hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 12, 2008 16:57:55 GMT
to become a full time practitioner and have enough clients to be working 5 days a week?
Or should i say, how long did it take you to become full time?
And how many clients can be done each day on average, for dm visits or in a clinic?
Andy
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Post by Admin on Aug 14, 2008 7:43:43 GMT
to become a full time practitioner and have enough clients to be working 5 days a week? Or should i say, how long did it take you to become full time? And how many clients can be done each day on average, for dm visits or in a clinic? Andy Hi Andy, You can see pts every 20 minutes in a clinic, provided you have two treatment bays, and someone to man reception and deal with instrument sterilisation. This assumes a competent and practiced practitioner. Home visits obviously take longer since you have to factor travelling time in. I become full-time after three years. For full-time read four days a week. At an average fee of £25.00 (todays figures), seeing 3 pts an hour and working a 6-hour day equates to around £450 a day. Thats £1800 a week, with less risk of RSD. Remember than no-one became rich as a Podiatrist/FHP, but there are plenty of Pods/FHPs with RSD  . My purely hypothetical example depends upon a full diary, with no pts cancelling or dying at short notice. This really depends upon your locality, the amount of competition around you, and how good you are. I did a couple of years in the NHS to knock of the rough spots in my treatments before going into Private Practice - unfortunately this is a luxury FHPs do not have. Hope this helps. Regards, |
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hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 14, 2008 17:12:36 GMT
Hi David, thanks for that
You clinic turns over people pretty quickly then at 20 mins per patient. I'm working on a treatment time of around 30 mins as trying to put a small business plan together, hence the reason for the questions!
My aim was for a turnover of around £100 -£120 per day, is this reasonable/acheivable with domiciliary? would love a clinic ultimately though
Am expecting an application pack to apply for the BSc course as Salford Part time starting January. need to shadow a podiatrst prior to the interview if i get one!
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Post by hurleygirly on Aug 16, 2008 21:04:10 GMT
Hi there! Only the newest of newbe's myself, started up in April. Working around young children so only doing school hours, and the average appt takes me 1 hr!! Sooooo sloooow!!!! But I am already earning £100 a day, including travelling etc as only dom at the moment. Loving every minute though! And not so worried about fitting in so few a day (4), as they are mostly new Pts still, and I know I'll get quicker with time  Karen |
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Post by dtt on Aug 17, 2008 9:01:18 GMT
Hi All A very wise old accountant told me when I first started in practice, " If it does not work in 5 years then it is not going to and that is the time to walk away" I think that is basically true but it also makes the point DON'T think now ,plan for the future. You will always get peaks and troughs in patient flow some seasonal and some ,well there's no reason why  but the secret is dont panic it will pass and the phone WILL ring again. Keep a monthly patient flow chart and an end of year total for new patients ( mine was 780 last year). Bear in mind also you will lose a few as well through natural wastage and hopefully by curing them !! ;D That may seem like a downer that the patient is not coming back BUT the referrals you will get from that one patient will reap it's own rewards (= 780 new patients which are mostly from recommendation) but obviously it will take you several years to reach that number, but if I have you can ;D Karen, well done on building your patient base ;D Nooooooooooooooooooooooooooooo ;D ;D That is far tooo long!! Think about that and your traveling time on top ( assuming that is not included in the Hour). I don't know about traffic and parking in your area but here it takes 30 minutes to get anywhere  SO, add that on both ways then you are now taking 2 hours on each patient so your £25 per visit is now worth £12.50 per hour less tax insurance consumables equipment replacement car running costs phone bills............ Now look what you actually have left in your pocket in real terms Yes frightening isn't it My advice = cut out the cups of tea and the cosy chat as when you do become busier you wont have time for that. Always appear to be busy, concentrate on doing a proper job but efficiently ( aim for 30 minute appointments). Efficient time management will become more and more important to you as you get on so start as you mean to go on  Just my thoughts hope it helps cheers Derek  |
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hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 17, 2008 15:31:31 GMT
Thanks for that guys.
The theory in my head is an average of 30mins appt and 30mins travel over the day, obviously this will vary, aiming for 6 or 7 maybe appts depending on availability, location etc
Is it common place to charge more for the first appoinment as an assessment, or do most people charge the same regardless??
cheers
andy
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Post by dtt on Aug 17, 2008 15:42:15 GMT
Hi Andy I do charge more for the initial consultation and treatment as I have the extra computer input on the practice management system to do which again is using my time = patient pays for it. If you follow protocols the paperwork alone and you knowledge of the assessment protocols is why they must pay a bit more on the initial visit. How much more is up to you Cheers Derek |
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hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 17, 2008 18:16:40 GMT
Fair enough, it sounds right to me that the inital assessment visit should be charged out as more,with follow ups at a standard price. In my experience of private healthcare this is the norm.
How much extra is normally charged for a domicilary visit over a clinic visit?
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Post by dtt on Aug 17, 2008 18:30:28 GMT
I charge £55 dom £40 surgery But thats because I dont want doms !! ;D all are happy with the surgery fee coz I can do more podiatry in the surgery which I cant do in a dom situation D |
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Post by dtt on Aug 17, 2008 18:31:38 GMT
Sorry posted the same message twice Ahh the joys of old age  Sorry ;D D |
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hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 17, 2008 18:52:05 GMT
LOL @ dtt - double message is not showing!
You obviously don't like dom work!!! LOL
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Post by dtt on Aug 17, 2008 19:04:32 GMT
I HATE it Standing on peoples front door soaking wet and cold is not my idea of a good living  On top of which steralising everything I stand up in in the name of infection control which takes hours to do is suddenly destroyed when the poxy dog jumps up slobbering all over me and then i look round mid treatment and the cat is sniffing all my instruments after licking its arse !!!! That is besides the poo I very often find on their feet or on the chair I've just sat in or Ive trodden in On top of which these energy saving bulbs are worse than sex for making you go blind  So Do I like Doms NO !!! ;D D |
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hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 17, 2008 19:06:37 GMT
Does sex make you go blind? LOL
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Post by dtt on Aug 17, 2008 20:36:16 GMT
Lots of it does ;D ;D But I only need glasses ;D |
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hcfm
Junior Member
Posts: 58
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Post by hcfm on Aug 17, 2008 20:51:59 GMT
think i need a bit more then- got 20 20 eyesight according to my optician LOL
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but the secret is dont panic it will pass and the phone WILL ring again.
SO, add that on both ways then you are now taking 2 hours on each patient so your £25 per visit is now worth £12.50 per hour less tax insurance consumables equipment replacement car running costs phone bills............
