Episode Transcript
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(00:00):
When you strengthen your businesswith a solid, sustainable model,
your clients and community are theones that are going to benefit, as
well as you, as well as your team.
Welcome to the ExploringNeurodiversity Podcast for adults
who support Neurodivergent children.
(00:20):
I'm Adina from Play.
Learn.
Chat.
I'm an Autistic ADHDer, a speechtherapist, professional educator,
speaker, and I also supportNeurodivergent Business owners in
my other business, NeurodivergentBusiness Coaching and Consulting.
I'm obsessed with creating a worldwhen Neurodivergent people are
understood, , embraced, supported, andcan thrive in a life aligned with our
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individual strengths, wants and needs.
I bring a NeurodiversityAffirming approach and indeed a
human affirming approach to thesupport that we all provide for
Neurodivergent kids in our lives.
This podcast is recorded on the Aboriginallands of the Gadigal and Bidjigal people.
Today's episode is a bit of adeviation from my usual content.
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I'm sharing this across both mypodcasts, the Differently Aligned
podcast for Neurodivergent businessowners and exploring neurodiversity,
my podcast for adults whosupport Neurodivergent children.
The reason I'm doing this is becausethe big issue on my mind today and on
the minds of many, many professionalswho support neurodivergent children
(01:24):
is one that makes sense for me to talkabout across both of these worlds.
Thinking about how we supportchildren, thinking about how we
support ourselves, thinking abouthow I can support businesses.
I'm talking about the NDIS pricingcuts, freezers reductions, and
just outright pricing shenanigans.
(01:47):
Now I am.
A speech therapist.
I've had different models of business.
I know what it's like to havea mobile practice where all you
do is travel to visit clients.
I know what it's like to havean office and have a base
where clients can come to you.
I know what it's like to have a team wherenot only are you supporting the team.
You are thinking about the business.
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You're thinking about qualityof delivery to clients.
You're balancing out what everybody needs
and having a mixed mode of delivery,both in the clinic and out in the
community, at home visits, schoolvisits, daycare visits, and so on.
I also know what it's like to runa telehealth business and again,
mixing telehealth or you know,online speech therapy support in
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with other modes of service as well.
Now, if you are not a therapistor if you're not in Australia.
I still hope that you'll listen inbecause the issues I'm talking about
today will quite likely impact you.
Sustainable pricing Balancingwhat everybody needs.
Money mindset.
Fundamentally the heart of NDIS pricingcuts, challenge is coming from a lack of
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support from above, from the government.
These are systemic long-term problemsthat we're not gonna solve today.
Unfortunately.
I really wish we could.
I wish the governmentwould just listen to.
The very, very many voices andperspectives of clients, families,
community, community leaders,businesses, allied health professionals,
(03:13):
and up date the pricing guide toactually be sustainable for us.
I'd love that.
that would be cool, but I don'tthink it's gonna happen in a rush.
Now, there is a huge amount ofbrilliant advocacy out there.
There are people getting in the media,
there are letters goingout, there are petitions.
There's a lot of support for peopleto send emails to local members
or to know how to contact people.
There are.
Huge meetings, connections, it's, there'sso many different ways that people
(03:37):
impacted by the NDIS price freeze,let's call it that people impacted by
the price freeze are jumping to action.
And I've been thinking a heckof a lot about my role in this.
Where is my strength and the way thatI can best support people through it?
I've been signing the petition,sending off emails, and.
I've been working directly withmy one-on-one coaching clients to
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help them figure out what they'regonna do next in terms of business
pricing, structure, models, et cetera.
While the high level advocacy is in fullswing and I completely support it, I'm not
gonna start my own advocacy platform and.
I probably don't wanna put my hand upto go on the news or anything like that.
That doesn't fit me.
And my groove.
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What's my groove?
Being here, turning up, speaking intomy microphone, sharing my podcasts and
supporting people with resources, tools.
A guide, a workshop,free template as well.
There's so many practical supportsthat I'm offering to allied health
practices who are navigatingthese challenges right now.
That's my groove,
(04:40):
Now I'm just gonna share a very quickmessage about my Neurodivergent Business
Collective In my business, neurodivergentBusiness coaching and Consulting,
one of the main things that I do issupport other Neurodivergent business
owners to create a business that worksfor their brain, their life, their
values, their energy, their capacity.
