The Monday Morning Quote #176

“The beginning of greatness is to be different.

And the beginning of failure is to be orthodox.

Big ideas come from the unconscious.

This is true in art, in science, and in advertising.

But your unconscious has to be well informed, or your idea will be irrelevant.

Stuff your conscious mind with information, then unhook your rational thought process.”

David Ogilvy

Critical Illness Claim Statistics 2011 – Do You Have Sufficient Cover?

One of the questions that I ask my clients is about Critical Illness & sickness cover – I have no pecuniary interest in this subject but would hate to see a client and family suffer.

So I when I saw this from the always interesting newsletter from Ray & Graeme at Rutherford Wilkinson I thought I’d share it.

Critical Illness Claim Statistics 2011 – Do You Have Sufficient Cover?

Today, we are more acutely aware of critical illnesses and their impact it has on loved ones. Many of us have suffered the heartache of a loved one suffering a critical illness and the tough times that it brings with it.

An issue that we also sometimes appear to be less aware of is ensuring we have sufficient cover for ourselves and loved ones in the event that we may fall victim to a critical illness.

Some find it a hard topic to think about. After all, it proves we are mortal and a critical illness could strike at any time. This being said, in the event that it did happen, would you find that you have the financial resources to support you through the illness and provide for your family too?

Many people of all ages suffer with critical illnesses, such as heart attacks and strokes, and manage to overcome them. With advances in medical technology we have found mortality rates have decreased.

Critical Illness Can Strike Any Time

Whilst many will feel that a critical illness is reserved for those in their older years, the truth is that it can strike at any time and at any age. The average age for critical illness payouts is in the 40 to 49 years age bracket, but insurers have shown they are paying out for claims to people under 25.

To put into perspective the issues surrounding a critical illness striking at any time, we only need to look at the facts:

  • In 2008, 130 women a day, on average, were diagnosed with breast cancer in the UK – 47,700 for the year
  • Cancer will affect over 33% of people during their lifetime and someone is diagnosed with cancer every 2 minutes in the UK alone
  • 53,000 deaths a year in the UK are attributed to strokes and it is one of the highest mortality causes

Cancer and Heart Disease are two of the main critical illnesses affecting hundreds of thousands in the UK every year. They are both debilitating illnesses that have high mortality rates and also require long periods of absence from work for recovery for those that do survive.

Data Source: Friends Life

Financial Facts
Over the last few years, the UK population has begun to struggle financially. In part, this has been due to the banking crisis that struck in 2008, a global financial crisis that also hit at the heart of the average person.

Jobs have become harder to come by and incomes have become stretched as people struggle to keep up with financial commitments.

This means that 15 million people in the UK (around 25% of the population) do not have adequate savings to last until the weekend should they find they did not have any money. Over one in three Britons would not have enough savings in the case of emergency either.

If the above sounds damaging then it may surprise you to find that around 24 million people (40% of the population) in the United Kingdom are not saving at this time and just under ten million (16% of the population) have never started saving.

Data Source: Friends Life

Do You Have Sufficient Critical Illness Cover?

This question can be broken down into two sections, the first being those that don’t have cover and those that do.

If you do not have any critical illness cover, what would happen in the event that you suffered a critical illness?

Do you have adequate financial savings to cover a longer time period off work while you recover and recuperate, or even to support your family in a time of loss?

Are you comfortable with using your savings to support you during a critical illness and potentially being left with no financial backing upon your recovery?

The majority of dentists and doctors that we meet do have income protection cover in place so at least they know that they will have a monthly income were they to be off work for a prolonged period.

If you do have critical illness cover, does the policy give you the financial peace of mind that you will gain an adequate financial payout resulting from a claim?

Would you have enough money from this claim that you will be able to cover your financial commitments during the time period of your recovery and rehabilitation before going back to work?

