Multi-site clinics
Running 3, 5, or 20 sites is a different problem from running 1. Patient records have to flow safely between locations, clinician profiles have to stay consistent, billing and reporting have to roll up centrally, and each site still needs its own day-to-day support without waiting on a head-office queue. Trucell designs, rolls out, and runs multi-site clinic IT across Best Practice, Medical Director, Genie, and Clinic to Cloud, with one accountable service thread across the group: identity, network, secure messaging, backup, peripheral standards, and a service desk that knows which site is calling and what their context is.
What quietly breaks between site two and site ten
Every clinic group hits the same wall: the IT that worked fine for one site starts costing money and clinical time as each new location bolts on its own way of doing things.
- Every site ends up subtly different: printers, scanners, and consult room setups drift apart until no fix works twice and every rollout has to be designed per site.
- Clinicians who work across locations log in to a different world at each one: different profiles, different shortcuts, different printer mappings, and ten minutes lost before the first patient.
- The practice management system becomes the bottleneck: updates land site by site, test results and secure messages route differently per location, and head office reporting means chasing spreadsheets.
- Support gets slower as you grow: a helpdesk that does not know which site is calling, what runs there, or who the site lead is turns every small fault into twenty questions.
None of this is a technology problem first. It is a standardisation and ownership problem, and it is exactly what a group wide operating model fixes.
One operating model across every site
We design the standard once, roll it out site by site, and run the whole group under one accountable service thread. Each area links to the full detail.
A site standard, written down
One documented blueprint for consult rooms, reception, printers, peripherals, and the comms cabinet, so site five behaves like site one and fixes work everywhere. New sites open from the playbook, not from memory.
The PMS, coherent across locations
We support groups running Best Practice, MedicalDirector, Genie, and Clinic to Cloud: updates tested before they reach reception, consistent clinical and billing configuration across sites, and secure messaging (HealthLink, Medical Objects) routing that follows the patient, not the postcode.
A service desk that knows your sites
Every site, user, and device is documented, so the desk answers knowing which location is calling and what runs there. One number for every site, with IT support accountable across the group rather than per building.
One identity and security posture
Microsoft 365 and Entra identity managed group wide: one profile per clinician that follows them between sites, joiners and leavers handled once, and managed security applied as one posture instead of per-site improvisation.
Networks built for a group
Fortinet SD WAN between locations with network services design behind it, and dedicated links where imaging volumes or site to site traffic justify them.
Backup and recovery for the whole group
Group wide backup and recovery on Veeam VCSP and Datto with tested restores, so one site’s incident never becomes the group’s data loss story.
Per-site IT vs a group operating model
Both can keep the lights on. The difference shows up in the month you open a site, lose a site manager, or face an audit.
With a group operating model
- New sites open from a documented playbook: cabling, network, PMS, phones, and peripherals land the same way every time, on a predictable timeline.
- Clinicians move between sites without friction, and head office sees consistent reporting because the underlying configuration is actually consistent.
- Audits and accreditation draw on one set of evidence: one security posture, one backup story, one asset register, under ISO 27001:2022 certified operations.
With per-site arrangements
- Each site accumulates its own quirks and its own fixer, and the group inherits the risk every time that person is away or leaves.
- Rollouts and PMS updates take weeks of per-site effort, so they get deferred, and the drift between sites compounds.
- Nobody can answer group wide questions quickly: what is backed up where, which sites are patched, and what an incident at site three means for the rest.
Send a quick scope brief
Share your context and timeline for Multi-site clinics. We will reply with a practical next-step recommendation.
Frequently asked questions
Common planning questions for Multi-site clinics.
Which practice management systems do you support across multi-site groups?
We support groups running Best Practice, MedicalDirector, Genie, and Clinic to Cloud. The work is keeping the PMS coherent across locations: tested updates, consistent clinical and billing configuration, secure messaging routing per site, and a rollout plan when the group adds a location or changes systems.
Can you take over a group where every site is different?
Yes, that is the usual starting point. We document what each site actually runs, agree the target standard with you, and converge site by site during normal support rather than as a disruptive big bang. The standard then becomes the playbook for every site that follows.
How does support work when sites are in different cities?
Day to day support is remote first, which is how one desk can know every site: each location, user, and device is documented, so faults are diagnosed with context instead of twenty questions. Physical work is scheduled with on site project teams, and the opening of a new site is run as a project with named owners.
What happens when we open the next site?
The site standard becomes a checklist: cabling and network from the blueprint, PMS and identity configured from the group template, phones and peripherals from the standard list, and a go live with rollback planned. Because it is a repeat of a documented build, the timeline and cost are predictable instead of a fresh adventure.
Do all sites have to move at once?
No. Groups usually converge one site at a time, often starting with the site that hurts most or the next one opening. The contract and the standard cover the group; the rollout order follows your operational reality.