Laura Horton · Practice Experience and Practice Growth Expert
I’ve worked in every part of a dental practice. That’s why I understand yours.
For 30 years, dentistry has been my working life. I’ve been the dental nurse beside the chair, the voice on reception, the treatment coordinator with her own consultation room and diary, the practice manager running two sites, and the business partner building a clinic from the ground up. Since 2008, I’ve used everything those roles taught me to help dental teams improve patient experience, treatment coordination and the way the whole practice works together.
If you want someone who understands the clinical, commercial and human reality of your practice, you’re in the right place.
- 30 years in dentistry
- TCO since 2004
- Horton Consulting founded 2008
- Registered with the GDC
Why I understand your world
You have a good practice.
You know it could be a great one.
Most of the owners and managers I speak to aren’t short of ambition, ideas or talented people. What’s usually missing is the time, structure and support to turn good intentions into the way the practice runs every day. Perhaps some of this sounds familiar.
Excellent clinicians, inconsistent systems
The clinical care is excellent. What happens around it depends on who is working that day.
Too much sits with you
Every question, decision and problem finds its way to your desk, leaving little time to lead the business you’ve built.
Good ideas that don’t stick
A new process starts well, then quietly slips back to the old way within a few weeks.
Training that doesn’t translate
The team enjoyed the course. Very little changed on Monday morning.
Friction in the team
Unclear responsibilities, resistance to change or tension between the surgery and the desk are holding good people back.
No time to develop your key people
You can see who has potential. Finding the time to support them properly is the hard part.
And through all of it, you want to improve performance without ever compromising patient care. I understand that balance, because I’ve had to strike it myself.
My role is to connect three things that don’t always line up: your clinical vision, your ambitions for the business and what your team can realistically deliver. When those three work together, change stops relying on willpower and becomes the way your practice works.
My story
My experience isn’t borrowed. It’s lived.
I didn’t come into consultancy from a business school or a sales career. I came from the surgery.
I began as a dental nurse in 1997 and went on to work in almost every role a dental practice has. I nursed across dental specialisms, gained post-registration qualifications in dental radiography and oral health education, became a treatment coordinator in 2004, then managed that practice and later a clinic across two sites. More recently, I went into partnership to build a new clinic from the ground up, saw it through to opening, and later exited.
So every system I teach is one I have personally carried out, refined and implemented in a real practice, with real patients and a real team. You won’t get a borrowed script from me. You’ll get methods I know work, and the judgement to adapt them to your practice.
“The work I teach is the work I’ve done.”
My career at a glance
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1997
Dental nurse
Nursing across dental specialisms and learning dentistry from the chairside.
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1999
Dental radiography
A post-registration qualification that widened my clinical scope.
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2004
Oral health education
A second post-registration qualification, focused on helping patients understand and care for their oral health.
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November 2004
Treatment coordinator (TCO)
My own consultation room and patient diary, with appointments I led as a dental nurse within prescribed clinical workflows.
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2005
Practice manager
Managing the same clinic, leading its team, recruitment and development.
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2007
Clinic manager across two sites
Leading teams, systems and performance across two sites at once.
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2008
Horton Consulting
Leaving practice management to found Horton Consulting and work with dental teams across the UK.
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Ownership
Practice partner
Going into partnership to build a new clinic from the ground up, seeing it through to opening, and later exiting. Every decision, seen from the owner’s chair.
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Today
Consultant, trainer, coach and lecturer
Registered with the GDC, lecturing on two Level 7 diplomas, a lecturer for international brands, and working with practices across the UK and Ireland.
Clinical dentistry
Clinical dentistry is where it all began. It’s still where my heart is.
I’m not a dentist, and I’ve never pretended to be. But clinical dentistry has been at the centre of my working life for 30 years, and I genuinely love it.
In November 2004, I became a treatment coordinator (TCO). I brought my dental nursing qualifications into the clinical workflow, working from my own consultation room with my own patient diary. Alongside the treatment coordination conversations, I delivered appropriate prescribed care within my scope of practice, as part of clinical pathways agreed with the dentists I worked with.
It taught me something I’ve carried into every practice since: treatment coordination works best when it’s woven into the clinical journey, not bolted on at the front desk.
All clinical work described here was carried out within my registered scope of practice, on the prescription of the treating dentist.
Why this matters for your practice
I understand the treatment
I know the nuances of different treatments, what they involve for the patient and why accurate, honest communication matters so much.
I understand the pressure on clinicians
Running late, complex cases, difficult conversations, a full list. I’ve been in the room for all of it.
