12/06/2026
Around GBP 700k turnover, a growing practice can lose financial control.
The threshold is a HEAL operating observation, not a universal benchmark. It marks the point where many principals can no longer hold the full picture in their head. More chairs, associate activity, lab spend, payroll changes and mixed income streams create a different finance requirement.
The admin team may export reports and chase invoices, but that is not the same as reconciling the bank, NHS statements, patient finance, payroll and the practice-management system. A year-end accountant can keep compliance on track without showing what cash is committed this month.
Past this stage, the practice needs a monthly close, management accounts and a rolling cashflow forecast. Those controls show what can be drawn, hired or invested without relying on turnover as a proxy for available cash. They also give the wider team one current version of the financial position.
Book a free 30-minute clinic audit — link in bio.