The new service will offer all the chemo and surgical options.
Matthew (pictured right) said: "At Eastcott, we have amazing facilities and staff to care for pets with cancer, so we are proud to launch this comprehensive new oncology service.
"We have a custom-designed chemotherapy room, multiple sterile theatres - including our interventional radiology theatre - and state-of-the-art imaging facilities, with a 64-slice CT scanner and advanced ultrasound equipment.
"We are able to manage the full range of tumour types including maxillofacial tumours, from diagnosis to treatment.
"We use a variety of techniques to allow accurate staging, including minimally invasive biopsy and lymph node harvesting, as well as sentinel lymph node mapping and advanced medical imaging.
"Treatment options include advanced soft tissue surgical oncology and the full range of medical oncology. This may involve standard and metronomic chemotherapy, intracavitary chemotherapy and immunotherapy, such as the melanoma vaccine.
"We pride ourselves on helping owners understand our treatment plan through the whole process and emphasise the importance of making the right decisions to maintain the welfare of our patients.”
For more information, visit www.eastcottreferrals.co.uk.
The VetCompass study, which was based on the records of over 900,000 Westies under the care of UK first opinion veterinary practices in 2016, also found that ownership of Westies has fallen dramatically, to just a quarter of what it was a decade ago. Researchers found that the breed comprised only 0.43% of puppies born in 2015 compared to 1.69% of puppies born in 2004.
The average age of the Westies studied was a relatively elderly 7.8 years, suggesting an ageing population with fewer new puppies entering the population compared to other breed studies carried out by VetCompass.
The most common illnesses suffered by Westies were found to be dental disease (which affects 15.7% of Westies), ear disease (10.6%), overgrown nails (7.2%), allergic skin disorder (6.5%) and obesity (6.1%). Lower respiratory tract disease and cancer were the most common causes of death, with each accounting for 10.2% of deaths in the breed. Spinal cord disorders were the next biggest killer at 7.8%.
Other findings included:
Dr Dan O’Neill, Senior Lecturer and VetCompass researcher at the RVC, who was the main author of the paper, said: "With the ascent of social media as a dominant influencer of public opinion, ownership preferences for dog breeds are becoming increasingly polarised and susceptible to the whims of internet celebrity endorsement and advertising.
"Previously, preferences for dog breeds used to wax and wane gently over time. But VetCompass breed data now show rapid changes in preferences among breeds that create bubbles and troughs of demand that can have far-reaching implications for these breeds.
"Flat-faced (brachycephalic) breeds are currently the darling of the nation but this has created huge welfare problems for breeds such as the Pug and French Bulldog. And breeds such as the West Highland White Terrier and Cavalier King Charles have fallen sharply out of favour."
Camilla Pegram, Veterinary Epidemiologist and VetCompass researcher at the RVC, who co-authored the paper, said: "The most common disorders of Westies shown in this study are also common in the wider UK dog population. However, the breed does seem predisposed to lower respiratory tract disease which was a common cause of death in the Westie. Owners should be aware of this as their Westie ages.
"What is particularly interesting is the level of skin disorders, which although relatively high, are still lower than might have been predicted a decade ago. It is possible that the reduction in Westie ownership has relieved the pressure on breeders to breed from less healthy individuals to meet demand and therefore contributed to improved skin health within the breed. Paradoxically, reducing popularity may have led to better health in the Westies that are now being born."
Reference
For the study, 309 university students were randomly assigned to one of three four-week stress prevention programs featuring varying levels of exposure to animal-assisted activities and evidenced-based stress management content.
The research found that students who were considered at a higher risk of poor academic performance saw a significant boost in executive function including improvements in attention, memory, self-regulation and improved cognitive function when they received exclusive exposure to interaction with the dogs.
This improvement was not seen in students who participated in a more traditional stress management learning program using lectures containing information about stress management or sessions that combined such information with lower levels of animal interaction.
Lead study investigator, Associate Professor Patricia Pendry, from Washington State University said:"Academic stress and associated negative impact on student performance is a significant issue for universities today and something we need to better address.
"While more traditional learning programs continue to play a role, the results of the study are exciting as they indicate this type of intervention can be a positive stress management tool especially for students who are at-risk of poor academic performance.
“We know from previous research the positive effects of animal visitation programs on the mood3 of college students – and even recently discovered their positive effect on stress hormone levels4. However, this is the first study to demonstrate that more frequent and regular inclusion of dogs can positively affect aspects of cognitive functioning that may be more difficult to change with existing interventions."
Study co-author and expert in Human-Animal Interaction expert Professor Nancy Gee said: "This study was informed by previous research and reinforces the growing body of evidence showing the benefits of pets for people in many different contexts and for at-risk groups.
