{"podcast":{"title":"The Vet Vault: Veterinary Career, Clinical Skills & Wellbeing","slug":"the-vet-vault-veterinary-career-clinical-skills-wellbeing-1167897","podcast_index_feed_id":1167897,"rss_url":"https://anchor.fm/s/8c8569c/podcast/rss","website_url":"https://thevetvault.com","image_url":"https://d3t3ozftmdmh3i.cloudfront.net/staging/podcast_uploaded_nologo/1373471/1373471-1697184068312-2b9e48275c5c3.jpg","author":"Dr. Hubert Hiemstra","episode_count":207,"summary":"The Vet Vault is a veterinary podcast for vets and vet students covering career growth, clinical medicine, leadership, and mental health and wellbeing across the veterinary profession. Vet life can be tough, but it's also good - so how do we make it even better? Host Dr Hubert Hiemstra brings honest, curious, occasionally irreverent conversations with the people making vet med better. Clinical CPD, careers, wellbeing, and the tech changing how we practise. Come fall back in love with veterinary science. Find show notes, clinical CE and the newsletter at thevetvault.com.","last_synced_at":"2026-07-03T18:19:53.649564+00:00","page_url":"https://stenobird.com/podcast/the-vet-vault-veterinary-career-clinical-skills-wellbeing-1167897"},"episode":{"title":"148: Is the Veterinary Business Model Failing Our Patients? A Frontline Perspective From a Top UK Charity. With Dr Paul Manktelow","slug":"148-is-the-veterinary-business-model-failing-our-patients-a-frontline-perspective-from-a-top-uk-charity-with-dr-paul-manktelow","published_at":"2025-10-15T20:28:59+00:00","page_url":"https://stenobird.com/podcast/the-vet-vault-veterinary-career-clinical-skills-wellbeing-1167897/148-is-the-veterinary-business-model-failing-our-patients-a-frontline-perspective-from-a-top-uk-charity-with-dr-paul-manktelow","show_page_url":"https://stenobird.com/podcast/the-vet-vault-veterinary-career-clinical-skills-wellbeing-1167897","url":"https://podcasters.spotify.com/pod/show/vet-vault/episodes/148-Is-the-Veterinary-Business-Model-Failing-Our-Patients--A-Frontline-Perspective-From-a-Top-UK-Charity--With-Dr-Paul-Manktelow-e39ig2u","audio_url":"https://anchor.fm/s/8c8569c/podcast/play/109706782/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2025-9-15%2F409309023-44100-2-aff619f6b4fa3.mp3","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…","meta_description":"“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…","key_points":[],"chapters":[],"topics":[],"duration_seconds":4818,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/the-vet-vault-veterinary-career-clinical-skills-wellbeing-1167897/episodes/148-is-the-veterinary-business-model-failing-our-patients-a-frontline-perspective-from-a-top-uk-charity-with-dr-paul-manktelow/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/the-vet-vault-veterinary-career-clinical-skills-wellbeing-1167897/148-is-the-veterinary-business-model-failing-our-patients-a-frontline-perspective-from-a-top-uk-charity-with-dr-paul-manktelow.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}