The new machine is a modular system using low-flow anaesthesia for animals from 2-80kg.
The company says that compared to anaesthetic techniques which use high fresh gas flow rates, it functions without posing a risk to team members from the huge amounts of oxygen and inhalational anaesthetic agents that would otherwise be released.
In turn, this results in cost savings from unwasted agents, and a typical 5 to 10 times reduction in environmental damage.
Darvall founder, Dr Colin Dunlop, said: “For optimal outcome from anaesthesia, veterinary anaesthesiologists and veterinarians routinely make decisions about the physiological well-being of the patient, the environmental impact of their actions, the operational efficiency of their practice and cost-effectiveness.
"Having suitable equipment that uses low-flow anaesthesia will reduce the risk of hypothermia, improve team safety, reduce environmental emissions and reduce costs.”
“Low-flow anaesthesia not only reduces oxygen flows and inhalant agent consumption to less than 10% of high-flow, non-rebreathing systems, it can help reduce anaesthetic hypothermia because it uses warm gas when using the Darvall heated breathing circuits.
"Using our specifically designed modern system for veterinary patients addresses the traditional challenges associated with low-flow anaesthesia and hypothermia.
Darvall says the use of just one system will also simplify staff training and ensure familiarity.
https://darvallvet.com
Dr Power faced a number of charges relating to alleged clinical and communications failings surrounding surgery carried out on two separate dogs on two separate occasions.
The first concerned laryngeal tieback surgery carried out on Harvey, a Tibetan Terrier in March 2018, and the second concerned oesophageal surgery carried out on a boxer dog, Boss, in October 2018.
The College withdrew a number of the charges at the start of the hearing, and more later after hearing from witnesses.
Of the remainder, Dr Power admitted that she had not undertaken pre-operative radiographs before proceeding with the laryngeal surgery, had failed to perform the surgery appropriately (she dissected excessive tissue and had inappropriately placed sutures), and had undertaken the surgery when it was outside her area of competence.
In relation to the oesophageal surgery, Dr Power admitted failing to provide a referral report and/or clinical records to the veterinary practice he was referred from, despite requests from the practice.
The Committee found that the majority of the charges which had not been withdrawn or admitted by Dr Power, not proven.
However, the Committee found that in addition to the admitted charges, Dr Power had subjected the dog undergoing oesophageal surgery to an excessive 9.5 hours of anaesthesia.
The Committee then went on to consider whether the proven charges amounted to serious professional conduct.
Counsel for the College submitted that Dr Power’s conduct breached the part of the Code of Professional Conduct relating to veterinary surgeons keeping within their area of competence and referring responsibly; and providing veterinary care that is appropriate and adequate.
In terms of aggravating factors, the College submitted that there was both actual injury to the animal, as well as actions that posed a risk of injury, that Dr Power financially benefitted from the alleged misconduct as she was paid to perform a procedure outside her competence, and that she occupied a position of increased trust and responsibility as she advertised herself as a practitioner who accepted referrals and was competent to perform soft tissue surgery.
Dr Power’s counsel submitted that the charges that had been found proven amounted to clinical and administrative failings and that this was not a case of a veterinary surgeon deliberately or recklessly acting outside of their capabilities, but rather a case where a diligent and responsible veterinary surgeon had fallen short in discrete areas of her clinical practice and had reasonably believed at the time that she was competent to perform the surgery.
The Committee found that although the conduct within the proven charges fell short of what would be reasonably expected of a veterinary surgeon, it did not fall so far short that her conduct constituted serious professional misconduct.
Paul Morris, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee understood that it had a responsibility to consider the wider public interest, taking into account the view of a reasonable member of the public in possession of all the relevant facts and information.
“The Committee considered that such a member of the public would understand that veterinary surgery is a challenging profession. It was of the view that such a member of the public would not expect perfection, but understand that any professional practitioner may make mistakes in the course of their practice.
“It is the judgement of this Committee that the respondent’s conduct does not constitute disgraceful conduct in a professional respect.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession includes contributions from a range of organisations including the RCVS, Mars Veterinary Health and Investors in the Environment (iiE).
The report covers upcoming changes to the RCVS Practice Standards Scheme, the value of external accreditation to support sustainability, and how to approach behaviour change within your team.
Two further articles highlight how changes in clinical practice can combat antimicrobial resistance and reduce levels of surgical waste.
The report also features the personal experiences of practice sustainability leads, who discuss how they have worked with others to improve their sites.
Ellie West, Environmental Sustainability Lead at Linnaeus said: “Changing how we work day-to-day, when we are all so busy as a profession, can be a lot to juggle but sustainability brings a huge range of benefits.
