Get underneath it
£5,000I review recent accounts, forecasts, pricing, payroll, diaries, room use and the patient journey. I spend time in the clinic and, where relevant, review clinical notes for reasoning, progression and missed opportunity.
Built it. Sold it.
Still do it.
I spent 30 years building Six Physio from one clinic to a private equity exit. I have already had my exit. I am not looking to take over your clinic, and I do not need to be paid simply for turning up.
Most consultants are paid whether their advice works or not. I am happy to structure this differently.
Human intelligence
AI can read the data.
I can read the clinic.
You have probably already asked AI how to streamline your clinic, improve profitability, expose blind spots and write a better plan.
So have I. It is enormously useful.
But AI can only work with what you show it. The expensive problems are often the things nobody has thought to capture.
I may need to stand in your reception and feel the atmosphere. Walk the surrounding streets. Understand whether the property fits the promise. Read clinical notes for reasoning rather than completeness. Watch how treatment progresses, or quietly fails to. After all, this is the engine room of the business.
AI is very good at answering the question you ask.
Thirty years as a clinician and clinic owner has taught me to spot the question you missed.
The commercial model
£5,000 starts
the proper work.
It buys the initial diagnostic, not a few calls and a generic deck. I review the numbers, spend time inside the clinic, examine the patient journey and look for the expensive things the business has stopped noticing.
If we continue, I am happy to put more of my time and more of my fee at risk.
Decide what matters
You receive a clear view of what is helping, what is leaking value and what should happen first. We agree the few priorities capable of making a measurable difference, not a hundred recommendations nobody will implement.
Share the risk
25%If we both choose to continue, the £5,000 is credited against my success fee. I take 25% of additional adjusted operating profit above the agreed six-month baseline. You keep 75%. No improvement means no further fee.
This is for Build, Scale and Exit. The baseline, measurement period, agreed adjustments and any cap are written down before the work begins. Starting out is different, which is why Start has The Free Lunch and Your First 20 Patients.
Talk it throughStart · Build · Scale · Exit
Where are you now?
The problem changes as the clinic grows. So should the advice.
Why me
Too close
to see it.
Running a clinic is relentless.
You see the diary, the people, the property, the numbers, the patients and the problems every day. You can see all the layers. What becomes much harder to see is the detail hiding between them.
That is where clinics stall.
My advantage is an unusual one. I have spent more than 30 years treating patients while building, running and ultimately selling a major clinic group.
I can look at the business as an operator and the work as a clinician. I understand the spreadsheet, but I also understand the treatment room.
I have already had my exit. I am not trying to take over your clinic or turn it into mine.
I want good clinic owners to succeed because good clinics are better for owners, clinicians and patients.
Why wouldn’t I?
01 / START
For tomorrow’s clinic owners
The free lunch.
Who says there’s no such thing?
Starting a clinic is exciting, lonely and usually rather short of cash. Committing £5,000 to somebody you barely know would be brave bordering on stupid.
So don’t.
Every few months, I’ll invite six early-stage clinic owners to lunch. Bring one real problem. We’ll pull it apart together and you’ll leave with a clearer next move.
There is no fee, pitch or obligation.
If your clinic eventually becomes successful, you can buy lunch for the next six.
That’s the entire deal.
Ask for a seatThe bridge
Still at Start
Your first 20 patients.
Six weeks to turn the idea into a clinic worth building.
Sometimes lunch uncovers a real opportunity, but the clinic is nowhere near ready for £5,000 consultancy. This is the middle.
We begin with a 90-minute working session. We pull apart the idea, identify who the clinic is really for and agree what needs proving before you spend serious money.
Over the following six weeks, three check-ins keep the work moving. We focus on the proposition, pricing, where the first 20 private patients will come from, the numbers needed to replace an employed day and what not to spend money on yet.
£1,000for six weeks
If the clinic reaches Build and we work together within 18 months, every pound is credited against the £5,000 diagnostic.
Tell me what you’re startingYour next move