"This type of animal-assisted stress reduction program is both easy to implement and low cost – offering a fantastic way for universities to support their students. After participating, participants feel calmer and more socially supported and this leads to an improvement in mental health and cognition.
"My hope is that evidence-based interventions which are already gaining popularity can become common practice in educational settings."
References:
The Association says it delayed this decision as late as possible, and whilst the most recent government advice does not prohibit large public gatherings, it recognises the importance of personal safety for Congress attendees and the need to support the profession in preserving business continuity, maintaining client services and protecting animal welfare.
Amanda Stranack, BSAVA CEO, said: "As the situation continues to escalate, the government have given a clear steer that they expect more stringent controls to come into force in the coming weeks. With Congress now only a few weeks away, we want to give all our attendees as much notice as possible, both to ensure peace of mind, and to give people adequate time and flexibility to change their plans.
"BSAVA recognises the pressures the current situation brings to bear on the veterinary community and in making this difficult decision, has the interests of the profession first and foremost in its mind.
"We would thank all those who have worked hard over the past two years to contribute to the development of Congress, a huge amount of effort goes into preparations from BSAVA volunteers, Congress participants and our staff."
Sue Paterson, BSAVA President, said: "It is with great regret that we have made the difficult decision to cancel Congress, which has taken place annually for more than 60 years. Congress is an incredibly important event in the veterinary calendar, and we were all looking forward to an inspiring agenda and saying a fond farewell to the city that has made Congress such a great success over so many years. The health and wellbeing of our attendees is of utmost importance to us, and whilst we are sorry to be making this decision, we are confident it is the right one."
BSAVA says it is aware of the impact that cancelling will have on many delegates' CPD hours, so it is now looking at other ways it can deliver Congress lectures and podcasts.
Sue added: "Whilst we won’t be able to deliver the full Congress programme, we will be working with our speakers to capture as many lectures as we can to make content available online."
The study1 suggests that dogs with uncomplicated diarrhoea do not need antibiotics as part of their veterinary care plans.
The study included a random sample of 894 dogs aged between three months and 10 years old diagnosed with uncomplicated diarrhoea in 2019.
Of these, 355 (39.7%) dogs were prescribed antibiotics, and 539 (60.3%) dogs were not prescribed antibiotics (with or without additional supportive treatment) at first presentation for diarrhoea.
For the analysis, the dogs were balanced for a range of other differences between the groups including age, breed, bodyweight, insurance status, the presence of two or more medical conditions, vomiting, reduced appetite, blood in faeces, raised temperature, duration of diarrhoea, additional treatment prescription and veterinary group.
The researchers say this effectively meant that the only difference between the two groups was that one group received antibiotic treatment while the other did not.
The likelihood of clinical resolution of diarrhoea in the dogs prescribed antibiotics was 88.3%, compared with 87.9% in dogs not prescribed antibiotics.
This tiny difference of 0.4% between the groups was not statistically significant, leading to the conclusion that antibiotic treatment did not cause any beneficial effects in the treatment of uncomplicated diarrhoea in dogs.
Almost nine in 10 dogs with uncomplicated diarrhoea recovered after a single veterinary visit regardless of antibiotic treatment.
As an additional analysis, the study also explored gastrointestinal nutraceuticals (products derived from food sources that aim to restore digestive health such as probiotics and prebiotics) for treatment of uncomplicated diarrhoea in dogs.
Gastrointestinal nutraceutical prescription (with or without other supportive treatment) at first presentation of uncomplicated diarrhoea caused no statistically significant difference in clinical resolution compared to dogs not prescribed gastrointestinal nutraceuticals.
Camilla Pegram, VetCompass PhD student at the RVC and lead author of the paper, said: “This study used an exciting new approach that allowed us to determine ‘cause’ rather than being limited to ‘association’.
"Diarrhoea is a common condition in dogs and is often treated with antibiotics.
"However, this study highlighted that antibiotic prescription at first presentation of diarrhoea caused no difference in clinical resolution.
"Therefore, this arms veterinarians with the evidence-base for restricting antibiotics for uncomplicated diarrhoea in dogs, and owners should be prepared to only have an antibiotic prescription if absolutely necessary.”
Fergus Allerton, project lead for the PROTECT ME guidelines and co-author of the paper said: “Rational antimicrobial use is critical to defend ourselves and our pets against the growing threat from antimicrobial resistance.
"This study provides vital evidence to strengthen recommendations to withhold antibiotics when treating dogs with acute diarrhoea. Knowing that the outcome will be the same without antibiotics should reassure veterinarians to adopt this approach consistently.”
The company says the new test overcomes a major shortcoming in faecal egg counts: that they can only detect the presence of egg-laying adult worms. The new test, by contrast, can detect all stages of the small redworm life cycle, including the important encysted larval phase.
ADB says the new test will help protect the effectiveness of moxidectin, the only dewormer which is capable of eliminating the encysted stages and against which widespread resistance is not thought to have developed.