Let us review the claims reports of two companies that offer critical illness cover and see their experiences on claims:

Aviva – 2011

Claims at a glance:

  • Paid out 94.1% of Critical Illness claims for 2011
  • Paid out on 1,568 claims which came to a total of £113.8 million
  • £73,591 per claim was paid on average
  • The highest payouts for males was in the 40 to 49 years age bracket at 42.9%
  • The highest payouts for females was in the 40 to 49 years age bracket at 52.9%
  • A higher percentage of claims were received for females under 30 years (2.8%) than females aged sixty and above (1.1%)
  • Total percentage of claims declined – 4.9%
  • 92% of claims related to 5 critical illnesses – Cancer, Heart Attack, Stroke, Multiple Sclerosis and Benign Brain Tumour
  • Discovery of material non-disclosure at the time plan was taken out that caused claim to be declined as a percentage – 1%

The majority of claims were for (both sexes) between 2005 and 2011:

  • Cancer, 65%
  • Heart attack, 10.5%
  • Stroke, 6.5%

Some specific claims were:

  • Female, MS – age 24 at claim, £106,654 paid
  • Male, Heart attack – age 41 at claim, £80,748 paid
  • Male, Benign brain tumour, age 37 at claim, £325,192 paid

Source: Aviva Critical Illness Claim Report

Legal & General – 2011
Claims at a glance:

  • Paid out 93.2% of Critical Illness claims for 2011
  • Paid out on 2,784 claims which came to a total of £177 million
  • £63,573 per claim was paid on average
  • 54% of claims paid were under £50,000
  • 26% of claims resulted in a payout less than £25,000
  • 28% resulted in a payout of between £25,001 and £50,000
  • Only 1% paid out above £100,000
  • The highest payouts for males was in the 51 to 60 years age bracket at 37.2%
  • The highest payouts for females was in the 41 to 50 years age bracket at 45.6%
  • Average age of claimant (both sexes), 43 years
  • Total percentage of claims declined – 4.2% (125 claims)
  • Discovery of material non-disclosure at the time plan was taken out that caused claim to be declined as a percentage – 2.6% (77 claims)

The majority of claims were for (both sexes) between 2005 and 2011:

  • Cancer, 47.2%
  • Terminal  Illness, 23.9%
  • Heart attack, 7.6%
  • Multiple Sclerosis, 4.2%

Legal & General also offers children’s critical illness cover as a way of giving parents peace f mind in funding care and medical cover for their child.

In 2011 Legal & General paid out 77 claims for child critical illness cover, with the top five claims were made for:

  • Cancer, 63.3%
  • Bacterial Meningitis, 6.3%
  • Major Organ Transplant, 5.1%

Source: L&G Critical Illness Claim Report

Critical Illness Action Plan

After reviewing the above I suggest that you take action now through the following steps in our critical illness action plan.

This will ensure you have adequate cover and also give you peace of mind.

Step 1: Review how much cover you need
Step 2: Review what you already have in place through cover, savings and what the NHS would supply
Step 3: Work out the shortfall in your current position to what is required
Step 4: Review whether your current policies are fit for purpose
Step 5: Find the right cover for your situation, remembering that price should not be the main consideration – critical illness cover selection is all about the small print and quality of the over being offered

If you are unsure, or find you do not wish to do this yourself, then why not seek the help of a financial professional to support your decisions?

 

The Monday Morning Quote #175

“…every depression is a challenge to every manufacturer to put more brains into his business –

to overcome by management what other people try to overcome by wage reduction….

Get the costs down by better management.

Get the prices down to the buying power.”

(Henry Ford, 1922)

Dental Practice Running Costs on the Up – FTA

News from the FTA blog.

Dental Practice Running Costs on the Up

The cost of running a dental practice in England and Wales has increased for 93% of all respondents in the last 12 months. So says a recent survey carried out for Frank Taylor and Associates by the Forum of Private Business.

As might be expected, energy, staffing and material costs were some of the main culprits. Over 90% of practices responding said that both materials and energy had gone up, with 83% saying that they thought that staffing costs had also increased.

 

Two areas that also appear to be on the rise are those of insurance and the cost of raising finance. 77% felt that the cost of finance has gone up or stayed the same, and 98% said the same about insurance.

This has surprised both David Brewer and Dino Charalambous at Frank Taylor and Associates. David Brewer commented, “In the current financial market, we have actually seen a lot of competition in the finance sector. This is probably due to dentistry being seen as a ‘green light’ sector for lending. There are great opportunities for practices to reduce the cost of finance.”

