Main Clinic Constraints Summary - Team competition: Chiropractors view each other as competitors rather than collaborators, limiting shared learning and continuity of care. - Misalignment: Chiropractors and CAs (clinic assistants) are not working in sync — messaging to patients about care plans, direct debits, and wellness goals is inconsistent. - Direct debit uptake after initial care phase: Few patients are on recurring membership plans, leading to unstable cash flow and weaker retention longterm. - Reception energy: CAs are kind and caring but often express “complainy” or low energy to clients, which affects the clinic atmosphere and patient perception. Overall:The clinic needs clearer alignment, stronger team communication, consistent messaging around care and membership, and a more positive, unified culture to support long-term patient retention and growth.