The Ralph

04/09/2026

🥳 Please join us in congratulating Liv! 🥳

Liv has officially passed her OSCEs and is now a qualified Veterinary Nurse (RVN)!

We’re so happy to see her in her new scrubs as she has begun her next chapter with us as an Anaesthesia Nurse Intern!

We asked Liv: “What is one piece of advice you would give to an SVN based on what you’ve learned on your journey to becoming an RVN?”

Here’s what she had to say 🤩

💡 RVNs, what is the best piece of advice you would give to an SVN? Share your wisdom in the comments!

03/09/2026

ACCOUNTS ASSISTANT, MATERNITY COVER

We have a vacancy in our Finance team at The Ralph.

We are looking for an Accounts Assistant to provide maternity cover for approximately 12 months.

The role is based around finance administration, insurance claims, invoicing and helping carers with account and insurance queries.

Previous veterinary experience is welcome, but it is not essential.

We would also be interested in people with relevant experience in insurance, healthcare finance, or a similar setting.

The role is full-time, Monday to Friday, with some flexibility around hours and the option to work from home.

Salary: £26,500 to £27,500 per year

📅 Applications close on Monday 5 October 2026, although we may close the vacancy earlier if we find the right person.

👉🏽 For full details and information on how to apply, please visit our website.

And yes, according to the Finance team, a love of cake and tolerance for country music remain desirable attributes!

https://theralph.vet/vacancies/accounts-assistant-maternity-cover/

02/09/2026

We are looking for a new OPERATIONS MANAGER to join Team Ralph.

Registered Veterinary Nurse (RVN) status is preferred but not essential.

This is a newly created, fully non-clinical management role at our 24-hour multidisciplinary referral hospital in Marlow.

We are looking for someone with significant veterinary-sector experience who enjoys making complex organisations work well, building relationships and seeing things through.

The role has a broad operational remit and will work closely with our new Operations Director, Clinical Director and other senior leaders.

Salary is £50,000 to £60,000, depending on experience.

📅 Applications close on Sunday, 20 September 2026.

👉🏽 You can read much more about the role, what we are looking for and how to apply here: https://theralph.vet/vacancies/operations-manager/

We are looking for an experienced veterinary professional to join The Ralph as our new Operations Manager. This is a newly created role with a...

02/09/2026

Amber’s illness began with overnight vomiting, which quickly worsened over a few days alongside diarrhoea, lethargy, and a complete loss of appetite. Her carers initially took her to her primary care vet for anti-nausea medication and pain relief. However, while resting at home, Amber suddenly became unresponsive. Her carers rushed her to an out-of-hours clinic, where she was incredibly pyrexic and collapsed. With severe dehydration, a low white blood cell count, and signs of kidney distress, the team acted quickly to stabilise her. But as her condition remained critical, she was urgently referred to our Emergency and Critical Care (ECC) team here at The Ralph.

When Amber arrived with us, she was barely conscious, with dark red gums, rapid breathing, and severe bloody vomiting and diarrhoea...

Check out Our Community page to read the rest of Amber's story!

🔗 https://theralph.vet/our-community/

31/08/2026

Whether you’ve just dropped your companion off with us, or fancy a little stretch after their appointment, we’ve rounded up some of our favourite walks in and around Marlow 🐾

Perfect for a potter, a proper stroll, or a little time to clear your head. Which one is your favourite? 💚

28/08/2026

Waiting for news or for an appointment is hard. If you're feeling a little anxious, that's completely normal - so we've put together a few small things that might help you and your animal companion feel a bit more comfortable while we look after them.

- ☕ Let us look after you too - Tea, coffee, and cold drinks are always on offer while you wait.
-📱 Bring something to settle your mind - A book, your phone charger, or your laptop (we have a desk if you need to quietly work or distract yourself for a while).
- 🐕 Getting some air together - There's water available both inside and out, and a grassed area if you and your dog want to stretch your legs or take a breather while you wait.
- 🛋️ If you or your dog are feeling a little anxious - Just let us know. We can offer a quiet booth to give you some privacy or our outside seating area if some fresh air would help.
- 🚗 If your animal companion finds the vet scary - Please tell us in advance. Andy (our Appointment Experience and Care Co-ordinator) can meet you in the car park with a tablet to check you in there, so you can come through a quieter, alternative entrance at your own pace.
- 😌 A calmer environment - We use Feliway-sprayed bandanas and blankets in our cat wiating room, to help keep things as soothing as possible for our feline patients.
- 🚕 Need help with transport? - Please don't hesitate to ask - we're happy to help organise a taxi.
- 📍 Need a moment to yourself nearby? - Ask us about local cafés if you'd like to step out for a bit during a longer wait.

