The original survey was sent last year to more than 5,000 UK-registered veterinary surgeons and veterinary nurses who gained their qualification from a non-UK EU institution, with a response rate of around 55%.
This year the Institute for Employment Studies (IES), on behalf of the RCVS, contacted over 6,000 veterinary surgeons and almost 50 veterinary nurses – including those previously surveyed as well as EU registrants who have joined since the last survey – who trained in non-UK EU countries to seek their views on the implications of Brexit for European veterinary professionals.
Chris Tufnell, RCVS Senior Vice-President and Chair of the College’s Brexit Taskforce, said: "The aim of this survey is to gain a greater understanding of the views and expectations of our EU colleagues now that certain elements of the UK’s withdrawal process from the European Union, as well as the timing, have become clearer. The survey will also be looking for the views of colleagues on how the College has addressed the challenges of Brexit so far.
"It is particularly important that those who responded to last year’s survey do so this year because the aim is to get a sense of how their views and plans are shifting as the Brexit process moves forward."
As with last year’s survey, the views collated through the consultation will help the College understand the immediate and longer-term impact of the UK’s exit from the EU, gather evidence that could be used to make a case for special treatment of veterinary professionals with regard to future immigration policies and allow the College to provide informed advice to European veterinary professionals as they make decisions about their future careers.
Dr Tufnell added: "I would strongly encourage EU veterinary professionals to respond to this survey, even if they didn’t do so last year, as their views really do matter to us and really do have an impact on our Brexit policies and the views we put forward to the government in these critical times."
The deadline for sending responses to the IES is Wednesday 18 July 2018 and all data will be managed and analysed by IES, an independent not-for-profit research institute, on a confidential basis with no individual responses being seen by the RCVS.
The College says it intends to conduct a third survey when the terms of the UK’s withdrawal from the EU, and the impact of this on non-UK EU nationals, are better defined.
For the study1, which was carried out by Professor Stephen May and Dr Liz Armitage Chan, Senior Lecture in Veterinary Education (pictured right) at the Royal Veterinary College, twelve new grads were enrolled in a private social media discussion group, and their identities investigated through narrative inquiry.
The authors found that participants typically adopted one of two professional identities: the academic identity or a broader 'challenge-focused' identity.
Those who identify as academic prioritise and place greatest value on things like definitive diagnosis and best-evidence treatment.
The problem, say the authors, is that although there are opportunities for this, they are rare in general practice, where a veterinary surgeon's typical work environment more frequently involves seeing lots of clients who aren’t interested in a diagnostic work-up for unnoticed issues in their pets; who can’t afford further treatment; have pets with conditions that don’t require treatment; and themselves need emotional support.
Vets who therefore exclusively value patient diagnosis from an academic viewpoint foremost are therefore more likely to feel career dissatisfaction.
Meanwhile, the other professional identity type is one where a sense of achievement is linked to overcoming the full range of professional challenges thrown up by the work environment in which vets typically operate as well as their technical competence at their job. These vets are therefore more suited to work in all types of practice.
Liz said: "The negative impact on wellbeing of an identity emphasising diagnosis and treatment was a surprising outcome, but it is easy to see how this identity develops. So much of veterinary education is focused on this area and it has always been the focus of students’ exams: if a student is ambitious and wants to achieve top grades and high-level faculty recommendations, they will inevitably prioritise their attention in this way."
The authors say the research has important implications for veterinary and other clinical degree programmes, and has already influenced the structure of the curriculum at the RVC to ensure students are well prepared for the veterinary workplace and can make an informed choice about where they choose to work.
Liz added: "Now we recognise the detrimental effect this can have on our graduates’ wellbeing, we have implemented changes to our curriculum and exams, so students are encouraged to think more holistically about the veterinary role and identify the different ways career satisfaction can be achieved. It is important to recognise that all the graduates experienced stress as they encountered complex contextual challenges, but for those who saw these challenges as part of their identity, this stress turned into a sense of satisfaction at a challenge overcome, rather than being ongoing and debilitating."
Reference
Sam Joseph, co-founder of StreetVet said: "It is especially important for the dogs belonging to the homeless and vulnerably housed to be microchipped and not just because it is now a legal requirement, a registered microchip is often the only way for them to provide evidence of keepership."
We are so grateful to Animalcare for providing StreetVet with identichip microchips as we are now able to ensure that all the dogs that we treat are chipped and registered to their owners. Animalcare will also allow free, life-long change of address for microchips implanted by StreetVet meaning the homeless owners can easily change the registration details if they are able to find accommodation or if they move again in the future. This amazing support will give real peace of mind to the owners of the dogs we treat."
James Beaumont from Animalcare Ltd: "Animalcare provides the UK’s most advanced pet microchipping service through identichip, which has led the way for nearly 30 years. I’m pleased that Animalcare can support such a worthy cause, and hope this is the start of a long relationship with StreetVet."
Photo: Jade Statt of StreetVet and James Beaumont of Animalcare Ltd at BSAVA Congress.
