Skale case study · Consulting, governance & professional judgement
When Should a Consultant Say No?
The McKinsey and Purdue Pharma case raises a question that reaches well beyond one firm or one industry: how should a consultancy decide whether a commercially attractive problem is one it should help a client solve?
Consultants spend much of their working lives asking clients difficult questions, particularly when the numbers, the strategy and management’s assumptions begin to tell different stories. We ask whether a market is genuinely attractive, whether an organisation is ready to expand, whether customers value a product enough to pay for it and whether the company can deliver what its strategy requires.
There is another question that deserves the same discipline, although it sits much closer to the consultancy itself: should we accept this work at all? The answer becomes uncomfortable when the client is commercially important, the assignment is intellectually interesting and the fees are substantial, and it becomes harder still when the relationship has existed for years and the consulting team understands the client’s organisation almost as well as some of the people inside it.
The McKinsey and Purdue Pharma case provides an unusually serious example. In December 2024, the US Department of Justice announced a US$650 million criminal and civil resolution concerning McKinsey’s work for Purdue, including advice related to the sales and marketing of OxyContin. McKinsey subsequently said that it should not have undertaken sales and marketing work for Purdue and expressed profound regret for its previous work with opioid manufacturers.
When does solving the client’s problem become the wrong professional decision?
That is the part of the case that interests me most because the underlying consulting brief was not exotic. It looked, in many respects, like the kind of commercial problem an advisory team might encounter in almost any large company.
The brief
The consulting problem itself looked entirely familiar
Imagine the assignment without knowing the client’s name. Sales performance varies across regions, management wants to understand the difference, the company has extensive customer information and the commercial organisation contains enough variation to compare territories, representatives and accounts. A consulting team could reasonably examine segmentation, targeting, incentives, salesforce effectiveness, customer behaviour and the opportunities available in different parts of the market.
None of those analytical techniques is unusual, and the work could be carried out with great technical competence. The difficulty appears when one fact is returned to the centre of the analysis: the product was OxyContin, a powerful opioid whose commercial performance could not sensibly be considered independently of prescribing behaviour, addiction, misuse and patient harm.
The methods therefore remained useful while the meaning of the recommendation changed. Increasing sales was still a measurable commercial objective, but a complete professional assessment had to consider the consequences attached to achieving it, including consequences that sat outside the narrow language of sales productivity.
Technical accuracy does not remove the need to judge the objective being optimised.
Professional judgement
A consultant can understand the brief perfectly and still need to challenge it
Consulting organisations invest heavily in teaching people how to structure a problem, test evidence, analyse data and develop recommendations that can be implemented. Those capabilities are fundamental to the profession, but they become insufficient when the engagement itself contains a wider risk that management has chosen to exclude from the framing.
The adviser then has to consider whether the original question is complete. A proposal may ask how to increase sales, reduce headcount, automate a decision, identify a more profitable customer group or accelerate a regulatory strategy, while the consequences of doing so extend beyond the metric that has been selected for improvement.
This is where professional judgement earns its place. The consultant is being paid partly because somebody outside the operating hierarchy should be able to see a problem with enough distance to challenge the assumptions around it, including the assumptions that made the engagement attractive in the first place.
The success test
What happens if the recommendation works exactly as intended?
One question cuts through much of the complexity: if the recommendation succeeds exactly as intended, is the consultancy comfortable with the outcome it has helped create? The value of the question is that it shifts attention from the mechanics of delivery to the purpose of the engagement, which is often where the more difficult judgement sits.
Suppose the client gains market share, changes customer behaviour and implements the recommendation almost perfectly. Those results may look excellent in a project close-out presentation, yet the board of the consulting firm should still be able to explain why it wanted that outcome to occur and why the engagement was consistent with the firm’s professional responsibilities.
Client acceptance processes usually consider capability, commercial attractiveness, available people, likely margin and the potential value of a longer relationship. I would add the success test before the proposal is signed because it forces the consultancy to examine the result before commercial momentum makes that examination more difficult.
The case in numbers
The eventual cost makes client profitability look very different
These figures should not be combined as though they represent one simple cumulative penalty, because they arose from different settlements, claims and periods. Their usefulness for a board lies elsewhere: they show how poor client or engagement judgement can alter the economics of work that may originally have appeared commercially attractive.
A fee is visible as soon as the engagement is sold. Regulatory exposure, litigation, management distraction, compliance expenditure and reputational damage may remain uncertain for years, which means the commercial case for accepting a client can look strongest precisely when the full cost is least visible.
Revenue quality
A profitable engagement can become an economically poor client relationship
Imagine an engagement that produces €2 million in fees with an attractive margin, uses the team efficiently and creates a credible path towards further projects. Most consulting dashboards would record that relationship positively, particularly if invoices are paid on time and senior executives continue asking for more work.
