At LallianSe, to ensure that New Year’s wishes don’t remain meaningless or static, we propose embedding them in a dynamic trajectory, a momentum, a vision. So yes, wishing each other a happy new year (collectively) is important to us—but not just any old way
Last year, we wanted to innovate and reinvent the way we share our greetings, imagining a format that reflects who we are. Because at the heart of LallianSe’s DNA lies the collective spirit, the desire to do things differently, and the deep conviction that it is by building together that we can go further.
This is how our collective 2025 manifesto was born: a kind of “wishing box” open to all those who envision the future of healthcare differently. Many of you participated, and it was with great joy that we highlighted your wishes throughout 2025.
So for 2026 – and beyond – share a wish in our wish box and become a contributor to the collective 2026 manifesto, which will be enriched and published later this year, where each author will be featured.
Together, let’s write the future!
What is yours?

LallianSe team sends you its best wishes!
Training, funding, showcasing, and supporting transformations—recent months have highlighted the importance of creating the tangible conditions that allow health innovation to deliver real impact.
A year ago, we launched #MoneyQuest with a simple ambition: to create an authentic space to discuss the realities of health entrepreneurship and share entrepreneurial journeys from the inside – with nuance, authenticity, and resilience.
Nine episodes later, the conclusion is clear: the need for peer-to-peer exchange is paramount!
Funding, governance, communication, strategy, regulatory issues, corporate matters—all these topics were addressed with transparency and authenticity. This was made possible by the quality—human, professional, and expert—of all the speakers who agreed to share their successes, challenges, and questions.
Season 1 has wrapped; bring on Season 2!
Discover the recap of this first season.
And catch the last two episodes if you missed them:
Episode 8 : Market Access—securing payers, strategy, and funding… all at once. Mission (im)possible ? with Emmanuelle Deponge, LallianSe Expert & Touline President, Sébastien Giraudier, Director and Soraya Sin-Monnot, Program Manager at Neighbordhood / VCLS.
Episode 9 : Eureka, you’ve raised 5, 10, 50 M€… What now ?! With Julien Hédou, CEO Surge.
What if one of the key challenges was to equip the people who keep the system running—giving them the insights, the right tools, and the drive—so they can spearhead the movement?
This is the central theme of the fourth and final article in our series on hospital immersion.
fter seven years at Pitié-Salpêtrière and within the AP-HP system, one conviction stands firm: identifying needs on the ground is necessary, but not enough. We must also know how to structure, champion, and drive innovation forward. Two initiatives illustrate this dynamic—two complementary approaches shaped by years of collaboration: one is academic and foundational—the University Diploma in Biomedical Engineering (DU GBM) a Faculté de Santé de Sorbonne Université, launched over 35 years ago by Pr Alain Sezeur , (now the program’s academic lead) and currently directed by Pr Adrien Six, (head of training) ; the other is agile and rooted in real-world practice, led by Aude Nyadanu, PhD and her innovation agency Lowpital.
Training people to provide care is no longer enough—we must now train them to drive transformation…
It has also been a quarter marked by candid dialogue: facing reality head-on, speaking openly about difficulties, and embracing challenges, contradictions, and obstacles!
At SantExpo, Julie took part in a panel discussion on value creation and healthcare innovation within hospitals. While the ecosystem is making strides in fostering innovative projects, a major challenge remains: committing to funding innovation at a level that reflects the value generated.
Turning ideas into healthcare products that benefit patients requires not only ambition but also sustainable business models that allow for reinvestment in the innovations of tomorrow. Hospitals have a major role to play in this evolution. See you… soon?
A look back at our discussions at SantExpo.
LallianSe’s DNA continues to unfold through our collective manifesto—a goal shared by a wide range of stakeholders!
Since 2025, many have contributed to the emergence of this collective manifesto. That momentum continues into 2026. These are personal, sincere statements that reflect our values and our ambition: to progress and move forward collectively, with conviction and without compromise.
