Veterinary nurses are being asked to take blood pressure readings from cats over seven years of age and submit them to The Mercury Challenge, Europe's largest study into feline hypertension.

The Mercury Challenge, which is being conducted by Ceva Animal Health, aims to collect data on 10,000 cats across Europe to provide a new insight into the detection and management of feline hypertension, a frequent and severe condition that is still not routinely checked¹.

Vet nurses participating in the initiative need to input five mandatory pieces of information at mercurychallenge.ceva.com: the owner’s name, cat’s name, age, systolic blood pressure and time spent measuring blood pressure. Additional information includes: weight, breed, sex and whether the animal has any concurrent diseases, such as chronic kidney disease or hyperthyroidism, or is on any treatments.

Participating practices will be given exclusive access to the study’s progression and results, as well as acknowledgements for their contribution to the Mercury Challenge, depending on the number of cats entered.

Imane Mahlous, cardiology-nephrology and hypertension product manager at Ceva Animal Health said: "It is quick and easy to take part in the Mercury Challenge, which we hope will revolutionise the way that feline hypertension is understood and treated by both cat owners and veterinary professionals." 

For information on feline hypertension or the Mercury Challenge, contact your local Ceva Animal Health account manager or visit mercurychallenge.ceva.com.

Reference

1. 82% of vets admitted to not measuring blood pressure routinely in their senior feline patients. Ceva Market Research into The Veterinary Perceptions of Feline Hypertension, 100 U.K. Vets. March 2017.

Glasgow-based Roundhouse Referrals has launched what it claims is Scotland’s first fixed price tibial plateau levelling osteotomy (TPLO) service.

Lead surgeon at Roundhouse, Ross Allan (pictured right), an RCVS Advanced Practitioner in Small Animal Surgery, said: "We know many practitioners and clients have been frustrated by the difficulties in availability of TPLO in Scotland and we wanted to change that.

"As with our other Roundhouse Referral offerings, we have done away with long waiting lists, unpredictable pricing, and challenges in clinical continuity. We know that in doing so we will revolutionise access to this service and the experience of its users.

"Our TPLO service offers excellent value and quality – we have invested heavily in the very best DePuy Synthes TPLO plates and implants and, together with our hospital status, standards and track record, we are offering a premier TPLO service in Scotland: a TPLO with a recovery that is as reliable and predictable as our Fixed Price!"

The fixed prices for a TPLO are £3000 for dogs under 40kg and £3100 for dogs over 40kg.

The price includes the consultation, diagnostic X-rays/assessment, pre-surgical blood samples, hospitalisation, anaesthesia, surgery (including implants), follow up consultation and follow up X-rays.

Ross added: "We don’t expect anything to go wrong, but should we need to revise our surgery we would do so at no additional cost to the client – that’s our Fixed-Price Fix!"

To make an enquiry, or refer a patient for a Fixed Price Fix TPLO contact Roundhouse Referrals at 0141 649 1316 www.rhr.vet

Vets Now has reached the final of the "Employer of the Year" at the forthcoming Private Business Awards.

Judged by a panel of key UK business leaders, the winners will be announced at an awards ceremony on 6^th September 2012.

More than 600 businesses throughout the UK entered the awards. Richard Dixon, founder of Vets Now said: "We are delighted to have reached the final in the Employer of the Year category. We have an absolutely amazing bunch of vets, nurses and receptionists across the country and I am hugely proud of them. They work their socks off; frequently in really challenging circumstances and have significantly contributed to improving the quality of life for the profession and the quality of Out of Hours care available for pets.

"Caring for animals is at the heart of what we do and we treat over 100,000 pets every year through our network of 53 emergency clinics. The very nature of Out Of Hours emergency veterinary care is very challenging to the profession and the support we offer to veterinary practices is also extremely important to us. In the last year our services have enabled more than 2,000 vets up and down the country to have their nights and weekends off, while their clients receive a high quality Out of Hours service. Our referral services also ensure that pets needing care from recognised Specialists can receive this from a trusted team."

