Preoperative fasting to reduce the likelihood of gastroesophageal reflux, regurgitation, emesis and aspiration of gastric contents during anaesthesia is routine, but research on the topic is currently thin on the ground.
The survey aims to obtain information on current preoperative fasting recommendations and protocols in dogs and cats which will enable the expansion of knowledge on common practice. Kat (pictured right) said: "It will also allow me to compare current practice to the literature to examine the use of evidence-based practice. It may also highlight areas requiring improvement in small animal practice to ensure patient health and welfare."
The anonymous questionnaire is aimed at a number of veterinary staff including registered veterinary nurses, veterinary surgeons, students, animal care assistants, veterinary care assistants and reception/administration staff as all are involved in providing advice and instructions to clients on this topic.
Kat plans to share significant findings with the profession in due course.
To take part in the survey, visit: https://harper-adams.onlinesurveys.ac.uk/preoperative-fasting-duration-questionnaire
The survey will close on Friday 14th August 2020 at 5:00pm.
Please share this story with colleagues!
The peer-reviewed manual, available for download from the VMG website, has been designed to be relevant for any veterinary business and has been developed following a review of the contemporary academic and business literature, with input from the VMG Board of Directors.
The Business Re-emergence Manual guides readers through three main areas that need to be considered as they emerge from lockdown:
VMG President Richard (Rich) Casey said: “Depending on the circumstances in which businesses entered the pandemic, it’s likely that they will be affected by a range of people, planet and profit-related issues as lockdown restrictions start to ease.
"Our Business Re-emergence Manual encourages veterinary leaders to take a step back and reflect on how their business was performing before the pandemic as a first step before starting to make plans for their future operations. Investing in this ‘thinking time’ now will enable them to ramp up more quickly and more effectively when the time is right. It is an evidence-based and highly practical tool which all veterinary businesses can work through and we hope they will find it useful as they start to plan for a successful future.”
To support veterinary practices and staff affected by the COVID-19 emergency, the Veterinary Management Group (VMG) is pausing subscription renewals for all of its existing members for three months, in effect, giving them three months’ free membership, including access to resources such as the Business Re-emergence Manual. It is also offering everyone in the sector the opportunity to join the association for three months, also free of charge.
The new series comprises six online discussions taking place over the course of the spring, covering everything from diversity to creativity to identity.
The upcoming programme of events is as follows:
Tuesday 1st March 2022 7pm to 8pm: Celebrating diversity Chaired by Gurpreet Gill, RCVS Leadership & Inclusion Manager. Panel members Lacey Pitcher RVN, Dr Olivia Anderson-Nathan MRCVS and Samantha Payne RVN will be talking about what celebrating diversity means to people, exploring how this links to mental health, and sharing their thoughts on why – and how – the professions should be working towards greater inclusivity, both in and out of the workplace.
Monday 21st March 2022 7pm to 8pm: The joy of creativityThis discussion will look at why creativity is so important for people’s lives and how it can be used to support mental health and wellbeing with a panel comprising Dr Silvia Janksa MRCVS and Olivia Oginska MRCVS.
Tuesday 5th April 2022 7pm to 8pm: Overcoming self-doubt and stressing outThis discussion will consider the main causes of stress in the veterinary workforce and how this may have shifted throughout the pandemic. The discussion will encompass coping strategies, the ways in which stress can be channelled in a more constructive way, and overcoming feelings of self-doubt.
Thursday 21st April 2022 7pm to 8pm: Identity – who am I away from work? This discussion will consider to what extent veterinary professionals should let their careers define them, the importance of understanding oneself in and out of a work setting, and how people can learn to value, accept, and appreciate their whole selves.
Tuesday 3rd May 2022 7pm to 8pm: Saying goodbye…letting go and learning to growThis discussion will consider how best to cope with the various types of loss that may be encountered in an individual’s professional and personal life, and how to learn, adapt and grow from these losses.
Thursday 12th May 2022 7pm to 8pm: Tackling loneliness in a hyperconnected worldThis Campfire Chat will discuss why meaningful connection and having a sense of belonging matters, and how individuals and communities can tackle loneliness in a hyperconnected world.
Angharad Belcher, Director of the Mind Matters Initiative, said: “We all lead busy professional and personal lives and sometimes it means that self-care, which includes talking to others about how we’re feeling and about issues that we find important to us, can fall by the wayside.
“Our Campfire Chats offer a perfect opportunity – and excuse – to take a bit of time out of your schedule to engage in a structured but informal discussion about all manner of subjects, expertly led by a chair and panel with experience, lived and otherwise, on the topic being talked about.
“These events are for the whole veterinary team, we keep the sessions very informal, and there is also the opportunity to share or ask questions of the panel.”
