[VOICE]: This [00:00:05] is Dental Leaders. The podcast where you get to go [00:00:10] one on one with emerging leaders in dentistry. Your [00:00:15] hosts Payman Langroudi and Prav Solanki. [00:00:20]
Payman Langroudi: This podcast comes to you from Enlighten Enlightens, an advanced [00:00:25] teeth whitening system that guarantees results on every single patient. We’ve treated hundreds [00:00:30] of thousands of patients now and have a really clear understanding of what it takes to get every [00:00:35] patient to that delighted state that we want to get to. If you want to understand teeth whitening [00:00:40] in much further detail, join us for online training only takes an hour completely free. [00:00:45] Even if you never use enlighten as a whitening system, you’ll learn loads and loads about whitening, [00:00:50] how to talk about it, how to involve your teams. Join us enlighten online training comm. [00:00:55] It gives me great pleasure to welcome Mike Hesketh onto the podcast. Mike is [00:01:00] a serial practice owner with a history in the military. Um, [00:01:05] a brilliant story. And the reason why I ask you, Mike, [00:01:10] is because some of my favourite interviews have been with people who are your [00:01:15] clients, and, um, clearly there’s something, something you figured out. [00:01:20] Um, I’ve listened to your other podcasts, and I actually [00:01:25] recommend that, um, my favourite one was when you did with Amon. Um.
Mike Hesketh: Yeah. [00:01:30] Amon up in Leeds.
Payman Langroudi: Yeah, yeah, yeah, that was lovely. And I don’t think he’s doing that [00:01:35] podcast anymore, but it’s still it’s still there. It’s called Dentistry Unmasked.
Mike Hesketh: Yeah it is. There is another one from [00:01:40] America called Dentistry Unmasked. So I don’t know if it was something to do with that.
Payman Langroudi: Oh really?
Mike Hesketh: We haven’t really talked about it since, but there [00:01:45] was a bit of a clash of, uh.
Payman Langroudi: A brilliant episode. A brilliant, brilliant episode. Listen [00:01:50] to that last. I really enjoyed that very much. Um, I don’t mind repeating some of the ground, but [00:01:55] at the same time, um, just for my own curiosity. I go go to other places too. Please [00:02:00] do, please do. You were born and brought up. Where?
Mike Hesketh: In North [00:02:05] Wales. So. Yeah. So until I was 18, I didn’t know which way England was. I [00:02:10] was so, like, entrenched in North Wales.
Payman Langroudi: A tiny place.
Mike Hesketh: Yeah. A little seaside town about [00:02:15] half an hour from Liverpool. So I’m a Liverpool football fan. Um, grew up in a large state [00:02:20] school playing football, um, and enjoying that very much. And then at 16, [00:02:25] I won a scholarship for a really fancy private school down the road, which was all about rugby, [00:02:30] Welsh rugby. And so for my A-levels, I went to a private school on a scholarship for sciences [00:02:35] and sport and um, yeah, really enjoyed it. Opened my eyes to sort of [00:02:40] what the rest of the world was like, but I was actually arrested three times when I was 16.
Payman Langroudi: Really?
Mike Hesketh: Yeah. [00:02:45] It was. Yeah, yeah.
Payman Langroudi: Nice.
Mike Hesketh: Well, 14, 15, 16. I don’t I don’t think [00:02:50] my parents thought it was very nice, but, um. Yeah. So, uh, yeah, just for three sort [00:02:55] of minor incidents. Um, it was it was, I think is the biggest state school in Wales that was [00:03:00] in and I was the captain of the football team. And I could have gone both ways, really, um, as [00:03:05] a sporty lad. And a few of my mates have gone the wrong way as they do, and one of them played for Liverpool. Um, [00:03:10] actually scored in the cup and, and has just got out of prison. Um, so yeah [00:03:15] there’s, there’s interesting stories but you know like everyone um, normal state school um, I [00:03:20] was good at sciences and I managed to get quite a few A’s, which is interesting because [00:03:25] my 13 year old daughter is asking me about that now, and I don’t know how it equates to nine sevens [00:03:30] and eights. I don’t know how. How old are your children?
Payman Langroudi: Yeah, 18 and 15.
Mike Hesketh: Yeah, yeah. So [00:03:35] in the new language it’s nine seven and eights and sixes. And I said, well, I don’t know what I got darling, but it was six [00:03:40] A’s and I don’t know how I did it, to be honest. Um.
Payman Langroudi: And unfortunately, your father passed [00:03:45] away in a car crash when you were eight.
Mike Hesketh: Yeah. He did, he did? Yeah. So my brother was ten [00:03:50] and I was eight, and my mum, um, got a knock on the door in the middle of the night [00:03:55] from a policeman. I was in the middle of night. It was a couple of hours later. He used to do the three ring [00:04:00] thing, and he was working up in Broughton, where the aerospace makes wings for planes, [00:04:05] and he was a local manager, and he was driving along the coast road of North Wales, back to where [00:04:10] we lived. And unfortunately, someone pulled out on him out of a pub, um, and luckily [00:04:15] there was a taxi driver behind who who witnessed it all. And, uh, it [00:04:20] took 2 or 3 years, but I remember feeling very vulnerable at the time. Um, [00:04:25] I don’t think I was, you know, my grandparents were in the same town and both sets, and [00:04:30] my mum was very strong. She immediately became a father and a mother at the same time. So she became a ninja [00:04:35] mum. Two boys, both sporty. Um.
Payman Langroudi: But when your own [00:04:40] kids got to eight, you must have reflected on that.
Mike Hesketh: Yeah. Horrendous, really. [00:04:45] And I think there was a moment where all the businesses were quite hard a couple of years ago, and [00:04:50] it was full on. And, you know, as an entrepreneur yourself, how hard and all encompassing the 360 [00:04:55] degree pressure you can have from business. And I looked at my boy in a little Welsh shirt and he was eight, [00:05:00] and I thought, oh, Jesus, you know, reminded me of me, um, back in the day. Um, [00:05:05] and so, yeah, it does, it does. It becomes much more real. You don’t realise [00:05:10] what you missed out. I felt like I had a pretty happy childhood, really. And other than this big sort of. [00:05:15]
Payman Langroudi: Event.
Mike Hesketh: Event in the middle of it. But everyone rallied round. He was a rugby player, um, [00:05:20] the local rugby club. So all his friends got around us and, um, [00:05:25] you know, my mum, um, eventually 4 or 5 years later, married his old best friend. So [00:05:30] that was quite nice. It was a continuity of stories and, um, you know, [00:05:35] um, sort of history. Um, but it’s only now when I get to sort of mid 40s [00:05:40] that I think, oh, that was probably more traumatic than I thought it was. [00:05:45]
Payman Langroudi: Do you think that was formative in terms of, I mean, positives and negatives? Did you [00:05:50] find out? Did you find that now, when you reflect back on it, that you have a sort of a level of [00:05:55] self-reliance or something that.
Mike Hesketh: Yeah, I remember playing football a lot in sports. [00:06:00] Bricks in my shoes falling apart. And I went home and my mom was like, well, [00:06:05] we can’t buy any more shoes now. I don’t know whether that was just me being a plonker or whether [00:06:10] we could actually not afford any shoes. I remember the insurance didn’t pay out for 2 or 3 years, so [00:06:15] I don’t want to, you know, you made from your history, everyone on [00:06:20] the podcast and everyone you see, you know, is formed from a certain way. Um, it’s [00:06:25] there is a self-reliance. I remember thinking, I don’t want to be poor. I remember thinking, I’m [00:06:30] getting out of here, I’m getting out. And and maybe that was it. At 15, 16, [00:06:35] I was playing county level football, having a few trials, um, [00:06:40] starting to get good at things for the first time, get good at sciences at [00:06:45] school, enjoying it, um, wanting to do well, So I suspect probably it did [00:06:50] drive me on to actually. Think I don’t want to be vulnerable.
Payman Langroudi: Because in retrospect, you think someone [00:06:55] who went through that whole military experience and the leadership training and all that, [00:07:00] it makes a lot of sense for that person to go out into the commercial world and sort of transferable [00:07:05] skills. But not every soldier does that, right? No. And so, [00:07:10] you know, that question of, you know, wanting to be comfortable kind of what you’re alluding to right now. Yeah, [00:07:15] maybe maybe that I mean, what is the difference between a soldier that comes out of a [00:07:20] sort of a difficult, engaged war situation [00:07:25] and we hear stories of soldiers who are homeless and and PTSD [00:07:30] and all that. Yeah. And then you get other soldiers who, you know, use that and propel themselves [00:07:35] through the business world. Oh.
Mike Hesketh: That’s a it’s a sort of a deep question [00:07:40] that in a way, um, I didn’t feel any trauma from Afghanistan. [00:07:45]
Payman Langroudi: Did you know.
Mike Hesketh: At the time. And I think that’s again mid 40s. You start to think [00:07:50] back and go, geez, I dream about it now. I dream about the explosions, the gunshots more than I ever [00:07:55] did 15 years ago.
Payman Langroudi: Really?
Mike Hesketh: Yeah. I think about it, compartmentalised it a little bit. And [00:08:00] I when I finished my tour, sort of 6 or 7 month tour of Afghanistan, [00:08:05] I was in Helmand and it was the most dangerous place on the planet at the time around Sangin [00:08:10] and Helmand Valley, and I was embedded as a dentist with 40 Commando, Royal [00:08:15] Marines. And so I’ve got lots of war stories. Basically, the first [00:08:20] three months was the worst three months of my life, but I was in the hospital. I was in the main hospital [00:08:25] as a dentist during the day, and as people were blown up and injured, they’d come back on the helicopter to [00:08:30] this hospital and they’d stand at the bottom of the beds because all the doctors, the [00:08:35] padre, the medics were all further forward, keeping the lads alive to get them on the helicopter. [00:08:40] And then, because I’d been embedded with the Royal Marine unit for 3 or 4 years prior to deploying, [00:08:45] I knew everyone, so my patient base was 7800 Royal Marine commandos, Mega [00:08:50] fit individuals, alpha males all the way. Mission is to close with and to kill the [00:08:55] enemy. That’s it. As brutal as it sounds, that’s exactly what the mission is. To close [00:09:00] within. To kill the enemy. The chosen enemy at the time. And so [00:09:05] my job was to be a dentist within that. But I’d done the commando course so I could keep up with them. [00:09:10] And I’d also done a medics course, and we could talk about that more later. But [00:09:15] to answer your question about the trauma of it, I’d gone through three months of standing at the end of the beds of my friends [00:09:20] with lost limbs, horrific injuries, my friend like literally [00:09:25] my mates.
Mike Hesketh: Um, and then I’d go. I’d walk along to the, uh, joint [00:09:30] operations cell, and at 8:00 at night, every night there’d be a brief. There’d be 50 men, [00:09:35] hard men in the room making decisions about the thousand men further [00:09:40] forward. And I’d do a brief every night and I’d talk. I’d say, right, marine [00:09:45] X is going to end up in hospital within two hours. He’s lost one [00:09:50] limb and another limb. Um, the questions would always be from the lads at the [00:09:55] front. Has he still got his tackle as he’s still got his private parts? That’s all the lads asked about. [00:10:00] Um. And then I’d do, I’d keep the spreadsheet and then that [00:10:05] was my data. And I did that for three months. And then it was almost a relief when the commanding [00:10:10] officer said, look, we’ve hit Christmas time halfway through the tour. We need to do some hearts and minds. [00:10:15] And because you’ve done the medic training and because we trust you, your [00:10:20] lead a team on the ground and you’ll go to the forward operating bases where all these soldiers [00:10:25] have been injured, and you’ll take a team forward and you’ll try and do hearts and minds from a medical [00:10:30] shuras meet the local chiefs, um, take female medics, [00:10:35] Gurkha engineers, and they’ll be your team, and you’ll be officer in command of outreach. And [00:10:40] then, in a weird way, those three months felt better. It felt better to be in [00:10:45] the fight because unfortunately, every time we went out the gate, we got [00:10:50] shot at or blown up. For every patrol, every every patrol was ambushed. [00:10:55] I don’t remember a patrol that wasn’t. And that went on for three months.
Payman Langroudi: Wow.
Mike Hesketh: Yeah. [00:11:00] And so I was a medic. So the dentist kit, I took an American piece of kit the [00:11:05] size of a suitcase, and I became a dentist for the lads because they were living out in these austere [00:11:10] environments. They had dental injuries, and the aim was to keep the force forward. So they. I’d be a dentist, [00:11:15] outreach and a medic. So three different jobs. And it’s varied. And [00:11:20] I did this three months. Ended up um, putting a lot of guys on [00:11:25] the helicopter as opposed to meeting them off the helicopter and, um, put in intraosseous, [00:11:30] um, fluids into them, um, eyes, abdomen wounds, limbs [00:11:35] lost, stretcher bearing, um, getting the rounds down, [00:11:40] firing at the enemy, and, um. Yeah. So the last [00:11:45] three months were sort of full on, but I remember flying back to the UK and, [00:11:50] uh, within a week after coming off the battlefield, I [00:11:55] was stood in a hospital in Portsmouth as a maxfax sho doing head and neck cancer. [00:12:00] And so, to answer your question about business, from that experience, I [00:12:05] think there was a little bit about me where I’d just gone straight from the military, uh, war zone, [00:12:10] a year of Maxfax I knew I was leaving, Laura was pregnant with Poppy, [00:12:15] our daughter, and I just wanted to get on and control the money. And [00:12:20] we got ripped off in north London, uh, by a Dental corporate owner, a small independent, [00:12:25] and, uh, didn’t pay us at all. I did two, three months worth of work, and he said, oh, that’s all retainer. [00:12:30]
Payman Langroudi: Was that your first time?
Mike Hesketh: My first experience. Yeah. Yeah. And I was 30, so I never [00:12:35] did NHS.
Payman Langroudi: So you were kind of Institutionalised up to that point.
Mike Hesketh: Exactly. Yeah. And I [00:12:40] said to my wife, I came home and I said, we just need to control the money. This civilian world is brutal.
Payman Langroudi: It [00:12:45] is. Right.
Mike Hesketh: Yeah. Yeah, yeah. It’s it’s. And when I say 360 degree pressure, I [00:12:50] mean, when you wear a uniform in a war zone, you had a 360 degree battle space. But [00:12:55] your job is very defined. Defined job. Whereas as you know, as an entrepreneur, your [00:13:00] jobs change all the time, really rapidly. And in a way, it’s a completely different set of pressure. But [00:13:05] I almost didn’t care. I had a bit of a devil may care attitude. We had £20,000 [00:13:10] saving age 30, didn’t have any equity in the house because it was after the financial crash. The house price [00:13:15] that we’d bought in the military had plummeted. So I had no money. And I said to my wife, look, what [00:13:20] can they do? They can take a house with no equity offers. We’ve only got 20 grand. Let’s have a crack at it. Let’s just [00:13:25] buy something. And I we this house was down in South West, [00:13:30] so we just bought it near Exeter before.
Payman Langroudi: Before you go any further, just. I know as [00:13:35] a soldier, as a as a sort of someone in the middle of a war zone. You [00:13:40] wouldn’t be a very good soldier if you questioned it. That’s that’s not that’s not what you [00:13:45] want from your soldiers. Right. But now 40, 40 years old, when you question [00:13:50] it, when you think about it.
Mike Hesketh: Yeah.
Payman Langroudi: Two questions. Really. Was there [00:13:55] some times where you thought you were being asked to do things that that, you know, [00:14:00] it wasn’t correct. It wasn’t. I’m not I’m not saying from the from the geopolitical perspective, [00:14:05] I’m saying there’s a mission. And you didn’t have the resources for that mission. I’m under-resourced, [00:14:10] that sort of thing.
Mike Hesketh: Yeah. Yeah. I mean, my honest opinion, I think that [00:14:15] they they took they threw about a fifth of the resources needed at Afghanistan, the Helmand [00:14:20] Valley itself. If you look at what the US Marines took to their areas and [00:14:25] to dominate the ground, it’s called against the Taliban. Okay. And we weren’t fighting Afghans. We’re fighting Taliban. [00:14:30] Okay. And there was a lot of civilian Afghans not interested in fighting whatsoever. [00:14:35] They were the ones who have insurance with and trying to bring some order. Educated. Really well educated. [00:14:40] Um, there was a lot of moments where both locally, on a tactical [00:14:45] level and on a strategic level where you question it and you think, right, okay. [00:14:50] I mean, I could tell you so many horrific stories about, uh, people [00:14:55] under pressure in a, in a war zone and fighting, um, that [00:15:00] men it’s very easy to see with hindsight and from a distance in the newspapers. [00:15:05] Well, why did they do that? Yeah. Well, if every two days you’re [00:15:10] 18, 19, 20 years old, you’re going to get shot at and bombed, and then your best friend gets hurt [00:15:15] or killed. There there were men in front of me in lines [00:15:20] that started to lose it because of the constant gun fighting. [00:15:25] And we’d cover ground, drive the enemy away, find a bomb maker, [00:15:30] come back to the base, and then they’d re-infiltrate that ground and drop and put mines in the place [00:15:35] where we’d walked the day before. Well, yeah. And so there wasn’t.
Payman Langroudi: You were under-resourced [00:15:40] to that extent. Right.
Mike Hesketh: Yeah. So my feeling is it became a training exercise in a tick [00:15:45] box for the British government. My feeling strategically. And I’m happy to talk about that. It doesn’t [00:15:50] I mean, I was a dentist in the commando unit. I’m not the most you know, I wasn’t the guy driving policy. But [00:15:55] if they wanted to achieve what they wanted to achieve, they needed to put five times as much resources into it. But it became [00:16:00] the losses were too big. Um, you know, and two [00:16:05] high profile that they almost by not risking any more, [00:16:10] they put us all at risk by under-resourcing us. And if you’d lost someone from the [00:16:15] front line with a dental injury. Now the men move in groups of four. So for [00:16:20] eight, if you lost one of those four, you’d lose. You [00:16:25] know, a quarter of your your gunfire, your firepower. And so that’s why the armed Forces [00:16:30] Dental service exists because in the First World War they lost 15 to 20% of [00:16:35] their of their firepower due to dental injuries in trenches.
Payman Langroudi: So isn’t [00:16:40] caries like.
Mike Hesketh: The decay and.
Payman Langroudi: Disease injuries? Gunshots to the mouth?
Mike Hesketh: I mean, if [00:16:45] you think about it, they were they were living there for two years. We were living there for seven months.
Payman Langroudi: Yeah.
Mike Hesketh: Yeah, yeah. Um, and [00:16:50] these forward operating bases, if you think about them as satellites around the [00:16:55] sun, the sun was sank in, and then we were protecting this residential area. And [00:17:00] these satellites. Now, to get in and out of those satellites was a helicopter, hopefully [00:17:05] because you wanted to avoid road moves all the time because you’d either run over a legacy Russian mine from the mujahideen [00:17:10] time or you’d have to, um, you know, hit an [00:17:15] ambush with the Taliban. They’d know we’d come in. We were coming. And so these [00:17:20] satellite units were super dangerous. And all my job was for three months was to pop between [00:17:25] each of them, a couple of weeks in, each, trying to bring hearts and minds. But it’s so dangerous that [00:17:30] you didn’t want to, uh, you know, go on the ground as much, as much as possible, [00:17:35] basically.
Payman Langroudi: And I know you said they’re the enemy, right? But did you ever look at it from their perspective? Like, do you ever [00:17:40] think about what if a bunch of Russian soldiers landed in Cornwall? And would you be [00:17:45] the one to resist that?
Mike Hesketh: Yeah. You do. Yeah. Yeah you do. And every time. But [00:17:50] you come back to your original question, you don’t. Um, it’s a funny thing, you know, [00:17:55] you have to have some faith in your government.
Payman Langroudi: Yeah.
Mike Hesketh: To make a decision about where you’re [00:18:00] going to go. And at any one time, the the UK Armed forces is deployed around the [00:18:05] world doing all sorts of things that no one. That just doesn’t make the news. Some of it good, some of it bad. [00:18:10] And you can. It’s easy to be sceptical and cynical about [00:18:15] the efforts. It’s, uh, at the time you’re you’re [00:18:20] trying to survive with your mates. And I think as a marine or a soldier on the ground or a sailor, [00:18:25] you’re just trying to survive with your mates and you sign up to something. I [00:18:30] did see moments where there was a lot of, uh, [00:18:35] British, um, restraint trying [00:18:40] to stop other countries from being too aggressive.
Payman Langroudi: Americans? [00:18:45] Yeah, I said that to you.
