Posts Tagged ‘the economy’

Defusing Your Practice Debt Bomb – Part 1

Thursday, July 8th, 2010

mischevious debt bombIn the past year the UK has seen unemployment rise and wages fall. What this means for your practice is that clients may not be in as strong a position to pay or they may not be in as much of a hurry to pay.

Also, don’t forget the psychological impact that the recession may be having on your front line staff who (even at the best of times) can struggle to feel justified in charging a ‘reasonable’ fee.

In this week’s blog, we look at steps you can take to reduce practice debt and keep your cash flow healthy. The old medical adage that ‘prevention is better than cure’, certainly applies here.

Give Clients Accurate Estimates

Implement and enforce an estimates policy. By giving out written estimates, you are forcing a client to face up to the financial reality of a procedure before they commit to it. This also gives you a significant advantage should things get ugly later.

Take A Deposit Upfront

This seems to upset vets when I recommend it. But think about it, what other business that has a large bill at the end doesn’t take a deposit? Hotels? Builders? Travel agents? Don’t forget all online payments are made upfront these days so people are used to paying in advance.

I guarantee you that the only people who will object (other than your team members initially – but they’ll get over it), are the ones who weren’t going to pay anyway. So you’ve lost nothing.

Time Management

Having your vets frantically typing up a bill, minutes before the client arrives for their appointment means at best they’ll make costly mistakes. At worst, if the bill isn’t ready, they might just let the client leave without paying. Discipline and team training are essential. Can someone else do the billing? Should your busiest vets be delegating work out to quieter colleagues to help with time pressures?

Make Payment A Cultural Norm

Adopt a practice wide culture of payment at the time of treatment. Don’t just have the terms and conditions stuck invisibly to the wall. Share the information that cash flow is king. Build it into your training programs. Also, I’d advise against having a salary structure that rewards turnover alone. It has to reward profit or penalise debt to change behaviour.

Monitor the Debt

Make sure you monitor the debt like your nurses monitor an anesthetic. OK perhaps checking every few minutes might be a bit paranoid, but at least check it monthly. Things can get out of shape quickly and the bigger your practice the quicker this can happen.

Dave’s Tuppence-worth

Cultural changes can take time to settle in but if you clearly explain the reasons for change and share a little information about why you need to address problems then there will be few who can reasonably argue back.

If this has been useful to you then good luck with making some changes. If you’ve got any other tips to add then pipe-up and drop me a comment.

Next week we’ll look at what to do if you already have a debt bomb ticking – before it blows up the business.

Emergency Budget 2010: Slaying the UK Debt Monster

Tuesday, June 22nd, 2010

Sharp budget cuts are comingAt the start of the year, I wrote an article predicting that 2010 would see the end of the era of credit. So here it comes, our big bang moment of the year. Today, the new UK coalition government will begin the arduous task of attempting to reign in the biggest debt monster in our fiscal history.

The ‘recession’ we’ve experienced so far, I suspect, will be nothing compared to what comes next. Tomorrow the tide of credit we’ve been drowning in finally goes out. And when it does we’ll really see who’s been trying to swim with no trunks on.

Inappropriate Optimism?

Make no mistake, this has to happen and it will be painful. But at least there are two reasons to be comparatively optimistic.

1. We’re doing this of our own volition. However painful George Osborne’s budget is, it will be less punitive than if we simply kept on racking up our debt. According to Nick Clegg, we (the UK government) are currently paying £80,000 of interest a minute.

2. The presence of the Lib-Dems within the government perhaps ensures some degree of balance to the cuts that have to be made.  (I may be in business but I strongly believe in social justice.)

By choosing to step off the debt train now and bring some order to public finances we will hopefully avoid falling off the cliff as Greece has done and the US threatens to do. We maintain the ability to control our own destiny, rather than, in effect be dictated what to do by our creditors and risk even deeper cuts and the social unrest seen in other countries.

