Founder & Managing Director
Dr Terry Hudsen
BMedSci(Hons) MB ChB MBA MSc DRCOG MRCGP CMgr FCMI FIoL
I’m Dr Terry Hudsen — a doctor, system leader, Chartered Manager and founder of The Wicked Problems Hub.
Over more than two decades in public services, I’ve worked from consulting rooms to boardrooms: leading a billion-pound NHS organisation, negotiating major arrangements between the NHS and local government, leading through regulatory intervention and organisational transition, and working across health, social care, local government and the voluntary sector.
Today I use that experience to help leaders make progress on complex problems that cross organisational boundaries.
Throughout my career, I’ve seen highly capable people genuinely committed to working together — and still struggling to make progress.
Often, the problem isn’t a lack of effort or good intentions.
Different organisations see different parts of the problem. Responsibilities are distributed. Priorities and incentives don’t always align. Relationships matter. Evidence is incomplete. And frequently, nobody is completely in charge.
Sometimes we’re also trying to manage a complex problem as though it were simply a complicated one.
That led me to become increasingly interested not just in what organisations were trying to achieve, but why some problems and partnerships remain stubbornly stuck.
I founded The Wicked Problems Hub in 2023 to bring together practical experience of leading complex public systems with evidence and thinking from systems leadership, collaboration, complexity, management, coaching and wicked problem solving.
Because good theory without practical experience isn’t enough — and neither is experience without good thinking.
Before establishing The Wicked Problems Hub, I chaired NHS Sheffield Clinical Commissioning Group, a billion-pound statutory NHS organisation.
During that time, I helped lead the organisation from regulatory intervention to formal commendation for its leadership, culture and outcomes; negotiated £750 million of joint commissioning arrangements between the NHS and Sheffield City Council; and subsequently helped oversee the statutory transition of four CCGs into the new South Yorkshire Integrated Care Board.
I’ve chaired and worked within partnerships spanning the NHS, local government, primary care and the voluntary sector, often in situations where organisations needed to act together but no single organisation could simply tell everyone else what to do. I've also led mental health community and neighbourhood health service development.
I now serve as Independent Chair of Bradford Safeguarding Adults Board, providing independent leadership and challenge across a complex statutory partnership.
I also remain a practising NHS GP. That matters to me. It keeps me connected to public services at the point where systems, strategies and organisational decisions ultimately become real experiences for individual people.
The work of The Wicked Problems Hub falls into three broad areas:
understanding what’s really happening before jumping to solutions. This includes wicked problem diagnosis, executive thinking, partnership and alliance health, and independent review.
helping people develop responses that recognise the complexity of the system in which they need to work, including solution design, population health and neighbourhood health.
building the leadership and collaborative capability needed to make change happen through development programmes, workshops, board development, coaching and facilitation.
Across all three, my role isn’t to arrive with the answer.
It’s to bring independence, experience, evidence, challenge and structure — helping people see the problem differently and work out what they can actually do next.
Alongside my medical training, I hold an MBA in Leadership Practice with Distinction and a Master’s degree in Coaching and Mindfulness.
I am a Chartered Manager and Fellow of the Chartered Management Institute (CMgr FCMI), a Fellow of the Institute of Leadership (FIoL), a Member of the Royal College of General Practitioners (MRCGP) and a Wicked Problem Solving Practitioner.
That combination of clinical practice, organisational leadership, governance, management, systems thinking and coaching shapes how I approach complex problems.
Those are the problems I find most interesting.
Bringing clarity to complexity
If you’re dealing with a complex challenge and think an independent perspective might help, get in touch.
