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Essay · Case study

Not bigger. Different.

Most founders aim at the next round number and can't say what it actually changes. A GP practice I've worked with for three years showed me the difference between a target and a threshold.

Most founders I sit with have a growth target. Ask them why that particular number, and you usually get a pause. Then something general: security, optionality, being taken more seriously by the right clients, having enough breathing room to be selective. Those aren't answers. Those are feelings dressed up as strategy. The number that actually matters isn't the one that makes you feel better when you're lying awake at two in the morning. It's the one where something structural changes. A different kind of business becomes possible. A constraint disappears. A door opens that stays open. Most founders haven't identified that number yet. They've identified the next round one.

What the number actually means

A GP practice I've been working with for three years is building toward 30,000 registered patients. They are the largest and fastest-growing practice in their local area. Growing while most practices around them are losing patients. Growing against the seasonal patterns that knock nearly every other local practice backward during the summer months — the post-university moves, the relocations, the summer drift that compresses list sizes before the autumn surge brings them back.

They don't need 30,000 patients to be bigger. They already are.

They need 30,000 because that's the NHS threshold for forming an independent Primary Care Network. A PCN is the structure that determines how practices pool NHS budgets and make operational decisions. The current arrangement places them in a shared network with neighbouring practices. The practice holds more than twenty percent of the total registered patients across the whole network. They are the biggest player in the room. But not the one running the room.

Break 30,000, and the structural arrangement changes. Their own dedicated NHS budgets. Their own direction. No longer subject to decisions made collectively by a network where they contribute the most but don't control the outcome. And once you cross the threshold, it holds. Even if the patient list dips below 30,000 later, the PCN status doesn't reverse.

That's not a vanity target. That's a threshold.

The distinction matters. Not because 30,000 is a bigger number than 25,000. But because 30,000 is the specific condition under which something that currently can't happen becomes possible. Every piece of work we do — the content, the search presence, the community outreach — is pointed at that one structural change. Not "be bigger." Be independently capable. Those are different objectives. They produce different decisions.

Why most targets aren't thresholds

Most growth targets don't work like this. They work like round numbers.

£1m, £2m, £5m. Fifty clients, a hundred clients. The targets most founders are chasing came from somewhere reasonable — a financial model, a comparison with competitors, a sense of what a business of a certain type should look like at the next stage. They got picked because they feel significant. Not because someone did the analysis of what changes at that particular number.

There's nothing wrong with wanting to grow. But wanting to grow toward a round number doesn't sharpen decisions. It can't tell you whether to take on a low-margin client to hit the target faster. It can't tell you whether to hire a salesperson ahead of demand or wait until revenue justifies it. It can't tell you whether the rebrand you've been considering for two years is the right spend now, or whether it'll be wasted until the positioning is actually clear.

A threshold can answer all of those questions. A threshold is the minimum condition for something that currently isn't possible. The headcount that lets you productize a service you currently deliver entirely as bespoke work. The revenue that funds the hire that stops you being the single point of failure in every sales conversation. The retained client count that makes enterprise procurement worth the overhead. The margin that finally makes it viable to turn down the clients who pay reliably and drain everything.

The round number gives you a direction. It doesn't tell you where you're actually going. — on targets that aren't thresholds

Once you've identified the threshold, the decision framework writes itself. Does this take us closer to that condition, or further from it? That's not a complicated question. But it requires knowing what you're actually building toward.

The question you probably haven't asked

Here's why most founders don't have a threshold: nobody has sat across from them and pushed until they found one.

The round number comes from comparison. From financial projections built on industry benchmarks. From other founders at networking events who mention revenue in passing. From advisors who help with the model but not with the meaning of it. Nobody asked: what can't you do right now that you need to be able to do? What's the minimum condition for that to become possible? Is the number you're working toward actually pointing at that condition?

The first answer is almost always still a feeling. Security. Optionality. Being taken more seriously. These are real things. But they're not structural. They don't tell you what to do with the next client proposal, or whether to hold pricing on the next enquiry, or whether the new market you're considering entering is the right next move or the wrong one.

Getting from the feeling to the structural answer takes time and the right kind of pressure. It requires the founder to name the constraint they've been managing around, sometimes for years. The thing the business can't do that means every quarter depends on the founder's personal effort. The thing that makes the business fragile in ways that don't show up in revenue but show up every day in how it feels to run it.

That distinction — the feeling-target versus the structural threshold — is often the most useful output of a good positioning conversation. Not always the messaging work or the brand language, though those matter. The moment when a founder names, sometimes for the first time out loud, what they're actually trying to build toward and what needs to be true for the business to get there.

That moment is the point. Everything else is downstream of it.

One thing to do this week

Write your current growth target at the top of a page. Underneath it, write the answer to one question: what becomes possible when you hit this number that isn't possible now?

Be specific. Not "more security" — what does security let you do that you can't do today? Not "better clients" — what changes specifically about the clients you attract at that size? Not "more options" — which option do you actually take when it becomes available?

If you can answer in one specific sentence, you have a threshold. If you're still reaching for something general, you have a round number. And a round number will keep pulling decisions in a general direction rather than pointing them at a specific destination.

The practice building toward 30,000 doesn't need reminding of any of this. They know exactly what changes. Every month I look at the same data: patient growth, seasonal losses mitigated, movement against the local area. Every piece of work is pointed at the same destination. Not bigger. Structurally different, in a way that changes what they're able to do and who gets to decide how they do it.

That kind of clarity is available in most businesses. It just requires someone to ask the right question, and not accept the first answer.

If that's the conversation your business needs, the Brand Clarity Workshop is where we have it. Four hours, the founder, a written report. £1,500, fixed. Book it at kevaltanna.com/workshop.

— kev June 2026 · London
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