Have just had a lady phone up requesting a home visit for her parents. They require nail cutting.
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I quoted them £60. I was told that that was exorbitant, their previous chiropodist charged £12 each for a home visit.
What do others think?
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I think £60 is cheap. I would charge £80 for providing a premium service outside clinic hours. There is no such thing as `just a nail cut`. I`m sure they would appreciate your advising them should they manifest, what could potentially be, a limb threatening infection. -
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Ask them what they paid for the last time that they got a plumber to call.
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As a colleague has posted elsewhere, point out that you would feel professionally undervalued (not to mention going hungry!) at the previous price, and they would feel overcharged at your fee -everyone unhappy. Your fee is your fee and there is no point in continuing the conversation. They can always go back to their previous 'chiropodist' - everyone happy.
All the best
Bill Liggins -
No problem at all really! -
This couple have moved to this area (Cambridgeshire) from Worceseter (I don't think flood related!).
The person in Worcester was charging £12 per patient home visit.
I''ll be fair, the lady that I spoke to seemed very friendly.
As Akbal Randhawa said a few years ago on the subject, "don't blame this lady, blame the people charging pin money on which you simply can't make a living on for the situation that this has caused."
A lady at Grimsby charges £45 for a DOM apparently! that is fair! -
I really hate people who under sell them self and people think as it is Podiatrist and not a Dcotor it should be cheaper. WHY!!!!
My Dentist - £24 for 10 min check up
Hair cut £15-16 for 15 minutes
People are paying for your time and expert opinion as Bel said it is never just nails
I bet the type of person who moans at fees are not the type of person you want to see in your clinic.
Thanks,
Nick -
I was talking to a very local colleague yesterday. they quoted £35! £15 each for simple nail cutting, and a £5 for the travelling.
My understanding is that at the first appointment, it is OUR opinion on whether it is simple nail cutting or nail cutting or also that corn or 2.
Had a patient come to see me the other day for routine care: slightly thickened nails.
he was experiencing a lot of cramp whilst sitting on the couch. A polite letter was written to the GP requesting a medication review, and guess what, his medication has been changed as a result.
All through a routine appointment. As Martin Fox said at a SCP conference, we guys are on the frontline, we can spot PAD/PVD as advise the patient to see the GP. -
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If someone opened a salon next door who was degree trained in hairdressing and registered with the Hair and Care Professions Council and promised to point out early aloplecia and count the number of grey hairs but had to charge £40 as that was what she expected to get with her superior qualifications and training, I don't think Sophie next door would be too bothered. -
As an aside, I pay £7.00 for a haircut. She does a good job, and the mindless chatter is kept to a minimum, which suits me. -
If a pt chooses to see a pedicurist, FHP, FCA or any other `foot stylist`, I have no problem with that. So long as they understand that I am a podiatrist and charge accordingly.
I`m not going to publicly confess what I pay my hairdresser...but I do happen to make a 160 mile round trip to see her :eek:Last edited: Feb 13, 2014 -
I still do nail cuts. Don't charge any less for them and always suggest they can get them done cheaper elsewhere, but I still have patients booking every six weeks and paying well over the £2 fee that I should be charging them for my time, but they must be relatively satisfied as they wouldn't come back otherwise and I guess I should be thankful for small mercies.
I don't see the point in complaining about fees. We are in an unregulated market and it's called competition. If CambsPod is losing patients - they're simply outsmarting him...
(how much do you pay for a haircut??) -
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Mark,
It was a new patient enquiry! I was told that I was the most expensive quote. I quoted £60 for a Dom for 2 people. Their last person in Worcester charged £12 per patient for a Dom! There is undercutting and there is RIDICULOUS!
Cambs Pod -
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This couple have moved from Worcester to Cambridgeshire and are looking for "someone to cut their toe nails." Perhaps the last person was in effect a charity. I am running a business!
As George Brandy has said in the past, you have to take a full med history at 1st appointment! -
Actually you don't. The pedicurists don't, and many FHPs don't.
If you cut a toe while you were cutting nails, and it went badly wrong and you were sued, I'm not at all sure you would be held to account just because you didn't take a full med history.