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If this is you, if you are a businessowner and you are neurodivergent, I really
encourage you to go and check out myNeurodivergent Business Collective, like
right now, depends when you're listening.
I've got the doors open rightnow until the 27th of June.
Then we're closed to new membersfor a while, so I could focus
on supporting everyone in there.
I've got, oh, lots of links in theshow notes, but you're gonna go to the
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show notes and tap on NeurodivergentBusiness Collective if you're interested
in a shortcut to creating an aligned,thriving business that fits your fabulous
neurodivergent brain with an amazing,supportive group of other folks resources.
Templates, webinars, guestspeaker chats, and so on.
It's massive.
It's awesome.
It's flexible.
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You can join for one month or stayfor many, whatever works for you.
So really go and have a look rightnow if it is before the 27th of
June, or go to the website anywayand join the wait list for future
rounds if you're listening later.
Now while I'm supposed to be deep inlaunch mode for the Neurodivergent
Business Collective, which I am, andI'm so excited to be welcoming new
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members over these couple of weeks,what I'm also doing is taking a very
important necessary sidestep to helpingall allied health business owners who
are interacting with the NDIS world.
To navigate the new round of changesor in many cases, non changes.
So that's what this podcastis here to do today.
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The big picture challenges ofgetting disability support adequately
funded is so deeply important,but I'm choosing today to focus on
practical support for allied health
businesses.
You know, things you can do rightnow today and over the next few
weeks and I'll touch a little biton longer term thinking as well.
So for the rest of this episode,I'm gonna be speaking directly to
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the Allied Health practice owners.
And the allied health professionalswho are directly impacted
by the NDIS pricing freeze.
My guide and workshop are fornon-registered NDIS participants.
However, if you are registered, there isstill gonna be a lot you can take from
this because some of what I share isabout keeping within the NDIS price guide.
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But I do speak specifically tofolks who are non-registered and
therefore have some more or much moreflexibility in some of the ways that
we go about pricing our services.
The very first thing that I wantyou to do is try not to panic.
I say try 'cause I can'ttake panic away from you.
There is so much uncertainty.
There are so many changes.
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There's a lot to get your head aroundand you probably spend a lot of your
day doing your business as usual,seeing clients or supporting people.
I don't think I've ever seen theFacebook groups that I'm in be so
active after hours, or maybe it's sortof every year at this time, but I feel
like this year is worse than ever.
So, you know, I need you to firstacknowledge the impact on you as a human.
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NDIA have put us into this horridposition, this tailspin about
two weeks out from the end of thefinancial year, about two weeks out
from the changes coming into action,
which is deeply unfair on you as aservice provider and then on your clients
who are feeling uncertain as well, and.
Won't get much notice potentially forchanges of policies, pricing, and so on.
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And let's also remember your team,your team members, if you have a
team, might also be feeling very, veryuncertain and unsure at the moment.
So the one thing that I want youto do right now today, if you have
not already done this, is send,I'm calling it like placeholder
communication out to your clients.
And even to your team as well.
Now I've written a templateand I've made it free.
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Now most of my freebies are, you gottapop in your email address and I send
lots of helpful emails to my email list.
This one is so free that it'sliterally just a link straight to
the template in my Google Drive.
I've got the link in the show notes,and you can go there and get this
template email, copy it to your ownGoogle Drive and you can make it your
own and send it out to your clients.
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Literally right now today.
The idea of this email isjust saying there are changes.
There have been updates from NDIS,changes are coming and I'm taking some
time to look into it, figure out whatI need to do, figure out the updates,
and I will come back to you next weekwith more details and you could do a
similar version for your staff as well.
It's a really simple message,but the impact can be massive.
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So I want you just to imagine if youhaven't already done something like this
and you're scrambling thinking, I haveto update people I have, which means I
have to come to decisions like these.
Decisions are huge.
They will impact the bottom line of yourbusiness, how you structure your billing,
your pricing, your offers, and so on.
So.
We don't have much time.
I'm recording this onWednesday the 18th of June.
We don't have much time, butwe do have more than a day.
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You don't need to come tothose conclusions exactly.
Today, I really want you to takejust a little bit of time to process.
You know, if you have todo it over the weekend.
None of this is ideal.
It is a little blip intime, but don't do it today.
Don't do it in a rush orlike an urgent, urgent rush.