"As well as helping the environment, it can promote the wellbeing of our patients and colleagues while also improving our performance as a business.
“It is important, however, to avoid dictating what sustainable change should be made because it will vary greatly between different teams and locations.
"This report shares ideas from contributors with a variety of roles and responsibilities, who have taken different approaches to supporting the environment but are all united in their commitment to delivering excellent clinical care.”
Sue Paterson, RCVS Junior Vice-President and RCVS Council lead for Environment & Sustainability, said: “Contributing to this report highlights the importance of working together as a profession to understand the environmental challenges we face and adopt solutions that will benefit our planet and the animals we care for.
"Upcoming changes to the RCVS Practice Standards Scheme will cover sustainability across a range of areas and we are committed to ensuring the veterinary profession can fully realise the benefits of this new guidance.”
April Sotomayor, Principal Consultant at iiE, added: “This report offers a range of perspectives that highlight how the veterinary profession can become a leader in sustainability and a shining example to other sectors.”
Download Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession here.
For locum nurses, the growth was even more pronounced, with daily rates up 38% to £199 and hourly rates up 18% to £23.50.
Student nurses lagged behind somewhat, with a growth of only 4% in median salary over the same period.
Salaries were predictably highest in London, Central and South East England, where the median was £31,074.
Meanwhile in the North of England, the median was £25,273.
SPVS says it is very grateful to everyone that took the time to fill in the survey, and it hopes the survey provides an up to date benchmark tool to be used in practice as part of responsible leadership for employers and as valuable information to employees.
Full survey results are available to SPVS members here: https://spvs.org.uk/spvs-survey/
The study1, which was conducted by surgery resident Dr Charlie Brincin at Highcroft Veterinary Group (soon to be Bristol Vet Specialists) and orthopaedic surgeon Dr Matt Matiasovic at Manchester Vet Specialists, looked at the records of 825 dogs that had been treated surgically for unilateral MPL at 10 referral centres, and then had a planned follow-up visit, including radiographs.
The frequency of, and reasons for, changes in further recovery recommendations were investigated.
The findings demonstrated that if the dog made an uneventful2 recovery after surgery, was presented without owner concern, and if no abnormality was found on physical examination, then radiographic findings only led to a change in recommendation in 3% (13/432) of these dogs.
Researchers say that this reflects similar research on the influence of follow-up radiographs in human medicine, and those of previous veterinary studies on post-operative radiographs, following uncomplicated tibial plateau leveling osteotomy (TPLO). These particular studies3,4 showed radiography had an impact on post-operative management in just 2%-3.8% of cases.
As a result of the MPL and TPLO studies, Highcroft Veterinary Referrals and Manchester Veterinary Specialists will no longer systematically perform follow-up radiographs on their patients, unless justified clinically.
Charlie said: “Radiographs are not without additional costs or risks - including radiation exposure, sedation-associated risks and strain on veterinary staff.
"Radiographic intervention should be clinically justified and our study suggests that if the dog had an uneventful recovery and is presented without owner or clinician raised concern, then repeat radiographs might not be necessary.
"This study also highlights the value of a thorough owner history and clinical examination for clinical decision-making when re-examining dogs following this orthopaedic surgery.”
The MPL study also evaluated factors which significantly increased the risk of finding radiographic abnormalities at routine follow-up, and those which led to a change in post-operative recommendation.
Lameness, administration of analgesia at follow-up, and history of unplanned visits prior to routine re-examination were associated with increased odds of a change in postoperative plan (P < 0.001).
In the absence of owner and clinician concerns, the odds of having a change in convalescence plans were not different, whether or not isolated radiographic abnormalities were present (P = 0.641).
References
The webinar will be presented by veterinary behaviourist, Sarah Heath BVSc PgCertVE DipECAWBM(BM) CCAB FHEA FRCVS, RCVS and EBVS European Specialist in Behavioural Medicine.
It will cover how to take a cat friendly approach to the microchipping appointment to reduce feline stress and make the process easier for both pet owners and veterinary staff.
A consent-based care approach will be discussed, together with the importance of educating cat owners and veterinary professionals on how to handle cats to minimise feline stress.
The webinar will also advise on the use of adjunctive therapies, such as pheromones and nutraceuticals, as well as the strategic use of pre vet visit medication, and will be followed by a Q&A session.
Tammie O’Leary, commercial lead at identi, said: “The introduction of the new cat microchipping legislation will lead to an increased number of feline patients being seen by veterinary practices.
"Our cat microchipping legislation webinar will help provide cat friendly advice for veterinary professionals and will include hints and tips to make cat microchipping appointments as stress free as possible.”
To register for the webinar, email contact@identichip.co.uk or call 0330 9128077.