Thanks to :
Serge RENAUX, TIDALIUM
Joseph Lehár, Neurofundus
Stéphane Lomenède, Menarini Stemline
Cecile ORSONI, BIOEVI
Julie Rachline, LallianSe
Guillaume Blivet, REGEnLIFE
..for sharing their aspirations with us!
Would you like to take part in this initiative? Find the dedicated form here.
In short, this second quarter reaffirms our values and the LallianSe method: aligning strategic vision (#ENVISION) with economic realities on the ground (#ENGAGE), while equipping stakeholders (#TRANSFORM) and sharing unfiltered insights (#ENLIGHT).
What’s next? Continuing to share knowledge, challenge the status quo, provide support, and build connections… all while preparing for a return defined by action and resilience!
Always authentic and uncompromising.
To be continued… and have a wonderful summer everyone!



By invitation only.
7pm– Inspiring speech by Fabienne Bartoli :
A health economist, former Director General of the French National Authority for Health (HAS), and currently Inspector General of Social Affairs at the Ministry of Health, Fabienne boasts a wealth of experience combining technical expertise, institutional leadership, and health diplomacy. She also served as Deputy Director General and then Director General of the French National Agency for Medicines and Health Products Safety (ANSM), and as a diplomat on health and social affairs issues at the Permanent Mission of France to the United Nations in New York. She has led major missions in regulation, public policy evaluation, and international negotiations. A qualified teacher and PhD in economics, she combines analytical rigor with strategic vision to shape the future of healthcare.
We designed this evening for open and direct discussions, in a small group setting, on the issues that are shaping the future of the life sciences ecosystem today :
8:30pm – Apéritif & wine
Healthcare professionals have the ideas, but not always the (right) tools.
This quote from Professor Thomas Similowski, which concluded our previous article, continues to resonate deeply. It highlights a well-known tension in the hospital world: innovation exists everywhere, all the time—but it too often remains isolated, unspoken, or even invisible.
During seven years of immersion at the Pitié-Salpêtrière Hospital and within the AP-HP (Assistance Publique – Hôpitaux de Paris), one conclusion became undeniable: innovation can no longer be a “side-step” in healthcare professional training. It must be an integral part of it. Not as an option, but as a core competency.
Having an idea is a good start. Knowing how to structure it, carry it forward, and, above all, add value to it is quite another. Why should innovation be an integral part of healthcare professional training?
Because we can no longer provide care without innovating. This is our conviction, which led us, for this fourth and final article in our series, to explore two complementary approaches nurtured by years of collaboration: one is academic and structuring, the University Diploma in Biological and Medical Engineering (DU GBM) at the Sorbonne University Faculty of Health, initiated over 35 years ago by Professor Alain Sezeur (Deputy Director) and currently led by Professor Adrien Six (Training Director); the other is agile and anchored in usage, driven by Aude Nyadanu, PhD, and her innovation agency, Lowpital. Two visions, one shared conviction: training is transforming.
Created in the 1980s by Professor Alain Sezeur, the DU GBM was born out of a founding frustration. At the time, Alain Sezeur was working within a pioneering CNRS team specializing in biosilicone materials. Artificial organs had been developed and patents filed—but they were perceived as “blocking” patents by an American multinational.
I found this personally very frustrating as a young intern and chief resident. So, I created the DU GBM, because biological and medical engineering is the combination of all engineering and medicine.
Pr. Alain Sezeur, Founder and Pedagogical Director of the DU GBM
Even back then, researchers were producing major innovations—but these too often remained unexploited or stuck in the laboratory. This University Diploma was therefore designed to allow participants to build bridges between two worlds: academic research and industry.
Since then, the DU’s mission has not changed: learning how to add value to research, understanding the healthcare ecosystem, and transforming an idea into an intelligible value proposition—for an investor, an industrialist, or an institution. Forty years later, the DU has trained generations of professionals who have founded or structured the first technology transfer offices in universities, hospitals, AP-HP, INSERM, biotech startups, and even international institutions like the World Anti-Doping Agency.
For me, value creation is the ultimate purpose of research. It’s not the publications. It’s about delivering societal benefits.
