Scale My Clinic

An owner at the Practice Owners Conference thought their Practice was worth $100K. Their wife had already done the planning. After the sale, they would need to work nine more years to reach their retirement goals. When Sachin and Todd unpacked the structure, the Practice should have been worth $600K to $700K. The problem was not the medicine, and it was not even the business. It was a billing stru...

Most Practice Owners have a decision they keep pushing to "later." It might be a structural change, a hard conversation, a team decision, or a piece of Owner work that never quite makes it to the top of the list. Not because it doesn't matter, but because the Practice is full, the team needs attention, and the next quiet window feels just around the corner. Sachin had one of those decisions in 201...

Alana was once gifted a "chaos coordinator" badge at her Clinic. She wore it. At the time, it felt like recognition. Looking back, she sees it differently. Because in General Practice, there is a culture of badges and mugs and shared trauma. The shit show supervisor. The captain of chaos. An identity built around how many fires you put out each day. That identity feels like belonging. But it can a...

Most Practice Owners with a spare room will let someone in before they've worked out what the room is actually worth. The logic is familiar: a paying tenant is better than an empty room. In the short term, it feels true. But below a certain rate, a tenant starts costing you more than the room generates -- in admin time, in blocked space, in the leverage you've quietly handed away. Todd and Sachin...

Your Practice Manager just gave notice. Maybe with two weeks. Maybe with none. The owners who come out of this better than they went in aren't the ones who found a replacement fastest. They're the ones who resisted that instinct, stepped in, and used the window to understand their own business better than they had in years. What you'll get from this episode: What Todd calls "the speed demon" -- an...

Most GP Practice Owners don’t have a time problem. They have an identity problem. After 20 years as a doctor, the GP role becomes hard to step out of. Patients need you. Staff pull you back in. The work feels familiar, useful, and immediately rewarding. Owner work doesn’t feel like that. It’s slower. Messier. Less obvious. And because it doesn’t fit neatly between patients, it gets pushed to the s...

Worried about the practice down the road? In this episode, Sachin and Todd unpack how competitor fear can push Practice Owners into rushed decisions, bad positioning, and scarcity thinking – and how to get back to playing your own game. You’ll hear two real stories: Todd’s bulk-billing competitor opening across his car park, and Sachin’s team nearly changing their billing model because a small pra...

Most Practice Owners hit the same wall at some point. They ask their Practice Manager to do something. It doesn't happen. They ask again. Still nothing. And slowly, the frustration builds. The honest answer? Usually both sides are contributing. Todd and Sachin break down the three root causes behind a Practice Manager who won't perform: A lack of understanding (they don't actually know what you wa...

The Federal Budget just dropped. Most of the coverage won’t matter much to GP Practice Owners. Four things do. Capital gains tax. Family trust distributions. Urgent care clinic funding. Commercial real estate. Todd and Sachin break down what changed, what didn’t, and what Owners should be thinking about now. The headline is simple. The structures that gave small business owners a tax edge are bein...

Settling on a Practice is one of the biggest moments in ownership. The temptation is to walk in and start making changes. New systems. New structure. Your stamp on everything. The owners who build the most value from acquisitions do the opposite. They slow down, listen, and diagnose before they prescribe. And they know that the order in which you do things in the first months shapes everything tha...

Most Practice Owners got to where they are by figuring things out themselves. That’s not a weakness – that’s how you build a business. But there’s a version of that same trait that quietly turns into a ceiling. When you consistently step in because it’s faster, because you don’t trust the outcome, or because asking for help simply didn’t cross your mind, you’re not just doing extra work. You’re si...

Most Practice Owners dream of owning more clinics. More locations, more GPs, more revenue. Proof you've made it. The data tells a different story. If you own five clinics, roughly one is producing 80% of your results while the others drain your cash, your time, and your attention. That's not growth. That's a rescue operation you're funding. What you'll get from this episode: Why the first clinic a...

Most Practice Owners know what needs to change. The recruitment process is broken. The fee structure hasn't moved in three years. The front desk culture is costing them patients every week. They know. And nothing happens. It's rarely about knowledge. It's about the gap between intention and action, and the specific things that widen it. Emotional bandwidth. Fear of upsetting the team. The pressure...

