156 How Clinic Owners Get The Best Out Of A Practice Manager Without Micromanaging
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Welcome
Hello listeners, welcome back to the Treat Your Business Podcast. I am super excited you are here because today we are talking about something that can completely change how your clinic runs and how you feel about running it. If you have ever said things like “it is just quicker if I do it myself” or “I cannot find anybody who does it like me” or “I have tried and they do not get it right so I have taken the job back” then this episode is for you. I am joined by our COO in Thrive, Nichola, and we are diving into how to get the best out of your practice manager or business manager without micromanaging them.
Episode Summary
In this episode, Nichola and I unpack what a great practice manager actually does and how that role should sit alongside you as the CEO. We talk about the difference between a practice manager and an administrator, what you should never delegate as the owner and what you absolutely must let go of. We explore why so many clinic owners become the bottleneck, constantly firefighting and feeling exhausted, and how unclear roles and poor communication turn your practice manager into a reactive doer instead of a strategic partner. We also talk honestly about trust, identity, perfectionism and control, and why you have to be willing to hire people who are better than you in their area if you want the clinic and your life to grow.
Key Takeaways
- Your job as CEO is vision, leadership, culture and big financial decisions, not doing all the things
- A strong practice manager owns day to day operations, systems, team communication, tech and data
- If every decision has to go through you, you have already waited too long to hire for this role
- Trust, clear outcomes, a weekly meeting rhythm and simple KPIs stop micromanagement for both of you
Resources & Links
Today’s episode is sponsored by Jane, clinic management software and EMR. Jane’s online bookings and secure client portal help you reclaim your evenings and weekends by taking admin off your plate. To see how Jane can support your clinic, head to the link in the show notes to book a personalised demo. If you are ready to get started, use the code Thrive one mo at the time of sign up for a one month grace period on your new account.
Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.
Learn more at mbstmedical.co.uk.
https://events.thrive-businesscoaching.com/cgl-waitlist-2026
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Chapters
1. Welcome, sponsor message and episode overview (00:00:00)
2. What a great practice manager actually does in your clinic (00:03:25)
3. CEO versus practice manager, what you should and should not delegate (00:05:55)
4. Why clinic owners struggle to let go and keep doing everything (00:08:25)
5. Trust, gut feelings and whether you have the right person in the role (00:10:56)
6. Being open, vulnerable and transparent so your manager can do their job (00:13:25)
7. Our weekly CEO and COO meeting rhythm and how it works (00:15:56)
8. Using KPIs, issues and to dos to move the business forward (00:18:25)
9. The danger of skipping your meeting rhythm and slipping back into firefighting (00:20:54)
10. Practice manager versus administrator, why trying to do both does not work (00:23:26)
11. Signs you have waited too long to hire and are now the bottleneck (00:25:55)
12. Reframing the cost of hiring as an investment in profit and growth (00:28:26)
13. The key ingredients of a great CEO and COO relationship (00:30:55)
14. Practical tools you can put in place now with your practice manager (00:33:24)
15. Final message for clinic owners who are on the fence about hiring (00:35:53)
166 episodes