Running a multidisciplinary group at scale

In this episode of the Business of Allied Health series, we sit down with Errol Lim, Managing Director of BJC Health and a physiotherapist with over 25 years of clinical experience. Errol shares his journey from focusing on sports physiotherapy to joining forces with his rheumatologist brother to build a 70-person multidisciplinary group across three Sydney locations. He pulls back the curtain on the realities of integrating medical specialists and allied health professionals, noting that merely placing different disciplines under one roof often amounts to "room rental" rather than genuine, connected care. The discussion explores the complex dynamics of clinical hierarchy, detailing how to build a collaborative culture where doctors and non-doctors operate as true colleagues. Errol dives into why team culture must precede clinical systems and why treating team engagement like an internal marketing campaign is critical for long-term buy-in. He shares hard-earned lessons on the importance of hiring slowly, tracking staff retention as a core metric, and why effective clinical governance requires profession-specific leadership. Finally, he unpacks the current economic pressures of practice ownership in 2026 and emphasizes why face-to-face, localized community networks are more vital than ever for practice owners across allied health, medical, and dental professions. Timestamps:00:00 - Introduction to Errol Lim and the founding of BJC Health01:50 - The shift to a multidisciplinary rheumatology and allied health model03:05 - Family in business: Navigating dynamics with a medical specialist brother04:35 - Breaking down the hierarchy between doctors and non-doctors06:26 - The "room rental" trap vs. building genuine integrated care07:16 - Culture vs. Systems: What really drives clinical collaboration?08:32 - Treating team engagement like an internal marketing campaign11:48 - Key metrics: Why staff retention is just as vital as your P&L14:21 - Clinical governance: The need for profession-specific leadership15:53 - The economic reality of practice ownership and wage pressures in 202617:57 - The loneliness of the founder journey and the power of local networks