London Veterinary Neurology is committed to excellence and accountability. Clinical audit is an essential part of this commitment, and we believe in transparency so that clients and referring veterinarians can make informed decisions.
Every patient is unique, and few conditions have clearly defined presentations with predictable outcomes. For this reason, we currently publish outcome data only for the surgical management of intervertebral disc disease in dogs, where meaningful benchmarking is possible.
The data below represent audited clinical results from consecutive cases managed by John as the primary consultant and surgeon.
These data are intended to support peer review, referral decision-making, and continuous quality improvement, rather than to serve as predictive benchmarks for individual patients. Outcomes are reviewed regularly as part of ongoing clinical audit and are reported using predefined criteria and clinically relevant endpoints. Full methodology and inclusion criteria are available on request.
Clinical Outcomes
Intervertebral Disc Disease
Surgical Outcomes:
London Veterinary Neurology (LVN) data represent audited consecutive surgical patients managed by Dr. Parker. Recovery is defined as return of independent ambulation. American College of Veterinary Internal Medicine (ACVIM) consensus data are shown for contextual reference (Olby et al., 2022).
Updated January 2026.
| Neurological grade (pre-operative) | LVN recovery (%) | LVN cases (n) | ACVIM recovery (%) |
|---|---|---|---|
| Grade 1 - 2 | 100.0 | 79 | 98.5 |
| Grade 3 | 100.0 | 47 | 93.0 |
| Grade 4 | 96.9 | 32 | 94.5 |
| Grade 5 | 57.1 | 14 | 61.0 |