Practice Partners Podcast

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The landscape of ADHD management in New South Wales has changed significantly, with expanded prescribing pathways giving General Practitioners a much greater role in the diagnosis, treatment and ongoing management of ADHD. But with increased scope comes increased responsibility, new workflows, and plenty of questions from both clinicians and practice teams. Let alone the patient base!
In this episode, Ami and Zac unpack the latest NSW ADHD prescribing reforms, explore the new GP pathways now available, and discuss the concerns being raised by GPs across the state about training, clinical responsibility and the practical realities of implementing these changes. 
They also focus on what practices can do behind the scenes to make these reforms successful, or not. From setting clear patient expectations and developing consistent reception workflows, to supporting doctors and managing increased demand, this episode is packed with practical operational strategies that every general practice should be considering.
In this episode:
 Understanding the new NSW ADHD prescribing pathways for General Practice 
 Why many GPs remain cautious about the expanded scope of practice 
 Managing patient expectations during a period of significant change 
 Creating clear workflows for reception, nursing and clinical teams 
 Practical operational tips to improve consistency and reduce patient dissatisfaction 
 Preparing your practice for the future of ADHD management in primary care 
Whether you're a GP, Practice Manager, Nurse or Practice Owner, this episode provides practical insights into one of the biggest changes to ADHD care in recent years, and what it means for your practice and your patients.
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We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/

Send us your enquiry or question directly!
Who really drives change in a general practice?
In this episode, Ami and Zac tackle one of the biggest leadership challenges facing healthcare businesses: when does listening to your team become allowing your team to dictate the direction of the practice? (or the tail wag the dog)!!
They explore the balance between supporting staff and doctors through change and recognising when ongoing resistance begins to hold the business back. How much time should leaders invest in bringing everyone along before making the decision to move forward regardless?
The conversation then takes an unexpected turn into one of general practice's most debated topics: who should discuss fees with patients?
Should GPs confidently explain their billing decisions as part of the consultation, or is it more efficient to leave those conversations to an experienced administration team?
Ami argues that doctors should focus on medicine, while trained support staff handle the financial discussions to create a smoother patient experience. Zac believes doctors need to become more comfortable having transparent billing conversations and that avoiding them ultimately undermines private billing success. 
It's a passionate debate with strong arguments on both sides.
Key Topics
 Who really drives change within a medical practice? 
 How long should leaders tolerate resistance before making difficult decisions? 
 Should doctors discuss fees directly with patients? 
 The impact of billing confidence on private practice success 
 The role of reception and administration teams in financial conversations 
 Creating a consistent patient experience around billing 
We'd love to hear your thoughts.
Should doctors confidently discuss their fees with patients, or should those conversations be handled by the practice support team?
Join the conversation by connecting with Practice Partners on LinkedIn or Facebook, or send us your thoughts. Your feedback might even feature in a future episode.
Support the show
We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/

Send us your enquiry or question directly!
The new financial year brings more than just award remuneration increases. It is also the ideal time to review employment contracts, HR documentation, policies, and accreditation readiness. 
In this episode, Ami and Zac walk through a practical approach to implementing annual pay increases, communicating changes with staff, and ensuring your practice remains compliant. They also discuss why July is the perfect opportunity to audit employee records before accreditation and future workforce requirements catch you by surprise. 
Whether you're a Practice Manager, Practice Owner or HR Lead, this episode provides practical advice you can implement immediately. 
In this episode we cover: 
 Understanding the 2026 Fair Work Award wage increases 
 Who should, and should not, receive a pay increase 
 Managing above-award employees fairly and consistently 
 Calculating wage increases using a simple payroll spreadsheet 
 Communicating pay increases professionally with your team 
 Common mistakes practices make during annual pay reviews 
 Reviewing employment contracts and HR documentation 
 Preparing staff files for accreditation and compliance 
 Tracking mandatory training, immunisations and certifications 
 Upcoming accreditation changes and what practices should be planning for now 
Who should listen?
Practice Owners 
Practice Managers
HR Managers
Medical Practice Administrators
Anyone responsible for payroll, compliance or accreditation within general practice  
Support the show
We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/

