Healthcare professionals

Every year you wait
is a year you already paid for.

Via Nova helps healthcare professionals build a structured Personal Exit Plan™ — one with real numbers, a clear direction, and no reckless leaps. It starts with knowing where you actually stand.

Free · 15 questions · 3 minutes

Still in a role you’ve mentally already left?

Answer 15 questions and find out exactly where you stand — across your values, finances, direction, and what’s holding you back. You’ll know what to work on first.

Take the free exit readiness quiz →
Built by David Birchmore — healthcare professional, founder, career changer. Not a career coach. Someone who’s already made the move.
The real problem

Staying isn’t the safe option. It just feels like one.

Most healthcare professionals don’t leave roles because they’re uncertain — they leave because they eventually can’t justify staying any longer. The question isn’t whether to go. It’s how long you’re prepared to wait.

What it costs you

Years of experience building up with no plan to use them differently. You’re getting more capable and less free. That gap widens every year.

What it costs you

Sunday dread that arrives earlier every week. Your decision-making faculty telling you something needs to change. It’s worth listening to.

What it costs you

Watching others with less experience earn more by doing things differently. Your skills have real value outside your current role. Most healthcare professionals underestimate how much.

What it costs you

Waiting for the right moment that never quite comes. There’s no perfect time. There’s a right kind of preparation. That’s what the Personal Exit Plan™ is for.

Where you are now

What’s actually going on

  • Capable, experienced, and quietly running out of patience
  • The role made sense once. It’s harder to defend now.
  • You’ve thought about leaving, but not what to leave for
  • Money feels like the obstacle — but you haven’t run the numbers
  • You don’t want to be told to follow your passion. You want a real plan.

If that’s close to where you are, keep reading.

What becomes possible

What the plan gives you

  • A clear picture of what your skills are actually worth, and to whom
  • Real numbers — what you need to earn, what you can afford to risk
  • A working-day design you’ve chosen, not inherited
  • A structured exit that reduces the fear of getting it wrong
  • The confidence that comes from having a decision, not a dream
Book a free intro call
The main programme

The Exit Plan
Workshop.

Six sessions. A structured process. Four written documents you can act on the moment we build them. The Workshop covers the first three stages of the VIANOVA framework — the foundation every exit is built on.

Two formats: 1:1 private sessions for people who want direct, personalised work, or a small cohort with four to six people facing the same decision.

If you’ve decided it’s time to start working on this properly, the Workshop is where that starts.

You leave with
Skills Translation MatrixA written document, not a worksheet
Viable Routes DocumentTwo or three real options, tested
Affordability ReviewThe honest financial picture
90-Day Action PlanSpecific, dated, ready to use
1:1 · Private

Exit Plan Workshop — 1:1

Six private sessions, 90 minutes each. Direct access between sessions. Everything built around your specific situation.

£497 · six sessions
Full details and booking →
Cohort · Small group

Exit Plan Workshop — Cohort

Four sessions over four weeks. Four to six people. Same structured outputs. A different dynamic, and a lower fee.

£297 · four sessions
Full details and joining →

Both Workshop formats count towards the full Personal Exit Plan™. Your fee comes off the programme cost if you decide to continue.

The framework

Seven stages. One Personal Exit Plan™.

The VIANOVA framework is the structure behind every client conversation. Seven stages from “I think I want to leave” to a concrete, financially grounded plan. The Workshop covers the first three — the foundation every exit is built on.

V
Stage 1 Workshop

Values & Skills

What do you actually have to offer? Most healthcare professionals have more transferable value than they realise, and are pricing themselves at the wrong level.

I
Stage 2 Workshop

Imagine

What does your ideal working life look like? Not a vision exercise. A specific, practical description of the working day you’re building towards.

A
Stage 3 Workshop

Affordable

Can you afford to make the move? This is where most people stall. We work out the numbers — minimum viable income, buffers, timelines — before anything else.

N
Stage 4

Now What

What does the plan look like? Steps, timelines, decisions. A real, ordered sequence of moves — not a list of ideas.

O
Stage 5

Overcome

What’s holding you back? Fear, guilt, identity, money. These are real. We look at them directly in the context of your specific situation.

V
Stage 6

Validation

Have you tested this in the real world? An idea is only an asset once it’s been checked against reality — before you commit to anything.

A
Stage 7 · Underpins everything

Action

What’s the next move? Every stage leads here. Action runs through the entire process from the first conversation, not just at the end.

Stages 4–7 are covered in the full Personal Exit Plan™. Your Workshop fee counts towards the full programme.

Who this is for

Healthcare professionals ready to think seriously about what comes next

Via Nova works with people across nursing, allied health professions, medicine, radiography, operational management and beyond — anyone with healthcare experience who’s questioning whether another decade of the same is what they want.

Experienced, capable, and quietly running out of reasons to stay where you are.

You’ve thought about consulting, going self-employed, or building something of your own — but you don’t know what to tackle first.

You want out, but you won’t do it recklessly. You need a plan with real numbers behind it, not just encouragement.

You suspect your skills are worth more than your current salary reflects. You haven’t been able to prove it yet.

You’re done thinking about it. You’re ready to work on it properly.

You’re facing redundancy and you’d rather use this moment to move forward than find another version of the same job. The Workshop is a good place to start.

Every option

Pick the level that fits where you are

Not everyone starts in the same place. There’s a sensible entry point at every stage.

Free
£0

Scorecard + Free Tools

Exit Readiness Quiz, DIY PEP Starter, and the Get A Shift On podcast.

Take the quiz
eBook
£9.99

The Final Shift

The complete healthcare career exit guide. Everything to think through before you move.

Get the eBook
Session
£75

PEP Talk

45 minutes. One focused conversation. Walk away knowing what your next move is.

Book a session
Workshop · Main programme
£297–497

Exit Plan Workshop

Six sessions 1:1. Four written outputs. A plan you can move with.

See the Workshop
Full programme
£1,295 / 6 months

Personal Exit Plan™

14 sessions. All seven VIANOVA stages. Workshop fee deducted if you continue from there.

Join the waitlist

Personal Exit Plan™ launching soon. Join the waitlist to be first to hear.

Free · No card required

Still in a role you’ve mentally already left?

Answer 15 questions and find out exactly where you stand — values, finances, direction, and mindset. Takes 3 minutes. You’ll know what to focus on first.

Take the free