To sign up for the first session, visit https://bit.ly/3GnQK0G.
For further information about the events contact Abi Hanson, Mind Matters Initiative Officer, on a.hanson@rcvs.org.uk
The researchers say that the findings pave the way to generating new and important information about the development chronic kidney disease (CKD) and hypertension (HTN) in cats.
The RVC says that about 30% of cats aged 10 years or older have CKD, which equates to approximately 600,000 in the UK.
Of these, about 40% will also have hypertension.
The research team was led by principal investigator at the RVC, Dr Rosanne Jepson, alongside joint first author from Queen Mary University of London, Dr Helen Warren, and Professor Patricia Munroe.
The team examined the archives of 1,022 domestic cats seen at both the RVC’s Beaumont Sainsbury Animal Hospital and Bow PDSA Pet Hospital since 1992, looking for genetic associations with CKD and HTN using a genome-wide association study (GWAS) approach.
The GWAS approach used a special feline array to characterise over 63,000 genetic differences across the feline genome.
The team examined the influence of different genes on disease traits which may point to new ways of treatment as the pathways and proteins controlled by these genes can indicate novel mechanisms for disease development.
Researchers say that this study method has historically been used for rarer and breed-specific conditions where single genetic mutations might be occurring.
However, the findings show it could now be used to generate new information about common and complex diseases which are likely to be the result of genetic, lifestyle and environmental risks.
Rosanne Jepson, Principal Author of the paper and Associate Professor in Small Animal Internal Medicine at the RVC, said: “This was an exciting opportunity to explore potential genetic influences on the development of chronic kidney disease and systemic hypertension in cats, collaborating with key opinion leaders who work and have published extensively in this field in human medicine.
“These conditions are complex - meaning that there are many factors relating to genetics, lifestyle and environment that cumulatively determine whether an individual may develop either CKD or hypertension in their lifetime.
“This study has shown us, as proof of concept, that large scale genomic studies will be important for understanding the pathogenesis of such complex disease conditions and may help to identify novel pathways as targets for diagnosis and management in the future.”
For the study, which was conducted in 2018 and published this year in Medical and Veterinary Entomology1, practices from around the UK sent in combings from 812 cats and 662 dogs for analysis.
28% of the cats and 14% of the dogs were found to be carrying fleas, with cats from central Wales and the Welsh Borders being more than twice as likely to have fleas than elsewhere in the country. Likewise, dogs from North Wales, the North Wales borders, South Wales and South West England were between 3 and 4.5 times as likely to have fleas as elsewhere.
Of the cats treated with fipronil, 62% (n=57) were still found to be carrying fleas despite treatment. Of the dogs, 44% (n=49) of those treated with fipronil were still carrying fleas. By contrast, 4.1% of cats and 1.4% of dogs treated with fluralaner (Bravecto) were found to have fleas (the lowest of any treatment).
Professor Richard Wall, Veterinary Entomologist at the University of Bristol said: "There is a clear need for greater owner education about the importance of flea treatment and a better understanding of the efficacy of different flea and tick prevention products.
"It is critical for vets to not only recommend the best product for a pet’s needs but to also give a better understanding of the effectiveness and correct application of the different treatments."
Reference
Photo: Professor Richard Wall, University of Bristol
The stem cells were created as part of a study into feline hypertrophic cardiomyopathy (HCM), which the RVC carried out in association with the Animal Health Trust (AHT), The Beryl Evetts and Robert Luff Animal Welfare Trust (BERLAWT), The Winn Feline Foundation and Boehringer Ingelheim.
The RVC says HCM affects about 15% of the feline population in the UK; translating to over 1 million cats. It is caused by genetic mutations which affect the heart muscle cells.
To date, there are no treatments proven to stop or reverse it, leading to a very poor prognosis for affected cats.
This is partly because a major issue with studying heart diseases at a cellular level is that heart muscle cells do not survive in a laboratory environment. When studying human heart cells, this has been overcome by turning ordinary skin cells into pluripotent stem cells (cells able to turn into any tissue in the body).
These are termed 'induced pluripotent stem cells', or iPSCs. It is then possible to generate heart muscle cells to study from these iPSCs.
The research, carried out by Dr Luke Dutton under the supervision of Professor David Connolly, Dr Jayesh Dudhia and Dr Debbie Guest, as part of his PhD at the RVC in collaboration with AHT, has now identified the conditions required to create iPSCs from domestic cat cells.
While creating iPSCs has been done before in wild cats, the RVC believes that Dr Dutton’s breakthrough in creating iPSCs from domestic cat cells is a world first. It sets the scene for further research into how to turn these iPSCs into heart cells and then, once successful, testing drug therapies that could improve outcomes for cats with HCM.
