About this episode
Building a physio business sounds great until you realise you are now responsible for absolutely everything.
In this episode, Michael sits down with Jack Howard, founder of Warwickshire Home Physio, to talk honestly about what it has taken to grow the business over the last five years.
They go back to the early days of bad systems, a homemade website, very little structure and a lot of trial and error, before getting into what actually changed as the business grew.
The conversation covers burnout, hiring, working with your partner, moving from clinician to manager, building a team, patient retention, gamifying rehab, and why Jack eventually realised that growing the business meant spending less time treating patients himself.
They also discuss what home physio can teach the wider MSK industry about patient experience, long-term relationships, simple rehabilitation and doing things differently.
Show Notes
- Jack’s move from the NHS into private practice
- Starting a business with very little commercial experience
- The early mistakes behind Spiral Health Physio
- Rebranding to Warwickshire Home Physio
- Why systems matter as the business grows
- Working with your partner and trying to switch off
- The reality of burnout and poor work-life balance
- Why growth gets harder when you start hiring
- Moving from clinician to business owner
- What the Private Practice Barometer changed for Jack
- Hiring for personality and soft skills
- Building structure, supervision and training into the team
- Why patient relationships matter so much in home physio
- Gamifying rehab without overcomplicating it
- Why low-tech rehab can still be highly engaging
- Patient retention and the value of small gestures
- Standardising the patient journey
- Why Jack now spends less time treating patients
- Building local relationships and creating organic growth
- Whether traditional clinics should offer home physio
What You’ll Learn
- Why starting a clinic without proper systems quickly creates problems
- How business growth can damage work-life balance
- Why hiring does not automatically make life easier
- When a clinic owner needs to step away from treatment
- Why personality can matter more than experience when hiring
- How regular supervision helps newer clinicians develop
- Why long-term patient relationships improve retention
- How to make rehab more engaging without expensive technology
- Why small investments in patient experience can make a big difference
- How to create more structure across a growing team
- Why business owners need dedicated non-clinical time
- What home physio can teach clinics about service and accessibility
Who This Episode is For
- MSK clinic owners growing their first team
- Physiotherapists considering starting their own business
- Home physio providers
- Clinic owners struggling with burnout
- Practice owners trying to step away from full-time clinical work
Guest Details
Jack Howard – Founder, Warwickshire Home Physio
Jack is the founder of Warwickshire Home Physio, a home-based physiotherapy service built around delivering rehabilitation in patients’ own environments.
After leaving the NHS and starting the business during COVID, Jack spent the next five years learning how to move from sole practitioner to business owner.
Today, Warwickshire Home Physio has grown into a wider team, with Jack increasingly focused on management, training, business development and building a more consistent service across the company.
