Accounts, tax, payroll and pricing work for Manchester veterinary practices — including the out-of-hours contract that bites the day the CMA Order is made.

Start here. Manchester is in England. The RCVS regulates veterinary surgeons and veterinary nurses across the whole UK and does not regulate practices at all, and the CMA's draft Order extends to England and Wales, Scotland and Northern Ireland under Article 1(3) — so nothing about your regulation changes at a border. The one thing that is England-only is business rates: five multipliers from 1 April 2026, and a veterinary practice is not a Retail, Hospitality and Leisure property.
Manchester is a dense urban first opinion market: city and suburban practices, multi-branch independents, and a heavy reliance on outsourced out-of-hours cover across a conurbation where clients will drive to whichever site is open.
Over 60% of UK veterinary practices are now owned in whole or in part by six groups — CVS, IVC Evidensia, Linnaeus, Medivet, Pets at Home and VetPartners — against 10% in 2013, while 76% of veterinary businesses still own a single first opinion practice. In a conurbation that means an independent is usually within a few miles of several group-owned sites, and the CMA's publication duties are about to make the comparison explicit rather than anecdotal. Between January 2023 and July 2024 five of the six groups charged 18.3% more than independents for consultations and treatments. An independent that has costed its consultations properly has something to publish. One that has not is about to find out in public.
The second thing a dense market changes is out-of-hours. The CMA found adverse effects on competition in two markets, not one: the retail supply of veterinary services by first opinion practices, and the supply of outsourced out-of-hours provision to those practices. Draft Article 19 caps notice periods in outsourced out-of-hours contracts at a maximum of twelve months and restricts termination fees, and unlike almost everything else in the Order those provisions take effect on the day the Order is made, for large and small businesses alike. Two of the six groups, CVS and IVC, own dedicated out-of-hours businesses. A Manchester practice with a long notice period signed years ago should read the clause now.
Two things are worth stating before anything else, because they are the two an English practice is most often told wrongly. The RCVS regulates veterinary surgeons and veterinary nurses across the whole United Kingdom, and it has no statutory power over the businesses they work in — so nothing about your practice's regulation changes at a national border, and nothing about it is signed off by a regulator at all. And the CMA's draft Order is UK-wide: draft Article 1(3) says in terms that it extends to England and Wales, Scotland and Northern Ireland. Being in England gives you no different set of remedies and no different implementation window.
What England does have to itself is business rates. From 1 April 2026 England runs five multipliers: a standard 48.0p, a small business rate of 43.2p where the rateable value does not exceed £50,999, two lower Retail, Hospitality and Leisure multipliers of 43.0p and 38.2p, and a high-value multiplier of 50.8p where the rateable value reaches £500,000. A veterinary practice is not a Retail, Hospitality and Leisure property, so it pays 48.0p, 43.2p or 50.8p and never the lower two — which means the coverage that framed April 2026 as a business rates cut for high-street premises was not written about you. The 2026 revaluation took effect on 1 April 2026, on values based on rents at the 1 April 2024 valuation date, and a redesigned transitional relief scheme phases increases over three years. None of those figures apply in Wales, Scotland or Northern Ireland.
There is no veterinary school in Manchester. The nearest approved ones are the University of Liverpool's, whose clinical teaching and Small Animal Teaching Hospital sit at the Leahurst campus at Neston on the Wirral about twelve miles from Liverpool, and the Harper and Keele Veterinary School, run jointly by Harper Adams University in Shropshire and Keele University in Staffordshire. The University of Central Lancashire opened a veterinary school in Preston in September 2024; it holds provisional RCVS accreditation and its first cohort has not yet graduated, so it is a recruitment source for the future rather than for this year. The practical consequence is that new graduates arrive from three or four directions at once, and the VetGDP Adviser commitment — a veterinary surgeon with at least three years on the UK practising register, an hour of protected time a week — has to exist before the offer goes out, not after it is accepted.
Suburban multi-branch practices are the norm here, and every premises that stores or supplies medicines registers separately at £38 a year, exempt from VAT, renewing 1 April. The rating position deserves its own look rather than one line in the accounts: a suburban branch with a rateable value at or under £50,999 pays the small business multiplier of 43.2p while a main hospital site above that threshold pays the standard 48.0p, and both arrive in the same figure called rates. Neither of them is the Retail, Hospitality and Leisure rate, whatever the coverage of April 2026 suggested.
In a Manchester practice the first thing we read is the out-of-hours contract, because it is the one part of the CMA package that can catch a practice out through something it signed rather than something it has not built yet. Then the consultation price against its real cost — staff time, premises, consumables and a proper charge for the principal's own hours. Publishing a price list is not the difficult part. Publishing one you can defend at the margin you need is, and that arithmetic has to happen before anything goes on the website. Our CMA compliance and pricing page sets out the order the obligations arrive in.