Pr Alain Sezeur
Professor Adrien Six, an immunology researcher trained at the Institut Pasteur, took over responsibility for the DU in 2024. His journey perfectly illustrates the strength of the program: a former student of the DU GBM and a jury member for over ten years, he became head of the program when its sustainability was at stake. He notes with humor that he took over this responsibility “out of a sense of oblivion”!
Indeed, taking over the DU revealed both the richness and the fragility of the program: a demanding curriculum, an exceptional network of speakers, diverse and loyal audiences—but also a heavy administrative workload carried with limited resources.
A training program of this age, with this many enrollees, which still attracts just as many people despite operational difficulties—it simply must continue to exist.
Pr Adrien Six, head of the DU GBM
The DU GBM’s student body is one of its greatest strengths. Adrien identifies three distinct profiles: working professionals looking to reinvent themselves or better understand the innovation ecosystem; young researchers at the end of their PhD or in post-doc positions, considering a move into the industrial world; and engineering school and innovation master’s students taking the DU as a complementary component of their curriculum.
This represents 70 to 80 enrollees each year, with fully booked sessions and very high satisfaction rates. But beyond the numbers, it is the concrete impact that stands out.
A doctoral student who has completed this training will take a few months to find a job. A doctoral student who lacks knowledge of value creation and the various career paths can sometimes take several years!
Pr. Alain Sezeur
To the question “what do participants actually learn?”, the answer is straightforward: “Participants become acculturated to the biomedical innovation ecosystem. They know how to talk about it and understand its codes and vocabulary.”
Learning how to discuss it, speaking the same language, and knowing who to contact at every step of the chain from the innovative idea to the market. However, what speakers and alumni emphasize above all is something deeper: a shift in posture.
After the DU, they know how to speak. They know part of the vocabulary. And above all, they know who to speak to. This is fundamental for anyone questioning their career path.
Pr Adrien Six
It is primarily about discovering an ecosystem. Examples of transformed career paths abound: pharmacists who became heads of medical device evaluation committees, researchers who launched technology transfer offices in major institutions, and biotech startup founders who defended their DU thesis before securing their first rounds of funding. As Julie Rachline , co-pedagogical director of the program, summarizes: “We could almost ask the opposite question: are there any major innovation projects coming out of this Paris-region ecosystem where none of the stakeholders have done the DU?” This network frequently becomes a tangible accelerator.
This vision is shared by Professor Sezeur, who campaigns for the authorization to supervise research (HDR) to formally include a certification of competence in value creation: the Allègre Law of 1999 opened this path by formally establishing innovation as one of the core missions of research professors—it is high time to bring it fully to life.
LallianSe – Life Sciences Integrator has been a partner of the DU GBM for three years, and Julie Rachline serves as its co-pedagogical director. This is not just a label: it represents real involvement in designing content, leading sessions, providing a strategic outlook on the program’s evolution, and acting as a bridge to the field.
It means providing university organizers with insights and a vision from the non-academic side: sensing market needs, advising on how the DU can communicate better, reorganize, and identify areas for improvement.
Adrien Six, on the partnership with LallianSe
Creating a dialogue between two worlds that still speak to each other too rarely is our commitment alongside the University.
This training addresses a real, structural need: equipping healthcare professionals—among others—with the mindset, tools, and the right conversations to turn their intuitions into viable projects.
While the DU GBM provides the framework and structure, Lowpital transforms through experience. Founded by Aude Nyadanu, PhD, Lowpital is an innovation and instructional design agency that helps healthcare institutions and professionals—among others—navigate their transformations.
Our interactions with Aude go back several years, notably through the Challenge Innovation, where she brought her Design Thinking expertise to the heart of the application process. We asked her for her definition of Design Thinking, which is far from being a concept reserved only for experts:
Design thinking consists of approaching challenges creatively and iteratively, focusing on the real needs of users and encouraging interdisciplinary collaboration. It is theoretical common sense.