The researchers say that the translational benefits of this project are potentially very significant, as around 1 in 500 people in the UK have HCM, and the condition manifests in humans in the same way.
If the therapies that researchers test on feline heart cells turn out to be effective, this sets the stage for testing these treatments on humans.
Dr Dutton, author of the study, said: "This is an incredibly exciting project, which is only made possible by the generous funding of the BERLAWT, Boehringer Ingelheim and The Winn Feline Foundation.
"Not only is this study the first reported generation of iPSCs from domestic cats, but these cells can now be used in a novel disease model. This will allow us to study the disease processes present in these cats in ways that have not been possible with the ultimate goal of identifying new therapeutic agents that may slow or even stop the disease process. We would then hope to translate these agents into the feline clinic."
Dr Debbie Guest, Head of Stem Cell Research at the Animal Health Trust, said: "This is the first report on the successful generation of domestic cat iPSCs. These cells not only bring hope to cats suffering from HCM, but allow us to develop new tools to study conditions affecting other tissue types in the future."
The charity says that although histiocytic sarcoma is rare, it is an aggressive form of cancer which Flatcoated Retrievers are particularly susceptible to.
According to the AHT, almost half of all affected Flat-coated Retrievers will have a tumour in multiple locations in the body at the time of diagnosis. The outlook for these dogs is very poor and, in most cases, means they receive a terminal diagnosis.
The new research revolves around microRNAs, abnormal levels of which are often found in tumours. In addition, different microRNAs are involved in different cancers. These cancer-specific microRNA signatures can be found within the blood of cancer patients, meaning that a tumour could potentially be diagnosed with a blood test.
To start with, the researchers say they plan to confirm if there is a specific microRNA signature that is unique to histiocytic sarcomas amongst tumours and normal tissue samples from Flatcoated Retrievers. If a signature is identified, the project will investigate if measuring the levels of these microRNAs within a Flatcoated Retriever tissue sample can be used to accurately identify a histiocytic sarcoma. If it can, additional funding will be sought for more research to identify if the microRNA signature is also detectable in the blood of affected dogs, and thence to develop a blood test.
If it comes off, this would mean that a blood sample from a Flatcoated Retriever that was lame, or was showing non-specific clinical signs of the disease such as depression, lethargy, appetite or weight loss, could be tested for the presence of the histiocytic sarcoma-associated microRNAs.
A dog with a positive test result could then have an early MRI scan and histopathology done to confirm the diagnosis, hopefully at a stage where treatment would be more successful.
Dr Anna Hollis, cancer researcher at the Animal Health Trust, said: "I have Flatcoated Retrievers and have lost one of them to histiocytic sarcoma - it is absolutely devastating. This research could make a significant difference, and that is a huge personal motivation for me. Histiocytic sarcoma is a particularly tricky cancer to diagnose, because the tumours are frequently located deep within or between the muscles of the upper limbs - underneath the shoulder is a common location.
"Often lame dogs are rested and given pain relief before imaging is sought. Delayed diagnosis is a potential problem with histiocytic sarcoma given its aggressive nature and ability to spread rapidly to other locations within the body. If we could identify affected dogs at an earlier stage, this may allow more successful treatment of the disease."
The research project has been funded by the Flatcoated Retriever Society (FCRS) and the FCRS Rescue, Rehousing and Welfare Scheme. The Flatcoated Retriever Breed Health Co-ordinator, Liz Branscombe, said "Sadly, there is a high incidence of this aggressive form of cancer in our beautiful breed. Early detection of the disease is key in optimising cancer treatment and prolonging survival time so the prospect of a diagnostic blood test for use in the future is exciting.'
Photo: Liz Branscombe, Dr Mike Starkey and Dr Anna Hollis of AHT and Brian Jones of FCRS Rescue, Rehousing and Welfare.
Alice and Mariella, who co-authored the book Cracking the Menopause, met with MPs earlier this month to present the goals of their campaign: education for all on the menopause, an end to scaremongering, prescribing women with the correct medication and making HRT affordable and accessible to all.
Vets Now says 88% of its 1800 employees are women, 28% of whom are aged over 40, when they could be perimenopausal, menopausal or postmenopausal.
The company's new app offers its employees video consultations with health experts, health and fitness programmes, and support with mental health and nutrition.
Vet's Now says it's the starting point for a wider menopause support plan being launched later in the year which will include steps to help manage mental wellbeing at work, menopause support hubs and encouraging a culture which talks honestly about menopause.
Laura Black, Head of Health, Safety and Wellbeing, said: “Women over 50 are the fastest growing demographic in the workplace and sadly it’s estimated that almost 900,000 women in the UK have quit their jobs due to the menopause.
