Lacap makes two kinds of charges for its services to you.

The first of these is the administration charge. From 1st November 2008 this has been set at £8.50  (previously £7.00) per hour for onsite work & previously £2.00 for offsite work. The administration charges cover the use of the clinical rooms, and the cost of maintaining the premises, the appointment diary services, and the administration and reception services

The second is the referral fee. You can elect for one of two options on the day after your first meeting with that patient. The referral fees pay for  the low- fee & subsidised fee work with the student therapists.

Formula One
This is set at the total for the first six sessions that are chargeable to the patient. For instance, if Patient A was first seen on 1st September at once weekly and his fee was £30, then on the sixth week – 6th October, the referral fee of £180.00 would fall due.

If the patient terminates before the sixth session then 50% of the chargeable fees are payable. If Patient A came along for his first three meetings, and then DNA the fourth, and then terminated, the fee payable would be: 50% x £30.00 x 3 sessions = £45.00

Formula Two
This is 23% of the patient’s fee for each of the first 35 meetings that you hold with her.

For instance, Patient A would accrue referral fees of £241.50 over those 35 weeks under formula two. If the patent terminates before 35 weeks, the referral fees are calculated to that last session. For instance, if Patient A was a leaver on session 12, then the referral fees due will be £82.80.

Formula one is the option to prefer if you are confident that the patient will ‘stick’ whereas formula two is the option to prefer if you decide that it is likely that the meetings will be short-term.

From the start of reception services at lacap in November 2008, there is a new treatment concerning what qualifies as a chargeable session in our account of our services to the therapist. Please see this document for more details. Also, the idea that lacap has 'offsite' patients has gone.

All the fees are substantiated by the appointment diary record, and invoiced monthly in arrears until reception services started in November 2008, and are now substantiated daily (please see this document)

You should note that for the assessment, lacap will make no charges for its administration nor for the referral fees: this means that the fee that the patient makes over to you for that initial consultation is yours without deductions.

If a therapist quits lacap while the referral fee period is still in progress, then the full referral fees are due for that patient.

The last thing to mention is that should you negotiate a fee that would yield you less than £13.00 net of the administration charges, then lacap will add a credit to that monthly invoice to ‘top-up’ your net receipt to £13.00 for every session taken with that patient.

With respect to the fees that lacap charges the patients: the standard fee charge is 1000/th of gross annual income for all earners of £20k plus per annum, with the addition of a £10.00 administration fee. So you will see that in effect, you are receiving net per meeting 1000/th of annual income + £1.50 as your fee.

The lower fee rates are a more complicated formula. As you will not be directly receiving this end of the case work, there is only a need to know about that if and when you must renegotiate fees downwards and under £20.00 per session.