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No Appointment Necessary

Author: Michael Schumacher - HMDG

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Description

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.

35 Episodes
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Overview What actually makes a clinic memorable? In this episode, Michael is joined by Jason from Body Logics to talk about how he has grown the business from a small sports massage setup into four clinics delivering around 1,500 appointments a month. A big part of the conversation is about what happens beyond the treatment room. Jason talks about why he openly shares the P&L with his team, how he links progression to performance and patient feedback, and why he wants every person in the ...
Overview How many decisions are you making in your clinic based on what you think is happening? In this episode, Michael is joined by Ewan Ross from ER Physiotherapy to look at what changes when you stop relying on gut feel and start using the numbers properly. They get into the data Ewan actually uses to run the business, from revenue and utilisation to rebooking, cancellations, demand, team performance and marketing return, and how those numbers influence decisions around hiring, pricing an...
Overview This episode takes a different angle. Instead of hearing from another clinic owner, Michael talks to someone who sees the business from the other side of the desk. Michael sits down with Anne-Kathrin Heuer, a practice manager who has worked in private physiotherapy clinics since 2020. They discuss what really happens behind the scenes, what patients say when the clinicians aren't listening, and why so many clinic owners struggle to let their managers actually manage. They start with ...
Overview Part start-up story, part industry conversation, this episode looks at what it really takes to grow a clinic when nobody knows who you are yet. Michael sits down with Josh Newsom, founder of Ancoats Chiropractic, to talk about opening a clinic just a year after qualifying, building it from scratch, and learning very quickly that getting patients through the door takes more than simply being good clinically. They get into the changing face of chiropractic, why younger chiropractors ar...
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...
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