Ep 323: This GP DOUBLED his list size
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In this episode of the MedicsMoney podcast, Dr. Nabil Arshad, a GP partner at Brooks Surgery in Manchester, shares how he doubled his practice's patient list from 10,000 to 20,000 over five years—driving significant increases in recurring revenue, partner profits, and clinical capacity. Frustrated by the limitations of time-bound income streams like insurance reports and joint injections, Nabil leveraged his background in marketing and business to implement scalable systems focused on patient acquisition, Google reviews, and digital visibility. He emphasizes that sustainable growth comes not from working harder, but from building systems that generate passive, recurring income tied to list size—making it the most reliable financial foundation for GP partnerships. The conversation also covers how improved Google ratings boost staff morale, attract new talent, and enhance succession planning, while the service GrowYourListSize.co.uk offers a risk-free, done-for-you model with a money-back guarantee and controlled growth. The episode concludes with a forward-looking quickfire round, where Nabil predicts larger list sizes, fewer GP partners, and a continued role for the NHS despite increasing privatization pressures.
Growing your patient list is the most sustainable way to increase GP partnership profits, as it generates recurring, scalable income.
Time-bound income streams (e.g., insurance reports, minor surgery) are not scalable and lead to burnout—systems and processes are the real solution.
Google reviews are a critical business metric: high ratings attract patients, improve staff morale, and enhance recruitment and succession planning.
The service GrowYourListSize.co.uk offers a money-back guarantee and controlled, predictable patient growth—no extra work required from the practice.
Recurring income from list size is the only stable revenue stream in primary care, immune to sudden ICB funding changes.
…and 2 more takeaways available in PodZeus
Introducing Dr. Nabil Arshad and the Power of List Growth
“We were able to generate more patient flow, more income, get the right systems in place so that it scaled and we could actually do the things that we wanted to do.”
Why Working Harder Isn't the Answer
“Though we were generating more profit, it was tied directly to my time. Meaning actually I need to spend more time on these activities to make the money and if I didn't, the income wouldn't come.”
Scaling Through Systems, Not People
“You can utilize your newfound profits to invest in staff... you might need another GP but in some cases it might be actually we're getting lots of acute infections maybe we hire a paramedic.”
The Business Case for Google Reviews
“If your practice comes up and you've got a low rating, that might not be such a problem. However, if you have practices nearby with a higher rating, then naturally the patients are going to gravitate towards them.”
Recurring Revenue: The Ironclad Income Stream
Nabil stresses that patient list size is the only guaranteed, recurring income stream in GP partnerships. Unlike ICB-funded services that can be pulled overnight, list size growth provides stable, long-term financial security and enables strategic planning.
“The only thing that's ironclad and that you can definitely bank on is your patient list size.”
“If your practice comes up and you've got a low rating, that might not be such a problem. However, if you have practices nearby with a higher rating, then naturally the patients are going to gravitate towards them.”
“Though we were generating more profit, it was tied directly to my time. Meaning actually I need to spend more time on these activities to make the money and if I didn't, the income wouldn't come.”
Hosts
Guest
GrowYourListSize.co.uk
product
Dr. Nabil Arshad
person
Google Reviews
other
MedicsMoney Podcast
media
Brooks Surgery
organization
Dr. Tommy Perkins
person
QOF (Quality and Outcomes Framework)
other
other
Global Sum
other
Dr. Ed Cantillow
person
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