Whereas before, routine winter treatment was needed to target the encysted phase, this new test means the drug can be kept for when it is really needed, which will help prevent the development of resistance. ADB says it will also be of great value to equine vets in making differential diagnoses.
The blood test was developed by Prof Jacqui Matthews’ group at the Moredun Research Institute (MRI), with funding from The Horse Trust. She said: "It is great to see the commercialisation of this much-needed test to support sustainable worm control in horses. The test fills an important gap in our diagnostic toolbox and will enable horse owners to work with their veterinarians in targeting anthelmintic treatments against cyathostomin infections and hence help protect these important medicines for the future."
Dr Corrine Austin from ADB said: "ADB is now developing laboratory ELISA kits to enable independent veterinary laboratories to conduct blood testing; these kits are expected to reach market during 2020. Research into the saliva-based test is ongoing and is expected to be commercialised several years from now."
Veterinary practices can contact ADB at info@austindavis.co.uk to register interest in the diagnostic test service.
The company says it is calling for the change after analysing the records of its consultations held during the pandemic and finding that there was a low antibiotic prescribing rate, treatments were effective and no harm was caused.
During the seven months that Vet-AI collected data, from the 1st April to the 31st October 2020, its vets held 21,383 veterinary video consultations, an analysis of which is the subject of a paper published in the RCVS Knowledge journal, Veterinary Evidence1.
78.1% of the consultations were for dogs and 21.9% for cats.
Of the vet-led video consultations completed, 3,541 had medicines prescribed during the consultation.
Some consultations required more than one prescription, which meant a total of 4,282 POM-V medications were prescribed.
Of those, Vet-AI says 0.87% reported a mild adverse effect.
Antibiotics were prescribed in 5.9% of all consultations, 99.3% of which was first line.
Vet AI says follow-up on prescribing was available in 67.7% of cases and 89.4% of all known treatment outcomes were complete or had an expected response to treatment.
Skin problems were the most common body system/disease category seen and prescribed for.
The remaining 17,482 consultations, which did not require a prescription medicine, had resolutions assigned.
They included 959 referrals to an emergency in-person veterinarian visit; 4,852 recommendations to visit a vet in-person; 4,216 alternative products recommended, 6,421 follow-up consultations with the remote veterinary team, and 219 remote laboratory tests.
Samantha Webster MRCVS (pictured right), from Joii Pet Care, said: “Given the clear evidence outlined in this report, we believe the future of veterinary medicine should include remote consultations with remote prescribing where appropriate and regulated.
"We invite the RCVS and other veterinary governing bodies to consider that there is a place for prescribing remotely on an ongoing basis for certain cases under certain conditions, such as a secure video and audio link with clinical record keeping and pharmacovigilance practice.
"A blanket ban is not appropriate with the advance of modern technology."
“Bold steps have been taken in human health, incorporating modern technologies to support both GPs and patients, to great success.
"Our industry could use these learnings to help reduce the current strain and demands on vets across the country where mental health is already a key issue due to increased pressures, under resourcing, and compassion fatigue.
“We feel it’s important to take this approach to reach as many owners and provide professional advice and appropriate treatment on pet health so that those animals that do not necessarily currently receive veterinary care do so, and to bridge the gap wanted by clients.”
Ceva says the new product is the fruit of research into the composition of the main feline pheromones which pass through the incisive ducts to the Vomeronasal Organ (VNO), which in turn led to the discovery of a new pheromone complex which 'provides an enhanced message of social confidence and safety in the cat’s environment by conveying more impactful messages to it'.
According to the company, Feliway Optimum helps cats with more signs of stress, in more situations and calms cats better than ever. The product is proven to help with more stress-related signs faster than existing pheromones, with all signs of stress showing continuous improvement until day 28 of use and are visible from day 71. These include scratching, urine spraying, multi-cat tensions and conflicts and changes and fears.
Feliway Optimum is available as a plug-in diffuser with 30-day refills.
Abigail King, senior behaviour product manager at Ceva Animal Health said: "We have led the way with research for over 20 years with Feliway Classic and Feliway Friends, but it is now time to go that step further.
"Feliway Optimum is an extremely exciting addition to the range which will help solve all common signs of stress to provide enhanced serenity in a household.
"Nearly 60 per cent of cats show visible signs of stress2 and Feliway Optimum will really help combat this with an over 70% reduction”.
There is a webinar about the new product, presented by Professor Patrick Pageat and Dr Andy Sparkes, which is available by emailing Ceva.
For more information, visit www.feliway.com/uk, call Ceva on 01494 781510 or email cevauk@ceva.com.
References
On day one, Laura Playforth, IVC Evidensia’s Group Quality Improvement Director, will be looking at psychological safety and the adoption of a safety-critical culture in veterinary practice.