“We are committed to creating an understanding workplace for employees going through the perimenopause and menopause and want to make sure they feel supported by us at all times.
“We've launched Peppy to help our colleagues take control of their health and get the answers they need from experts, anytime, anywhere.
"The app is free to access for all employees and their partners.
“We’ve been working hard on formulating a menopause support package for staff over the past couple of years and we’re really proud that we’re one of the first major veterinary businesses to make this step change.
"We’d encourage other businesses in the sector to look at similar plans for their colleagues.”
While the drive to launch Peppy was initially to support the Vets Now Menopause policy, it also provides support for fertility, pregnancy, early parenthood and men’s health.
For more information on Peppy visit www.peppy.health.
A similar scheme will also be run for Australian colleagues wanting to spend time in the UK.
The programme will allow the company's vet nurses to enhance their role internationally and to explore other parts of the world whilst furthering their career.
The programme is open to nurses with over two year's experience, who want to work overseas and then return to their current practice afterwards.
Secondments are also available for staff in support office roles.
Staff will be able to return to their existing roles for up to 12 months, and thereafter a similar role will be made available to them in their region.
Graeme Cramb, Managing Director for CVS Australia, said: “Our vision is to be the veterinary company that most people want to work for and we believe this UK-Australia secondment scheme represents an attractive option for colleagues.
“As the first vet company to offer a UK-Australia secondment scheme, we hope that it enables our colleagues to learn from colleagues in a new territory, further their career and to lead to some exciting cross-pollination of ideas.”
When colleagues express an interest, they will be contacted by CVS recruitment team member to discuss potential opportunities that they can apply for.
They must meet the criteria required to be able to obtain a visa to work in Australia.
Successful applicants will be offered a relocation package and continue to be paid their salary in the UK.
They may also be eligible for the cost of living allowance, paid in Australia.
https://www.careerswithcvs.co.uk/intranet/vacancy/uk-to-australia-secondment-program-4472/18753/description/
The company says the sessions will help veterinary staff learn more about the condition - which affects up to 20% of dogs in the UK annually1 - the causes and consequences of osteoarthritis pain, the main predisposing risk factors and the impact of chronic pain on central sensitisation.
The CPD will look at what steps practices can take to mitigate animal suffering and increase long-term owner compliance and will encourage practices to look at their current osteoarthritis management strategy.
Kai Crawshaw, Brand Manager at Animalcare, said: "Canine osteoarthritis is a growing concern for UK vets – latest figures suggest that over two million dogs are suffering, based on current population figures.
"Managing these cases can be challenging, but through this lunch and learn session, we aim to support veterinary staff and help them to expand their knowledge and implement an improved approach for managing canine osteoarthritis.’
www.animalcare.co.uk/lunch-and-learn
The new, four storey, architecturally-designed clinic is full of natural light and includes calming and spacious staff breakout areas.
By combining a beautiful work environment with seamless technology, the company believes it can transform working conditions and job satisfaction for vet teams.
On the tech side, the Creature Comforts has created a proprietary app which allows triage to be handled online and for staff to work flexibly.
The company says the app also reduces the administrative burden, a contributory factor for staff burnout.
Creature Comforts says most clients subscribe at a cost of £20 per pet per month, giving them unlimited consultations, instant bookings and live chat via the app (as well as annual vaccinations and discounted routine treatments).
This should mean animals are seen more frequently, and conditions can be identified and treated earlier.
Memberships will be capped to control vet team caseload and to ensure a good customer experience.
The company is also addressing Competition and Markets Authority concerns, with prices for routine treatments listed on its website, upfront estimates for procedures, and a business model hinged on unlimited access to expertise (i.e. consultations, instant in-app bookings and live chat) at no extra cost for subscribed members.
Creature Comforts says its vet team benefits from a share of their clinic’s profits, above industry-standard pay, compensated overtime, a well-balanced staffing ratio, manageable working hours and scheduled breaks.
Dr Russell Welsh, COO and co-founder of Creature Comforts, said: “It’s an incredible feeling to see a plan come together in a sector that’s so ripe for transformation.
"We want to bring the passion, joy and fun back to our profession, and this is an opportunity to do things differently and vastly better, with a fresh and carefully-considered business model founded on the principles of health and happiness.
"This is vet care as it should be."
https://www.creaturecomforts.co.uk
The training sessions are taking place both online and in person and places will be allocated on a first come first served basis.
Upcoming training dates are as follows:
https://www.vetmindmatters.org/training/
The 2021 Nursing Programme, which was launched in January, is a new course that provides CVS employees with over 150 hours of foundation training and is open to all registered veterinary nurses across the company's practices.