Phoney Growth

Recent figures that put the UK in growth are perilously propped up by government spending, or put another way – it is phoney growth.

Today that stops. Today reality bites and in all likelihood people will lose jobs. Potentially lots of people will be leaving the public sector and looking for private sector employment.

Implications for Vet Practice

If your practice exists in an area dependent on these jobs then this is going to hurt. If your practice exists elsewhere then at least the spectre of interest rate rises looks less likely (as this would almost certainly put the UK into an economic tailspin). But consumer confidence will be shot to pieces for some time to come. So it will be harder to get clients to come in and harder to get them to spend when they do.

The time has come to put those management skills into practice, to squeeze every piece of value you have out of your practice. As the tide of debt goes out it will be replaced with the fire of recession – a fire that will burn out bad business.

The Party’s Over

As vets we have always been seen as ‘recession proof’. But with changed market conditions the recession of 2010 (or as some are calling it – the great correction) looks like it will put this to the test.

The debt monster has been partying hard for over a decade, but finally the music has stopped. Today the hangover begins – it also promises to be a monster.

Hurrah! We’re all in the clear..

Tuesday, April 27th, 2010
Great little cartoon highlighting the economic woes of late…and quite possibly future.

With more and more newspapers reporting the end of recession and even Scotland edging into “growth” surely we’re all back on an even keel. Woo hoo, let the good times roll. Only the small matter of a Sovereign Debt Crisis to worry about then. Still it’s happening in Greece, and that’s miles away…right? Couldn’t happen here…ahem.

Posted via email from davenicol’s posterous

New Year Party Pooper – Are We Heading for A Painful Comedown in 2010?

Tuesday, January 5th, 2010

In any business plan there should be discussion of the wider environmental changes that could affect your business. Today we discuss the Global Financial Crisis, how it might affect you in 2010 and why you should be wary of anyone who says it’s over.

The crisis if you believe some commentators, has passed it’s worst. The UK is officially out of recession, so we hear. House prices are on the increase and there’s some good news from the mortgage market.

So was that it? Have we escaped the after effects of apparently the greatest piece of financial mismanagement the world has ever seen relatively unscathed? If you believe that dear reader then you’re probably still waiting for Santa Claus to squeeze down your chimney! Or you’ve got your head in a bucket of sand.

The Story in 2009

At the 2009 VPMA congress last year Dennis Turner, chief economist from HSBC bank delivered an uplifting and statistically pleasing overview of the economic situation. His prediction was that by the end of 2009 or start of 2010 things would start to improve. We all felt relieved.

So Far So Good?

Great, well here we are, officially the green shoots of recovery have punched through and all is looking rosy. Time to sit back safely knowing we rode out the worst of the crisis. But hold on, wasn’t it all just a bit easy?

Sure, some folks lost their jobs and repos on mortgages are up, but compared to what we were expecting from the “worst financial crisis in modern times”, (given what history tells us about the great depression) it wasn’t all that bad.

I mean no vets that I am aware of went bust (but then I don’t know what financial shape the recent acquisitions of CVS UK Ltd were in either). And I doubt if many of us have seen a significant decline in our standard of living?

What’s bothering me is that something just isn’t right with this picture. The facts before us don’t add up with what the economists predicted. Doesn’t it all just seem a little too easy? (I’m not being flippant here. I’m sure many practices have had a tough year).

Perhaps I’m just being pessimistic and am now guilty of doing what I was blasting others for 12 months ago – talking down the economy. The thing that has changed is that we are now in the midst of a full recession. It’s real and as far as I can see, nobody has done anything that would fundamentally improve things. In fact it might be the case that Messers Brown and Darling have done just the opposite.

A Layman’s View

I like things simple, so this is my possibly over simplified view issue.

Imagine you are mired in personal debt. The type of debt you just can’t ever hope to pay your way out of. You have an interest only mortgage worth five times the multiple of your earnings. Your house has lost value and you now owe more than your property is worth. Your credit cards are max-ed out and you’re running an overdraft. Things look pretty bad. Your outgoings outweigh your income by so much that you are unable to even service the interest payments on your debt.

