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© Veterinary Business Development Ltd 2026

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9 Jan 2026

Building the dream: setting up a vet practice

Deciding to launch your own veterinary practice requires strategic planning built on a clear foundation. This guide introduces a robust framework, covering everything from your guiding philosophy to essential financial and team processes, to help you design a truly sustainable and fulfilling business...

author_img

Rebecca Robinson

Job Title



Building the dream: setting up a vet practice

Image: lucid_dream / Adobe Stock

Deciding to start your own veterinary practice is a defining moment in your career. Perhaps you’re seeking more autonomy, dreaming of delivering care in a way that truly reflects your values, or feeling increasingly limited by your current role. Whatever your motivation, the decision usually arrives with equal parts excitement and apprehension.

Many vets reach practice ownership after years of compromise – limited appointment time, misaligned values or growing frustration with systems that don’t reflect how they believe care should be delivered. The desire to build something better often starts quietly, long before it becomes a concrete plan.

You may not have every answer yet, but the fact that you’re asking the right questions is already a strong sign you’re ready to begin. This guide blends practical planning with veterinary business insight and strategic thinking. It’s structured around the 8 Ps, a simple framework to help you shape a practice that is clinically excellent, financially sustainable and personally fulfilling.

Philosophy
Product
Price
Place
People
Process
Physical Evidence
Promotion

Philosophy – your purpose, vision and direction

Your philosophy is the foundation of your practice – your “why”. It guides every decision: your service model, the team you build, the way you communicate with clients and even the cases you choose to prioritise.

Start by reflecting on what matters most to you.

Why do you want to own a practice?

Is it about clinical freedom? Better work-life balance? Developing people? Creating an exceptional service?

What is your long-term dream?

Think five years ahead. What role do you see yourself playing? What lifestyle do you want your work to support?

What reputation do you want the practice to build?

High clinical standards? Compassionate, personalised care? Exceptional communication? Outstanding farm support?

What makes you different?

Clients and staff should be able to understand this easily and clearly.

What are your non-negotiables?

These might relate to patient care, team culture, pricing ethics or workload boundaries.

As Stephen Covey said: “Start with the end in mind.”

When you know where you want to go, the path becomes far easier to design.

Product – what you offer and who you serve

Once your purpose is clear, the next step is deciding how it translates into your service.

Your “product” is much more than clinical services, it’s the entire experience: how clients feel when they interact with you, how accessible you are, how you manage emergencies and what you choose to specialise in.

Key decisions to consider

Species and scope

  • Which species will you serve: small animal, farm, equine, exotics or a combination?
  • Will you be a generalist, or develop special interests such as dentistry, sports medicine, herd health, behaviour or imaging?

Service design

  • Will you offer your own out-of-hours cover, share it locally, or outsource?
  • Will you provide home visits, and how will they be priced and scheduled?
  • What are your opening hours now, and what might they be in five years?
  • What services will you launch with immediately, and what will be phased in?

Client experience

  • Will you offer subscription or preventive health plans?
  • What consultation style suits your ethos: longer consults, herd plans, continuity of care?

“Don’t try to be everything to everyone – be something exceptional to someone.”

Your ideal clients will choose you because you deliver what matters to them exceptionally well.

Graphic illustrating the 8 Ps in setting up a practice in VBJ article. Image: Google Gemini
Image: Google Gemini

Price – strategic financial planning

Even the most clinically brilliant practice needs a solid financial backbone.

Profitability is not accidental, it is designed, and it gives you the freedom to practise veterinary medicine your way.

A healthy practice can typically become cash positive within 12 to 18 months. To achieve this, you’ll need a clear understanding of how income will cover costs and allow for growth.

What you need to forecast

  • personal living costs
  • loan repayments
  • rent or mortgage
  • equipment and maintenance
  • ream salaries
  • drugs and consumables
  • laboratory and crematorium fees

Now, project likely client numbers and average spend. This allows you to:

  • estimate your break-even point
  • forecast realistic timelines
  • make informed growth decisions

Recommended financial benchmarks

Aim to keep:

  • Variable clinical costs less than 25%.
  • Staffing costs less than 45%.
  • Fixed overheads less than 20%.
  • Profit target: 10% to 15%.

Joining a buying group early is often a smart way to reduce your variable costs.

A common pricing mistake

Basing your prices purely on what competitors charge is risky – their business model and cost structure may be completely different.

Rule of thumb

Calculate your hourly operating cost, divide by four – that’s your minimum 15-minute consult fee.

Place – location, mobility and premises

Whether you’re mobile, clinic-based or hybrid, location affects everything from overheads to client base, to workload.

What to evaluate

Catchment area

Urban practices often draw clients from three to five miles. Rural practices – especially farm and equine – may cover much more.

Demographics

Does the local population reflect your target client’s income level, expectations, and care attitudes?

Competition

How many vets already serve the area, and how will you differentiate?