The programme offers a range of courses and is designed to help nurses complete their mandatory CPD requirements, while providing learning and development opportunities for colleagues to further their careers.
CVS says it has capped the cost of the course so it remains accessible to all its nurses.
The company added that it plans to introduce an intermediate course in 2022, and an advanced some time thereafter, so that it can meet the CPD requirements of all of its nurses, at any stage in their career.
Lucy Turner, Chief Veterinary Nursing Officer at CVS Group (pictured right), said: “At CVS, we place our people at the heart of we do and are always searching for ways in which we can be the veterinary company that people most want to work for.
"This foundational programme, which is available almost entirely online, is a way in which we can support, nurture and build on the extensive talent we have across our Group and we greatly look forward to hearing feedback from the nurses who take part in the programme’s first year.”
The Registrar and Secretary of the Royal College of Veterinary Surgeons, Jane Hern, has announced that she will be standing down at the end of the year.
After 15 years in the job, Jane says she has been pleased to oversee a number of significant reforms and new initiatives in her time leading the organisation, but has decided that it is time to move on and pursue other interests.
The College says it is now embarking on a comprehensive review of its governance, committee and management structures, during which the Officers and Council will consider how best the executive should be led in future.
Jane said: "I have greatly enjoyed my time with the College and the Trust. Working with a profession held in such high regard by the public has been a real pleasure. I wish veterinary surgeons, veterinary nurses and all my colleagues all the very best for the future."
The President, Dr Jerry Davies said: "The Royal College has been very fortunate in having the benefit of Jane's wisdom and guidance for so many years, and we wish her every success in the future."
The association says that the day of lectures is mainly targeted at those who are starting on their path of ophthalmology, but old hands may also learn a few new tricks.
Topics will include how to get the most from the ophthalmic examination, diagnostics and what options there are for career growth in our specialty.
There will be live panel discussions to give attendees the opportunity to ask any questions they have.
Tickets costs £100+VAT for BrAVO members, £60+VAT for nurses and interns, and £40+VAT for students.
The deadline for registration is Tuesday 16th March at 5:00pm.
To book your ticket, visit: https://www.eventbee.com/v/bravo-spring-meeting-2021/event?eid=164693974#/tickets
The Pitpat was designed in Cambridge, launched in 2016 and is now the leading dog activity monitor on the market, with over 50,000 sold.
I was invited to review the Pitpat by one of the company's non-executive directors, Myra Forster-van Hijfte FRCVS, a European and RCVS Specialist in Small Animal Medicine who was also one of the angel investors.
I wasn't convinced that this was something every dog owner would want to use regularly. You'd have to be a bit obsessed to be routinely reviewing the activity levels of a perfectly fit young dog. But I think there is real potential for it to add value to veterinary nurses' obesity clinics and also to measure a response to treatment for things like osteoarthritis (OA). As such, it is perhaps something for practices to consider buying for themselves, and then loaning it out to the owners of dogs on a weight loss programme or which are getting treatment for OA.
Myra said: "PitPat gives an objective measurement of the actual activity the dog has done and the app gives the owner tailored advice (based on breed, age and sex of the dog) on how much exercise their dog should be doing and an estimate of daily calories their dog has burnt. This will help owners keep their dogs fit and healthy and in the correct body condition.
"PitPat is useful in weight management clinics by improving owner engagement through the associated weight app. Encouraging exercise also provides the owner with a positive contribution towards weight management.
"Monitoring activity pre- and post treatment, for instance dogs with osteoarthritis on NSAID's, provides vet and owner with an objective measure of whether treatment is effective or not."
You can watch the full review here. If you're interested in technology that is designed to make life easier, do subscribe to the channel!
For more information about Pitpat, visit: https://www.pitpat.com/. Veterinary practices that want to buy a Pitpat for use with their clients will get a trade discount. Contact the company for more details.
The study, which was led by the College's VetCompass programme, found that British bulldog ownership has increased from 0.35% of all puppies born in 2009 to 0.60% in 2013.
At the same time, the study found that British bulldogs suffer more than other breeds from a number of conditions associated with their aesthetic characteristics, including: skin fold dermatitis (7.8%), prolapsed gland of the third eyelid or 'cherry eye' (6.8%), interdigital cysts (3.7%), entropion or inward turning of the eyelid (3.6%), and corneal ulceration (3.1%).
Worse still, only 3.5% of the 1,621 British bulldogs analysed in the study were diagnosed with brachycephalic obstructive airway syndrome (BOAS), despite an earlier study reporting that 84.8% of tested Bulldogs are affected by BOAS to some extent, with 44.0% exhibiting clinically relevant disease2.
This, say the researchers, suggests owners consider breathing problems such as snoring as normal and are not therefore taking their dogs for needed check-ups.