For the study1, the authors Lucy Norris, Gina Pinchbeck, Peter-John Noble and Alan Radford, analysed data from electronic health records submitted by veterinary practices participating in the Small Animal Veterinary Surveillance Network (SAVSNET).
They found that a total of 132 dogs with cropped ears were seen by vets across a sample size of 500 practices between 2015 and 2022, with numbers peaking in 2021.
The breeds most likely to have cropped ears were the American bulldog, Dobermann, Italian mastiff and bulldog.
In more than 60% of the cases, the dogs had been imported from countries where ear cropping is illegal, such as Romania, Hungary, Bulgaria, Serbia, Spain, Poland and Ireland.
The authors acknowledge that the findings of their research are likely just a small snapshot of the true scale of the ear cropping problem: figures from the 2022 PDSA PAW Report suggest that the true numbers of dogs imported with cropped ears could be as high as 26,000.
RSPCA Head of Companion Animals Samantha Gaines said: "The study provides strong evidence to refute arguments for ear cropping to prevent ear infections, as the breed types identified in Norris and colleagues’ study are not generally predisposed to such infections.
"Rather, this finding adds weight to anecdotal evidence suggesting that the motivation for ear cropping in many dogs is driven by appearance rather than any perceived health benefits.
“It is also possible that some dogs were cropped illegally in the UK using legal importation as a smokescreen for this activity.
"Indeed, it is the RSPCA's experience that many dogs stated as being cropped outside of the UK have histories that would make this highly unlikely.”
Vet Record editor-in-chief Suzanne Jarvis said: “One solution to the importation problem is proposed in the Kept Animals Bill, which is currently stalled in parliament.
"Although there could be potential for fraud around grandfather rights initially, a ban on such importations would ultimately mean that the sight of a dog with cropped ears becomes a thing of the past in the UK.”
https://www.bva.co.uk/take-action/ear-cropping-campaign
Reference
The second of CVS’ UK nurse training centres (the first being in Chester), CVTC Dereham is situated near the site of CVS’ small animal The Grove Hospital and Veterinary Clinic in Norfolk.
CVS says the new centre will be Vetskill- and RCVS-approved and will specialise in training student nurses and patient care assistants and running a range of post-qualification diplomas and evening CPD events.
The centre will offer a day release classroom-based Level 3 Diploma in Veterinary Nursing, together with online courses including a Level 2 certificate in Veterinary Care Support and a Level 5 Diploma in Advanced Veterinary Nursing (Practice Nurse).
The first cohort of students are due to start at Dereham in May 2023.
Applications are also now open for a September 2023 cohort of student veterinary nurses and April 2023 for the Certificate in Veterinary Care Support online course.
Celine Organ, Centre Manager of CVTC Dereham said: “Our new Dereham centre will offer the highest quality courses, led by some of the industry’s most experienced tutors and with some of the best facilities in the sector.”
To apply for a places at CVS’ Dereham or Chester Veterinary Training Centres, visit www.chestervtc.co.uk or email nursingschool@cvsvets.com.
The 10 minute survey seeks to capture the current level of understanding and feelings around the deployment of AI tools across the veterinary industry.
VetCT says the purpose of the survey is to start some discussion and identify areas where training and support could help veterinary practitioners.
Julien Labruyère, Chief Innovation Officer at VetCT (pictured), said: “AI is here to stay and will increasingly become part of all aspects of veterinary medicine.
"Indeed, it’s vital to help us solve some of the workforce pressures the profession is facing globally.
"We will increasingly be using the outputs of AI tools to inform our clinical decisions, and yet the mechanisms and algorithms can be something of a black box of mystery.
“We want to understand the needs of clinicians in understanding how to apply AI safely, effectively and with confidence to support good clinical practice and ultimately, improve animal welfare.
"The results will be published and freely accessible.
"Our hope is to encourage a collaborative effort to support veterinary teams with embracing the full potential of AI, yet also providing the safeguards and education to the clinicians applying this technology to their patients.”
The survey is here: https://bit.ly/VetCT_AI_Survey.
Open to everyone in the profession, Congress '24 will include over 130 hours of CPD across 32 different modules covering topics such as advanced diabetes, dermatology, nursing clinics, EDI and more.
The programme format caters to a variety of learning styles, from lectures and panel discussions to interactive sessions and free CPD workshops.
There'll be over 120 exhibitors in three commercial exhibition, offering insights into some of the latest industry innovations, from pharmaceuticals to cutting-edge equipment.
Andy Green, Chair of the Congress Committee said: "We know it's a significant commitment for individuals to give up one to three days, plus travel time, to join us, and we don't just aim to educate; we want our attendees to enjoy the experience.