Mike Hesketh: Yeah, but, I mean, [00:18:50] um, modus operandi is, you know, the Americans is very aggressive, very aggressive, whereas [00:18:55] we wear a lot of berets, we are much calmer. You don’t hear any shouting [00:19:00] at all from UK armed forces in a, in a in a war zone. It’s, uh, [00:19:05] it’s calm.
Payman Langroudi: And then the training to become this sort of elite [00:19:10] soldier.
Mike Hesketh: Yeah.
Payman Langroudi: I suspect right. There’s loads of physical training. [00:19:15] Right.
Mike Hesketh: It’s mental.
Payman Langroudi: But mental. Yeah. That’s where I was going to go.
Mike Hesketh: Yeah, yeah. You’re right. [00:19:20] I mean, it’s, uh, it’s mental. All shapes and sizes. It’s whether you can keep going. So, they [00:19:25] have this line. It’s called Strength of Mind. And they had an awful marketing campaign [00:19:30] which was 99.99%. Need not apply.
Payman Langroudi: Well. Jesus. [00:19:35]
Mike Hesketh: Yeah, yeah. So my brother and his best friend were in, [00:19:40] um. My brother was with Royal Marine Reserves, Merseyside, and his best friend was SBS. And [00:19:45] they used to, you know, come back home and talk about it. And I think this SBS [00:19:50] chap said.
Payman Langroudi: What’s a special boat.
Mike Hesketh: Special boat service. Yeah. So the.
Payman Langroudi: Sas for the.
Mike Hesketh: Navy SBS.
Payman Langroudi: Yeah. Of [00:19:55] the Navy.
Mike Hesketh: Uh, yeah. Yeah. They’re combined.
Payman Langroudi: Yeah yeah.
Mike Hesketh: Yeah yeah. So based [00:20:00] out of Poole and so they go, UK Special Forces training is one year long and the first three [00:20:05] months is the Hills training, and the second three months is jungle training. And then you do the remaining [00:20:10] six months speciality training with the SAS or SBS. That’s how it used to be. I don’t know what [00:20:15] it is now. I haven’t read up on it, but yeah, they used to talk about it and they and this, this friend of [00:20:20] ours said I think one of each of the three Commando units based in [00:20:25] Somerset, Plymouth and Arbroath in Scotland. I think they’ve all got their own dentist. Um, [00:20:30] and I was 21 years old at Leeds Uni and I said, [00:20:35] okay, what’s that about? And he said, well, I think they get to do the commando course. And [00:20:40] about um, about a month later a recruiter came to [00:20:45] Leeds Uni and I met him and I said, how do I join? And you do an Admiralty [00:20:50] interview board down in Portsmouth, and you learn and you pass as an officer, as a general [00:20:55] officer, and medics and dentists do quite well in that because we’re quite logical, [00:21:00] we’re scientific and we’ve often done sports captains of sports teams.
Mike Hesketh: And [00:21:05] so they give you a point score out of 900. And the medics and dentists do quite well against normal, [00:21:10] uh, Royal Navy officers. But I was always earmarked and pinged to [00:21:15] be a commando dentist even from that point. And you get [00:21:20] put in a commando unit for 3 to 4 years as a dentist, which is a long time for [00:21:25] a normal military posting. And so they pinged me for that as I passed the Admiralty Interview [00:21:30] Board. And then as soon as I’d done my vocational training year in, in Gibraltar [00:21:35] and down in Portsmouth, they said, right, you’re off to 40 Commando. And then [00:21:40] when you’re there, you get loaded on a course called the All Arms Commando Course. And that All Arms Commando [00:21:45] course is where you physically get thrashed and you’re and it’s designed [00:21:50] to break you essentially. A lot of soldiers, sailors, airmen will [00:21:55] do that course before they go and try the year long special forces training. So I was in there [00:22:00] on my course. Do you ever watch 14 Peaks on Netflix?
Payman Langroudi: I heard it’s a mountain [00:22:05] climbing thing. Yeah, I’ve seen it. Yeah.
Mike Hesketh: Did that. He was a Gurkha. Um, Ant [00:22:10] Middleton from SAS Who Dares Wins? Um, he taught me to soldier [00:22:15] in the Congo, in Sierra Leone. Um, sorry. In Sierra Leone, not in the Congo. We hid off the coast [00:22:20] of the Congo for three months. Once. That’s another story.
Payman Langroudi: So being a Royal Marines dentist [00:22:25] basically means you get involved in stuff that they’re doing, which by its very nature is more dangerous, [00:22:30] more exciting, whatever. Yeah.
Mike Hesketh: And I think that’s what I wanted. I qualified it and [00:22:35] I was 18 when I went to Leeds, and I just turned 18 in the summer. So I qualified at 22. [00:22:40] But at 22 and one month I was in, I was down in Portsmouth because they were [00:22:45] paying me. They paid me for the last two years of uni and then they put me straight through all of the courses. [00:22:50] Royal College in Edinburgh, Royal College in London, Maxfax so it’s a great [00:22:55] employer as a dentist, but your patient base is very limited. You spend about half your time being a dentist [00:23:00] on very easy patients, um, who are compliant and [00:23:05] fit and well, and then you spend half your time doing officer things or [00:23:10] atls advanced trauma life support courses, but you do battlefield versions [00:23:15] where the mechanism of injury is blast injury or gunshot wounds as opposed to road traffic. Yeah [00:23:20] yeah yeah yeah. So you you do those courses to, um, get better at medicine, [00:23:25] but it’s the only course we’ve ever come to us because I was against Marines.
Payman Langroudi: So. [00:23:30] Yeah. You had a better.
Mike Hesketh: Medical course I ever came.
Payman Langroudi: Yeah. So [00:23:35] then, okay, you come out, you decide. How many years would you. Were you contracted to stay?
Mike Hesketh: Seven [00:23:40] years. But I did eight. So age 22 to 30. And then I left in 2012.
Payman Langroudi: So [00:23:45] you literally couldn’t leave before that, right. Is that the.
Mike Hesketh: Way it works? Well, I think you paid back some of the money you paid at uni. [00:23:50] Okay. I mean, there were people that sort of got around that I think, who didn’t want to be. But, um, [00:23:55] you asked before about the All Arms Commando course. Yeah. Half will [00:24:00] pass, half will fail, and it’s an eight week course as opposed to 30 weeks to get [00:24:05] your Green Beret if you come off the street because we were trained officers, you do eight weeks and you do each [00:24:10] of the criteria tests each week. And I used to tell myself stories, books in [00:24:15] my head on the marches, because the marches can get bleak. Yeah, it can be horizontal [00:24:20] snow, rain, wind, um, on Sennybridge or Dartmoor. And [00:24:25] you sleep outside for two weeks, essentially. And you soldier and you. And then you have to do all [00:24:30] the sentry duty. It’s wet, wet, dry routine where you put wet clothes on at night, um, and [00:24:35] get into your. And then you get into your dry clothes. It’s all about discipline and it breaks and [00:24:40] it’s all men, really. There’s there has been 2 or 3 women that have got through it, [00:24:45] um, over the recent history, um, which is amazing. Um, because it’s just [00:24:50] so physically and debilitating. Um, but yeah, [00:24:55] so but the mental thing is keeping going and telling yourself stories and being able to switch off to the pain. [00:25:00] Um, and then at the end of the 30 miler, which is a race across Dartmoor, essentially [00:25:05] carrying loads of weight, you, um, all of the recruiters come along. So [00:25:10] all of the Special forces come along, recruiters, and they start talking to you as you’re come in off the 30 mile, [00:25:15] and they want to know whether you’re a diver, whether you’re an airman, what’s your background? I had a chat with [00:25:20] one chap and he said, well, I was a dentist. I don’t think you need to be joining the Special Forces. [00:25:25] He’s like, what are you doing here? I was.
Payman Langroudi: Like. [00:25:30]
Mike Hesketh: I don’t know, I’m on. I was on a six figure salary line in the stream. I have no idea. But, [00:25:35] you know, when you’re just like, well, I’m going to I’m going to get the coveted Green Beret. So it was I mean, there was. [00:25:40]
Payman Langroudi: A degree of obsession, right? To succeed at that.
Mike Hesketh: Yeah. I mean, it’s [00:25:45] trying to keep up with your peers. You know, you’re in the unit and there’s 700 Green Berets, and there’s only four blue [00:25:50] ones. The padre, the doctor, the education officer and the dentist. I used to I used to say we used to double the IQ [00:25:55] of the unit. And then when the under-slung loads came in from the Chinook helicopter, [00:26:00] the food in the forward operating bases, they’d go, Dental, it’s your paycheque. They’d [00:26:05] be taking the mick out of me.
Payman Langroudi: So do you reckon you’ve got a sort of an obsessive [00:26:10] personality? I mean, did it carry through?
Mike Hesketh: I want [00:26:15] to complete things that I start. Yeah. And I want to, um. There’s a saying in the Marines, it [00:26:20] pays to be a winner. And they’d see a tree on the hill and they’d say, run to that tree and back, [00:26:25] and all of you would run there, and the first two could stop and sit out the next bit. [00:26:30] Oh, yeah. And it pays to be a winner, gentlemen. You know, it is unashamedly [00:26:35] alpha, and it’s not in vogue with the modern world in any way whatsoever. But [00:26:40] there is a point where there will be forces needed to do things, and [00:26:45] you need to be able to rely on the person next to you that they’re not just going to quit halfway through [00:26:50] and advance to contact when the rounds are coming in, and they’re going to be disciplined to [00:26:55] follow orders and the fire. And it became apparent in Afghanistan that was [00:27:00] really important.
Payman Langroudi: I mean, you must have seen Simon Sinek. He he draws quite a lot of inspiration from [00:27:05] Seal teams and all that. Yeah. He does for business. Yeah.
Mike Hesketh: Leaders eat last. Well, that’s [00:27:10] it’s quite funny, actually, listening to him talk about it, because it’s just normal. [00:27:15]
Payman Langroudi: It’s normal.
Mike Hesketh: Yeah, yeah. You stand at the back of the food line. You just the lads you never take [00:27:20] from the lads, you know, you, um. And that’s the same if you equate it to Dental world hygienists. [00:27:25] So there’s a way that hygienists are on at the moment, which is incorrect, how [00:27:30] associates are paid for the use of of hygienists. People have this system where they where they [00:27:35] charge the associate for the use of the hygienist and their pay membership pay. It’s the wrong way round. They’re taking [00:27:40] from their team. So there’s all these little nuggets that I talk about that, um, destroy [00:27:45] the ethos of the leadership. So I was came out in the military at age 30. [00:27:50] I think I was a little bit, um, devil may care. I have a [00:27:55] very, very strong wife who gently, very clever wife who gently nursed [00:28:00] me through life. I didn’t even realise what I was getting, you know, pointed in the right direction [00:28:05] by her, very supportive, very loving. And that’s [00:28:10] where we took the risk to buy the first business because. But if you think about it as a blank [00:28:15] canvas, I didn’t know anything about the real world as much as it was an experience [00:28:20] in the military. I didn’t know anything about how to build business. I didn’t know what the word invoice meant. I [00:28:25] remember asking my accountant, I.
Payman Langroudi: Said, you forget. I didn’t know what a word invoice meant when we started enlightened. You forget [00:28:30] you did the things you didn’t know. Yeah, yeah, yeah.
Mike Hesketh: And you do. And I said to my accountant, I was like, which way does the money [00:28:35] flow with that? Is that like, in or out? I was 30, you know, how cosseted [00:28:40] and how narrow minded and people go, Jesus, you’ve done a lot in the military. I was like, no, you just it’s very narrow. [00:28:45] And when you come out into the brave world and you’re dealing with money [00:28:50] and you’re dealing with sharp operators who have a different ethos, [00:28:55] yeah, to the one you’re used to, um, you can end up getting yourself in trouble, I [00:29:00] think. And maybe that’s where ex-military people suffer. Um, they can’t understand it.
Payman Langroudi: Especially [00:29:05] because they want defined rules. Yeah. And and it’s not like that [00:29:10] out there, right?
Mike Hesketh: No.
Payman Langroudi: Yeah. And maybe also though your biggest advantage. Right. [00:29:15] Because like that sort of clean slate that you’re talking about. You didn’t go into it with habits, [00:29:20] um, with, with, with the same sort of, you know, boundaries that we [00:29:25] all sort of take for granted. No. You know, sometimes you look at someone like Elon Musk or something, [00:29:30] and he questions the boundaries that we all take for granted. [00:29:35] And that’s his massive, you know, superpower. Yeah. So yeah. So you saw this practice. [00:29:40] Did you sort of strategically buy this practice as in.
Mike Hesketh: No, no, [00:29:45] no. I just, um, wanted to control the money. So we got ripped off and I said [00:29:50] to my wife, we need to control the money. We’ve got 20 grand to put down. And the broker was very good. [00:29:55] Um, David Brewer, Frank Taylor and Associates, very good broker.
Payman Langroudi: Raised the money.
Mike Hesketh: He raised them. Well, he was very [00:30:00] good in the fact that it was for sale through those guys. And, um, and I said to David, how [00:30:05] much can I raise? And he said, well, that’s a 10% deposit, 15% deposit. [00:30:10] Um, and so you need to look for practices around the 202 50 mark. I mean, it [00:30:15] was in 2012. Yeah. It was um, and it was turning over 500,000 at the time. [00:30:20] It was three gentlemen who wanted to retire, didn’t want to be tied in two brothers and their friend, and [00:30:25] they’d been trying to sell it for 3 or 4 years. A lot of people had looked at it in the city of Exeter. [00:30:30] Um, there was ten private practices within a mile of it, but it was basically all we could afford. [00:30:35] And I and I said to my wife, well, if we want to control our own destiny, let’s see what we can do. [00:30:40] This is my little secret weapon was that Lara was a talent manager in [00:30:45] central London, so had been in, um, competitive business. But being heavily pregnant [00:30:50] with Poppy didn’t want to carry on working in the city centre, obviously. So moved back down to the West [00:30:55] Country to have our daughter and is in charge of the creativity [00:31:00] and the branding and as a leader in herself, in her own right of the business. Um, [00:31:05] I’m the front man, and I have the awkward conversations with people, which is fine. Um, [00:31:10] but really, there was an assurance from her in business, so there was some business [00:31:15] knowledge. I it just wasn’t in me, you know? And I said, oh, let’s just fix teeth. Come on. Let’s [00:31:20] just fix some teeth and, you know, it’ll work. It’ll be fine. Um, you know, let’s see how [00:31:25] we go. And I had a coach in 2012, um, and [00:31:30] he was fantastic.
Payman Langroudi: And a business coach.
Mike Hesketh: Yeah, yeah. So I’d gone to a, [00:31:35] um, like a Premier Inn or something off the coast, off, um, the M5. [00:31:40] Um, and it was hosted by Lloyds Bank who were lending us money. And they said, look, I think you should [00:31:45] come and listen to this, coach. And it was my first experience of business coaching. And I went [00:31:50] there and this coach was talking about growing dental practices, being [00:31:55] innovative, being creative. And I said, oh, Laura was at home. [00:32:00] I think she was like only a week or two from giving birth. So she was at home and I walked up to him at the end and [00:32:05] I said, um, okay, how do I get your help? Because I’ve just nearly [00:32:10] completed on a business and I need I need some support. He said, it’s £800. I was like, oh, oh, [00:32:15] brilliant for the year. And he went, no, a month. I was like, what? [00:32:20] You know, because you, you’re sort of reference points of money is [00:32:25] from where I grew up, you know, and the military was just.
Payman Langroudi: It was a bit shocking.
Mike Hesketh: Yeah. [00:32:30]
Payman Langroudi: But you went ahead anyway.
Mike Hesketh: Well, I wasn’t going to. I told my [00:32:35] wife all of the good things about what he’d said about how he could. And I said, look, his bottom tier is a group thing, [00:32:40] and it’s £800, um, a month, so I don’t think. And she said, you should [00:32:45] do that. So you see how the influence of Lara, then I wouldn’t have done [00:32:50] it, because I would have thought it was too much money and I would have made so many mistakes. But when you said a blank canvas, [00:32:55] when the when you go through the commando course, they do something called a two [00:33:00] footed landing. When you jump into dark water and you do a two footed landing, [00:33:05] because if you do a one footed landing, you break your ankle. Okay. When you’re climbing the ropes, you lose [00:33:10] your you use your legs, not your arms, because your legs are four times stronger than your arms when [00:33:15] you’re going horizontally across the ropes. If you ever see Bear Grylls doing that, he uses his legs, not his arms, [00:33:20] because his arms, your arms blow out really quickly, especially when you’re carrying ammunition and [00:33:25] weapons. So I always just did what the [00:33:30] physical training instructor and the Royal Marine commander has told me to do how to clean a weapon, how to strip [00:33:35] down a weapon, um, how to, um, soldier in the jungle, everything. [00:33:40] And I just followed the rules. And so I [00:33:45] was paying this coach, and I said, right, I’ll.
Payman Langroudi: Do whatever he says.
Mike Hesketh: I’m going to do whatever you say.
Payman Langroudi: It’s [00:33:50] super interesting. I heard this in your previous pod, and and I reflected on it might have been [00:33:55] the most valuable thing that you said insomuch as I [00:34:00] go round practices and corporates and yeah, he [00:34:05] on here maybe talking about what should you do if you want to increase your whitening through the roof. Yeah. [00:34:10] And I can think of a couple. Yeah. Couple. Two literally two people [00:34:15] who did exactly what I told them to do. And they ended up being fantastically [00:34:20] successful in whitening. Now, I’m not saying I’m some sort of genius. I’m actually thinking of those guys. Yeah, [00:34:25] those guys had that sort of foresight to just follow the instruction. And the [00:34:30] crazy thing, one of those guys thinks I’m I’m the genius. I kept trying to tell him, I’ve [00:34:35] said that same thing to a hundred people. You’re the only one who just took it fully on.
Mike Hesketh: It’s bonkers, [00:34:40] isn’t it?
Payman Langroudi: It’s bonkers that people don’t do that more. You know, I can’t.
Mike Hesketh: I couldn’t believe it.
Payman Langroudi: Because it was your military [00:34:45] training.
Mike Hesketh: Yeah, but because I was in the group, I’d driven up to Bristol. Our group was meeting in the southwest, [00:34:50] so it was part of his group in the southwest, and we’d meet in the Marriott in Bristol and, um, [00:34:55] driving back after the first meeting, I wrote to him and I said, because, [00:35:00] you know, I was getting really stressed with the purchase of the practice in 2012. I was like, this [00:35:05] is really hard. I don’t know anything. And I said, look, I can’t be surrounded by [00:35:10] negativity in the room. I’ve put my house on the line, put my money on the line. I kind [00:35:15] of do want it to work. Um, I’m trying to box things off in my head, but that [00:35:20] was the most negative meeting I’ve ever been in.
Payman Langroudi: From the other delegates.
Mike Hesketh: From the other delegates, the other dentist [00:35:25] owners in the room that all had big practices. It was horrendous. And so [00:35:30] I said, I’m just going to do what you tell me to do. I’m going to send you stuff. And if you could just read it, I’ll [00:35:35] still pay you £800. But I’m not coming to the meetings. I don’t want to be surrounded by the negativity.
Payman Langroudi: Interesting. [00:35:40]
Mike Hesketh: Yeah, it’s terrible, isn’t it? And so then, to be fair to him, he was a very good coach. It was Simon Hocking down in the [00:35:45] South West. Lovely man, lovely man. And so he, um, he then said, right, we’ll move [00:35:50] you to a more dynamic group. We were thinking about shaking the groups up. Anyway, we’ll put you in like the entrepreneurial sector. [00:35:55] But even in that entrepreneurial group, I just did what he told me to do, and I messaged [00:36:00] him and I said, we need to change the name of the practice and rebrand it, and we’re going to open seven days a week. [00:36:05] What do you think? He said, yeah, do that. I went, okay, is that easy? [00:36:10]
Payman Langroudi: This was early on. You decided to do that, right?
Mike Hesketh: Yeah. In, you know, in the city centre, because there was half a [00:36:15] million people walking 50 yards from the front of the practice. So I didn’t understand why no one was open seven days a week. [00:36:20] And the way to make seven days a week work is you work one weekend in five. Everyone. [00:36:25]
Payman Langroudi: Everyone does that.
Mike Hesketh: Everyone. One weekend in five, you give them the Friday and the Monday off of that [00:36:30] weekend, and you shorten the days on the Saturday and the Sunday. So the days get shorter, but you pay [00:36:35] them the full pay. Yeah. As they would do on a Friday and a Monday.