Multi-owner Practices have some of the biggest untapped potential in General Practice. They also have some of the most common, avoidable problems. No one is leading. No one is accountable. Quarterly meetings that turn into complaint fests. And a Practice Manager left to figure it all out alone. Todd and Sachin have seen this play out across dozens of Practices – from two-owner partnerships to grou...

Everything is getting more expensive. Rent, consumables, insurance, fuel, wages. And it's not slowing down. Interest rates are likely heading up. Patients are starting to pull back. Staff are feeling the pinch personally and some are quietly looking at their options. This is the episode for Practice Owners who want to get ahead of it rather than react when it's too late. Todd and Sachin walk throu...

It happens more than anyone wants to admit. And most Practice Owners wouldn't even know it was going on. Phantom billing at reception. Personal expenses paid through the business. Cash disappearing from the drawer. One person running everything with no oversight. Todd sits down with Kelly Chard, accountant and founder of GrowthMD, to walk through exactly where Practices are exposed and how to lock...

It's not the waiting room. It's not your biggest consulting room. It's the one room most Practice Owners never look at financially. One owner audited theirs and found a $200,000 annual loss hiding in plain sight. Overstaffed nurses, cupboards full of expired stock, and zero revenue being generated from nurse-led services. Six months later, the loss was eliminated and they were on track for $100K p...

Most Practice Owners know they need more GPs. The problem is finding them, getting them through the system, and keeping them once they arrive. International recruitment is one of the fastest ways to solve a GP shortage, but the pathways are confusing, the timelines are longer than most owners expect, and the wrong approach can cost you months. Sachin sits down with Jane and Alex from WaveLength, o...

Most GP Practice Owners sell too late and for too little. The timing's wrong. The valuation's inflated. The due diligence is skipped. And decades of hard work get handed over for a fraction of what it's worth. This episode covers the full exit conversation: What you'll get from this episode: Why most owners sell too late in life and what that actually costs The "would I buy my own clinic?" questio...

Most GP partnerships don't blow up overnight. They drift apart slowly. Decisions stall. Side conversations replace real ones. One partner wants growth, another wants to coast. And everyone pretends it's fine. Sachin sits down with Craig and Anna from Leadership Creativity to unpack what alignment actually looks like, what happens when it breaks down, and how to fix it before it's too late. Craig a...

Todd worked every second Saturday for a decade because he believed the team wouldn't without him. When he stopped, nothing changed. Sachin still calls martyrdom a daily battle. This is one of the most honest conversations they've had about the patterns that keep owners stuck, burnt out, and resentful, even when the Practice looks fine from the outside. What you'll get from this episode: How martyr...

Their corporate clinic decided to close and they had six months to figure out what was next. Michelle and Simon chose the hard option. They built their own Practice next door with no business experience, no playbook, and a lot of trips to Ikea. Three months later, a pandemic hit. Six years on, they've built a Practice with clear ownership structure, aligned leadership, and the financial freedom to...

Buying a General Practice can be one of the most exciting and dangerous moves in your career as a Clinic Owner. In this episode, Dr Sachin Patel and Dr Todd Cameron break down the realities of purchasing a clinic: the opportunities, the traps, and the types of businesses you’ll come across. Todd reveals the five key “practice avatars” you’ll encounter — from post-peak clinics to cultural-chaos tur...

If you’re a GP or Practice Owner who’s ambitious (and a bit overwhelmed), this episode is a blueprint for scaling without burning out. Dr Todd sits down with clinic co-owner Kylie Yates and Practice Manager Scott Weaire to unpack how they rebuilt culture from the ground up, aligned every decision to values, and turned “busy” into sustainable growth. You’ll hear how they embedded simple rituals tha...

If you’re a GP or Practice Owner who’s ambitious but exhausted, this episode is just what you need. Dr Lucy Randall shares how she went from UK GP partner to co-owning three Australian clinics without sacrificing her family, her sanity, or her standards. You’ll hear the practical moves that matter: buying existing sites (not shiny fit-outs), standing up a minimum viable clinic quickly, and reinves...