How to take time off from your Private Practice

Do you worry about taking time off from your Private Practice?


This isn’t a trick question. We all need a break from our Practices – no matter how much we love working and seeing patients. Sometimes, however, we can begin to wonder if it might be worth it, or even dread leaving work for time out.


Why is this?

You’re afraid of losing the income.

You worry that it’s all gone quiet.

You worry about how you’re going to deal with patients when you’re away.

You do the maths, and it doesn’t add up.


If you’re already many years into your Private Practice, you may have grown comfortable with the ebb and flow of patient numbers. If you’re focusing on growing your Practice, however, it can feel that you need to be constantly available to ensure you can see new patients when they come along.

Taking time off may even seem frivolous when you add up the potential for lost income.

You might be telling yourself that you’ll take time off when things pick up a bit, or that you’ll stick around for the summer, so you can see patients when other practices are closed.


I’m going to encourage you to think differently.


Everyone needs time out from their working world – even I manage it, and I’m work driven.


In my first (solo) full-time year in Private Practice, I took just two week’s holiday – a week in the summer and a week at Christmas. Ridiculous.

It didn’t make a jot of difference to my practice income that year, and here’s why:

patients will wait for a fab clinician, and most importantly, our patients take holidays too!


Many of us fear the sound of ‘crickets’ in our Practices.

Try to not fear the ‘quiet’ times, because they are usually very predictable, which means you can reach a time when you can also take time off from your Practice. Whilst it’s not always possible to match your time off with patients’ time off, it’s not a bad place to start..


To show you what I mean, I dug out an old diary record of a review of patient patterns from back in 2013/2014. I love to keep records and so should you, because it will give you confidence to not panic when it ‘seems quiet’.


Here’s a snap shot from my diary:



Guess what? It shows remarkably similar patterns of patient numbers.

It starts slow in January. Then there’s a dip in around Easter (in 2013, Easter was 31st of March, and in 2014, Easter was April 20th).

Wrap a little family holiday time around that, and it’s clear why patient numbers dipped then.

They sharply rose to July, and then the school holidays hit.

Numbers ramp up from early September through to mid December, then dip when everyone buggers off for Christmas.

Can you map out your calendar, to spot your peaks and troughs? Where could you predict the sweet-spot time to be?


This is more mindset thing than reality. It’s all about setting up before, and then setting in place a few magic processes.



Here’s my guide how to take a holiday, without the stress:


Have you ever calculated how much taking a week off in Private Practice costs you, income-wise?

Having worked really hard to grow and promote my practice, I’m (thankfully) a fully-booked clinician (and I share this with you, so you can understand my numbers ‘pain’).

Every week I take off in Private Practice means I lose a minimum of 50 patients’ worth of income – I say a minimum, because sometimes I’ll super-extend my clinical week. I know that my average patient income will be £150 per patient. That adds up to £7,500 per week.

Losing that feels painful, because like you, I still have to pay my (extortionate) indemnity, my medical admin fees, faculty fees, accounting fees, systems fees, marketing fees… etc.

The great part is, I don’t have to pay my room fees (about £700-£1,000 per week).


On the surface it looks painful. But it’s all planned.

I work on a 50-days-off-a-year system.

That means, for 50 out of 365 days, I can take holiday, go to conferences, and have time to grow my Private Practice. It’s in-built, and budgeted for. Including being a patient when I need to be one.


So, my challenge for you, is it map out your ideal work/time-off arrangement.


How many weeks do you truly need to see patients?

Can you raise your prices to make this happen?

What systems and process do you need to set in place, so you can take time off?

Need help making this happen? Then get in touch with me!

Need some more help with the above?


Ping me an email at, and let’s get building your successful, happy Private Practice!

Now it’s time for you to grow your Private Practice.






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