Aude Nyadanu, founder of Lowpital
The heart of the method does not lie in the tools—but in the posture. And this applies to the least glamorous, yet most frequently neglected step: the needs assessment.
Just change your paradigm: stop looking for solutions among experts based on what you already know, and truly go out into the field to understand the needs. That is the core of the approach.
Aude Nyadanu
She uses a highly evocative image: “If you have a machine, you don’t just want to know if it works or doesn’t work. You want to know what the gears look like inside, and why they sometimes get jammed; otherwise, you can never fix the machine.” This metaphor resonates strongly within a hospital system where dysfunctions are frequently identified but rarely fully understood.
Healthcare managers are among Lowpital’s key audiences: “They already inherently possess my three keywords—empathy, humility, and rigor.” What Lowpital offers is a transformation in their relationship with their own power to act.
An example: Anne, a healthcare manager in infectious diseases, initially created a clever device to encourage handwashing using a musical experience and a motion sensor cobbled together from a Halloween prop. A year later, she was setting up an entire vaccination center.
This dynamic also impacts teams as a whole. At the Groupe hospitalier Nord-Essonne (GHNE), a team working on waste sorting in the operating room thought the topic was too complex for them. By breaking the problem down into multiple sub-problems and prioritizing them, they started by improving the color-coding of waste bags, making real headway on the main challenge. A small action, but a huge mental breakthrough! It is about giving healthcare professionals the power and energy to execute and take action.
The impacts extend beyond the individual scale. As Vincent Delivet, Director General of CH Annecy Genevois (a Lowpital client), explicitly put it: since this experiential transformation, staff members come to management no longer with problems, but with projects and requests for support!
Lowpital stepped in on several occasions during the Challenge Innovation cycles. The objective: utilize design thinking methodology to challenge and strengthen the applications of healthcare project leaders, ensuring they addressed real needs on the ground.
Learning by doing, along with empowering everyone to act, transforms one’s relationship with work and innovation, enabling healthcare professionals to become active drivers of their daily routines. Beyond offering a space for development, it is essential to add a fundamental condition for success: project leaders must have the space to experiment, the right to make mistakes, and the institutional backing to see things through. Without this, even the best intentions turn into frustration. Healthcare professional training must therefore be perceived and encouraged from a 360-degree perspective.
Lowpital and LallianSe share a founding conviction: do not bring ready-made solutions, but create the conditions so that healthcare professionals and innovators can become the authors of their own transformations.
What we built together in the Challenge Innovation is a hybrid model: the methodological rigor of instructional design, fueled by field knowledge of the hospital, and amplified by our network of healthcare innovation stakeholders. Each edition proved that this mix works.
The DU GBM and Lowpital represent two different approaches, yet they share the exact same conviction. One structures thought, provides vocabulary, and builds a network. The other anchors practice in reality, unleashes initiative, and transforms postures. Together, they outline what any health innovation training should be: demanding yet accessible, theoretical yet pragmatic, individual yet collective.
What these two approaches reveal is a fundamental shift: moving from a posture of an executor to that of an actor. Moving from a professional who undergoes reforms to one who imagines them. From a healthcare worker who observes dysfunctions to one who addresses them—with method, a network, and the words to convince.
Because that is also where a quiet but decisive transformation takes place: learning to speak the language of business. Knowing how to write a business plan, understanding user experience (UX), and mastering the basics of intellectual property are all indispensable skills for being taken seriously by decision-makers.
Thomas Similowski spoke in our last article about the need to “learn to unlearn.” These training programs are a concrete illustration of this: they invite professionals to question their certainties, approach problems differently, and accept iteration as a method and a learning process rather than a failure.
And what if real change started there? Not by waiting for the system to transform from the outside, but by equipping those who run it so they can drive the movement themselves?



The goal? To provide a compass to navigate these times of uncertainty, questioning, and adaptation. Each episode will draw on the experience of the ecosystem—entrepreneurs, investors, experts—to steer the right equation: the right dynamics, with the right people, at the right time.
Securing funding is a victory—but it’s just the beginning. €5, €10, €50 million in the bank… so what? Now you have to deliver and execute the roadmap and the equity story.
