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When a Corporation Buys Your Classroom

  • Writer: vetspawspective
    vetspawspective
  • May 2
  • 5 min read

Updated: May 3

The University of Melbourne handed its teaching hospital to Greencross. I have questions.


I want to be careful here. I want to be fair. I want to acknowledge that the University of Melbourne was in a genuinely difficult position — a reduced caseload, staff shortages, falling revenue, a hospital that had become financially unsustainable. These are real problems and they don't have easy solutions.


But I also want to be honest about what I think happened, and what it means for the profession.


In December 2022, the University of Melbourne ceased operating U-Vet Werribee Animal Hospital, which permanently closed on 24 December 2022. More than 80 staff were reportedly made redundant, while ABC described “dozens” of staff facing redundancy and having to reapply for their jobs. Students were told not to worry, that their clinical training would continue. Greencross - one of Australia's largest corporate veterinary and pet-care groups, with a national network of more than 160 veterinary clinics began operating the site in February 2023.


The university called it a partnership. An "embedded distributed model." A progressive new approach to clinical education already used in other countries.


I've been in this profession long enough to recognise reframing when I see it.


What actually happened

Reporting at the time described Melbourne’s move as highly unusual, and possibly world-first, but I have not been able to independently verify that no comparable model existed elsewhere. Whether any other school had done something similar elsewhere in the world hasn't been definitively verified, and I'm not going to overstate a claim I can't fully substantiate. What I can say is that it was significant enough to draw international attention, and that the profession's response was largely muted.


The staff who lost their jobs on Christmas Eve were told they could reapply — to Greencross. The majority who did were rehired. But they were no longer university employees. They were corporate employees, working in a corporate hospital, providing clinical placements for students as part of an arrangement that benefited Greencross's geographic footprint, caseload numbers, and — let's say it plainly — its access to the next generation of veterinary graduates.


Greencross's CEO called it "exciting." Their chief operating officer spoke enthusiastically about educating the next generation. The university's dean spoke of "high quality clinical teaching outcomes."


I don't doubt any of these people mean what they say. I also don't think that meaning well is sufficient reason to be uncritical.


Why this matters

I've seen what corporate consolidation does to clinic culture. I've watched the priorities shift — subtly at first, then less subtly. The pressure on consult times. The focus on revenue per patient. The standardisation of everything that used to be the individual vet's clinical judgement. The way that "efficiency" becomes the metric everything is measured against, including things that shouldn't be measured that way.


I want to be clear: there are good corporate clinics and bad independent ones. Corporate ownership doesn't automatically mean poor patient care or poor staff treatment. But corporate ownership does mean that the primary accountability runs to shareholders and revenue targets, not to patients or to a profession.


Teaching hospitals are different. They exist not just to treat animals but to form vets. The environment in which you learn to practise medicine shapes the kind of practitioner you become. The values embedded in your training — what you're shown is worth prioritising, what success looks like, how much time a good consultation takes, what the relationship between clinical decision-making and financial pressure should be — these things stay with you.


When that environment is run by a corporate entity whose business model is built on scale and efficiency, I think we should ask ourselves what values are being embedded alongside the clinical skills.


The questions nobody is asking loudly enough

Who benefits from this arrangement? The university reduced the financial burden of operating the hospital and retained a clinical teaching pathway. Greencross gained a prestigious hospital, an expanded caseload, 24-hour emergency services, and — as one commentary put it — "a direct pipeline into the graduate talent pool." Students get their clinical placement ticked off.


The University of Melbourne’s veterinary school remains accredited by AVBC and AVMA COE, with RCVS accreditation granted for a shorter period and a focused revisit scheduled. The University says clinical training is overseen by University staff within an embedded distributed model recognised by accrediting bodies. That doesn’t end the discussion, though. Accreditation confirms a minimum standard; it doesn’t answer the broader cultural question of whether a corporate-run clinical environment shapes students differently from a university-controlled teaching hospital. But I think the question of whether clinical training run by a corporate operator in a for-profit hospital is equivalent to training in a university-controlled teaching environment is a legitimate one — and it hasn't been answered to my satisfaction.


What happens when Greencross's interests and the educational interests of students diverge? In a corporate hospital, the cases that are treated are the cases that can pay. A teaching hospital exists to expose students to the full range of clinical presentations, including the ones that are expensive to manage and generate limited revenue. In a privately operated facility, what happens to those cases?


And more broadly — if this works, if the university retains its accreditation and Greencross continues to operate the hospital profitably, what does it signal to every other veterinary school in Australia and New Zealand that is, right now, struggling with exactly the same financial pressures?


The bigger picture

This didn't happen in isolation. All eight veterinary schools in Australia and New Zealand are reportedly at a financial tipping point, receiving insufficient income to cover their costs. At least one is in a genuinely precarious position, with a real risk of closure.


The funding model for veterinary education in this country is broken. Universities are cross-subsidising vet schools from other faculties, generating resentment within institutions. Government funding covers only around two-thirds of the actual cost of delivery. And veterinary students — who will graduate into a workforce crisis and a pay structure that is increasingly uncompetitive with other professions — are excluded from the government's placement support schemes that exist for other health disciplines.


The Melbourne-Greencross arrangement is a symptom of this broken system, not a solution to it. It is what happens when you underfund something important for long enough — eventually, someone with capital steps in, and the terms of that intervention are not neutral.


What I actually think

I'm sceptical. I'm sceptical of the framing, sceptical of the enthusiasm, and sceptical of anyone who tells me that handing a teaching hospital to a corporate consolidator is primarily about educational outcomes.


I've seen what happens when profit enters spaces it doesn't belong. Not always dramatically. Not always obviously. But the culture shifts. The priorities shift. And by the time you notice what's been lost, it's already been repackaged and sold to you as progress.


Maybe I'm wrong. Maybe the Greencross model genuinely works, the students get excellent training, and the profession is better served by this arrangement than it would have been by a closed hospital. I'm genuinely open to evidence that I'm wrong.


But I'd rather ask the uncomfortable questions now than find out in ten years what we quietly gave away.


What do you think? Has the profession been too quiet about corporate consolidation in veterinary education? Or is this a pragmatic solution to a genuine funding crisis? Share your thoughts in the comments.

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