Score the eight gates
Slide each toward the truth about today. They’re weighted by how much they make or break a second site.
Be honest about where you are now — not where the plan says you’ll be.
Current practice runs without youCould it run a fortnight without you stepping in?
40%
Not yetSolid
Proven, replicable systemsAre operations documented well enough to copy to a new room?
40%
Not yetSolid
Demand evidence / waitlistIs there real, measured demand — not a hunch?
40%
Not yetSolid
Financial headroom & fundingCan the group absorb a slow ramp without strain?
40%
Not yetSolid
Leadership / clinical coverIs there a person to lead the new site — not just you?
40%
Not yetSolid
Site economics stack upLocation, rent and catchment make the unit work?
40%
Not yetSolid
Demand engine beyond youDoes marketing bring clients without your face on it?
40%
Not yetSolid
Your capacity & appetiteDo you genuinely have the bandwidth for this now?
40%
Not yetSolid
Your go / no-go read
Score the gates above to see your read.
Close this first
—
Your lowest gate is the one most likely to sink a second site. Start there.
This is Module 6 of SCALE
Open the second site on evidence
SCALE takes you through deepen-vs-widen, the feasibility test, and the systems and governance that let a new room run without you.
Explore SCALE →