

Elaine Smith
ElaiElaine Smith is the founder of Business FiTT, a consultancy helping healthcare professionals build stronger, more profitable practices with greater financial clarity and control.
A qualified optometrist and former practice owner, Elaine understands first-hand the challenge of combining patient care with running a business. Like many healthcare professionals, clinicians often enter private practice because they want to work independently and provide great care – only to discover that they also need to understand finances, pricing, costs and the practicalities of running a successful business.
Elaine supports healthcare professionals at different stages of that journey. For those starting or growing a new private practice, she helps put the financial foundations in place from the beginning – understanding costs, setting realistic targets, keeping finances organised and making sure the practice is being built on a financially sustainable footing.
For more established practices, Elaine provides bookkeeping, financial analysis and business performance support, helping owners understand where their money is going, what is driving profit, where costs need attention and what changes could make the biggest difference.
Her approach is practical, straightforward and designed for busy healthcare professionals who want to feel more confident about the business side of practice without having to become financial experts themselves.
Whether you are taking your first steps into private practice or running an established clinic, Business FiTT helps you understand your finances, make better business decisions and build a practice that is both profitable and sustainable.