The Dental Works Essex

Project Information

A joint venture between Michelle Keane and Jay Pala to create The Dental Works Essex. They met at a previous practice and decided to start their own squat practice together. We helped them develop the plan and strategy, assess sites set up and launch their exciting new practice.

  • Client : The Dental Works Essex
  • Date : 2024- Present
  • Skills : Squat practice

Result Driven

Deep analysis of purchase vs. squat
A market appraisal of the location analysing, demand, local competition, and demographic data.
Financial forecasting for the new practice to help make big decisions
A beautifully created brand that delivers their messaging seamlessly to patients
Expert funding partner selected for fit-out
Tax structure built and maximisation of allowances claimed on fit-out
Nurtured the leadership team to give clear structure for all levels of the team
Growth parameters clearly targeted
New patients delivered from the start
Zero to £100k+ per month in less than 12 months
Exponential growth continued in Year 2

Challenge & Solution

The challenges we faced along the way and how we solved them:

Challenge 1: Tax

Michelle and Jay needed a robust financial forecast for the first year of their new business to secure funding for the practice fit-out, and needed the business structured correctly from the outset to suit their individual circumstances.

Solution
We built a year 1 forecast model and worked with Michelle and Jay to tweak key variables, allowing them to see the financial impact of different scenarios. This forecast was used to support their fit-out funding application. Alongside this, we advised on the structure of the business, ensuring it worked for both of them individually — covering how capital was introduced, how equipment was acquired, and how to claim the maximum available reliefs, all in the most tax-efficient way.
Outcome
The forecast proved highly accurate, with year 1 income modelling almost exactly matching actual performance. Michelle and Jay also ended up with a business structure that kept them both tax efficient, with capital introduction, equipment acquisition, and reliefs all optimised.

Challenge 2: Marketing

As a squat practice, there was no inherited reputation, no existing patient base and no goodwill to trade on. Michelle, Jay and the practice needed to be known locally before the doors opened, so that day one wasn’t spent starting from zero. Brand and market position wasn’t a nice-to-have; it was the thing that had to earn trust and recognition in a market where several established practices were already competing for the same patients.
The opportunity was that the local market had demand the existing practices weren’t fully meeting. Our job was to find that gap and build the brand into it, rather than launching as another lookalike practice competing on the same terms.

Solution
We built the brand and proposition from scratch, starting with the market rather than the logo. That meant assessing local demand; population, demographics, treatment appetite and how much of it was being served. Then a gap analysis of the competing practices: how they positioned themselves, who they spoke to, what they looked and sounded like, and where the white space sat. From that we defined a position that reflected Michelle and Jay's vision while standing apart from what was already there, and developed the identity around it: practice name, logo, colours, typography and tone of voice. Pre-launch activity put the brand in front of the community ahead of opening.
Outcome
A distinct, modern brand with a clear proposition and a defined tone of voice, grounded in real market demand rather than assumption, applied consistently across every patient-facing touchpoint, and ready to carry into all future marketing campaigns.

Challenge 3: Consultancy

Most partnerships don’t work out. Dentists often enter them for the wrong reason: a short-term argument about sharing costs, with no shared vision behind it. So before sites, brand or forecasts, the first question was whether Michelle and Jay should be in business together at all.

A dentist partnering with a non-dentist raises the stakes, and our abstraction model explains why. Dentistry is fee generation: the patient has the treatment and pays at the desk. The value is immediate and easy to count, and an associate would be paid 40–45% of it. No new venture can pay that, and a clinician can’t help keeping count. A managing director works in the outer layers: operations, strategy, leadership and culture. That value takes years to arrive. It shows up in what the business is worth, not in this month’s takings, and it can never be pinned on one person. A squat then asks both of them for two years of flat-out work without being properly paid.

Solution
We tested the partnership first. We worked with Michelle and Jay individually and together, and put the realities of a squat in front of them: the hours, the money, the strain, and the risk of each believing they were the one doing all the work. Jay had already seen how good Michelle was at running a practice. That helped. Then the site. We looked at several. Shenfield stood out: a former bank on Hutton Road, close to the station at the end of the Elizabeth line, with commuters walking past every day. We knew the area, and the market appraisal still came back better than any of us expected. We set two targets. £50k a month covers a squat's costs but doesn't pay its owners. £100k a month is where it starts to work. Growing that fast is an exercise in sales and marketing, not dentistry. You learn by testing, and you learn faster by spending more. So we judged each idea with them: how would we know it had worked, and would it bring patients through the door?
Outcome
The practice passed £100k a month in under 12 months and kept growing through year two. The partnership held. The hardest conversations were about pay, because people need money to live and there is no industry norm for founders building future value. Michelle and Jay had those conversations and kept choosing the long-term win. The business is now far bigger than either could have built alone, and nobody can say exactly whose contribution did what. That is how a partnership is supposed to work.