We know this is about far more than an appointment - it's someone you love. We want your time with us to feel as easy and cared-for as possible 💛

26/08/2026

When Charlie’s carer noticed he had suddenly become very lethargic and lost his appetite, they immediately took him to their primary care vet. Initial blood tests revealed that Charlie had severe anaemia (a dangerously low red blood cell count) and very low platelet levels. This meant his body was struggling to carry oxygen properly, and he was at a high risk of serious bleeding. Charlie was therefore referred to our Emergency and Critical Care team.

Our team performed extensive investigations, including advanced blood testing, an abdominal ultrasound, and chest X-rays, to look for any underlying illnesses that can sometimes trigger these changes. When no other underlying cause was identified, Charlie was diagnosed with a rare autoimmune condition called immune-mediated haemolytic anaemia and thrombocytopenia, also known as Evans syndrome. This is a condition where the immune system identifies the body's own red blood cells and platelets as a threat, and destroys them. In Charlie's case, this was considered non-associative, meaning that there was no underlying trigger.

Because his condition was so severe, Charlie required nine days of intensive hospital care, which included four blood transfusions to stabilise him and give his treatment time to work. Our team also started him on a high dose of steroids to quickly calm his overactive immune system and stop the destruction of his blood cells and platelets. Because his condition was so aggressive, a second medication called azathioprine was added to help suppress his immune system and guide him toward long-term stability.

Thankfully, over the course of his stay, Charlie’s blood results showed encouraging signs of improvement, and he was soon well enough to be discharged home to his family. He recently returned to The Ralph for a follow-up assessment, and his latest blood results show a very positive response to the treatment. His medication doses have been adjusted accordingly, and he is continuing his recovery at home under close monitoring 🧡

26/08/2026

REFERRAL VETERINARY NURSE OPPORTUNITIES AT THE RALPH!

Whether you already have referral experience or are an experienced primary care RVN thinking about moving into referral nursing, we have a variety of opportunities available. No matter your background, we would be happy to hear from you.

The Ralph is the UK’s largest private, non-corporate multidisciplinary specialist referral centre in southeast England (Marlow, Buckinghamshire, near London). comprises ~260 talented and compassionate Ralphers who work together to deliver exceptional care and support to our patients and their families.

We are hiring for several teams due to growth, new roles, maternity cover, and staff changes.

We have full-time and part-time permanent opportunities for experienced RVNs in the following teams:

▪️ Cardiology
▪️ Dentistry
▪️ Diagnostic Imaging
▪️ Emergency and Critical Care
▪️ Internal Medicine
▪️ Neurology and Neurosurgery
▪️ Night Nursing
▪️ Oncology
▪️ Ophthalmology
▪️ Theatre/Anaesthesia
▪️ Wards (Non-ICU Patients)

We also welcome nurses interested in hybrid roles, where you split your time between two areas, or rotating roles, where you work across several services.

In these thriving services, you will work alongside veterinary specialists, specialists-in-training, other nurses and patient care assistants. You will work with a large and varied referral caseload, with opportunities to develop your skills and experience.

Our nurses are actively involved in patient care and work closely with specialist teams throughout the hospital. You will have the chance to build advanced nursing skills, learn more about specific areas, and shape your career based on what interests you most in referral nursing.

The Ralph has veterinary specialists across all our major disciplines, including Anaesthesia & Analgesia, Cardiology, Dentistry, Diagnostic Imaging, Emergency and Critical Care, Internal Medicine, Neurology and Neurosurgery, Oncology, Ophthalmology, Orthopaedics and Soft Tissue Surgery. Our well-established ICU, with its specialist ECC team, provides a diverse and interesting caseload. We also have a well-established Physiotherapy and Rehabilitation service.

