How to run a leaner practice and keep more of what you earn.
Written by a Chartered Accountant who co-owns an independent clinic — so it is the arithmetic of a real practice, not a textbook. No gated PDFs, no webinars, no upsell at the end of paragraph three.
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The cheapest supplier can cost the most
A low quote stops being cheap when missed collections, downtime, weak support or a painful handover land inside the practice. How SupplyIndex weighs service alongside price.
Read itWhere margin quietly leaks away
Nobody loses a practice to one bad decision. They lose margin to eleven small ones that renew on their own, in a month nobody was looking. Here is where to look, in order.
The April cost stack: what 2026/27 actually adds to your wage bill
The National Living Wage, employer NI and the £5,000 threshold, worked through for a real practice payroll — plus the one relief most small practices forget to claim.
Paying yourself tax-efficiently as a practice owner
Salary, dividends and the 2026/27 rate rise. How the split actually works, why the old rule of thumb moved this April, and the traps that cost owners more than the tax did.
Pricing without losing patients
Why the fee rise you are afraid of is smaller than you think, why the ones that go wrong go wrong in the same way, and what to do instead when you cannot move price at all.
What the big chains do that you can too
A corporate group is not smarter than you. It has four habits you can copy this quarter without hiring anyone — and one you cannot, which is the whole reason we exist.
Get each one as it lands
One practical note at a time on running a leaner practice. No more than one a fortnight, and every article stays free on this page.
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Why any of this matters: the case for staying independent.