A Will takes effect on death. Under South African common law, a Power of Attorney generally terminates when the principal loses mental capacity. Neither document, by itself, maps how authority, access and operational responsibilities continue across an active medical practice. PCO identifies those governance gaps before they are tested.
Medical practices depend on people, relationships, knowledge and decision-making. When a key person becomes unexpectedly unavailable, readiness depends on knowing who can act, what authority they hold and how essential functions are handled.
Practice Continuity Office provides specialist governance and practice-protection frameworks for owner-managed medical practices. We identify critical dependencies, clarify authority and responsibility, and establish a practical structure for when normal decision-making is disrupted.
Most practices know who leads them. Fewer have documented how authority, access and responsibility move when that person cannot act. PCO focuses on that operational gap.
NEXUS is the managed client environment behind the Practice Protection Plan — designed to keep approved practice-protection information structured, controlled and available to the appropriate people.
A managed environment built around your practice — bringing your Practice Protection Plan into a controlled client workspace.
PCO examines the practice from a governance and operational perspective, develops the appropriate protection structure and manages the resulting Practice Protection Plan through NEXUS.
A structured governance framework covering the people, authority, access, responsibilities and professional interfaces that keep a practice functioning.
Clarifying who may make decisions when the principal or another key decision-maker is unavailable.
Establishing how clinical responsibilities, outstanding matters and escalation pathways are managed.
Identifying critical functions that must continue and establishing responsibility for each.
Mapping dependence on individual access, knowledge, systems or approvals.
Clarifying who can authorise critical financial actions and within what boundaries.
Connecting the practice, accountant, attorney, practice manager and other advisers within the governance structure.
Addressing where practice protection intersects with the principal’s family and authorised representatives.
Establishing what happens in the first 72 hours, the following weeks and an extended absence.
PCO is designed to sit alongside the professionals already advising your practice. We identify the operational governance questions; your existing advisers provide the professional advice and formalisation that falls within their respective disciplines.
PCO identifies authority boundaries, decision rights and arrangements that may require legal review or formal documentation. Your attorney remains responsible for legal advice and legal documentation.
PCO identifies operational and financial dependencies that may affect the practice. Your accountant remains responsible for accounting, tax and financial advice, while PCO maps how those responsibilities interface with practice operations.
The screening uses the PCO governance framework and adjusts the questions to your practice structure. Five questions provide an initial view across key practice-protection areas.
Every full diagnostic produces a formal 12-domain report with prioritised findings and an implementation roadmap. The report is designed to give you a clear working document for discussion with your existing professional advisers.
The diagnostic gives you clarity. From there, PCO can either help you interpret the findings and prioritise action, or build the protection structure your practice needs to operate when normal decision-making is disrupted.
Private online diagnostic and formal 12-domain report.
Full diagnostic findings review with prioritised remediation direction.
A comprehensive practice-protection framework connecting people, responsibilities and professional interfaces.
PCO focuses on the operational authority and governance layer. Your accountant remains responsible for accounting, tax and financial advice. Where financial authority or operational dependencies affect readiness, the PCO findings can be discussed with your existing accountant as part of the wider adviser picture.
The initial screening takes approximately five minutes. The full diagnostic is structured around the governance of your practice and is completed online, allowing you to work through it without interrupting normal practice operations. The resulting report focuses on practical authority, responsibility, dependencies and areas requiring attention.
You receive a formal, practice-specific 12-domain diagnostic report with prioritised findings, readiness observations, professional adviser interfaces and recommended next steps. It is intended as a working document that can be taken into discussions with your existing attorney, accountant or other relevant advisers.
The free assessment takes approximately five minutes. The full paid diagnostic is substantially more detailed and produces the formal 12-domain report.
You receive a private link to the full diagnostic tailored to your practice type. Complete it at your own pace. Once submitted, we generate your formal 12-domain report and deliver it via email within 2 business days. If you purchased the Guided Review or Protection Plan, we schedule your advisory session separately.
Yes. The report is designed to help you understand the governance and practice-protection issues that may need professional formalisation.
Yes. PCO treats assessment and enquiry information as confidential and handles personal information in accordance with POPIA. We do not sell your information.
The diagnostic fee is non-refundable once your responses are submitted, because your report is generated specifically from the answers you provide — it is not a template. If you are unsure whether PCO is the right fit before you begin, book a free 15-minute call first at no cost.
PCO was shaped by a career built around operations, relationships, coordination, commercial responsibility and making complex moving parts work together.
Founder & Practice Readiness Manager
Business Management | Operations Management | Commercial & operational leadership
Practice Continuity Office was built from an operations and business-management perspective: examining what happens when important responsibilities, decisions, access and operational knowledge become concentrated around a small number of people.
Knowing what needs to happen is not always the same as having the authority to make it happen.
Nadean’s operational background informs PCO’s practical approach to practice protection — making key dependencies visible, clarifying responsibility and helping practices prepare for unexpected absence without replacing the role of the practice’s attorney, accountant or other professional advisers.
PCO NEXUS was developed as the managed client environment supporting that work.
Not sure which level fits? Book a private 15-minute call. No obligation. We can clarify where your practice stands and which level of support is appropriate.
Practice Continuity Office (Pty) Ltd uses personal information to respond to enquiries, administer assessments, deliver selected services and communicate with clients about their engagements.
We aim to collect only the information reasonably required for those purposes. Assessment responses are treated as confidential. We do not sell personal information or diagnostic responses. Information is not shared with third parties unless necessary to deliver the selected service, required by law, or requested by you.
You may request access to, correction of, or deletion of your personal information, subject to applicable legal and professional retention requirements.
For privacy enquiries, contact info@pcosa.co.za.