Rigour, discipline, and organization: qualities often presented as essential for delivering a roadmap. But in reality, how are they implemented on a daily basis? What adjustments does it require? And above all, what difficulties and lessons are involved?
Julien Hédou, CEO Surge, will share his experience in the 9th and final episode of season 1 of #MoneyQuest, at the intersection of financial health, operational coordination, and financial and operational reporting.
The objective of this webinar: Through dialogue and the sharing of successful experiences and trajectory adjustments, we will explore how to transition from a fundraising amount to effective and high-performing development, without skipping steps or wasting resources.
An inspiring and interactive discussion, designed for leaders and managers in the healthcare sector.



Between supporting CEOs, creating new spaces for exchange, sharing knowledge, and highlighting real-world challenges, these first three months illustrate our determination to help drive change in healthcare innovation.
Supporting organizations also means supporting the people behind them.
The beginning of the year was marked by the unmissable JPM Week. Beyond meetings and discussions, this edition was an opportunity to step back—both literally and figuratively. Shifting perspectives, challenging assumptions, drawing inspiration from different approaches: in an uncertain context, the global ecosystem continues to show its determination to move forward.
Want to gain perspective? Click here…
Creating spaces for dialogue between decision-makers lies at the heart of our DNA. In February, a new edition of our #CEOonly gatherings welcomed an inspiring entrepreneur who shared his experience, journey, and vision: Steve Anavi co-founder and CEO of Qonto.
More information in the dedicated article.
“You’re not born a CEO—you become one.”
Through a series of episodes in the Mentors podcast, Julie shares a personal story, far from linear narratives. Career path, doubts, failures, rebounds… all key steps in shaping a leader.
Two strong convictions emerge:
– act to avoid regret,
– turn individual energy into collective momentum.
A direct reflection of what we observe every day at LallianSe: supporting also means understanding the human journeys behind each project.
Discover more in the dedicated article.
Creating formats, sparking connections, and bringing new dynamics to life.
This third edition of #LImprodelaValo once again delivered on its promises. On stage, researchers, entrepreneurs, investors, and experts took part in theatrical improvisation in a format that was original, inspiring, and both unconventional and demanding.
Beyond the performance, the event reflects a strong belief: innovation is not limited to ideas or technologies. It is also about dialogue, mutual understanding, and the ability to “think outside the box.”
Blending creativity and humor, the evening helped break down silos and highlight complementary perspectives. Want to know which team won? Read the full recap in the dedicated article.
Episode 6: Often overlooked and rarely integrated, communication is nonetheless a key element of any investment thesis. This episode highlighted a frequently underinvested topic: communication. More than just a tool, it is a strategic lever in building a company’s trajectory. Featuring Anna Casal (founder of Collectif Maïa & Mercure).
Episode 7: Regulator – public health, private stakes: strengthen your health strategy! With Pascale Maisonneuve, this episode tackled another critical issue: regulation. Too often seen as a constraint, it can become a real competitive advantage when anticipated early and approached as a strategic lever.
Two very different topics, with one shared objective: helping structure strong, coherent, and aligned projects.
In 2025, you helped shape a collective manifesto. In 2026, this momentum continues.
More than just a collection of wishes, this manifesto is a space for expression and projection—a way to bring forward visions, cross perspectives, and collectively build the future of healthcare. And because these reflections must remain alive, the manifesto continues to evolve through ongoing contributions—a collective dynamic true to our DNA and values.
Would you like to contribute? Access the dedicated form here.
Sharing expertise and experience:
core commitments embedded in our actions.
LallianSe continues its commitment to education, notably within the DUGBM (Biological and Medical Engineering program). The objective: to provide future healthcare professionals with a comprehensive understanding of key challenges—from research to market.
Building an investment thesis, understanding funding mechanisms, navigating development complexity—these are all essential topics for turning ideas into concrete solutions.
In the same spirit, lectures in business schools help foster dialogue with future entrepreneurs and investors, confronting their intuitions with real-world realities.
