It works out at £129 per year. I thing vaccintations are about £47. Worming is every 3 months and flea treatment is monthly.
You need to find out whether the flea treamtent covers ticks or lung worm. No flea treatment covers both. Also whether your area is prone more to ticks or lung worm.
If your young pup decides to be a dead animal eater (sorry it can happen, Millie likes dead rabbits

) the worming needs to be upped to monthly.
The simplest thing you can do is ask them how much the yearly vaccination costs, flea treatment costs and worming costs. The total of that should exceed the £129.
I would personally ignore heath and nutrition advie as they are going to promote their choice of food. I put Millie on Natural Instinct and although my vets advised me against it I carried on.
