This document discusses the challenges modern healthcare practices face and the importance of having a long-term commercial strategy to ensure growth and success. It emphasizes retaining existing patients through effective patient engagement, as current patients are the cheapest way to consolidate market share and drive referrals. The document also recommends tools for tactical deployment of a long-term strategy, including customer relationship management, targeted marketing, patient journey management, and auditing systems. The key is to effectively manage the practice and patient relationships through innovation.