Non-vets have been able to own a UK veterinary practice since 1999, and the RCVS has no statutory power to regulate the businesses vets work in — only the individual veterinary surgeons and veterinary nurses on its registers. The Practice Standards Scheme is, in the RCVS's own words, a voluntary accreditation.
The CMA identified exactly this in its final report of 24 March 2026: that the system of regulation applies only to veterinary professionals and not to the businesses in which they work.
If your practice supplies or stores medicines you must register the premises with the RCVS, which holds the Register of Veterinary Practice Premises on behalf of the VMD. The fee is per premises — a main site and two branches is three registrations — at £38 a year in England and Wales, VAT exempt, renewing on 1 April.
Defra's consultation on reforming the Veterinary Surgeons Act 1966 closed on 25 March 2026 and proposes licensing veterinary businesses. The response has not been published and nothing is in force.
No, and it is worth saying why rather than simply asserting it. Everything runs remotely — video and phone around consulting hours rather than ours, records and approvals handled securely online. What you gain by widening the search past your postcode is a practice that already knows what premises registration is charged on, which IR35 regime a locum falls into and what the CMA's draft Order does and does not require, without being taught any of it. What you would gain from proximity is a shorter drive to a meeting that happens over video anyway. Tell us where your practice stands and we will tell you honestly whether we can add anything — and the eight free calculators ask for nothing at all if you would rather look first.
Yes — and so do they everywhere else in the UK, which is the part worth knowing. Draft Article 1(3) of the Veterinary Services Market Investigation Order 2026 states that the Order extends to England and Wales, Scotland and Northern Ireland, so being in England gives you neither a different set of remedies nor a different timetable. The question that actually matters is when. The Order has not been made: the CMA published its final report on 24 March 2026 and then has six months to put the Order in place, so its own deadline for making it is 23 September 2026 — a drafting deadline, not a date anyone has to comply by. The obligations follow three to twelve months after the Order is made, and a Small Veterinary Business, meaning one with fewer than 15 first opinion practices and out-of-hours centres, gets three months longer on most of them but not on all.
The standard 48.0p, or the small business multiplier of 43.2p where the rateable value does not exceed £50,999, or 50.8p where the rateable value reaches £500,000. What it does not pay is either of the two Retail, Hospitality and Leisure multipliers introduced at 43.0p and 38.2p from 1 April 2026, because a veterinary practice is not an RHL property. That distinction is the reason the April 2026 changes read as a cut in general coverage and as a rise in a lot of practice accounts. The 2026 revaluation took effect on 1 April 2026 using rents at the 1 April 2024 valuation date, with transitional relief phasing increases over three years. All five multipliers are England only.
Two things, and they take effect earlier than the rest of the package. Draft Article 19 caps the notice period in an outsourced out-of-hours contract at a maximum of twelve months and restricts termination fees, and both bite on the day the Order is made rather than after an implementation window — the same date for large and small businesses. The only part of Article 19 carrying a window is the separate duty on out-of-hours providers to inform first opinion practices about the change, at three months. Separately, draft Article 6 will require you to publish who your out-of-hours provider is, alongside staff qualifications, RCVS accreditations and Practice Standards Scheme awards. Two of the six large groups, CVS and IVC, own dedicated out-of-hours businesses, which is worth knowing if your cover comes from one of them.
Yes, and it is the most misunderstood thing about locum work. Where the engaging practice is small, Chapter 8 of ITEPA 2003 applies and the locum's own company decides its status and carries the tax risk. Where the client is medium or large, Chapter 10 applies instead: the practice determines status, must issue a Status Determination Statement, and the fee-payer operates PAYE on the fee. The CMA's data shows 76% of veterinary businesses own a single first opinion practice, so almost every independent is a small client, while all six large groups will be medium or large. A locum covering both in one tax year sits in two regimes at once and needs the paperwork to match each engagement rather than a single assumption applied to all of them.
No. We work remotely with veterinary businesses across England and the whole United Kingdom, by video, phone and email, with records and approvals handled securely online. That is a deliberate choice rather than a limitation: it means the people looking at your figures work only with veterinary businesses, so nobody has to be told what a POM-V is, why premises registration is charged per branch rather than per practice, or what a cap on written prescription fees does to a dispensary. The thing a nearby generalist is most likely to get wrong about a Manchester practice is that a veterinary practice gets the lower Retail, Hospitality and Leisure business rates multiplier. It does not. A practice two hundred miles away that already knows that starts from a different place than the nearest general accountant, who will spend the first meeting being taught how a veterinary business works.
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