In this episode of The Consult Room, I sit down with Alison Thomas, Head of Veterinary Standards at Blue Cross, to ask a challenging question, are we over treating our pets?

As the cost of living rises, many owners are finding it harder to afford veterinary care. At the same time, vets face increasing pressure to offer every test and treatment, even when the benefits aren’t always clear. Alison shares her insights from decades of experience in both private and charity practice, explaining why sometimes “doing less” can actually mean delivering better welfare.

We explore the concept of pragmatic veterinary care - an approach that’s realistic, affordable, and welfare-first, and discuss how communication, confidence, and compassion can bridge the gap between clinical excellence and everyday practicality.

In This Episode:

• What pragmatic veterinary care really means
• Why the cost of care is driving an access crisis
• How to balance “gold standard” treatment with welfare-focused care
• The rise of defensive medicine in the profession
• The impact of pet owners’ expectations on clinical decisions
• Why confidence and experience shape better judgement
• Practical tips for affordable pet health care
  

Key Takeaways:

• Pragmatic care isn’t low quality - it’s high welfare and realistic
• Over-treatment can reduce welfare as much as under-treatment
• Communication and trust are key to managing expectations
• Vets need confidence to say “enough” - not everything needs testing
• Vaccination, diet, and prevention remain the best investments in care
  

Resources and More Info:

🌐 Visit theconsultroom.co.uk for more pet care insights and episodes

🐾 Follow @DrPaulTheVet for behind-the-scenes content

📚 Learn more about Blue Cross and their work at bluecross.org.uk

🎧 Listen to Alison’s recommended author, Atul Gawande, for inspiring insights on medicine and ethics

🎙️ Enjoyed the episode? Follow and review The Consult Room wherever you get your podcasts.

In this special Q&A edition of The Consult Room, I’m joined by my producer and veterinary nurse, Annie Clark, as we answer your pet health questions; from itchy paws to tear stains, insurance dilemmas to grief, and everything in between.

Every year at Crufts and across social media, I’m sent hundreds of questions from pet owners, so in this episode, we’re dedicating the mic to you - our listeners.

From behaviour and wellness to end-of-life care and first-time ownership, it’s an honest look at the real questions pet guardians ask.

In This Episode:

• Why dogs obsessively lick their paws
• How to support a cat through grief after losing a companion
• Nail trimming at home - what to do (and what not to!)
• Tear staining in Chihuahuas and other breeds
• When it’s time to say goodbye - assessing quality of life
• The truth about rising pet insurance costs
• What to expect when your female dog hasn’t had her first season
• Tips for first-time dog guardians working from home
• And… who do I love the most - Rodney or my husband?

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Key Takeaways:

• Always rule out medical causes before assuming a behavioural issue
• Grieving pets need time and stable routines to adjust
• Nail clipping confidence starts with early handling and calm training
• Tear stains are often anatomical, not always treatable
• Quality of life decisions should be guided by mobility, appetite, and engagement
• Insurance costs rise with age - plan early, save, or shop wisely
• Dogs thrive on structure, even when you work from home

Resources and More Info:

🌐 Visit theconsultroom.co.uk for more advice and episodes

🐾 Follow @‌DrPaulTheVet for behind-the-scenes updates and Q&A calls

📚 Book recommendation: How Animals Grieve by Barbara J. King

🎙️ Enjoyed the episode? Follow and review The Consult Room wherever you get your podcasts.

This episode of The Consult Room asks a pressing question: Is the UK heading for a veterinary care crisis?

I’m joined by Dannii Thorington-Neve, Head of Veterinary Strategy at Blue Cross, who leads the charity’s Veterinary Care Fund. Launched in 2023 with just 23 practices, the fund now has over 1,700 practices signed up nationwide - a clear sign that more and more pet owners are struggling to afford veterinary care.

Together, we explore what this growth tells us about the UK right now, how poverty and the rising cost of living are shaping pet ownership, and what it means for the future of veterinary healthcare. Along the way, we share stories from pet owners whose lives have been transformed by the fund, and we discuss the bigger systemic questions around affordability, transparency, and the role of charities in bridging the gap.

This is a conversation about the realities of modern pet care, the tough choices facing families, and the need for new ways of thinking to keep pets and people together.

In This Episode:

• What the rapid growth of the Veterinary Care Fund tells us about UK society

• Why more pet owners are delaying or avoiding vet visits due to cost

• Stories from owners whose pets have benefitted from the fund

• How charities like Blue Cross are working alongside private practices

• The wider systemic issues in veterinary pricing and accessibility

  
  

Key Takeaways:

• The UK is facing a growing veterinary care crisis

• The Veterinary Care Fund has expanded from 23 to over 1,700 practices in two years

• Many owners are struggling to afford essential treatment for their pets

• Collaboration between charity and private sectors is essential for solutions

• Rising costs and lack of transparency are fuelling inequality in pet ownership

• Access to affordable care is fundamental to animal welfare

Resources & Links:

• Learn more about the Blue Cross Veterinary Care Fund: ⁠bluecross.org.uk⁠

• For support with pet costs and advice: Blue Cross Support Services⁠

• Follow ⁠@DrPaulTheVet⁠ for more episodes and updates

💬 Do you think pet ownership is becoming a privilege only for the wealthy? Share your thoughts in the comments or tag me on social media.

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