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7 min readRead articleA chiropractic clinic sells hands-on treatment in booked slots, so the diary and the practitioners are the business. Practitioners' hands and stamina set the limit on what the diary can hold, so workload and scarce qualified hiring matter early.

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Share your requirementsA chiropractic clinic treats back, neck and joint problems with manual adjustments and exercise, usually over a plan of several visits. A few chiropractors lead the practice, supported by assistants, physiotherapists or massage therapists in some clinics, and a front desk that handles bookings and packages. Slots are short and back to back, and income depends on how full the diary is and how many patients complete their plans. Practitioners spend long periods on their feet performing physical work, and many clinics are single-location with a handful of people. In India the profession is still small, so qualified practitioners are few and often trained abroad. See also HR for healthcare.
Who does the work
Practitioners carry the whole diary
If one chiropractor is away, their slots go empty, and patients on a plan are left without treatment.
Plan completion depends on the desk
Patients drop out after a few sessions because nobody follows up or explains the plan again.
Physical strain on practitioners
Repeated adjustments and long hours cause fatigue, and there is no rule on how many treatments a person gives in a day.
Assistants do tasks without clear limits
Support staff take on tasks at the edge of their training because there is no written boundary.
Qualified hires are rare
Few practitioners are available, so recruitment is slow and a vacancy lasts months.
Set a daily treatment limit
A reasonable cap on treatments per practitioner per day, with breaks built into the diary, informed by the practitioners themselves.
Write the assistant's scope
A clear page on what assistants may and may not do, signed off by the lead practitioner. See role design and job descriptions.
Assign plan follow-up
A named person who calls patients who have missed a session, and a weekly list of plans at risk.
Plan for scarce hiring
A standing route for finding practitioners, including trainees who can grow into the role. See recruitment process.
Record credentials
Qualification and registration details for every practitioner, in the employee information management record.
Confirm with a qualified professional. What applies to you depends on your business, your state and your arrangements, and it changes. This page describes practice. It does not state a legal position.
A diary and cover arrangement that does not leave plans stranded when someone is away.
Written scope for practitioners and assistants.
A hiring route for a scarce profession, with trainees as a pipeline.
Training for the front desk on plan explanation and follow-up calls.
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From the GullyHR blog: one on HR in healthcare, and one on each of the topics this page points to.

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There is no universal figure. Ask your practitioners, set a cap that allows breaks and watch fatigue and quality.
Explain the plan clearly at the start, track missed sessions and have a named person call the same day.
That depends on training and applicable rules. Write a scope with your lead practitioner and confirm with a qualified professional.
Open a trainee route, build relationships with institutes and keep a shortlist so a vacancy does not last long.
Yes. Even with three people, written roles, pay terms and leave rules prevent disputes and make hiring easier.
We would look at how many treatments each practitioner gives in a day, who follows up when a patient drops out of a plan, and what your assistants are allowed to do. A sensible first piece of work is a daily treatment limit and a written assistant scope. After the conversation, we agree the scope in writing.
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