More information in the dedicated article.
Through a new interview and article stemming from our hospital immersion, we wanted to explore the tensions between innovation and the healthcare system.
When ideas emerge from the field, they often run up against structural constraints. Should we accept this as inevitable? Certainly not!
We chose to speak with Professor Thomas Similowski (AP-HP, Assistance Publique – Hôpitaux de Paris / Sorbonne University), whose message is shared candidly in the dedicated article.
Our network and experience-sharing also take shape through the coordination and facilitation of a roundtable dedicated to women’s health. This discussion brought together researchers, clinicians, investors, and support experts during the Institut Cochin / Companies Meetings.
A rich dialogue that opens up concrete perspectives for the years ahead—and a follow-up in 1 or even 10 years, depending on the speaker, to ultimately benefit citizens.
You can find all the speakers in the dedicated article.
These first months of 2026 confirm a clear trajectory: a sustained commitment alongside the ecosystem.
Supporting CEOs, driving growth dynamics, sharing key insights… all of these actions contribute to a shared ambition: to foster more efficient, collaborative, and impactful healthcare innovation.
What’s next? Continuing to create meaningful spaces, connect stakeholders, and turn ideas into real movements.
To be continued…



The goal? To provide a compass to navigate these times of uncertainty, questioning, and adaptation. Each episode will draw on the experience of the ecosystem—entrepreneurs, investors, experts—to steer the right equation: the right dynamics, with the right people, at the right time.
The question of market access is sometimes addressed late, once the product has been developed. Yet, when properly anticipated and integrated into the overall strategy, it can become a real driver of value creation, supporting development and the investment thesis.
The objective of this webinar: Through examples—successful experiences as well as trajectory adjustments—we will explore how anticipating market access challenges can avoid strategic dead ends, strengthen a project’s credibility, and maximize its chances of success.
Emmanuelle Deponge, LallianSe Expert & Touline President, Sébastien Giraudier, Director andSoraya Sin-Monnot, Program Manager of Neighbordhood / VCLS.
An inspiring and interactive discussion,
designed for leaders and managers in the healthcare sector.



Half the population is affected and involved. Beyond the necessary definition of what #Femtech is, we focused on sharing, exploring, and highlighting the challenges and needs of translating excellent academic research, particularly from the Institut Cochin, into the availability of solutions and products that benefit patients—and more broadly, society!
Organized by Julie Rachline, former investor and serial entrepreneur, this event offers four complementary perspectives:
Pr Rachel Levy (AP-HP, Assistance Publique – Hôpitaux de Paris, Femtech France, entrepreneur), for an inclusive vision benefiting all
Pr Vassilis Tsatsaris (AP-HP, Assistance Publique – Hôpitaux de Paris & Institut Cochin), for grounding the project in clinical reality
Claire Poulard (Turenne Groupe), to address the challenges of business models and funding for prevention
Emmanuelle Deponge (LallianSe – Life Sciences Integrator Expert, Femmes de Santé & Touline) to support researchers earlier in addressing the imperatives of transferability and industrialization





#LallianSe #InstitutCochin
Julie Rachline Pascale Maisonneuve Shahrzad Moradi Pierre-Olivier Couraud Pascale LEROY
]]>In the#podcast Mentors – Leadership in Health, created by Anca Petre, Julie shares a story far removed from the polished success stories… and unknowingly, the story of the birth of a leader.
From her shy youth, through the #BrainTale adventure and the moment everything stopped, the moment of mourning, to the importance of creating “safe” spaces for leaders, Julie shares two key messages:
– The necessity of taking action, so as not to have regrets ;
– Energy alone is not enough; it must be transformed into collective movement and energy.
A four-episode testimony that resonates particularly with what we experience every day at #LallianSe. Because working alongside those who are transforming healthcare is not just about integrating solutions or structuring pathways. It is also—and above all?!—about being and acting alongside those who bear the responsibility.