"Our aspiration is not just to meet their expectations but to exceed them.
"The veterinary profession faces challenges, but we have so much to celebrate, and what better place to come together with many like-minded individuals to remind yourself why you wanted to be in this profession in the first place."
Early bird registration is open until 31st January, and prices start at £93 +VAT for BSAVA members for a one-day pass.
www.bsavacongress.com
‘Feline enthusiasts assemble! How to help senior cats retain their superpowers' will be led by Geoff Duncan, veterinary technical advisor at Dechra, alongside panellists Natalie Dowgray, Head of ISFM, Sam Taylor, Head of Veterinary Specialists at ISFM (pictured), Vicky Halls, Head of Unowned Cats at ISFM and Marge Chandler, Clinical Nutritionist at Vets Now Referrals.
They will discuss the type of behavioural indications that a senior cat may present with, support for a stress-free visit and how practices can get the most out of these visits including the ‘how and why’ of BCS (body condition score), MCS (muscle condition score), the frailty scale and best practice nutritional guidance.
This hour-long session will be held twice: at 9.10am in Gallery Suite 22 on Thursday 16th November and 1.45pm in Gallery Room 17 on Friday 17th November.
‘Nordic voices on antibiotics in otitis externa; a call for responsibility’ will address the challenges associated with antibiotic usage in the management of otitis externa and discuss the importance of embracing the Nordic model to help significantly cut down on antibiotic usage in the UK.
It takes place at 10.10am on Friday 17th November in Gallery Room 17.
The CPD sessions are first come, first served.
The company is also offering Happy Hour cocktails on its stand from 4:00pm to 6:00pm on Thursday.
Creature Comforts will be using the cash both to open the clinics and build a proprietary app which will give owners seamless 24/7 access to veterinary care, whilst allowing vets to work more flexibly and more often from home.
VetSurgeon.org caught up with Russell Welsh (pictured), co-founder of the new business alongside Daniel Attia.
Russell said: "During the pandemic, there was a recognition that employers needed to do more to attract and retain veterinary staff, and so there has been a move towards more flexible working and better employment packages.
"The problem is that we then saw a massive increase in the number of pets, and the profession is struggling to meet demand.
"On top of that, the corporatisation of the profession has meant that both staff and owners often feel less connected with each other.
"We think the answer lies in independent practices making better use of technology to reduce the workload on veterinary staff whilst creating a better, seamless, more personal experience for pet owners.
"There are of course companies offering online consultations, but they tend to be stand alone services, or belong to corporate groups.
"What we're doing differently is developing our own system so that we don't lose control of any stage in the client journey and can make sure the quality of care, after care and service is consistently high.
"We'll also be putting together a share option scheme, so our employees will really feel a proper sense of ownership."
https://www.creaturecomforts.co.uk
Typically, diagnosis of endocrine disease is based on a thorough history and physical examination, followed by laboratory tests.
However clinical signs vary substantially across animals with endocrine disorders, so this new app uses AI and big data from millions of dogs in the RVC VetCompass database to improve the chances of an accurate diagnosis.
Dr Dan O’Neill, Associate Professor for Companion Animal Epidemiology at the RVC, said: "By applying the latest AI technology, the app is designed to assist primary care veterinary surgeons to better detect and diagnose Cushing’s Syndrome.
"The app provides a guide to the probability of Cushing’s syndrome as an explanation in patients showing both typical and atypical clinical signs for Cushing’s"
The app is free to download on both Apple and Android devices in the UK and EU countries by searching for 'the endocrinology app".
The HT Vista device measures heat transfer rate differences between masses and adjacent normal tissues and then processes that data using machine learning algorithms to classify the masses.
The study evaluated a diverse canine population of 299 dogs with 525 cutaneous and subcutaneous masses.
In the study, the device correctly classified 45 out of 53 malignant masses and 253 out of 378 benign masses (sensitivity = 85% and specificity = 67%).
The negative predictive value of the system (i.e., percent of benign masses identified as benign) was 97%.
This study concluded that the data supports the use of the HT Vista device "as a screening tool and decision support tool for the everyday diagnosis of dermal and subcutaneous masses in general practice, enabling clinicians to differentiate between benign lesions and those requiring additional diagnostics".
Liron Levy-Hirsch, Managing Director of HT Vista’s UK subsidiary said: “We are thrilled to have scientific research validating the success of the HT Vista device.
"The veterinary teams who have already adopted the device into their practice are having great success with it, and with the backing of this newly published paper we hope to reach more practices and ultimately save more dog’s lives.”
www.ht-vet.com / www.ht-vista.uk
The 1CPD homepage now displays two progress bars: one to track the number of CPD hours currently achieved and recorded, and another to show how many hours have been reflected on.
