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A practice can be turning over seven figures and still feel like it’s one bad month away from trouble. That’s not a motivation problem and it’s not a “work harder” problem. It’s financial visibility. We dig into the hidden £100k net profit gap that sits between what your accounts report and what you actually need to know to make decisions week to week, from tax planning to hiring to investing back into the business.

Barry shares the reality of being an accidental business owner: brilliant at dentistry, less confident with P&Ls, and often forced to make calls based on old information. We talk about why annual accounts are inherently retrospective, how that pushes you into “rear-view mirror” management, and why scaling needs a future number that scares you and a plan that works backwards. You’ll hear real examples of what changes when dentists finally know their break-even point and KPIs, and how that confidence shows up in both profitability and quality of life.

Then Shashir gets practical on the question dentists ask all the time: “Why do I have profit but no cash?” We break it down into cash flow forecasting, keeping today’s cash intact while planning future outflows, and avoiding over-leverage when you are growing fast. We also cover dental practice benchmarking so you can spot overspend in staff costs, lab fees, materials and overheads, plus why tracking treatment mix by margin matters more than chasing high production values. Finally, we tackle associate profitability and how transparent data can improve trust, performance, and negotiation.

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