Sayaka Okushima from Pride Veterinary Referrals and Sarah Heath, IVC's Director of Sustainability, will be discussing the use of anaesthetic gases and ways to reduce them.
Other talks on day one will include: ‘Vets vs Nurses: Are we Blurring the Lines?’ and ‘The Criminal Underworld and Animal Welfare’.
On the second day, IVC referral clinicians will present lectures on various subjects, from handling emergency situations to mastering diagnostic testing equipment in first opinion practice.
David Owen, a Referral ECC Clinician at Vets Now in Manchester, will be talking about talking about emergency dyspnoea cases and how veterinary colleagues can cope with challenging situations efficiently.
Frances Bird, a European Specialist in Small Animal Surgery at Pride Veterinary Referrals, will be closing out the day with a discussion on treating respiratory disease from a surgeon’s perspective.
For the full programme, visit: https://london.vetshow.com/conference-programme?&filters.LOCATION=63903&searchgroup=ADD5CDE8-conference-programme-2023
The group will also be supporting members in how to reflect on their CPD as a way of consolidating learning, and considering plans for how the benefits of CPD and the VetGDP can be communicated to the professions.
RCVS Council member Dr Olivia Cook MRCVS will be chairing the group.
She said: “The Engagement Group has been set up in recognition that, although the majority of the professions are engaged with meeting their CPD requirements and completing the VetGDP, there are still those who feel confused about the requirements or remain uncompliant for other reasons, and we would like very much to help them.
“Therefore, this is an exciting opportunity for anyone who wants to play an active part in advancing veterinary standards by ensuring that as many members of the professions as possible have the benefits of lifelong learning in their own practice and their ongoing work for animal health and welfare. In doing so they will help grow public confidence in the professions.
“From the VetGDP perspective, we’re particularly keen that there’s a strong peer-to-peer element, so that those who are doing the VetGDP, or have just recently completed it, are using their recent experience and understanding to evolve the policy and drive engagement.”
Applicants who are interested will have until Friday 30 August to apply to become members of the CPD and VetGDP Engagement Group and are invited to send a concise email to CPD@rcvs.org.uk explaining their experience and how they feel that can contribute to work of the committee.
The talk, by Stephanie Sorrell, Director of The Mindful Vet, will provide insights and tips on how to support staff, promote wellbeing and reduce the stigma associated with mental health in the workplace.
Hillary Noyes, Hill’s Veterinary Affairs Manager, UK & Republic of Ireland said: “Following an unprecedented two years the veterinary profession is still hugely affected by the pandemic with long working hours and limited staff leading to burnout and increased stress for many. “We hope this webinar will raise awareness of this prevalent issue, highlight the importance of burnout awareness and produce valuable insights into recognising the early signs, so that practices are equipped to tackle the crisis.”
To register for the webinar, visit: https://veterinarywebinars.com/register/hills/prevent-and-manage-burnout/
The grant has been awarded to Dr Carri Westgarth, a Lecturer in Human-Animal Interaction at the University of Liverpool, for her project entitled Using citizen science to develop a ‘Canine Ageing and Wellbeing’ tool for use in veterinary practice.
Dr Westgarth’s initiative aims to determine what senior dog preventative healthcare and treatment advice is currently offered in UK veterinary practices and then take steps to build a practical tool to facilitate knowledge-sharing between owners and veterinary professionals.
Carri said: "Dogs are living up to twice as long as they did 40 years ago and there are implications for senior dogs’ healthcare and wellbeing.
"As life expectancy increases, so does the amount of time spent in poor health. Many dog owners may not be aware of the signs of serious age-related diseases as they attribute them to normal age-related changes."
The Citizen Science project will investigate owner expectations, experiences and attitudes to ageing in dogs, including preventative care and general understanding of normal and abnormal changes during ageing.
A number of in-depth interviews and questionnaire surveys with veterinary professionals and dog owners will be conducted, and pet owners will be invited to submit diaries, photographs or videos to share their experiences of living with an older dog. The study will also examine electronic health records of senior dogs reported in the Small Animal Veterinary Surveillance Network.
The findings will be used to develop the Petsavers Canine Ageing and Wellbeing tool, to guide on best practice discussions in consultations with senior dogs.
The film features veterinary nurses with all sorts of different roles within IVC Evidensia, including being a Clinical Manager, a Farm Tech, a Referrals Nurse, a Student Nurse, an ECC Nurse, a Consulting Nurse, an Equine Nurse and a Mental Health First Aider, not to mention clinicians, friends, mentors, coaches, leaders, innovators and lifesavers.
Jessica Hotchin, Acting Chair of the IVC Evidensia Nurse Board, said: “In making the video, we wanted to make IVC Evidensia vet nurses feel supported in their roles, whilst showcasing the development and career opportunities open to them.