After three initial articles dedicated to our immersion at La Pitié-Salpêtrière Hospital — exploring the origins of the Innovation Challenges and sharing the stories of projects led by award winners — we wanted to step back and take a broader view: what happens when innovation is born on the ground… and then confronts the system?
To explore this question, we spoke with Professor Thomas Similowski, Professor of Pulmonology at the Faculty of Health of Sorbonne University and hospital practitioner at AP-HP (Assistance Publique – Hôpitaux de Paris). He heads the R3S Department (“Respiration, Resuscitation, Respiratory Rehabilitation, Sleep”) at La Pitié-Salpêtrière Hospital, as well as the joint research unit UMRS 1158 Inserm – Sorbonne University, “Experimental and Clinical Respiratory Neurophysiology.”
Beyond his medical, clinical, and scientific credentials, Thomas Similowski is also an active player in healthcare innovation, at the crossroads of care, entrepreneurship, and research. He is co-founder and scientific advisor of the start-up AUSTRAL Dx, which develops an innovative contactless digital clinical examination device. He is also co-inventor of around twenty patented devices, processes, and methods, and director of a research unit strongly committed to research valorization, with the support of the Research and Innovation Office of Sorbonne University and SATT LUTECH. His perspective is therefore grounded in concrete and ongoing experience of innovation — from ideation to commercialization.
Before this conversation, we had prepared a structured interview guide designed to address field realities, recognition, attractiveness, barriers, solutions… and above all to give space to a strong conviction: healthcare professionals represent an immense reservoir of innovation.
His message — candid and direct from the very first minutes — disrupted our plan. His vision of innovation within public hospitals is critical and highlights a reality often shared by teams:
“Healthcare professionals have the ideas and understand the needs… but they do not always have the tools to turn those ideas into concrete solutions.”
The observation is clear: the most relevant hospital innovation does not begin in a meeting room — it emerges from daily practice. It grows out of difficulties, “pain points,” care constraints, complex patient pathways, from what “doesn’t work” and, repeated ten times a day, eventually becomes a need.
Thomas puts it very directly: healthcare professionals “know what needs to be done.” They see what is missing, what causes fatigue, what creates risk, what can be improved — because they live the reality minute by minute. This applies equally to organizational innovation (pathways, coordination, roles, interfaces) and technological innovation (tools, devices, digital uses).
During our discussion, he emphasized that “useful” innovation is often field-based innovation: the kind that makes a procedure simpler, a relationship smoother, or care delivery safer. And this is precisely why healthcare professionals must be at the heart of change — not as a principle, but because they are closest to the evidence: what works, what doesn’t, and what would help.
« Healthcare professionals have the knowledge, they have the ideas.»
But he immediately adds the crucial condition: ideas are not enough.
The discussion highlights a central issue: creativity is not lacking in hospitals. What is lacking are the conditions for success — and sometimes even a framework that does not discourage energy before it has had the chance to become a project.
Thomas describes an ecosystem where people sometimes “see the problems before the solutions,” where caution becomes a reflex, and where administrative pathways can feel like a layering process — the opposite of the initial objective. Even when sharp, his remarks reflect a reality recognized by many project leaders: between idea and deployment lies a series of complex steps (legal, organizational, budgetary, regulatory, among others) that are not always clear to those on the front line. He describes a system that too often discourages before it supports.
He uses a powerful expression to define innovation: “divergent creativity” — the courage to step outside the framework, to propose something different, to imagine otherwise. By nature, innovation challenges what already exists:
« Innovation is a form of disrespect. »
This statement, of course meant metaphorically, conveys an essential idea: you cannot create something new without questioning established habits. The problem arises when innovation is expected to be immediately compatible with all processes, validations, and timelines — as if it must strictly remain “within the box.”
For Thomas, the real issue is not asking healthcare professionals to be more innovative — it is enabling them to innovate without exhausting themselves. He summarizes this shift clearly:
« Healthcare professionals have the ideas, but they don’t have the tools.»
These “tools” are very concrete:
He highlights two key areas where real progress is possible: continuous innovation support processes (including associated professional and individual pathways) and the development of a culture that secures experimentation (including the right to test, prototype… and even fail).
