The Consult Room

The Consult Room

The Consult Room is the podcast that explores the evolving world of modern pet care. Hosted by vet surgeon Dr Paul Manktelow, each episode dives into the key issues shaping the lives of pets and the people who love them. Whether you're looking for deeper insight into modern veterinary healthcare, curious about the pet care industry, or simply passionate about animal welfare, The Consult Room brings clarity, compassion, and real-world expertise to the conversation. Visit www.theconsultroom.co.uk or get in touch at hello@theconsultroom.co.uk.

  1. Why the Veterinary Surgeons Act Is Being Reformed - And What It Means for Pet Care

    3H AGO

    Why the Veterinary Surgeons Act Is Being Reformed - And What It Means for Pet Care

    In this episode of The Consult Room, I explore something that sounds technical - but actually affects every single pet guardian in the UK: the government’s decision to reform the Veterinary Surgeons Act. This is the 1966 law that regulates veterinary surgeons and shapes how veterinary care is delivered behind the scenes. But veterinary medicine has changed dramatically in the past 60 years - from the James Herriot era of kitchen table stitching to advanced imaging, complex surgery, and multidisciplinary teams. Following the CMA investigation into the veterinary sector, DEFRA has launched a public consultation to modernise this legislation. But what is actually being proposed? What could change? And just as importantly…what won’t? I share my perspective as a vet working in both clinical and charity settings, including why I believe the role of veterinary nurses deserves greater recognition, why regulation needs to reflect team-based care, and why reform is not a silver bullet for affordability. This episode is about clarity, context and balance, not headlines. In This Episode: What the Veterinary Surgeons Act actually does Why 1966 legislation no longer reflects modern veterinary practice The impact of the CMA investigation Why veterinary businesses currently aren’t regulated as entities The role and recognition of veterinary nurses What reform could realistically improve What reform will not fix Key Takeaways: Veterinary medicine has evolved far beyond what the 1966 Act envisaged The consultation is about modernisation, not blame Reform may improve transparency and efficiency - but won’t magically reduce costs Recognising the wider veterinary team could improve sustainability Good reform requires scrutiny and realistic expectations Resources and More Info: 🌐 ⁠DEFRA Consultation: Reform of the Veterinary Surgeons Act⁠ 🌐 ⁠RCVS Position on Reform⁠   🐾 Follow ⁠@‌DrPaulTheVet⁠ for ongoing updates and discussion 🎙️ Enjoyed the episode? Follow and review The Consult Room wherever you listen.

    9 min
  2. The Support Dogs That Are Changing People’s Lives

    FEB 9

    The Support Dogs That Are Changing People’s Lives

    In this episode of The Consult Room, I’m joined by Rita Howson, Chief Executive of Support Dogs, and Danny Anderson, Head of Fundraising, to explore a charity whose dogs don’t just offer support - they genuinely change lives. Support Dogs trains assistance dogs for people living with autism, epilepsy and physical disabilities, helping individuals and families who often feel overwhelmed, isolated or unsafe. We share powerful stories of seizure alert dogs giving people precious warning time to get to safety, autism assistance dogs preventing children from running into traffic, and families experiencing simple moments they’d never had before - like going to the beach together. We also discuss how dogs are selected and trained, the real costs behind each partnership, and why these life-changing dogs still aren’t viewed or funded like the medical solutions they truly are. In This Episode: What Support Dogs does and who they help Seizure alert dogs and the impact of early warnings Autism assistance dogs and child safety in public spaces The “portable safe place” effect for autistic children How dogs are sourced, assessed and trained Demand, waiting lists and the charity’s plans to expand capacity The true cost of placing and supporting a partnership Key Takeaways: These dogs don’t stop medical conditions, but they can restore safety and control The impact goes far beyond “tasks” — it’s independence, confidence and family life Training is as much about the human-dog relationship as it is about skills Long-term support matters, because people’s needs change over time Resources and More Info: 🌐 Learn more or donate: supportdogs.org.uk 📱 Follow: Support Dogs UK on Instagram 🐾 Follow @DrPaulTheVet for updates and future episodes 🎙️ Enjoyed the episode? Follow and review The Consult Room wherever you get your podcasts.

