148: Is the Veterinary Business Model Failing Our Patients? A Frontline Perspective From a Top UK Charity. With Dr Paul Manktelow

“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 . ⁠

You can listen to 148: Is the Veterinary Business Model Failing Our Patients? A Frontline Perspective From a Top UK Charity. With Dr Paul Manktelow online on Radio and Podcast. Open the player on this page to stream the available audio.

148: Is the Veterinary Business Model Failing Our Patients? A Frontline Perspective From a Top UK Charity. With Dr Paul Manktelow is an episode from The Vet Vault by Dr. Hubert Hiemstra.

This episode is 01:20:18 long.

This episode was published on Oct 15, 2025.

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