Most medical practices today operate using some form of independent practitioner model. For many years, these arrangements have been seen as commercially efficient, flexible and relatively low risk.

However, practice owners are increasingly coming to us with the same question: “Are our agreements still compliant?” In many cases, the answer is no; not because the agreement structure was inappropriate, but because the devil lies in the detail of the specific terms and conditions of the agreement.

You’re trained to identify clinical risks… but what about your practice risk?

Many practice owners assume their business is sound from a legal and commercial perspective. Agreements are in place, the structure has remained unchanged for years, and financial performance appears stable, and everything’s fine, right? What you might find, when examined more closely, a different picture can emerge.

Medical practices commonly engage independent medical practitioners through service agreements, where doctors provide services to their patients and the practice supplies rooms, reception, billing infrastructure and administrative support. These structures are widely used across general practice and specialist settings.

As the landscape of medical practice management continues to evolve, practice owners and managers must navigate the complexities of staffing - one of the highest areas of cost and legal risk. Among the most important decisions you’ll face is whether to engage doctors as employees or independent practitioners. While the flexibility of independent practitioners may seem attractive, misclassifying staff can lead to significant legal, financial, and reputational consequences.

Across Australia, allied health clinics are expanding. Physiotherapists, psychologists, occupational therapists, speech pathologists, dietitians and podiatrists are increasingly being integrated into general practice settings, multi-disciplinary clinics and specialist health hubs. For many clinic owners, whether operating one or multiple clinics, this expansion is deliberate and a strategic choice.