    37 min
  3. Are We Overusing Parasite Treatments? The Environmental Cost Explained

    JAN 22

    Are We Overusing Parasite Treatments? The Environmental Cost Explained

    This episode of The Consult Room tackles a topic that’s quietly becoming one of the biggest ethical and environmental debates in veterinary medicine. For decades, routine parasite prevention has been seen as essential. Monthly flea treatments. Regular worming. Often given automatically, year after year. But growing evidence now suggests that some of the chemicals used to protect our pets are ending up far beyond the clinic - in rivers, waterways, and ecosystems. To explore what this means for pets, vets, and the planet, I’m joined by Andrew Prentis, a veterinary surgeon with nearly 40 years’ experience across private practice, charity hospitals, and academia. Andrew is a Visiting Fellow at Imperial College London and a member of the PREPP group, producing rational evidence for parasiticide prescription. In this balanced, evidence-led conversation, we unpack how parasite treatments enter the environment, what the science actually shows, and why a more risk-based, individual approach to parasite control may be overdue. In This Episode How flea and tick treatments end up in rivers and waterwaysWhat research shows about imidacloprid and fipronil contaminationThe environmental impact on insects, food chains, and biodiversityWhy “blanket prevention” became the norm in veterinary careThe difference between hazard-based and risk-based parasite treatmentCommercial pressures, pet health plans, and industry influencePractical alternatives and what responsible parasite control could look like Key Takeaways 🔹Not all pets face the same parasite risk🔹Routine treatment does not always equal best practice🔹Some commonly used parasite chemicals persist in the environment🔹A risk-based approach can protect pets while reducing environmental harm🔹Responsible prescribing builds trust without compromising welfare Resources & Links Learn more about environmental research into parasiticidesVisit VetSustain for sustainability guidance in veterinary careFollow @DrPaulTheVet for future episodes and updates💬 Do you use parasite treatments routinely, or only when needed? Share your thoughts and experiences in the comments. 📲 Don’t forget to follow the podcast and leave a review - it really helps these conversations reach more people.

    48 min
  4. Ozempic for Dogs - Breakthrough or Ethical Dilemma?

    JAN 8

    Ozempic for Dogs - Breakthrough or Ethical Dilemma?

    In this episode of The Consult Room, I explore a headline-grabbing idea that’s raising big questions in veterinary medicine - the possibility of an Ozempic-style appetite suppressant for dogs. With around half of dogs in the UK now overweight or obese, researchers are trialling a slow-release implant designed to suppress appetite and support weight loss. At first glance, it sounds like a potential breakthrough. But obesity in dogs is largely a human-created problem, and that raises important ethical, welfare, and responsibility questions. I unpack the science behind GLP-1 implants, the potential benefits for certain dogs, and the concerns vets need to think about carefully - from masking early signs of illness to shifting responsibility away from diet, exercise, and lifestyle. This episode isn’t about rejecting innovation. It’s about asking whether medical solutions should support better care, or replace it? In This Episode: Why dog obesity is one of the biggest welfare challenges today How appetite-suppressing implants work The real causes of pet obesity Ethical concerns around medical shortcuts Why exercise matters beyond weight loss Could appetite suppression mask early disease? Where drugs fit - and where they don’t Key Takeaways: Dogs don’t feed themselves - obesity is a human responsibility Weight-loss drugs may help some dogs, but won’t fix the root problem Exercise is a legal and welfare requirement, not optional Appetite is a vital clinical warning sign Education, portion control, and lifestyle change remain essential Resources and More Info:🌐 Visit theconsultroom.co.uk for more episodes and evidence-based advice🐾 Follow @‌DrPaulTheVet for insights and discussion 🎙️ Enjoyed the episode? Follow and review The Consult Room wherever you get your podcasts.