I was reminded recently that poor clinical practice does not necessarily equate to clinical negligence. -
I hate doing doms but there is a need for it - especially when I have long term loyal patients who become house bound. As I said I hate doing them so it has to be worth my while. I would charge double my normal 30 minute fee for a Dom visit (£84) but I found this became out of reach for some people so once a month I take an afternoon out of the clinic and do a dom round - I still charge more than my normal 30 minute fee but it is still within the reach of the patient and is more than reasonable at £50. If I see husband and wife at the same time they still pay 50 quid each so that makes up for it a bit too. Works for me and seems to be accepted by patients. I agree with Bill - they can always go elsewhere and get it cheaper - you can't fight that but I have found over the years that people eventually realise they get what they pay for and if they find someone to do their feet for a tenner and are happy with the result then good luck to them.
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The problem is that often people only see that you are cutting their toenails and don't understand (or care?) what else you are capable of and the knowledge you have from your 3 year degree. It can be tough knowing how hard you worked for your degree, and then your dom prices are dragged down by local competition (especially when you are dom only), when you are trying to make a living.... when living more 'in the sticks' you are limited and people are not prepared to pay the big town prices (hence established competition being generally 'cheap').... I would be interested to see what other pods charge per patient for care home visits???? especially where the conditions you work in can be far from ideal....
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I would advise anyone who has built or is building a practice based on dom care to think again. It's a lazy way out, and its full of low-priced competition.
We don't have a closed profession - fact of life, so we have to either find a niche within the market (which could very well just be the best pod on the block, or we have to accept that the competion is there and deal with it accordingly.
I understand that the OP was making a point, and this is in no way a dig at her. -
Cambs Pod,
I find this an interesting discussion.
In UK we have a Free Market Economy, ipso facto ,
1. There will always be practitioners who charge more than you do.
2. There will always be practitioners that charge less than you do.
Whether or not a client will purchase your services at your prices depends upon their perceived value of your services to them.
I know of people who have Sky TV, smoke, go to the pub regularly, give £100's away to the kids at Christmas yet won't pay more than about £15 for footcare. That is their choice and their right to have their own financial priorities, and only they can change them.
Podess. -
My original point was that £12 each, even for nail cutting service for a home visit is ridiculously cheap!
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I agree. However, the one aspect of the subject that this discussion has not touched on is why? Could it be that the original pod (if pod they were) was not interested in making a living but rather garnering 'pin money'? Even today you can buy 4 pints with £12.00.
Anyway, notwithstanding the claims made by other posters, you are not a social service, you should not take the lack of amenities offered by the NHS to your conscience. If others wish to behave in an unprofessional way, let them. Your fee is your fee and is fair. Stick to it, wave goodbye to to the enquirer and let them seek 'treatment' elsewhere.
All the best
Bill Liggins -
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yep
in the real world mark your so right.
we are in competition with each other and any other hpc reg pod.
all of which can take a medical history and understand the risks.
I guess having been a SMAE pod prior to doing my BSc (many years ago) i am a bit peed that the HPC was granted to non BSc pods.
remember the CPSM and the fight to close the profession!!
yep that worked.
As for price it depends on what the patient will pay nail cutting should not cost £40 that is just wrong! -
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If the patient came to your rooms how much would you charge?
If they came by taxi how much would the two cab fares be?
This is what a lot of your patients are be paying now for podiatry care.
Would you charge less than this to an existing patient who could no longer visit your rooms.
If you did this, what would happen to your practice if all your patients found out it was cheaper to have a home visit than come to the rooms?
Just a thought.
With travel time a home consult would, perhaps, take about as long as two in rooms consults plus you need to run a motor vehicle.
The auto clubs usually have a cost per kilometer for each type of vehicle. -
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It's Saturday morning. I've had a shave, the dogs have been out, and I've done the shopping - I'm now trying to avoid work by making unnecessary posts.......... -
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It's a lazy way out because it means that the Pod hasn't properly looked at their other options.
Problems.
First and foremost is that the dom market is awash with competition. On the back of that is the fact that fees are generally low, and the market tends to attract those who will undercut to stay in business.
The second big problem is that the Pod can only really carry out palliative care safely, and that not terribly satisfactorily.
And the third big problem is eventual wear and tear on the Pod.
Once trained,it's easy to buy insurance, some instruments, autoclave and bags and get started - requires little planning, hardly any thought, and certainly not degree-based training. That's why its lazy.
That is also why the dom market tends to be overcrowded.......... -
If what you say is correct DH, then why are you supporting the training of FHPs, who seem to epitomise all the attibutes you decry ? :confused:
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