The Commerce Engine
What Ade has been building these past weeks, why your name is the engine of it, and three honest scenarios for where it goes: zero cash, £5,000, and the full plan.
01The problem this solves
The clinic works, but it has one ceiling we cannot raise: footfall. There are only so many people who can walk through the door in Derby, and the audience who wants what we do lives everywhere. Meanwhile the thing that makes us different from every wellness website on the internet is not the building. It's you: a practising clinician who evaluates things properly before putting her name behind them.
So the plan is to sell what we can't fit through the door: your judgement, delivered through telemedicine, digital programmes, and a curated range of doctor-backed products, with margin flowing to us on every sale we cause. The clinic proves it works. The platform is how it scales.
02What has actually been built (this is done, not planned)
The supplier campaign covered recovery and light-therapy devices, diagnostics, wearables, supplements, functional drinks, CBD (run under the platform's voice, never yours), non-toxic cookware, coffee, and Japanese brands with no UK presence. Offers already on the table include evaluation units from device brands (grip strength, sleepbuds, red light, pelvic floor, CGM), referral commissions from capital-equipment makers, and wholesale conversations across the range.
Alongside it: the platform site (doctorium-curated.pages.dev), partner packs, a trade-show circuit map for autumn, and the video suite plan for our own digital programmes. None of it commits us to buying anything. The standing rules the whole machine runs on: no purchase commitments, free evaluations only, and nothing carries your name until you have evaluated it and said yes.
03Your name, and exactly where it does and doesn't go
The most important thing in this whole document: your name attaches to one thing only, the menopause programmes, the courses and videos that are genuinely yours. Everything else in this brief is deliberately kept away from you.
- Your name = the menopause content, full stop. The digital courses and video programmes are clinician-made and carry your name because they genuinely are your clinical work. That product stands completely alone.
- The product range never touches you. The storefront, the cookware, the coffee, the drinks, the gadgets, the supplements: all of it trades under a separate business name with no medical affiliation and no connection to you personally. You are not recommending a frying pan, a tin of tuna or a red light mask, ever.
- How the two connect is data, not your name: someone who buys a menopause course becomes a customer we can introduce, with proper marketing consent, to the product side. The course brings them in; the shop looks after them afterwards; your name never crosses the bridge.
- Hard lines already enforced: CBD never runs anywhere near you under any circumstances (GMC exposure), and that rule now covers the entire commercial range by design. Nothing clinical publishes without your sign-off; nothing anywhere makes efficacy claims.
- Time cost: the programmes themselves, on your schedule. Product evaluations happen at clinic level and don't need your name; anything you do try is private input, not public endorsement.
- No new liabilities: nothing in this plan asks you to guarantee, borrow, or sign anything. Free stock in, margin on sales out, and the trading structure keeps the commercial risk in the commercial entity.
Suppliers hear "clinician-curated" because the clinic's standards genuinely are the evaluation gate. That stays true at clinic level; it never requires your personal name on a product, and it never will.
04Scenario A — zero cash in
We take the free evaluation units, you assess them, honest reviews and content go out through the platform and social channels, and every recommendation carries an affiliate or referral link. The PT programme starts on the same basis: demonstrations with kit we were given, referral fees on what trainers buy.
| 12-month P&L | Low | High |
|---|---|---|
| Affiliate & referral income (10–20% typical rates) | £2,400 | £9,000 |
| Clinic upsell of evaluated products | £1,000 | £4,000 |
| Costs (hosting, email, tools already owned) | −£300 | −£600 |
| Net, year one | £3,100 | £12,400 |
05Scenario B — £5,000 in
Everything in Scenario A, plus we put paid traffic behind our own digital programmes and the product layer, at small scale, to prove the machine before anyone spends serious money. Roughly £4,000 media over four to five months and £1,000 on production.
| ~6-month P&L | At 2.0x ROAS | At 2.5x ROAS |
|---|---|---|
| Digital programme sales from £4,000 media | £8,000 | £10,000 |
| Affiliate/product layer riding the same traffic | £800 | £2,000 |
| Media spend | −£4,000 | −£4,000 |
| Production & tools | −£1,000 | −£1,000 |
| Payment/platform fees (~7% of digital sales) | −£560 | −£700 |
| Net over the test | £3,240 | £6,300 |
06Scenario C — the full plan
This is the plan of record from the business plan (the one at meno-engine-us.pages.dev/plan): a funded build, SEIS raise of up to £250,000, taking media spend to full tilt (around £150,000 a year), national telemedicine live, and the commerce layer, a healf-style doctor-curated storefront, switched on in year two once the audience and ad engine exist.
| Steady-state, month ~16 onward (per the audited model) | Monthly |
|---|---|
| Digital engine at 2.5x ROAS (audited base case) | £9,000–13,000 |
| Commerce layer margin (30–50% wholesale margins, supplier-stated) | £2,000–6,000 |
| Telemedicine consultations (national, your capacity the limit) | £3,000–8,000 |
| PT programme (device fleet hire + referrals + client conversions) | £1,000–4,000 |
| Media, platform, fulfilment and team costs | −£12,000–18,000 |
| Indicative net, steady state | £3,000–13,000 / month |
07The honest risk list
- The company restoration (RT01) is still with Companies House; commercial contracts wait for it.
- The ROAS model is audited but unproven live at scale; Scenario B exists precisely to de-risk Scenario C.
- Supplier goodwill is real but young: 14 offers is a start, not a supply chain.
- Your time is the scarcest input in the whole system; the plan only works if the evaluation load stays realistic.
- Everything above obeys the standing rules: no spend commitments to suppliers, no efficacy claims, your name only where you have personally said yes.
08What we'd like from you
- A view on the three scenarios: which pace feels right to live with.
- Your evaluation shortlist from the offers already in (sleepbuds, pelvic floor trainer, CGM, red light, grip strength, light-therapy glasses).
- One specific answer only you can give: Samphire Neuro will ship a free unit if the evaluator has lived experience of PMS, PMDD, perimenopausal symptoms or endometriosis. That confirmation is yours to make or decline, truthfully.