“Whatever exciting path they choose in their nursing career, whether that's specialising or generalising, working in practice or moving to a management position, we're here to support them every step of the way.”
Whilst there is extensive research into the mental health and wellbeing of veterinary surgeons and veterinary students, far less research has been conducted on this topic with VNs.
The researchers say that despite similarities with vets, the differences in the history, context, education paths, and responsibilities between the professions necessitate a separate study of factors that may have a negative impact on veterinary nurses.
The survey is part of ‘Nursing Matters’, a two-year mixed-methods project, led by the RVC’s Dr Tierney Kinnison, Lecturer in Veterinary Education, and Dr Jackie Cardwell, Associate Professor in Epidemiology, which will attempt to benchmark the profession's mental health and wellbeing, as well as exploring the factors that may lead to poor mental health.
The study aims to identify issues relating to the workplace or educational institutions that can be changed to support VN wellbeing, and to inform the development of supportive and effective clinical teams.
Dr Tierney Kinnison, project leader and Lecturer in Veterinary Education at the Royal Veterinary College, said: “Veterinary nurses are key members of the veterinary clinical team and have received less attention than veterinary surgeons in mental health research to date.
"Responses from any RVN or SVN in the UK, whether they have been directly affected by mental health challenges or not, will be very useful for this research.”
https://rvc.onlinesurveys.ac.uk/nursing-matters
Dechra says Equisolon is the only registered oral prednisolone powder that alleviates the inflammation and clinical parameters associated with severe equine asthma, previously known as recurrent airway obstruction (RAO).
Equisolon Jar contains 180g of powder and comes with a measuring spoon.
One scoop is enough to treat 150kg bodyweight at a dose of 1mg/kg and therefore one jar can treat a 600kg horse for 10 days.
Equisolon was previously available as a box of 10 x 9g pre-measured sachets with one sachet sufficient to treat a 300kg horse and a box contained enough sachets to treat a 600g horse for five days.
Alana McGlade, national sales manager at Dechra said: “The addition of Equisolon Jar to the Equisolon range provides vets with the flexibility to choose between a jar featuring a convenient measuring spoon and a box of easy to dose pre-measured sachets
www.dechra.co.uk/products/horse/prescription
230 vets took part in the survey1.
75% reported that they see rabbits affected by dental disease regularly.
GI stasis came in second place at 54%, followed by obesity at 52%.
They were followed by respiratory tract infections (21%) mobility disorders (19%), urinary disease (10%) and pododermatitis (10%).
Purina says the three most common diseases are all intrinsically linked to the feeding of poor-quality diets and despite substantial improvements in nutritional knowledge among rabbit owners, 57% of rabbits are still being fed inappropriately.
Claire Hamblion, Supreme’s Marketing Director said: “Owners want to do the right thing, but all too often lack of awareness about nutrition leads to poor health and wellbeing.
"The great news is that progress is being made.
"Well over half of UK rabbit owners now take their pet to the vet at least once a year2, and 79% of vets say that nutritional knowledge among rabbit owners has significantly improved.
"We’re keen to build on this and are proud to offer not just high-quality species-specific nutrition but a range of educational materials as well as free samples to help veterinary teams engage with owners”.
At the heart of the campaign is a website - www.beatdogheartdisease.co.uk - where dog owners can learn more about mitral valve disease and dilated cardiomyopathy, find out which breeds are most at risk and read more about the diagnosis and management of canine heart disease.
Boehringer has also created a Facebook page - www.facebook.com/beatcanineheartdisease - offering regular updates on heart health and a platform for owners to share their stories. Owners can also use the ‘Love Your Dog’s Heart’ Facebook profile frame to help spread awareness of the disease.
The aim of the campaign is to get pet owners thinking about mitral valve disease and having it treated whilst it is still in the asymptomatic phase, in order to slow the disease progression and delay the onset of heart failure1.
Vetmedin practices can access additional ‘Love Your Dog’s Heart’ campaign materials via the Boehringer Ingelheim Resource Hub at boehringer-ingelheim-resourcehub.co.uk.
The 2,200sqm building – equivalent to half a hockey pitch or four netball courts – will include a range of facilities across two floors. It will have two new lecture theatres, a number of IT-rich teaching and learning spaces, general teaching rooms and various environments for teaching clinical skills.
The University’s Vice-Chancellor, Dr David Llewellyn, said: "Our plans for the Veterinary School are proceeding well, with our first student intake to the new veterinary medicine course due in 2020.
"The building on the Harper Adams site will provide a great range of teaching facilities for our students, to complement the wide range of animal facilities we already have on campus. We are excited to see the progress that is being made with the Harper & Keele Veterinary School, which is generating considerable interest within the veterinary profession, and we look forward to seeing the new building take shape in the coming months."