Ella, a Bloodhound Doberman cross, is the first cold scent dog to work with anti-poaching units in the Eastern Cape of South Africa.
She has been trained specifically to work on crime scenes which are more than a day old and can follow poachers’ tracks to determine their entry and exit points to reserves, as well as their shooting positions.
Medivet says that during her first year, none of the reserves where Ella has been active have lost a single rhino. A number of court cases are also ongoing in other reserves as a result of evidence she has uncovered at crime scenes.
The cost of training Ella, her handler, support vehicle and accommodation has all been funded by the Medivet Rhino programme and by the generous donations of Medivet clients, through the Pennies digital charity box scheme.
To date, Medivet Rhino has raised more than £315,000 via Pennies to help fund this rhino protection programme.
Dr William Fowlds from the Wilderness Foundation Africa (and former Medivet employee) said: "As a cold scent tracking dog, Ella brings a formidable skill set to our anti-poaching units. Her ability to track human footsteps across a variety of terrains, day or night, is a significant deterrent to those thinking of killing our rhinos. In addition, her gentle nature makes her an endearing member of the team so, even though she’s a working dog, we can sneak a little cuddle in every now and again."
He added: "Ella is a game changer in our efforts to protect rhinos. The difference she has made to our work in just one year means that we are now working with our partner, the Chipembere Rhino Foundation, to extend our canine resources. We are indebted to Medivet and its clients for supporting our work by giving us this wonderful dog."
Dr John Smithers, Senior Partner and Project Co-ordinator for Medivet Saving the Rhino, said: "We could not be prouder of Ella’s work to track poachers during her first year in the Eastern Cape of South Africa.
"With her incredible sense of smell, she has brought a new dimension to rhino protection in this region, and all of the agencies involved in protecting this iconic species benefit from her presence.
"We are deeply grateful to all our clients and staff who have supported Medivet Saving the Rhino (through Pennies and other donations) and wish Ella and her support team another successful year ahead."
The awards were set up to give recognition to animals and humans alike for the amazing things that they do for each other.
Tree of Life For Animals, which runs a veterinary hospital and rescue centre in Rajasthan, Northern India, has been shortlisted in the ‘UK Charity of the Year’ Category from a selection process that saw over 500 hundred nominations.
Awards founder Mary Burgess said: "I created the awards to give recognition to those that truly deserve it for their work with animals, and also to give animals recognition for the things they do for humans. We can’t wait to celebrate with the amazing TOLFA animal charity at the ceremony."
The awards ceremony takes place on Saturday 3rd November at the Mandolay Hotel, Guildford. The judging panel includes chairman of the Badger Trust Dominic Dyer, Lisa Baldock MBE & IAPWA founder Nicky Stevens and other industry experts.
To learn more about the Animal Star Awards and to buy tickets visit www.animalstarawards.com.
To find out more about Tree of Life For Animals, visit www.tolfa.org.uk
Photo: Rachel Wright
Finding and settling into that first job is a particularly challenging time for a veterinary surgeon. Not only do you need to adapt to the practice environment and fit in with colleagues, but also gain a fast understanding of what's expected clinically, professionally, ethically and academically.
Recently retired after a 40-year career in practice, Clare is very well placed to give new grads useful advice. She's had six year's experience in mixed practice and 34 in small animal practice, both as an employee and an employer. She co-owned a small animal practice in Yorkshire which she developed with her veterinary partner from one surgery to a small animal hospital with four surrounding branch practices employing many vets and nurses over the years. She also spent 8 years on RCVS Council, giving her a deeper insight to the complexities of the wider profession.
What is perhaps a tad more unusual is that she writes from the perspective of someone who feels she has nothing to lose by being completely open and candid about her experiences.
Clare said: "I've really enjoyed my career and been fortunate enough to be able to balance it with family life, practice ownership and time on Council. But it hasn't always been easy. There are things I think I could have done better, and like everyone I've made some mistakes. I hope that by being open about these things, I might prevent others falling into the same traps.
The New Vet's Handbook covers employment options, interviews, mentoring, working with clients, patients and colleagues, consulting advice, dealing with euthanasia, record-keeping, veterinary standards, training and CPD, career options, professional skills and avoiding common pitfalls.
Clare added: "Although the purpose of the book is to help new grads settle in, especially those in smaller practices where a mentor may not always be readily available, I hope people will find it a funny, enjoyable read too."
The New Vet’s Handbook is available from 5m, priced at £24.95: http://www.5mbooks.com/the-new-vet-s-handbook-information-and-advice-for-veterinary-graduates.html
Jurox says Alfaxan Multidose is the bioequivalent to unpreserved Alfaxan, however the preserved formulation reduces the risk of microbial contamination, providing repeatable and reliable anaesthesia.
Alfaxan Multidose is available in two presentations of 10ml and 20ml, with the 20ml presentation priced at an equivalent price per ml as the current 10ml Alfaxan unpreserved presentation.
Jurox says there has been unprecedented interest in the new product, with the company taking pre-orders for the 20ml presentation from 60 different accounts at BSAVA this year.