I understand the patient pathway
A new pathway looks simple on paper. I know the practical detail that makes it work, or quietly makes it fail.
I connect the whole team
I speak the language of clinicians, patients, treatment coordinators, reception teams and practice leaders, and help them work as one.
My values
What I stand for
These aren’t words chosen for a brand guide. They’re the lines I won’t cross, and they shape every recommendation I make.
01
Earned expertise. Never borrowed.
I teach from my own professional experience, drawing on decades of personally delivering and implementing the work. I don’t repackage other people’s ideas and present them as my own.
Your practice will never be used as a testing ground for untested consultancy ideas.
02
Passion with purpose.
I choose to work where I have genuine professional interest, enthusiasm and the expertise to make a meaningful contribution: clinical dentistry, patient experience, treatment coordination, team development, communication, leadership and operational systems.
I won’t try to sell you every consultancy service imaginable. You get focused expertise in the areas I know best.
03
Integrity over opportunity.
I’ll recommend what I believe your practice genuinely needs, even when that means a smaller programme, a different starting point or another specialist.
I won’t recommend a programme your team doesn’t have the time, resources or operational conditions to implement successfully.
Working together
What working with me means for you
My experience and my values come down to one thing for you: support that fits the way your practice really works.
01
No time lost explaining dentistry
You won’t spend the first month teaching me how a practice runs. We start on what matters.
02
Advice built for real practice life
Recommendations shaped around your diary, your team and your patients, not an imaginary perfect practice.
03
Change your team can deliver
Practical systems, clear responsibilities and implementation support, so progress doesn’t rest on one person.
04
Performance and patient care, together
Improving results and protecting patient care aren’t competing goals. Done properly, each strengthens the other.
05
One team, one patient journey
Clinicians, coordinators, reception and leaders working towards the same experience for every patient.
06
An honest starting point
A clear view of where to begin, even if it’s smaller than you expected.
Whether you want to develop the whole team online with Align, implement specialist growth systems with Perform, or have me working inside your practice through Partner, we start in the same place: understanding what your practice genuinely needs.
Work With LauraEvidence and trust
Don’t just take my word for it.
The people I work with are the best measure of whether any of this is true.
- 30 years in dentistry
- Registered with the GDC
- TCO since November 2004
- Founded Horton Consulting in 2008
- Lecturer on the Diploma in Mastering your Invisalign Business (EduQual Level 7)
- Lecturer on the Evolve Level 7 Diploma with Private Dental Mentor
- Lecturer for international brands, including the ITI and Align Technology
- Horton Education Centre, an approved EduQual centre
- Thousands of treatment coordinators trained
Here’s what dental teams say about working with me.
EXCELLENT
Based on 120 reviews
Posted on Google![]()
Faye LindopTrustindex verifies that the original source of the review is Google.
Leanna was lovely and kept us engaged from the moment she entered the room, very informative and took the time to listen to our individual experience.Posted on Google![]()
Kaylie StokesTrustindex verifies that the original source of the review is Google.
This course has been brilliant. It has been great meeting the other treatment coordinators. Also being shown how to communicate with patients before and during a scanning appointment has been helpful. I have been given more knowledge and skills which I can use within the dental practice while carrying out my role.Posted on Google![]()
Emma LappageTrustindex verifies that the original source of the review is Google.
Lovely day an location. Enjoyed the course day. Learnt new skills today an more information.Posted on Google![]()
Hannah DryburghTrustindex verifies that the original source of the review is Google.
Currently completely the TCO 4.0 course. Great course and support is brilliant.Posted on Google![]()
Fatima BTrustindex verifies that the original source of the review is Google.
Attended the TCO excellence course today with Laura and she was absolutely brilliant, kind and so resourceful. Learnt so much and have plenty of skills to take away and put into practice. Highly recommend!Posted on Google![]()
Tes KumarTrustindex verifies that the original source of the review is Google.
Leanna was amazing! She delivered a dental patient journey workshop and she was so relatable, personable and ever so professional. I would highly recommend her for dental receptionists, nurses & treatment coordinators on how toto deliver a gold standard patient journey.Posted on Google![]()
Danielle PayneTrustindex verifies that the original source of the review is Google.
Leanna has been amazing- really informative and great communication.Posted on Google![]()
Sophie CarterTrustindex verifies that the original source of the review is Google.
Leanna was fantastic. Learned so much and feel it’ll really help with my roll!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
Next step
Let’s talk about what your practice needs next.
If parts of this page sounded familiar, I’d love to hear about your practice. Tell me where you are now and where you want to be, and I’ll give you an honest view of the right next step, whether that’s working together or not.