He also points to a very operational difficulty: “even when motivated, you sometimes move forward blindly — because you are told about step one but not step two. And just when you think you are progressing, you fall into a ‘hole’ (administrative, legal, methodological).” The result in the field is predictable: motivation turns into apprehension.
This is a reality: between idea and implementation, the journey is often long, difficult, and filled with obstacles unrelated to the project’s intrinsic quality. According to him, “involving healthcare professionals can ultimately produce the opposite of the desired effect: frustration, disappointment, discouragement. A machine that wears down goodwill.”
During the discussion, Thomas raised a very concrete and revealing question: when an idea comes from a physician, pathways — however complex — exist. But when a paramedical professional has an idea, where do they go? Who welcomes it? Who responds? Who supports them in refining, exploring, prototyping, or protecting it if needed?
His observation is clear: without an identified and accessible pathway, there is a real risk of dispossession. The idea circulates, transforms, sometimes dilutes… and the original initiator may eventually disappear from the radar.
«The problem is not the idea. The problem is the pathway. And for paramedical professionals, that pathway is neither clear nor visible.»
This is why it is essential to give paramedical professionals a central place in hospital innovation thinking. Their practical expertise is decisive: they are closest to procedures, organizational realities, and daily constraints. Yet innovation pathways remain too structured around traditional codes — publications, research mechanisms — that do not always align with their professional journeys. They must be encouraged to dare to formulate, test, and build.
Thomas does emphasize that awareness is growing. Efforts are underway, institutions are beginning to more clearly identify the place of paramedical professionals in innovation dynamics, and some mechanisms are evolving in the right direction. But, in his view, while awareness is emerging, the road ahead remains long to make these pathways truly visible, accessible, and equitable. The challenge is no longer only to recognize their role in care — but to concretely structure their place in innovation.
This is precisely what emerged from the projects presented in the previous articles of this series. Whether the OB-E Foundation, Pikidou, or T-OUT, these projects were born from paramedical field ideas, carried by healthcare professionals who benefited from structured support. The result? Concrete, deployed, useful projects — and above all, strengthened momentum, both individually and collectively.
When the framework is clear, when support structures are available and guidance is adapted, ideas come to life, project leaders remain engaged, and innovation becomes a lever for recognition.
Beyond projects themselves, a broader issue emerges: innovation can help restore momentum to teams — recognition, pride, dynamism, a sense of usefulness, the desire to build.
Even within his demanding vision, Thomas highlights something valuable: hospitals do not lack talent; they sometimes lack signals that authorize that talent to express itself. He notes that innovation requires “breaking codes.” But if the environment penalizes anything that stands out, the natural reflex is caution.
«We must invite healthcare professionals to board a train that is already moving. »
In other words, if institutions want to attract and retain talent, they must demonstrate that they can transform field energy into results — not merely into endless procedures.
The conclusion is simple: if we want caregiver-driven innovation to become a collective capability rather than an exception, we must equip and transmit.
Thomas puts forward a powerful idea: learning to “unlearn.” Behind this expression lies a reality: many professionals have been trained to “do things right,” to follow rules and tick boxes — which makes sense in care. But innovating also means learning to explore, prototype, test, and allow for imperfect beginnings.
«We would need training to learn how to unlearn. »
Above all, he reminds us of a key point: innovation is not just an idea. It is a process — from creativity to valorization, and sometimes to transfer. For Thomas, basic pedagogy about the “pathway” prevents fear and disengagement: “At the very least, let’s explain what the boxes are.”
This interview initially left us perplexed. It clearly highlights the difficulties and the key issues of motivation, support, and long-term commitment. But ultimately, it brings forward a central question: the ecosystem is imperfect — should that lead us to give up?
At LallianSe, our DNA lies in action and construction. What we have learned through years of immersion is that you do not change a system outright — but you can support its evolution through leverage points: spaces of trust, agile and innovative initiatives, renewed interactions between caregivers, innovators, and experts.
]]>