Richard Beckwith, country manager at Jurox, said: "The introduction of Alfaxan Multidose to our anaesthesia and analgesia portfolio ensures that Alfaxan is more versatile than ever.
"The Alfaxan range continues to provide greater certainty and control during anaesthetic procedures, contributing towards better patient stability and a stress-free experience for the team."
For more information, visit www.alfaxan.co.uk, contact your local Jurox technical sales representative, telephone the customer services team on 0800 500 3171 or e-mail: info@jurox.co.uk.
Davies says its Cardiac Electrophysiology Laboratory, headed by Pedro Oliveira (pictured right), is one of only four centres in the world to perform the procedure, and it has usually required human medical support. The fact that they've been able to operate independently means the procedure should now start to become more readily available.
The procedure involves introducing special catheters via peripheral veins into the heart, where they are used to record the electrical activity of the heart muscle, thereby allowing the identification of the source and mechanism of cardiac arrhythmias.
Once the abnormal tissue is found, it is destroyed using intense localised energy delivered by another specialised catheter: radiocatheter ablation.
This technique is common in human medicine but very rare in veterinary medicine because of the level of specialisation needed.
In the past, the cardiology team at Davies needed the support of a consultant and a cardiac physiologist from the human field to help carry out the surgery. Having now done it unaided, Pedro is confident that in time Davies will be able to help considerably more patients, promptly after diagnosis.
Pedro said: "In three years we have treated one cat and 19 dogs. Several cases did not survive long enough for surgery despite a waiting time of only a few days to up to two weeks from referral to the procedure. Most of these dogs were puppies. This is incredibly frustrating as if performed early these procedures are curative for most patients."
Davies says that to date it has had a procedural success rate of 100%, with recurrence of the arrhythmia in just one dog. The remaining dogs were cured from their arrhythmias and recovered fully except for two dogs that had sustained too much heart muscle damage and continued to suffer from congestive heart failure.
Pedro added: "Hopefully in the future severe muscle damage can be avoided by early referral when the arrhythmia is detected. If you diagnose a cardiac arrhythmia, especially supraventricular tachycardia, please consider this treatment option because it is very likely to be curative."
The Davies cardiology team can be contacted at cardiology@vetspecialists.co.uk.
Incidentally, Pedro has also co-authored (with Ruth Willis and Antonia Mavropoulou) a new book on electrocardiography. Guide to Canine and Feline Electrocardiography will be published in September 2018 and is available for pre-order on Amazon now, priced at £89.99.
The Codes of Professional Conduct for both veterinary surgeons and veterinary nurses stress the need for effective communication with clients and ensuring that informed consent is obtained and documented before treatments or procedures are carried out.
At its January meeting RCVS Standards Committee approved changes to chapter 11 (‘Communication and consent’) of the supporting guidance to the Codes to provide further advice to the professions on matters that should be discussed with clients to ensure informed consent is gained, provide clarification on who can gain consent for a procedure and give some additional guidance on consent forms.
Nick Oldham, Standards and Advisory Manager at the RCVS, said: "We hope that this updated guidance is more accessible, readable and will aid members of the profession in developing a more comprehensive approach to gaining informed consent for treatments and procedures and therefore reduce the risk of miscommunication and misunderstanding which can lead to concerns being raised by clients.
"For example, we have updated our guidance to encourage veterinary surgeons to consider discussing a number of additional factors with a client before obtaining consent. This includes the nature, purpose and benefits of any treatment or procedures, the likely outcomes including potential risks, financial estimates, informing the client when other treatments may have available and checking that the client understands what they are agreeing to rather than assuming the client understands both the potential financial outlay and possible side effects.
"Furthermore, there is now additional guidance for veterinary surgeons on who should be seeking consent. While ordinarily it is expected that the veterinary surgeon undertaking the procedure or providing treatment is responsible for obtaining the client’s consent we know that this is not always practical.
"Therefore we clarify that the responsibility of obtaining consent can be delegated to another veterinary surgeon and, failing that, a registered veterinary nurse or student veterinary nurse could obtain consent provided that they are suitably trained, have sufficient knowledge of the proposed procedure or treatment and understand the risks involved.
"The RCVS Standards and Advice Team is also in the process of producing a series of fictional case studies based on informed consent issues encountered by the College’s Preliminary Investigation Committee which we hope will further help the profession."
The updated supporting guidance can be found in full at www.rcvs.org.uk/consent
The Code of Professional Conduct and its supporting guidance can also be downloaded as an app for smartphones and tablets at www.rcvs.org.uk/codeapp
Members of the profession seeking confidential advice on matters relating to professional conduct can contact the Standards and Advice Team on 020 7202 0789 or advice@rcvs.org.uk
The webinars are presented by Dr Rachel Dean BVMS PhD MSc(EBHC) DSAM(fel) SFHEA MRCVS, Clinical Associate Professor in Feline Medicine at the School of Veterinary Medicine and Science, Nottingham and founding Director of the Centre for Evidence-Based Veterinary Medicine (pictured right).
