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Home visit fees

Discussion in 'United Kingdom' started by Graeme Franklin, Nov 13, 2009.

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  1. DAVOhorn

    DAVOhorn Well-Known Member

    As usual this forum provides many hours of merriment for me.:drinks

    Phone a physio and ask for a home visit and let us know what the reply was.:bash:

    In my practice we only provide doms to those who are terminal or severly disabled.

    At this time i only have ONE dom and he is enduring an Rh/A flare up and can barely move.

    Last dom i had 18 months ago was terminal smoker lung cancer and his life was 15ft radius due to length of his O2 tube from O2 bottle. I used to leave his house a very humble man and glad i have never smoked.:empathy:

    David
     
  2. Pauline burrell-saward

    Pauline burrell-saward Active Member

    come on children. no name calling this is the wrong forum!!

    I often get calls from other pods to see what prices i am charging , but only so they can put their prices up as well, their attitudes are if I can get a certain fee so can they.
     
  3. DTT

    DTT Well-Known Member


    Cheers
    Derek DTT ;)
     
  4. Dido

    Dido Active Member

    DTT,
    You have now got me totally confused.:confused:

    You say your prices are on display in your surgery at £55 for all to see. Then you say that you don't do them (so presumabley you have changed your vacuum autoclave?) and pass them on to a local pod. So does the local pod charge £55 and you get a %?

    I'm also having problems with your maths. It looks like you charge £35 per hour in your surgery based on £70 being reasonable for a 2-hour dom. Hence a "standard " 1/2 hour surgery appointment would be £17.50.

    My, oh my! No wonder you don't have to do doms, excellent value for money.

    Dido
     
  5. Graeme Franklin

    Graeme Franklin Active Member

    A somewhat divided camp then! lol !

    Home visits are not the main source of income for me so I can take them or leave them. But there is a need so that's why I provide the service although I try and earn the same hourly rate as the clinic including travel time.

    May I (politely) enquire if the other posters do this - in particular GB and Cornmerchant. Of course you may be happy the doms subsidise the clinic and as it's your business then good luck to you. Perhaps you get their relatives coming to the clinic?

    Regards,
    Graeme
     
  6. DTT

    DTT Well-Known Member

    Dido

    DTT,
    Nothing new there then

    My fee is available for relatives to see the charge for a visiting fee should they want ME to visit. I talk them out of it and refer on to the dom pod. What she charges I dont know that is between her and the patient.

    err What's my vacuum autoclave got to do with anything ??


    Nope got your figures wrong

    And I never said £70 was reasonable meaning to make a profit just it was nearer to the mark around here for the reasons I stated. but thats wht I dont do them because they cost me money against my lost surgery fee


    your estimated figures are wrong

    Nice to see you take such an interest in my practice dido:rolleyes:

    Dido

    Cheers
    Derek;)
     
  7. Dido

    Dido Active Member

    Nice to see you are no longer confusing me with a s*x toy!!
     
    Last edited: Nov 19, 2009
  8. DTT

    DTT Well-Known Member

    Likewise, nice to see you are not confusing me with a poison ( DDT):D

    The devils always in the detail eh ?? :D

    I wonder who pointed that out to you :rolleyes:

    Cheers
    Derek ;)
     
  9. George Brandy

    George Brandy Active Member

    I think I may have already answered this for your Graham...

    But no I do not try and earn the same hourly rate as the clinic, possibly because the majority of our dom visits are patients requiring palliative care who have been with the practice for many years and are true domiciliary cases - unfit to leave home except in exceptional circumstances. This is where I lose my business head and work on the grounds of a little goodwill. I do add a minimum charge of £10 over and above the clinic fee for this service. Visits are generally within a max of 3miles of the practice, many within walking distance.

    DTT, looked out for you at the conference yesterday and here you were all the time playing with your Dido. Will look out for you today. Magnificent trade exhibition by the way.

    GB
     
  10. cornmerchant

    cornmerchant Well-Known Member

    George

    You must be a rare creature- a podiatrist with a heart as well as a business head. You do realise that it wont help you to make friends and influence people ,dont you? Watch out, you'll end up like me, a sad muppet.

    Cornmerchant
     
  11. George Brandy

    George Brandy Active Member

    Cornmerchant

    Have always had a soft spot for muppets.

    This is not about being sad.

