Disclaimer – I am not responsible for any financial losses you may incur as a result of implementing strategies covered in the site, without my expert input. For full disclaimer check out our internal process
Table of Contents
Can One Site Really Drain £200K of Group Cash?
Yes—and it happens faster than most dental group owners realise.
As a dental group owner, when you operate multiple practices, a single underperforming or delayed site can silently siphon liquidity from your entire group. Protecting against a £200K drain isn’t only about cutting costs—it’s about activating group buffer logic.
As a Dental CFO working with UK-based dental groups from 3 to 7 sites, I’ve seen groups with solid profitability fall into emergency borrowing because one site misfired.
This article shows how to:
- Detect silent cash drains early using CFFP™ 13-week cash flow visibility
- Install cash buffer firewalls that isolate site-level disruption
- Use the MAP Method™ to control cash flow, and PPBT™ to protect principal income and tax compliance
Testimonial: When One Site Risked Them All
In May 2022, a 5-site mixed model in Nottingham opened its sixth site—a private squat with a projected year-one patient revenue of £690K.
What they missed:
- NHS revenue at site 2 was delayed by 31 days
- Site 6 staff costs were 12% higher than budgeted
- Site 3’s plan income (normally stable) dipped due to tech migration
In 47 days, the group’s total liquidity buffer collapsed from £187K to £42,900. They had to:
- Cancel director distributions
- Freeze new hires
- Pull forward £15K from a personal line of credit to cover Practice Acquisition financing monthly instalment.
We rebuilt their structure using Dentpulse logic:
- Created site-by-site buffer ratios
- Embedded future cash inflow to out flow pairing (CFFP™)
- Installed a PPBT™ threshold of £8,950/month and automated reserves
In 91 days:
- Group liquidity buffer returned to 10.8 weeks
- Site 6 became cash neutral
- Site 2’s NHS income delay no longer impacted group solvency
Fast Takeaway: Here’s What You Need to Know
A single site can silently drain six figures in liquidity if group buffers aren’t built by design. Use CFFP™, site pairing, and weekly cash monitoring to isolate risk before it spreads.
TL;DR: Buffer Logic for Post-Expansion Safety
- One site’s cash underperformance can collapse group reserves in <60 days
- Buffer logic must be applied per site—not just at group level
- CFFP™ and PPBT™ together prevent subsidy-driven instability
Why Are Dental Groups Vulnerable to Cash Drain From One Site?
Dental Groups are vulnerable to cash drain from one site because most group owners rely on consolidated accounts based on production and aggregated bank balance, not decentralised risk logic.
From my observation as a dental group CFO being part of group expansion from £1.6m to £4.3m ,when you manage cash at the group level only, you can’t see which site is draining liquidity until it’s too late. The finance team sees aggregate bank balances, not site-specific pressure.
It;s a bit like trying to save teeth from falling until you realise periodontal disease causes the gums not able to hold the teeth and you only find out its too late. Your one site cash flow is draining othe sites cash flow.
From what I have seen across multiple sites group, here’s what actually causes a £200K drain:
| Risk Trigger | Site-Level Impact | Group-Level Outcome |
| NHS onboarding delay | No revenue for 4+ weeks | Centralised payroll must still run |
| Associate starts before patient flow | Outflows exceed inflows for 6–8 weeks | Loan reserves get tapped to plug gaps |
| Over-forecasted plan income | Revenue misses by 20–30% | Corporation tax reserves shrink silently |
“Site 4 didn’t feel risky—until we realised it missed plan income by £17K over two months. The buffer logic was never built. That mistake cascaded into every other site.” — 6-site Principal, Rochester, Kent
Unless each site has a buffer threshold and subsidy firewall, the group will fund that failure—without knowing it.
DentPulse Cash Flow Insight:
“Cash drain isn’t caused by loss. It’s caused by lag. The only defence is real-time site logic, not group averages.”
What’s the Right Buffer Logic to Prevent Cross-Site Cash Collapse?
The right buffer logic decentralises liquidity by site and protects group-wide stability through paired income reserves and dynamic thresholds.
Here’s how to implement group buffer control:
- Create Site-Level Buffer Thresholds
- Define minimum 4–6 weeks of fixed costs per site as buffer
- Tag these in your 13-week forecast with separate tracking codes
- Pre-Pair Income Streams with Liability Classes (CFFP™)
- NHS revenue → payroll + tax
- Plan income → loan service + director pay
- Retail/private income → site reinvestment buffer
- Automate PPBT™ Before Distribution
- Define a group-wide Personal Profit Before Tax threshold (e.g. £9,750/month)
- Protect this BEFORE funding any new site or unbuffered expense
- Install Weekly Cash Buffer Alerts
- Set rules for red flags (e.g., site forecast <3.5 weeks)
- Run a Monday cash huddle with site leads and finance
- Ringfence New Site Flows Until Cash Neutral
- Keep funds local until site shows 3-month consistent buffer
- Only then move to centralised pooling model
“Site 5 hit break-even but wasn’t cash neutral. Without ringfencing, we would’ve lost our entire tax reserve for Q1.” — Director of 9-site group, Surrey
DentPulse Cash Flow Insight:
“Cash resilience is built in advance. Buffer logic works when PPBT™ is ringfenced and site-level delays don’t become group emergencies.”