Dino who is an IFA and deals with a wide range of issues feels that high premiums could be a reflection of dentists not buying from the whole of market. “Remember, ‘panel of insurers’ is not the same as the whole of market – many could be confused by the terminology. In short, your IFA needs to confirm to you that they have access to the whole of the market.”

Overall, dental practices seem to be paying a little over the average to do business – 10.6% as a cost of doing business vs. 8.5% for small businesses generally.

Chewing gum & Orthodontics –

In those orthodontic days of my portfolio career having been taught that it was wrong for patients with fixed appliances to chew gum I used to pass on dire warnings after “bonding up” a patient. “Avoid hard foods,” I would warn, “and chewy sweets and chewing gum.” This was just the start of the list.

I finally had fixed appliance treatment at the age of 50 to correct my Class II Div 2 malocclusion and I was glad that I did, if only to stop my bruxing and headaches. However I did not take my own advice because I found chewing sugar free gum, albeit with care, made my mouth feel cleaner and never caused any breakages.

So I was interested to read this piece via Marty Jablow’s site.

The effect of chewing gum on the impact, pain and breakages associated with fixed orthodontic appliances: a randomized clinical trial

Benson, P. E., Razi, R. M. and Al-Bloushi, R. J. (2012), The effect of chewing gum on the impact, pain and breakages associated with fixed orthodontic appliances: a randomized clinical trial. Orthodontics & Craniofacial Research. doi: 10.1111/j.1601-6343.2012.01546.x
Abstract
Objectives –  To determine whether the use of chewing gum reduced the impact and pain of fixed orthodontic appliances.
Setting and sample population –  The Orthodontic Department of the Charles Clifford Dental Hospital, Sheffield, UK. Fifty-seven patients aged 18 years or younger and who were about to start fixed orthodontic appliance treatment.
Subjects and Methods –  A randomized clinical trial with two parallel groups either allocated to receive chewing gum after placement of their appliance or who were asked not to chew gum. The patients completed a previously validated Impact of Fixed Appliances questionnaire at 24 h and 1 week following each visit up until the placement of the working archwire. A visual analogue scale (VAS) was used to assess the intensity of pain. Appliance breakages were recorded to the end of treatment.
Results –  The difference between the median Total Impact Score of the two groups at 24 h was 16, which was significant (p = 0.031; Mann–Whitney U-test). The difference between the median VAS between the two groups at 24 h was 25 mm, which was significant (p = 0.038; Mann–Whitney U-test). There were no differences at 1 week. None of the risk ratios for appliance breakages were significant.
Conclusion –  Chewing gum significantly decreased both the impact and pain from the fixed appliances. There was no evidence that chewing gum increased the incidence of appliance breakages.

Bridge 2 Aid Student Elective Programme 2013

What a great opportunity from those folks at Bridge2Aid

Following the success of our pilot Elective project visit in December last year, we are happy to announce the launch of our elective programme for 2013.

In partnership with Henry Schein Minerva, we are offering an amazing opportunity for 4 students to take part in our elective programme in July 2013. They will have the opportunity to work on one of our Dental Volunteer Programmes in Tanzania, as part of a team of volunteer dentists and nurses. We are running a programme that they will find of real worth to their studies, future careers, and their perception of the wider world. We expect the students to leave us with an understanding of the challenges of dentistry in developing countries, and an insight into effective, ethical and appropriate responses to these challenges.

The students will be working as assistants to our volunteer dentists, and will be directly involved in training the Tanzanian Clinical Officers in cross infection control and oral health education.
If you are, or you know of a student looking for an exciting, rewarding, educational and life-changing elective next year, please contact Shaenna shaenna@bridge2aid.org for more information and for an application pack. Deadline for submission of the applications is 28th September 2012.

 

 

Think Your Bank Is Different? You’re Wrong.

Three quotes and no further comment:

“A banker is a fellow who lends you his umbrella when the sun is shining and wants it back the minute it begins to rain” Mark Twain

“Culture Eats Strategy For Breakfast,” Peter Drucker

“SIncerity is everything. If you can fake that, you’ve got it made.” Grouch Marx (attrib)

 

From Gallup Business Journal

Like most companies, banks and financial institutions invest enormous amounts of time and money crafting what they think is a unique identity. That identity is meant to appeal in an emotionally engaging manner, build deeper customer relationships, and positively affect market share and profitability. It’s a good idea — so good that every bank does it.