Once the number of required CPD hours has been recorded and reflected on, a message appears to tell the user that they're CPD compliant.
This change will not affect existing CPD records, and all previously inputted activities and reflections will remain in the system.
Jenny Soreskog-Turp, RCVS Lead for Postgraduate Education, said: “We hope that the changes to the 1CPD platform will allow people to track their CPD more easily.
"A key element in outcomes-focused CPD includes reflecting on what you have learned as this is known to have a positive impact on both personal professionalism and patient-health outcomes.
“It should be noted that any CPD you have already undertaken for this year but have not yet reflected on will still remain in the system.
"However, in order to be compliant for 2023, you must reflect on every CPD activity completed.
"If you have completed your hours but have not reflected, this will show as non-compliant.
"In order to make those hours count, you simply need to go back and add your reflections.
"This doesn’t have to be a long and onerous task – uploading audio notes, adding an attachment, or writing a few notes stating what you learnt and how you will use this newly acquired knowledge moving forward will all suffice.”
www.rcvs.org.uk/cpd
Launched by the VMG in 2021, the VMG Veterinary Leadership and Management course has three levels, the Award, the Certificate and the Diploma.
There are 151 Award holders, 39 Certificate holders and now one holder of the Diploma.
144 veterinary professionals are currently studying for the CVLM, which is accredited by the Institute of Leadership and Management (ILM).
In addition to the core modules, participants also select an additional topic tailored to their current or future needs, such as practice finance, HR, mental health and leading change.
Gemma said: “I wanted to study for the full qualification because I’m very interested in the whole subject of practice management and I really love learning.
"I experienced a few lightbulb moments, especially early on in the course when I was trying to work out what kind of leader I was.
"This section of the course opened my eyes to different leadership styles and the type of leader I wanted to become.
"I put this into practice over time, so when I came to study the team management section towards the end of my course, I could see my development over the past two years.”
She added: “Overall, I found the course very enjoyable. There is time to really dig into each topic and many different modules to choose from. The support on offer from the tutors is also excellent.”
The deadline for registration for the Winter term is 31st October.
www.vetmg.com/cvlm
TVM says DogStem, which is currently the only UK/EU-licensed stem cell treatment for this condition, is clinically proven to reduce pain and lameness while improving mobility and quality of life for dogs over one year.
The training materials include downloadable teaching guides and two videos fronted by Dr Russell Chandler BVSc CertSAO MSc(OrthoEng) MRCVS, an Advanced Practitioner in Small Animal Orthopaedics (pictured).
The videos are designed to help GP vets become more confident about performing intra-articular injections in the hip and elbow, sharing principles and techniques which are also useful for performing arthrocentesis.
Specifically, the videos show the precise procedures, in both elbow and hip, for accessing joint spaces, confirming accurate placement by the appearance of synovial fluid and injecting DogStem.
The training guides offer supporting diagrams and explanations of the approaches to each joint.
Russell, who works at Alphavet Referrals in Newport, Gwent said: “We are proud to have been involved in the production of these training videos, which will support veterinary clinicians everywhere in providing pioneering stem cell treatment to improve the quality of life of dogs suffering from osteoarthritis.
“We have been using mesenchymal stem cell therapy for dogs with osteoarthritis, as part of a multimodal approach, for many years.
"The availability of an off-the-shelf stem cell product, namely DogStem, for the first time promises to greatly widen the applicability of stem cell therapy to these kinds of patients in veterinary practices.
“The early responses to treatment that we have seen with DogStem have been very encouraging.
"I look forward to following up these cases as they progress through their osteoarthritis journey.
"DogStem is simple to administer, once you have the skills to inject joints, and the support from the UK suppliers, TVM, has been excellent."
https://dogstem.co.uk/resources
The Fear Free movement was founded in 2016 by US veterinary surgeon Dr Marty Becker.
Marty said: “Just like with humans, a pet can’t be optimally healthy unless they’re also happy.
"Fear, anxiety, and stress (FAS) raise the levels of hormones that are destructive to both the body and mind.
"Fear Free uses clinically proven protocols to remove or reduce FAS triggers, it takes steps to mitigate FAS so that the pet feels safe and calm during a veterinary visit.”
Since launch, over 320,000 veterinary professionals, pet professionals, animal welfare communities, and pet owners have registered for Fear Free’s programmes and courses, and Fear Free says it has become the accepted gold standard within North American veterinary practices.
Yvette Rowntree, Clinic Director at Harrison Family Vets in Reading, said: “This accreditation process has taken everything we do to the next level.
"With open and honest team conversations, development of realistic protocols and a subtle change in behaviours to ensure we always put the pet first within a supportive work environment, our entire team has worked hard to achieve this certification.”
