Overview

Part industry analysis, part honest conversation, and a clear reality check for clinic owners who want to know where they actually stand.

Most clinics don’t know what the average physio appointment costs in their region. They don’t know what a good rebooking rate looks like. They don’t know whether their marketing spend, utilisation, or team structure is healthy compared to the rest of the industry.

In this episode, Michael sits down with Alex Kyriacou, co-owner of Flex Physiotherapy, to walk through the results of the Private Practice Barometer, one of the largest benchmarking surveys ever conducted in the MSK industry.

Using data from hundreds of clinics, they compare Flex Physio’s numbers against national benchmarks. From pricing and retention to staffing models, technology, marketing costs, and owner wellbeing, the conversation explores what “normal” actually looks like in private practice.

Show Notes

• Why the Private Practice Barometer was created
•  How Flex Physio grew from satellite clinics to a 13-person practice
•  Typical physio pricing across the UK and how Flex compares
•  Why raising prices doesn’t necessarily reduce patient demand
•  Admin support, staffing models, and clinician productivity
•  PAYE vs contractor clinicians and the impact on culture
•  Utilisation rates: what a healthy diary actually looks like
•  DNA rates and systems that reduce missed appointments
•  Rebooking rates and the role of patient trust
•  Technology in modern clinics: ultrasound, shockwave, and force plates
•  Understanding patient acquisition cost and marketing spend
•  Why many clinics lack financial visibility
•  Scaling vs staying small, and the reality of clinic growth

What You’ll Learn

• Why most clinic owners don’t know their true performance benchmarks
•  How pricing compares across different UK regions
•  Why raising prices often improves retention
•  The systems that reduce DNAs and improve rebooking
•  What a healthy utilisation rate actually looks like
•  How admin support affects clinician productivity
•  Why contractor models can limit long-term growth
•  The relationship between clinic size and owner happiness
•  How technology can increase pricing power and retention
•  Why understanding patient acquisition cost matters

Who This Episode Is For

• Private practice owners who want to benchmark their clinic properly
•  MSK clinicians thinking about starting or scaling a practice
•  Clinic owners unsure whether their numbers are “good” or “bad”
•  Healthcare businesses trying to improve profitability
•  Practice owners who want clearer strategic decisions

Guest Details

Alex Kyriacou - Co-Owner, Flex Physiotherapy

Alex is a physiotherapist and co-owner of Flex Physiotherapy in Burgess Hill, Sussex. After joining as an associate in 2019, he became part of the leadership team alongside founders Matt Prout and Kieran Barnard.

Flex has grown from small satellite clinics into a multidisciplinary practice with a rehabilitation gym, diagnostics, and a team of more than a dozen staff.

Alongside running the clinic, Alex continues to work full-time in the NHS, giving him a unique perspective on both public and private healthcare systems.

Visit https://hmdg.co.uk for further information.

Follow Michael on LinkedIn. https://www.linkedin.com/in/mjschumacher100