How Do You Recover Group Liquidity After a Site-Level Cash Drain?
You recover group liquidity after a site-level cash drain by isolating the affected site, rebuilding reserves using forecast automation, and re-prioritising PPBT™.
When a site has already drained group cash, reactive measures won’t fix it. You need a structured restoration protocol:
1. Isolate the Site Financially
- Stop pooled funding
- Move the site to a standalone cash management track
- Temporarily ringfence all new income for internal recovery
2. Run a 4-Week Buffer Restoration Sprint
- Increase site-level forecast detail (daily granularity)
- Cap all non-essential outflows
- Pause director distributions group-wide until buffer returns to 6 weeks+
3. Prioritise PPBT™ Before Everything Else
- Recalculate your PPBT™ (e.g., £8,950/month)
- Pre-allocate income before any centralised cost coverage
- This re-stabilises director income and tax safety first
“We recovered from a £112K drain by halting all cross-site fund flows, automating 13-week variance alerts, and relocking our PPBT™. It took 74 days. But we survived without taking on new debt.” — Principal, 6-site mixed model in West Yorkshire
DO THIS, NOT THAT: Group Liquidity Recovery Edition
| DO THIS | NOT THAT |
| Isolate underperforming sites from pooled accounts | Let underperforming sites pull from group float |
| Use a 13-week rolling cash restoration forecast | Wait for cash flow to “correct itself” |
| Prioritise PPBT™ before funding new projects | Delay director income and tax prep for capex |
| Trigger site-level ringfencing upon red flag | Blend losses across sites with no accountability |
| Use CFFP™ to realign income and outflow logic | Hope rising income masks the damage |
DentPulse Cash Flow Insight:
“You don’t ‘fix’ cash drains—you firewall them. Liquidity is rebuilt when PPBT™ leads, buffers are enforced, and sites earn their way back into group pooling.”
Thinking of Adding a New Site?
If you’re reading this because one of your current sites has already triggered a buffer collapse, the next decision matters even more: whether to expand again.
Read next: “How to Finance a New Dental Practice Location Without Jeopardizing Group Cash Flow Stability” — a deep dive into timing-based cash systems, CFFP™ logic, and the MAP Method™ that make expansion safe without risking existing liquidity.
Your Next Steps to Protect Against a £200K Cash Drain From One Site
You now understand how to protect your group from silent liquidity loss. Here are two clear ways forward:
1. DIY: Build Group Buffer Logic from Scratch Using Dentpulse Models
To implement this manually with your finance team:
- Run a 13-week rolling forecast per site using spreadsheet or cash tools (e.g., Float, Fathom)
- Tag all inflows by timing: NHS, private, plan, retail
- Set site-level buffer thresholds (e.g., 4–6 weeks of fixed costs)
- Apply CFFP™ logic to pair income streams with liabilities
- Pre-allocate your PPBT™ target (e.g., £8,950/month) before spending
- Ringfence cash for new sites until they sustain 3 months of buffer
- Use weekly Monday cash huddles to check for red flags (<3.5 weeks)
- Reset allocations each Thursday and send updates to site leads
2. Install Dentpulse Systems Inside Your Accounts (But You Don’t Need To)
We build and maintain cash buffer architecture for UK dental groups from 3 to 15 sites:
- Typical uplift: +11.2 week reserve, +3.4x liquidity ratio, stable PPBT™ within 90 days
- Done-for-you implementation: CFFP™, MAP Method™, buffer alerts, tax-safe distribution logic
Book a fit call if you want the system installed, monitored, and reported by our dental cash team.
FAQs: Cash Buffer Questions Group Owners Ask
- What’s the minimum buffer I should hold before launching a new site?
We recommend a minimum of 6 weeks of fixed costs per new site, plus 4–5 weeks at group level. This ensures liquidity remains intact even if the new site underperforms in its first 90 days. - Can I centralise income if each site has different performance cycles?
Yes—but only after each site shows 3+ months of buffer stability. Until then, use ringfencing and CFFP™ pairing to isolate volatility and avoid silent cross-site subsidy. - How often should I review buffer thresholds across the group?
Weekly for active review (via Monday cash huddles), and monthly for structural recalibration. Use the 13-week forecast to detect if any site’s projected buffer dips below 4 weeks—this is your early warning.
ABOUT THE AUTHOR
Shishir Khadka