So let's just breathe with that.
(09:56):
Literally breathe out the urgency.
Let people know change is comingand you're figuring things out.
That is your leadership right now.
I've had so many fabuloustherapists write to me.
Thanking me for this template andsaying they've sent it to their
clients, or whatever relief it is tohave something so simple and clear.
So please, literally right now, pause me.
Go to the link in the shownotes and get your heads up.
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Upcoming pricing and billing.
Update free template going right now.
Send it out, go for it, thencome back and keep listening.
And again, if this exact scenario andsituation doesn't impact you right now,
there's a message here for you to takeon for anything that comes up in your
business as a really big, quick changeor something quite surprising, shocking,
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where you feel very, very reactive.
You can separate out being responsiveand communicating with people,
your clients, for example, and bigdecisions that you need to make.
Send a quick message letting peopleknow that there is something happening
and that you need a littlemore time, and it's coming.
More info is coming soon.
Then you go and breathe.
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So that's where we're at now.
We are breathing.
We're breathing it out.
We're taking a moment.
The next thing I want you to do isacknowledge we don't have a long timeline.
We have 12.
How's my maths?
12 days.
That's not even business days, butI'm just gonna talk calendar days
until these changes come into action.
I want you to look at your tasklist and your calendar between now
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and the end of the financial year.
If indeed, you are going to makesome changes before then and see
what you can do to free yourself up.
Are there any optionalor less urgent tasks?
Meetings, activities, relaxedcoffee catch-ups with friends that
you might need to push out just acouple weeks to give yourself as
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much space and grace as possible todeal with these changes right now.
I certainly have done that in myown response to helping you figure
out what to do with this next.
I've completely reprioritizedwhat I'm focusing on this week.
My days do not look like how I thoughtthey would because I'm busy reading
through the changes, updating my PDFguide to raising prices in an NDIS Capped
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world, which by the way, I do have asa low cost resource, and I think over
200 people have accessed it so far.
So, that is also linked in the show notes.
If you buy that before the end of thefinancial year, it's 30% off as well.
So that is one of the big waysthat I support practice owners
to think about what do you doabout all the pricing challenges.
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Through the rest of this episode, I'mgonna give you a few of the ideas that
I share in that guide, but obviouslyfor more detail, go and get the guide.
And even more than that, I very quicklyresponded to this need to what my
clients and community are asking for.
And I also have devised a live workshop,which is a companion to the guide.
Now, I almost never run things withsuch short notice, but I am running
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it live on Monday the 23rd of June,and there is a recording after because
I recognize, you know, you have busyclinical caseloads, you have busy
calendars, you may not be able to attend.
I really, really do urge you toattend live if you possibly can.
You'll be able to ask me questionsand get direct support along the way.
But of course the recordingwill be super valuable as well.
So again, that is linkedin the show notes.
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If you're listening after the 23rdof June, it will continue to be
available because it's going to bea really big, impactful resource,
a way of helping you think through
what all the new NDISpricing rules mean to you.
I'm gonna outline the different paths youcan take to choose how you're going to
be pricing your services into the future.
We are gonna be talking aboutsome of the mindset shifts that.
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You may need to make to help youfigure out your sustainable pricing
so that you can continue offering aservice that supports your clients
and supports your team and yourself.
And as I've already covered and I continueto, is supporting you to communicate
about these pricing updates and changeswith your clients and community.
So I've got other templates in thePDF Guide and in the workshop, it
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will actually be supporting youto take action right there Live.
Just as a quick aside, if you alreadyhave my PDF guide, I'm updating that
this week, and we'll send out theupdated version to you in the next
couple of days, and you also should havea code in your email that gives you.
Access to the workshop with basicallytaking the price of the guide off that.
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Okay, now we have established.
What we all might need to do, we'vegotta send quick messaging out to people.
We've got to check our own tasksand calendars and shift things
around and reprioritize things.
This is not forever.
It's super unfair that NDIS putsthis on us, but here we are.
We've carved out a little bit of space forourselves to take maybe a week, maybe a
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few days, to make some decisions about anychanges we might need to put into place.
Let's just pause to talk about whythis pricing freeze is a problem.
And in some cases what NDIS has said isthe new price guide is not even a freeze.
It's actually backwards.
Physiotherapists and dieticians havebeen told that from the 1st of July
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they can charge less than they werebefore, which is absolutely utterly.
