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Anne 💡 Gray

Anne Gray is a business consultant, MBA graduate of GIBS, and co-founder of Grow Your Healthcare Practice — a business education and coaching platform built specifically for healthcare professionals running private practices in South Africa. I have been inside enough messy boardrooms to know the real problem is almost never the obvious one. The same is true in healthcare practices, in start-ups, and in businesses that have outgrown the version of their founder that built them. I work with founders who are excellent at their work, and find that building the business around it turns out to be a different skill set entirely. If you're a healthcare practice owner: the podcast, the free community, and the mastermind are for you. If you're a small business owner who's hit a ceiling: you're in the right place too. Writing about business, leadership, and the work behind the work.

Featured Post

The diary is full. So why doesn't it feel like enough?

Hello Reader We want to close this first series of emails with the pattern that is, in our experience, the most invisible — because from the outside, everything looks fine. The diary is full. Patients are coming back. Revenue looks healthy on paper. But you're exhausted. You're carrying the whole practice on your back. And the version of yourself that arrives home at the end of the day isn't who you wanted to be when you started this. You're not building a practice. You're keeping one alive....

Hi Reader There's a type of practice owner we work with regularly who is, by almost every measure, exceptional. They spot a gap in the market before anyone else does. They build something meaningful from nothing. They pour themselves into it — the vision, the early patients, the brand, the energy. It's impressive to watch. And then, just as the practice needs to be managed and grown, something shifts. The operational detail starts to feel heavy. A new idea appears on the horizon. The...

Hello Reader A pelvic health physiotherapist received a message from a patient. The patient was frustrated. The exercises weren't working, she said, and she needed a new plan. The physio checked her notes. She had seen this patient once. In February. That familiar sinking feeling — did I not explain this clearly enough? — settled in. Here's the truth: it wasn't a clinical failure. It was a communication gap. And it's one of the most common — and most costly — gaps in private healthcare...

Hello Reader A practitioner sat down one evening to work out her earning potential. She ran the numbers, stared at the screen, and felt her stomach drop. She thought she was broke. Then she realised she had forgotten to multiply by four weeks. When she did — everything shifted. She wasn't broke at all. She was simply not collecting what she was already capable of earning. This is what we call The Fully Booked But Broke Trap — and it is one of the most common, and most painful, patterns we see...

Hello Reader Welcome to the Grow Your Healthcare Practice newsletter — we're glad you're here. We're going to start with something most practice owners have never been told directly. You are not bad at business. The reason your practice feels harder than it should — the unpaid invoices, the sessions you give away, the policies you mean to enforce but never quite do — has very little to do with your skills or your ambition. It has everything to do with your identity. And that's a different...

Over the last three weeks, we've been building the foundation of the CEO Reset. Week 1, we identified the 6 systems every business needs to scale. Week 2, we learned to prioritise properly and time-block our ideal week. Week 3, we defined our destination: our mission and OKRs that give us direction. If you've been doing the work, you should be feeling clearer about where you're going and what matters most. But here's where most CEOs stumble: They do the exercises once, feel great about it,...

Over the last two weeks, we've done some important groundwork. Week 1, we introduced the CEO Reset and the 6 systems every business needs to scale. Week 2, we cleared the mental clutter, sorted our priorities, and built an ideal week designed to produce results—not just fill time. If you did the work, you should already be feeling a little more in control. This week, we go deeper. And in many ways, this is the most important email in the entire series. Because here's the uncomfortable truth...

Last week I introduced you to the CEO Reset and the 6 systems every business needs to scale. If you missed it, you can catch up here: [LINK TO LAST WEEK'S BLOG] TThis week we're getting practical. Fast. Because here's the truth most productivity gurus won't tell you: Your to-do list isn't a plan. It's a source of anxiety. Most business owners I work with start their week feeling like they're already behind. My friend and co-founder Phumla told me that she plans on a Sunday night so that when...

How Two Conversations Led to the CEO Reset Last week, two things happened that changed everything. First, my co-founder and friend Phumla and I ran a Reset Challenge for healthcare practice owners. The 4-day challenge was action-packed and full of best practice. At the end of the challenge, I reflected on what we had just taken people through—a collection of frameworks that I have, at one time or another, used myself, but not as it was presented. You know what they say about the cobbler’s...

A pink sticky taped to a window with Heart patterned washi tape that reads "Keep the main thing the main thing" written in black sharpie

It's been a while - I know. I pretty much disappeared in the second half of 2025. I got sucked into building someone else’s business. What started as a one-day-a-week gig turned into an every-available-minute gig… and somewhere in that blur, I lost sight of what I was building. Has that ever happened to you? "Keep the main thing the main thing" Last year, I put this sticky note on my windowsill — right in my line of sight — so I couldn’t miss it. The idea was simple: every time an opportunity...