Picture shows: Vice Chancellor Dr David Llewellyn, McPhillips’ Marketing Manager Mark Kiddie, Site Manager Ed Bickford, McPhillips’ Managing Director Paul Inions, Head of Estates and Facilities at Harper Adams University, Jonathan Cain,
The new range allows for gradually increasing support for the CKD patient according to the International Renal Interest Society (IRIS) stage, reducing phosphorous levels whilst avoiding early protein reduction and the associated lean mass loss correlated to a reduction in life expectancy.
Virbac says Veterinary HPM Kidney & Joint contains high quality protein, of which more than 85% is of animal origin, to support body condition and limit renal workload.
All of the products in the range contain Mobility Plus Complex, a mix of chondroprotective agents for joint support which are designed to increase joint flexibility and mobility with high levels of Omega 3 and DHA.
Dan Johnson, Product Manager at Virbac said: "CKD is the first cause of mortality at, or after, 5 years of age and osteoarthritis is highly prevalent but under-diagnosed in senior cats, with most cats being diagnosed at an advanced stage.
"So with Veterinary HPM Kidney & Joint, Virbac hopes to provide clinicians with a significant advancement in the nutritional management of these feline pathologies."
Veterinary HPM Kidney & Joint is presented in three dry and two wet formats:
The response offers further evidence concerning the CMA’s potential concerns, and says that voluntary measures relating to transparency of fees and ownership could be introduced before the conclusion of a market investigation.
The BVA has formed a working group to develop guidance on transparency, client choice and the value of veterinary care to support companion animal practices.
British Veterinary Association President Anna Judson, said: “We’re keen to see healthy competition and consumer choice and we recognise that some of the areas identified by the CMA would benefit from further scrutiny.
"We are already taking steps to support vet practices by developing guidance for the profession in relation to transparency of fees, transparency of ownership, prescribing and dispensing of veterinary medicines, and contextualised care.
“However, we are extremely disappointed to see the suggestion in the CMA’s report, as well as in subsequent media reporting, that veterinary professionals might prey on owners’ desire to do the best for their pets by using these circumstances as a “strategy” to promote more sophisticated or expensive treatment.
"Vets enter this high-pressure profession out of genuine care for animals and will always prioritise their health and welfare."
“We also have significant concerns about the suggestion that practices might be mandated to provide information to clients about quality or outcome-related measures.
"We do not see primary concerns about the quality of veterinary treatment and we believe such a requirement would not meaningfully support consumer choice.
"Instead, it would be extremely challenging to deliver and could significantly exacerbate many of the complex issues faced by our members, who are already under significant pressure.
There will be a panel discussion about the CMA investigation at BVA Live this year.
https://bvalive.vetshow.com
COMMENT
There are lots of good points made in this latest response to the CMA, if no more than a nod to the real issue here: which is the often eye-watering cost of modern veterinary care.
But it is hugely disappointing to see the BVA (and others) berating the CMA and the media for suggesting that vets might prey on owners' desire to do the best for their pet, rather than asking WHY people think that, and how can the profession regain trust.
That, surely, is the starting point here: for the profession to stop feeling sorry for itself, and instead think how it can change to meet the needs of its customers and dispel their perception of being taken for a ride.
The CMA Investigation is a bit of a red herring: the price of veterinary care is not going to be significantly changed by displaying the prices for a few standard procedures on practice websites, with greater transparency over practice ownership or with slightly cheaper prescriptions, all of which is just tinkering.
The biggest influence on the size of the client's bill is not marketplace competition, it's the vet's recommendation.
Paul Manktelow, Chief Vet at the Blue Cross has already hit the nail square on the head when he called on the profession to practise pragmatic medicine.
The BVA now alludes to this with talk in its response of 'contextualised care' - a concept which allows practitioners to offer pragmatic medicine (aka what people can afford, rather than 'gold standard'), without the judgement that it is inherently associated with).
The benefits of 'contextualised care' are well explained by Ruth Serlin at VDS Training here.
That's great, but will it be enough?
Perhaps not, because whilst someone might be happy to walk out of the car showroom with a Dacia Sandero knowing they cannot afford a Bentley, they may be less happy to accept the Dacia level of care for their beloved pet, when they watched 'Supervet' only the night before.
If that's true, then pragmatic medicine will have to be combined with all sorts of other measures, such as reviewing and reducing the cost of regulation, questioning the value of diagnostics and changing to a less 'referall' (sic) culture.
The course has been made available after its authors, Dr Katherine Wakelin and Sarah Corthorne from the University of Surrey, received a Mind Matters Grant to conduct research which found it improved the mental wellbeing of veterinary professionals.
Katherine and Sarah will also be hosting a webinar from 7pm – 8pm on Tuesday 3rd September to discuss the importance of self-compassion, provide an overview of their research, as well as information on the course itself.