Our Process

We first met Michelle in 2013 as her partner co-owned Essex Smile Centre. We quickly realised that Michelle was a force in Business Management and she moved into the role at the practice, which was a key factor to the amazing growth of the business.
The accountancy team supported Michelle from the outset of their journey by putting robust financial systems in place. This included setting up bookkeeping processes, implementing payroll, and designing tailored associate pay templates to create a strong financial foundation. With these systems now established, we provide quarterly management accounts alongside regular review meetings, enabling informed decision-making and supporting the ongoing growth of the business.
The tax team produced a forecast to help model how the first year of the business might look. This gave us an opportunity to work with Michelle and Jay on tweaking variables to see what financial impact this could have. This forecast was also used to support the funding for the fit out. Looking back, we can see our income modelling for year 1 was almost exactly correct! We also worked with Michelle and Jay to ensure the structure of the business suited their individual circumstances. We found the best way for them both to remain tax efficient in terms of introducing initial capital, acquiring equipment and claiming the maximum amount of reliefs.
The consultancy team started with the partnership, not the practice. A great business partnership is rare, and a fair amount of Dan and Ross's work is helping bad ones end, much like Vince Vaughn and Owen Wilson at the start of Wedding Crashers. So their first job was to find out whether Michelle and Jay were a match. They were. From there, we weighed purchase against squat, appraised sites, set the growth targets and stayed alongside them through launch. What we bring is experience of doing this many times, and a room where awkward conversations can happen and strategic decisions get made. Being business partners is a promise that you will both give everything you have, then work out how you get paid. Michelle and Jay kept it.
The marketing team helped by advising that for a squat dental practice, branding was a critical commercial priority - with no inherited reputation or patient base to speak of, the brand had to establish trust and visibility from day one. The process began with researching the local competitive landscape and defining a clear positioning matching Michelle and Jay's vision but meaningfully different from existing practices in the area. The project covered developing the brand identity including practice name, logo, colours, typography and tone of voice - all applied consistently across every patient-facing touchpoint. Pre-launch activity ensured the brand was visible in the community before the doors even opened.
Working in close collaboration with each other, each department helped The Dental Works become a success.

HEAR FROM MICHELLE

“From the moment we had the idea for our practice, we needed a team that truly understood the dental market — not just in theory, but right now, in the current climate. Dan and Ross brought exactly that. They are knowledgeable, approachable, and refreshingly honest; the kind of advisors who will tell you what you need to hear, even when it’s not what you want to hear.

Simon’s expertise in dental accounting gave us the financial credibility we needed with banks and funders. His forecasting was not only accurate — it told our story. As a non-dentist partnering with a dentist, we had a unique proposition, and Dan, Ross and Simon made sure our funders understood exactly why our backgrounds and experience made us a compelling opportunity. Simon’s trajectory projections were spot on, and they gave our funding team the confidence to back our vision.

Luc in the marketing team rounded out the picture perfectly. He completely understood our brand brief — how we wanted to look, how we wanted to feel, and how we wanted to stand out. That kind of instinctive understanding is rare.

The Best Thing About Working with the Hive Team
Every meeting with the Hive team leaves us better than we arrived. They are honest, warm, and genuinely invested in our growth. They give us the confidence to keep pushing forward, and they’re not afraid to tell us to take a breath when we need it. That combination of straight-talking advice and real encouragement is something you simply can’t put a price on.

How Hive Helped Us Set Up Our Practice
Hive were with us from day one — literally from the first conversation about the concept. They helped us develop and shape our idea, connected us with a broker to negotiate our funding, and worked through every cost with us to keep us on track (even when we were tempted to blow the budget).

The marketing team were involved from the very first concepts, helping us build a brand that was strong, authentic, and built to grow with us. It truly reflects our vision and culture, and positions us exactly how we wanted to be seen.

Building a squat practice is one of the hardest things we’ve done. There were long days when we genuinely weren’t sure we could see it through. Hive was there for all of it — not just as advisors, but as a constant source of strategic direction and encouragement when we needed it most.

Why I Recommend Hive to All Dentists
Simply put — they know their stuff, and they’re the nicest team you’ll ever work with. Nothing is ever too much trouble. They are trusted partners, not just service providers, and that distinction matters enormously when you’re building something from scratch.

Whether you’re a dentist setting up your first practice or looking to grow an existing one, Hive will be in your corner for the long haul. They will be our partners for the life of this project and, we hope, for everything that comes next.”

Michelle Keane, Director at The Dental Works Essex

Call Now Button