At The Ralph, we focus on professional development and career growth. We support ongoing education and training to help you build your skills and knowledge.

BENEFITS:

Salary:

▪️Permanent daytime nurse roles: £31,540-£36,540 subject to experience and additional relevant qualifications.
▪️Permanent Night Nurse roles: £39,425-£45,675 subject to experience and additional relevant qualifications.

Other benefits you can expect include:
▪️One-hour paid lunch break per shift
▪️Generous staff discounts on veterinary care for your own animal companions.
▪️Generous CPD allowance and support for further qualifications (including Certificates, Diplomas and Veterinary Technician Specialist (VTS) qualifications) as well as professional subscriptions and memberships.

Working patterns:

▪️Full- and part-time permanent opportunities available.
▪️Full-time roles are 40 hours per week, or 37.5 hours if you work three 12.5-hour shifts each week. Each shift includes a one-hour paid lunch break.
▪️Working patterns can vary by role, but most commonly you will work either four 10-hour shifts or three 12.5-hour shifts per week.
▪️Requirements for weekends, Bank Holidays, overnight, and on-call shifts differ by role. Please get in touch for more details.

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Our culture and values are very important to us. Compassion, kindness, empathy, respect, and integrity guide how we care for our patients, their families, and each other. As a private, non-corporate hospital, we have the freedom to do things our own way. If you want to learn more, we would love to hear from you.

Marlow:

Marlow is on the River Thames between Henley and Windsor, offering riverside walks, countryside, and easy access to London. Our hospital is just off the A404, making it easy to reach from both the M4 and M40.

🚩 TO APPLY:

📧 If you want to learn more about these roles or apply, please email Sophie at [email protected]. She is the Assistant to Shailen Jasani, our Founder, CEO, and Clinical Director.

Please include your CV and let us know when you would be available to start.

📅 Applications close on Sunday, 13 September 2026. We encourage you to apply early, and we will keep considering candidates for any roles that are still open after the deadline.

You need to be eligible to work in the United Kingdom.

We can offer a flexible start date for our preferred candidates.

🤗 If you are passionate about growing your skills and knowledge and want to join an independent team that provides exceptional, compassionate, and ethical veterinary care, we would love to hear from you.

24/08/2026

Cats are famously good at hiding how they feel, which means a vet visit can be far more stressful for them than it looks on the surface. At The Ralph, we aim to make every feline patient's visit as calm and low-stress as possible, from the moment they arrive until they head home.

We've just published a brand new blog where we take a look at some of the small (and not-so-small) things we do every day to help cats feel safe in our care.

Check it out now on our Community Page: https://theralph.vet/felinepatienttoptips/ 🐱

21/08/2026

TRIGGER NEEDS A HOME 🐾
Someone for you to think about this weekend... ✨

🐶 Name: Trigger (male, neutered)
7️⃣ Age: 7
🐾 Breed/Size: Mixed Breed, Medium (25kg)

Trigger is a cheeky character who LOVES people, toys, food and being outside on an adventure. He has had a lot of change throughout his life and is ready to find a pet-free, permanent home where he can unwind and share life’s joys with his human(s).

After falling down the stairs and hurting his back, Trigger lost function of his back legs. Spinal surgery and intense rehabilitation has got him as far as he can with regaining some back leg function, and so he uses a cart (“wheelchair”) on walks to help him get around more easily.

Trigger’s zest for life has to be admired - his disability doesn’t stop his excitement for walks!

On the whole, life in the home with Trigger looks similar to life with a more able-bodied dog; he loves toys (non-destructable ones, please!), enjoys his food and having a fuss. He loves human company, and can be left alone if needed.

Life outside of the home is where things are a little different for Trig! When Trigger goes outside his back legs/feet need to be protected. For stints in the garden, he’ll need his crocs on to protect his feet, and for walks he either needs to have sling support or to be put in his cart. He asks for a little patience from his human(s) as he adjusts to navigating walks in his cart.

📧 If you or someone you know could be Trigger's perfect match, contact [email protected].

Thank you for considering adoption 🩵