Private Medicine, Patient Retention, Healthcare AI, Clinic Systems, Future of Care | BOAC Podcast #24

Healthcare often focuses on clinical outcomes — but the operational reality behind delivering care is far more complex.In this episode of Business of a Clinic, Jared Aron sits down with Dr. John Chinegwundoh, consultant physician and Chief Medical Officer at Coherent Healthcare, to explore what actually happens behind the scenes of modern medical practice.Drawing on more than two decades of experience across the NHS and private healthcare, John shares his perspective on how healthcare systems really function — not just clinically, but operationally.The conversation explores the growing gap between clinical expertise and operational execution, and why so many clinics struggle to maintain consistent patient engagement over time.They discuss the hidden challenges of managing patient journeys, the structural reasons patients quietly fall out of care, and how emerging technologies like AI may reshape how clinics stay connected with patients long after their first appointment.This episode is a thoughtful look at the business and operational side of medicine — and why solving these problems may be just as important as the clinical work itself.In this episode we discussWhy running a clinic is far more operationally complex than most people realiseThe hidden administrative load behind patient careWhy clinics often lose track of patients over timeThe concept of patient leakage across the healthcare journeyDifferences between NHS and private healthcare systemsWhy technology has struggled to solve operational problems in clinicsHow AI may transform patient communication and follow-upThe future of patient relationship management in healthcareChapters00:00 Introduction 01:03 Meet Dr. John Chinegwundoh 03:45 The operational reality of running a clinic 06:18 Why healthcare administration is so complex 08:47 Managing patient relationships at scale 11:10 Why patients quietly drop off over time 14:36 Understanding patient leakage in healthcare 18:05 Technology and the limits of current systems 21:12 AI and the future of patient engagement 24:50 NHS vs private healthcare systems 28:32 Operational challenges facing modern clinics 32:10 The future of patient-centred care 35:40 Closing thoughtsAbout the PodcastBusiness of a Clinic explores the operational, financial, and technological challenges of running modern healthcare practices.Hosted by Jared Aron, founder of Coherent Healthcare, the podcast features conversations with clinicians, operators, and healthcare leaders about what it really takes to build and run successful clinics.LinksLearn more about Coherent Healthcare: https://coherenthq.comFollow Coherent on LinkedIn: https://www.linkedin.com/company/coherent-healthcare