Payman Langroudi: Yeah.
Mike Hesketh: And then everyone, including [00:36:40] the owner leaders eat last. So it works the weekend.
Payman Langroudi: And was it [00:36:45] were you were you doing the 8 to 8.
Mike Hesketh: No no no you can’t do both.
Payman Langroudi: You can’t do both.
Mike Hesketh: No. Can’t do [00:36:50] both. Now I know that this practices there are and I know there’s a really big one in Birmingham that does 24 hours of dentistry [00:36:55] and stuff like that, and I get all that, and that’s their brand ethos. But if you want to make it sustainable and not run your practice [00:37:00] hot, you do one or the other. And to me, if you’re going to muck up someone’s weekend on [00:37:05] a Saturday and make them work a Saturday, muck it up properly.
Payman Langroudi: Take the whole thing.
Mike Hesketh: Take the whole thing, give [00:37:10] them the Friday and Monday off. And then a lot of the time these are busy mums in the business. They [00:37:15] get a Friday and a Monday to themselves and then on the weekend they’re [00:37:20] cool, calm, collected in a nice practice. When it’s really quiet. It’s seven shares [00:37:25] in the practice, so one was being operated and they’re doing a root canal at 2:00 on a Sunday [00:37:30] and it’s cool and it’s calm and they’re having a really peaceful weekend. And [00:37:35] so people think seven days a week is is noise. It’s not. But [00:37:40] if I was to open one in London, Birmingham, any of the cities, I would be opening seven days a week [00:37:45] and I’d just do one weekend of five and I would work one weekend of five. And you can’t really swap that weekend because it becomes [00:37:50] a rota nightmare for everybody. But you pay them the full whack. You don’t do time and a half, you just pay them the [00:37:55] full hours. Then the hours are eight till half, eight till six or something, or half eight till half, five [00:38:00] and a normal working day. So you pay them up, but you only ask them to come in ten till four on a Sunday. But you pay in full [00:38:05] hours.
Payman Langroudi: So from the management perspective, if a member of staff says I’m not willing to do that, or [00:38:10] is it that that doesn’t happen because you get the buy in from the [00:38:15] get you.
Mike Hesketh: Try and do it with, you know, panache and style. But there’s a benefit to everybody. I [00:38:20] outlined one of a peaceful weekend. Um, the other one is that you? If you’re a [00:38:25] self-employed associate, you’re always full because you get so many new patients on the weekend that [00:38:30] you end up with extra people doing it. But there is a very clear it’s the [00:38:35] accidental way or Dartmoor way, and that’s really important. Some [00:38:40] people are too delicate with their brand and aren’t don’t [00:38:45] really know their purpose. And so you need to be really clear about one of your brand values might [00:38:50] be accessibility. Well, if you’re accessible, you either need to do late nights or you need to be doing the [00:38:55] weekends if that’s one of your brand values. So it’s knowing your brand and. [00:39:00]
Payman Langroudi: Communicating your brand to your people.
Mike Hesketh: And so you just attract like minded people. I never I’ve [00:39:05] never really gotten rid of anybody really, other than, um, people just self-selecting out [00:39:10] of the business, just leaving because they, they weren’t in line with the brand values.
Payman Langroudi: Not [00:39:15] the financials of this business were just extraordinary. Right. So just go through that [00:39:20] because you sold it, what, 4 or 5 years after you bought it.
Mike Hesketh: Yeah, yeah. So we bought it for 230 K [00:39:25] in the end.
Payman Langroudi: Turning over 500.
Mike Hesketh: Turning over 500. Yeah. And [00:39:30] then four years later it was turning over 2.5 million. And we sold it [00:39:35] to Bupa for a £3.2 million.
Payman Langroudi: Extraordinary.
Mike Hesketh: Yeah. [00:39:40] And winning the lottery.
Payman Langroudi: You’d expect in order to get that level of growth you’d [00:39:45] expect to be not only working seven days a week, [00:39:50] but also grinding the team on sales and and bringing [00:39:55] in loads of new services and all that. Is that the case or with with these guys doing so little [00:40:00] that it was easy to. Yeah. It’s never easy to go from half a million to no. [00:40:05] 2.5 million.
Mike Hesketh: Yeah. No. Sometimes like one of the growth was like, you know, 600,000 [00:40:10] back in the day. It was when it was quite competitive as well. It was pre-COVID. Um, but [00:40:15] what we do is we create a whirlwind. Okay. So everyone picks a lane. So each of [00:40:20] the associates picks a special interest a specialism. Yeah. And they have to do a master’s in it. So [00:40:25] you have your endo your oral surgery, your ortho, your and you know, all of [00:40:30] it prosthetics.
Payman Langroudi: So that you don’t refer out.
Mike Hesketh: So you refer no work out. Yeah. And then you create a work and [00:40:35] you walk around banging the drum for world class care. Yeah. You present the case to the university tutor at the end [00:40:40] of the course of treatment, as if you were going to present the case. Okay?
Payman Langroudi: Yeah.
Mike Hesketh: And [00:40:45] we didn’t get there, but we were a long way towards it. And what we do is we create a whirlwind [00:40:50] of internal referrals and a team approach to dentistry. And it worked really well [00:40:55] in a city centre location. The practice was over six floors, cosmetically based all on [00:41:00] fours doing advanced dentistry. Not many children know NHS contract denplan [00:41:05] list. So a very different brand to our current practice Dartmoor. [00:41:10] But we created this system where we just have internal referrals and refer no work [00:41:15] out. But each associate that joined, there’d be one of them [00:41:20] that would do ortho, one of them that would do implants, one of them that do endo not two.
Payman Langroudi: Mhm. [00:41:25]
Mike Hesketh: And I said to them if you want to work here as a generalist then you have to do one [00:41:30] weekend in uh five. And no one is bigger than the team. It’s [00:41:35] a one in all in military ethos. And I will not stop investing [00:41:40] until we have everything that’s in the market that makes you efficient equipment. [00:41:45] Facilities. Laura knew how to do the customer service [00:41:50] and the ethos of the practice. And I knew how to bring high quality [00:41:55] clinical care, because a lot of my patients were seen by other dentists in the military [00:42:00] who were, Eastman qualified. And and so you become well calibrated as a dentist. [00:42:05]
Payman Langroudi: And marketing wise, you must have done a lot of marketing, right?
Mike Hesketh: So we [00:42:10] we did a bit of PPC and a bit of SEO. We did. We got we cottoned on to the Google [00:42:15] local listing really quickly in 2012. And we just knew everyone was using Google. Yeah. And [00:42:20] so but we had three new websites within three within 3 or 4 years. So we, we changed the websites, [00:42:25] did a bit of blogging, but really about £1,000 a month. Um, on marketing we [00:42:30] got up to 200 new private patients a month.
Payman Langroudi: So where did they come from? Word of mouth?
Mike Hesketh: I think so, [00:42:35] yeah. Because once you start investing, um, and driving the standards higher, [00:42:40] people talk and all of a sudden if you refer in no work out, they’re getting everything [00:42:45] in one in a, in a one stop shop. Um, it just snowballed so quickly [00:42:50] that like on a Monday we get like 28 new patients call. And I used to say to them, you could [00:42:55] have called yesterday, we’re open yesterday. But even on the front line of the business, it was open seven days a week. [00:43:00] They were like, oh, you’re open on a Sunday. I’m like, yeah, seven days a week. You know, you could have called [00:43:05] yesterday, really, but you’d end up with 28 new new patients on a Monday calling when it was [00:43:10] difficult to get them. Um, it was like a whirlwind of business growth [00:43:15] that, um, it was making 500,000 a year at the end. [00:43:20] But I was only working. I’d stopped clinical at year three, and I was only working [00:43:25] two days a week before that.
Payman Langroudi: So you were taking 500,000 out of the business, [00:43:30] only working, not working.
Mike Hesketh: And I was I was I was a student.
Payman Langroudi: Were you doing that [00:43:35] on purpose?
Mike Hesketh: Um.
Payman Langroudi: Or was it just that, you know, you decided you didn’t want to be the clinical [00:43:40] guy. You’re more excited by the management side.
Mike Hesketh: Yeah, well, I [00:43:45] don’t think I could cope with the clinical work as well as the rapid growth of the business. [00:43:50] It was too many inputs and so something needed to give. And one of my patients was a university [00:43:55] lecturer at Exeter Uni. And she said, oh, if you’re a local entrepreneur that [00:44:00] we’d like to give people a free MBA. Free? Yeah. For free. A 30 grand MBA. And I was [00:44:05] like, okay, what’s this about? She said, well, we have a lot of international students whose first language are not is not English, [00:44:10] and they find it difficult. So we need like a fulcrum of the quota. Yeah. First, first [00:44:15] language English in the room. And so they gave out eight of them. And she said if you get your application [00:44:20] within within 48 hours, I can get you a free MBA at Exeter University, which is a, [00:44:25] you know, it’s top ten university business school. And so I was like, okay, so I’ll do [00:44:30] that. And that gave me a, um, explanation to the patients of why I’m not [00:44:35] clinical anymore. But it was very affirmatory of affirmative. And an MBA was. There was modules [00:44:40] on AI, modules on blockchain. It was in 2016, 2017 modules [00:44:45] on accountancy. I’m not sure I learnt a lot except [00:44:50] I should have bought Bitcoin.
Payman Langroudi: I was going to ask you, do you, do you recommend dentists to do an MBA? [00:44:55] Because I know loads of people who’ve done an MBA. Non dentists and I don’t know, [00:45:00] they come into one of two types when I asked them about it. Uh, one is they [00:45:05] meet a lot of people on the MBA. So it’s that sort of contacts way of things. [00:45:10] Um, some of them want to go and run, you know, multinationals. Um, [00:45:15] but a lot of them say that, you know, it’s like they wanted to plug a weakness. [00:45:20]
Mike Hesketh: Um, I think if you’re a small business owner in dentistry or any other small business. Yeah, [00:45:25] it people go, oh, I should probably do an MBA. Yeah. And when you’re on it, you could probably do teach some of [00:45:30] the modules, especially if it’s a small business owner.
Payman Langroudi: Really? Really. Yeah.
Mike Hesketh: Yeah, yeah. Because the modules are divided into as I [00:45:35] described. So I mean, even on, um, the, um, some of the statistics module, [00:45:40] you know, you start with an actuary who’s, you know, who is a brain size of a planet working out [00:45:45] pensions. I mean, they can teach that lesson on statistics. Um, and [00:45:50] sometimes they’d have a guest lecturer in. And I couldn’t bear listening anymore. Like, especially when the [00:45:55] banks came in, you know, and they tell you how the world is and you’re like, hang on a minute. That’s [00:46:00] that’s rubbish. You know, so you’ve got to bite your tongue. But what it did do was [00:46:05] it again, it was a bit of an enlightenment. Enlightenment, um, moment. [00:46:10] This whole small business thing coming from the military was, you know, I was in a very British, [00:46:15] you know, environment, then a small business, and then you go [00:46:20] into an international environment of a university as a as a postgraduate, [00:46:25] so to speak. And you’re with Chevening scholars from the South America [00:46:30] or Africa, who were the brightest of the brightest of the British government, paid for to have soft power influence [00:46:35] around the world. I think there’s 20 or 30 presidents of countries that were British Chevening scholars. [00:46:40] And so you sat with these people who think differently, talk differently. And [00:46:45] I’ve tried to not always be forceful, try to listen [00:46:50] and understand and know my limitations of where I grew up, and try and listen to these people [00:46:55] that have different challenges. And to be honest, I would say [00:47:00] 75% of the course were very left wing and you’re just not surrounded [00:47:05] by that. You know where I grew up. And so, um, and you think, ah, [00:47:10] and they had very valid points, um, around social justice, around [00:47:15] caring for people.
Mike Hesketh: And I enjoyed it and I actually enjoyed [00:47:20] my friends from it. And there were 5 or 10 years younger than me, but they’re really good friends [00:47:25] and they’ve gone on to do wonderful things. Um, but I was doing that whilst the practice, [00:47:30] I’d do the morning huddle and I’d walk up the hill to the Exeter University and [00:47:35] the business would just go on without me. Seven chairs turning and burning. And I’d just [00:47:40] do that. Morning huddle, ten 15 minutes drop Poppy at school, at the Cathedral School in Exeter and then [00:47:45] walk up the hill. Um, it was a very good time. And then it was about three quarters [00:47:50] of the way through the MBA that I bumped into Dental elite at a show. And I [00:47:55] said, oh, um, it was actually Dental elite. We bought the practice through. And, um, [00:48:00] I said, well, we bought it for 230, its EBITDA. Is this what do you think [00:48:05] it’s worth? And they said, oh, you could probably put it on the market at 3.1 million. Whoa. Jesus. [00:48:10] Wow. And I think it was a four year turnaround. And I just wanted [00:48:15] a break. I’d gone to uni at 18, Navy at 22, bought [00:48:20] a business at 30, and I was 34. I just wanted a break. And [00:48:25] so, um, Poppy was five, Hugo was [00:48:30] three, and I said I just wanted to spend more time with him, probably coming [00:48:35] back to my father. Um, and I just wanted to spend more time with him. So I said, let’s sell. We know [00:48:40] we we’ve got a fantastic financial planner in Thomas Dixon of Wealth. And he said, you’re going to have to go [00:48:45] again. The computer program says, you’re going to have to.
Payman Langroudi: It’s not enough money.
Mike Hesketh: For [00:48:50] the rest of your life, because you still had about 700 grand a.
Payman Langroudi: Day because you were too young.
Mike Hesketh: Yeah, yeah. Too young. And [00:48:55] you’re going to need to, he said. But people like you go again. I was like, no, I’m worn [00:49:00] out. Like I it’s been such a rapid growth. I’ve got my MBA now. Um, and, [00:49:05] um, yeah. And travelling around the world, um, and we just.
Payman Langroudi: How was that?
Mike Hesketh: The [00:49:10] best part of my life? The highlight of my life. Um, I just [00:49:15] wish we could go back and do more of it. Um, we set off, [00:49:20] um, down to Singapore and an old Navy mate that was in Afghanistan with five years before [00:49:25] or three. Four? Yeah, five years before. Um. And he was [00:49:30] working for Lloyd’s of London ship crashes investigation. And if you ever fly into Singapore, it’s [00:49:35] something to behold. The bay there and the amount of ships. So I can see why he’s late. He’s located there. And [00:49:40] so he was doing well for himself. So, um, we stayed in his place in Sentosa Island, [00:49:45] which was fantastic, of Singapore. And he put us up for a week or two, and we just decided [00:49:50] to travel so slowly. And I’d been to enough rough places. I said to my wife, [00:49:55] we’re not going to go anywhere controversial, like even, you know, more [00:50:00] than what you’d class modern countries, I’d say, right. We’re just going to go to easy places, not going [00:50:05] to need any vaccines. We’re not we don’t have to worry about. We’ve got five and a three year old in tow and [00:50:10] a couple of weeks in Singapore.
Payman Langroudi: Did you large it? Were you going like business [00:50:15] class? I mean, £3 million just hit your account.
Mike Hesketh: Yeah, yeah. So, uh, it was funny actually, [00:50:20] because I rang Thomas once and I was going into Exeter city centre and [00:50:25] I said, I’ll wait there a minute. I just got get on the bus. Give me a second. He was like, why are you getting on a bus? And I [00:50:30] don’t know. It’s just easier. I live in Devon and there’s a bus, so there’s not. There’s not over, you know. And he [00:50:35] was like, yeah, you could just get a taxi into town, couldn’t you? Shopping. And I was like, I don’t know, mate. [00:50:40] I just get on the bus. So we bought £1,000 student ticket to go around the world. [00:50:45] And so four of them. And it’s one of those ones you remember back in the day in uni sta travel? [00:50:50] Yeah. Yeah, yeah. And you divide the world into orange segments and you can’t go back on a segment. Yeah, yeah. So we did [00:50:55] that. So we, um, we did this orange segment.
Payman Langroudi: Just to be sensible.
Mike Hesketh: I [00:51:00] don’t know, really. And then. Yeah. And then we did Airbnb. Um, but we got really good at it. Um, [00:51:05] even travelling with small children. Um, because then we went to Australia, New Zealand, the Cook [00:51:10] Islands and the Cook Islands. Yeah.
Payman Langroudi: What was that like?
Mike Hesketh: Amazing. That’s where Hugo really came alive. [00:51:15] He. I remember him jumping off a boat and swimming down the anchor chain. Like he’s an outdoor boy. [00:51:20] I think he might end up being a commando. We’d spend a lot of time sleeping outside on Dartmoor. [00:51:25] Just he and I with the dog. He loves it. He says, dad, I feel free. I okay [00:51:30] anyway. So yeah, he he loved the Cook Islands and um.
Payman Langroudi: Is it as you would imagine. [00:51:35]
Mike Hesketh: Yeah, yeah.
Payman Langroudi: Paradise.
Mike Hesketh: Yeah. And it’s collecting crabs. It’s five hours from New Zealand. It’s [00:51:40] like halfway to South America. It’s if you ever look it up on a, it’s a dot in the middle of [00:51:45] nowhere. And, um, it’s part of New Zealand in some weird way. But [00:51:50] Poppy turned six in New Zealand on one side of the dateline, [00:51:55] woke up in the morning, had a presence and we had a flight that day on a birthday. Flew to the Cook [00:52:00] Islands, which is on the other side of the dateline. Went to bed and [00:52:05] she woke up and she was six again.
Payman Langroudi: Had her birthday again. Yeah. So we did it. We did. We did the whole party.
[BOTH]: Because how many [00:52:10] times are you. Six. So we had this party and uh. Yeah. And I think.
Mike Hesketh: You [00:52:15] know, um, marriage when you’ve got businesses and [00:52:20] pressures and Laura had put up a lot with a lot. Um.
Payman Langroudi: It gives a bit, right?
Mike Hesketh: Yeah, [00:52:25] it was hard. And I think as soon as we hit Singapore relaxed and we [00:52:30] had two suitcases, two little children travelling slowly, we educated Poppy [00:52:35] just by going to the local libraries in every city that we went to. And it was a very small world [00:52:40] and we followed the sun. So we only needed shorts, shorts and t shirts with the odd little [00:52:45] jumper. So. And then as it turned to spring and summer in the northern hemisphere, we [00:52:50] just shovelled rice. We saw a volcano go off in Hawaii. That [00:52:55] was a and the children talk about it now in school that they’ve sat on the end. We just got lucky. We [00:53:00] went to a national park there and it erupts every 20 years. And we just checked in and [00:53:05] the lady at the desk said, oh, you’re lucky you bought this six months ago. These, these rooms. I was like, yeah. [00:53:10] And the room was overlooking a lava spouting and the room at night was orange. [00:53:15]
[BOTH]: So we had all these.
Mike Hesketh: Experiences that travel brought us [00:53:20] and, uh, yeah, it’s the best time of our life, really. We were evacuated, actually, in [00:53:25] the end from that. So that was the only slightly dodgy place that we went to. We had to get away. We actually [00:53:30] got a lot of messages from friends saying, we can see from your Instagram you were near that volcano that’s going off wrecking [00:53:35] towns. Like, yeah, we’ve moved now and we’ve got to fly out of here in a couple of days, so we’re fine.
Payman Langroudi: What was [00:53:40] the highlight of that trip?
Mike Hesketh: Oh, um, I love Byron Bay. [00:53:45]
Payman Langroudi: Oh, really? Yeah.
Mike Hesketh: Yeah, because I was there as a student, you know, backpacking, um, I [00:53:50] was experience. That was amazing. Um, and so, yeah, I like Byron Bay. My [00:53:55] wife likes the Hamptons.
Payman Langroudi: In New York.
Mike Hesketh: Yeah. Oh, and I was like, I think there’s a [00:54:00] reason we live in Devon. We don’t want to compete with London money. And I said, we’re not buying in the Hamptons. We’re not [00:54:05] competing with New York money. Darling, we’re not giving you with that. Uh, but she. But, [00:54:10] like. Yeah, the Hamptons. Lara has really high standards of everything that [00:54:15] she does. And she worked in the centre of London. She worked for a really good talent management company, [00:54:20] Really good friends.
Payman Langroudi: When you say she was responsible for the creative. Yeah. Oh. Is [00:54:25] it. Do you mean broadly, or do you literally mean the brand? Um, [00:54:30] is it something else broadly?
