The RCVS and the BVA have announced the launch of Vet Futures, a jointly funded initiative designed to stimulate discussion about the future of the profession, and help its members prepare for and shape it.

The initiative will draw on the experience and insight of a wide range of individuals and organisations, including veterinary surgeons and nurses, veterinary bodies, farmers, pet owners and other key stakeholders.

The objective is to understand where the provision of veterinary services is currently heading, whether this is in the best interests of the profession, animal owners and the public at large, and what might be done to shape an optimal future for the veterinary team, keeping animal health and welfare at its heart.

In the project's first phase, independent researchers will gather evidence via focus groups, phone interviews and desk-based research, in addition to the gauging of opinion through events, the internet and social media.

This evidence gathering will be followed by an engagement phase, where the profession will be asked for their feedback on initial thoughts; a period of analysis, where a report will be written by the independent researchers; and, finally, there will be an action phase, where key strategic issues will be identified, together with a clear plan for action from the BVA and the RCVS, as well as other organisations and individuals.

Professor Stuart Reid, RCVS President. said: "The RCVS is implementing a programme of reform to make it a first-rate regulator, but how do we also make ours a first-rate profession, that is resilient and agile enough to meet future demands?

"The Vet Futures project will not just be about horizon-scanning, but getting a fix on those issues over the horizon that we may not yet have considered, such as the use of emerging technologies.

"It's an exciting challenge and I am looking forward to members of the veterinary team getting involved so that, together, we can develop an action plan that will deliver a sustainable future for the profession."

John Blackwell, BVA President, said: "It is no secret that the veterinary profession is changing rapidly and that is why the theme for my presidential year is 'driving change and shaping the future'. It is essential that we come together to map out where we want to be as a strong and trusted profession and identify how we can make that happen.

"On such cross-cutting issues it is appropriate that the two leading professional bodies come together to provide joint leadership for the profession, but we are keen to engage as many individuals and stakeholders as possible. It is designed to be a hugely collaborative project and we want to hear voices from across the whole profession and the whole veterinary team."

The project has a dedicated website www.vetfutures.org.uk where the latest events, reports and publications will be found. There will also be a 'topic of the month' for the duration of the project, with controversial opinion-pieces being posted to stimulate debate from within the profession and amongst animal owners and other stakeholders.

The Society of Practising Veterinary Surgeons (SPVS) has published its 2014 Salaries Survey which showed that the gender pay gap has closed from 15% last year to 10.8% this.

However, the association notes that this is still slightly higher than the gap reported for all professions in the UK, so there remains work to be done.

The survey, which is the largest of its kind and drew responses from 1,878 vets, nurses, practice managers and receptionists also found that:

• Salary packages varied from £31,150 for newly qualified vets to £69,021 for vets qualified for more than 20 years.
• Salary changes ranged from a decrease of 9.2% for those qualified for 10 years, vs newly qualified who were up 0.5% on last year, and those qualified more than 20 years, who saw an increase of a massive 11.9%.
• Hourly rates ranged from £16.30 for new graduates to £34.61 for the most experienced vets.
• Vets in small animal practice saw a 0.4% increase in media salary to £41,148.
• Equine vets salaries rose by 0.5% to a median of £43,000.
• Mixed practice vets saw an increase of 5% to £41,176.
• Large animal vets salaries increased by 7.2% to £44,142.
• Vets in industry earned £59,106, down from £69,596.
• Academic and research vets salaries were down by 15.1%
• Across the regions, salaries varied from £37,030 for Scotland and Northern Ireland, to £54,025 in London.
• The profession continues to be debt-laden with 76% of those who had a loan at graduation still carrying student loans of between a few thousand pounds to a handful of respondents who had debts of over £100,000.

Peter Brown, SPVS Treasurer and author of the report comments: "The SPVS Salaries Survey is intended as a benchmark to give some indication of what is being paid as the 'going rate' rather than to advise on what employees should be paid. Having said that, we would urge all veterinary practices to continue working to ensure that equal rates of pay are given for positions of equal status. Although the gender gap has closed up, it is still too big."

The annual SPVS Salaries Survey is free of charge to SPVS members and costs £150 for non-members. For more information, call 01926 410454 or visit www.spvs.org.uk.

The RCVS has published a summary of the goings on at its 6 November meeting.

Amongst other things, Council agreed to continue to display postnominals in the Register, undertake a consultation on whether members should be able to use the courtesy title 'doctor' and make amendments to the College's current registration regulations.