There are few ways out of this situation:

1. You somehow fluke a miraculous increase in your earnings to be able to service your debt again. (Win lottery or become a drug dealer – both extremely unlikely).

2. You take your medicine for some bad decisions and declare yourself bankrupt. You lose everything and start the painful process of rebuilding from the ground up. But with a defunct credit rating you’re going to have to do this the old fashioned way. Pay for goods and services with money you’ve actually earned and saved for over the hard years that followed your glut of debt driven excess. (This option doesn’t win you votes or friends)

3. You borrow more in the vain attempt to service your existing debt, with even more debt – on ever worsening terms. In effect putting the pain off for another day, but allowing the size of the problem to get even bigger in the meantime. The higher you fly, the harder you’re ultimately going to fall.

In the global economy right now guess which is happening? Bingo, Number 3.
Central banks/governments around the planet have lowered interest rates to rock bottom so they can service national debts without putting up taxes and completely kill off their economies (and chances of gaining or retaining power).

In the UK things are even worse because our public debt has expanded from 49% of GDP to 60.2% of GDP* in the past 12 months!

The low interest rates also mean that people (that’s you and me) can service their own debts and keep spending money we don’t really have (hence propping up the frail old economy with yet more fake spending).

In Australia, where officially we didn’t even have a recession, the government even gave everyone AUS$900 to spend. That was nice of them. Lots of easy liquidity, sloshing around making everyone feel great. It’s as if we’re all addicted to the drug called credit and can’t stop spending what we don’t actually have.

And for the past year (in accordance with what Mr Turner rather chillingly called the “nuclear option”), since dropping interest rates and bailing out the banks didn’t work, the government has pulled it’s one and only remaining lever to try and get us all through this before the elections – they are printing money like there is no tomorrow. Flooding money markets with phoney money to keep the whole house of cards propped up.

It just doesn’t add up. The credit bubble we’re trapped in is huge, almost too huge to believe and sooner or later is got to pop. The party has to end, and the mother of all hangovers will be hot on its heels.

The economic hangover we have suffered thus far really doesn’t match the size of party we’ve all had for the ten years prior.

Three Party Poopers for 2010 


In spite of these unresolved ‘issues’, commentators are beginning to talk up the economy. The stock market has rebounded strongly, sterling’s slip seems to have stabilised and house prices have even risen in the last couple of months.

For this lay observer things aren’t over yet though. And these are three of the things that I’m concerned about.

1. People who have jobs are going to see a reduction in the value of their money.

One result of all this “new” money being printed is that the value of our currency is being eroded. That is, each pound is worth a little less than it was before.
Our earnings have shrunk as a nation (recession), but there’s more actual money swilling about in the system.

And when inflation gets going (oil prices, food prices, etc) we’ll see these effects exacerbated in higher prices for everyday things. Without the attendant wage increases to compensate (who’s giving out pay rises right now?), confidence will take a hit. People will have less money and spending on luxury items – including pets – will be at risk.

2. Lots of people are hanging on to their homes by their fingertips. Low UK interest rates are keeping debt payment artificially low. This is allowing millions of UK borrowers the opportunity to stay afloat. It won’t last forever. When the government removes it’s support for banks later this year and/or inflation begins to creep into the system interest rates will climb. Defaults on mortgages will rise and things could get messy. Again less money for spending.

3. Unemployment is still rising. We’re almost up to 2.5 million or 7.9% of the workforce and although for now that figure is seemingly slowing down, it won’t take much for it to start climbing faster again.

Am I wrong? I’d love to be. Things are very, very finely balanced. Anecdotally, for now at least, people seem happier to give up a holiday abroad or a nice meal out, rather than not have their pet treated. But if things get really nasty can we rely upon that forever? I doubt it. Look for rising numbers of pets in shelters.