The RCVS Council has approved a pathway for veterinary and animal health paraprofessionals to become associates of, or accredited by the College and thereby fall within its regulatory remit.

At the June 2017 meeting of RCVS Council, members decided to look into two models by which paraprofessionals working in the veterinary, animal health or related fields, might be regulated by the College under powers granted by the RCVS’s Royal Charter in 2015.

The first was an accreditation model, which would involve the RCVS accrediting an organisation which would regulate the profession in question. The second was an associate/ full regulation model, in which individual paraprofessionals would receive a similar level of regulation to that already received by veterinary surgeons and veterinary nurses.

At its January 2019 meeting, RCVS Council agreed to proceed with both proposed models of paraprofessional regulation, with the suitability of each model being considered on a case-by-case basis, depending on the nature of the profession applying for recognition.

Paraprofessions whose work will need to be underpinned by Schedule 3 reform would need to apply for the associate model, as the RCVS would be required to be directly responsible for the register of any individuals undertaking such minor acts of veterinary surgery.

Two paraprofessional groups that have already expressed an interest in being regulated by the College, namely meat inspectors and animal behaviourists, will now be invited to apply for associate or accredited status.

Eleanor Ferguson, RCVS Registrar, said: "This is a very significant decision by Council to open up a pathway to related paraprofessions to apply to become regulated by the College.

"It is difficult to give a time-frame at this stage as to when these particular professions will be brought on board, as we will have to go through a process of developing a number of new regulatory structures including registration, education and investigation and disciplinary, as well as the appropriate governing bodies for each of the professions.

"However, we are very pleased that the Association of Meat Inspectors (AMI) and the Animal Behaviour and Training Council (ABTC) have expressed an interested in being regulated by the College and we look forward to working with them to make this happen."

David Montgomery, President of the ABTC, said: "The ABTC enthusiastically welcomes the news that the RCVS is expanding its influence to include paraprofessionals. We look forward to exploring the opportunity to demonstrate the professional status of ABTC-registered Animal Trainers and Behaviourists by coming under the regulatory umbrella of the RCVS for the benefit of animal welfare."

Ian Robinson, a Trustee of the AMI, said: "The Association of Meat Inspectors welcome the news that the Royal College of Veterinary Surgeons intends to invite paraprofessionals to be regulated under the ambit of the RCVS. We believe it will offer enhanced security, opportunity and status, and we look forward to further dialogue to explore the various models in due course."

The College says it is also in touch with a number of other paraprofessional groups, including those representing animal musculoskeletal practitioners and equine dental technicians, about the future of paraprofessional regulation. However, before such professions could become associates, there would need to be reform of the Veterinary Surgeons Act in order to remedy some of the deficiencies of the current legislative regime and make sure that these groups have appropriate legal underpinning for their work. This, says the College, complements ongoing discussions on changes to the legislative framework to bolster the role of veterinary nurses. 

On particular issue that the College says the new proposals are designed to remedy is that of equine dental procedures being carried out by well-trained but nevertheless unregulated paraprofessionals. Neil Townsend, Chair of the British Equine Veterinary Association’s (BEVA) Allied Professional Committee, said: "Change to the current situation, where legislative enforcement is impossible, horse owners are confused, and horse welfare is compromised, is long overdue. BEVA is really pleased that the RCVS has listened and is supporting a proposal for regulation of all equine dental procedures. We hope that Government will act."

RCVS President Amanda Boag, said: "This is a real milestone in the history of the RCVS and represents quite possibly the biggest change to our regulatory role since the introduction of the Register of veterinary nurses in 2007, and should Schedule 3 reform be achieved it would be the most significant change since the role of veterinary nurses was first recognised in law in 1991. It is particularly befitting for our 175^th anniversary year, as it demonstrates we are an organisation that can evolve to meet the changes occurring in the wider veterinary and animal health sector and use our regulatory experience and expertise to ensure that animal health and welfare and public health is safeguarded in different, but related fields of endeavour."