Other findings included:
12.7% of British bulldogs suffer from ear infections, 8.8% from skin infections and 8.7% from obesity
Males are more likely than females to develop skin infection, interdigital cysts, atopic dermatitis and aggression, whereas females are more likely to develop dental disease and obesity.
The average adult bodyweight for a British bulldog is 26kg.
The average lifespan of bulldogs is 7.2 years.
The most common causes of death are heart disease (11.8%), cancer (10.9%) and brain disorder (9.1%).
The RVC says that the results of the study will support initiatives by the Kennel Club and the UK Bulldog Breed Club to improve breeding and also help owners and vets prioritise tackling the leading issues British bulldogs face.
Dr Dan O’Neill, VetCompass epidemiologist at the RVC and Chairman of the Brachycephalic Working Group, said: "The UK has seen unprecedented increases in the popularity of certain short-faced breeds over the past decade. This has led to a series of well-documented welfare issues relating to how these dogs are bred and sold for the UK pet-owning market, high levels of dumping of unwanted dogs into the UK charities and health problems that are intrinsically linked to the extreme body shape of these dogs.
"This new study gives firm evidence for the first time on the true levels of popularity and also of disease diagnosed in the wider population of bulldogs in the UK. This information can help to move the conversation on welfare from 'what are the issues' to 'how do we deal with these issues'. Reliable evidence is pivotal to good decision-making."
Dr Rowena Packer, BBSRC Research Fellow at RVC, said: "The bulldog is an iconic breed but concerns over the health problems allegedly facing these popular dogs have mounted in the past decade. It is extremely valuable to have solid data on the health problems facing this breed, confirming a number of inherent breed predispositions that need to be tackled.
This data supports current initiatives encouraging breed reform, particularly regarding health problems inherently related to their looks, and the need for selection for healthier body shapes. For example, skin fold dermatitis was common in bulldogs and is associated with the desired wrinkled face in this breed – this calls into question the justification of this and other such breed traits that put dogs at risk of potentially avoidable disease."
Steve Dean, Chairman of the Kennel Club Charitable Trust said: "The Kennel Club has put into place a number of crucial measures over the years to monitor, protect and improve bulldog health and to provide the many responsible breeders with the tools they need to do the same, but this paper highlights there is still work to be done."
The study is published open access in PLOS ONE.
References:
The new standards framework sets out the professional values, knowledge, skills and behaviours that are required of awarding organisations and higher education (HE) institutions that provide the curricula, the centres that deliver the courses and their affiliated training practices, as part of the College’s accreditation and re-accreditation processes.
The new framework focuses on six main standards, which apply to awarding organisations/HE institutions, the centres and training practices. The standards are: learning culture; governance and quality; student empowerment; educators and assessors; curricula and assessment; and effective clinical learning.
Julie Dugmore, RCVS Director of Veterinary Nursing, said: "In our previous set of standards there were separate policies and documents for training practices, the centres and the awarding organisations/HE institutions. This now brings all those disparate policies into a unified whole.
"The new standards also place a greater focus on innovation and different types of learning. The previous standards very much assumed that the learning would be done on a face-to-face basis, but we know that, increasingly, student veterinary nurses may be getting the majority of the contact time with their educational institution online and that many institutions have brought in blended learning programmes. These standards recognise this fact and that there are many different ways to learn.
"A greater focus on the student experience is another thing that has really been bolstered in these new standards. For example, we would now be looking for evidence that educational institutions and training practices are providing the support needed for student veterinary nurses to look after their mental health and wellbeing, and that academic and pastoral support is provided to prepare them for independent, reflective practice.
"The new standard will be formally brought into force in January - although for those institutions and organisations that are currently going through the accreditation or re-accreditation process, they can opt to still be assessed via the previous set of standards."
The new standards were drawn-up by a working group comprising VN Council members Alison Carr, Andrea Jefferies and Kathy Kissick, as well as Julie Dugmore.
Veterinary nursing educators were invited to a consultation day in July when they were introduced to the new standards and invited to give feedback.
Kathy Kissick said: "As a former Head of Veterinary Nursing at Myerscough College, I am very glad that we have finally been able to realise and build in the importance of student empowerment into these standards – recognising that veterinary nursing education and training is not just something being done for our students, but something they have a voice and role in shaping.
"Allowing greater choice in the methods and means by which veterinary nursing education is delivered is also a passion of mine and, again, this is something these new standards fully recognise and allow for."
A handbook containing the new accreditation standards will be published on the RCVS website in due course. In the meantime, the documentation is available to download at: https://www.rcvs.org.uk/who-we-are/vn-council/vn-council-meetings/13-november-2019/
DogStem has been shown to be effective, reducing pain and lameness and improving mobility and quality of life for three months to over twelve months following a single injection1,2.
