CTO Grand Rounds welcomed Jerome MacGillivray, a CTO with over 26 years in technology, who led major technology programmes across multiple industries.

Grand Rounds is a live event format for scale-up founders, product companies, and VCs supporting portfolio companies with real technical challenges. Each session brings selected companies into the same room with senior fractional CTOs for a focused live case review. Founders present a real technical or organisational engineering problem, the CTO panel asks questions, challenges assumptions, debates possible diagnoses, and gives direct recommendations. The format is built for companies facing issues such as scaling architecture, vendor failure, stalled migrations, low engineering velocity, post-acquisition integration, AI strategy without execution, team restructuring, or CTO-founder tension. Selected case companies receive a 45 minute live review and a written case report within 48 hours, including the panel’s findings, key recommendations, and prioritised next steps. Grand Rounds is designed to give founders the independent technical diagnosis they often cannot get from their own team, vendors, or investors, and to create a trusted room where experienced CTOs, founders, and investors can work through real problems together.