Governance

How we govern

Two tracks run the full depth of the company. One clinical, one administrative. Neither reports to the other. Where a decision affects patient safety, the clinical partner decides.

A studio line-up of the clinical team in navy embroidered scrubs
The clinical team, The Cancer Vet
01Written down

Written down

Three commitments

These are structural, not cultural. They decide what happens when people disagree.

Written down, not assumed. The same three commitments hold at every site, in both countries, whichever business a case is seen in.

One

The dyad

Every level of the company is co-led by a clinician and an administrator, as peers. Neither reports to the other. Where a decision affects patient safety, the clinical partner decides.

Two

Salaried clinicians

Clinicians are salaried, never paid on production. No referral commission is paid or taken anywhere in the group, in either direction.

Three

Clinical control

Medical protocols and pathways are set by clinicians. Medical Director appointments are made by peer selection.

Patient safety, then quality, then finance. In that order, in every tie-break.

The founding principle The VHI tie-break rule.

02Clinical direction

Clinical direction

Thirteen Specialty Councils

A chair sets the medical standard for a discipline and is clinically accountable for every case in it, at every site.

A chair’s authority is clinical. It does not change with the city, the business or the size of the bill.

A council owns the protocols, the pathways and the credentialing for its discipline. The standard does not change from site to site, and it does not bend to a local commercial argument. Chairs include Dr. Kasturi Bhadsavle in ophthalmology, Dr. Noopur Desai in oncology and Dr. Shiwani Tandel in exotics.

  1. 01Ophthalmology
  2. 02Oncology
  3. 03Exotics
  4. 04Emergency and Critical Care
  5. 05Internal Medicine
  6. 06Behaviour
  7. 07Dermatology
  8. 08Orthopaedics
  9. 09Dentistry
  10. 10Cardiology
  11. 11Neurology
  12. 12Radiology
  13. 13Pathology
Two clinicians in gowns, caps, masks and nitrile gloves treating a cat during chemotherapy
Chemotherapy administered in full cytotoxic protective equipment, The Cancer Vet
03Track one

Track one

The clinical track

Clinical leadership sits with people who still see patients.

Names are listed with the discipline each person is accountable for. Clinicians are salaried, never paid on production.

Dr. Daniela Zurr

Behavioural medicine

Co-founder of The Behaviour Vet.

The clinical track is set in forest throughout the site. Council chairs are marked as such.

Two gowned and masked clinicians operating together on a small dog
Clinicians at work in theatre
04Track two

Track two

The management track

The administrators who run the operation alongside the clinical track.

Neither track reports to the other. Where a decision affects patient safety, the clinical partner decides.

The administrative bench is set in brass. The two tracks are equal, and they meet as peers at every level of the company.

05Practices that join

If this is how you want to practise

The same rules apply to a practice that joins

Every conversation with a practice owner is confidential, and stays that way whether or not anything follows.

A practice that partners with the group keeps its name, its team, and its clinical and operational control. The commitments on this page are the reason that holds.