Operations Director, Kristie Faulkner, from Harrison Family Vets, said: “Although it was possible for individuals to be Fear Free certified, this is the first time an entire practice has become certified.
"We have worked very closely with the Fear Free team during the past several months to enable detailed inspection and certification to take place, and we now intend for our other practices, in Dudley, Didsbury, Stockton, and Doncaster, to each reach this standard and become officially certified in the immediate future.”
Fear Free’s CEO, Randy Valpy, said: “Harrison Family Vets’ certification is part of the Fear Free expansion into the UK, New Zealand and Australia and we are absolutely thrilled to have the Reading practice as our first UK Fear Free Certified Veterinary Practice.
"We now plan to certify further practices in the UK and support veterinary professionals who have the relevant knowledge and techniques to practise quality medicine, as well as understanding how to develop the utmost consideration for patient’s emotional health as well.”
https://fearfreepets.com
The new hospital, which is led by a large team of internationally-renowned Specialists, supported by residents, interns and registered veterinary nurses, will over time employ over 100 veterinary professionals.
CVS says the site will offer the latest technology and treatments in all small animal disciplines including: general surgery, orthopaedics, neurology and neurosurgery, internal medicine, ophthalmology, cardiology, dermatology, oncology and dentistry, as well as dedicated anaesthesia, analgesia, diagnostic imaging and intensive care departments.
There will be a multi-disciplinary approach, with a team around every patient, to ensure the best outcome for the animal.
CVS says BVS's oncology department, with its stereotactic linear accelerator for radiotherapy, will offer most advanced cancer treatment for cats and dogs in Europe.
The site also has the latest CT and MRI scanners and a separate feline unit.
On arrival, clients are taken to a special customer experience zone by a dedicated client liaison officer to ensure their pet is comfortable and they are fully informed about their procedure.
Delphine Holopherne-Doran, Clinical Director at Bristol Vet Specialists, said: “Our advanced facilities and eminent colleagues will mean we can provide the best animal care to pet owners across the South West, and we have invested in cutting-edge technology to bring cancer treatment in pets to the next level.
"So we know that this site will become as a centre of excellence in the veterinary world.”
https://www.bristolvetspecialists.co.uk
The publication of the guide follows a study of vet professionals published in the Journal of Feline Medicine and Surgery which revealed that the main barriers to blood pressure measurement are a lack of time (72.8%) and situational hypertension (92%)1.
Vet professionals also thought the main barrier for owners was cost (80%) whilst the least problematic aspect is the longer consultation needed to accommodate a blood pressure measurement (48.8%).
The guide has been written to address these concerns and empower vet nurses to run nurse-led clinics for older pets.
Written by RVN, Beth Kirwan, the guide provides information on the benefits of vet nurse-led senior pet clinics, which can either be free or paid, together with hints and tips on how to get started and promotion.
The guide also covers the importance of a senior health-check questionnaire, tips on preparing and setting up a clinic, a 10-point health check providing guidance on what should be covered and information on additional senior pet tests that can be carried out, such as blood pressure checks for senior cats aged seven years or older to help identify feline hypertension.
Beth said: "I was really excited to be asked by Ceva to create this resource for veterinary nurses and grateful for the opportunity to share my experiences and knowledge.
"I have been a nurse for over 22 years, and I am passionate about making our nurses feel valued in practice.
"Nurse clinics are a really good way to do this, but I feel that setting up a senior nurse clinic service in a practice creates so much value in many ways and for every member of the practice, from the receptionists to the vets.
"Our RVNs are the stars of the show with senior nurse clinics; they bring so much experience, care and compassion and are a great reflection of our practice values.
"They often have the time that the vets don't have and will go home knowing they made a difference to a pet and an owner, or a family.
"Veterinary nurses can help identify disease early, support the owners with home adaptations or new medicine regimes.
"They can also educate the clients in senior and super senior care as our pets are living longer and provide quality of life and end of life support.
"The benefits are huge; as well as a financial benefit support like this will bond clients to a practice for life.
"We are all businesses, but we need to be caring businesses.
"I hope the guide provides inspiration to many nurses and empowers them to set up a new service or helps them to improve their current one."
Dr Sarah Caney, RCVS recognised Specialist in Feline Medicine who led the study said: “Our recent survey had more VN participants than vets, showing just how enthusiastic and engaged nurses are when it comes to assessing blood pressure in cats.