The first webinar kicks off at 8:00pm on Tuesday 17th April, when Rachel will give an introduction to EBVM and reminder of why it is so important in practice.
The second session will follow on 24th April, when Rachel will explain how to find and evaluate evidence, and how you can use it to underpin your clinical decision-making process in practice.
In the final webinar, on Tuesday 1st May, Rachel will use a nutritional case study to demonstrate the real-world clinical application of EBVM concepts.
Lee Danks BVSc BVMS MRCVS, Royal Canin’s Scientific Affairs Manager said: "In this three-part series we hope to summarise EBVM for those unaccustomed to this approach and review how it can help improve our clinical decision-making in practice.
"By taking a step by step approach and delivering 'easily-digestible' lessons over three weeks we hope to answer as many questions vets and nurses have as possible with some highly applicable content from Rachel Dean."
For more information and to register, visit https://vetportal.royalcanin.co.uk/cpd/webinar2018/
The Australian company, which launched in the UK offering equine specials in March 2017, says that while some human healthcare companies are authorised to supply veterinary specials under licence in the UK, it is currently the only company in the UK to have specific veterinary authorisation to manufacture sterile specials.
There are six formulations in Bova’s new small animal range with a further 23 formulations scheduled to be introduced in the first half of 2018. However, Bova says that due to advertising restrictions, only verified veterinary surgeons will be able to see its formulation list.
For more information, contact Bova Sales Manager Emma Jones on tel: 07780443731 or Victoria Dawson on 07780443738 or visit www.bova.co.uk.
The company will also be at BSAVA Congress this week on stand 817, where they will be offering the chance to win an afternoon champagne tea at the Ritz.
The charges were:
On 28 September 2015 she was convicted of stealing three packets of Tramadol to the value of £45 from Milton Keynes Veterinary Group.
On 20 April 2017 she was convicted on two counts of issuing a false prescription with the intention of being dispensed Tramadol.
On 15 June 2017 she was convicted of numerous counts of making false prescriptions, as well as stealing £108.47 worth of scratch cards and cigarettes from Premier Queensway Stores.
Between 5 January 2015 and 25 August 2015 she held herself out as a registered veterinary nurse when she was in fact not on the Register, and worked at two separate veterinary practices during that time; and that she was therefore either (i) being dishonest, or (ii) ought to have known that she was not registered.
That on or around 13 April 2016, she made a written representation on an application form for restoration to the Register that she had no criminal convictions, when on 28 September 2015 she had been convicted of burglary and that conviction was not spent; and that she was (i) either dishonest, or (ii) ought to have known that the representation was false.
Ms Wilde admitted charges 1-3, and the Committee were also provided with copies of the convictions. The Committee therefore found charges 1-3 proven.
In considering the fourth charge, they took into account Ms Wilde’s submission that she believed the submission of a cheque would be enough to restore her to the Register. The Committee noted that she had restored herself to the Register in the past, however, and so would have been aware that a cheque alone was not sufficient, and she had also been sent a restoration form following a telephone call with the College on 2 January 2015. The Committee therefore found that Ms Wilde was being dishonest, and determined that charge 4(i) was proven.
In considering the fifth charge, the Committee considered Ms Wilde’s submission that a Probation Officer had told her that her conviction was spent and that she need not declare it. The Committee believed this to be highly unlikely, however, especially as Ms Wilde had provided no evidence from the probation service to support this assertion. The Committee therefore found her to be dishonest, and charge 5(i) to be proven.
The question of whether the facts amounted to serious professional misconduct was, however, solely a matter for the Committee’s judgement. It determined that Ms Wilde’s conduct in relation to charges 1-3 had fallen far short of the standard expected of an RVN and her conduct clearly renders her unfit to practise as an RVN.
Similarly, the Committee found that Ms Wilde’s conduct had fallen far short of the standard expected of an RVN in respect of charges 4-5, and found her conduct clearly amounted to disgraceful conduct in a professional respect.
The Committee then turned to the question of sanction, firstly in respect of charges 1-3. It considered some testimonials that spoke on Ms Wilde’s behalf, but noted that they were all unsigned and none made any reference to the charges against her. The Committee also bore in mind that Ms Wilde had no previous disciplinary history and was apologetic and remorseful, and that no harm had come to animals or humans by her actions.
It also considered, however, that her behaviour had been repeated and sustained, that she had used her knowledge as an RVN to forge prescriptions, and that she had breached the trust of her employers by stealing from them. The Committee therefore decided that removal from the Register was the only appropriate sanction.
When considering sanction in respect of charges 4-5, the Committee took into account that Ms Wilde had difficult personal circumstances and was sincerely apologetic. Using her title of RVN to gain employment when she was not on the Register, however, and breaching the trust of the College by making a false declaration, were considered serious aggravating features. It therefore considered that removal from the Register was again the only appropriate sanction.
Judith Way, who chaired the Committee and spoke on its behalf, said: “Ms Wilde’s criminal behaviour failed to maintain public confidence in the veterinary nursing profession and it failed to declare and uphold proper standards of conduct and behaviour.