The next 12 months will be amongst the most interesting and potentially exciting in recent history. How our profession fares will come down a lot to how we manage our businesses. We cannot control the wider environment but we can position our businesses to weather the storm.

Dave’s Resolutions for the New Year

• Run a tight ship – control your costs and capture your missing charges
• Be the best at something – what makes you different?
• Communicate why you’re the best – make the money you spend on marketing really count.
• Look for opportunities – as always there will be winners and losers. If you’re looking to get bigger then my guess is that there will be bargains to be had in the next 12 months.
• Don’t believe the hype – use your head! This is election year, politicians on all sides will tell us anything.

At the risk of sounding like Ricky Fulton’s glum character The Rev. I.M. Jolly, Happy New Year and good luck in 2010.

Will Economic Meltdown Thaw Passions for a Vet Union?

Friday, May 15th, 2009

So the calls for a vet union seem to have peaked (the Vet Times have even published some letters in defense of our profession!) and the incandescent Dr. Mirs has pretty much squeezed the vet PR machine for all it is worth. What now for the proposed Vet Union?

As always actions speak louder than words and the next step required is for someone to step up and actually bring this proposition from rhetoric to reality. To begin to assemble a team and organisational framework that will actually deliver real change for those it represents. In short, beating the drum was the easy bit. Firing up the disgruntled ‘masses’ (actually I think there are perhaps many like me who have had entirely good experiences in vet practice and still love their jobs) was the easy bit. The business end, getting a Union going will be the true test of Dr. Mirs and his beliefs.

I have written before that I think the Union is a non-starter that will not achieve the desired goals. I suggest now another three reasons why my opinion in this regard is stronger now than ever.

Firstly though, before I get blasted for not caring about assistants, let me just for the record point out my position. I am a free lance veterinary consultant. I work with business owners to plan their businesses out, but I achieve change through the close training, mentoring and support of the vets and nurses within those teams.

I also continue to work (and love it) as a first opinion vet so I think I have a reasonably balanced viewpoint.

OK so with my cards on the table why do I think that a vet union will struggle?

1. Dr. Mirs Leadership – I could be wrong but I suggest if the Union gets going it is not spear-headed by Dr. Mirs. He has unquestionably been highly effective in raising the issue to the top of the veterinary agenda, but his articles (full of inconsistency and inaccuracy) have belied his fundamental misunderstanding of veterinary economics. Further, I get the impression he may be is fuelled by a past wrong of which I have no knowledge. Only having one side of any story makes me nervous. It should make you nervous too. Dr. Mirs should clarify the full picture so we can all understand his motivations more clearly.

2. The Apathetic Middle Ground – Many comments have been published in support but I think Dr. Mirs is polarising the debate and we are only ever likely to hear from the outraged outliers in such a situation. My guess is that in common with myself, many vets are happy in their employment and if they have a problem with an employer can either talk it through to resolve the issue locally, or move roles without trouble. Hence why will they fork out more money for union membership?

3. The Economy – A very interesting quarterly employee satisfaction report just published by the Chartered Institute for Personnel and Development (CIPD) reveals that job satisfaction in recent months has soared. (A result perhaps more likely to indicate that with some practices making redundancies this week, the “grass is greener on the other side” effect may well have given way to a prevailing “the grass is well and truly scorched – so I’ll sit tight here”. Whatever, it seems more likely that this will reduce any membership uptake than provide a positive recruitment driver.

I have sympathy with those who have had a poor veterinary experience. It is tragic and unacceptable that vets should spend a childhood working hard to achieve a life ambition only to have that dream destroyed by poor management. But in many cases, by not coming to terms with the economic realities of veterinary practice, assistants do the damage to themselves.

A poorly funded and supported Union won’t change that. I watch with interest to see what brave individual takes this idea forward and hope they have the vision to see all sides of the debate and hence have any hope of implementing positive change.