    9 min
  5. Pet Food Facts vs Fads - with Cat the Vet

    12/03/2025

    Pet Food Facts vs Fads - with Cat the Vet

    In this episode of The Consult Room, I’m joined by Cat Henstridge, better known online as Cat the Vet, to unpack one of the most confusing areas of pet care: nutrition. From raw and grain-free diets to vegan and insect-based foods, we explore how pet owners can separate facts from fads in an industry filled with marketing, misinformation, and social media noise. Cat shares her insights as one of the UK’s most trusted veterinary voices online, tackling myths head-on and highlighting what really matters when it comes to feeding our pets well. Together, we discuss the science behind balanced diets, the rise of pet obesity, the ethics of feeding trends, and how vets can communicate more openly about nutrition without fear of backlash. In This Episode: Why pet food myths spread so easily online The truth about raw, grain-free, and vegan diets How marketing and “fear-based” ads influence pet owners The importance of complete and balanced nutrition Why affordability and access must be part of the nutrition debate What to look for on pet food packaging How to spot misinformation on social media Key Takeaways: Nutrition is a science - not a trend Fear-based marketing undermines trust in vets Complete and balanced diets can be found at all price points Social media has amplified myths about “natural” and “premium” feeding Vets need to be braver and more open when talking about pet diets Resources and More Info: 🌐 Visit theconsultroom.co.uk for more pet health advice and podcast episodes🐾 Follow @DrPaulTheVet for expert insights and updates📱 Follow @CatTheVet for myth-busting pet content📚 Learn more about pet nutrition at wsava.org/nutrition-toolkit 🎙️ Enjoyed the episode? FollowThe Consult Room wherever you get your podcasts.

    52 min
  6. When Less Is More : Rethinking Modern Veterinary Care

    11/11/2025

    When Less Is More : Rethinking Modern Veterinary Care

    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 meansWhy the cost of care is driving an access crisisHow to balance “gold standard” treatment with welfare-focused careThe rise of defensive medicine in the professionThe impact of pet owners’ expectations on clinical decisionsWhy confidence and experience shape better judgementPractical tips for affordable pet health careKey Takeaways: Pragmatic care isn’t low quality - it’s high welfare and realisticOver-treatment can reduce welfare as much as under-treatmentCommunication and trust are key to managing expectationsVets need confidence to say “enough” - not everything needs testingVaccination, diet, and prevention remain the best investments in careResources 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.

    42 min
  7. Ask Dr Paul the Vet: Your Pet Questions Answered

    10/22/2025

    Ask Dr Paul the Vet: Your Pet Questions Answered

    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 pawsHow to support a cat through grief after losing a companionNail trimming at home - what to do (and what not to!)Tear staining in Chihuahuas and other breedsWhen it’s time to say goodbye - assessing quality of lifeThe truth about rising pet insurance costsWhat to expect when your female dog hasn’t had her first seasonTips for first-time dog guardians working from homeAnd… who do I love the most - Rodney or my husband? Key Takeaways: Always rule out medical causes before assuming a behavioural issueGrieving pets need time and stable routines to adjustNail clipping confidence starts with early handling and calm trainingTear stains are often anatomical, not always treatableQuality of life decisions should be guided by mobility, appetite, and engagementInsurance costs rise with age - plan early, save, or shop wiselyDogs 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.

    53 min
  8. Is The UK Heading For A Vet Care Crisis

    09/29/2025

    Is The UK Heading For A Vet Care Crisis

    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 societyWhy more pet owners are delaying or avoiding vet visits due to costStories from owners whose pets have benefitted from the fundHow charities like Blue Cross are working alongside private practicesThe wider systemic issues in veterinary pricing and accessibility Key Takeaways: The UK is facing a growing veterinary care crisisThe Veterinary Care Fund has expanded from 23 to over 1,700 practices in two yearsMany owners are struggling to afford essential treatment for their petsCollaboration between charity and private sectors is essential for solutionsRising costs and lack of transparency are fuelling inequality in pet ownershipAccess 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. 📲 Don’t forget to follow and leave a review, it helps more people discover these important conversations.

    44 min

About

The Consult Room is the podcast that explores the evolving world of modern pet care. Hosted by vet surgeon Dr Paul Manktelow, each episode dives into the key issues shaping the lives of pets and the people who love them. Whether you're looking for deeper insight into modern veterinary healthcare, curious about the pet care industry, or simply passionate about animal welfare, The Consult Room brings clarity, compassion, and real-world expertise to the conversation. Visit www.theconsultroom.co.uk or get in touch at hello@theconsultroom.co.uk.