Appalling not okay andcompletely shocking.
Also bad is that other allied healthprofessionals, including speech
pathologists, occupational therapists,have had our hourly rate frozen at
the same rate since a change in 2019.
(15:23):
That hourly rate is a hundredand ninety three ninety nine,
and I'm just gonna flag here.
This is not what a speechpathologist takes home.
Nobody is walking away from a 60minute session with that much in their
pocket and no minutes outside the 60minutes spent supporting that client.
Out of this payment, we have toregistration, insurance, overheads,
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superannuation, a wage, whether it'sfor team members or for ourselves
because, you know, we do a job to beable to live, to be able to pay a wage.
materials, resources, things thatwe use directly with clients,
professional education, supervision.
We're not even coveringall the costs by far.
So nobody is taking home ahundred ninety three ninety nine.
I did have somebody comment on oneof my posts that something about
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therapists are making up to $250,000a year, which is fascinating.
I have no idea where they gotthat number from because that
would be something I like.
This is just maths from my head.
27 direct client hours a weekfor 48 weeks of the year.
You can math check me.
I think that was the number.
Assuming absolutely zero business costs.
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So yeah, that is completely nonsensical.
I'm gonna just go out and say, no AlliedHealth practice owner, whether solo or
running a team, none are rolling in dough.
Businesses are struggling.
Businesses have beenstruggling for years now.
A hundred ninety three ninetynine in 2019 was worth.
Two hundred and thirty three sixty seven.
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In 2024, the Reserve Bank ofAustralia calculator hasn't even
updated it to a 2025 calculator.
So this number's at least six months old.
Inflation has meant that we're nowgetting paid about $40 less per
hour, meaning this frozen rate.
goes a lot less far to payingfor business costs and personal
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costs than it did in 2019.
Again, looking at the 2024number from 2019 to 2024, that
was a total change of 20.5%.
That's the impact of inflation.
Can you think of any other cost inyour world that has not gone up?
Power bills, groceries, petrol,
registration fees, insurance.
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Rent everything, every cost that Ican think of in my whole life has
gone up and up over five or six years.
And to expect that therapists andtherapy practices take in the same
amount, that same flat amount, yearon year is a complete backslide.
And again, remembering that some ofour allied health professions are
being told that the rate is supposedto reduce, which makes no sense.
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We all have equivalent or similaramounts of training and the impact that
we have on the people that we support,the disabled folk that we support.
The NDIS is supposed tobe there to fund and help.
It's equivalent.
Nobody should be paid less.
We should all be acknowledgedfor our time and efforts, our
expertise, our experience.
There is a bit of a narrative outthere about therapists, price gouging
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and NDIS providers routing the system.
That is such a small, small sliver ofthe reality, and it is the absolute
exception that a therapy provider isout to do harm and to scam the system.
We are in helping professions.
We got here for a reason.
We want to help people.
It's also super important to acknowledge.
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Vast majority of allied healthprofessionals are female,
and all too often women are
seen as helpers and our work,the way we see our own work
is that we're first supposedto be helping other people
and asking for money for that.
It can be really hard.
I'm here to talk about the money.
I'm here to tell you that you needto ask for the money and not just
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to keep the lights on the doorsopen, but you deserve to be paid
well for the deep professionalismand experience and quality of life
support that you bring to your clients.
This is the mindset piece.
I talk a lot more aboutit in the PDF guide.
Am I definitely gonna be divinginto this in the workshop
as a sidebar?
I also recommend Denise Duffield Thomas,her podcast book, anything like that.
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She talks a lot about moneymindset, and there's so much
to take from what she shares.
It is okay to ask formoney and you deserve it.
You deserve to be paid andcompensated for your immense efforts.
All right, so let's go more intomindset when you join me, either for
the PDF guide or in the workshop.
What I wanna share now is the two broaddirections you can go with your pricing.
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You have two main options.
And a lot of nuance within each one andall the decisions that flow on from them.
Option one is to stay within theNDIS price guide and increase the
time that you bill for and increasethe everything that you bill for.
Make sure that you're billing forexactly everything legitimately
that NDIS says you can.
(20:12):
And in that choice planmanagers can pay your invoices.
Because everything is within NDIS pricing.
If you have a lot of plan managed clients,
I,
this might be the way to go.