Premises planning

  • Size: 1,000 sq ft to 1,500 sq ft per vet (small animal).
  • Workflow: efficiency matters as much as square footage. Consider consult rooms, prep area, imaging, isolation and parking.
  • Practicality for ambulatory vets: access, secure storage and safe loading areas.
  • Access and visibility: Parking, signage opportunities, and ease of finding you are all major factors that influence client perception and satisfaction.

Growth potential

Your premises should grow with you, but aim to keep building costs less than 8% of turnover.

For ambulatory practices, your vehicle is your clinic; therefore, branding, layout and travel efficiency all matter.

Graphic of a vet holding plans and a compass to illustrate VBJ article about setting up a practice. Image: Google Gemini
Image: Google Gemini

People – your team and your advisors

No veterinary practice thrives alone. Start lean, but build well.

Your advisory team

Obtaining sound advice and guidance early will save enormous stress and expense later. Include:

  • Veterinary business consultant or mentor.
  • Accountant – preferably one familiar with veterinary business.
  • Commercial lawyer.
  • Architect and contractor (if renovating or building).
  • Lender experienced in health care.

Your internal team

  • Recruit based on values, as well as skill.
  • Employ people aligned with your philosophies on patient and customer care.
  • Involve them in building the practice.
  • Plan cover so you can step back occasionally, avoiding the “I must do everything” trap.

Your team should work with you, not just for you.

Process – systems, standards and operational excellence

Your processes turn intention into consistency. They ensure clients receive the same experience, whether it’s Monday morning, Saturday evening or your busiest day of the year.

Key areas

  • Opening hours and consulting schedules.
  • Out-of-hours structure.
  • Pricing and concessions.
  • Clinical, communication and safety SOPs.
  • Inventory systems.
  • Client experience standards.
  • Follow-up and continuity of care.

Procedures aren’t bureaucracy, they’re clarity.

Practice management software (PMS)

Choose carefully. Changing systems later is disruptive and costly.

When comparing options, look for:

  • Appointment scheduling.
  • Billing and reporting.
  • Inventory and pharmacy integration.
  • Imaging and lab connectivity.
  • Cloud access – especially for field work and remote teams.
  • Training, on-boarding and long-term support.
  • Scalability.

Integration creates efficiency. Don’t underestimate how much time a well-chosen system will save you. Remember: “Marketing is the promise. Systems and teams deliver the experience.”

Physical evidence – environment and brand

Clients judge on what they observe: your facility, your vehicle, your uniform, your communication style and your branding.

Trust through the sensory experience

Imagine your client journey:

  • What do they see?
  • What do they smell?
  • How organised does it feel?
  • How easy is it to find you?
  • What do they hear?
  • Does your clinic or vehicle reflect your values?

Brand consistency

Branding isn’t just your logo and colour palette, it’s who you are and how you show up in the world. The role of your brand visuals (logo, décor, tone and imagery), is to reinforce your ethos. Strong brand visuals aren’t vanity, they’re clarity.

Promotion – attracting clients

Great marketing starts before opening. It defines your story and builds momentum. Show prospective clients who you are, how your approach differs and how it benefits them and their animals.

Build awareness early

  • Twelve months prior: Begin branding – conduct market research, secure social handles.
  • Six months prior: Website and social presence – start networking locally.
  • Three months prior: progress updates – “follow our journey” content, behind the scenes reveals
  • Opening month: Open day, tours, meet the team content
  • Three to six months after: referral incentives, loyalty schemes, educational events

Marketing brings clients in. Experience keeps them there. Consistent quality creates advocates.

Top 10 mistakes to avoid

  1. No clear vision
  2. Wrong premises (too big or restrictive)
  3. Under-pricing clinical services
  4. Trying to do everything yourself
  5. Poor financial forecasting
  6. Skipped or rushed PMS training
  7. Hiring mistakes
  8. Delayed marketing
  9. No contingency plan
  10. Ignoring personal well-being and leadership development.

Final thought

Starting your own practice takes courage, planning, patience and a willingness to learn.

You won’t have all the answers straight away and you may not feel ready – that’s normal.

But with:

  • a clear philosophy
  • a strong structure
  • the right advisors and team

Your practice can become a thriving, sustainable reality – one built around your values and your ideal way of working.

Next steps

Wondering where to start? Why not write down your philosophy, outline your dream and list your non-negotiable?

These things will help form your vision, which is the first step to true independence.

Every great practice starts there.

  • This article appeared in VBJ (January 2026), Issue 274, Pages 7-12

Rebecca Robinson is a University of Cambridge graduate and former mixed-practice vet who spent more than two decades in clinical practice before moving into leadership and consultancy.  As a practice director, she reshaped culture and performance, and co-created a popular CPD course with Vet Dynamics focused on mindset, communication and leadership. Now a business consultant, Rebecca joined the VMG board in 2023 and currently serves as president.