The Six Dimensions Framework

Six dimensions of coordination capacity, built from analysis of 69+ peer-reviewed studies on healthcare team coordination across 25+ countries.

Each dimension measurable. Each one actionable.

Why this matters

Each breakthrough demanded more sophisticated coordination of HER2-positive disease management. Trastuzumab needed cardiac monitoring. CLEOPATRA required combination precision.

Today's advanced immunotherapies demand genetic confirmation, toxicity protocols, and brain monitoring across several specialists.

The treatments changed.

The infrastructure did not.

The science evolved. The coordination infrastructure did not. What held the system together was absorbed by the people closest to the gaps.

It runs on informal knowledge, personal relationships, and workarounds accumulated over years. It has no job description. It has no dataset.

The Six Dimensions Framework names where that coordination lives and where it breaks.

Learn more about why now →

The patient was 45, a mother of two, presenting with aggressive breast cancer.
When the genetic analysis came back HER2-positive, everything changed.

In 1995, HER2-positive meant certain death within months

By 2005, trastuzumab offered hope

By 2015, the CLEOPATRA regimen transformed survival

By 2025, antibody-drug conjugates and targeted therapies could reach brain metastases

What used to be a death sentence became years of watching children grow up.

Where this comes from

The Six Dimensions Framework emerged from analysis of 69+ peer-reviewed studies on healthcare team coordination across 25+ countries. We have recognised six patterns that appear independently across the research literature, each with its own vocabulary, now unified into a single lens.

The framework emerged from research. The study is measuring it in practice.

The Cancer Care Coordination Study is measuring these dimensions in real teams right now. Respondents from seven countries. Findings submitted to ESMO/EONS Congress 2026. Every completion sharpens the picture.

Join the Coordination Study

Something you can do

The coordination challenges in your team did not arrive overnight and will not go away overnight. You have a sphere of influence. Inside that sphere, you can act, try something small and see what happens.

You do not need a programme to start.

You need one experiment.

An experiment that tells you something important about where the real constraint is. The point is not the intervention. The point is learning what works in your system.

Learn more about what you can do →

Experiment. Pick something within your reach. Try it once.

If it shifts something, keep it

If it partially works, tweak it

If it does not work, pivot