Fractional Consulting Retainers

A large not-for-profit delivering NDIS therapy services across urban and remote regions had outgrown its operational structure. Leadership roles were misaligned, clinicians were significantly underutilised despite high wage costs and clinical governance was disconnected from the broader organisation. The division was operating at a loss with no documented operating model or performance framework.

We conducted a full operational review including onsite workshops, executive interviews and a systems audit. From there we redesigned the leadership structure with a graded clinical framework, built a weighted KPI model accounting for urban and remote delivery, restructured the practice management system, developed a new participant journey and delivered a three-year strategic roadmap with quarterly implementation planning. The review also included standalone service modelling for a remote community.

Result: The organisation moved from reactive, fragmented operations to a clear structure with defined leadership, measurable targets, streamlined systems and a practical roadmap to stabilise and scale its Allied Health division.

A family-run Allied Health practice delivering Occupational Therapy, Physiotherapy and Speech Pathology wanted to position itself as an Associated Provider under the new Support at Home program. The team had strong clinical capability and existing NDIS registration but no aged care-specific pricing, outreach systems or compliance documentation.

We developed a complete Support at Home toolkit covering direct and indirect pricing aligned to Department of Health guidance, reablement and restorative care program templates, an AT-HM service guide, compliance documentation mapped to the Aged Care Act 2024 and Strengthened Quality Standards, outreach templates with CRM pipeline structure and a strategic analysis of registration versus the Associated Provider model.

Result: The practice went to market with a fully integrated aged care service line covering pricing, compliance, outreach and clinical delivery, with a structured and repeatable system for approaching registered aged care providers as a credible, audit-aligned partner.

A not-for-profit delivering early childhood intervention and paediatric allied health services was considering de-registration from the NDIS. The decision was driven by rising compliance costs, upcoming audit milestones and uncertainty around ongoing NDIS and early childhood reform. The organisation supported over 200 participants across a mix of agency-managed, plan-managed, self-managed and non-NDIS funded streams.

We assessed current registration exposure and participant funding mix, confirmed the regulatory implications of de-registration under current rules, mapped medium-term risks across pricing reform, provider definition changes and commissioning trends, and developed four strategic pathways ranging from selective expansion to full exit. The analysis was structured for executive and board-level decision-making with explicit assumptions and referenced sources.

Result: The board received an evidence-based decision framework with defined pathways, calibrated risk profiles and sequenced next steps, enabling a confident strategic decision grounded in regulatory analysis rather than short-term cost pressure.

An allied health organisation delivering group-based wellness and rehabilitation programs needed to professionalise its operations across clinical governance, funding strategy and market positioning. The business operated across aged care, DVA, private health insurance and Medicare streams but lacked structured policies, a clear pricing framework and documented compliance systems.

We conducted a policy gap analysis against the NSQPCH Standards with NDIS and Aged Care regulatory overlays, then built a complete SharePoint-based knowledge base and policy register with NSQPCH-compliant policies across governance, clinical and workforce domains. Alongside the compliance work, we delivered national market research mapping comparable programs across pricing, structure and funding models, and a differentiation strategy identifying underserved program areas.

Result: The organisation moved from informal governance to a structured, audit-ready compliance framework with a single source of truth for all policies, and an evidence base to refine pricing, validate program design and approach new referral partners with confidence.

A sole director running a four to five clinician NDIS practice had grown quickly but internal systems had not kept pace. Clinical operations were largely managed by the founder, creating a bottleneck that limited further growth without proportionally increasing the director's own workload.

We designed a complete recruitment and onboarding framework including position descriptions, salary bands and billable hour targets, along with a structured review cycle tied to incentive payments. The system was built to be repeatable across disciplines as the practice continued to scale.

Result: The practice now has a documented, repeatable system for hiring, onboarding and managing clinicians, allowing the founder to step back from day-to-day operational management and focus on growth.

A solo OT practitioner was growing from one clinician to three with no documented policies, onboarding processes or compliance frameworks. The business needed to move from informal operations to a structure that could support multiple clinicians across disciplines.

Over six months, we built a full knowledge base with governance documentation, created recruitment strategies across three disciplines and designed salary bands, a clinician orientation program and Support at Home pricing schedules. The work gave the founder a structured foundation to manage compliance, hiring and service delivery as the team grew.

Result: The practice moved from ad hoc operations to an audit-ready business with repeatable systems for hiring, onboarding and managing clinicians across multiple disciplines.