In a prospective, randomised, double-blinded, placebo-controlled trial of DogStem, results showed that2:
TVM highlights how DogStem simplifies the process and reduces the cost of using stem cell therapy in practice because unlike previous therapies, it does not require require a surgical harvesting procedure to be carried out under general anaesthetic.
Helen Harrison, DogStem Technical Vet and Product Manager said: "Osteoarthritis is one of the most common diseases seen in veterinary practices and is challenging to manage.
"Conventional medical treatments typically address the symptoms rather than the underlying pathological processes.
"At the same time, local treatment options that slow progression of osteoarthritis have been limited and surgical interventions aren’t always possible or may be unrewarding.
"We’re delighted to be able to offer vets DogStem®, a stem cell product with a strong evidence base across numerous mobility and quality of life parameters.’
DogStem can be ordered from NVS, or direct from: www.dogstem.co.uk
References
Nutritional researcher Brian Zanghi from the Purina Institute will also share some of his work, which has focused on nutrient-enriched ‘water supplements’ and the impact on voluntary water intake.1
Purina says various studies have shown an association between increased water intake and improved outcomes in cases of feline lower urinary tract conditions.2,3 Encouraging water intake may also benefit cats with renal disease or chronic constipation, as well as older animals with osteoarthritis who might be less keen to make repeated trips to their water bowls.
Libby Sheridan, MVB, MRCVS, Purina Veterinary Technical Affairs Manager, UK & Ireland, said: "The importance of good hydration is often under estimated and there are so many factors that can influence intake – from the position of the water bowl, to materials used in the bowl construction and even the level of fill. Deciding when and how to promote increased intake can be difficult and we hope this session will help vets and vet nurses to make those decisions.”
The lecture programme will include a review of clinical evidence, discussion of the benefits of increasing water intake and practical case-based advice from Sarah and Andy. The event will be recorded for registrants who cannot attend on the day and registrations are accepted until the event starts on the evening of 9th December.
Registration is now open at https://www.bigmarker.com/closerstill-media/You-can-lead-a-cat-to-water-but-how-do-you-make-them-drink. All registrants will be entered into a prize draw to win one of ten goody bags which will include a premium water bottle.
For more information, contact the Purina Veterinary Nutrition Team on 0800 212161.
The new guidance will remove the absolute requirement for veterinary surgeons to perform a physical examination before prescribing POM medicines, making it instead a matter for professional judgement.
However, the proposed new guidance also imposes a requirement for veterinary surgeons who do NOT physically examine the animal prior to prescribing to provide a 24/7 follow-up service which includes a physical examination.
Furthermore, the new guidance will state that: "Where the veterinary surgeon is not able to provide this service [the physical exam] themselves, they should arrange for another veterinary service provider to do so. This arrangement should be made before veterinary services are offered and confirmed in writing as part of the conditions of service agreed by the client."
This requirement to provide a physical 24/7 follow-up would appear to safeguard animal welfare and protect against the risk of online-only businesses (in the UK or abroad) with lower overheads cherry-picking the job of prescribing medicines.
It should also protect against veterinary surgeons feeling pressured to prescribe inappropriately, because the new, stricter requirements will make it easier for them to decline to do so.
However, the BVA doesn't agree with the new proposals. It feels that remote prescribing should be delivered under the auspices of a Veterinary Client-Patient-Relationship (VCPR), which, according to the American Veterinary Medical Association, requires a physical examination.
BVA President Malcolm Morley, said: “The changes to ‘under care’ guidance are a watershed moment, so it’s positive to see that they have evolved in response to feedback from the profession. New technology presents exciting opportunities to enhance existing veterinary services and has benefits for practices as well as clients and their animals.
"However, BVA has been very clear that we believe remote prescribing can only be safely delivered where a vet-client-patient relationship has been established.
"This is an internationally recognised concept, and we are disappointed that the RCVS has decided not to embrace it.
“Having voted to implement these changes, it is incumbent upon the RCVS and the profession to scrutinise how they play out.
"At BVA we plan to develop advice and resources to support our members and help them comply with the new guidance and realise any benefits of remote veterinary service provision.’
“It is now vital that a timeframe for a review is quickly put in place, so any negative impacts on animal welfare or the sustainability of veterinary services can be dealt with swiftly.”
Council voted by a majority of 20 to 3 in favour of the changes, which it then decided should come into force between 1st June and 23rd December 2023, subject to a review at the next meeting.