Katherine said: “Our recent randomised control trial has shown the course to significantly improve resilience and self-compassion and reduce rumination and self-criticism amongst veterinarians.
"Therefore, Sarah and I are delighted to now be disseminating the CFT course freely to the veterinary profession, so that as many people as possible are able to benefit from the evidence-based resource.
“Even though our research was conducted on veterinary surgeons, we hope that the course will be useful to all those working in the veterinary team as the content can be applied in a number of contexts.
“Our webinar will explain more about our research, as well as some of the science behind the effectiveness of the course in a veterinary context.
"So, if you are interested in learning more about how CFT may be able to help you and your team, both in a personal and professional capacity, please do come along.”
In order to access the online compassion course, individuals are invited to complete a short questionnaire before and after watching one video (10-15 minutes long) each day for 14 days. The aim of the video intervention is to develop self-compassion skills and reduce self-criticism. This will also allow Katherine and Sarah to evaluate the ongoing impact that the videos are having on those working in the sector.
https://vetmindmatters.org/resources/free-online-compassion-course-for-veterinarian-mental-wellbeing/
Evidence-Based Veterinary Medicine Matters: Our Commitment to the Future represents the first time that such a broad and influential group has united in support of a single issue in the veterinary profession.
The publication contains a number of case studies which illustrate the impact that evidence can have – and has had – on animal health and welfare. It also provides a rationale for veterinary professionals to contribute to the evidence base and put evidence into practice, to the benefit of animals, owners and veterinary teams themselves.
The signatories to the commitment are:
Animal and Plant Health Agency
British Cattle Veterinary Association
British Equine Veterinary Association
British Small Animal Veterinary Association
British Veterinary Association
British Veterinary Nursing Association
RCVS Knowledge
Royal College of Veterinary Surgeons (RCVS)
Royal Veterinary College
University of Bristol
University of Cambridge
University of Liverpool
University of Nottingham
University of Surrey
Veterinary Policy Research Foundation
No sign of the BAHVS, I see.
Jacqui Molyneux, Chair of the Board of Trustees of RCVS Knowledge, said: "Evidence-Based Veterinary Medicine Matters is a milestone publication for the professions, representing the first time the majority of the key institutions have aligned under the same EBVM banner.
"A celebration of decades of incredible discoveries, achievements and improvements in animal health, it also serves to remind us that even the earliest forms of veterinary medicine were underpinned by evidence."
UK Chief Vet Christine Middlemiss said: "What’s the evidence? An evidence-based approach is vital in all areas of our profession, whatever is keeping you awake at night. For me, it is the threat of African swine fever and avian flu. The evidence I rely on comes from our specialist surveillance monitoring and testing, veterinary epidemiologists and disease modellers. It enables me to make timely, proportionate risk-based decisions that stand up to scrutiny.
"If you are managing veterinary care in practice, the evidence you rely on to underpin your standards of clinical care comes from multiple sources too. Evidence-based veterinary medicine allows us to refine and tailor strategies to be effective and efficient, making full use of existing and new technologies.
"The profession has taken great strides towards embracing evidence-based veterinary medicine and building on this will strengthen the links between clinical decision-making, policy development and future research."
Chris Gush, Executive Director of RCVS Knowledge, added: "We are impressed by the contributions from our co-signatories, which clearly demonstrate the phenomenal impact on patient outcomes that conducting research and using evidence can have. We are also delighted that Sense about Science, a flagbearer for evidence, transparency and rational thinking, has joined with us to highlight the many benefits EBVM can bring.
"The publication also makes a strong case for much-needed funding for research to grow the evidence base, which would put powerful, robust data into the hands of veterinary professionals as they make critical decisions that can affect patient outcomes.
"It is our hope that the calibre, diversity and sheer number of the organisations putting their name to this commitment will galvanise all vets and their teams to expand their use of evidence in practice."
Rebecca Asher, Deputy Director at Sense about Science, said: "This is a showcase of game changers in veterinary care and we hope it will inspire and motivate everyone in the profession.
"We were delighted that RCVS Knowledge approached us to collaborate with them and other leading institutions in the veterinary research community to affirm their commitment to an evidence-based approach to veterinary medicine.
"Everyone expects treatment for humans to be underpinned by evidence. We now expect the same of the whole veterinary community when it comes to the treatment of animals."
The full commitment and portfolio of case studies can be read in Evidence-Based Veterinary Medicine Matters, available for free online: bit.ly/EBVMMatters.
Dr Fures was convicted of driving with excess alcohol in the Dublin Criminal Courts of Justice in December 2018.
Later, when renewing his UK RCVS registration, Dr Fures told the RCVS Chief Investigator that on the day of his offence, he'd been on a flight from Frankfurt to Dublin which suffered engine failure, causing the pilot to perform a forced emergency landing in Amsterdam. There, he claimed, the passengers switched to an airworthy plane for the rest of the journey, during which he had several drinks to calm his nerves.