Now include a low-probability but very large regulatory or reputational consequence, together with the possibility that future clients begin questioning the judgement behind the firm’s work. The expected economics change because consulting firms sell something that is difficult to isolate in the accounts: confidence that their advice combines technical competence with independent professional judgement.
Reputation therefore behaves differently in professional services from a conventional marketing asset. Once clients start wondering whether commercial incentives can override judgement, the concern reaches into the product they are buying rather than remaining at the level of communications or brand management.
Board question: do we evaluate major client relationships according to the quality and risk of the revenue they generate, or mainly according to the amount?
Client familiarity
Understanding the client can gradually weaken the distance needed to challenge it
Good consultants spend enough time inside a client organisation to understand why people behave as they do. They learn the company’s history, internal constraints, personalities, competitors and commercial pressures, and that knowledge is one of the reasons experienced advisers can often see possibilities that remain hidden in a more superficial analysis.
Long relationships also change the adviser. Language that sounded unusual during the first month becomes normal after the sixth, internal frustrations acquire context and the objectives discussed repeatedly in steering meetings begin to feel like the obvious problems the consulting team has been hired to solve. Familiarity can therefore improve the work while making independent challenge more difficult.
The governance response is not distance for its own sake. It is to make sure that somebody with sufficient authority remains capable of examining the engagement from outside the commercial relationship and asking why the firm is helping the client pursue this particular objective.
Incentives
The people closest to the client may also have the strongest reason to keep the relationship growing
Consulting partnerships contain a structural tension because the professionals with the deepest knowledge of a major client are often the same people responsible for developing the account. Their experience is valuable when the firm considers new work, yet the commercial success of the relationship may also affect their revenue responsibility, professional standing and future opportunities.
That combination does not make their judgement unreliable, although it does make independent review sensible. A partner advocating for another €5 million engagement should contribute strongly to the acceptance decision, while the firm should also ensure that somebody who is not commercially dependent on the account can challenge the purpose, scope and risk of the work.
The need becomes more important when an individual client represents a substantial proportion of revenue because financial dependency can change the tone of professional challenge long before anybody consciously decides to compromise a standard.
Board dashboard
The indicators I would want beside revenue, utilisation and pipeline
A conventional consulting dashboard tells the board whether the business is commercially healthy, but it says much less about whether the portfolio of engagements is creating exposures that may only become visible later. I would therefore want a second view that examines the quality of the relationship, the purpose of the work and the organisation’s ability to challenge a profitable client.
| Indicator | Question for leadership |
|---|---|
| Revenue concentration | How financially dependent are we on this client, and how might that dependency affect challenge? |
| Client tenure | Has familiarity begun to reduce the distance needed for independent judgement? |
| Engagement purpose | What outcome are we actually helping the client create? |
| Reputation exposure | How would we explain the purpose and methods of this engagement if they became public? |
| Regulatory exposure | Does the recommendation affect activity where legal or regulatory consequences could be material? |
| Partner independence | Who can challenge or stop the engagement without being commercially dependent on winning it? |
| Scope development | Has the work moved materially beyond the purpose originally reviewed and approved? |
| Escalation access | Can junior consultants raise concerns outside the project hierarchy without damaging their position? |
| Client behaviour | Are warning signs elsewhere in the organisation relevant to whether this work should continue? |
| Success test | If the recommendation works exactly as intended, are we comfortable with the result? |
Wider governance
South Africa makes the issue harder to dismiss as a single historical mistake
The Purdue controversy was not the only period in which McKinsey’s client and engagement governance came under serious scrutiny. In South Africa, the firm faced investigations connected with work for state-owned enterprises and, in December 2024, McKinsey Africa agreed to pay more than US$120 million to resolve a US Department of Justice investigation into a bribery scheme involving government officials and consulting contracts.
Years earlier, McKinsey had also committed to return fees from projects involving Transnet and South African Airways where Regiments Capital had been involved, with the firm describing weaknesses in previous safeguards and outlining reforms to its global risk and compliance procedures. By May 2021, the settlement with Transnet concerning those fees, including interest, totalled R870 million.
I would be careful about treating different cases as though they were evidence of one identical failure because the facts, conduct and legal questions were different. For consulting boards, however, the recurring governance issue is difficult to ignore: decisions about whom the firm serves, what work it accepts, which intermediaries or partners it relies on and who can independently challenge a valuable relationship belong inside the commercial model rather than at its edge.
AI advisory
The same problem is moving into decisions that appear to be about efficiency
The lesson becomes more relevant as consulting firms help companies introduce generative AI, workforce automation, customer profiling, automated pricing, surveillance systems and algorithmic decision-making. Many of these assignments begin with a commercially reasonable question, such as how much labour cost can be removed, which decisions can be automated or which customer groups can be targeted more precisely.