    Probably like your goodself earning local respect and gaining a good business reputation within a sensitive and highly competitive market is more important than winning friendship!

    Setting sail for Harrogate once more with a load of dosh to spend on new instruments.

    Have a good day.

    GB
     
  12. Dido

    Dido Active Member

    So Dtt,
    Now we are back on an even keel, I would like to ask what exactly is your fee structure and what services can you offer?

    I notice that you are happy to accept VPs, so what treatments do you use? I understand that you cannot do 'needling' (not having an LA cert) so do you still use the Dentron Biogun?

    I am also curious to know if your Associates are FHPs grandparented or degree-trained pods?

    Dido
     
    Last edited: Nov 20, 2009
  13. DTT

    DTT Well-Known Member

    dido

    Exactly the same as you I would imagine ( apart from the fee's as I live in a different part of the country I think)

    Needling, cryo and the usual chemicals sal acid etc

    Both degree trained, the dom pod is I believe grandparented, the doctor is also qualified in case you were wondering that as well :D

    What is your fee structure and services dido have you got any modern equipment or a modern well equipped surgery, or and networked specialists working alongside you ???

    Cheers
    Derek;)
     
  14. DTT

    DTT Well-Known Member

    Hi George

    Yes sorry to have missed you as well, if you follow the lynch mob they are looking for me as well I believe :D but I think you were one of the few wise ones that knew all along ;)

    Cheers
    Derek;)
     
  15. cornmerchant

    cornmerchant Well-Known Member

    Hi del

    is it really possible to do needling without LA?

    Cornmerchant
     
  16. Dido

    Dido Active Member

    That would have been my question, but I have been beaten to it.

    Having looked at your very professional website DTT, I am puzzled as to who your associate is ?

    Should "Gait Scan Analysis" have a trademark atached to it ???

    As to your questions about my scope/method of practice DTT:- next year I will be operating in new premises. Whether or not they are well-equipped is a matter of opinion. I own a non vacuum autoclave with printer, with a little sister as back-up. All the VP treatments are referred to a colleague and that includes needling.

    Dido
     
    Last edited: Nov 20, 2009
  17. DTT

    DTT Well-Known Member


    I dunno is it ???????

    Ahh now I see where the "they" comment referring to cornmerchant came in...a double act :D

    Thank you for boosting my ranking on Google, and its Associate (s) and for me to know and you to wonder :D


    Why ?? one of them is a vertical loading pressure system, the other is a Sharpe Shape 3d optical laser scanner bet you've got them in your new surgery ??) All leading edge stuff .... of course you have ..... havent you ??


    Oh not moved into the modern world of vacuum autoclaves yet then :eek: Never mind if you both work as hard as I have, you may be able to buy one between you one day:D

    Hope you both enjoyed the conference, sorry I couldn't make it, pressure of work and all that:D

    Cheers
    Derek;)
     
    Last edited: Nov 20, 2009
  18. Dido

    Dido Active Member

    DTT,
    You advertise needling as a treatment for VP but you cannot administer LA, so how does your practice provide it?

    Sorrry DTT you are in error. The "they" was used not be gender specific as in he/she, as no-one knows Cornmerchant's gender.

    That, I assume, equally applies to your clients and the HPC. So why are you so secretive if they are genuine pods?

    Ah-ha 'leading edge stuff?? Since when can a force plate and an optical foot scanner replace the diagnostic skills of a suitably trained professional??
    These systems are commonplace in sports shops and the like. So your foot plate is not TOG GaitScanT ??

    Ha Ha Ha ! Vacuum autoclaves, you fell for that one eh? just like the dentron and its upgrade. Hey, gadget men can be spotted a mile off. Do you have personalised number plates too ??

    That is understandable DTT, we must not let knowledge get in the way of earning a crust, just sad that you let us all believe you could afford to attend !

    Dildo.
     