It pays, literally, to give customers a reason to think your bank is the best.

In mature markets such as banking, where products are commodities, creating brands that offer better value than their competitors do is a real challenge. But it’s the key to acquiring and retaining customers in competitive markets. And banks cannot accomplish real differentiation until customers believe that a bank is truly different — specifically, if they can agree that “Bank X is the best.”

Bank customers rarely say so, however. In a recent banking study Gallup conducted in New Zealand, only 7% of customers believed that one bank was the best in the whole industry, while 44% of customers said that all banks and financial institutions are about the same. This is not unique to New Zealand; Gallup has found similar responses from banking customers in other parts of the world.

That 7% is a particularly valuable customer segment. Gallup has discovered that customers in New Zealand who agreed that one bank is the best are twice as likely to be fully engaged with their bank as those who believe that all banks and financial institutions are the same. Similarly, those customers are nearly two times as likely to be extremely satisfied with the bank’s products and services and to be extremely likely to recommend the bank to their friends and family, compared with those who perceive no differentiation.

So it pays, literally, to give customers a reason to think your bank is the best. And while we are not suggesting that the marketing and communication initiatives by New Zealand banks are ineffective, these banks clearly are not realizing the full potential of their marketing investments. To put a fine point on it, they’re missing one critical aspect of developing a banking brand: behavior.

Download the related white paper “Is Your Bank Different? Probably Not”

Actions that bring the brand to life

Every bank says that it cares about its customers, that it provides excellent services, and that its products are good for customers. Most of them are right. But how many banks can prove it every day with every customer?

Customers respond to actions that prove the bank does what it says it will do. Such moments determine whether customers remain engaged with the bank’s products and services. And when an experience with a brand representative doesn’t jibe with the bank’s external messaging, the customer is likely to experience brand ambiguity. That may prevent customers from becoming engaged with the bank. This is why front-line employees must be authentic representatives of the brand.

Banks generally believe that their onboarding and training programs or their corporate culture is enough to teach employees to breathe life into the brand. But that 7% number proves that they aren’t enough.

When Gallup conducted research across four banking brands in the Asia Pacific region, we found that many front-line employees, when asked about brand behaviors, could relay only lofty organizational goals instead of specific actions. They knew about customer-centricity, for instance, but they couldn’t name specific behaviors that truly bring it about. Every company seems to claim it is customer-centric, which is, as an organizational aim, a nice goal. However, it does not distinguish one bank from another, especially from the customer’s point of view, unless front-line employees know how to make being customer-centric a reality.

Here’s how it’s done: Bank A has branded itself as a community bank. Its organizational goal is to promote a sense of engagement in customers. Accordingly, all its print and billboard advertisements feature photos of local places. It sponsors and supports local schools’ athletic teams, and it funds community organizations that, in turn, prominently display Bank A’s logo in their materials.

But “community” is tricky to manifest in behavior. Bank A, nonetheless, has found some unique ways to do it: On game days, employees are permitted to wear T-shirts featuring local schools and colleges. Employees are encouraged, and sometimes paid, to assist at community events. And the bank always sets up booths at street fairs, car shows, and the like. Its mortgage specialists keep photos on their desks of houses owned by people who have originated loans with that officer (with the customers’ permission, of course).

None of that costs very much — the behaviors require more cleverness than money — but all of them demonstrate the brand via the employee. Yet few banks mobilize that sort of behavior.

Banks can bring the brand to life by systematically selecting employees who relate to the bank’s brand values.

So to make a brand come to life through behavior, this is what we recommend: Formulate a brand identity, align organizational goals to the brand values, and clearly define behaviors to help employees bring the brand to life.

Finding the right people

Bringing the brand to life through behaviors begins with people. Banks must select front-line employees for their ability to embody the behaviors that form the foundation of the bank’s brand and must coach these employees to do it consistently. It is extremely important to select front-line employees with a natural talent for executing the functional demands of the role as well as the behavioral profile that fits the organization’s needs.

