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Michelle Peel

Fractional COO

I’m a commercially focused fractional COO with over 20 years’ experience delivering strategic growth, operational transformation, and financial turnaround across healthcare, professional services, and the not-for-profit sector.


I began my career at Morgan Stanley, rising to Vice President in Prime Brokerage, where I led EMEA non-market risk. That foundation sharpened my skills in governance, stakeholder engagement and risk mitigation — all of which I now bring into scaling businesses with clarity and control.


As co-founder and COO of a national domiciliary opticians’ business, I grew the company to £2.5m turnover with no debt before leading its successful sale. At OutsideClinic, I developed and scaled a Joint Venture model that more than doubled in contribution to overall revenue within twelve months.


Currently, as a Fractional COO at Age UK West Sussex, Brighton & Hove, leading strategic planning, commercial development, and operational delivery. I’ve launched new revenue-generating services, introduced a bespoke CRM and membership model, and turned around multiple loss-making divisions into sustainable ventures.


How I Can Help

  • Operational leadership for scale-ups and mature organisations

  • Strategic planning and implementation

  • Business model design (JV, franchise, partnership)

  • M&A integration, due diligence and change management

  • Commercial strategy and turnaround of underperforming services

  • Board-level governance and stakeholder management

  • Digital transformation and CRM implementation

  • Aligning teams, systems, and service delivery for growth

I have worked with leadership teams, founders, boards, and investors across:

  • Health & Social Care

  • Professional Services

  • Charities & Social Enterprises

  • Franchised or partnership-based business models

  • Organisations preparing for scale, restructure, or exit

Available for:

  • Fractional COO roles

  • Interim strategic projects

  • Board advisory and consultancy

  • Leadership during periods of change or transition

Michelle Peel

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