  19. DTT

    DTT Well-Known Member

    By needling its patients with VP

    My business associates are MY business dido not yours the HPC's or anyone else s. if you want to know ring me for an appointment I personally will give you a primary assessment and If I think it is necessary introduce you to my associates,I will if not .......keep guessing

    Ahh they seek it here they seek it there they seek that conmerchant everywhere so secretive eh ?? dont worry I wont tell anyone I know who IT is dido:D

    They don't they assist in the diagnosis in the diagnostic skills of a suitably trained professional ... ME !!!:D

    Ha Ha Ha Ha ....wot one ?? all the NHS use them so.... strange sense of humour you have dido:confused:

    I do as it happens on my new BMW X3 :cool:


    Nah just fussy who I mix with these days dido ,I can afford to be more selective who I associate with personally, sooner be at my golf club for lunch and drinks in the members lounge after a round with my friends, draw your own conclusions from that....both of you:cool:

    Cheers
    Derek;)
     
    Last edited: Nov 20, 2009
  20. cornmerchant

    cornmerchant Well-Known Member

    Derek

    You have not answered the question regarding LA for needling. You cannot administer LA , so I ask again, how do you do it? or is it something else you pass on to your associates who you say are graduates and who therefore can do LA.

    I dont understand the 'they business' - sorry, I think you are rambling again.

    Vacuum autoclaves are a waste of time but you were obviously taken in by the hype a while ago when they were the perceived gold standard. I am sure that you are mistaken when you say all the NHS use them, I am pretty sure they do not.

    Force plates and scanners? Cad cams have a place - usually in locations outside of the pod profession eg shoe shops/sports shops. Loads of money to lay out, do you really make it viable?

    I would never expect you to attend the conference Derek- it was all bluff- you just dont have the background mate. know what I mean?

    Have you had counselling for your feelings of inadequacy? I dont see anyone else on here having to
    promote a car as a yardstick for their success.


    Cornmerchant
     
    Last edited: Nov 20, 2009
  21. DTT

    DTT Well-Known Member

    Go on keep guessing

    Sorry typo, lets be clear, mind your own business about my business got it now??

    Pretty sure eh?? coming from you, that's no recommendation !! It works for me so.......until I hear from a "proper knowledgeable source I'll stick with what Ive got thanks

    Do you actually or can you actually read anything else on this site except the waffle you and yours post ?? look it up and LEARN !!!:bang:

    How long did you spend looking for me oh intelligent one??:D Ive done over 20 years without you and here's to the next :cool: I choose my direction I'm not led there.

    Have you seen anyone else asked about their motoring preferences ?? I was simply answering the question posed by your partner in crime. It's really lovely with the leather seating climate control and all those other bits that you probably wouldn't understand... Oh and BTW the personalised number pate is.. MR TOE :cool:enjoy your mk 1 ford escort, I wouldnt swap my inadequacy for yours or your mates:D
    Cheers
    Derek;)
     
  22. cornmerchant

    cornmerchant Well-Known Member

    Derek

    I am sure your insecurities are treatable should you seek the appropriate therapy.

    Do you seriously believe that anyone with more than 2 brain cells really wants to know what you drive?

    I do not have a partner in crime, that is a figment of your imagination or paranoia.

    I have very different values in life to yours Derek. One of which is an aversion to personalised number plates.

    Thankfully .

    Cornmerchant
     
  23. DTT

    DTT Well-Known Member

    Game set and match I believe conmerchant:D:D:D Sleep well
    Cheers
    Derek;)
     
  24. cornmerchant

    cornmerchant Well-Known Member

    Derek

    I am glad you have conceeded to me. No hard feelings.

    Cornmerchant
     
  25. DTT

    DTT Well-Known Member

    See again cornmerchant your not as clever as you think you are, the foregoing stays for all to see :D:D

    never mind meet you on another thread better luck next time ;)

    Keeeeeeeeeeeeeep Tryinnnnnnnnnnnn
    Cheers
    Derek xx ;)

    ps goin to bed now, busy day tomorrow need to fill the 3litre X3 with diesel and of to the club for drinks and a dinner function with the chaps
     
    Last edited: Nov 20, 2009
  26. Dido

    Dido Active Member

    DTT,
    With regards to vacuum autoclave use in the NHS you are misinformed. I personally know of 3 counties where they were never used, one of which has now gone over to CSSD for all podiatry instruments.

    Dido
     
  27. DTT

    DTT Well-Known Member

    And CSSD use ??

    Cheers
    D;)erek
     
  28. Dido

    Dido Active Member

    DDT
    I don't know what type of equipment they use but it certainly isn't a benchtop vacuum autoclave !

