Hi all,Since going into private practice 8 years ago I haven't increased my fees.  I think I charged too much at first and now I have less time for follow up. This is concerning me though. Currently I am mixing private practice with studying for a Post-grad Diploma and the studying should be over by the Summer. I used to offer as much phone follow up as a mother needed - there is no health insurance system where I live to cover my fees, so I really am in Private Healthcare and most clients can't/don't want to pay for a second consultation. I rarely seem to have time to do follow up phone calls anymore.  I worry about the ethics of this, let alone my reputation. I am genuinely tired during term time and I am naturally limiting the number of clients I take on to 4 or 5 max per week. Many of my clients are having their baby's tt clipped. However I could earn as much by working part-time in a shop.
How do others out there balance clients and follow up? Is anyone earning a half decent wage by being in private practice?What about the ethics of follow up? 
I love my job and some of the issues will sort out with time, but any thoughts would be appreciated.
Best wishes,Sarah McCann BScHons, LLL Leader, IBCLC.www.BreastfeedingResourcesNI.co.uk 		 	   		  
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