“She also knew that she was not registered as an RVN, yet she held herself out as being so and obtained employment in that capacity. In holding herself out in this manner she potentially put her colleagues at risk. She could have compromised the practices that employed her in the capacity of an RVN as their insurance had the potential to be invalidated.
“Ms Wilde was also dishonest with the RCVS when she completed the application for restoration of registered veterinary nurses’ form by stating that she had no convictions. Following this application, Ms Wilde went on to commit the seven further offences (from December 2016 to March 2017) for which she was later convicted in the Northampton and Leicester Magistrates’ Courts. The committee considered that such conduct falls far short of the standards expected of an RVN.”
Ms Wilde may appeal the Committee’s decision within 28 days of being informed of it. If no appeal is received, the Committee’s judgment takes effect.
Ines, who graduated from the University of Santiago de Compostela in Spain in 2001, has spent the last seven years working at universities in America, Australia and Europe. She undertook her PhD in MR spectroscopy of the brain in dogs at the University of Bern-Zurich in Switzerland. She has a Masters in Radiology from University of Glasgow. She has also worked at the University of Illinois and Sydney University.
Willows clinical director Toby Gemmill said: "Ines is highly qualified and highly regarded, so is a very welcome addition to our talented imaging team. Her experience of working around the world will also be a terrific asset to the practice."
Ines said: "I am very happy and honoured to be joining Willows and to now be part of such a great diagnostic imaging team. "This is a well-known centre of excellence and I’m really looking forward to helping deliver the first class care and treatment that Willows always aims to provide."
For more information, visit www.willows.uk.net.
As part of the partnership between the two companies, anyone who takes part in one of Improve's CPD courses in 2018 will be entitled to 6 months' half-price pet insurance from Agria.
Online Bitesize CPD modules cover topics including: cardiology, ophthalmology, small animal medicine, feline medicine and exotic animals. Modules are 20, 40 or 60 minutes in length and provide veterinary professionals with interactive experiences which count toward annual CPD requirements in short convenient bursts, earning digital badges and certificates to demonstrate total CPD achieved.
Nick White, Head of Veterinary Channel at Agria, said: "We’re delighted that our partnership with Improve International will give veterinary professionals free, instant access to high-quality and engaging CPD. Not only are the modules available varied and highly relevant, the 'bitesize' nature of the training makes it extremely convenient for busy practice staff to access.
"This is a great incentive for any practices not yet working with Agria to get onboard. As well as benefitting from free CPD, practices will also be working with a specialist lifetime insurer offering 5 weeks free insurance policies and much more for clients and their pets."
For more information, contact your Agria Business Development Manager or visit: www.agriapet.co.uk/bitesize and complete the Contact Us section, using 'FREE CPD' in the subject line of the enquiry box.
There were two charges against Mr Staton, the first being that he failed to comply with eight requests from the RCVS sent by letter between November 2014 and August 2017 in relation to his continuing professional development (CPD) records.
The second charge was that between 1st January 2012 and 7th November 2017 he failed to have professional indemnity insurance or equivalent arrangements in place.
Mr Staton’s request to adjourn the hearing and agree undertakings was not opposed by the RCVS. The Committee had regard to advice of the Legal Assessor and submissions from both counsel for the RCVS and legal advisor for Mr Staton. In accepting Mr Staton’s request for adjournment and his undertakings no admissions have been made in respect of the charges against him.
In deciding whether to accept the adjournment and undertakings, the Committee was asked to consider a number of factors including Mr Staton’s age and health, his unblemished career of more than 50 years, the fact that he had closed his practice and retired from clinical practice on 31 March 2018 and that he had no intention of practising as a veterinary surgeon again. For those reasons the Committee felt it would be disproportionate to take Mr Staton through a full hearing.
Ian Green, chairing the Committee and speaking on its behalf, said: "In coming to this decision the Committee considered the respondent’s application to adjourn this inquiry in the light of the evidence he adduced. It had regard to the interests of justice, the public interest in ensuring high standards are maintained by veterinary surgeons and the need to ensure the protection of animals and their welfare."
Should Mr Staton seek to apply to rejoin the Register then the proceedings will become active again and a Disciplinary Committee hearing will be scheduled.
The consultation, which was held by the College early in 2017, asked for the views of veterinary surgeons and nurses, animal owners, and stakeholders on the use of telemedicine in veterinary clinical practice.
The consultation was designed to help identify potential risks associated with telemedicine, identify areas where it may help address the needs of both clinicians and the public, and support the potential development of new professional standards and guidance.
The online survey of veterinary professionals received 1,230 responses, while the public consultation received 229 responses and the survey of organisations/stakeholders received eight responses.
The headline question asked of veterinary professionals was whether RCVS 'supporting guidance to the Code of Professional Conduct' should be amended to allow remote examination to take the place of physical examination in certain circumstances. 41% said 'Yes', 40% said 'No' and 18% were unsure.
Veterinary professionals and organisations were then asked a series of questions in order to establish how they rated the risk associated with telemedicine according to activity type, practice type, clinical sign or syndrome, mode of technology, and familiarity with client, animal or environment.
