porrige - it is exciting, isn't it?
I saw a bit of how business works when I worked in a private company after doing a stint playing with the handsome boys in NZ's healthcare system.
The company was owned by a businessman with no care background at all - he had a daughter-in-law who was a physio and she suggested occupational health was a growth area.
He set up a company that provided in-house physio services, manual handling training and ergonomics advice.
I learned a great deal - not least that it's not That Hard to sell a service to someone who needs to provide the service to their workforce because of legislation. He used to take me along to some pitching, I'd try to look knowlegable and he'd do the spiel. He didn't have a clue about the actual service, but he was a great salesman.
I also eventually realised that he was making a good living on the back of my hard work...
Bleeding heart is tricky. If it helps you feel better - I'm supposed to charge £60/hour for a domi visit under the CSP guidelines. That's never going to happen - it feels too much like ripping off old ladies...my patient list is currently all sports stuff generated through word of mouth - I'm supposed to charge £35 a treatment in a clinic, I'm actually muttering "is 20 quid ok?" in an apologetic tone, because I know they know that's what I charged the original person who referred them to me. Mates Rates - should never have started it.
Then I get cross with myself and think what a plumber would charge me for a call out. So, am I not as skilled as a plumber? are my services not as useful? Why am I not charging for them then?
It's a cultural thing - healthcare is free here, so it is Very Difficult to justify charging people for something that you believe should be free.
However...they CAN opt for the NHS. They just won't get me there. And, I'm shit hot, and I am worth it (oooh, look at me shaking my hair around right on cue) because I am WAY better than the other private options available to them.
The reality is, I'll charge a middle ground for my services. Long term, I need to employ people who are qualified to deliver exercise classes (not necessarily physios) and pay them well, but charge them out for more.
There's no real money to be made from hands on treatments. People who are drawn to healthcare are not, in the main, naturally cut throat. Having said that, you could easily make double your NHS salary for less hours and less hassle, and more control...and, that's a very attractive option to me given that I left the NHS before Agenda for Change destroyed everyone's soul...
You know what would be really useful? Teaching undergrads what it is like to be on the other side of the fence, from someone who also understands the service. A surgeon friend of mine landed up on ITU for weeks and having lots of rehab. She did a bit of lecturing to medical students - brilliant. Have you read "the diving bell and the butterfly" by Jean Claude Bauby (?sp) He had locked in syndrome and wrote a tiny book about his experiences by blinking. It's a work of genius, the way he describes the people delivering his care is really insightful. Though, I'm afraid he wasn't much enamoured by the OT and just seemed to fancy his PT.
Anyway - there is a definite need for people like you to teach our students. Invaluable. If you've got post-grad, have you got enough to lecture? Or write a book?
What's the thing that families need, that's not being supplied? SN creche? A directory with all the services they'd benefit from, but not be able to find? Can you deliver that?
Is there something needing re-designed and you know what needs to be done (I'm thinking specifically about car transfers for SN kids that are too big to lift. A friend of mine has a hoist fitted in the house - but it's really tricky getting her 9 year old daughter into the car, even with a swivel car seat) Charging people for OT services is never going to make £1k a day...but, getting a patent for a product that works and solves a problem for eg. the NHS or a charity working with dependent kids? That's where you can make money.
Right. Who wants to be ma pal oan linkedin?