    Dido
     
  29. DTT

    DTT Well-Known Member

    Bit of a contradiction in terms there I think :rolleyes:

    Dido are you and yours going to continue this attempt to discredit me and my practice or are you going to return to the thread topic... Home visiting fee's.??

    If you have a problem with ANYTHING to do with my practice you know the body you should report it to ( if you or yours haven't already). Just do remember I have been in practice for many years and in that time, as the principle within my practice, offered the best available to my patients. That policy still holds good today and I don't hear the patients complaining so.....

    The one thing you can also rest assured on is you or anyone else will NEVER be allowed to scrutinise the details of my business acumen and least of all on a public forum. Guess all you want if it keeps you happy but I'm drawing a line under this attempt so back to topic please.
    Cheers

    Derek;)
     
    Last edited: Nov 21, 2009
  30. Dido

    Dido Active Member

    No I don't think so. I do not know what the apparatus is called or much about it's capacity but I am sure a benchtop vaccum autoclave (which was what I thought we were discussing)would not do the job!

    I don't know what you mean by "you & yours".

    How is asking questions and giving an opinion "an attempt to discredit you"?

    If you put yourself out here and make a point of telling people how sucessful you are then it will attract interest and fair comment. If you don't like it then perhaps you should be a little less visible?

    Dido
     
  31. DTT

    DTT Well-Known Member

    It was you and cornmerchant that took this thread into my practice not me, my autoclave has nothing to do with this thread topic the subject came up when you both tried to discredit the system ( wont bother quoting you can look back for yourselves).

    Still haven't got it have you dido??:D You and yours started your usual attacks on me ( paranoid or not there are plenty of examples ) which is your prerogative but sometimes I like to play games as you both found out on this one.
    One of the first things I learned in my university (of life) is to learn how to read people and one of the tests is, if your not sure try the carrot and ASS system..
    Dangle a carrot and another and another and see how many Asses you have following let them graze till they dig a few holes and there you have it dido..

    A BUNCH OF ASS HOLES:D:D

    Take a look back and learn a lesson in human psychology I'm sure the rest of the veiwing members saw that coming a long time ago GB had a clue.

    I'll call a truce if you and yours will and get back to podiatry matters intead of the spite and ridicule you and yours try to perpetuate.
    Cheers
    Derek;)
     
  32. cornmerchant

    cornmerchant Well-Known Member

    Derek

    I bow to your greater knowledge of human psychology- your people skills are second to none.

    I am sure we will all be more fully aware of carrots in future, especially fully qualified ones in BMWs!

    Regards
    Cornmerchant
     
  33. DTT

    DTT Well-Known Member

    Dya know you two are alike a couple of dogs with a bone :D

    I'm trying ever so hard to give you both an out from this, and your posted disingenuous thread full of sarcasm , aspersions on my integrity,character and an obvious will to damage me personally from your own twisted ignorant perception of me and my practice.

    YOU DON'T KNOW ME CORNMERCHANT you and yours just have this pre conceived prejudice and it shines loud and clear to all who view any thread I post on and you and yours follow it up with your usual vitriol and spite :confused:

    Leave it!! you,have lost this one big time now try and get over the prejudice and look at the real world = have you noticed how I boost ratings on the various forums ?? everyone loves a row don't they = viewing figures rise = promotes more traffic ?? does that give you a clue as well ??

    Got the message now?? but you took it seriously.... get a life:eek: all those views looking at the pair of you making fools of yourselves....sorry but I have stood for it for long enough and that is it..ENOUGH !! give it a rest and try and be a professional to another "colleague"in future :empathy:

    Truce or not ??
    and I have looked at TFS .. good to see I stimulated a proper debate ( after the insults etc had stopped ;))
    cheers
    Derek;)
     
    Last edited: Nov 21, 2009
  34. cornmerchant

    cornmerchant Well-Known Member

    Derek

    I conceded to you in my previous post. I have no idea why you have even responded to it. I thought it was humble enough for you.

    I believe that we know a lot about you from your previous outspoken posts, you tell us everything we need to know including what sort of car you drive! You havent exactly been secretive , have you?

    Respectfully
    Cornmerchant
     
  35. DTT

    DTT Well-Known Member

    Nuff said ;)
    D
    ;)
     
  36. ja99

    ja99 Active Member

    Mods...are you reading this thread...?

    Time for a big old lock IMHO

    :deadhorse:
     
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