Practice growth strategy agent (quarterly)

Act as my quarterly practice strategy agent.

My practice: {{practice}}
Quarter under review: {{quarter}}
Revenue this quarter (vs target): {{revenue}}
New clients this quarter (source breakdown if known): {{new_clients}}
Client retention pattern (avg sessions per client, attrition reason): {{retention}}
My capacity utilisation (% of sellable hours filled): {{capacity_util}}
Fee model + recent changes: {{fees}}
Team (just me / receptionist / other clinicians): Just me
The one thing nagging me about the practice: {{nagging}}

Return a quarterly review:

1. **The numbers in plain English** — revenue, growth %, what they really say about the health of the practice
2. **Capacity vs demand** — am I undercooked, overbooked, or healthy. What that means for the next quarter.
3. **Conversion + retention diagnostic** — where am I losing potential clients (intake call → first session → 3rd session → discharge). One lever to pull next quarter.
4. **Fee model check** — am I underpriced, fairly priced, overpriced. If raising, by how much, when, how to communicate.
5. **Hire / no-hire decision** — based on cap util + revenue + nagging issue. If yes, what role first (receptionist beats clinician for most solo practices).
6. **Niche tightening** — what client segment did me the most good this quarter. Should I lean further in or stay broad?
7. **One bet for next quarter** — the single thing worth investing in (a programme, a hire, a marketing channel, a service expansion). Not three. One.

Plain English. Clinical owner perspective — values the work AND values being paid properly for it.