In addition, 

• Council discussed and approved the College's budget for 2015.
• Council heard that the new Royal Charter had been approved by the Privy Council the previous evening and approved new rules relating to the registration of veterinary nurses which need to be in place when the new RCVS Royal Charter comes into effect and new bye-laws to replace the existing ones which will be revoked when the Charter is sealed and brought into effect.
• Council agreed to amend a number of the current regulations for the registration of veterinary surgeons in order to make the process more convenient for registrants. Key changes include allowing veterinary surgeons to supply either a work or home address for publication in the Register, not charging a punitive additional restoration fee for those who are restored to the Register at the direction of the Disciplinary Committee and no longer levying an administrative charge on credit card payments - a change which will also now allow the College to accept debit card payments. The new registration regulations have now been submitted to the Privy Council, which will need to grant approval before they come into effect.
• Council confirmed that the College will continue to display postnominals for postgraduate qualifications in the Register - reversing a previous decision to remove all postnominals except those for the registerable degree and MRCVS or FRCVS. Council agreed that the following postnominals would be included on the Register - primary veterinary qualifications that the College has a legal obligation to display; qualifications approved for Advanced Practitioner and Specialist status; and other qualifications and honorary postnominals deemed relevant by Council including some non-veterinary/science-related qualifications.
• Council agreed to undertake a consultation on whether members of the College should be allowed to use the courtesy title 'doctor'. The proposals were brought forward by RCVS President Professor Stuart Reid who cited the fact that international veterinary surgeons used the title, that medical practitioners in the UK carry the courtesy title and a recent decision by the General Dental Council to allow dentists the use the title. Council agreed to open the issue to an online consultation with both the public and profession, which is likely to be launched before Christmas.
• Council members heard reports from VN Council and the Audit and Risk, Education, Standards, Preliminary Investigation, Disciplinary and PIC/DC Liaison Committees. Papers for each can be also be found at www.rcvs.org.uk/about-us/rcvs-council/council-meetings
• During the afternoon session of Council, members considered a range of possible options for reforming the governance structure of the College. The case for reform was outlined by Professor Reid who asked Council members to consider its decision-making functions, size, composition and frequency of meetings. Following group discussions various views were put forward, including a larger consultative Council which would meet less frequently, alongside an enlarged Operational Board which would meet monthly; and having a smaller Council which would meet more frequently. The Operational Board will now be considering these views and will put further proposals to Council in March.
• Council agreed a recommendation put forward by members Mark Elliott and Richard Stephenson that recognised that while much decision-making had been delegated to committees (eg the Standards and Education Committees), Council members should feel able to discuss decisions made in committee with which they disagree. Furthermore, the recommendation stated that committees should be encouraged to refer major policy decisions to Council for ratification. The majority of recommendations were accepted in principle by Council.

More information about these decisions can be found in the latest edition of RCVS News, copies of which have been sent to all veterinary surgeons and listed/registered veterinary nurses.

The full papers for the Council meeting can be found on the RCVS website at www.rcvs.org.uk/about-us/rcvs-council/council-meetings

The Emergent Disease Foundation, One Health Initiative, Worldwide Veterinary Service, and UNISON have collaborated to launch Exotic pets: Reducing the of risk of human infection, a new leaflet which explains the hygiene measures that keepers of exotic pets should take.

The organisations say that they hope veterinary clinics, pet shops, medical centres, local authorities and schools will distribute the free leaflet which is also available to download.  

The Emergent Disease Foundation says the advice contained in the leaflet is taken from an independent scientific paper entitled 'A review of captive exotic animal-linked zoonoses' published in the Journal of Environmental Health Research.

The leaflet takes the line that it is inadvisable to keep exotic animals as pets, but for those who already have them, recommended measures include: thorough hand-washing with antibacterial soap and alcohol-based gels after handing or feeding an exotic pet; being careful not to touch hair, clothes (including pockets), door handles and other items immediately after handling exotic pets; closely supervising children so that they do not put their mouths close to the animal; and keeping animals, cages and equipment away from kitchens.

Clifford Warwick of the Emergent Disease Foundation, a charity focused on animal-to-human infections, said: "The modern world enables all too easy acquisition of exotic animals into the home. The pet trade in general, with its high turnover and diversity of species available, offers a speed-dating reservoir for bugs from far corners of the globe. My own advice is simple - avoiding exposure to bugs from exotic pets in the home is difficult and best avoided by not keeping them in the first place."

Dr. Bruce Kaplan of the One Health Initiative, which focuses on the connection between health and the environment, said: "As a former U.S. Centers for Disease Control and Prevention (CDC) trained epidemiologist, a retired private practice veterinarian and a public health and humanitarian minded 'One Health' activist for nearly 50 years, I wholeheartedly oppose private ownership of exotic pets due to the known scientific health and safety risks for people and animals.  It is a dangerous, irresponsible and irrational practice."