In a remarkably detailed and complex investigation, the RCVS Chief Investigator rang Lufthansa and discovered that the flight had not suffered engine failure and had flown direct from Frankfurt to Dublin without incident.
In May and July 2020, the RCVS Chief Investigator wrote to Dr Fures setting out the result of his investigations and research. In his responses Dr Fures accepted that his memory of the incident was wrong.
At the outset of the hearing Dr Fures made an application to the Committee enter into undertakings to voluntarily remove himself from the UK Register and to not apply to re-join. However, the Committee did not accept these undertakings in part on the basis that he was not of retirement age and intended to continue to practise in Ireland.
The Committee considered that if it were to accept his undertakings, then there would be no judgement or findings that could be passed on to the Veterinary Council of Ireland for consideration via its own disciplinary procedures.
Ian Arundale, chairing the Committee and speaking on its behalf, said: “The Committee decided that this is a case in which the public interest, confidence in the profession, and, potentially, the welfare of animals, demands that there be a full hearing, with determinations made by the Disciplinary Committee."
The Committee then went on to consider the facts of the case.
Dr Fures admitted that he had supplied the RCVS with false information about his conviction for drink driving but denied that this was dishonest at the time that he supplied the information. He accepted that the information he provided was wrong, in that his flight between Frankfurt and Dublin, while delayed by just over an hour, did not have to land in Amsterdam as he had previously claimed.
He said that his false statement was based on misremembering the circumstances and that he had genuinely believed his statement was true at the time it was made to the RCVS. He said that, due to shame over his conviction and the negative impact it had on the life of him and his family, he had created a false memory of the circumstances.
However, the Committee was not persuaded that there was any other explanation in this case, other than that Dr Fures deliberately and dishonestly gave false information to the RCVS, to excuse his behaviour.
The Committee then considered if the admitted and proven charges amounted to serious professional misconduct.
Ian said: “The Committee was of the view that Dr Fures’ actions in dishonestly giving false details to his regulator was serious. While it was the case that there was no actual harm or risk to animals arising out of his conduct, the Committee took into account that the dishonest account was given deliberately.
“In addition, it was sustained, in that it was relied upon and expanded upon on several occasions when the College sought further clarity. Dr Fures had the opportunity to correct the situation, and give the truthful account, but he did not do so. The dishonesty was designed to achieve personal gain to Dr Fures, in that he wished to minimise the actions which the College may take against him, and, in consequence, safeguard his career.
“Dr Fures’ action in dishonestly giving false information to his regulator struck at the heart of his obligation, as a registered professional, to be open and honest with his regulator. This obligation is necessary to allow the College, as regulator, to carry out its crucial and statutory functions in ensuring that it investigates concerns properly.”
In considering the sanction for Dr Fures, the Committee took into account the mitigating factors, including the fact that there were no previous regulatory findings against Dr Fures or any previous conviction for dishonesty, that he had demonstrated remorse for his actions, that there was no actual harm or risk of harm to any animal, that no concerns raised about Dr Fures’ practice, that there was no repetition of the dishonest conduct and that he had demonstrated some insight.
However, in terms of aggravating factors it considered that there was deliberate and sustained dishonesty and that he had sought personal gain as a result of his actions.
After considering various options, the Committee decided that a reprimand and warning as to future conduct was the most appropriate sanction for Dr Fures.
The full findings for the case can be found at: www.rcvs.org.uk/disciplinary
The CPD-qualifying webinar is being given by Professor Saul Faust, Professor of Paediatric Immunology & Infectious Diseases at the University of Southampton, and Ian Wright MRCVS, a veterinary parasitologist, Head of ESCCAP UK & Ireland and one of the owners of The Mount Veterinary Practice in Lancashire.
The webinar will reveal the real threat of this disease and its impact on sufferers, and give an insight to the challenges of diagnosing the condition.
Register for the webinar here: https://cloud.mc.zoetis.com/beneath-the-fur-webinar
The courses are designed for self-paced learning and include practical hints and tips for treating common animal health issues in companion animals and livestock.
Small animal topics include cardiology, hypertension, dermatology, behaviour and gastroenterology.
Cattle topics include Q fever, reproduction and mobility.
In swine health, content focuses on respiratory health, neonatal disease and zoonotic conditions.
The Ceva Academy also includes downloadable resources, including practice posters, social media content and owner leaflets.
Dan Cripwell, vet channel marketing and technical manager at Ceva, said: “We have consolidated our portfolio of online learning courses and resources into one multi-species portal to give animal health professionals flexible access to high quality CPD and information in one convenient location.”
https://ceva.vbms-training.co.uk/dashboard