"Owners very much appreciate nurse clinics and I’m delighted to hear that there is a new senior pet clinics guide to support nurses in setting up and running successful clinics.”
https://easethepressure.co.uk/feline-senior-health-clinics
In a statement given to the Veterinary Record earlier this year, the College said:
"In 2017, our commitment to equality for our LGBTQ+ employees, members of the professions and other stakeholders, was cemented when we became a Stonewall Diversity Champion, with the aim of ensuring that all people in the community are accepted, without exception, within the veterinary professions.
In subsequent years this commitment has been demonstrated by the establishment of our Diversity & Inclusion Group, for which LGBTQ+ representation is a key component and has been incorporated into both our internal and external diversity and inclusion strategies.
Focusing on our internal diversity and inclusion strategy, the insight from Stonewall and our internal LGBTQ+ group, has aimed to make the RCVS a safe space for people from the LGBTQ+ community by creating a fully inclusive workplace.
These insights have also fed into the profession-facing work of the Diversity & Inclusion Group and its strategy.
After six years as a Stonewall Diversity Champion, we have decided this year not to renew our contract with the organisation, on the basis that we feel we no longer need to work with an external organisation to continue to deliver on our commitment to equality, diversity and inclusion.
The RCVS will continue to demonstrate allyship and be a safe space for all groups within the LGBTQ+ community, as demonstrated by the fact we are creating a staff network representing RCVS colleagues from marginalised communities.
We may in future decide to work with another accredited organisation, but until the staff network is in place, no decisions have been made. For example, we have recently brought in a staff policy regarding how best to support RCVS employees who are going through the process of gender reassignment, reiterating the current legal position, how to report experiencing or witnessing transphobic discrimination, as well as advice for colleagues supporting those undergoing gender reassignment and those who have family members going through the process. We are grateful for Stonewall for working with us over the past six years and helping us, through its Workplace Equality Index, to finesse our policies and procedures in relation to LGBTQ+ rights and issues and drive forward our agenda to be a diverse and inclusive workplace and regulator."
CVS says the use of ear cytology in OE is beneficial, both as a diagnostic and to evaluate the response to therapy.
However, in 2019 the company looked at 26,269 of its patients and found that ear cytology was only being used in 19.2% of cases, in line with the rest of the profession.
Only 11% of cases were being provided with in-house point-of-care cytology, whilst 8.2% had it performed externally.
80.8% of patients with OE were being prescribed antibiotics without cytological support, with 5% of these the highest priority critically important antibiotics (HPCIAs).
This low level of cytology use in primary care was suspected to be a major contributory factor to the significant use of unnecessary antibiotics.
To support its practices, CVS first looked at the barriers to performing ear cytology interventions, which were identified as a lack of confidence in using the microscope (particularly focusing on x100 and identification of pathological events), a perceived lack of time, insufficient or poorly working equipment, a lack of access to equipment, and the perception that cytology does not change the treatment choice or outcome.
As a second step, a minimal list of cytology equipment was developed to ensure that all sites had the right kit.
New equipment was then supplied to a practice if it did not meet minimum standards.
The company then produced education and resource materials, including new guidelines, imagery and video guides, to upskill both its vets and nurses.
The training focused on: equipment maintenance, cleaning and troubleshooting, how to use the microscope – including x100 magnification and the slide oil immersion technique, how to identify pathological changes, and time management to get a consultation done – including swabbing, microscope analysis, diagnosis and client consultation.
Each site was then provided with its own data, so that it could monitor progress.
Elizabeth McLennan Green, CVS Clinical Director for the North, said: “One of our goals with this project was to minimise the number of antibiotics prescribed without associated diagnostics, and to use ear cytology to guide therapy and response to treatment for the benefit of our patients and clients.”
“We know that low ear cytology interventions are an issue across the profession. We wanted to do better. So ear cytology has been our first and longest running clinical improvement project.
"We’re thrilled with the brilliant results our colleagues are now achieving.”
There's a video presentation about the project here: https://vimeo.com/875515008/bdc3ee5920
Photo: Emily Spencer, Head Vet at Castle Vets
Dr Kalisz faced a total of nine charges (including 41 sub-charges).
The first was that in July 2020, she failed to carry out a clinical examination of the dog, failed to adequately interpret test results, failed to ask for help interpreting the results, and undertook an emergency Caesarean section without sufficient need to do so.
The other charges related to undertaking a colotomy without sufficient justification and without exercising sufficient clinical judgment throughout the procedure.
For both the Caesarean section and the colotomy, Dr Kalisz faced charges that she failed to obtain informed consent from the owners and failed to inform them that the colotomy had been carried out, or of the potential risks of the procedure, and also failed to provide enough information about aftercare.
It was also alleged that Dr Kalisz had demonstrated continual lapses in professional judgement, including failing to appropriately manage the spaniel’s worsening condition when it was presented to the practice again later, and that the clinical records in relation to the surgery were dishonest and/or misleading.