Unsurprisingly perhaps, the majority felt that providing just general advice presented a low risk. At the other end of the scale, most felt that the use of telemedicine to diagnose disease or injury would be either 'high risk', or 'not appropriate at all'.
Likewise, the majority said the risks would be low or medium where the client and environment were known and the animal seen before, for the same problem. By contrast, the majority said telemedicine would be either 'high risk' or 'not appropriate at all' when the client, animal and environment were all unknown.
When asked whether the current definition of 'under care' should be extended to allow veterinary surgeons to prescribe veterinary medicines where there has been no physical examination of the animal, 69% said 'No', 16% said 'Yes' and 15% were unsure.
However, when asked whether certain types of veterinary medicines should be able to be prescribed without a physical examination of the animal, the majority of respondents to the professional survey (52%) were in favour.
The results of the consultation were first considered at a special meeting of the Standards Committee in August 2017, where it was noted how the consultation had revealed significant confusion around current supporting guidance to the RCVS Code of Professional Conduct and that, at a minimum, clarification as to what was currently permissible was needed.
The Committee determined a key issue going forward was whether to change the Supporting Guidance to the RCVS Code of Professional Conduct regarding 'under care' to allow veterinary surgeons to prescribe POM-V medicines based on telemedicine alone.
Given the complex nature of the issues and the wide-ranging implications, the Standards Committee presented a range of options for amending RCVS Guidance to RCVS Council at its meeting in November 2017. After discussion, Council asked the Standards Committee to continue their review and to present more detailed proposals to Council regarding the future of telemedicine in clinical veterinary practice.
Anthony Roberts, RCVS Director of Leadership and Innovation, said: "We would like to thank all those who took the time to respond to the consultation – although Council has not yet made any firm decisions, we felt it would be useful to share our research so far.
"The use of telemedicine is growing rapidly in human healthcare and it is only right the RCVS assesses the opportunities it could bring to improve access to veterinary services. It is critical, however, that we understand the issues it presents 'at the coal face' and consider all the available evidence before making any changes to our Guidance. The RCVS should ensure its regulatory framework fosters innovation and maximises the opportunities to improve the quality, efficacy and accessibility of veterinary services, whilst at the same time protecting animal health and welfare."
The Standards Committee will meet again in April 2018 to take further evidence and develop proposals to take the issue forward.
Meanwhile, the full summary is available on the College’s website: www.rcvs.org.uk/telemeds-summary/.
The RCVS statement, which can be read in full here, highlighted the fact that there is no body of evidence that homeopathy is effective and nor is it based on sound scientific principles. It should therefore be considered as complementary rather than alternative to treatments which are based on sound scientific principles, or for which there is a recognised evidence base.
In fact, the RCVS statement said nothing new. The principle that veterinary surgeons must first prescribe licensed medicines tested for safety and efficacy is enshrined in the Veterinary Medicines Regulations 2013, which say that if there is no veterinary medicine authorised in the United Kingdom for a condition in a particular species the veterinary surgeon responsible for the animal may treat with a veterinary medicine authorised for use in another animal species or for another condition in the same species, or, failing that, either a medicine authorised in the UK for human use, or a veterinary medicine authorised in another member state for use with any animal species in accordance with the Special Import Scheme, or a specially prepared (extemporaneous preparation or special) medicine, or exceptionally a medicine imported from outside the EU.
There are no homeopathic treatments listed by the VMD as 'authorised', just a handful of homeopathic preparations listed as 'registered', something which, as the BAHVS itself points out, means they have not been subjected to the same evaluation as authorised medicines or tested for efficacy.
The BAHVS is fond of using anecdote as evidence of efficacy (see the endorsements at the foot of this page: http://www.bahvs.com/), so one veterinary surgeon has been inviting colleagues to share their experiences of homeopathy causing harm on social media, in order to produce an infographic (pictured above right, click to enlarge) highlighting the very real harm caused when, for example, owners 'vaccinate' against parvo with homeopathic nosodes, only to have a dead litter on their hands.
The draft infographic can be found here.
The company says the new method, which was developed with Professor Ian Ramsey at the University of Glasgow, has been introduced following recent studies that showed a lack of correlation between ACTH stimulation test results and the clinical status of dogs treated with Vetoryl 1,2
Craig Sankey, Brand Manager at Dechra Veterinary Products, said: "Vetoryl is a medicine that will normally deliver major clinical benefits to a patient with canine Cushing's syndrome but finding a stable, long-term dosing regimen can be hard if ACTH stimulation tests return varying results.
"Pre-Vetoryl Cortisol monitoring is a reliable alternative to traditional ACTH stimulation tests for several reasons. It predicts clinical signs better, gives more consistent results, is less expensive and is easier to perform.
"Our online guide gives veterinary professionals a detailed insight into how they can integrate PVC into their treatment plans and the benefits it can bring to their patients and practice."