Owen Evans of the Worldwide Veterinary Service, a charity that provides a veterinary resource to animal welfare organisations worldwide, said:"We work on a day-to-day basis with animal health issues, so we are very mindful of how animals and people can share pathogens. Avoiding transmission is best served by minimising risks, which is what this new brochure aims to achieve."

Invicta Animal Health has launched an enhanced version of the ChroMyco Duo dermatophyte test.

The tests use a new round plate with an improved lid design. In addition, the plates are wider and deeper providing 25% more culture medium.

According to the company, the dual plate test with Dermatophyte Test Media (DTM) on one side and an Enhanced Sporulation Agar (ESA) on the other greatly reduces the risk of false positive results. 

The test is performed by veterinary staff taking a pluck of fur or skin scrape from the lesion and inoculating both sides. After three to six days of room temperature incubation, if dermatophytes are present, the DTM will turn red and the ESA will turn blue-green.

Rob Watkins, Managing Director of Invicta, said: "We always listen and respond to customer feedback. The new design plates provide reduced condensation levels and by being easier to inoculate will enhance the usability and hence reliability of the test."

The price remains unchanged at £32.00 for 5 tests, from veterinary wholesalers.

For more information call 01403 791313 or email mail@invictavet.com.

Virbac has has announced the launch of Buprevet, a buprenorphine-based, injectable solution indicated for the potentiation of sedative effects of centrally-acting agents in dogs and for use in cats and dogs as part of a multimodal approach to analgesia.

Buprevet is presented in a 10 ml multi-dose bottle which can be broached up to 25 times and can be open for up to 28 days.

Sarah Walker MRCVS, Product Manager, said: "Buprenorphine is a potent, high affinity, synthetic opioid agonist which forms a key element of practice anaesthetic protocols and complements our existing anaesthetic range. Its potentiation effects means less sedation is needed in the pre-medication and in the anaesthesia, facilitating smoother recoveries with more comfortable patients."

"Buprenorphine is a tried and trusted solution for analgesia in many practices. Buprevet can be given pre-operatively to allow analgesia during and after surgery. It works effectively as part of a pre-emptive approach to analgesia, alongside products such as Inflacam and Carprox in our NSAIDs range."

MDC has announced it will launch Smart Oxygen, a system it describes as a simple, instant and economical way to deliver oxygen or nebulising therapy to cats and other small animals, at the London Vet Show (20th/21st November London Olympia).

The system is connected directly to a transparent 3mm PVC Smart Oxygen canopy placed within one of MDC's cat baskets. The clear plastic means the patient remains in full view, allowing you to observe respiratory patterns during treatment. Venting access enables the release of excess oxygen and can be varied according to the patients' condition and oxygen percentage requirements.

MDC says Smart Oxygen is ideal for emergency situations because it requires no assembly and allows vet professionals to provide oxygen or nebulisation therapy single-handed. It also minimises stress as respiratory patients respond better without restraint - known to exacerbate symptoms. With Smart Oxygen an animal can be monitored without the anxiety associated with a nasal cannula or masking.

For more information, visit: www.mdcexports.co.uk

Somerset vet Stewart Halperin MRCVS has launched CarefreeCredit, a service designed to help pet owners pay for unforeseen veterinary bills, and take the burden of unpaid bills away from veterinary surgeons.

The new service is very simple. First, participating practices need to apply to CarefreeCredit and register with the Financial Conduct Authority (FCA). CarefreeCredit will hold your hand through the FCA registration process, which is currently taking about three weeks.

Thereafter, you can then offer CarefreeCredit to any client who is faced with an unexpected bill which they can't pay immediately. They'll need to make an online application which can be done at any time of day, 365 days a year - crucial for out-of-hours emergencies. The application takes 4 minutes and decisions are instant.

Loans repaid over 12 months are interest-free for the pet owner. Loans repaid over 24 months attract interest at 7.9% APR.

Once the loan is approved, confirmation is sent to the veterinary practice, which can then drawdown the funds into the practice bank account via the CarefreeCredit online dashboard. The practice gets paid within 5 days of requesting a drawdown.

The cost to the practice of all this is 7% of the bill. Offered strategically to the right clients, that seems like a small price to pay. According to CarefreeCredit, practice revenue increases by 22% and debtors decrease by 58% in practices where finance facilities are offered. But that is, of course, only half the story. This also offers a professional and businesslike 'way out' when vets are at the receiving end of emotional blackmail (or worse) from clients who find they don't have the money to pay for their much-loved pet to get the medical care it needs. 

