
Running a business with a chronic illness means learning to live with uncertainty. You can plan carefully, pace yourself and still find that a flare up or period of illness changes everything.
When that happens, it can feel unsettling and frustrating. Plans get disrupted, energy falls and the pressure to keep going can become overwhelming. But business interruptions are not a personal failure. They are a normal part of working when your health is unpredictable.
With the right kind of planning, it is possible to protect both your health and your business during these periods.
Many business owners plan as though interruptions will not happen. Deadlines assume consistent energy. Schedules leave little room for rest. Income depends on being able to show up every day.
When illness forces you to slow down, it can feel as though everything is at risk. In reality, interruptions are not a sign that your business is fragile or badly designed. They are simply part of running a business with chronic illness.
Planning for them is not pessimistic. It is compassionate and realistic.
Over the past couple of weeks, my own health has been more challenging than usual. I have needed significantly more downtime and rest than I had planned for.
This meant making some difficult decisions about what I could realistically work on. I chose to focus on delivering for my existing clients and meeting the commitments I had already made. At the same time, I had to put other projects on hold, including things I was genuinely excited about.
That was not an easy choice. There is always a pull to keep momentum going, even when your body is asking for something different.
What helped was acceptance. I had to remember that I was not giving up on my goals, but instead recognising that prioritising my health now will allow me to achieve far more in the coming months. Pushing through would not have created progress, it would have delayed recovery.

Contingency planning is about asking what will support you when things do not go to plan.
It removes some of the fear and guilt that can show up when illness forces you to pause. It helps you respond calmly rather than react in crisis mode.
This kind of planning is not about expecting the worst, it’s about caring for your future self and your business.
Time buffers are one of the most important tools when your health can fluctuate.
This might mean allowing projects to take longer than expected, avoiding back-to-back commitments or building in lighter weeks around busy periods.
Time buffers give you room to rest when you need to without everything falling apart. They mean that when a flare up hits, you are adjusting rather than scrambling.
Financial buffers can help reduce the pressure to work when your body needs rest.
This might include setting aside money when you are able, creating offers that bring in steadier income or keeping fixed expenses as manageable as possible.
Even small steps towards financial breathing space can make a difference to how safe you feel when illness interrupts your plans.
Support buffers are just as important as time and money.
This might look like systems and templates that make it easier to step back temporarily, or having clear processes that reduce decision making when your energy is low.
It can also include emotional and professional support. Having people around you who understand both business and chronic illness can make a huge difference during difficult periods.
You are not meant to navigate this alone.
One of the biggest worries many people have is how to communicate with clients when they need to slow down or take a break.
Clear and honest communication helps protect relationships. You do not need to share personal medical details. Letting clients know that you are experiencing health issues and adjusting timelines is often enough.
Most clients respond with far more understanding than we expect, especially when communication is calm and proactive.
When illness forces a pause, it can feel as though you are stepping away from your business. In reality, you are protecting the foundation it rests on.
Focusing on health during challenging periods allows you to return with more capacity later. Pushing through may keep things moving in the short term, but often leads to longer disruptions down the line.
A sustainable business is one that can cope with pauses.
Acceptance does not mean lowering your ambitions. It means recognising that your path may not be linear.
By choosing rest and care when you need it, you are investing in your ability to show up again in the future. That mindset shift can be incredibly grounding and reassuring.
If you would like support creating contingency plans that work with your health and your business, mentoring can be a valuable place to explore this.
Through mentoring, we can look at how to build buffers, plan realistically and create a business that feels safer and more sustainable when illness interrupts your plans.
You can find out more about mentoring here:
https://www.excelagainsttheodds.co.uk/mentoring
You may also like to listen to the full podcast episode where I explore these ideas in more depth and share further reflections: https://www.excelagainsttheodds.co.uk/podcast

Whether you're an Entrepreneur or an Employee, it is imperative that you look after your health. This handy checklist will help you to prioritise your well-being which will in turn benefit your health, your family and your work
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