Mike Hesketh: The customer service, the end to end patient journey, the [00:54:35] brand, the standards and the evolution of the brand? Um, which is important. [00:54:40] A lot of people will take their business at 500 grand, and then they’ll [00:54:45] do really well. They’ll grow it, they’ll double the turnover, and it will take like a couple of years. And then you [00:54:50] say, well, is that the same business as that one? But they keep the same brand, and [00:54:55] there is an evolution of a brand that happens in small business that people, um, [00:55:00] don’t keep up with. It costs money to re website. Um, keep on top of your [00:55:05] colours, keep on top of your theme. But Dartmoor Dental, our current business has done [00:55:10] exactly the same. And so Laura did a brand within 24 hours. Um, [00:55:15] I’m still in trouble for. But did a brand, um, quickly for me when we bought the business, and [00:55:20] then we shared that with the team, took the brand standards to them. And [00:55:25] then three years later, she’s now going through the brand standard again and a completely different [00:55:30] but that business, Dartmoor. We was turning over 700 K when we bought it. It’s now doing [00:55:35] 2.5 million. Three years later, those two businesses are different. It’s got different people in [00:55:40] it even serves different.
Payman Langroudi: Different time as well. Right?
[BOTH]: Macroeconomically yeah, [00:55:45] yeah, yeah.
Payman Langroudi: Totally different time.
Mike Hesketh: We bought it just after Covid and now it’s, you know, we [00:55:50] you know, we don’t do any cosmetics. We haven’t done any cosmetics or aligners or anything to get that growth. [00:55:55]
Payman Langroudi: Really.
Mike Hesketh: There’s no there’s no cosmetics or aesthetics. It’s just just drive the standards higher.
Payman Langroudi: Implant. [00:56:00]
Mike Hesketh: Um, yes. We’ve got a very good visiting implantologist who’s done a thousand [00:56:05] straumann implants. He’s brilliant and he’s a good friend. Um, he was recommended from a mutual friend [00:56:10] to come and join us. Um, and so we did a bit of implants, but not full arches, you [00:56:15] know, 1 or 2 placements and put all all the growth is around this whirlwind [00:56:20] of a system of of each dentist picking a lane. And then we’ve got five therapists [00:56:25] and then the five therapists then cover the NHS contract, which is our social contract. [00:56:30] I treat it as a charity, and we’re the only one of six practices in the town that do NHS, and [00:56:35] we look after the poorest in society and it costs us double what the NHS [00:56:40] pays us to look after 3000 children and 1000 adults, and these 1000 adults have [00:56:45] got no money.
Payman Langroudi: What are you doing it almost out of philanthropy.
Mike Hesketh: Yeah, yeah. So we so we do, um, [00:56:50] we supplement the NHS care with our private work. [00:56:55] And so say the contracts, 350 grand or something to look after 4000 people. [00:57:00] We I think it costs us around about 600, £650,000 [00:57:05] to, to deliver that care. So that’s 300,000 that we out-of-pocket. Yeah. [00:57:10] Yeah. I mean it’s not the brightest business strategy in the world. No. In the round [00:57:15] of the world. It’s going to come good. I’m sure. Um.
Payman Langroudi: I mean, let’s [00:57:20] just walk through that. Is it that you can literally see need and as part of that [00:57:25] community you want to you’re there, you want to service that need.
Mike Hesketh: Yeah. And I think it probably takes me [00:57:30] back to the medical Shuras sat in the middle of Afghanistan. Sounds awful because of the Dental desert in Devon [00:57:35] and Cornwall. There’s no clinicians.
Payman Langroudi: Um.
Mike Hesketh: Um, but luckily, one of my good friends from [00:57:40] Afghanistan, Ewan MacColl, is the dean of Peninsula Dental [00:57:45] School, and I think he’s chair of this, that and the other on a national level now. But he’s my mate. [00:57:50] We spent a lot of time running together in Afghanistan, him much faster than me. And [00:57:55] so he very kindly recommends us to the dental school, hygiene [00:58:00] therapy school and the dentist down there. So he does sort of recommend us highly, which is [00:58:05] nice, but I tried to live up to that. So I have a connection, a network of military [00:58:10] or ex-military clinicians in the southwest. But if you put an advert out for an NHS [00:58:15] dentist, you’re not going to get one. So what we try and do is go around the problem and [00:58:20] use therapists. Um, but to full scope, um, and then associate dentists [00:58:25] to do it and everyone, including the highest grossing dentists in our practice, [00:58:30] have to do NHS work, including me.
Payman Langroudi: Really?
Mike Hesketh: Yeah. So for the last, we’re all zoned in [00:58:35] the diaries, and it’s the last hour of the day. We turn into an NHS clinic and everyone does [00:58:40] the children as they leave school. And the aim is to, um, look after all the children [00:58:45] of Tavistock and the five villages around us. And I know there’s NHS rules on accepting [00:58:50] everybody, but we look after our own backyard. I don’t even live there. It’s an hour away from me. It’s [00:58:55] not even my, um, community.
Payman Langroudi: You know, you could. I don’t want to be reductive about it. Yeah. [00:59:00] Because it’s a beautiful thing. And so. Yeah. There it is. It’s fine. But you could have take that £350,000 [00:59:05] and given it to fallen soldiers families or to Afghanistan. [00:59:10] You could have done anything with that £300,000, but you choose to do it. Are there other benefits to [00:59:15] the business? Like is there a one for all? All for one? The fact that all the clinicians are having to do this [00:59:20] NHS thing.
Mike Hesketh: Yeah. And and you know, you asked before about what happens if they don’t do seven day opening. Well [00:59:25] if someone doesn’t it’s too good to look after the NHS patients. And [00:59:30] they don’t.
Payman Langroudi: They’re not right for you.
Mike Hesketh: They’re not right for us. But I still want them to be high end dentists. And you think, well, how do [00:59:35] they switch? Well, they don’t switch.
Payman Langroudi: They just do high end dentistry on the case.
Mike Hesketh: That’s why it costs you so much. So it’s [00:59:40] not a great business strategy. So in any way, it’s not really. But, um, what what it has [00:59:45] done, its part of the brand values is we list it as socially aware. So we try and [00:59:50] walk the walk. Um, and yeah, of course, there’s, um, a lot of parents that [00:59:55] don’t qualify because it’s an exempt contract. So it’s children. And like I say, a thousand people who can [01:00:00] get benefits can qualify for it. We can’t take any more patients on. But we [01:00:05] took on a thousand last year. Um, we just put some messages out on [01:00:10] Facebook and to the local schools and said, we’ve got some space for children. And so we took on children [01:00:15] and it ended up with 1000 extra children. That made the BBC news. So [01:00:20] from a brand awareness, you could say, yeah. [01:00:25] And the PR, the power of the BBC is ridiculous. Yeah, yeah. Um, and the [01:00:30] local Facebook groups as well. It gives, gives us credibility. Um, [01:00:35] and the business, you know, still makes 15, 20% profit. It’s [01:00:40] fine. Um, we’re investing heavily. It’s a 200 year old manor house. [01:00:45] So I’ve got.
Payman Langroudi: I’ve.
Mike Hesketh: Got builders everywhere. Yeah, yeah. So, um, we’ve we’ve refitted eight [01:00:50] surgeries in those three years, and we’ve just put in a ninth this week, and we’ll put a 10th in next [01:00:55] week. Um, and, but every facility has been upgraded. The [01:01:00] first thing we did was the female changing rooms because they were gross. They were in the basement and we refitted all of those. [01:01:05] But what I most love is that the. There’s a couple of partners that have stayed on out [01:01:10] the four that I bought it off and they’ve really embraced it. And so one of them that [01:01:15] um, it was advised to me to get rid of at the beginning I was like, no, [01:01:20] let’s have a little let’s have a think about this is now grossing 40,000 a [01:01:25] month, is doing high end dentistry, is, um, absolutely beautiful [01:01:30] work. And he’s admitted himself he wasn’t very keen [01:01:35] on me at the beginning and what the changes we were going to bring. But we’ve invested so much, [01:01:40] um, that it’s brilliant bringing people on, even partners [01:01:45] who have stayed there for quite a while.
Payman Langroudi: Yeah, that’s that’s quite an achievement. Right. Well, he could [01:01:50] have switched off completely reactivated him, took him the other way.
Mike Hesketh: Yeah. And there was no tie in. I just gave him all the money [01:01:55] and said, stay or don’t stay, I don’t I’m not into tie ins. It’s [01:02:00] easy to control when it’s me. You know obviously for corporates it’s different and for independent groups who have [01:02:05] got 20, 30 practices. That’s fine. But for me, I don’t. You [01:02:10] know, if someone doesn’t want to be there, don’t worry about it. It’s fine. But we are going to put £1 million [01:02:15] investment into this place. So why wouldn’t you be here? And by the way, [01:02:20] you get to pick a lane and that’s all about you. And we’ll highlight you and we’ll develop you and we’ll give [01:02:25] you the best chairs, we’ll give you the best equipment. And by the way, your turnover will go [01:02:30] from 10,000 a month to 40,000 a month. It was a seven year practice doing 700 grand. So you [01:02:35] can imagine the style of dentistry doing 100 grand per chair. So I work on ratios of turnover [01:02:40] per chair.
Payman Langroudi: And your 20% that you’re talking about, is it still 20% bearing in mind all the investment. [01:02:45]
Mike Hesketh: No no no no no.
Payman Langroudi: It’s once the investment is done it’ll be 20%. Yeah, yeah.
Mike Hesketh: So [01:02:50] we have a do you know I have a dental accountancy firm.
Payman Langroudi: You own one?
Mike Hesketh: Yeah. [01:02:55]
Payman Langroudi: Really?
Mike Hesketh: Yeah. By, um, by just, um, need [01:03:00] necessity for the profession. Right. Okay. So I’ll tell you about this. So, um, [01:03:05] when we had Exeter, I had this amazing accountant who was a friend, um, in [01:03:10] the southwest. I was talking to her, and I said, I need some help with numbers. And she said, [01:03:15] okay, but she’s a chartered accountant from outside of dentistry, and she’s my sage [01:03:20] advisor. She tells me when I’ve got it wrong, she tells me, you know, almost like a business advisor in a way, and [01:03:25] kept it close to my chest. And the consultancy that I [01:03:30] do, um, comes about from meeting with Ashley Latta. And Ashley said, could I do an entrepreneurs [01:03:35] group talk for him? And I’m currently doing the Chris Burrow 100 club talk [01:03:40] for him, his series and all of that was good. But one [01:03:45] of the four pillars that I work with people on, the last one is financial command and control, and command and control [01:03:50] is very military term. Yeah, but what we had was a couple of clients [01:03:55] that came on board with me and I said, what? What’s X, Y and Z are your numbers? And [01:04:00] we could see errors all through their accounting software zero 30 [01:04:05] page reports being generated. Automated generated, just useless data [01:04:10] built on sand because the bookkeeping wasn’t good enough. So many errors, double [01:04:15] invoices, statements posted. I said, look, I, I’m wary that I’m trying to create [01:04:20] family wealth, time and money for you as a consultant and you don’t know your numbers. And it came to [01:04:25] a head. There was a client in bath and, um, there were so many errors [01:04:30] in their accounting system from a Dental accountant, C um, [01:04:35] based in the southwest as well, who got it so wrong that they [01:04:40] were almost going to get sued.
Mike Hesketh: And so I spoke to Jodi, who I’d kept close to my chest, and [01:04:45] I said, Jodi, we need to help this person out, clean up all the mess in their accounting system based on [01:04:50] zero and these reports. And Jodi went through and cleaned it all up, and then [01:04:55] that person then told someone else, and then that person told someone else. And so then Jodi said to me, look, [01:05:00] there’s a problem in the profession of lack of accuracy of bookkeeping. Like financial [01:05:05] rigour on bookkeeping, these. These firms aren’t doing it. They’re passing it to junior clerk who’s pasting [01:05:10] statements to the accounts. So I said, okay, what [01:05:15] is the problem for everybody? Right. She said, yeah. She said, well, why don’t we start an accountancy [01:05:20] firm as well. So I have this accountancy firm with now, I think we’re coming up to 30 clients [01:05:25] that we work with on a bespoke level. It’s Jody, it’s her [01:05:30] team, and they start from bookkeeping. And because now they they [01:05:35] also Jody has a small share in Dartmoor in our practice. She is [01:05:40] an owner. She understands running a large dental practice and where the errors are made. Associate [01:05:45] pay um interest rates are incorrect from the bank. She got a client [01:05:50] back £13,000 overnight a couple of months ago. Um, she goes through the [01:05:55] associate pay calculations, and we found a client who’s overpaying by £17,000. And [01:06:00] these were Dental accountants. Oh, yeah. By each month to associates just on their pay structure. [01:06:05] So now when I work.
Payman Langroudi: Here, the error could be in that direction as well. It’s [01:06:10] always tends to be in the other direction.
Mike Hesketh: It’s funny isn’t it, how the errors always fall in the bank’s favour. So [01:06:15] yeah, I own an a Dental accountancy. I don’t know how we got on to that, but I now [01:06:20] own a Dental accountancy that’s growing nicely and and, um, it’s it’s a joy, really, [01:06:25] because I operationally, I have minimal input to it, but it’s my name on it. It’s called [01:06:30] Hesketh Healthcare accounting. Um, and, and every week we sign up a new client. And [01:06:35] Jodie really loves undoing the mess that’s behind the scenes. A lot of [01:06:40] people don’t even know there’s a mess.
Payman Langroudi: Now that you’ve been exposed to, I guess three different [01:06:45] business models, right? The Dental practice model. Yeah. The, um. [01:06:50] Consulting. Yeah. And now the accountancy model. Yeah. [01:06:55] How how do you rate dentistry as a business? I mean, I think we all [01:07:00] understand. Hey, it’s a safe business. Um, we don’t, you know, not [01:07:05] many. The 24 years we’ve been operating, not many of our customers have gone bust. No. It’s [01:07:10] happened, it has happened. Some some people overspend right at the beginning. Sometimes. That sort of thing. [01:07:15] Yeah. Um, at the same time, not many do exactly [01:07:20] what you did that grow it so quickly. And I mean, that’s a ten-x exit [01:07:25] you got after four years. Yeah. Um, grow it that quickly and and exit and then do [01:07:30] it again. And it’s obviously in a totally different practice. You’re repeating it. Yeah. How does [01:07:35] it compare? I mean, consulting is nice, right? Isn’t it. It’s words. It’s [01:07:40] it’s not you’re not you’re not having to break your back.
Mike Hesketh: I think it’s a soft profession. And [01:07:45] the barriers to entry are really high, aren’t they. You’ve got to be on the register in some way or the other. Um, and I think [01:07:50] there’s 8000 independent practices in the UK from the Christie’s report and about 4000 [01:07:55] within corporates. So there’s 8000 practices that are owned single [01:08:00] single owners.
Payman Langroudi: Do you mean the competitive environment is limited by that barrier to entry?
Mike Hesketh: Yeah, there’s a [01:08:05] high barrier to entry and also the cost of the rooms. You know, the surgeries are 50 grand aren’t they. Yeah. So the cost [01:08:10] to entry is high for medical compliance. So you need a bit of weight behind your money wise. Now [01:08:15] there seems to be a lot of squats opening up, especially around Birmingham and London at the moment.
Payman Langroudi: Yeah. [01:08:20]
Mike Hesketh: Um, I think they’re the ones that I worry about. Worry about a little bit, because I [01:08:25] think the Instagram bubble is is passing as well because of AI [01:08:30] and the content creation. And so they’re being drowned and it’s not good enough just [01:08:35] to have, you know, fancy plastered walls and, uh, a nice, a nice front desk anymore with [01:08:40] a, with a nice sign. I think there’s a danger I get phone calls from people saying we [01:08:45] haven’t got enough patients. These squat Start-Ups. Now, they’re not all like that. And some are very successful. Um, [01:08:50] I can think of ones that have gone to 2 million turnover within a couple of years, but [01:08:55] I think it’s harder to do that right now because the barrier to entry is quite high. So if you can [01:09:00] get hold of a practice that you can buy and layer on, I’ll probably always just buy practices and [01:09:05] layer on success over the top of them, um, and try and do things better. Mainly [01:09:10] because I follow the advice from coaches that we talked about right at the beginning, and I try and [01:09:15] put everything in place to make it world class.
Payman Langroudi: Um, I think I heard you say something about [01:09:20] principals get too emotionally involved in, in so many aspects of their [01:09:25] business. Yeah. And you were talking about leakage and I thought about we [01:09:30] leak, we enlighten, we leak loads. Yeah. But I don’t see it as personal [01:09:35] leakage. I see it as the company. Yeah. But going back to the squat thing, a lot of [01:09:40] people, they want they want to do this dream. Yeah. Sort of blank canvas [01:09:45] thing. Yeah. And you know your motivation for what you do, it’s [01:09:50] very interesting.
Mike Hesketh: Well, if you can.
Payman Langroudi: If it scratches a particular rich for you.
Mike Hesketh: Yeah it does. [01:09:55] But if you if look, be honest with you. Everyone’s going to do what I ask in my own business. Yeah. Because of [01:10:00] the way that I approach it. Um, so to me, it is a fresh start up. [01:10:05] I bought what was called Limmeridge House Dental, changed the name, rebranded it. We always rebrand. [01:10:10]
Payman Langroudi: This Dartmoor.
Mike Hesketh: To Dartmoor. Yeah. So I bought that in 2022. So it’s three years old now. And, [01:10:15] um, I was always going to layer on, um, a different systems and [01:10:20] processes. So it’s like a squat to me, but it just happens to have 700 grand a turnover [01:10:25] when we started. And a lot of loyal patients.
Payman Langroudi: 0 to 700 is the hardest, isn’t it.
Mike Hesketh: That’s [01:10:30] what I’m saying. Yeah. That’s what takes sort of five years really 3 to 5 years for a lot of people. [01:10:35] I know that there’s I think sometimes the squats that do really well are squats from people that own [01:10:40] others and they know the game. But, um, I know people who have had three practices [01:10:45] and done a fourth squat and they said the squat was the hardest, um, to get going. And it’s just [01:10:50] a niche they want to scratch. And can we just do it? Because you don’t want to pay that purchase price, [01:10:55] but there’s so much value in the purchase price that especially if you can, you know, use [01:11:00] that 700 to £1 million springboard straight away. I think Dartmoor last year grew 900,000 in [01:11:05] 1 year. So we’re saying 0 to 700 is hard to get. The momentum [01:11:10] we grew last year 900.
Payman Langroudi: Yeah.
Mike Hesketh: Yeah. Once you start to get and everyone starts to get it. [01:11:15]
Payman Langroudi: And how do you feel. So I guess you don’t agree with that advice that says, don’t [01:11:20] come in and change the name and change the processes straight away.
Mike Hesketh: Change everything, change [01:11:25] everything.
Payman Langroudi: Talk me through it. Because because the standard advice is kind of don’t scare everyone off [01:11:30] at the first moment. And you know, I’ve got this place I buy, um, fruit, [01:11:35] fruit and veg, right? Yeah. It’s God, that’s very expensive. It’s [01:11:40] right opposite my, my kids school. It’s very good. It’s very good. Yeah, [01:11:45] it’s expensive, but it’s good. Yeah. You get the fruit and veg in this place that you just don’t get anywhere else. Right, okay. [01:11:50] It got sold and on day one I walked in and [01:11:55] the till wasn’t where it usually is. It was somewhere else. Yeah. Now what was going [01:12:00] through my head was what about the fennel. Yeah. Is the fennel still going to come from [01:12:05] the same supplier or not. And by the way, I got over it. I’m still I’m still shopping there. Yeah, but [01:12:10] but the advice is don’t go change everything. Don’t scare the staff, don’t scare the patients. [01:12:15] And evolution rather than revolution. Yeah. So you differ from that.
Mike Hesketh: Yeah. We we differ from that. Bearing [01:12:20] in mind what we buy though, we buy massively underperforming practices that have scope for growth. [01:12:25] One of the.
Payman Langroudi: First time you didn’t even realise you were doing that right. The first time you were just buying. But the second time took [01:12:30] me through that. The second time you were looking for that, were you?