Discuss the propose changes here
The Action Plan presents what the College is doing to tackle the issue and explains how collaboration, culture change, career development and leadership, among other things, could help with workforce shortages by improving retention of current members of the professions, encouraging more people to join, and making it easier for those who have left the professions to return.
The report lists seven main areas to be addressed:
The full list of actions, with context about what has fed into ambitions, can be found in the Action Plan which is downloadable at www.rcvs.org.uk/publications.
Dr Sue Paterson FRCVS, Junior Vice-President and Chair of the RCVS Advancement of the Professions Committee, said: “This is a very complex, broad and multi-faceted area of concern so the Action Plan has been a long time in the making to ensure that we adequately capture what needs doing and how, in order to enable us to work collaboratively with all veterinary organisations going forward.
"This is not a finished list, but gives all within the veterinary sector the ability to look at the key areas of work that need to be done and prioritise the ones that most suit their organisational needs."
The plan covers mortgage or rent payments of up to £2000 per month for up to a year if you are unable to work because of illness or injury.
In addition, policyholders, their partners and children under the age of 18 are given access to a 24/7 GP service, available via video or phone consultations.
VetYou says there no health or financial questionnaires involved, and whilst permanent conditions and those present within the last two years are not covered, Home Protection will start to cover pre-existing conditions when you have been symptom, medication and treatment free for two years.
There are 12 types of higher risk sports and hobbies Home Protector wont cover cover and Home Protector can’t cover semi-professional or professional sports.
Matthew Dobbs, one of the founders of VetYou (pictured), said: “As practising vets, we know the pain of trying to cover rent and mortgage payments when we are unable to work.
"But as busy professionals we often don’t find the time to get the cover we need.
"So we worked with Future Proof to bring this exclusive product to the profession."
https://vetyou.co.uk/home-mortgage/home-protector
The company says the series will help practices set-up, post content and measure the effectiveness of their social media channels.
There are three introductory videos titled: ‘What are the benefits and why is social media key to my practice?’, ‘Measurement, maintenance and management’ and ‘Planning’.
The first video covers a back-to-basics introduction to social media channels, including Facebook and Instagram. The second video explains how to measure the success of social channels and how to manage posts and content. The final video covers the importance of planning and the use of content calendars to highlight events and awareness days, as well as helpful tools and features such as Facebook Live.
The four how-to guides explain:
The social media videos and how-to guides are part of PetNatter, Boehringer Ingelheim’s free veterinary resource, designed to help veterinary practices stay in touch with owners and help them care for their pets. Originally launched in mid-July, PetNatter provides veterinary practices with professionally crafted social media, newsletter and website content.
Grace Tonner, territory manager at Boehringer Ingelheim said: “Social media plays a big part in our social lives and it is an increasingly important channel in business communities too, which has the potential to help practices maintain and develop vital relationships with pet owners.
"While most vet practices recognise that social media should play an important role in starting and maintaining communications with clients and potential clients, particularly during challenging times such as the COVID-19 pandemic, finding the time, resource and skills to be effective with social media can be challenging.
"Our brilliant series of short, easy-to-understand social media videos and how-to guides provides veterinary professionals with the essential knowledge, tools and confidence to make vet practice social media a hit. Using the videos and guides will enable vet practices to get their social media up and running in just 15 minutes.”
For further information on the social media videos and how-to guides contact your local Boehringer Ingelheim territory manager or visit petnatter.co.uk/how-to.
Asked why the CMA had decided to launch the review, its Senior Director for Consumer Protection told BBC R4's Today programme this morning that: "the costs of many vet services are rising higher than the cost of inflation, and it can be really hard to find out how much it's going to cost you, both for routine treatments or if something goes wrong and you need to find emergency care for your pet."
George added: "There's many other [veterinary] services and costs that people cannot have predicted and they can find themselves unexpectedly facing some really high bills, and when other household bills are going up very steeply at the moment we want to do everything we can to make sure that people can predict how much it is going to cost to see a vet, both for routine stuff but also for things if there's a crisis."
The authority is also looking at whether there is enough transparency over practice ownership.
With the percentage of independent practices falling from 89% in 2013 to 45% by 2021, the authority says people may not be clear if their vet is part of a group which owns other vet practices in their area or that the services which are being sold to them (such as diagnostic tests or treatments at a specialist animal hospital) are provided by that group.
This, it says, could impact pet owners’ choices and reduce the incentives of local vet practices to compete.
The CMA is now asking veterinary professionals, people who supply veterinary products and services and pet owners to take part in the review by completing an online questionnaire: https://www.gov.uk/guidance/how-to-respond-to-the-veterinary-services-market-for-pets-review
In particular, it wants to hear practitioners' experiences of:
The questionnaire will remain open for six weeks.
The CMA will outline the issues it identifies and announce its next steps early in 2024.