Dr Kalisz admitted serious professional misconduct, admitting to 29 of the sub-charges, while the remaining 12 sub-charges were denied.
The Committee found 30 of the sub-charges proven, with the remaining 11 not proven.
The Committee the considered aggravating factors, including the fact that Dr Kalisz's conduct led to the spaniel’s death, the colotomy was reckless and Dr Kalisz did not take steps to inform anybody or make a clinical record for the colotomy.
In mitigation, the Committee considered the fact that it was single and isolated incident (albeit one that spanned a number of days), that no other members of the clinical team involved raised concerns during the procedure, and the effect Covid had upon the veterinary profession.
The Committee found that of those charges proven, the ones relating to performing the colotomy, failing to manage the spaniel’s subsequent care and failing to mention the colotomy amounted to serious professional misconduct.
On deciding the sanction, the Committee took into account the mitigation submitted on behalf of Dr Kalisz and the written testimonials produced including the fact that she was young and inexperienced, had admitted her failings at an early stage, had made subsequent efforts to avoid a repetition of such behaviour and that a significant amount of time had passed since the incident.
The Committee also considered that Dr Kalisz had shown an exemplary level of insight, showing remorse for her actions, undertaking substantial continuing professional development, and finding appropriate ongoing professional mentorship.
The Committee was impressed by the character testimonials from veterinary co-workers, both current and at the time of these events, as well as from clients.
It was, the Committee said, apparent from those testimonials that Dr Kalisz had been open and honest with them about the charges and was considered to be an excellent, committed veterinary surgeon.
Paul Morris, chairing the Committee and speaking on its behalf said: “The Committee found that this was a single isolated incident, which involved serious lapses of clinical judgement.
"It was therefore concluded that, despite Dr Kalisz’s actions being reckless, the extensive mitigation and the high level of insight, coupled with steps taken to avoid repetition, meant that there was negligible future risk to animal welfare.
“The Committee did not consider it necessary to issue a warning to Dr Kalisz about her future conduct, on the basis that the Committee has concluded that there is little risk of repetition, so considered that a reprimand would be an appropriate sanction in this case.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings
Visitors to the company's stand will be invited to make a donation.
Anyone not attending the show, but who nevertheless wants to support this charity's work, will be able to do so via social media.
VetCT says it is hoping to raise a total of £6000 to fund the training of local veterinary teams in wildlife medicine.
Head of Communications, Liz Barton said: “We are learning so much about the far-reaching and important work of WVI through our charity partnership - how they are helping to preserve biodiversity and support the conservation of species, which is absolutely key to global sustainability.
"Education is core to everything we do at VetCT, and we are excited to be raising funds that will be used to support local vets and nurses to undergo comprehensive training in wildlife medicine, enabling the dissemination of knowledge and expertise to support conservation projects globally.”
Olivia Walter, Executive Director of WVI, said: “We are incredibly excited at the prospect of launching our education initiative with the support of VetCT and LVS delegates.
"Training local veterinary teams to provide exceptional care to wildlife is vital to the longevity and success of conservation projects.
"In addition to raising funds and awareness of our work, the direct clinical support from the VetCT experts is helping us to continue providing much needed veterinary input to conservation efforts around the world.”
WVI representatives, including Matthew Rendle RVN and Dr Asumah of the Wildlife Division, Forestry Department, Government of Ghana, will be on VetCT stand D44 at 12:30-1:30pm on Friday 17th November.
The charity will also be on Millpledge Veterinary stand J60, which also supports the work of WVI.
The company says its new design is modular, allowing veterinary practices to customise kennels to their requirements now, and then upgrade them and add components as their needs change over time.
Options include dimmable daylight lighting or Casco Pet’s DRC Lighting System with three modes: Daylight (white), Recovery (red), and Cleaning (blue UVA), built-in thermostatically controlled heat mats, an illuminated glass whiteboard for easy recording and viewing of patient notes, integrated IV stand and pump holders, an internal ceiling vent and ventilation kit and an integrated plug socket and USB port .
Matthew Bubear, CEO, Casco Pet, said: “Our new generation of WellKennels, which have been designed to meet the dynamic demands of modern veterinary practices, allow practitioners to elevate the care they provide today while ensuring sustained adaptability for the needs of tomorrow."
WellKennels are certified by the International Society of Feline Medicine and are part of FearFree’s Preferred Product Program, the global initiative dedicated to preventing and alleviating fear, anxiety and stress in pets.
The new WellKennels will be unveiled at the London Vet Show, ExCel London, 16-17 November, on Stand H35.
https://cascopet.com/uk/products-and-services/veterinary