Mike Hesketh: Yeah. So we’re looking for something that has been on the market for 2 [01:12:35] or 3 years. It’s probably too big for a new associate to take on. It’s seven chairs [01:12:40] turning over 700 grand, and I originally offered 800 to buy it, but I [01:12:45] got it for 600. Just when you go for the due diligence and work through the process. Um, and [01:12:50] they’re, you know, they’re rough and ready, you know, um, loyal patient base probably been there the practice. Been [01:12:55] there a hundred years. Um, in the southwest. It’s a very stable patient base, a lot of retirees. [01:13:00] So they’ll tell you, you know, they don’t like the change. But the key thing, what you [01:13:05] talked about the fruit and veg is you gave them a chance. You gave them one chance. You turned up once, you knew it had been [01:13:10] bought and sold. And you’re like, oh, the tills in a different place. Maybe that gave you a trigger, but ultimately you gave [01:13:15] it a chance. You probably give it another chance. And and just to weigh up another [01:13:20] drop off or another pickup. Do I like it? Do I not like it? And so you’ll give it a couple of chances. [01:13:25] So the key is, is those chants. And so people are loyal either to the dentist that’s retiring [01:13:30] or they’re loyal to the building. They’ll give the building another chance.
Payman Langroudi: Yeah.
Mike Hesketh: Um, [01:13:35] and don’t get me wrong, there will be ten grams from [01:13:40] patients who will write very eloquently about why I’m the worst person in the world of [01:13:45] a couple of thousand members.
Payman Langroudi: Now, don’t take that personally. [01:13:50]
Mike Hesketh: If I took that personally. I mean, I do have a bit. I do have a bit of fun with it. I, um, [01:13:55] I, uh, ring them.
Payman Langroudi: Oh.
Mike Hesketh: Do you? Yeah, yeah, I ring them and I go, [01:14:00] oh, can I just to try and turn them. We try and kill them with kindness. That old adage and, uh, the [01:14:05] team are built around that, so. But you will get ten naysayers. And a [01:14:10] lot of the time, people that have been coming to the building, having the dentistry, they go, yeah, it [01:14:15] needed investment and it needed change, and they’ll give you a chance. But bear in mind [01:14:20] that there are six practices within the same town in Tavistock, and all the others are private and we’re private, [01:14:25] but with this NHS contract, um, and so they give you a chance and [01:14:30] so then you’ve got to try and do it with empathy, with care, with communication. [01:14:35] And you say, right, the brand values are we’re moving to this, we’re changing the name. [01:14:40] Limmeridge House is a manor house. It’s 200 years old. It’s always been called Longbridge, [01:14:45] but we’re going to call it Dartmoor Dental around a national park which is aesthetically pleasing [01:14:50] and desirable. Um, and we will try and give an experience [01:14:55] to patients. Um, but I don’t really buy into this, um, something [01:15:00] new. Um, we we’re not reinventing the wheel and, you know, sort of the strap [01:15:05] lines doing dentistry differently from corporates and mini corporates. And you’re just [01:15:10] raising the standards, which is great. Everyone’s investing and raising standards, but no one’s really doing much different. [01:15:15] You know, we’re not reinventing the wheel in those 8000 practices. And I don’t think many they [01:15:20] might be buying them different, different ownership structures. But in reality it’s just [01:15:25] a catchphrase really.
Payman Langroudi: But to grow them the way you have, you must be. Now, when you say raise [01:15:30] standards, you’re comprehensively treatment planning. Yeah. And I guess sometimes you’re breaking [01:15:35] bad news to people, right? I mean, you know, if the dentists have been sort of very laissez faire [01:15:40] And then you come in and say, right, full mouth rehab. Yeah. How do you manage that? [01:15:45] Because, by the way, they watch the place being done up. Yeah. That cynicism comes in as well.
Mike Hesketh: And [01:15:50] actually my hygiene.
Payman Langroudi: For it or whatever.
Mike Hesketh: My hygienist and we were at the private dentistry awards on [01:15:55] Friday night. So, uh, we won most improved practice, which is a brilliant, um, [01:16:00] thing for us in the hygienist that I chose to join us. Um, they’re so expensive. Those [01:16:05] awards, I can only bring one staff member. So my manager was up for an award, and then the hygienist, [01:16:10] who’s very loyal, and she told me a story about a patient saying, well, I can see where the money is going [01:16:15] now. And she said, yeah, you can now because the previous partners used to go on a lot of holidays. [01:16:20]
Payman Langroudi: Mhm.
Mike Hesketh: Yeah. And so there’s a pushback from the team to say [01:16:25] hang on a minute. We never had airflows, we never had this equipment, we never had chairs [01:16:30] that went up and down smoothly and lights and cameras to show people. And so all of a [01:16:35] sudden people, you’d be surprised that how even patients are accepting of the new world [01:16:40] and how it moves on. And so long as you deliver it with empathy and you don’t [01:16:45] criticise your predecessor, I mean, it’s just a lose lose if you criticise your predecessor. [01:16:50] Yeah. Um, and so I remember a patient in Exeter in particular. [01:16:55] I felt sorry. For who? A gentleman who was sharp. And he said, why wasn’t this [01:17:00] picked up previously? Um, by the gentleman I’d been seeing for 20, 30 years? I think that was [01:17:05] a complaint. But to be fair, there was a retainer left by the gentleman there, a very honourable man, you [01:17:10] know, it was just paid out of the retainer for that. So I can remember the individual cases [01:17:15] of complaints. It’s not like it’s a wholesale. Oh, my God, there’s 11,000 patients at Dartmoor. [01:17:20] Um, and we’re gaining. But in numbers of patients [01:17:25] having a net gain. But all of them, I can’t actually tell you whether any [01:17:30] of them that have gone. Do you know what was the last two retired dentists doing? None [01:17:35] of them really. They kind of people move on and they go, oh yeah, the [01:17:40] the GRC fill ins are falling off and we do need some proper dentistry now. And I understand that.
Mike Hesketh: And to be [01:17:45] fair, they’re in a phase a lot of the time where they have some money from house downsizing and they go, it’s really important that [01:17:50] I can eat what I want. So we talk to the patients about the end point being straight white teeth. [01:17:55] We don’t even can’t even do straightening. We can now. We’ve just recruited someone who can do straightening. Um, [01:18:00] but ultimately, because straight white teeth are healthy teeth. Now, do we get there? No. [01:18:05] And patients can get off the train at any one point and get back on the train. Don’t mind that. It [01:18:10] depends on the resources of time and money, but what we what I say to the team and I have quarterly [01:18:15] meetings with the whole clinical team. I take them out for a dinner in a local hotel and we do a [01:18:20] we base everything on audits, so we audit our clinical results and then we [01:18:25] do case presentations. And um, it’s and it’s chaired not by me, but it’s chaired by [01:18:30] clinical lead in the practice. So I always appoint a clinical lead. And the clinical lead is the most valuable [01:18:35] person in the practice for me as an owner, because their decisions are untainted by money. [01:18:40] Their they are driven by clinical standards. So the material choices. But [01:18:45] when they make a choice of the type of composite, it is uniform across the practice so [01:18:50] that we have good business principles in not lots of composites going out of date because people have done different courses. [01:18:55]
Payman Langroudi: Um, how do you pick the clinical lead?
Mike Hesketh: Usually the youngest. [01:19:00]
Payman Langroudi: The youngest. Yeah.
Mike Hesketh: Yeah, yeah. It’s not don’t pick the oldest. Don’t pick the youngest. Implanters. [01:19:05] Yeah. The youngest. Yeah.
Payman Langroudi: So explain that, um. How young.
Mike Hesketh: Yeah. [01:19:10] It’s close to qualification as possible.
Payman Langroudi: The clinical Leaders course.
Mike Hesketh: Yeah, yeah. [01:19:15]
Payman Langroudi: How does that.
Mike Hesketh: Work? And it’s the era of that person within the business.
Payman Langroudi: So tell [01:19:20] me. Tell me the chat you have with that person.
Mike Hesketh: Oh, well, it’s really powerful, actually, because, um. [01:19:25]
Payman Langroudi: I love that. It’s very interesting. I did not expect you to say that.
Mike Hesketh: Well, it comes from, um, [01:19:30] the Maxfacts unit. I was in in Portsmouth, in QA hospital and half [01:19:35] the team were old and bald. Military surgeons, Falklands veterans, [01:19:40] so real, you know, singly qualified some of them and but had dealt with Exocet [01:19:45] missiles through ships. So really interesting gentlemen and professors and [01:19:50] all sorts of on civilian side. And there’d be nine consultants and they’d have a load of shows, [01:19:55] um, half from the military, half from civilian world. And [01:20:00] the, the most recently qualified consultant would then step up as [01:20:05] the clinical lead, and they would then set the standards because they were the closest to the education. [01:20:10] So these were very dominant males, men who would [01:20:15] listen to their junior peer. So again, another learning from the military. [01:20:20] And so the clinician that I chose in Exeter is [01:20:25] now an associate professor at Peninsula Dental School. But he was an NHS dentist when [01:20:30] we recruited him, recruited him Recruiting from Lincolnshire, moved his family down to Devon and fair [01:20:35] dues to him took a gamble on us. Um, and I said, look, would you be the clinical lead because the [01:20:40] team are coming to you to talk about complaints from patients. They’re coming to you to [01:20:45] talk about material choices, about difficult cases. And I will pay for [01:20:50] your endodontic masters or half of it. Um, and [01:20:55] would you do two years? And he said, yeah. And I said, it’s a £500 [01:21:00] stipend per month. So they get £500, but you’ve got to do 2 or 3 hours a week on [01:21:05] driving the team on audits. So we audit filling success rates. We audit, [01:21:10] um, radiographic audits, note keeping audits on a quarterly basis. And [01:21:15] then he then set the standard for winning the wish list, which [01:21:20] is how we buy equipment. So he gets given a budget of a couple of grand for not just stock, but [01:21:25] new new equipment that we want to bring into the business like enlightened.
Payman Langroudi: Mm.
Mike Hesketh: Um, and so [01:21:30] he did that for Exeter. And then, um, he, [01:21:35] he essentially and took it all the way through to the end because we were selling it. Um, but within Dartmoor [01:21:40] there was Chrissy, who’s doing an MSC at Peninsula, [01:21:45] and it’s the era of Chrissy. So she did two years and you can extend it by one [01:21:50] year. Um, but then it’s important, you call it and you say, right, that’s the era of [01:21:55] her. And now it’s another lady called Rebecca. And Chrissy was 27 when she took her, and [01:22:00] she was an associate in the practice with four older men and hadn’t been supported. [01:22:05] I don’t feel as much as she could have done. Um, but that was their own, you know, lots of things [01:22:10] going on at the time. It’s not a criticism, but, um, she came in and then she drives the standards [01:22:15] towards, um, evidence based dentistry. And funny old thing, if [01:22:20] you put a young lady in charge, the standards go through the roof, you know, [01:22:25] and then she takes the team with her clinically. Um, and then a dental therapist [01:22:30] or a dental hygienist can be the clinical lead as well. But it’s a yin and yang to me. At [01:22:35] the end of the day, I can pretend I’m not a businessman and I can say, you know, do all this charity, [01:22:40] you know, effort. But in reality, I am biased because I’ve got to pay the payroll at the end of the month. And, you know, [01:22:45] that’s the thing we all look forward to and try and make sure that we’ve got enough in the cash in the account for, um, [01:22:50] and so my advice or my decisions are always going to be tainted by money. And [01:22:55] the clinical lead isn’t tainted by money. They’re driven by high standards and evidence based [01:23:00] dentistry. If we just did evidence based dentistry, the turnover like it had in Exeter [01:23:05] and Dartmoor just goes through the roof and they go from seven chairs to ten chairs. It’s [01:23:10] just evidence based dentistry. We’re taught at uni, but I wasn’t tainted by the NHS system. That taints [01:23:15] a lot of.
Payman Langroudi: And I guess I guess treatment planning from first principles as we were taught in uni is [01:23:20] big treatment plans, right?
Mike Hesketh: It’s perio. And so the first thing we do is write a perio protocol I [01:23:25] need to get a periodontist in to train the team again. So it’s all about the perio to begin with, [01:23:30] and then we layer it on filling success rates. Biomimetic Samba Composite course, [01:23:35] which is a course that I’ve done recently, um, doing really good bio bases, [01:23:40] Non-sensitive composites.
Payman Langroudi: Um, to your clinical right now.
Mike Hesketh: Yeah. So [01:23:45] I was saying earlier that, um, I sort of fell out of love with it. I don’t think I ever [01:23:50] fell into love with it. I was just too distracted. Yeah. Came back from travelling, started consulting [01:23:55] with Ashley’s team, and then, um, people wanted 1 to 1 advice [01:24:00] and started to build my consultancy firm. And then we bought Dartmoor, and [01:24:05] I started being clinical again. And then my clients started [01:24:10] inspiring me. I thought, it sounds really dramatic, melodramatic, but [01:24:15] if you spend half an hour talking to Amber Aplin about doing composites that last a lifetime and doing [01:24:20] them really well and doing onlays and not doing crowns, you can’t help but get inspired. So I’d be [01:24:25] talking to her about business. Every week on our Thursday call. I talk to everybody on a Thursday morning [01:24:30] for 40 minutes. You know, each each of the individual 1 to 1 clients. And by the end of [01:24:35] it, we’re always talking a little bit about clinical. Same with Gareth and Zach down in smiles [01:24:40] stories. Um, Amy and Stuart up in King’s Lynn or AJ and his wife up [01:24:45] in North Norfolk. Um, you know, Doctor Rhys in Liverpool. Um, [01:24:50] I talked to all of these, Martin and Nick. I just talked to them, and all of a sudden you just can’t help but be [01:24:55] inspired. I don’t think I’ve done enough dentistry. And so the course that I want to do [01:25:00] next year is occlusion, because at mid 40s people want me to do their dentistry [01:25:05] and it’s really lucrative doing dentistry for me personally. I’m [01:25:10] in pyjamas all day. I’m in an air conditioned surgery with patients that I like, with [01:25:15] the nurses that we have a laugh and we enjoy ourselves.
Mike Hesketh: And I think actually this is a [01:25:20] good way to work. So I’m at a crossroads where my [01:25:25] clinical work, I’m getting more and more interested in it, which I never thought I’d say. Um, [01:25:30] I kind of ticked the coaching qualifications from Henley Business [01:25:35] School, the consultancy qualifications, the leadership qualifications. So I’ve kind of in my way [01:25:40] finished the business development of myself. And so it’s the clinical bit [01:25:45] that’s interesting to me now, which is different to a lot of mid 40s dentists. [01:25:50] And then my consultancy um, is I equate it the same to dentistry. [01:25:55] So I make as much from my 1 to 1 consultancy as I do from dentistry. And, [01:26:00] but it’s working with my hands so it uses my time. So it’s what I call like a level [01:26:05] one business. So it requires me to do it both very lucrative and [01:26:10] I don’t know which one to do more of if I’m honest. I’m at a crossroads. And [01:26:15] then obviously level two is sort of buying businesses like local businesses buying. I could buy [01:26:20] a practice closer to home, that would probably be sensible. As well as keeping Dartmoor um [01:26:25] and a level three business is enlighten. So a national brand that’s done [01:26:30] really well got into so many different practices based on high standards. Um, and [01:26:35] that I feel would come from Laura. So Laura would say, okay, actually there’s a niche in [01:26:40] scanners or there’s a niche in something outside of dentistry. Um, [01:26:45] and that’s whether we take that moonshot at the minute or whether we just do [01:26:50] what we’re doing now, which is obviously.
Payman Langroudi: I want to ask you specifically [01:26:55] about two things. Right. Um, but before I forget, I’m going to ask you about another thing. Sorry. [01:27:00] Yeah, I.
Mike Hesketh: Do, I go off on tangents a bit.
Payman Langroudi: So your nurses, [01:27:05] your team leaders and the, the way the thing [01:27:10] runs smoothly. Yeah. What’s the what are some key points to [01:27:15] making that happen in a practice? Because one thing.
Mike Hesketh: As a leader.
Payman Langroudi: As a leader.
Mike Hesketh: Dental Leaders podcast. [01:27:20]
Payman Langroudi: As a Dental leader, because one thing a lot of us are guilty of is sort of micromanaging.
Mike Hesketh: Yeah. [01:27:25] So.
Mike Hesketh: Um, I have no interest in micromanaging and taking the emotion out of it. Um, [01:27:30] I think that does come from military training. And the closer you can get to that in business, the better. I’m not saying don’t be [01:27:35] passionate, but, um, we carry a lot of, um, weight with our, um, [01:27:40] forceful views as owners, and we have to be cognisant of that. And some of the junior [01:27:45] staff are very wary to how we say things and look at them. Um, and so the [01:27:50] power that we wield around the business as a captain of the ship is important that we we tread very carefully. [01:27:55] Um, and so I talk in the third party. So I talk [01:28:00] about building Dartmoor Dental. I talk about building extra Dental centre. And [01:28:05] I don’t talk about what Mike wants. Um, I don’t talk about what Laura wants. I talk about what [01:28:10] the business needs. It’s a legal entity, and I’m currently the director of Dartmoor Dental. [01:28:15] So I have a legal responsibility to do it as an entity. So I very much segment [01:28:20] it in my head. So on a practical level, walking around the business, I talk in principles and mantras. [01:28:25] I believe that the ship keeps sailing. Doesn’t matter who’s on board the ship. It comes [01:28:30] back two years later with a different crew in the Navy. So the same with Dartmoor, same with Exeter. It keeps [01:28:35] on growing without me. No one’s bigger than the ship. Okay, I talk [01:28:40] about delivering the patient to a tutor at the end of the treatment plan.
Mike Hesketh: I talk about leveraging every [01:28:45] part of innovation and digital technology in a sensible manner. So not being at the forefront [01:28:50] of software companies that might be here might not be here in a year. So, you [01:28:55] know, being careful because there is 11,000 human beings we’re looking after for their patient care. [01:29:00] Um, I talk about being on time. It’s [01:29:05] a non-negotiable. Um, I talk about, um, cleanliness. We’re [01:29:10] a healthcare provider. And so if we have clutter in the practice, in any of the drawers, then [01:29:15] we can’t keep it clean. So we can’t pretend we’re clean on one side and then have clutter in [01:29:20] a drawer, paperwork and all that. Um, so we do monthly deep [01:29:25] cleans of every surgery. Everything comes out of every surgery, and every surgery is deep cleaned. I [01:29:30] talk about evidence based dentistry. I think people get too into the weeds of their [01:29:35] business and don’t do enough standing back and surveying the horizon. Fundamentally, [01:29:40] my role as a leader is to scan the horizon for opportunities. Speak to the [01:29:45] fantastic clients that I work with. Speak to yourself, speak to, listen to this podcast and [01:29:50] understand some inspiration from out there that maybe the team don’t do. I scan the horizon for opportunities [01:29:55] and where I should be taking the business. And then I have a very good manager who operationally, [01:30:00] um, is the enforcer. And it’s important that you have an enforcer.
Payman Langroudi: So you don’t micromanage [01:30:05] the human, but you do micromanage the SOP. Yeah.
Mike Hesketh: So [01:30:10] so we have a we have a protocol folder for everything. No.
Payman Langroudi: No, [01:30:15] it’s not like that.
Mike Hesketh: Yeah. So protocol would be, um. No. So. Yeah. God, that’s my worst nightmare of having [01:30:20] a written instruction of everything. Oh, SOP is standard operating procedures. Yeah. It’s a very [01:30:25] military term. They have a 600 page document for how to run a dental practice. No, not that it’s in the real world. [01:30:30] We’re a small business. We have limited resources. But what we do do is say the patient journey [01:30:35] should look like this.
Payman Langroudi: Mhm.
Mike Hesketh: You know, they should have x, y and z. Um the [01:30:40] support of the building itself, the building maintenance should look along the lines of this, [01:30:45] um, how we deliver certain clinical aspects like composites [01:30:50] or um occlusal rehabilitations, those [01:30:55] sort of things should look like this. And it’s important that people, um, have [01:31:00] a written protocol, but it’s a guideline. It’s not a it’s [01:31:05] people. People fall into rigid things really quickly. Right. Well, I’ll write a protocol on that. [01:31:10] It’s my worst nightmare. You know you want to set almost like a Bible. I call it a Bible, [01:31:15] you know? And you think about the Bible, you know, it’s not dictating you. [01:31:20] You are trying to follow a set of rules.
Payman Langroudi: Basic principles.
Mike Hesketh: Basic principles.
Payman Langroudi: You [01:31:25] believe in God.
Mike Hesketh: Um, yeah, I think I do now.
Payman Langroudi: Yeah, we’ll get to that.
Mike Hesketh: Yeah, yeah, [01:31:30] I do, I do now. Yeah, yeah, I do now. Yeah. Well, I believe in a higher purpose I [01:31:35] think. Yeah, yeah. Um, but but you’re talking about principles, whether [01:31:40] it’s Quran or whether it’s the Bible, you’re just, you’re trying to set a tone for the team. Um, [01:31:45] and it’s an ethos. And then that is then shared in a brand and [01:31:50] a brand book, and we tell a story for a book.
