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No Appointment Necessary

Author: Michael Schumacher - HMDG

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This is the podcast clinic owners listen to when they’re done with gurus, funnels, blueprints, and templates pretending to be strategy. No hacks. No 'proven' 10X systems.


This comes from HMDG. We have worked with more than 1,000 MSK clinics. We see the accounts, the utilisation rates, the failed ideas, the profitable ideas, and the reality behind the noise. We do not deal in theory. We deal in numbers. Most of the industry advice collapses the moment it hits real-world finances.


You get the truth about how clinics actually grow. Why some print money while others burn out. What patient numbers mean once you stop pretending templates can fix capacity problems or that “mindset” builds a business. The idea that a clinic becomes successful because someone journalled harder is fantasy. We talk to people who have actually achieved something. Multi-site owners. True specialists. People with real P&Ls, not testimonial slides about a “life-changing £30k month”.


We break down marketing, pricing, staffing, finance, AI, and operations without pretending there is a magic blueprint that saves everyone. There isn’t. The only thing that works is understanding the fundamentals and executing them properly.


If you want comforting stories, find a guru. If you want the unfiltered reality of running a clinic, you’re in the right place.

31 Episodes
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Overview Building a physio business sounds great until you realise you are now responsible for absolutely everything. In this episode, Michael sits down with Jack Howard, founder of Warwickshire Home Physio, to talk honestly about what it has taken to grow the business over the last five years. They go back to the early days of bad systems, a homemade website, very little structure and a lot of trial and error, before getting into what actually changed as the business grew. The conversation c...
About this episode What does it actually take to open a physiotherapy clinic and make it work? In this episode, Michael sits down with Richard Higgs, owner of Handforth Physiotherapy and Rehab, to talk through the first seven months of building the clinic. They cover visibility, location, team development, employed versus self-employed models, mentorship, marketing, patient experience and why clinics need more than one way for patients to enter the business. They also discuss investing in new...
About this episode The MSK industry is full of new technology, new ideas and new ways to sell healthcare. But how much of it genuinely improves patient care, and how much is simply hype? In this episode, Michael sits down with Jack Chew to discuss longevity medicine, AI, rehabilitation technology, commercial incentives and the future of physiotherapy. They explore the risks of overtesting, the role of gamification and objective measures, why younger clinicians need better mentorship, and how ...
About this episode Clinic owners spend a lot of time talking about what clinicians should do better. Far fewer ask clinicians what clinic owners are getting wrong. In this episode, Michael sits down with osteopath Chloe Gibson to explore what running a clinic looks like from the clinician’s side. They discuss why self-employed clinicians are often treated like employees without receiving the security or support of employment, why new hires are brought into clinics without enough patient deman...
Overview Most people see the success story of a business. Very few see what it actually costs to build one. In this episode, Michael sits down with HMDG co-founder and his fiancée, Hannah, to talk honestly about what building HMDG actually looked like behind the scenes. Not the polished LinkedIn version. The real version. From having almost no money and wondering how they were going to pay bills, through to building and selling one of the best-known healthcare marketing businesses in the UK, ...
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