But beware: The demands of the role should not be a long wish list of nice-to-have traits but specific attributes determined from profiling the bank’s best front-line employees. This creates achievable targets for personnel and helps scale the program across the branch network. This practice is common among the best companies, including banks.

A global bank based in London, for example, uses a specific talent-based selection approach to ensure that every employee, not just front-line employees, has the talent to focus solely on creating great customer experiences. This talent makes front-line employees more responsive to customers and far more coachable. In fact, Gallup found that front-line employees who were a natural talent fit for the role increased cross-sell referrals by 64% compared with those who were not classified as a natural talent fit for the role.

Therefore, an essential key to bringing the brand to life is systematically selecting employees who relate to the bank’s brand values. These employees are far more likely to successfully execute the company’s strategy during those crucial employee-customer interactions.

To produce consistent, scalable outcomes, however, the entire workforce must be aligned with these desired behaviors — as well as with clearly defined goals, responsibilities, and measures — because that’s what makes a bank’s brand real for customers. A best practice for a bank is to create metrics for those behaviors and track them weekly, along with outcomes such as customer engagement and customer advocacy. These numbers give bank leaders the chance to act before the balance sheet is affected.

For example, the leadership team at an Asia Pacific bank tracked customer responses to metrics reflecting the bank’s core brand values: “Be easy to do business with,” “Make customers feel valued,” and “Treat customers with respect.” The bank also tracked customer engagement and advocacy to aid bank leaders in their decision making. Those metrics showed the bank how employees were embodying the brand and where the bank needed to focus next.

Modeling good behavior

All front-line employees are responsible for “behaving the brand.” But leaders, from the executive ranks down, have their own behaviors to perform. Every leadership team member must own the brand image because that solidarity will inspire trust throughout the organization. It will also provide a foundation for whatever the bank determines to be its key drivers of success.

Because regional managers are responsible for driving behavioral change at the account level, they need to operate the company using the metrics — those that support the brand image and all others — that the leadership group has identified. Regional managers must hold their direct reports responsible for their performance on the key drivers and develop tactics to move the bank forward on achieving its strategic goals. These efforts must be localized, and regional managers should make adjustments based on the specific feedback they receive.

But be aware: Regional managers should use the metrics as a change management tool rather than as a means of comparison. A Southeast Asian bank made the mistake of having its team leaders solely focus on and be accountable for the metrics rather than the right behaviors. This led to a short-term increase in service metric scores, but it prevented the right behaviors from being institutionalized in the organization. As a result, each branch focused on getting a score that employees didn’t know how to influence, and the bank was unable to fully maximize the potential of its brand values.
The ultimate success of any program lies in the way regional managers integrate these tools into their regular work stream rather than making them specific agenda items to be checked off a list. This isn’t easy, and it likely will require proactive changes to internal reporting structures.

Execution must result in distinct customer-engaging behaviors.

One American bank tracked its service metrics daily for every branch and every interaction across the country. This helped regional managers monitor their territories and identify pockets of best practices (and the opposite). As a result, they were held accountable for responding to feedback and incorporating best practices into their work stream rather than for just their service outcomes. This allowed them to respond immediately to resolve larger systemic issues affecting customers, and the constant data stream provided instant feedback on the decisions that worked — and on the ones that didn’t.

Ultimately, this reporting system brought regional managers much closer to customers and allowed them to make decisions much faster. By trying to improve a common set of service metrics, the regional managers became aligned on the larger organizational goals they needed to achieve while maintaining the flexibility to make the right decisions for their regions.

Most often, branch-level team leaders are responsible for carrying out these decisions, while front-line employees are responsible for behaving the brand. And front-line employees can’t succeed if their team leaders can’t differentiate between good behavior and poor behavior. Therefore, team leaders need to be skilled coaches who focus conversations with employees on behaviors and outcomes rather than on metrics.

To continuously improve the customer experience, it is essential to reinforce good behaviors and to identify behaviors that result in poor customer interactions. Team leaders are usually the closest to the customer-facing employees and therefore have the most opportunities to support and encourage engagement-building behaviors. One Australian bank, which tracked customer engagement as a key service metric, used coaching of front-line employees as a management method. It saw a 28% increase in fully engaged customers in less than six months.