Information about Pre-Vetoryl Cortisol monitoring is now available at www.dechra.co.uk/prevetorylcortisol, together with other resources for patients on Vetoryl.
Dechra also hosts a website for owners whose pets have been prescribed Vetoryl: www.canine-cushings.co.uk.
References
The procedure was performed in Canada through an international collaboration between partners from Germany, Canada and the UK, who say that this was a case where the placement of the tumour made it impossible to operate without severely impacting the dog’s quality of life. The most suitable treatment was a total excision of the growth and reconstruction with an implant.
The implant was designed with medical CAD tools by German company, Voxelmed, using 3D imaging from the affected area. The dog's veterinary surgeon, Julius Liptak, contributed to the design to ensure it met specifications and allowing him to plan the procedure in advance.
UK company Renishaw then additively manufactured the patient specific implant (PSI) at the Additive Design In Surgical Solutions (ADEISS) Centre in London, Ontario, Canada.
Ed Littlewood, Marketing Manager at Renishaw’s Medical and Dental Products Division said: "Without the advancements in additive manufacturing technology, this dog would not have had such a long and happy future ahead of him.
"Prior to this case, many veterinary surgeons were unaware that the technology was available. Similar procedures are now being planned in Germany and further research is underway to see how animals can benefit from additively manufactured PSIs.
Jan Klasen, veterinary surgeon, 3D designer and CEO of Voxelmed said: "Without AM technology, it would have been almost impossible to reconstruct the dog’s maxilla after tumour removal, because the area was extremely complex in geometry. The implant had to have a similar shape and functionality as the dog’s existing bone structure.
"Using additive manufacturing to maintain the original shape and function of the oral and nasal cavity ensures a high quality of life for the dog, just as a naturally shaped skull and maxilla helps the dog to breathe and eat easily."
To read the full case study, visit http://www.renishaw.com/en/additive-manufacturing-in-veterinary-surgery-saving-a-well-loved-member-of-the-family--42950.
Jon (pictured right, in blue) has devised the fundraising event as part of his BEVA Presidential year. He has put together three routes in Yorkshire to suit all abilities, over the same roads used by Ron Kitching, the champion 1930s road racer. Each route starts and finishes at York racecourse and will be supported with signage and feed and watering stops along the way.
Participants can choose from a 35 mile largely flat 'trot' which takes in the city of York, a 66 mile slightly hilly 'canter' skirting the Yorkshire Wolds and a 91 mile 'gallop' over the Rosedale Chimney, which, according to Jon has "enough ascent to make Sir Chris Bonnington happy!"
There will also be a short family ride on the afternoon of 2nd June so that children and less practised cyclists can get involved.
To enter visit http://www.wheelsinwheels.com/BEVA_Presidents_challenge_Sportive_UK.php
For further information visit www.beva.org.uk
The WellVet Weekend will include a variety of sporting activities, yoga classes, wellbeing workshops and social times, all finished off with a gala dinner. Something for everyone.
Speaking at the gala dinner on the Saturday evening will be Rob Pope. Rob, also known as the 'real-life Forrest Gump' is an emergency vet by night and a marathon runner by day. He's the first person ever to run across the USA four times in one year and he's currently running across the USA for the fifth time. This will be Rob’s first public event following his completion of this epic journey.
Liz Barton, Founder of Vetsnet said: "I love sport and I love this profession, so it's fantastic to be able to organise a weekend dedicated to the physical and mental wellbeing of vets and vet nurses. It promises to be a brilliant weekend, and I’m excited to have Rob Pope join us to share his stories from the road."
Ru Clements, Founding Partner of VetLed said: "We’re excited to create a community which supports veterinary professionals to thrive. The WellVet Weekend is a very special concept with a core mission that we wholeheartedly believe in. We hope we can make a long-lasting positive difference to those who attend the first WellVet Weekend."
For more information and to buy your ticket, visit www.wellvet.co.uk
For the research, Miele commissioned independent market research firm Sapio to interview 1000 pet owners and 100 UK-based vet practices.
Veterinary practices have good reason to worry about complaints: the research showed that 89% of veterinary clients would be quick to tell others if they were dissatisfied with any aspect of the practice or care received. 63% said they would air their grievances on an online review site and 60% said they'd share their views on social media.
Those figures appear to be borne out by the fact that only 10% of vets said they had not seen any negative comments online about their practice.
Interviews with pet owners also found that the top five factors to affect a practice's reputation were: standard of care, a clean and hygienic environment, good customer service, the cost of treatment and waiting times, in that order.
64% of vets agreed that practice hygiene has become increasingly important with cleanliness of staff uniforms and waiting rooms among the first things that customers notice.
The suitably spruce Sam Bailey (pictured right), Sales & Marketing Director for the Professional division of Miele said: "Vet practices are increasingly coming under the same online scrutiny as hotels and restaurants and are being judged on everything from customer service through to staff appearance and waiting times.
"As our research results show, vets are already concerned about their reputations and it’s not just customer service and care outcomes that matter to pet owners, they also have high expectations when it comes to the practice environment too and are looking at cleanliness, hygiene and staff appearance.
