Fractional
on Demand
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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