Download the related white paper “Is Your Bank Different? Probably Not”

The Greatest Breakthrough Since Lunchtime #2 – New molecule means cavity proof teeth

See my comments on a previous blog here about breakthroughs. I realise that I may across as something of a cynic but in fact the opposite is true anything that prevents and/or treats  tooth decay has got to be a a wonderful addition to society. I will be delighted if the researchers hard work is to be rewarded with a positive outcome – bring it on – the sooner the better.

New Cavity means Cavity Proof Teeth

Here’s the link. from Dentistry news

Scientists have created a new molecule that may make teeth cavity-proof and may change dental care forever.
The new molecule, named Keep 32, after the 32 teeth in a human mouth, can wipe out bacteria that cause cavities in just 60 seconds.
Researchers José Córdoba from Yale University and Erich Astudillo from the University of Chile say that the molecule can be added to any dental care product, like toothpaste and mouthwash and even to sweets and chewing gum.
They say that as long as the product stays in the mouth for 60 seconds, it will kill all the Streptococcus Mutans, making teeth cavity proof for a number of hours.
Cordova and Astudillo began their research in 2005, and want to bring their product to the market in 14 to 18 months, after they pass human safety trials in the US.
If the product passes clinical testing, Keep 32 could make its way into toothpaste and other oral health care products and could even be added to food to stop bacteria from damaging teeth at the time of eating.
The researchers say they want to license the patent to dental care manufacturers such as Colgate and Procter & Gamble.

The Monday Morning Quote #174

“When one door closes, another opens, but we often look so long and so regretfully upon the door that we do not see the one that has opened for us.”

Alexander Graham Bell

The Greatest Breakthrough Since Lunchtime #1 Seaweed toothpaste ‘to stop tooth decay’

In the second book of the semi-autobiographical series describing the progress of an Edinburgh medical graduate, Colin Douglas describes his hero, David Campbell’s, involvement with medical research. The book’s title is The Greatest Breakthrough Since Lunchtime and the cynic in me always remembers it when I read headlines like this one from the BBC website.

From vaccines through polymer coating and rival bacteria I have seen false dawns, hopes and ultimate disappointments come and go in the treatment of both dental caries and gum disease.. So the advice remains the same limit your consumption sugar and clean all the surfaces of your teeth. No change since my graduation in 1978 when as final year students we were told (as I recall) by Professor Bertram Cohen that caries could be controlled by a vaccine in our practising lifetime.

Nevertheless I am always interested in new research particularly when it comes from Newcastle – and having shared a flat with a marine biology student at one point I was attracted by the involvement of that department. I wish everyone involved the best of luck but I’m not holding my breath.

Here’s the article:

Adding enzymes from seaweed microbes to toothpaste and mouthwash could provide better protection against tooth decay, a team of UK scientists have said.
Researchers at Newcastle University had been studying Bacillus licheniformis to see if it could clean ships’ hulls.
But the scientists now believe it could protect the areas between teeth where plaque can gather despite brushing.
Their lab tests suggest the microbe’s enzyme cuts through plaque, stripping it of bacteria that cause tooth decay.
Dr Nick Jakubovics, of the university’s school of dental sciences, said: “Plaque on your teeth is made up of bacteria which join together to colonise an area in a bid to push out any potential competitors.
“Traditional toothpastes work by scrubbing off the plaque containing the bacteria – but that’s not always effective – which is why people who religiously clean their teeth can still develop cavities.
“We found this enzyme can remove some of these undesirable bacteria from plaque.”
Plaque is made up of lots of different decaying bacteria.
When bacterial cells die, the DNA inside them leaks out and makes a biofilm that sticks to the teeth.
Instead of removing the plaque entirely, Dr Jakubovics believes the treatment could strip away the harmful bacteria, like Streptococcus mutans, that cause tooth decay.
“Ultimately we hope to harness this power into a paste, mouthwash or denture-cleaning solution.”
He said more studies are needed to show the technique works and is safe before any products could be brought to market.
He is presenting the latest findings to a meeting of the Society for Applied Microbiology, the organisation that is funding the research along with the Newcastle Healthcare Charity.

There’s an interview with Dr Jakubovics, conducted by John Humphries on the R4 Today programme, via the BBC link.