"Through our network of approved partners we are working with more and more vet practices throughout the UK to ensure their on premise laundries not only meet WRAS regulations but also support their standards on hygiene, infection control and cleanliness."
The Mayor of Loughton, Councillor Philip Abraham, officially opened the Vets4Pets Loughton veterinary surgery inside Pets at Home at the Epping Forest Shopping Park, before enjoying a guided tour of the bright and modern facility.
Cheryl, who stars in the BBC’s children’s TV show The Pet Factor, said: "It’s fantastic to be able to open the doors to Vets4Pets Loughton and reach a landmark number of practices for the group.
"The opening event gave us chance to meet new clients, and welcome them to the practice."
Cheryl qualified in 2009 and is also a joint venture partner at Vets4Pets Chadwell and Newbury Park in Ilford.
Nick, who qualified in 2008, is also joint venture partner at Newbury Park, Romford, Beckton and Dagenham.
Nick said: "I have always been interested in caring for pets and have several dogs and cats at home.
"I love being a veterinary nurse and I’m delighted to have another opportunity from Vets4Pets to open my fifth practice.
"Once again the process to open a practice has been easy and we’ve had brilliant support on all aspects from Vets4Pets.
"I’m now looking forward to welcoming pets and their owners to Vets4Pets Loughton and providing the highest standard of veterinary care to the area’s pets."
The new practice will create five new jobs, with two vets, veterinary nurse, two pet care assistants and a receptionist.
Chief executive of the Pets at Home Vet Group, Andrei Balta, said: "Cheryl and Nick are two great advocates for the veterinary profession and we’re delighted they are part of the group.
"Wherever we have opened, pet owners have responded enthusiastically to our state-of-the-art practices and convenient opening hours.
"The joint venture model we operate across our practices provides the support vets and vet nurses need to run their businesses.
"It allows them to focus on what they really love, looking after the health of animals, while the support team helps with other areas including marketing, HR and business strategy."
For decades, animal welfare and public health issues have been reported at a variety of animal establishments. The Animal Protection Agency says that inconsistent inspection methods and a lack of objective guidelines have contributed to a situation it describes as unacceptable.
The new report, ‘Guidelines for Inspection of Companion and Commercial Animal Establishments', which was part-funded by the APA and is published in Frontiers in Veterinary Science1, offers guidelines for animal husbandry (including invertebrates, fishes, amphibians, reptiles, mammals and birds) and inspection protocols for a variety of commercial and non-commercial establishments.
Space for animals, responsible handover, facility layout and human health and safety are among the issues detailed in the publication, which also offers a scoring tool.
The APA says the publication is believed to be the most objective information resource of its kind anywhere in the world. It is freely accessible to anyone, whether for formal governmental, professional managerial or private use.
Lead author and biologist Clifford Warwick said: "Clear, definitive and objective guidance for animal care and facility inspection has long been needed to enable responsible authorities to oversee animal health and welfare with confidence, and hopefully many will welcome and find helpful this new report."
Co-author and veterinary expert Mike Jessop MRCVS said: "Animal welfare and improved public health are the clear winners from a standardised inspection system that is applicable to all companion animal establishments. Moving to a more objective and evidenced system of inspection is long overdue. The same principles and protocols are readily adaptable to encompass inspection of any animal holding facility."
Animal Protection Agency Director Elaine Toland said: "Britain has been called a 'nation of animal lovers', and many want the best for their pets. But there is also a nation of 'animal traders and keepers' out there who often aim to provide the most 'cost effective' and therefore lowest possible standards of space, habitat and general care that they can get away with, and that mindset needs to change."
The Care About Cushing’s website is designed to give horse owners the information they need to spot the signs of Cushing's, thereby prompting diagnosis by their veterinary surgeon.
The online resource includes monitoring tools, personalised alerts, owner guides and webinars. It also offers downloadable self-assessment checklists on Cushing’s disease and laminitis to take owners through the signs to look out for.
Owners whose horses have been diagnosed with Cushing’s are encouraged to sign up as a Care About Cushing’s member to keep up-to-date with the latest information about the disease and create a personal profile for their horse in order to monitor progress. One of the membership benefits is an 'ask the expert' section where members can ask questions about Cushing’s disease and laminitis.
The Care About Cushing’s resource supports Boehringer’s ‘Talk About Laminitis’ initiative to raise awareness of the signs of laminitis and its link with Cushing’s disease.
Talk About Laminitis now runs throughout the year and as part of the campaign the laboratory fees for the blood test which detects Cushing’s (the basal ACTH test) are free.
Liz Barrett, equine business head at Boehringer, said: "Our Talk About Laminitis disease awareness initiative has been hugely successful in highlighting the link between laminitis and Cushing’s disease and helping to diagnose Cushing’s. So much so that Cushing’s is now in the top five equine diseases recorded in the UK1."
For further information on Talk About Laminitis or Care About Cushing’s, visit www.talkaboutlaminitis.co.uk, www.careaboutcushings.co.uk or contact your local Boehringer territory manager.