Veterinary Accountants UK

CMA Veterinary Reforms

The Competition and Markets Authority published the final report of its market investigation into veterinary services for household pets on 24 March 2026, concluding an investigation that began in May 2024. It found the market was not working well for consumers, particularly on information, pricing transparency and choice.

What This Guide Covers

  • What the CMA Decided
  • The Timetable
  • Who Is In Scope
  • The Financial Consequences
Veterinary practice owner and specialist accountant reviewing financial plans for CMA veterinary reforms in the UK

The remedies affect how practices publish prices, quote for treatment, charge for prescriptions, present ownership and handle complaints. This page sets out what that means for the numbers and for the systems that produce them.

What the CMA Decided

The remedies package covers transparency, prescriptions, contracts and governance. The main measures announced are set out below. The detail is being implemented through formal Orders and Undertakings, which have been subject to consultation, so the precise wording of each obligation is what will ultimately bind practices.

Comprehensive price lists
Practices to publish prices for a defined set of standard services, and for the most commonly sold parasiticide products.
Written treatment estimates
Written estimates required for procedures above £500, with an exception for emergencies.
Prescription fee caps
Caps of £21 for the first medicine and £12.50 for any additional medicine on a prescription.
Prescription information
Practices must tell owners they can request a written prescription and obtain medicines elsewhere.
Price comparison
Price information to be made available so comparison services can use it, with the RCVS Find a Vet service sharing data with third-party sites.
Ownership transparency
Mandatory branding and signage so clients can see whether a practice belongs to a large group.
Pet care plan transparency
Clear pricing breakdowns for practice health plans.
Cremation price transparency
Upfront pricing for all cremation options.
Out of hours contracts
A ban on unreasonably long notice periods in out of hours provider contracts, addressing a switching barrier the CMA identified for practices.
Complaints and mediation
A transparent complaints process and a mediation requirement.
Professional independence policies
Written policies protecting the clinical judgement of veterinary professionals.

The Timetable

The CMA has stated that Orders must be made by 23 September 2026, with remedies then coming into effect over the following three to twelve months depending on the measure. Larger providers face the earlier deadlines, and smaller businesses have been given an additional three months to comply with several of the transparency measures.

That means an independent practice reading this in 2026 has months rather than years, and the work is largely systems and process work that takes time to do properly.

Who Is In Scope

The investigation covered veterinary services for household pets in the UK. Practices whose work is predominantly farm animal or equine are not the target of these consumer-facing remedies, though a mixed practice with a companion animal arm will be affected on that side of the business.

This is worth establishing early, because the compliance cost differs substantially between a small animal practice and a predominantly farm one.

The Financial Consequences

Prescription fee revenue
Practices currently charging above the cap for a written prescription will see that income fall to the capped level. Multiply your annual prescription volume by the difference. For some practices this is a rounding error and for others it is a real number that needs replacing elsewhere.
Price transparency and competitive pressure
Published price lists make a defined set of services directly comparable. Expect margin pressure on the listed items and expect clients to arrive having compared. Practices that price those items well below cost, or well above the local market without a reason, will feel it first.
Estimate discipline
A written estimate requirement above £500 changes the consenting workflow and creates a record. Practices with a habit of informal estimates will find this exposes the difference between estimate and final invoice, which is a client trust issue as much as a compliance one.
Medicine sales and dispensing
Making the right to a written prescription explicit is likely to move some dispensing volume to online pharmacies. Practices with a high dependence on dispensing margin should model that shift now rather than discover it.
Systems and administration cost
Price list maintenance, estimate templates in the practice management system, plan pricing breakdowns, complaints logging and policy documentation. Mostly one-off setup with an ongoing maintenance burden, and it lands on the practice manager.
Effect on practice value
Buyers are pricing this. A practice that can evidence compliant pricing, clean estimate records and a defensible margin structure presents better than one whose profit relies on charges the remedies target.

A Preparation Checklist

  • Establish whether and how the remedies apply to your practice given your species mix
  • Calculate the revenue currently earned from prescription fees above the cap
  • Review the pricing of the services likely to appear on a published price list, against actual cost
  • Check what your practice management system can produce as a written estimate, and fix it if the answer is nothing
  • Model the effect of a shift of dispensing volume to online pharmacies at several levels
  • Break down your pet health plan pricing so the component parts can be shown
  • Document your complaints process and record where complaints are logged
  • Put a written veterinary professional independence policy in place
  • Budget the one-off implementation cost and the ongoing administrative time
  • Track the final Orders when made and check your position against the actual wording

What Not to Do

Do not rebuild your entire fee structure on a summary, including this one. The obligations that bind you are in the Orders and Undertakings, and the detail matters.

Do not assume the answer is a general price rise. Published price lists make some items visible and leave others less so, which is a pricing structure question rather than a pricing level question, and it deserves proper thought.

Last reviewed 3 August 2026. [REVIEWER DETAILS REQUIRED BEFORE PUBLICATION]

Frequently Asked Questions

When do the CMA veterinary rules come into force?
The CMA has said Orders must be made by 23 September 2026, with individual remedies taking effect over the following three to twelve months depending on the measure and the size of the business. Smaller practices have been given three months longer than larger providers on several transparency measures.
What is the cap on prescription fees?
The CMA announced caps of £21 for the first medicine on a prescription and £12.50 for each additional medicine. Check the final Order wording for how the cap is defined and what it covers before you reprice.
Do the reforms apply to farm and equine practices?
The investigation concerned veterinary services for household pets. A predominantly farm or equine practice is not the target of these consumer remedies, although a mixed practice will need to apply them to its companion animal work.
Will this reduce practice profitability?
It depends on how much of your profit currently comes from the areas the remedies target, principally prescription fees and dispensing margin, and on how your listed service prices compare locally. Practices that model it now have time to respond. Those that wait will find out by watching the numbers move.
Does this affect what my practice is worth?
Potentially. Buyers assess the durability of earnings, and earnings that depend on charges being reduced by regulation are less durable. A practice that has already adjusted and can show stable margins afterwards is in a stronger position than one that has not started.

Model What the Reforms Do to Your Numbers

We will work through your prescription income, dispensing margin and listed service pricing and show you the financial effect before the deadlines arrive.

Request a Practice Performance Review

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