Annual Planning FY26: Strategy Guide for Allied Health, NDIS & Aged Care Providers

As EOFY approaches, most Allied Health providers are flat out. You’re juggling clients, admin, staffing, and compliance. Planning is often the last thing on your mind.

But for Allied Health providers (particularly those operating in NDIS and Aged Care), this is the perfect time to pause, reset, and get clear on where you're heading.

In a low-margin, policy-heavy sector like ours, strategy isn’t a luxury. It’s a necessity.

This blog outlines why annual planning is so critical right now, what it should include, and how you can approach it without needing a 30-page document or six-month process.

Why Strategic Planning Gets Missed (and Why That’s a Problem)

Most Allied Health business owners are clinicians first, business leaders second. That’s not a criticism—it’s just the reality.

You’re trained to care, not to plan five quarters ahead. But without strategy:

  • You grow without structure

  • You say yes to the wrong opportunities

  • You waste time and margin chasing low-value work

In a sector where margins are typically low, especially across many core service areas, there’s little room for error. One wrong hire, pricing model, or service mix can sink profitability.

Strategic planning doesn’t need to be complex. But it does need to be intentional.

What Good Planning Actually Looks Like

Forget 30-page strategy documents. A good annual plan should give you:

  • 3–5 clear priorities for FY26

  • A roadmap of initiatives by quarter

  • Defined owners, timelines and key results

  • Tools to track progress

It should help you:

  • Focus your time and resources

  • Say no to distractions

  • Align your team

  • Improve performance

Useful frameworks (I tailor these depending on the client - click the links to learn more):

  • SWOT Analysis to assess your internal Strengths, Weaknesses, Opportunities, and Threats

  • PESTEL to scan external Political, Economic, Social, Technological, Environmental and Legal factors

  • OGSM (Objectives, Goals, Strategies, Measures) to link vision to action

  • Business Model Canvas to pressure test service lines or new ideas

  • Balanced Scorecard to monitor across clients, finances, staff and operations

  • RACI Matrix to clarify who is Responsible, Accountable, Consulted and Informed for each priority

  • Value Proposition Canvas to refine or reposition services based on what your clients actually need

  • Scenario Planning to stress-test your roadmap under different funding or workforce conditions

Planning isn’t a theoretical exercise. It’s how you move from "doing everything" to "doing the right things."

Quarterly Planning > Monthly Planning

You don’t need to plan every week. But you do need structure.

Quarterly planning is the right rhythm for most providers.

Why?

  • Months vary wildly. April might have 18 billing days due to public holidays. May might have 23. That volatility makes monthly goals misleading.

  • School holidays, audit periods, flu season — they all skew monthly performance.

  • A quarter gives you enough time to complete meaningful initiatives, while still adjusting course quickly.

By planning in quarters, you:

  • Avoid overreacting to short-term dips

  • Keep a consistent rhythm for review and course correction

  • Create time-bound accountability with your team

I suggest building an annual roadmap, but reviewing and adjusting it quarterly. That’s where traction happens.

OKRs vs KPIs: Know the Difference

OKRs (Objectives and Key Results) and KPIs (Key Performance Indicators) are both valuable tools—but they serve different purposes. For a detailed explanation of OKRs, check out Atlassian’s guide to OKRs.

  • OKRs help you define what you want to achieve and how you’ll measure progress toward that goal. They are typically short-term and focused on change or improvement. For example:

  • Objective: Prepare the business for Support at Home reform

  • Key Results:

    • Review and update all aged care service agreements by August

    • Deliver 1 training session on clinical governance requirements for team

    • Map and adjust internal workflows to align with new S@H requirements by October

  • KPIs track ongoing performance. They help you monitor your business-as-usual activity. Example: Monthly cancellations, revenue per clinician, billable hours.

In planning, ideally you want both: OKRs to move the needle, and KPIs to make sure the engine is running well.

Why Plan for the Financial Year (Not Calendar Year)

Planning from July to June aligns with:

  • BAS cycles and reporting

  • Budgeting and salary reviews

  • Government funding schedules

The calendar year makes sense emotionally, but EOFY makes sense operationally.

You don’t want to be finalising next year’s plan in the middle of January when half your team is on leave.

EOFY gives you:

  • Clean handover between financial years

  • Better integration of budgeting and strategy

  • A natural window to pause and reset

The Reality of Service-Based Businesses

Allied Health, NDIS, and Aged Care providers are service businesses. That means your product is time, and time is limited.

Unlike product businesses that can scale through distribution, Allied Health providers scale through people, process, and systems. That brings unique challenges:

  • Hiring is hard and slow

  • Admin and compliance overheads are high

  • Staff burnout affects revenue

  • Billable hours depend on cancellations, seasonality, and leave

Margins are thin. Revenue can vary month-to-month depending on public holidays, billing days, and sick leave. For example, April might only have 18 billable days due to public holidays, while August could have 23.

That volatility makes it even more important to plan - not just to grow, but to stay sustainable.

What Happens Without a Plan?

Without structure, you end up with:

  • Growth that burns out your team

  • Hires made in panic, not intention

  • Service offerings that no longer fit your margins or workforce

  • Confusion about what's most important

Planning won’t fix everything. But it will:

  • Help you make smarter decisions

  • Reduce stress and second-guessing

  • Make sure your time and money are used well

New: Fixed-Price Planning Packages (EOFY Launch)

To support providers through EOFY, I’ve launched three Annual Planning Packages.

They're short-term, practical, and designed for Allied Health businesses of all sizes.

Starter – $1,000

  • 60-minute planning session

  • Action plan

  • Ideal for sole traders or first-time planners

Standard – $2,000

  • 2 x planning sessions

  • Strategic summary with clear priorities

  • 2 weeks of email follow-up

  • Great for growing teams

Premium – $3,000

  • Pre-work + 3 x 60-minute sessions

  • 12-month roadmap + KPI tracker

  • 30-min follow-up session

  • 4 weeks of email support

  • Best for established businesses

Each session is structured, outcome-focused, and tailored to your stage and goals. I use relevant planning tools and business frameworks to guide the process - but keep things practical, not theoretical.

Find out more or book in here

How to Get Started

If you’re not sure what kind of support you need, book a free 30-minute call. No pressure. Just a space to talk through:

  • Where you’re at

  • Where you want to go

  • What kind of planning support could help

📅 Book a free 30 min strategy call

You don’t need a massive strategy deck. You need structure, focus, and the right plan for FY26.

If you’re ready to work smarter next financial year, let’s build your plan together.

Trystan Conway

Trystan is an Allied Health business consultant and experienced physiotherapist who helps NDIS, Aged Care, and Allied Health providers optimise operations, improve profit margins, and achieve sustainable growth. With a proven track record scaling an Allied Health startup to 300+ staff and over $15 million in annual revenue, Trystan specialises in business strategy, financial performance, and system optimisation. He provides practical, hands-on consulting to help healthcare organisations streamline their services, reduce overheads, and build long-term success.

https://www.conwaygroup.com.au
Next
Next

NDIS vs Aged Care: What’s the Difference for Community Allied Health Providers?