Episode
148: Is the Veterinary Business Model Failing Our Patients? A Frontline Perspective From a Top UK Charity. With Dr Paul Manktelow
- Published
- Oct 15, 2025
- Duration seconds
- 4818
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Summary
“If you can’t afford a pet, you shouldn’t own one.” Ever said this line? Once you’ve been on the receiving of someone’s anger about the cost of their vet bill, it’s an easy thought to have. But it’s not the whole story, is it? In this episode, I sit down with Dr. Paul Manktelow - a veterinary surgeon with 20+ years in UK animal charities and current Director of Veterinary Services at Blue Cross . Dr Paul shares lessons learned in not-for-profit vet care to help us untangle that tension between care, compassion, and commercial reality. We cover: Trends from the front lines in the charity sector How “affordability” is shifting under rising cost of living Decision-making tools that balance optimal vs achievable care Business models that either enable or block access to care How vets can approach financial conversations with clarity, dignity, and trust You’ll learn about: 💡 “Pragmatic care” as the antidote to chasing the mythical ‘gold standard’ 💡 Cost-based vs value-based pricing models 💡How to think in tiers of care—and where the limits lie Because behind every clinical decision is a human one. Find out how we can help you build you in your vet career at thevetvault.com . Check out our Advanced Surgery Podcast at cutabove.supercast.com . Get case support from our team of specialists in our Specialist Support Space . Subscribe to our weekly newsletter here for Hubert's favourite clinical and non-clinical learnings from the week. Join us in person for our epic adventure CE events at Vets On Tour . (Next up: Japan snow conference!) Topics and Time Stamps 03:11 Balancing Costs and Care in Veterinary Practice 06:45 Challenges and Changes in the Veterinary Profession 11:41 Client Expectations vs Financial Real…