Payman Langroudi: It’s interesting. Yeah. Because you are pretty hands on. [01:31:55] That means. Yeah, because, look, I talk to a lot of corporates, right. In our world, corporates are a big [01:32:00] part of our world. And and I asked them that question sometimes if your logo is on top of [01:32:05] this practice, what does that mean from the patient perspective. Yeah. [01:32:10] And and some of them find that a very difficult [01:32:15] question to answer because.
Mike Hesketh: We just do dentistry.
Payman Langroudi: Yeah.
Mike Hesketh: But then they’re redefining dentistry, [01:32:20] remember.
Payman Langroudi: Yeah.
Mike Hesketh: That’s a that’s a cynical.
Payman Langroudi: Some of them do very well. Some of them do very well. Yeah. But some [01:32:25] of them do it very badly. Yeah. And and of course. But [01:32:30] listen, by the way. Yeah. You walk into a Louis Vuitton shop. Yeah. In Mumbai or [01:32:35] one in Auckland. You’re going to get this seven star experience in both of [01:32:40] those shops. And that’s a massive call. It’s a much bigger corporate than any of the ones in dentistry. So [01:32:45] it is possible to deliver superb service across a big thing. [01:32:50] More in products than in services. Yeah. But I’d argue walk into a Louis Vuitton [01:32:55] shop is a service.
Mike Hesketh: Yeah, it’s an experience.
Payman Langroudi: It’s an experience.
Mike Hesketh: They don’t they don’t really focus enough [01:33:00] on the experience. They focus enough on the product, you know, and when they’re trying to set their fees, um, [01:33:05] practice owners, they, they go well either compare to locally or to see what they [01:33:10] think they can they can push to.
Payman Langroudi: What’s your advice on that?
Mike Hesketh: Setting fees I mean, [01:33:15] looking at someone’s fee guide on a on a practice is like looking into their soul.
Payman Langroudi: Really?
Mike Hesketh: Yeah [01:33:20] yeah, yeah. It shows me. It shows me where they’re confident, where they’re not confident. So [01:33:25] if they.
Payman Langroudi: Solid example of that.
Mike Hesketh: Yeah. Well if for instance, if they, if they write it like an. [01:33:30] So treatment plan and expect a patient to understand the fee guide I’ll [01:33:35] say that they’re cluttered and they’re trying to um.
Payman Langroudi: They’re not looking at the business from the patient’s perspective.
Mike Hesketh: They’re not they’re not confident, you [01:33:40] know. And then there’s some areas where they’ll go into town on maybe the cosmetics, or they’ll go into town on the different [01:33:45] types of dentures or something. And you’ll see that’s where they’re really confident, and then they’ll just have one little fee for something. I [01:33:50] also think there’s a clarity. There’s not a clarity of thought. So there should be one fee for root canal. For [01:33:55] every root canal should just be one fee because it’s all the same value. Um, [01:34:00] yes, I know some take different times, but it doesn’t matter who delivers it in the practice, whether [01:34:05] they’ve got an MSC or whether it’s an associate. The patient is getting a root canal from Dartmoor Dental. [01:34:10] So it needs to be a certain price and it needs to have a certain audited success rate. [01:34:15] And so the fee is this it’s not an associate fee and an MSC fee and a specialist visiting specialist [01:34:20] fee. It’s just one fee. So if you look at our website, it’s one fee and it’s a front two for a back tooth because [01:34:25] the patient values the front tooth more than the back tooth. Sometimes that’s a generalism, [01:34:30] but they will very much value their front teeth hopefully. Um, and so [01:34:35] the fee should be one fee. So it’s a very clear clarity of thought. And if someone’s done that I know that they’ve really thought about [01:34:40] their proposition, their positioning, and they’ve worked really hard at it. But if you look at most practices, they’ve got fees all over [01:34:45] the shop for root canal, premolar, molar incisor, two stage, one stage. They [01:34:50] don’t know what they’re offering. They’re not they’re not thinking about the output. They’re thinking [01:34:55] about what it means to them, not to the patient.
Payman Langroudi: Yeah.
Mike Hesketh: Yeah. Um, that’s [01:35:00] a that’s an example.
Payman Langroudi: And what about positioning itself? I mean, would you tell Uh, someone who [01:35:05] wants to open a squad.
Mike Hesketh: To shortcut on positioning.
Payman Langroudi: Yeah.
Mike Hesketh: 40 year old [01:35:10] female in Western society. That’s a shortcut. So the reason why is [01:35:15] the 40 year old female in Western society is a decision maker for one one across, one down. And [01:35:20] so they will make a decision for their parents, make a decision for their partner and make a decision [01:35:25] for children. And that’s backed up by academic research that I did on my [01:35:30] MBA out of the United States of America. So they so if you want a shortcut in UK dentistry, [01:35:35] target a 40 year old female. What they like and a lot of the 40 year old female owners [01:35:40] basically just need to target themselves and their friends. That’s a shortcut. That’s an [01:35:45] easy one. On positioning. I would say that Exeter did that in the city centre and [01:35:50] also Dartmoor in a little town also does that, I think. Well, how’s [01:35:55] that work? Well. What does a 40 year old female in Little Town want? Versus what does a 40 year old female [01:36:00] in a city centre want. Different stages or different feelings about their life. [01:36:05] But usually it’s a higher standard than most people are willing to go to. It’s [01:36:10] a higher standard of cleanliness and, um, care [01:36:15] for children than people deliver. And empathy for children. It’s [01:36:20] a higher standard of, um, flexibility and, um, [01:36:25] ability to book appointments for their partner. And it’s a higher standard of, um, decor [01:36:30] and feeling and the senses, the smell, the sight, the the feel [01:36:35] than what most people are willing to work to. And so basically, [01:36:40] Lara, you know, my you know, my.
Payman Langroudi: Wife does that then follow a higher price as well.
Mike Hesketh: It ordinarily [01:36:45] as you raise raise standards and the experience using your Louis Vuitton um description. [01:36:50] If you if you do a bigger experience you charge more. And [01:36:55] so what happens is we have no real ceiling to our fees.
Payman Langroudi: And so was Dental [01:37:00] the most expensive practice in Exeter, and.
Mike Hesketh: We tried to push it 25% above the market. Um, [01:37:05] I mean, I’m sure there’s other sort of smaller practices that charge more for the [01:37:10] specialist skills of a single chair practice owner.
Payman Langroudi: But I find it really funny [01:37:15] that people commoditize in the sense I don’t buy commodities. I don’t mean drive prices down. [01:37:20] I mean that people think there’s a direct relationship between price and volume in a, [01:37:25] in a service like dentistry.
Mike Hesketh: Yeah. You’re right.
Payman Langroudi: Yeah, yeah. And people really believe that. You know, people believe if [01:37:30] I increase the price of my whitening, if I double the price of my whitening, I’ll do half as much. Or if I half the price, I’ll [01:37:35] do double as much. And it’s never like that.
Mike Hesketh: Not at all. Yeah. No, it never is.
Payman Langroudi: And it’s [01:37:40] not a direct relationship like it’s not. It’s not a commodity. It’s it’s something much more complex than that.
Mike Hesketh: It [01:37:45] is. And if you think about the risks that we take, both medical legally and for the patient, you’re essentially, [01:37:50] um, grievous bodily harm on a patient every 30 minutes if you’re doing a filling or and so, you [01:37:55] know, that’s a reasonably stressful job for people. And if you’re only going to charge £120 [01:38:00] for a filling as opposed to, you know, another commodity that you can [01:38:05] buy on the high street, be it whatever you are charging too little. Most of the UK dentistry [01:38:10] doesn’t charge enough for the level of risk that they take and the care that they take, but that’s [01:38:15] because the culture is based around the low fee NHS model. Yeah, [01:38:20] and I saw that the Chancellor had just announced a Competition and Markets [01:38:25] Authority investigation into private fees in UK dentistry. Yeah. Well say you set [01:38:30] that fee at a low level. You’ll go the way as Holland. In Holland they have a set fee [01:38:35] by the government and all the practices are struggling to make a profit. And they have to use [01:38:40] dental nurses to do fillings. And and they run three dentists run three chairs at once and they can’t make a profit. [01:38:45] I mean, the macroeconomic, um, deficit of, [01:38:50] of being involved in setting fees for private dentistry is just a disaster because essentially [01:38:55] you’re just going to have the UK reputation of poor teeth because of the NHS again, but you’re just going to [01:39:00] do it on a private level, and people aren’t going to be able to afford to use the itero scanners.
Mike Hesketh: The [01:39:05] enlightened, the, uh, to do the better quality kit and equipment and [01:39:10] service that people want to do is, you know, 99% of clinicians [01:39:15] want to do really high standard dentistry. They don’t want to, um, you know, put poor [01:39:20] quality fillings in. But the NHS system has always driven over decades, putting [01:39:25] poor quality work in and doing it quickly. I know that there are NHS dentists that don’t work [01:39:30] like that, but essentially it’s really hard to keep up with compliance if you don’t earn enough money. So [01:39:35] if they were to limit the private fee level. So if you think about that in reverse, there isn’t really a limit [01:39:40] to what you can charge privately if you get the experience right through the business. And [01:39:45] so it’s this whirlwind of an experience within the practice that we try and generate.
[TRANSITION]: Yeah. [01:39:50]
Payman Langroudi: I want to talk about your consulting clients. Some of my favourite [01:39:55] conversation I’ve had so far was with Zack.
Mike Hesketh: Oh, Zack and Gareth in Smile stories.
Payman Langroudi: I don’t want to [01:40:00] get Gareth on just to be more exposed to those guys. Um, but but what [01:40:05] I’m really interested in is. And we had Amber on. She hasn’t. We haven’t put that one out yet. Amber. [01:40:10] Okay. But but the. And I’ve had Nick and Nick and Martin as well. [01:40:15] Um, what I’m really interested in is when someone comes to you as [01:40:20] a consulting client, are their problems [01:40:25] very similar, or are they each very different? Because I know every practice [01:40:30] is very different. Having been to lots of practices, it’s very clear every practice is very different. [01:40:35] Yeah, but but the blind spots that people have that you can point out, like what [01:40:40] are the common things that people miss?
Mike Hesketh: No, I don’t think all practices [01:40:45] are the same, to be honest with you, with the, um, consultancy, I think that’s where you [01:40:50] go into coaching as well as when I did the Henley Business School coaching qualification. It was. [01:40:55] I felt like it was a hole in my armoury. So obviously consulting, I can tell people the right answer because [01:41:00] I live and breathe it. I walk the walk myself with my own practices. We have the growth that we’ve talked about, [01:41:05] but every practice that I work with has a different brand, a different positioning, [01:41:10] a different team, a different situation, different resources. And so a lot of the time I need [01:41:15] people to find their own answer, which is what coaching is. And that’s a top tip as well. To be a leader, become [01:41:20] a coach as a model called the growth model from John Whitmore. And [01:41:25] if you read about that, it’s one of sort of ten coaching tools that you can use, and [01:41:30] you can play with it in conversations with your team to get good at it. But when I’m having conversations with [01:41:35] clients on a Thursday morning, I often will slip into the growth model. What the goal is, what the reality [01:41:40] is, what the options and what will they do to get them to commit to something. And so [01:41:45] now when I’m working with clients on a 1 to 1 basis, like the clients that you talked about who [01:41:50] are fantastic in their own right, I divide it into four pillars. So leadership, [01:41:55] infrastructure, branding and financial command and control.
Mike Hesketh: And I [01:42:00] think that if they get that those four pillars sort of singing in their practice is 80% [01:42:05] of the way there. And obviously leadership I’ve got okay weighed off got lots of [01:42:10] qualifications in it through the military and through Cranfield University, all sorts of different places. [01:42:15] The branding is where I struggled with the most as I came out of the military, because [01:42:20] that’s where I leaned on Lara. But now I understand it a lot better and the infrastructure is [01:42:25] what I live and breathe, the physical and the digital infrastructure. So checkpoints, the flow through the business [01:42:30] and then the financial command and control. It wasn’t out there, so I had to build our own accountancy [01:42:35] to make that work. And so when I’m auditing clients in my head as I’m talking [01:42:40] to them each week, I’m looking at those four pillars thinking, okay, which are the hundred spinning plates that are [01:42:45] divided into those four pillars. Do they need to be working on at that time? And the answer [01:42:50] is usually what will increase turnover. So what thing will increase turnover. And [01:42:55] now turnover is vanity. But we do this one document called cash flow forecasting. So I [01:43:00] know how much money is going to be in Dartmouth’s account in a year’s time. I know that because most [01:43:05] things in dentistry aren’t reinventing the wheel. Like I said earlier. So clients [01:43:10] need a lot of, um, structure, I feel, in the consultancy and coaching. But [01:43:15] I’m happy that in my armoury, I’ve been formally qualified and taught [01:43:20] from recognised universities in this.
Mike Hesketh: And I think that’s important. I think just because [01:43:25] you’ve been in the game for 10 or 20 years doesn’t make you a consultant. Um, because you have to take people [01:43:30] with you on the journey, which I think is what you’re alluding to with with these owners of practices, [01:43:35] they struggle, um, to be told what the answer is. And maybe that’s why when we [01:43:40] both started out and helping people that only you can think of, a [01:43:45] handful of people have just done what we’ve said. So you go, well, is that them or us? It’s [01:43:50] probably us. Yeah, yeah. In our consultancy world. And you go, well, how can I coach them? How can I get them to find [01:43:55] their answer? And in a way, that’s the harder challenge. Yeah. I can tell someone how to grow a dental practice really [01:44:00] quickly. It’s fine. Um, I find it quite, um, you know, enjoyable, but [01:44:05] really, the coaching is is the real joy. And say, Amber Aplin at the moment. [01:44:10] Um, she won um, practice of the year in the North on Friday. [01:44:15] And considering where we were 18 months, two years ago and confidence [01:44:20] levels, um, the clinical excellence was always there. It just needed bringing out. It [01:44:25] just needed showing. And I said, well, most clients are too quiet about how good they [01:44:30] are. I’ve got a client who does a lot of choice, spending tens of thousands [01:44:35] on courses in in Seattle and America doesn’t tell anyone.
[TRANSITION]: Um. [01:44:40]
Mike Hesketh: But if I wanted a full mouth rehabilitation based on good occlusal principles, I’d probably [01:44:45] go see my client in North London. You know, they’re amazing. They’re [01:44:50] fantastic clinicians, but they don’t tell anyone. And so a lot of the time is trying to bring out that inner [01:44:55] confidence, um, and make them realise how good they are at, um, at [01:45:00] dentistry. Um, a lot of them have got a bit of I work with practices, you know, we’ve had some [01:45:05] resources behind them because I work on a 1 to 1 bespoke basis. So it takes [01:45:10] up time. So it’s relatively expensive, but hopefully they get value for it. It’s 12 months contract. [01:45:15]
Payman Langroudi: Do you mind me asking how much it costs?
Mike Hesketh: No, it’s, uh, 3300 a month plus [01:45:20] that 1 to 1. Um, and it’s a set, 12 month contract, and [01:45:25] I’m not a gym membership, so I won’t be there after 12 months. Um, that we can just carry [01:45:30] on rolling that on. They can message me, and then we always. I become friends with the owners.
Payman Langroudi: 2300. [01:45:35] How much is that a year? 40.
Mike Hesketh: So it’s about I think it’s just shy of 50 grand investment. [01:45:40] And they only work with three practices at any one time. So I’m.
Payman Langroudi: Three. [01:45:45] Only three?
Mike Hesketh: Yeah, I started at ten. Um, I was at ten. [01:45:50] And whilst trying to build Dartmoor and become a better clinician and actually try and be a father [01:45:55] and do all, everything else, it was too much. So I’ve rapidly, um, as patient [01:46:00] as clients have dropped off, I’ve just created a waiting list and I just [01:46:05] say to clients, look, I’m full for 2026, but, um, you can [01:46:10] always message me and I’ll always talk to you, and things happen. You know, people do drop off [01:46:15] eventually, and then I’m ready then for another client. But what I try and get clients [01:46:20] to do is grow £500,000 per year. Um, so that’s painful. And that requires [01:46:25] a lot of intense effort from me and my team.
Payman Langroudi: Based on the 20% number, [01:46:30] though, that means they have to increase their turnover by 250,000. [01:46:35]
Mike Hesketh: Yeah, we aim for 500.
Payman Langroudi: To pay you.
Mike Hesketh: Yeah.
Payman Langroudi: And [01:46:40] then the other 250,000 is. This. Yeah. Gravy.
Mike Hesketh: Yeah. And [01:46:45] also that’s another.
Payman Langroudi: I guess what they’re paying you that’s going to last them a lifetime.
Mike Hesketh: Well that’s another it’s 500 [01:46:50] grand every every year isn’t it. Yeah. Um, yeah. And it’s just to have the same rapid [01:46:55] growth that we have in our practices. And because we do it ourselves, we know what we’re doing. And it’s quite easy [01:47:00] for me to see through a lot of systems within practices. Now, I’ve seen so many. I’ve worked with [01:47:05] 50 practices on a 1 to 1 basis throughout the country. And, you [01:47:10] know, they um, I think that I’m better at selecting clients [01:47:15] now that will go with. Yeah, yeah. That will I think [01:47:20] that’s something over the 5 or 6 years that I’ve been doing it that I’ve got better at and said, actually, [01:47:25] I’m not sure they’re in the the right state to listen. I think they might want to be, you know, [01:47:30] more antagonistic with the advice. And, and I turn more clients [01:47:35] down than I take on.
Payman Langroudi: You not ever minded to talk to a private equity [01:47:40] guy and make your own little mini corporate.
Mike Hesketh: Yeah. Um, [01:47:45] I wrote a dissertation on it on the MBA. Um, obviously, we we have a certain [01:47:50] system that works in growing rapid practices. Um, it might be the next [01:47:55] stage. I said earlier, I’m at a crossroads between consulting, clinical buying [01:48:00] a practice, I think, by, um, doing a corporate or building a group, [01:48:05] um, is not without its energy drain. And. [01:48:10] Yeah. And so you have to be certain that you want to do that. And we’ve met some really lovely people [01:48:15] that have built corporates and, you know, independent corporates sort of ten, 20, 30 [01:48:20] practices. And and they have that energy to do it. And so it’s just I just need to be careful [01:48:25] with what I do next that I want I really want to do it as a purpose. And maybe [01:48:30] um, that might be an option. I get offered practices all the time to buy, um, good [01:48:35] practices as well. Nice ones. So yeah.
Payman Langroudi: I think the model that might work really well is you’ve got an attendant [01:48:40] is working in this practice as they want to go and open their own [01:48:45] practices. They open corporate satellites. You know, [01:48:50] maybe the Dev Patel model, the 5149 model.
Mike Hesketh: Yeah. But yeah, there [01:48:55] is um, there is a corporate like that in the southwest already. Um, and they do very well with it. They’re [01:49:00] up to 7 or 8. They’re my friends. Um, and then they have a structure where the owner owns [01:49:05] part of it. You’re right. Um, and I think these are innovative ownership structures. I’m just not [01:49:10] sure that they deliver dentistry as differently to each other. You know, when you come to the [01:49:15] face of it. And, um, I think that ownership of practices, [01:49:20] um, is something that is an option for us. And [01:49:25] we could do it. I always thought we’d do three practices and try and make ten get to 10 million turnover, [01:49:30] but that’s like such an arbitrary number. What’s the point? You know, you go, well, I [01:49:35] can pretty.
Payman Langroudi: Much your financial planner said, oh, if you do that then you can retire.
Mike Hesketh: And I could retire [01:49:40] now. So, you know, I could sell and retire now. You know, I’m 44, but, um, so [01:49:45] it’s more of what’s the purpose? And my wife is all about purpose, and I don’t think [01:49:50] she’d let me just buy something like Exeter again just for the sake of buying it. Um, [01:49:55] and in a way, we wanted to do Dartmoor an hour away from [01:50:00] us, um, in a harder location. Um, just [01:50:05] to prove that the first time wasn’t a fluke. Um, and it and hope, you know, luckily and [01:50:10] with a, you know, a bit of grace, we’ve, we’ve managed to have a success of that, um, of the second [01:50:15] one. But if you think about, you know, we’ve built a house, um, we [01:50:20] built an architectural house. Um, so we have that.
