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6/6

Operating partner · Multi-site healthcare

The performance is already in the operation.

We help optician, pharmacy and veterinary groups unlock the margin, capacity and control sitting inside the sites they already run — then use that system to grow.

The leak

Most groups don’t have a performance problem. They have a consistency problem.

The best site already knows how to roster, convert, recall and hold cost. The rest of the estate leaks that knowledge every week — in labour, in conversion, in wait times, in the week that never quite repeats.

The best site

Already knows how to roster, convert, recall and hold cost. That knowledge sits in one manager’s week.

The other eleven

Close enough to look fine in a monthly pack. Far enough to leak labour, conversion and time, every day.

The leak

Not a mystery. A missing operating system — so the group pays for eleven slightly worse versions of a week it already knows how to run.

Sectors

One operating standard. Three kinds of estate.

Quiet independent optician practice with walnut frame displays in morning light

Opticians

Dispensing groups where conversion, recall, clinical throughput and private mix decide the year. We put a single operating standard through every practice.

Calm community pharmacy dispensary with orderly shelving and a pale oak counter

Pharmacy

Multi-branch pharmacies where labour, services mix, waiting time and contribution vary by site. We make the numbers visible — then make them move.

Refined veterinary consulting room with oak examination table and garden light

Veterinary

Practice and hospital groups where consult flow, utilisation, client experience and site P&L should compound, not drift. Control that survives the next acquisition.

Mandate

Six things a group already pays for — and still does not fully own.

01

Cost reduction

Labour, waste, occupancy, procurement. The cost that has been accepted as the way this site runs.

02

Efficiency

Throughput, rostering, clinic flow, repeatable days. More of the diary, less of the scramble.

03

Customer experience

Wait times, recall, continuity. The experience the best site already gives — available everywhere.

04

Sales growth

Conversion, basket, private mix, services. Growth from the demand you already see.

05

Operational control

Weekly numbers, named owners, a meeting that decides. So the group is run, not just reported.

06

Expansion & acquisition

A playbook new sites land into. Diligence on the operation, then integration that holds.

The ninety days

We diagnose, we install, we stay.

01

Diagnose

Two weeks on the numbers, the diary and the floor. Where the best site is already 6/6 — and where the estate is not.

02

Install

The week the best site already runs, written down and running everywhere. Named owners. A meeting that decides.

03

Stay

Weekly numbers until it holds — including the sites you buy next. An operating partner, not a report.

Fit

Who this is for.

A fit

  • Multi-site already, or about to be.
  • The numbers exist; they are not used to run the week.
  • Someone at the centre will own the operating system.
  • Acquisitions should land into a system, not a hope.

Not a fit

  • You want a slide deck, a brand refresh, or a market study.
  • There is no appetite to change how the week actually runs.
  • The consultant is expected to leave before the numbers move.
  • A single site, with no plan to become a group.

Conversation

Tell us about the group.

A short note is enough. We’ll come back with a view on whether an operating partner is the right seat — and what the first ninety days would look like.

seamus@sixmetres.co.uk
Sector

Replies come from seamus@sixmetres.co.uk.