Again, a lot more nuance and detailinto how you make these decisions.
Option two is to say abig bugger off to NDIS.
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Ruling your lives and telling you howto do business and setting your own
pricing in a free market, you get todictate how your business operates
in if you choose this option.
At absolute minimum, I wouldask you to look at inflation.
And perhaps shift your prices to 2024 ormaybe 2025 prices to 230, $235 an hour.
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Think about that.
Think about what impact that would have oreven get out your calculator and work out.
If you did that, assuming you maintainedthe same number of clients each week,
what would that do for your bottom line?
Or even do it the other way?
We are gonna do a little thoughtexperiment here, which is answering
a common fear, which is justifiable,which is, oh, but if I update my
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pricing, won't I lose clients?
Probably.
You may lose some.
Yes, it is obviously something to thinkabout really carefully starting with.
Your current financial positionand what you can tolerate
losing out for a little bit.
I don't want you to go hungry.
I don't want you to turn the lights off.
I don't want you to go without a wage,so you know what is the buffer you have
financially for a little bit of time.
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If there is a bit of wobble andmovement in reduction of clients,
that's something also that you'llthink about when you decide what
you're doing to update your pricing.
But while you are thinking about that,let's see what a little buffer could do.
I am just doing, let's say, made upnumbers here, but let's pretend you
had 20 clients a week at ahundred ninety three ninety nine
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.The revenue from those 20
clients a week that is $3,879 80.
I wish it was a clean number,but NDIS did not allow us that.
Anyway, here we are.
Let's just call it 3,880for the sake of our brains.
Now, let's assume that you decideto change your hourly rate to be
(22:21):
simply in line with inflation.
Nevermind your five yearsextra experience, but let's
go with $235 per hour.
If you saw those 20 clients,that's 4,700 a week,
an increase of $820 a week.
What would that do for your life,your quality of life, your care?
You could put some of that back intoyour business or, you know, allow
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yourself a little bit more freedomand reward for your incredibly
qualified, skilled work that you do.
But let's say a coupleof those clients leave.
Maybe they don't have the funding.
Maybe things change.
Maybe they don't likethe updates that you do.
How can we breathe out andlet them go and still be okay?
In this case, let's take that numberwe had with the earlier rate, the
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a hundred and ninety three ninetynine times 20 sessions a week.
Approximately 3,880.
Let's divide that by our new rate.
$235 an hour.
You now only need 16 and ahalf hours rather than 20 hours
to reach that same revenue.
Now pause and think about your week.
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What if you had three and a halfhours less direct client time?
Because it's a half, it's a littleawkward, but let's say one week in
a fortnight, three clients left, andthe other week four clients left.
We'll just go with it.
Three and a half hours.
Would you be okay financially?
Yes.
Because your total revenue is thesame as you are taking in right now.
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What would you do with that extrathree and a half hours per week?
Could you use it to look after yourself?
Could you use it to supportyour team more thoroughly?
Could you use it to work on a big sideproject that you've been thinking of?
Write that workbook, create thatcourse, study that part-time online
course that you've been thinking of.
What would that look like for you?
(24:05):
Or maybe you'd spend thatthree and a half hours
on marketing efforts to get moreclients back to fill up those other
hours and spots in your calendar.
If that's your groove and ifthat's what fits what you want
to do with your work week.
I am not here to tell you whatyour work should look like.
I'm here to offer you opportunitiesto think a little bit differently
and consider, yes, thereare losses along the way.
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There's a losses of time, energy, effort.
There may be losses of clientsthrough these pivots and through
these updates, but I encourageyou to focus on the opportunity.
What could it open up for you?
What could you gain?
Whether or not you are choosing apathway that fits within NDIS pricing
or outside of NDIS pricing, thereare a lot of detailed considerations.
(24:50):
Who are you supporting?
What are their financial means tobe able to access your support?
Who do you want to be able to support?
You know, thinking even rollback to why you got into this.
But through all of these decisions,you cannot put yourself last.
You are a human worthy of a decentlife, a balanced life worthy of
(25:10):
a work life that compensates youwell, and that helps you thrive.
I don't want you to be amartyr or go backwards.
Because you feel that you should and youshould be there to support other people.
You have to put yourself, your business,your team really, really, really high
up in the decision making process.