Payman Langroudi: What, like a grand design? [01:50:25]
Mike Hesketh: Yeah, yeah. Lovely. So when we came back from, um, uh, travelling with the bungalow [01:50:30] opposite was for sale on the river on the River exe. So we, uh, we bought the bungalow and knocked [01:50:35] it down and built a big, um, you know, architectural house. So, um, [01:50:40] overlooking the river. So we’ve got that, um, I think as a want really, I think [01:50:45] as a want. And at the moment, I really enjoy the private dentistry awards on Friday night, [01:50:50] bumping into so many people that we both know and enjoying ourselves and, [01:50:55] um, having a lot of joy from my accountancy firm, [01:51:00] my consultancy firm from Dartmoor itself. Um, I [01:51:05] suppose I should.
Payman Langroudi: If it ain’t broke, don’t fix it.
Mike Hesketh: Yeah, yeah, there is that. And I quite like the [01:51:10] diversity of the week. I don’t work a Wednesday, so I go and watch my children do sport on a Wednesday afternoon. And [01:51:15] so I have a little mini weekend in the middle of the week. And I’m clinical Monday, Friday. And then [01:51:20] I do my consultancy on a Tuesday Thursday. So Tuesday I go and see them, um, if I have to see them. [01:51:25] And then on a Tuesday, on a Thursday doing my zooms, and then I follow up in the afternoon with anything written [01:51:30] that I need to write for them. Um, so yeah. 5050 between Dartmoor and the [01:51:35] consultancy. But it’s got to the point where I don’t need to be clinical at Dartmoor and financially, [01:51:40] you know, especially put the ninth chair in this week. So yeah, [01:51:45] it’s um.
Payman Langroudi: Is your advice to your consulting clients to do less dentistry? [01:51:50]
Mike Hesketh: Yeah. It used to be, um, now I call it ration as [01:51:55] again, military term rations, um, rationing dentistry because obviously [01:52:00] I’ve gone the other way. Now I’ve become enlightened. Um, I’ve ended up doing more dentistry. [01:52:05] So I used to say, oh, you know, if you want an associate led practice, you need to do this, that and the other and you can do. But [01:52:10] I would find it quite odd not being a clinician now, um, because I’ve [01:52:15] booked on Ambers, uh, second course, which is coming up in the, in the spring, I want [01:52:20] to go and do an occlusion course. So I’m open to suggestions on occlusion, like how to really understand it. [01:52:25] I think it’s a real gap in my armoury of clinician clinical work. I want to be able to do [01:52:30] a full mouth rehab. Um, and so, yeah, these are the [01:52:35] things that I want to be doing. And I’ve been looking at Tipton’s courses, um, and I know that there’s people [01:52:40] around the country who do really great occlusion work. Um, yeah. [01:52:45] So we’ve got the options of doing lots of different, different bits. I’m at a crossroads, [01:52:50] really. Um, which is a nice place to be, because 18 months ago, Dartmoor wasn’t easy. [01:52:55] Um, it was full on. It was on a calf strain. But because we, [01:53:00] um, do a cash flow forecast, we know we knew it would be fine, but we [01:53:05] were investing so much and we put £1 million into the place already. But we’re actually a month ago [01:53:10] we’ve refinanced it. So yeah, we’ve managed to refinance it and borrowed another 500 grand on top. [01:53:15] Well, so the idea is, is that we keep that going as a business, a ten chair [01:53:20] that, um, is stable, growing it, driving the standards higher still. [01:53:25] Um, to keep up with some of the consulting clients that I do. Um, [01:53:30] yeah, that I work with.
Payman Langroudi: What’s what’s been the darkest day? I don’t mean military, [01:53:35] but.
Mike Hesketh: Not in the military.
Payman Langroudi: Dental.
Mike Hesketh: I think it’s pretty dark in the military. Yeah, exactly. Yeah. [01:53:40] Um, but relatively relatable for people. Um, I [01:53:45] think before I bought Exeter, I think I came off the back of that [01:53:50] coaching meeting with eight people in the room and hearing the negativity who are more experienced than [01:53:55] me. I remember going out in the middle of the night and doing, uh, push [01:54:00] ups and runs like at midnight and just going, oh, [01:54:05] and, you know, this is really hard work. And I’ve always felt like physical exercise, always, [01:54:10] you know, endorphins. And it makes you feel good. Um, and so, but I’m a [01:54:15] bit allergic to physical exercise, so I have to force myself to do it. Um, so, yeah, I, [01:54:20] uh, I had to go for a run. I would say, you know, that was probably the closest. That was in [01:54:25] 2013. That was the most difficult time. Um, but since [01:54:30] then, I mean, it was fine. Within a few days, it was all right, but it was just like, wow, gosh, [01:54:35] there’s so much pressure. But I suppose your capacity expands as a person to [01:54:40] deal with complexity. Yeah. Um, I mean, Dartmoor, when we bought it, um, I made [01:54:45] some wrong turns at the beginning, and I had, um, um, an [01:54:50] established team, um, from Exeter that, [01:54:55] um, the manager that had brought down was good in a smooth [01:55:00] sea, um, but wasn’t good in a rocky sea.
Mike Hesketh: The manager from Exeter bought. [01:55:05] I bought in right at the end, after everything was done by the team. And then all of a sudden [01:55:10] they started with Dartmoor and they couldn’t do the build phase. They didn’t know what they were doing, they didn’t know how to practice, [01:55:15] manage essentially because I didn’t realise it. But Exeter had a team of 50 people and they did everything [01:55:20] for this manager and they walked, you know, they talked the talk but didn’t walk the walk and [01:55:25] that was kind of known around Exeter. Um, but unfortunately, this this manager [01:55:30] was um, at, uh, um, say, you know, are you are you on [01:55:35] board with this or not? And she self-selected to leave. And then I brought in the actual [01:55:40] team from Exeter who did do it, the sort of, you know, the, the real quality, [01:55:45] um, people who had the ethos of the business and then they came in.
Payman Langroudi: So [01:55:50] lost all those people.
Mike Hesketh: Yeah. Eventually. Eventually, I mean, years later, you know, [01:55:55] years, years and years later, five years later. But yeah, then I brought in the quality sort of the [01:56:00] front of house lead. And, and the practice manager at Exeter was a lady called Corina. [01:56:05] And then she came down and stayed, steadied the ship and she is good. She was the first employee [01:56:10] we had in Exeter. I just didn’t realise how much she did in Exeter towards the end and she was the actual driving force [01:56:15] of the business and she came down to Dartmoor and she did all of the, um, sort of leading of the team for us. [01:56:20] Um, and then, um.
Payman Langroudi: Do you recommend to incentivise the [01:56:25] team.
Mike Hesketh: Um, we do one incentivization. So we do one key [01:56:30] performance indicator. Everyone overcomplicates this because it’s dentists. So you’re only allowed to do one key performance indicator. [01:56:35] So if you want to embed a culture within your business say Google reviews, um, how many whitening starts [01:56:40] you do you incentivise the whole business around that one key performance indicator. And [01:56:45] so, um, everyone needs to know on a daily basis where they’re at, and it’s a monthly target. [01:56:50] And so what we do then is either do them a lunch, a warm lunch, because we gamify it, um, [01:56:55] and we talk about it in the morning huddles and um, or we used to give £50 [01:57:00] a month to every staff member, but it didn’t matter whether you were the decomp person or you were the front of [01:57:05] house and you were in charge of selling memberships, whatever the target was, whatever you wanted to embed in [01:57:10] your business. So Google reviews for Exeter. We sold it when it had about 150, 160. [01:57:15] It’s now got 500. Now, I’m not sure Google are very good at getting Google reviews. There [01:57:20] was a culture embedded into the business at Dartmouth has gone from zero to over [01:57:25] 400 quickly by embedding a key performance indicator.
Payman Langroudi: So would you change it every [01:57:30] quarter or so?
Mike Hesketh: We change it every 6 to 9 months. We embed the culture, then [01:57:35] we’ll change it. But there is a there’s a good ideas club in UK dentistry consulting. [01:57:40] Where.
Payman Langroudi: What do you mean.
Mike Hesketh: You’re paying me. So I’m going to give you a spreadsheet to do. It’s [01:57:45] too much data. Yeah. Um, owning a small business, I know how much resources [01:57:50] I’ve got in my own head. I know how much resources operationally my team have. And [01:57:55] so I think a lot of consultants justify their existence by giving spreadsheets to people to fill [01:58:00] out. And they just layer on, layer on, layer on spreadsheets and key performance indicators. [01:58:05] So often when I come into practices that have been coached or consulted [01:58:10] with in the past, I have to delete most of it. And I have to say, right. Simplify, simplify simplify. [01:58:15] And we want to embed a culture. And so I spend most of my time deleting stuff to be honest with you, in [01:58:20] practices that are over overcoached. But that old adage you can’t manage what [01:58:25] you don’t measure. It also works in the other way. You can’t measure everything you’re trying to manage. And you, you. I [01:58:30] just say to people, measure what you can have influence over, measure [01:58:35] what you really can have an effect on the business. Stop measuring everything just because [01:58:40] you can, because the dashboard. And if you have to fill out spreadsheets, make it like [01:58:45] an automated dashboard and make it automated. Especially now with AI and [01:58:50] all the back end stuff. You don’t never fill out a spreadsheet. You know, if it can’t be automated, [01:58:55] don’t bother.
Payman Langroudi: But the kind of KPIs that you do focus on from the management perspective. [01:59:00]
Mike Hesketh: Yeah. So financially we go by the Nasdaq. So we do quarter. The [01:59:05] quarterly management accounts are important for the banks. Yeah. And they benchmark you [01:59:10] and you do what’s called exception reporting right. So you look at things that just outline. So you don’t discuss [01:59:15] things that are in in the realms of normality. You either something that’s going really well or something [01:59:20] that’s going really poorly. And you look at that as a financial, so you can look at the percentage of your turnover of [01:59:25] the wage cost, for instance. But even that’s difficult nowadays with the advent of therapists, especially if [01:59:30] they’re employed, and we actually have an employed dentist. So and which I think are the way the market is going [01:59:35] anyway, because we create this playing field where they can excel. I don’t know why we would make keep someone [01:59:40] associate self employed. So that might be a change that’s coming in the future. It [01:59:45] might not be. So yeah we use financial benchmarking and then we have a [01:59:50] great front of house lead at the moment in Dartmoor called Rob. And Rob’s come from a [01:59:55] different backgrounds and one of them was corporate, and he has a load of data and spreadsheets that he is [02:00:00] sort of well-versed on doing. And so it’s unpicking a bit of that, but [02:00:05] also recognising the value of what Rob is the front of house. He focuses on his [02:00:10] own key performance indicator of occupancy. And actually that’s really valuable for the business. [02:00:15] But the whole team don’t know about it. But he and I discuss it, and what I try [02:00:20] and do is I fit the business into a cadence, a rhythm.
Mike Hesketh: And so he and I will. He and I will have a [02:00:25] vent point every two weeks. Sorry. Every month where it’s a board meeting sounds [02:00:30] a bit grand, but myself and the key lieutenants in the practice, um, the heads [02:00:35] of the departments, will then sit down and we will make the decisions, and they’ll each sort of talk [02:00:40] about where their departments at, and then we’ll in front of each other and I’ll spend 1 to 1 time with them. [02:00:45] So it’s a whole day every every month. And I’ll just basically try and support them and help them and give them [02:00:50] more resources towards what their challenges are. Um, and so he we talk about occupancy [02:00:55] and customer service. And then for someone else, it might be compliance for their, um, [02:01:00] uh, practice administrator or building maintenance for them. Practice manager. It might be HR, [02:01:05] um, issues that we have with that job descriptions, training agreements. Um, [02:01:10] but yeah, it’s um, it’s important that you fit the business into a rhythm, [02:01:15] a cadence. So it all moves forward together quickly. Um, but there’s also a vent [02:01:20] point. So they meet on a fortnightly basis to vent any issues. [02:01:25] And what by having a rhythm to the practice, you end up with a business [02:01:30] that has, um, a place where the nurses know that if they tell their team leader, [02:01:35] it will be discussed with the other people if there’s a problem within what’s happening. I also think it’s [02:01:40] important, as the owners, that we’re not in those meetings.
Payman Langroudi: Um.
Mike Hesketh: Because there’s a lot of things that [02:01:45] the team don’t really want us to know.
Payman Langroudi: Yeah, it.
Mike Hesketh: Comes back to that as wielding, you know, too much power. [02:01:50] And so they don’t really want us to know everything about themselves. And they want the problem solved on a local [02:01:55] level, which is fine. I don’t need to know everything. I need just need to know the safety stuff. [02:02:00] And I need to know, um, you know, the really high performance stuff, you know, um, [02:02:05] and we try and create a safe environment for the, um, for the team. So that [02:02:10] work is a good place, a good part of their life. And that’s very important to me. So [02:02:15] yeah, the rhythm of meetings, clinicians, meetings on a quarterly basis, [02:02:20] the annual appraisals happen every year. I always find it odd in the military where you get given [02:02:25] the rank and you don’t do your one job, which is to report on the 30 people that are underneath you. And [02:02:30] your job is to do that. So we make sure that we do annual appraisals and training [02:02:35] plans for everybody and everyone on a course at any one time. The [02:02:40] standards with all the four pillars that I talk about, um, I try and push everyone into. [02:02:45]
Payman Langroudi: Very impressive, man. And you know, what’s more impressive is like your humility around it. If you haven’t [02:02:50] got the hubris that you would expect for someone who’s done what you’ve done, let’s face it, quite a young [02:02:55] age. Yeah.
Mike Hesketh: Thank you.
Payman Langroudi: How old are you?
Mike Hesketh: I’m 44 now. Um, I was 35 [02:03:00] when we sold Exeter. 30 when I left 35. Yeah. So it was [02:03:05] like winning the lottery? Yeah, it was cool. Um, but. Yeah. So, I mean, I’ll talk [02:03:10] to my wife yesterday, actually, we were talking about sort the next phase because our children are 13 and 11 [02:03:15] now. And so there’ll be a stage where they’ll be leaving school. And what do we do after that? Do [02:03:20] we stay in the West Country? Do we, you know, what do we do?
Payman Langroudi: Follow the sun again.
Mike Hesketh: Follow the sun again. Yeah. [02:03:25] And, um, but I think we we like the excitement. We like the buzz of London. Um, [02:03:30] we like, um, sort of business opportunities. Um, I [02:03:35] don’t worry about them anymore. Um, because obviously we’ve had an exit already. We’ll [02:03:40] probably have another exit within ten years with Dartmoor, but everyone knows that. Um, and [02:03:45] so, um, yeah, we’ll keep Dartmoor until the children at least finish school. [02:03:50] Um, and then, like you say, there might be just an opportunity too good to [02:03:55] not buy another practice because. Because Tottenham was bleeding cash. So, you know, it might be the [02:04:00] point in a year where we go. Right. Well, we should actually buy something near as it makes, you know, it’s an opportunity [02:04:05] that someone’s come to me with.
Payman Langroudi: You know what the worst thing about being a dentist? Now I, [02:04:10] think crystallise this for you when you stop. The best thing about [02:04:15] being a dentist and the worst thing for me. The best thing. The human connections, you [02:04:20] know, wonderful thing. And you miss it when you don’t have it. Yeah. The worst thing about being a dentist is [02:04:25] literally turning up, having to turn up. Um, it sounds strange [02:04:30] to say it, but.
Mike Hesketh: Yeah, I know what you mean. You’re constrained by eight hours in the same place.
Payman Langroudi: By the building. [02:04:35] Almost.
Mike Hesketh: Yeah, yeah. So you’ve got to be there.
Payman Langroudi: If I were you, I would look at sell that [02:04:40] one eventually or sell whatever practices you’ve got. By the time the kids are 18, 21, [02:04:45] whatever it is. Yeah, but the consulting business really pushed that into remote. Yeah. [02:04:50] And then literally follow the sun and continue with the with the consulting. Consulting.
Mike Hesketh: Yeah. That, [02:04:55] that.
Payman Langroudi: Because that is something you could do from New Zealand. Well New Zealand is a bit difficult, but someone from something you could [02:05:00] do from South Africa. Yeah. For the sake of the.
Mike Hesketh: Argument, I never thought that we’d build businesses in proper business, [02:05:05] you know, and I don’t say that like dentistry is proper business, but where the barriers to entry are so low [02:05:10] that anyone can be a consultant. And I think, I think there is a market for high standard consultancy. [02:05:15] When I see what people offer out there and try and advise, and the fact that I go into practice [02:05:20] is and undo most of it, um, and try and, you know, especially with the numbers and things.
Payman Langroudi: Um, [02:05:25] when you sold Exeter, you got to pay out and [02:05:30] you didn’t have to stay at all.
Mike Hesketh: Yeah. It was a walk away deal. Yeah.
Payman Langroudi: So did you do you think you got less because [02:05:35] of that?
Mike Hesketh: Yeah.
Payman Langroudi: Or you didn’t care? You wanted to walk away?
Mike Hesketh: Yeah. No, it was a purpose. Um, [02:05:40] I mean, it was six times, so that’s an okay EBITDA. Um, yeah. [02:05:45] So we just, um, the walk away was, [02:05:50] um. I think if you heard a bhatner. No, um, [02:05:55] it’s a term for negotiation. Um, we did we did a module on it on the MBA, which is best alternative [02:06:00] to a negotiated agreement. How do you walk away from the table and keep what you’ve got? [02:06:05] So the best alternative was just keeping the practice, making 500 grand a year, not having any [02:06:10] influence on it really, other than the full morning huddles. But the problem is, as you know, there is a noise [02:06:15] in the back of our head as entrepreneurs of business owners that have to think about our [02:06:20] businesses a lot. And even if I said that I wasn’t clinical and [02:06:25] I said that I wasn’t running the business, my house was still on the line. And, [02:06:30] you know, the before, it would have an opportunity to to fall down if I [02:06:35] wasn’t, um, influencing it possibly. I don’t know, after a year or two, you might [02:06:40] start going downhill. Losing the associates loses its feel. And so it [02:06:45] wasn’t really an option just to keep it and then go travelling for a year. Um, [02:06:50] the aim was to to have a break sort of midlife and have the best year of my [02:06:55] life. And I mean, everyone talks about this, but then hardly anyone does it. Yeah, yeah. So [02:07:00] so we just did it. And it’s the same as like building your own house. You just did it and [02:07:05] buying a business just did it. And doing the commando thing and just trying to achieve stuff, you know. And [02:07:10] then the next thing, there’ll always be business opportunities. You know, now that we’re wiser and [02:07:15] connected as well network with I find my network as well is just lovely [02:07:20] people like and genuinely I just, you know, I meet with really caring individuals [02:07:25] all the time that want to build family wealth and time wealth for themselves. And [02:07:30] we’ve mentioned a few names either here or before, and they’re just all lovely people. [02:07:35] Um, and so.
Payman Langroudi: I think we’re very lucky in dentistry, you know, in, in that sense. [02:07:40] Yeah. It’s a very friendly community. Yeah. A small enough that you can [02:07:45] know loads of people. Yeah. And then as a business, I mean, I [02:07:50] don’t want to be reductive about it, but I’ve been to maybe a thousand practices. [02:07:55] Right? And I’ve met all sorts of people. Very alpha people. Yeah. [02:08:00] Totally beta. Whatever. Is that a thing?
[BOTH]: Yeah, I know what you mean. Yeah, yeah. [02:08:05]
Payman Langroudi: Totally different types of people. Um, running successful businesses [02:08:10] by. You know, I know it’s much more complicated than this, but being good [02:08:15] to your patients, being good to your staff, it’s almost.
Mike Hesketh: Go a long way.
[BOTH]: From. [02:08:20]
Payman Langroudi: That’s that’s a simple thing.
