Notes from the operational side of a clinic.
Written from a working physiotherapy practice, not a marketing desk. How the numbers behind a clinic actually move, and what we have learned building the system to manage them.
A review isn't an outcome measure
Two reviews landed for the same physio today, an hour apart, saying opposite things. A word on priors before you read either as data.
Read the essay →ChatGPT can't see your diary
Physios aren't resisting AI. They're stuck in the aisle. The most telling thing in this year's data is the shape of the confusion, not the level of adoption.
Read the essay →You gave yourself a pay cut and called it freedom
The median clinic owner takes home a senior clinician's salary and carries all the risk on top. The data is blunt about where the money actually is.
Read the essay →Two to five staff is the danger zone
The 2026 barometer found owners are least happy not when they're smallest, but stuck in the middle. There's a way out, and it isn't more hours.
Read the essay →Busy isn't booked
The barometer put average diary utilisation at 72.3%, and found pushing past 80% backfires. A full-looking diary is one of the great lies of running a clinic.
Read the essay →One clinic in twenty clears a million. It isn't the physios.
The gap between an independent and a group was never clinical. The barometer shows how few clinics ever break out, and why.
Read the essay →AI isn't coming for your job. It's coming for your admin.
The scary version of AI in healthcare is the wrong one to worry about. The boring version is already here.
Read the essay →How we built StrydeOS in our own clinic first
Before we sold it to anyone else, we built StrydeOS to close the blind spots in our own practice in West Hampstead. Every metric it tracks is one we needed ourselves.
Read the story →MORE FIELD NOTES ON THE WAY