What are you working through?
Practical guides, calculators, and applied playbooks for the commercial side of UK medicine. Written for the situations doctors actually face — and were never taught at medical school.
Negotiating a contract.
Consultant contracts, partnership agreements, locum terms. What every clause does, where the leverage is, what to refuse.
A Calculator that decomposes a UK consultant offer into its real components — pay, on-call, additional PAs, pension uplift — and lets you compare two offers side-by-side.
Reading the numbers.
P&Ls, balance sheets, cost behaviour, EBITDA. The financial literacy that medical school doesn't teach but every practice partner needs.
A 32-page Guide that walks line by line through a UK general-practice profit-and-loss statement. Worked example throughout. The financial statement every practice is judged by, demystified.
Joining a partnership.
What to read before you sign. Accounts to request, questions to ask, red flags to look for.
A Calculator that forward-models a UK GP practice's economics across three scenarios. The tool partnership candidates use to understand what the next three years actually look like, before signing.
Going private
Part-time list, full-time switch, indemnity, breakeven economics.
View topic →Running a practice
Operations, capacity, staff cost, room utilisation, CQC.
View topic →Selling, scaling, exiting
Practice valuation, PE rollups, federation, group practice.
View topic →Pension & tax structure
NHS pension valuation, McCloud, limited company decisions, IR35.
View topic →One Note. Every Friday. Free.
Short writing on the business of UK medicine — commentary on what's happening, reader questions answered, reflections on the harder decisions. Plus notification when each new product ships, and a 10% standing discount for subscribers.