Mike Hesketh: There is that. But but also you can [02:08:25] dope your business. You can financially dope your business by being a clinician. You can put half £1 million turnover [02:08:30] across your business, which solves a lot of business issues that say, you know, you’ve got a product business, [02:08:35] how you describe it, really. But, um, you’ve got a business where you can’t, you know, dope your [02:08:40] business. So it’s built on different principles. And, um, [02:08:45] I think you’re right, being nice and kind and gentle, it gets you so [02:08:50] far. But a lot of the time it comes at the cost of time. And people that contact me [02:08:55] have one and a half, £2 million businesses that unfortunately are [02:09:00] enveloping their time and they go, well, how do you go have a Wednesday off [02:09:05] every week? And and you run 4 or 5 businesses. So I take them through those principles. [02:09:10] And I only work with the old New Zealand no [02:09:15] dickheads thing. I kind of do. Um, the thing about [02:09:20] the Royal Marine Commandos to go back to that is, um, I [02:09:25] mean, don’t get me wrong, there’s all different types of people, but, um, the lads will [02:09:30] quickly find you out if you are inauthentic or [02:09:35] you are selfish. There there [02:09:40] is a very it’s a very good environment for that. Um, and [02:09:45] they are very honest with each other about high performance. And if [02:09:50] you look at the successful sports teams, they’ll go down to Lympstone, which is where they [02:09:55] train the Royal Marine Commandos, which is the longest course in NATO. Um, and like I say, makes [02:10:00] up about 70% of UK special forces. And there’s a reason why the England rugby [02:10:05] team do 2 or 3 days down there, and they get a report on each of the players on their mental attitude [02:10:10] for pressure. Um, it’s a very levelling [02:10:15] playing field, whether you’re super tall, super short or middle [02:10:20] like me, you end up, um, struggling with something.
Mike Hesketh: You [02:10:25] leave a struggle on the load carries or you struggle on the anaerobic physical activity. And then it’s [02:10:30] what you do when it when they want to see your weakness and what you do in your weakness. [02:10:35] It might be you. Not very good with lack of sleep. You might not be very good with the cold, [02:10:40] you might not be very good with the heat. And so they always that everyone [02:10:45] will fail something on the course where they need the person next to them to get them through it, and [02:10:50] how they react to that. And so it’s a very humbling experience [02:10:55] to go through the commando course. Yeah it is. And and so you, you take [02:11:00] that into consultancy. You know, everyone has weaknesses. I have lots of weaknesses. I, I admire [02:11:05] creative leaders. I’m a type of leader. Uh, Lara raises the [02:11:10] energy of the business when she turns up and but her worst nightmare would be having an awkward conversation with a staff member. [02:11:15] And she doesn’t want to be responsible for anyone else’s work. But everyone follows her. She’s so different [02:11:20] to me. The clinical leads are different. They’re cerebral leaders based on evidence. You know, [02:11:25] you don’t have to be a mike esque if you can be your own type of leader. So when I’m working with consultants [02:11:30] and clients and these nice people, I want them to I want to understand how they operate [02:11:35] and what makes them tick, um, really deeply understand it. [02:11:40] And to do that, you can’t do it. I don’t think, on the groups. I think I need to do it on a 1 to 1 basis, [02:11:45] which is I find it more valuable mentally and enjoyable. [02:11:50]
Payman Langroudi: Excellent. Final question. Yeah. It’s a it’s a [02:11:55] fantasy dinner party.
[BOTH]: Yes.
Payman Langroudi: Three guests, dead or alive? [02:12:00] Yeah.
Mike Hesketh: Probably wouldn’t mind my dad. Uh, yeah, that’d be [02:12:05] good. Um, don’t really remember conversations with him, so that’d be good. Going back to that. [02:12:10] Um, I had a mate, John Thornton, killed in Afghanistan, uh, [02:12:15] landed in the UK, and I put my bags down on the living [02:12:20] room. We got away, got away? We had one man killed in a whole tour. [02:12:25] We had a very good officer in charge, commanding officer, and we got away with it until [02:12:30] the last 2 or 3 weeks. And we lost John and his colleague. Um, [02:12:35] and he was 22 years old, and he was an [02:12:40] amazing soldier. And I talk about him. I’m doing the quarter talks at the moment for Chris, and I talk about [02:12:45] that. Um, it would be lovely if he was still around. Um, and [02:12:50] then probably inspirational. I don’t know, it’d be quite funny. Sat there with Muhammad Ali, [02:12:55] probably in his prime. Um, I always, I just, I always followed Muhammad Ali when I was little and [02:13:00] enjoyed that.
Payman Langroudi: So when you’re going into a tour, you’re very aware of that, that not all [02:13:05] of you are going to be coming out?
Mike Hesketh: Yeah.
Payman Langroudi: Is that like you really? Everyone understands that?
[BOTH]: Yeah. Yeah. And [02:13:10] everyone knows because.
Mike Hesketh: Because it only. How is it. How is that in it when it was worst. Because [02:13:15] 2005 the Paras was when it kicked off. Sorry Eric. [02:13:20] Five it was called. So every six months is given a number. So Herrick five was [02:13:25] where it really got bad. And then Herrick six and then it was us [02:13:30] in Herrick seven and alternating between the paratroopers and the commandos. [02:13:35] As the spearhead elite forces in UK, soldiering was [02:13:40] what needed to happen to control the Taliban at the time. And we never lost a gunfight. We just, [02:13:45] um, lost the the war in a way. But, um, [02:13:50] never lost the battle. Um, Maybe the political war. I don’t know. But, [02:13:55] um. Yeah, you know, that people are gonna, you know, and so they make you fill out, [02:14:00] um, a will and they, like, on a piece of paper, and then they make you write a letter [02:14:05] to your to. I was engaged at the time, wasn’t married, but my grandma died. [02:14:10] And so bearing in mind my dad had died. So my grandparents, his parents helped raise [02:14:15] me. There were a couple hundred metres away in our small town in Wales. And so they raised me. And my [02:14:20] grandma died while I was in Afghanistan. Mhm. And so I just got a phone call from Lauren. She said, look, [02:14:25] I’m sorry to tell you, I didn’t tell, I think I told [02:14:30] Laura, but I didn’t tell my mum that I’d gone forward. I told everyone I was still in the camp back in the [02:14:35] desert, a bit like mash, you know, like volleyball and all that lot, even though it was [02:14:40] horrendous. Um.
Payman Langroudi: Going forward means getting to front line.
[BOTH]: Yeah, yeah, yeah. So there’s a, there’s.
Mike Hesketh: Like [02:14:45] a massive base in the middle of the desert that the Taliban can’t get anywhere near. It’s never attacked. And then and it’s got [02:14:50] all the firepower in the world. All the planes and the Apache gunships. And then when you [02:14:55] go into the valley, there’s a town, and then there’s satellites around it in the agricultural areas where the population is. [02:15:00] So then that’s where that’s where all the gunfights. And they’re.
Payman Langroudi: Much more vulnerable.
[BOTH]: There. Yeah.
Mike Hesketh: And so [02:15:05] they I mean, we’d be in a gunfight and the Apache gunship would come overhead and and [02:15:10] open up on the hillside in the distance and rain down fire [02:15:15] to drive the enemy off. Um, and also Harrier jump jets. And that’s [02:15:20] why Prince Harry was with us. Because Prince Harry’s job was to talk to the [02:15:25] Apache gunships and the Harrier jump jets to drop bombs. It’s called a Jtag Joint tactical Air [02:15:30] controller. And he was in the valley next to us in Muscala, and, um, [02:15:35] but he had to call in the air support with our jetpack, and so he on. [02:15:40] Before you go, you do, um, training together. And so I slept in a tent [02:15:45] with Prince Harry for a week. Um, not on our own. That would have been a bit weird if [02:15:50] we’re on our own. Um, but he, uh, you know, he’s made some interesting things, but he was he was attached [02:15:55] to us for a week. Yeah. So he did some training with us, and then it was when he was really young, and he was a very [02:16:00] good soldier. Um, and so, um. Yeah, he he [02:16:05] was in danger. He was he was in danger on his first tour when he wasn’t a pilot [02:16:10] and when he was a soldier on the ground. Yeah, he was on very. And that’s why they had to whip him out. Actually, John [02:16:15] Thornton, the chap I mentioned earlier for the dinner party, he did an evacuation [02:16:20] radio. The next time I heard John Thornton, after being with [02:16:25] him in Kajaki Dam, there was a hydroelectricity plant the Taliban were trying to blow up.
Mike Hesketh: We were trying to [02:16:30] bring electricity to the valley. So John’s company of men were to protect this hydroelectricity [02:16:35] plant. And I spent a couple of weeks with him, watched a movie with him about the mujahideen [02:16:40] killing everyone in that valley a few decades earlier. A bit of like morbid, morbid entertainment [02:16:45] in the evening. And then, um, the next time I heard him was in a different base, [02:16:50] and they say something called contact. Wait out. And all the radios die straight away because [02:16:55] someone’s hit a mine or someone’s in a gunfight, and they need the airline. And, um, it [02:17:00] was John Thornton, and he was so good on the radio, so calm. And [02:17:05] he was evacuating a marine that had lost an arm and a leg called Ben McBean. That [02:17:10] was Ben McBean that was put on the helicopter on the plane back to Selly Oak that [02:17:15] Prince Harry was evacuated with. When the Aussie journalist announced that Prince [02:17:20] Harry was in in Afghanistan and put him at risk with the Taliban. So he’d done about 3 or [02:17:25] 4 months on the ground and got his soldiering in. But then he had to be evacuated because [02:17:30] he became a target for everybody. Um, the men around him as well. And so he [02:17:35] was on this plane looking at Ben McBean. Ben McBean was evacuated by my mate John Thornton. Now, [02:17:40] that’s what inspired the Invictus Games. So the Invictus Games that Prince [02:17:45] Harry was was him staring at Ben McBean.
Mike Hesketh: Remember, Dean was Charlie Company, 40 Commando. [02:17:50] So he was one of us. And so that’s what the Invictus Games came [02:17:55] from, you know. So, yeah, you know, when you go that [02:18:00] you are going to lose friends and get injured. And I had a very [02:18:05] sane conversation with a friend with my Singapore friend who was a reservist, [02:18:10] the ship’s chap. He, uh, we had a conversation in the back of the wagon at [02:18:15] one point where we rationalised, look, if we, what would we accept [02:18:20] to get out of Afghanistan? Um, and we we decided that a below [02:18:25] knee amputation was acceptable. Weird. Like, who has [02:18:30] conversations like that? I was a dentist. Well, and I [02:18:35] vividly remember it. And he wrote it in his journal and he was a good journaler. So he he’s brilliant because [02:18:40] when I post on LinkedIn about being a dentist in this environment, he will [02:18:45] often pop up and go, oh my journal. That day we talked about a below knee amputation [02:18:50] would be acceptable for us. We got out of one vehicle once transferred [02:18:55] to another because we were being moved together, and the vehicle reversed. The [02:19:00] other vehicle we’d just gotten out of, reversed up a hill a bit and hit a tank [02:19:05] mine, and the back end of the vehicle was blown to smithereens. We’d been sat in about [02:19:10] five minutes before, just reversed over a mine in the middle, in the middle of nowhere, and it was [02:19:15] a Russian mine.
Payman Langroudi: Just one left behind from.
[BOTH]: Just left behind.
Mike Hesketh: Yeah. And [02:19:20] so then they were like, right, okay, well, it’s called a Viking. It’s worth £10 million. So it’s in two parts. And [02:19:25] the back part was destroyed, which Pete and I were saying. And then, um, so we had [02:19:30] to go up on the Hill line and everyone was like, do you want to fire some rockets at it? Because we’ve got to deny it to [02:19:35] the enemy. So then they called in an airstrike, and we’re watching the best fireworks show ever of an airstrike [02:19:40] landing on our own vehicle that we were just sat in half an hour earlier was [02:19:45] destroyed. Denying it. I mean, there’s funny stories like that. Like [02:19:50] the Padre. There’s another one the Padre got went in a vehicle and, [02:19:55] uh, probably shouldn’t have done, but he, uh, he got in a vehicle. We were, I was [02:20:00] in I was working out with a guy in the middle of the in the middle of one of the forward operating bases, and a [02:20:05] Chinese missile came over and detonated in the middle of the of the base. So we all bomb burst [02:20:10] and legged it to accommodation. And then all of the what happens is everyone runs to the walls and opens fire. [02:20:15]
Mike Hesketh: And the direction of where the target, where the hits come from, and they’re firing in [02:20:20] rocket propelled grenades and the whole earth shakes and you’ve got to get down really low. [02:20:25] And it’s. And it’s not like the rock running through or Jason Statham when [02:20:30] they see these explosions, the whole world, all your senses are debilitated when the missiles come in and the rockets [02:20:35] come in. But the Padre jumped on a vehicle and reversed it up the to [02:20:40] the top of the bun line so that they so the marine on the back could fire a 50 cal, which [02:20:45] is a big weapon down at where these missiles were anyway. So that attack finished. And then the next [02:20:50] day there was a parachute drop of, um, food into the desert. And so [02:20:55] the so the Padres vehicle was one of the ones that went out there and it hit a mine, but with [02:21:00] a three different crew on it, and it was blown to smithereens with three men on it, and [02:21:05] all of them walked away.
Payman Langroudi: Well.
Mike Hesketh: And so everyone then decided [02:21:10] that they were religious and that the Padre had blessed this vehicle the day before because he just sat in [02:21:15] it and driven it. So yeah, it’s just all these weird scenarios. But.
Payman Langroudi: So [02:21:20] when I asked you, you said, I believe in God. Now, did you change your position?
Mike Hesketh: I [02:21:25] think there’s a higher being. Yeah, I think there’s a purpose. I think as you become more enlightened and less I [02:21:30] think there’s a higher being. Yeah. As, as far as I get with it, really. Um, [02:21:35] but yeah, I’d like to think so as well, because there are others on [02:21:40] Schmidt, who was a bomb disposal chap who made a mistake on his fifth [02:21:45] bomb disposal of the day. He’s got an obituary in the Times, and [02:21:50] he was on the commando course with me, and he was the best sergeant I’ve ever been with a heart and soul guy. He became [02:21:55] very high profile because of the pressure the bomb disposal guys were under in Afghanistan. [02:22:00] He was killed, um, a guy called Tom Sawyer who [02:22:05] was the best officer I’d ever seen. A little snip of a ginger chap, but just [02:22:10] a natural leader. And he was killed by friendly fire. Oh, yeah. By, um, [02:22:15] in a different tour. So all through this period, seen [02:22:20] men, friends killed. Um.
Payman Langroudi: How’d you go on? Do [02:22:25] you compartmentalise it? Are you trained to go on? After that happens, [02:22:30] you.
Mike Hesketh: Do.
Payman Langroudi: Two days. Are you too busy saving your own life?
Mike Hesketh: Yeah. Yeah. No. You just. Yeah. No, it’s. [02:22:35] Yeah.
Payman Langroudi: Is it?
Mike Hesketh: Yeah. It’s to remember. It’s to close within to kill the enemy of [02:22:40] the chosen time. And so then when people apply decision [02:22:45] making now of whether they should attack a village or not, attack a village from the distance of [02:22:50] the, of London in the newspapers. Yeah, yeah. It’s hard. It’s not, you [02:22:55] know, it’s kill or be killed.
Payman Langroudi: Yeah, yeah, yeah.
Mike Hesketh: Which is brutal. Um, [02:23:00] but you do it with care and attention and professionalism. Um, [02:23:05] but we’re only, you know, a few short steps [02:23:10] from that, and I don’t think I don’t buy into this millennial Gen Z rubbish. I [02:23:15] think that people step up. There’s always ability within the within. [02:23:20]
Payman Langroudi: Yeah. I don’t like.
Mike Hesketh: That, I hate.
Payman Langroudi: Those, I don’t like.
Mike Hesketh: Generalisations.
Payman Langroudi: It’s rubbish.
Mike Hesketh: I hate [02:23:25] it. I just think that even at the time I think people would say, oh, you know, this generation isn’t as [02:23:30] good. Well, I just watched these guys at 19 years old getting a gunfight every 2 or 3 days [02:23:35] and willingly walk back out the gates and go again for six months.
Payman Langroudi: It’s a child, isn’t [02:23:40] it? A 19 year old child. Can you.
Mike Hesketh: Imagine?
Payman Langroudi: Yeah.
Mike Hesketh: Yeah.
Payman Langroudi: It’s crazy that that’s [02:23:45] that’s what ends up happening. Like those children go out. [02:23:50] Yeah.
Mike Hesketh: I mean, it’s a very formative stage, [02:23:55] and I think it’s more powerful now as I get older, in my mid 40s, [02:24:00] that I go, oh Jesus, that wasn’t normal. Mhm. Um, and I don’t know whether [02:24:05] I should have um, you know, to answer your question. [02:24:10] No, you don’t get any support unless you’re looking for it. Um, but it’s not like de facto. [02:24:15] Hey, um, they take you to Cyprus on the way back and you’ve [02:24:20] got to stay there for 2 or 3 days. You just get drunk and you just drink [02:24:25] your way through it for 2 or 3 days, and then you land back in the UK, and, and I ended up in an A&E with a commando [02:24:30] beret on, with a uniform and a manager of a hospital berated me at two in the morning telling me that I wasn’t [02:24:35] moving patients through the unit quick enough. I think that was the closest I got to nearly losing my [02:24:40] temper with someone professionally.
Payman Langroudi: Did you get PTSD?
Mike Hesketh: No, [02:24:45] not diagnosed with it or anything like that. But I think, you know, you just talk about it, don’t you? But I’ve always talked about [02:24:50] it. You know, I’ve always.
Payman Langroudi: That helps.
Mike Hesketh: I it does me. [02:24:55]
Payman Langroudi: Other people bottle it up.
Mike Hesketh: Yeah. I talk about it with with my wife. Um, you [02:25:00] know, at the time, um, and then, you [02:25:05] know, actually, it’s been very, very therapeutic talking about it on podcasts [02:25:10] and also doing it with colleagues because it’s it’s an [02:25:15] interesting reaction at the moment where I’m doing these talking series. We’ve talked about 400 practice owners [02:25:20] and people throughout the UK as part of this series. Um, [02:25:25] I’ve had 2 or 3 people at each time come up to me at the end and go, thank [02:25:30] you for your service. And service. And I never think like that. But there were just lovely people and [02:25:35] quite a few mums with children in the military that [02:25:40] I then think, oh, I need to be careful, you know, um, [02:25:45] with the honesty, there’s a reason I didn’t tell my wife and my mum [02:25:50] that I was forward in the operating bases for three months. Um, there’s a [02:25:55] reason I didn’t tell them I was on the ground being a medic, stretcher, carrying injured Marines [02:26:00] with eyes hanging out and abdomens hanging out. Um, there’s [02:26:05] stuff people just don’t really need to know. But, um, does business [02:26:10] faze me? No. Not really. They have a saying at the end which is called cheerfulness [02:26:15] in the face of adversity, cheerfulness in the face of adversity. Well, [02:26:20] you have, like you’d imagine, the other commando qualities of courage, determination and all that stuff. [02:26:25] But I always find that really funny. But the Marines are are [02:26:30] generally cheerful.
Payman Langroudi: It’s interesting.
Mike Hesketh: Yeah, it’s quite funny.
Payman Langroudi: Yeah. [02:26:35]
Mike Hesketh: You know, um, because if it’s not, if you’re not laughing, then there’s something. [02:26:40] You’re thinking too much, you know?
Payman Langroudi: I think I always tell young dentists, you know, go [02:26:45] do a stint of maxfax just to get just just to just to never be scared of [02:26:50] dentistry again. Yeah, yeah. But this this is a higher level of that, isn’t [02:26:55] it? For life.
Mike Hesketh: I wouldn’t I wouldn’t advocate it.
Payman Langroudi: Not much is going to happen in life that’s going to faze you.
Mike Hesketh: Not [02:27:00] really, but I would say that everyone’s got an Afghanistan in them. You know, I heard stories from [02:27:05] on the MBA by Venezuelan, um, student who told me about his kidnapping. He was kidnapped [02:27:10] and taken into the jungle in Venezuela and, you know, kidnappings, a big business over there. And he had to talk his way out [02:27:15] of it. What do you think? Yeah, and I didn’t know that. And then other friends who’ve had, [02:27:20] you know, personal tragedies. It doesn’t matter what your Afghanistan is. It just [02:27:25] matters that, you know, that life can be worse than when you run your business and no one’s dying.
Payman Langroudi: Yeah. [02:27:30]
Mike Hesketh: And that puts things into perspective a little bit. And so the cheerfulness in the [02:27:35] face of adversity is one of them.
Payman Langroudi: I mean, I really, really enjoyed [02:27:40] it, man. I really, really enjoyed it. Thank you so much.
[VOICE]: This is [02:27:45] Dental Leaders, the podcast where you get to go one on one with emerging [02:27:50] leaders in dentistry. Your [02:27:55] hosts Payman Langroudi and Prav Solanki.
Prav Solanki: Thanks [02:28:00] for listening guys. If you got this far, you must have listened to the whole thing. And just a huge [02:28:05] thank you both from me and pay for actually sticking through and listening to what we’ve had to say and [02:28:10] what our guest has had to say, because I’m assuming you got some value out of it.
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