Our purpose
Grounded in the Real
Progress in healthcare is built on one detail at a time. A protocol amendment, a licence extension, a strategy review – perhaps seemingly mundane, but always essential. We take pride in this work because in every detail there’s an opportunity for something better, and maybe something innovative.
We think a small push can open big doors.
Driven by the Possible
But the status quo isn’t enough. Healthcare systems are under pressure with ageing populations, rising costs, outdated delivery models. Carrying on as usual won’t do. That’s why we bring curiosity, data, and a willingness to ask “why not?”
Maybe re-think how chronic care is managed in the community, or explore the potential of AI and personalised medicine - we look for ways to move beyond stagnation and towards smarter, more sustainable solutions.
Our Mission
We want to make better health an ever-easier goal to achieve - for patients, providers and the innovators who change things for the better.
ITIGAI stands for "I Think I've Got An Idea" - because that's how progress usually begins.
What we do
Medical Affairs
Aligning science and strategy across the product lifecycle, and smoothing the path for regulatory submissions, amendments, and reviews.
Clinical Science
Designing and refining trials, putting data to work, and making sure science translates into practice.
Innovation Consulting
Exploring new models and ideas - from re-thinking drug development and delivery to worked-up innovation projects, ready to be explored.
Delivering with Precision
We make the details count where they matter most. From licence extensions and protocol amendments to submissions and reviews, our focus is on accuracy, timeliness, and clarity. They may seem routine, but getting them right makes the difference between delay and delivery.
Shaping What’s Next
We bring fresh thinking and work with teams to translate it into practical next steps — whether that means re-designing trials, shaping regulatory strategy, or developing innovation concepts that are ready to move forward.
Balancing the Now and the New
For us, consulting and innovation aren’t separate worlds. We combine practical experience in medical affairs and clinical science with curiosity for what could be better, making sure today’s essentials and tomorrow’s possibilities move forward together.
Who's behind ITIGAI medical..?
Founder
Dr Mark Watt BSc MBChB MFPM
"ITIGAI" comes from something Mark is often told he says:
“I think I’ve got an idea...”
Mark is a licensed physician with postgraduate training in pharmaceutical medicine. He's never happier than when wrestling with a problem, and for clients that means a partner who brings energy, fresh thinking, and the discipline to turn good ideas into practical results.
ITIGAI medical is led by Mark Watt, an independent consultant who believes progress in healthcare comes from combining rigour with imagination.
After years working across medicines, medical devices, in pharma, biotech and consumer health, Mark founded ITIGAI to offer something different: the flexibility of a small consultancy, with the depth and experience to handle complex challenges.
We’re not about layers of process. We’re about making projects move, giving clients clear, practical answers, and the confidence to take the next step.