Stewart, himself the owner of a six-practice business, said: "The only way a credit facility like this works is that if it is so simple to use that front office staff see it as a help rather than a hindrance - a tool to make their lives easier rather than just another piece of admin to do. In order to get to this point, we have been through discussions with a number of consumer credit institutions as well as major retail banks. The system we can now provide is the market leader by a long way. The great thing is, vets love it as they can do gold standard work, get paid properly for it and receive the funds straight away. Owners love it as they can spread the cost at no or very low cost to themselves - and of course, the pets get treated immediately!"

For more information, visit: www.carefreecredit.co.uk

Virbac has announced the launch of what it describes as an affordable ciclosporin for the treatment of canine atopic dermatitis.

Called Cyclavance, the new product will make its debut at the London Vet Show (Nov 20th/21st at London Olympia).

Cyclavance is presented in a liquid formulation for precise dosing, in a container with a new 'AdaptaCap' designed to ensure leak proof dispensing and give the product a 6 month shelf life after being broached. Cyclavance is offered in four size presentations -  5 ml, 15 ml, 30 ml and 50 ml - to give practices maximum flexibility in its use.  

Sarah Walker MRCVS, Product Manager, said: "Atopic dogs present at practices across the country on a daily basis. It is a challenging condition which can be hard to treat successfully because owner compliance is so important. By offering Cyclavance at a great price to give greater appeal, allowing a wider scope of use, and with innovative features, such as the unique AdaptaCap, we aim to help practices achieve better outcomes for their patients and increase the number of clients it is available to.  

As of the start of this week, police forces and local authorities have new legal powers designed to reduce the number of dog attacks.

For the first time, police and local authorities will be able to demand that owners take action to prevent a dog attack or risk fine of up to £20,000. If a complaint has been made about a dog to the council or police, its owners can be ordered to do any or all of the following:

• Attend dog training classes
• Muzzle the dog or require it to be on a lead in public
• Require the dog to be microchipped and/or neutered
• Repair fencing to prevent the dog leaving the property

The government has published a manual called Dealing with irresponsible dog ownership: practitioner's manual, to guide police forces and local authorities in the use of their new legal powers to prevent dog attacks.

Animal Welfare Minister Lord de Mauley said: "Dog attacks are devastating for victims and their families which is why we are taking tough action against those who allow them to happen. Police and local authorities will now have more powers to demand that irresponsible dog owners take steps to prevent attacks before they occur. This is on top of the tougher prison sentences we introduced earlier this year for owners who allow their dogs to attack people and assistance dogs."

The National Policing Lead for Dangerous Dogs, DCC Gareth Pritchard said: "The Practitioners Manual gives police officers and other practitioners clear guidance on how to best implement the legislative changes, especially the early preventative measures such as Community Protection Notices, to help prevent more serious events occurring in the future. It also provides a platform to share good practice between police forces and partner agencies and it will form part of the ongoing training of Dog Legislation Officers across England and Wales."

Photo credit: iStockphoto/Thinkstock.

The Veterinary Record has published what the British Homeopathy Association is calling the first ever systematic review of randomised controlled trials (RCTs) in veterinary homeopathy.

The review was conducted by Dr Robert Mathie, research development adviser to the association, and Dr Jürgen Clausen from the Carstens Foundation, Germany.

They found 18 placebo-controlled RCTs of veterinary homeopathy, published in the peer-reviewed literature, that were eligible for detailed assessment. Of these, only two were judged to provide reliable evidence. The remainder were unclear or had a high risk of bias.

The two studies which were judged reliable were:

• CAMERLINK, I., ELLINGER, L., BAKKER, E. J. & LANTINGA, E. A. (2010) Homeopathy as replacement to antibiotics in the case of Escherichia coli diarrhoea in neonatal piglets. Homeopathy 99, 57-62.
  According to the authors, this study showed that homeopathy is effective for the prevention of diarrhoea in piglets.

• HEKTOEN, L., LARSEN, S., ØDEGAARD, S. A. & LOKEN, T. (2004) Comparison of homeopathy, placebo and antibiotic treatment of clinical mastitis in dairy cows - methodological issues and results from a randomized-clinical trial. Journal of Veterinary Medicine. A, Physiology, pathology, clinical medicine 51, 439-446. In this study, homeopathy was shown to be ineffective. 

Dr Mathie said: "Up to now, debates about the efficacy or effectiveness of veterinary homeopathy have been polarised by the absence of any systematic review of the subject. Our work clarifies the nature of the current RCT evidence."

