Consultant-Led Private Practice: From Decision to Registered Provider
A hospital consultant and their partner decided to move from NHS-only practice into their own multi-room clinic. What they needed was not clinical help, it was a property negotiator, a borrower, a company structurer, a regulatory applicant and a construction client, all at once, while still holding a clinic list. Glaxtons ran all of it under one engagement.
The Challenge
The clinical proposition was never in doubt. The risk was everywhere else. A commercial lease negotiated against an agent who does it full time. A funding application that had to satisfy a credit committee rather than describe an ambition. A company structure that would determine, permanently, whether a future clinical claim could reach the family assets built over a career. CQC registration with a lead time long enough to decide the opening date. And a fit-out programme where every week of slippage after lease completion burns rent against no income. Each of those has its own professional, none of them owns the programme, and the failures in these projects are almost always the dependencies between them rather than mistakes inside any one.
Our Approach
Fixed the corporate structure before anything else was signed, separating the entity that trades and carries clinical risk from the entity holding the lease and the assets, so a claim against the operating company cannot reach what sits behind it
Held that structure when the lender proposed a simpler one, by identifying the specific underwriting concern behind the request and satisfying it with a guarantee from the stronger entity rather than by moving the valuable assets inside the borrowing company
Built the funding submission to the lender's own template rather than a generic format, with the capital requirement broken down line by line and the forecasts modelled at a pessimistic case, because underwriters price the downside rather than buying the upside
Drafted a full shareholders' agreement across both entities, covering the provisions founders avoid discussing: illness, a partner ceasing to practise, loss of registration, deadlock, valuation and exit
Negotiated the lease on the terms that carry the long-run value rather than the headline rent, including the uplift basis, the repairing obligation, service charge and reinstatement, and handled landlord works approval and the fees attached to it
Confirmed the VAT position at incorporation, including the option to tax, because the landlord had already opted and that changes what the tenant entity must do from day one
Sequenced CQC registration alongside the fit-out rather than after it, so regulatory approval was not the reason the doors stayed shut on a building that was ready
Coordinated the accountant, the solicitor, the broker and the letting agent so that all four were working to the same structure and the same timetable
Outstanding Results
Measurable success across every key performance indicator
Key Achievements
Project Deliverables
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