No matter how you choose to price withinor outside of the NDIS price guide,
(25:34):
there's a lot you can be considering.
Which of course we're gonna go throughin great detail in the workshop, and
I talk about in the PDF guide as well.
Thinking about are you chargingappropriately for travel for all
the time spent ? Are you chargingthe non-labor cost for travel?
I know many providers arefor the first time looking at
(25:54):
adding that on, which we've beenallowed to do for a little while,
and now that the travel funding is,well, now we're being told that we can
only charge half of our hourly ratefor any time spent traveling, which
is completely ridiculous because yourtime is your time, time that you spend
traveling to someone to provide them aservice that is convenient for them in
a location that makes sense for them.
(26:15):
That is time taken away from yourability to be seeing a client to
be doing a different kind of workthat would be fully billable at
the full rate, absolute nonsense.
Anyway, if you're choosingto stick within NDIS pricing,
you may need to go with that.
For now, I'm still, by the way,hoping that there will be more
changes before the 1st of July.
I hope that what I'm sharing partlybecomes, redundant very quickly, maybe
(26:38):
NDIS will turn around and update pricingto honor actual time and support.
Ah, maybe I'm not gonnahold my breath either way.
Everything I'm sharing here still makesperfect sense for you to think about
how your packaging up and billing foryour services are you genuinely charging
for all the time spent directly andindirectly supporting a particular client.
(27:00):
Thankfully, within the NDIS PriceGuide, we are allowed to charge for
non-direct supports, things like
planning, prepping, note writingspecifically for a client.
What's interesting is that outside ofthe NDIS billing world in various service
professions that are time-based, toooften, they feel a little more incidental
or the time outside of directly seeinga client is not billed necessarily.
(27:24):
So whatever your businessmodel and funding model.
Don't just consider the timeyou spend directly with a
client as the billable thing.
What is the whole package of supportand the value to that client?
Make sure that you're charging well for itand where possible, especially if you are
gonna be charging outside of NDIS pricing.
Think of it from the value of that client.
(27:47):
What does your support offer them?
I really encourage youto keep in touch with me.
If you want more of the nuance, thedetail, the depth and the support, come
and join me in the workshop, raisingyour prices in an NDIS capped world.
Feel free to grab the guide toraising prices in an NDIS capped
world, which I'm updating, you know,pretty much as soon as this episode's
(28:08):
out, that's my next work that I'm befinalizing and sharing with everybody.
So if you buy it, you willget the updated version.
And if you haven't already, goand grab that free template.
Send a quick placeholder message to yourclients and to your team members as well.
You are not alone in this.
The great thing I'm seeing isthe community out there online,
a lot of Facebook groups withpeople supporting each other.
(28:30):
I am here to support you.
If you're a member of myNeurodivergent Business Collective,
you get the most support from me.
Aside from my one-on-one clients, theyget the most, most support from me.
So in my Neurodivergent BusinessCollective, we have a slack chat
where we are talking through, inmore depth the specific application
of these ideas to each business.
My members get free accessto the workshop, by the way.
(28:52):
So if you are listening andyou're a member, please don't
go and buy the workshop.
Come and join the membership or bein the membership, and then you'll
get free access to that workshop.
if you are a business owner and you areneurodivergent, I really encourage you
to go and check out my NeurodivergentBusiness Collective, doors open
right now until the 27th of June.
All right.
I have talked for long enough.
I need to go and update my guide and diveback in to the updated NDIS pricing rules.
(29:18):
Hooray.
Not my favorite, favorite activity,but it's something I'm dedicated
to doing and understanding so thatI can help others interpret it.
I hope that you have an okay day.
Maybe better than okay, butlet's just go with, okay.
Please do not put yourself last.
And please do not navigate this alone.
I'm here for you, and thecommunity is here for you.
When you strengthen your businesswith a solid, sustainable model,
(29:41):
your clients and community are theones that are going to benefit, as
well as you, as well as your team.
I hope you stick around.
I hope you're sustainable andI hope you look after yourself.
Thanks for being here.
Thank you for being open tolearning and unlearning and to
listening to the perspectives andexperiences of Neurodivergent folks.
(30:02):
If you found this episode helpful,please share it with a friend, share a
screenshot on Instagram, pop a five starrating and a review in your favorite app.
And join me on Instagram and Facebook.
I'm @play.Learn.chat.
Have a beautiful day.