Mr Mark Elliott, immediate past president of the British Association of Homeopathic Veterinary Surgeons, said: "This important study affirms that reliable evidence does exist and that more research should be done, particularly in light of current concerns about antibiotic resistance in production animals."

It seems a remarkable admission, that the entire veterinary homeopathy edifice rests upon one study in piglets. However, if that study did prove the efficacy of homeopathy, it would of course be an order of magnitude more remarkable than today's admission. 

So, no pressure then, Camerlink et al!

Public Health England (PHE) is urging veterinary surgeons, nurses, other healthcare professionals and the public to become Antibiotic Guardians by visiting antibioticguardian.com and pledging to make better use of antibiotics, to help make sure they work now and in the future.

The website first asks users to choose whether they would like to make a pledge as a member of the public or as a healthcare professional or leader.

Those who pledge as a Healthcare Professional > Veterinary Practitioner can select one of the following pledges:

• If there is a need to prescribe antibiotics I will use narrow spectrum drugs wherever possible
• I will display posters and reading material in my waiting room to help public understanding on antimicrobial resistance
• I will ensure that there are effective cleaning and disinfection protocols in place to minimise the spread of bacteria between patients within the veterinary practice premises
• When dispensing antibiotics I will explain the importance of following the labelling instructions and giving the full course
• If a treatment does not appear to work, I will advise a different course of action and report the treatment failure to the Veterinary Medicines Directorate (VMD)

Those who pledge as a member of the public can elect to do so as an adult, a family member, a pet owner or a farmer.

The available pledges change according to category and those who respond will be asked if PHE can follow-up to confirm they did keep their pledge.

The campaign forms part of activities that support European Antibiotic Awareness Day (EAAD). Dr Diane Ashiru-Oredope, Lead for EAAD 2014 at Public Health England, said: "Everybody can help to tackle antibiotic resistance and we really urge people to help us do this. There is a lot to be done but we can start by making inroads into inappropriate prescribing.

"There are 2 elements to this. One is that we need patients to not always expect to receive an antibiotic for those self-limiting illnesses which are typically caused by viruses. This generally includes those where the symptoms include coughs, runny noses, muscle aches and fever. And the other is for GPs not to feel pressurised into prescribing antibiotics when they aren't really necessary.

"Community pharmacists and their teams also have a key role and should be seen as the first port of call for many winter illnesses caused by viruses. They can also help to manage patients' expectations by explaining the normal duration of these symptoms, what warning signs to look out for and providing effective over the counter treatments that will help relieve the symptoms.

Nicholas Brown, President at the British Society for Antimicrobial Chemotherapy (BSAC), said: "Recently published research in BSAC's Journal, Journal of Antimicrobial Chemotherapy, confirms that despite government recommendations to reduce prescribing for viral illnesses there are still many GPs who do this. Of course GPs don't want their patients to feel unwell but there are many medicines which are available over-the-counter which can really help to reduce symptoms and make people feel better.

"We want to encourage everyone to self-treat as much as possible when it is safe and appropriate to do so. By using antibiotics only when they are needed we can all help to make sure that we keep our antibiotics working for everyone in the future.

"Antibiotic resistance is one the biggest threats to public health and PHE is delivering 4 key aspects of the 5-year UK strategy to help combat antibiotic resistance. These are improving infection prevention and control practices to reduce the number of infections in patients; optimising prescribing practice, improving professional education, training and public engagement and enabling better access to and use of surveillance data."

Children learn lots of important lessons about life, sickness and death from animals and veterinary practitioners. There seems to be an important role here for the profession to educate adult animal owners why antibiotics need to be used carefully both in pets and in humans.

Direct Line has revealed the results of a small survey which found that 78% of veterinary surgeons had treated pets for ingesting human medicines in the last year.

100 vets took part in the study, of which 28% reported that they had cases where owners had deliberately given their pet human medication in an attempt to help them. Some vets described incidents of owners believing paracetamol will help conditions like arthritis and limping. In one case an owner gave their cat a quarter of paracetamol every day in an attempt to stop its pain, which instead resulted in the cat dying.

The most common types of medication ingested were:

• Paracetamol, Ibuprofen, Nurofen
• Specific prescribed medications (i.e. for heart conditions or diabetes)
• Contraceptive pills
• Anti-depressants
• Sleeping tablets

In total, the veterinary surgeons who took part in the survey reported 243 cases of accidental ingestion of human medicines. The majority (76%) of cases involved dogs. However incidents involving cats, rabbits and guinea pigs were also reported.