Episode 145

full
Published on:

8th Apr 2026

Building a Healthcare Business That Makes a Difference with Alena Duncan

In this episode of Scale Her Up, I’m joined by Alena Duncan, founder and Chief Executive and Operating Officer of NexEndo Healthcare.

Alena shares the story behind building a clinical services company that supports both NHS and private patients, helping to reduce waiting times in endoscopy and other specialist services while keeping patient safety and clinical governance at the heart of everything.

We talk about her journey from nursing into law, consultancy and then founding NexEndo Healthcare, as well as the realities of growing a business in a highly regulated and male-dominated industry.

This is a fascinating conversation about leadership, persistence, communication, problem-solving and what it really takes to build a purpose-led healthcare business.

In this episode, we cover:

  • What NexEndo Healthcare does and how it supports NHS and private patients
  • Why reducing waiting times in healthcare matters so much
  • The challenge of marketing sensitive health services
  • Alena’s journey from nursing to law to business ownership
  • What she has learned about herself as a founder and leader
  • Why communication has been a thread through her whole career
  • The importance of trusted people around you in business
  • Growing from a small team to a much larger operation
  • The realities of regulation, policy and compliance in healthcare
  • The barriers to entry for smaller providers in Scotland
  • Why persistence and strong opinions can be an asset in business

Memorable moments from this episode:

  • Why patients need services that feel accessible and easy to talk about
  • Alena’s reflections on finding her voice in a male-dominated world
  • Her honesty about having to be firm in order to be heard
  • The challenge of selling services people only seek when they have a problem
  • “Don’t be scared of being opinionated as a woman.”
  • “If you don’t try, you never know whether you’re going to succeed.”

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About the Podcast

Scale Her Up: Female business stories and expert tips for business growth and success
The Female Entrepreneur Show. Sharing business expertise, start-up experiences and business growth strategies to overcome challenges
If you are a female business owner, self-employed freelancer, or girl boss who wants to build a successful business i.e. work less hours, make more money, and get better results from your staff, then this is the podcast for you. Hosted by Dr Brenda Hector MBA from ActionCOACH UK, this podcast provides relatable and accessible business advice and inspiration from successful businesswomen who have been there and done it before you.

This podcast is where you can
• hear female business stories
• share business success
• learn how to overcome business challenges
• get advice for businesswomen aspiring to success
• find out what needs to change
• discover how we can bring about that business revolution

Only 1 in 3 UK entrepreneurs are female.
UK men are 5 times more likely than women to build a business of over £1million turnover

If UK women matched UK men in starting and scaling businesses, it would add £250 billion to the UK economy (Alison Rose, The Rose Review of Female Entrepreneurship 2018)

As a woman in business, a business coach, and a business growth expert, Brenda’s mission is to help business owners grow their companies, achieve their goals and live the lifestyle of their dreams. She's the help you need to grow your business.
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About your host

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Brenda Hector

I’m Brenda Hector — entrepreneur, business coach, podcast host and writer — and I help ambitious female business owners turn hard work into real results: higher profits, better team performance, and more time back.
If your business relies too heavily on you, growth feels messy, or you’re “successful on paper” but exhausted in real life, you’re not alone — and it’s fixable. My work is about building a business that performs consistently, develops leaders, and supports you to step up and step back when you choose.
On Scale Her Up: The Female Entrepreneur Show, I spotlight women who are building brilliant businesses and share tools and insights to accelerate progress and improve gender balance in entrepreneurship.
"Because being in business should give you more life"