Ep 323: This GP DOUBLED his list size

Medics Money podcast32mMay 5, 2026

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AI-Generated Summary

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.

Key Takeaways
1

Growing your patient list is the most sustainable way to increase GP partnership profits, as it generates recurring, scalable income.

2

Time-bound income streams (e.g., insurance reports, minor surgery) are not scalable and lead to burnout—systems and processes are the real solution.

3

Google reviews are a critical business metric: high ratings attract patients, improve staff morale, and enhance recruitment and succession planning.

4

The service GrowYourListSize.co.uk offers a money-back guarantee and controlled, predictable patient growth—no extra work required from the practice.

5

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

Chapters
0:00
6 min

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.

Highlight
5:30
6 min

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.

Highlight
11:00
6 min

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.

Highlight
17:00
6 min

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.

Highlight
23:00
6 min

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.

High-Impact Quotes
The only thing that's ironclad and that you can definitely bank on is your patient list size.
Dr. Nabil Arshad15:33
Viral: 92.0
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.
Dr. Nabil Arshad12:14
Viral: 90.0
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.
Dr. Nabil Arshad3:02
Viral: 88.0
Speakers

Hosts

Dr. Tommy PerkinsDr. Ed Cantillow

Guest

Dr. Nabil Arshad
Topics Discussed
List Size Growth95%Recurring Revenue in Primary Care90%Google Reviews and Online Reputation88%Scalable Business Systems for GPs85%Succession Planning in GP Partnerships80%De-risking GP Practice Growth75%Future of Primary Care in the UK70%Patient Acquisition Strategies65%
People & Brands

GrowYourListSize.co.uk

product

15xPositive

Dr. Nabil Arshad

person

12xPositive

Google Reviews

other

12xPositive

MedicsMoney Podcast

media

10xNeutral

Brooks Surgery

organization

8xPositive

Dr. Tommy Perkins

person

6xNeutral

QOF (Quality and Outcomes Framework)

other

6xPositive

LinkedIn

other

5xPositive

Global Sum

other

5xPositive

Dr. Ed Cantillow

person

4xNeutral

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