heartbeats you have left for everything else. Can you afford that?
Matter.
Will these heartbeats count when you look back?
When you reflect on the heartbeats you invested today, will they have mattered?
Remember: Serve. Energise. Matter.
Three "no" answers? You're heartbeating.
If the answer to all three is "no," you're giving heartbeats to the system that should have gone to transformation.
If the answer to all three is "no," you're giving heartbeats to the system that should have gone to transformation.
The System Is Designed to Consume Your Heartbeats
It's not your fault.
The system, layers of governance, inherited processes, performance frameworks, wasn't designed to respect your finite heartbeats.
It was designed assuming time is infinite.
But your heartbeats aren't infinite.
Every meeting that leads nowhere consumes heartbeats you'll never get back.
Every strategy that sits on a shelf consumed millions of heartbeats from your most experienced leaders.
Every governance process that serves compliance rather than care consumes heartbeats that could have been spent fixing the actual problems.
The system doesn't value your heartbeats.
But you should.
We Call It "Heartbeating"
Heartbeating (verb): To waste time, energy, or capacity on activities that don't create genuine value for patients, staff, or citizens. The consumption of finite heartbeats on work that serves process rather than purpose.
Examples:
- →"We heartbeated for 90 minutes in that meeting without making a single decision."
- →"Are we heartbeating right now, or is this actually moving us forward?"
- →"We heartbeated 3.6 million times creating a document that sits on a shelf."
Once you have a word for it, you can see it everywhere. And once you can see it, you can stop it.
How We Help You Reclaim Your Heartbeats
Insight Genie
Shows you exactly where your system is consuming heartbeats without return
That weekly meeting consuming 10,000 heartbeats? We reveal what it actually achieves (often: not much). That process taking 4 hours of everyone's time? We show you the 20,000 heartbeats it's consuming and whether they're creating any value.
Dynamic Genie
Reclaims 3+ million heartbeats per strategy project
Traditional strategy: 6 months, 15 leaders, 3 hours/week each = 3.6 million heartbeats consumed writing the document.
Dynamic Genie: 1 day, same 15 leaders = 600,000 heartbeats creating the strategy.
You reclaim 3 million heartbeats for implementation.
"A term's work... potentially six months... in a couple of afternoons essentially."
Phil Banks, CEO, St Christopher's Multi-Academy Trust
Watch (0:24)
Those reclaimed heartbeats could conduct 150 patient safety incident reviews.
And we stay with you until it embeds. Because reclaiming heartbeats is meaningless if nothing transforms.
Meeting Genie
Stops consuming heartbeats in meetings that shouldn't exist
That 1-hour follow-up meeting (5,000 heartbeats × 8 people = 40,000 heartbeats)? Meeting Genie answers the question live, no meeting needed.
Those 20 minutes of a meeting spent searching for information (1,666 heartbeats × 10 people = 16,660 heartbeats lost)? Meeting Genie surfaces it instantly.
Every heartbeat saved is a heartbeat you can invest in work that matters.
For Leaders Who Care About Their Team's Heartbeats Too
It's not just your heartbeats.
When you call a 2-hour meeting with 15 people:
- → That's 150,000 heartbeats from your organisation
- → If the meeting achieves nothing, you've consumed 150,000 heartbeats your team could have invested in patients
When you launch a 6-month strategy process involving 20 leaders:
- → That's 4.8 million heartbeats from your most experienced people
- → If the strategy sits on a shelf, you've wasted nearly 5 million heartbeats that could have transformed care
Every leader's decision consumes other people's heartbeats.
Do those decisions create return?
Or are you consuming heartbeats from your team without creating value for anyone who matters?
This Isn't About Working Faster
Return On Heartbeats isn't about time management or squeezing more productivity from people.
It's about stopping the system from consuming heartbeats on activities that serve process over people.
When we compress 6 months of strategy work into 1 day, we're not cutting corners. We're eliminating the system waste that forces work to expand across months: the fortnightly meeting cycles, the review rounds for governance theatre, the consultation rounds because "we always do", the approval processes layered upon layers.
None of that creates better strategy. All of it consumes millions of heartbeats.
We eliminate that waste. You reclaim those heartbeats for implementation.
Then we stay with you until change reaches patients and staff. 87% success rate. Because reclaiming heartbeats is meaningless if nothing transforms.
The Question
Every day, you make decisions about how to invest your heartbeats and your team's heartbeats.
That meeting you're about to schedule? That paper you're about to write? That process you're about to follow?
Ask yourself: Will this create value for patients, families, or staff? Or am I giving heartbeats to the system?
You can't get heartbeats back. You can't save them up. You can't buy more.
Make them count.