The advisory

Some decisions are too big to make alone.

Expansion, pricing, your service mix, the second location, the ceiling you can't seem to break. These are the decisions that determine where a clinic ends up. Most owners make them alone, on instinct, with no one in the room who understands both the clinical reality and the business beneath it. That's the advisory: a strategic partner for the calls that matter most.

A conversation, not a pitch.
Growth readYour clinic
Retentionare the clients you've earned staying?
Slipping
Developmentpractitioners growing & keeping clients
Strong
Performancehours, mix and margins of the business
Watch
Where to startWin back 6 fortnightly regulars who've slipped
Why it helps

You were trained to treat. Not to run this.

You trained for years to be an excellent practitioner — and got almost no training in the business that now depends on you. So the decisions that actually shape the clinic — what to charge, who to hire, which services to grow, whether to expand, how to compete — get made alone, on instinct, usually once they're already urgent. Generic consultants don't understand allied health. Most clinic "coaches" don't work from evidence or real strategy. The advisory is the part missing in between: a strategist who has practised, built and scaled businesses, and works from what the evidence actually shows.

How we work

Software optimises the clinic you have. We help you build the one you want.

It's the same Westence discipline either way — diagnose the pattern, recommend the move, leave the decision with you. Momentum surfaces the evidence and suggests the moves. But some calls deserve more than a suggestion: they depend on your ambitions, your appetite for risk, and what you want the place to become. The advisory is a partner who has operated, sitting with you in those decisions — working on the business, not just in it.

Diagnose the pattern Recommend the action You decide on the evidence
01 · Retention

Are the clients you've earned actually staying?

02 · Development

Are your practitioners growing, and keeping their clients?

03 · Performance

Is the business itself healthy: the hours, the mix, the margins?

We read those signals against where you actually want to go, and develop a clear and actionable strategy to get there.
What you get

Three ways to work together.

Growth diagnostics

A deep, bespoke read of where your clinic actually stands and the few strategic moves that matter most, across retention, development and performance. You leave with a direction, not a report that gathers dust.

Owner & team workshops

Turn the strategy into a plan your whole team will actually run, so the direction holds after the room empties.

Hands-on growth advice

Senior counsel beside you for the biggest calls (expansion, pricing, hiring, repositioning), for the moments you'd rather not decide alone.

Start with a one-off diagnostic, or work together over time — whatever the moment calls for.
Who you work with

The bridge this industry rarely gets.

A decade in MSK care

Ten years treating clients — myotherapy and remedial massage — in multidisciplinary clinics. Someone who knows the clinical world, and what a practice actually feels like to work in.

Founded & grew service businesses

Built and scaled a recurring-client service business to 90% retention and 30% annual growth — the exact engine a clinic runs on.

Business strategy & analytics

An MBA — Dean's Student Excellence Award, top postgraduate (Monash, 2024) — and recent SaaS product leadership. The rigour to turn a clinic's numbers into decisions.

Plenty of people have one of these. Almost no one in this market has all three — a clinician's instinct, an operator's track record, and the rigour to turn it into strategy. That combination is the whole point.

You work directly with the founder — not a junior handed your account.
Dominic McKay, founder of Westence
Dominic McKayFounder, Westence · LinkedIn
How it fits

Two altitudes. One direction.

The Westence advisory sets the direction — where your clinic is heading, and how it gets there. Momentum does the daily work of quietly turning that direction into the small tactical moves that compound week on week. Our advisory stands on its own, and it works whatever practice software you run today, because strategy starts from your goals and your market, not from any tool. But pair it with Momentum and the two lock together: every session is grounded in your clinic's real operating evidence, and the software spends each day working toward the exact goals you've set. The choice of software is always yours — the combination is just hard to beat.

Then — you

You practise evidence-based care. We help you run an evidence-based practice.

Retention Development Performance

Clinical or commercial, the discipline is the same: evidence in, clear options out, the decision yours. Momentum brings that discipline to every day. The advisory brings it to the decisions that set your direction. It's your clinic, run the way you already practise.

Start a conversation

Let's find your next move.

The best place to start is a short, no-pressure conversation about where your clinic is and where you want it to go. Or get a free read first with the clinic growth scorecard: nineteen quick questions, about four minutes.

A conversation, not a pitch.