The calculation may be technically straightforward while the advisory problem is broader. Management also needs to understand which capabilities disappear with the jobs being removed, how customers experience automated decisions, what data is being used, whether the model introduces discriminatory outcomes and who remains responsible when the system causes damage that nobody intended.
As analytical work becomes easier to automate, I suspect this part of consulting becomes more important rather than less. The value of an adviser will increasingly depend on the ability to interpret consequences, challenge framing and recognise when an apparently efficient solution creates a different problem elsewhere in the organisation.
Smaller consultancies
Financial dependence can make the same judgement much harder
It would be convenient to see this as a governance problem belonging mainly to enormous consulting firms, yet smaller advisory companies may face a more immediate version because one client can represent 20, 30 or even 40 per cent of annual revenue. Losing that relationship can affect hiring, investment, cash flow and the year’s profit target almost immediately.
That dependency changes the context in which professional judgement is exercised. An uncomfortable request may be accepted because the relationship is important, followed by an extension that looks close enough to the original scope to approve, and then by further work that would probably have received much more scrutiny if a new client had proposed it at the beginning of the relationship.
Governance is most useful when the difficult decision has been considered before the money is at risk. Smaller firms do not need elaborate compliance departments, but they do need clarity about which engagements require independent review, what types of work they will refuse and who has enough authority to walk away from revenue when the commercial pressure is strongest.
The question for CEOs and consulting boards
Do we know what kind of work we are willing to lose before somebody offers us the money?
Client selection is often treated as a commercial activity because it sits close to business development, account management and pipeline. In reality, the clients a consultancy chooses and the objectives it agrees to support gradually shape the firm’s reputation, incentives, expertise and internal standards.
If this engagement succeeds exactly as planned, will we still be comfortable explaining why we helped make it happen?
A clear answer does more than protect the firm from reputational risk. It tells the board whether the revenue being pursued is consistent with the professional judgement the consultancy expects clients to trust.
The board lesson
What the McKinsey and Purdue case really asks of the consulting industry
The easiest way to tell this story is to describe the settlements and conclude that stronger compliance was required. The more useful question is how an organisation filled with highly capable people can become so focused on solving a client’s commercial problem that the legitimacy of the objective receives less scrutiny than the quality of the analysis.
Consulting requires proximity because advisers need to understand the organisations they serve, but the profession also depends on retaining enough independence to challenge the client when its assumptions, incentives or objectives deserve examination. That balance becomes harder as relationships become larger and more profitable, which is precisely why it cannot be left entirely to individual judgement at the point when a new engagement is being sold.
McKinsey’s subsequent investment in stronger risk management, client selection and compliance demonstrates how seriously those systems can matter once a firm has experienced the cost of getting them wrong. For other consultancies, the opportunity is to consider the same problem earlier and at a scale appropriate to their own business.
A consultancy is shaped not only by the advice it gives, but by the work it decides is worth accepting.
For CEOs and boards of advisory firms, that makes client selection part of strategy. Revenue still matters, as it should, although the more difficult task is understanding which revenue strengthens the business and which can quietly weaken the judgement on which the business depends.
Evidence base
References
- United States Department of Justice (2024), ‘Justice Department Announces Resolution of Criminal and Civil Investigations into McKinsey & Company’s Work with Purdue Pharma L.P.; Former McKinsey Senior Partner Charged with Obstruction of Justice’, 13 December. Source .
- McKinsey & Company (2024), ‘Deferred Prosecution Agreement Relating to Our Work for Purdue Pharma’, updated December. Source .
- New York Attorney General (2021), ‘Attorney General James Delivers More Than $573 Million to Communities Across the Nation to Fight Opioid Crisis’, 4 February. Source .
- McKinsey & Company (2021), ‘McKinsey Reaches Agreements With 49 State Attorneys General To Resolve Investigations Into Past Work For Opioid Manufacturers’, 4 February. Source .
- McKinsey & Company (2023), ‘Statement on proposed settlement agreement with political subdivisions’, 26 September. Source .
- United States Department of Justice (2024), ‘McKinsey & Company Africa To Pay Over $120 Million In Connection With Bribery Of South African Government Officials’, 5 December. Source .
- McKinsey & Company (2020), ‘McKinsey & Company makes further voluntary commitment to repay fees’, South Africa. Source .
Skale Egenkapital · Executive advisory
Good advice begins before the analysis, with deciding whether the problem itself deserves to be solved.
We work with founders, CEOs and boards on the commercial and organisational decisions that become difficult when growth, incentives, governance and professional judgement begin pulling in different directions.
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