Send us your enquiry or question directly!
In this episode of the Practice Partners Podcast, Ami and Zac are joined by two-time guest, James Gillespie - Founder of Cleanbill, to unpack the findings from Cleanbill's latest electorate breakdown report and what it reveals about bulk billing, out-of-pocket costs, and healthcare accessibility across Australia.
Together, they explore why Cleanbill developed electorate-level reporting, how transparent healthcare data is helping patients make more informed decisions, and why practices can benefit from understanding how they compare within their local market. James also shares how Cleanbill has evolved beyond a bulk billing directory into a comprehensive healthcare platform featuring practitioner profiles, accessibility information, opening hours, clinic biographies, and more.
The conversation examines one of the report's most significant findings: while bulk billing rates have increased, patient out-of-pocket costs continue to rise. Zac, Ami and James discuss the realities facing general practice, including increasing operating costs, Medicare incentives, mixed billing models, and the ongoing challenge of delivering financially sustainable primary care.
The episode concludes with an exciting look at what's next for Cleanbill, including quarterly reporting, enhanced practice analytics, and new service-based search capabilities designed to help patients find specific services such as iron infusions, chronic disease management, and other specialised care.
Key takeaways
Why healthcare transparency benefits both patients and practices.
How electorate-level reporting provides more meaningful insights than national averages.
Why bulk billing rates have increased while patient out-of-pocket costs continue to rise.
How practices can use benchmarking data to improve accessibility, patient experience, and competitiveness.
What's next for Cleanbill and how new analytics will provide practices with more actionable insights.
Associated Links
Cleanbill Data: https://cleanbill.com.au/cleanbill-data
Update your listing (free): https://cleanbill.com.au/update-listing-details
Claim your listing (free): https://cleanbill.com.au/clinic-portal
Episode timestamps
02:24 Why Cleanbill created electorate breakdown reports
04:22 What Cleanbill is really trying to achieve
08:28 Transparency, competition, and attracting the right patients
14:08 Cleanbill's new analytics dashboard and electorate comparisons
17:17 How practices can claim and manage their Cleanbill listing
20:00 Why out-of-pocket costs are increasing despite higher bulk billing rates
24:04 Medicare incentives and the challenge of practice sustainability
27:24 Funding pressures, urgent care, and the strain on general practice
35:07 How government and policymakers are using Cleanbill data
47:12 What's next for Cleanbill: quarterly reporting, richer analytics, and service-based search
Support the show
We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/

Send us your enquiry or question directly!
Leadership Fatigue: The Silent Threat Facing High-Performing Leaders
Leadership can be incredibly rewarding, but it can also be exhausting. In this episode, Ami Assigal and Zac Pandur unpack the reality of leadership fatigue, exploring the warning signs, stages, and practical strategies leaders can use to avoid burnout while continuing to lead effectively.
Drawing on their own experiences in healthcare and business leadership, Ami and  Zac discuss why many leaders become trapped in reactive cycles, how teams can unintentionally become dependent on their leaders, and the importance of creating accountability, resilience, and sustainable leadership habits.
The conversation examines the progression from enthusiasm and drive through to frustration, disengagement, and burnout, while offering practical solutions to help leaders regain control, improve communication, and build stronger, more independent teams.
Whether you're leading a medical practice, managing a business, supervising a team, or simply looking to become a better leader, this episode provides valuable insights into protecting your energy and maintaining long-term effectiveness.
In this episode:
• What leadership fatigue is and why it affects so many leaders
• The five stages of leadership fatigue and how to recognise them
• Common signs of burnout and emotional exhaustion
• Why leaders often unintentionally create team dependency
• The role of accountability and ownership in high-performing teams
• Practical communication strategies for difficult conversations
• How to navigate resistance to change and maintain momentum
• Building leadership systems that reduce stress and improve outcomes
Key Takeaway:
Leadership fatigue rarely happens overnight. It develops gradually through repeated stress, poor boundaries, and excessive dependence from teams. The most effective leaders recognise the warning signs early, communicate clearly, empower others, and build systems that allow both themselves and their teams to thrive.
Support the show
We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/