The full approved paper regarding the review of the minor procedures regime and paraprofessional regulation can be found on the RCVS website at: https://www.rcvs.org.uk/news-and-views/policy/veterinary-legislation-review/ 

The BVA has announced that Ben Goldacre, the best-selling author, broadcaster, campaigner and medical doctor who topped the paperback non-fiction charts with Bad Science, will deliver the 50^th anniversary Wooldridge Memorial Lecture at this year’s London Vet Show (17 - 18 November).

Ben trained in medicine at Oxford and London before becoming a household name through his weekly Bad Science column published in the Guardian between 2003 and 2011.

Ben is the author of three books. His first, Bad Science, published in 2008, sold over half a million copies worldwide and is published in 31 languages. His second, Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients was published in 2012 and his third, a volume of collected journalism entitled I think you’ll find it’s more complicated than that, in 2014. He currently works as an academic in epidemiology.

In his lecture, Ben will be talking about how quacks and charlatans misuse evidence, and the placebo effect, to bamboozle the public. It's an issue of particular interest for the veterinary profession, given the growing focus on evidence-based medicine.

The lecture is open to all London Vet Show attendees and will take place in the BVA Congress Theatre at London’s ExCeL between 12.30 – 1.30 on Friday 17 November.

BVA President Gudrun Ravetz said: "We know that many people’s first point of call is the media or Dr Google when trying to decide what pet to purchase or how to treat their animal’s - or their own - health! So, I’m sure veterinary colleagues from all areas of the profession will find Dr Goldacre’s insight both engaging and inspiring in their day-to-day and working lives."

Other BVA Congress sessions at London Vet Show 2017 include Nudge, nudge – how can we change owner behaviour for better welfare?; Veterinary workforce crisis: what’s really going on? and Veterinary Surgeons Act: an open and shut case?. BVA Congress sessions as well as associated BVA Farm Animal, BVA/BEVA Equine, and BVA Career Development Streams count towards CPD.

BVA members can get access to the full BVA offering, as well as the usual London Vet Show programme, for 15% less than the lowest advertised price. To book, enter your BVA membership number and the code BVA 8 to claim your discount when you book online at www.londonvetshow.co.uk

Photo: John King 2012

The National Office of Animal Health (NOAH) and the International Federation for Animal Health Europe (IFAH) have welcomed the European Commission's publication of proposals for revised legislation concerning veterinary medicines and medicated feed earlier today.

The EC says the proposals are designed to increase the availability of veterinary medicines, reduce administrative burden, stimulate competitiveness and innovation, improve the functioning of the internal market and address the issue of antimicrobial resistance.

NOAH says that currently, the manufacturers of veterinary medicines struggle with a regulatory system with some serious flaws, including:

• A highly segmented internal market and regulatory framework characterised by high product development and licence maintenance costs, limiting availability particularly in smaller markets and for minor species,
• Insufficient protection of intellectual property which stifles investment in innovation,
• A disproportionately high administrative burden which diverts funds and expertise away from new product development and risks depriving animals of modern medicines and treatment options.

NOAH chief executive Phil Sketchley said: "NOAH will be looking at the detail of the texts in the coming days and weeks, and reviewing their potential impact. We look forward to working with the VMD, who have called stakeholder workshops to examine the texts. We will also be supporting our European federation IFAH-Europe as they work determinedly with the European institutions over the coming years to support the Commission's vision for a more efficient regulatory system for veterinary medicines in Europe.

"We believe the value our industry brings to society is very high, despite being quite a small sector. For example, veterinary medicines benefit public health by preventing zoonotic disease and supporting food security.

"With synergies with our own UK Government's commitment to reduce unnecessary red tape, which is a key theme for DEFRA, the animal health industry in Europe needs greater efficiency to cut the red tape for our industry. We look forward to a streamlined registration process which delivers a single European marketing authorisation for all veterinary medicines.

"We will also be considering if the text has any particular implications for the UK animal health market and access to medicines for our animals."

NOAH says it also welcomes the revised medicated feed legislation. Phil Sketchley said: "NOAH believes this is an important route for administering prescription medicines to animals. We will work to help ensure the legislation is capable of maintaining and strengthening this route."

The Pets’n’Vets partnership, a network of veterinary practices in Glasgow and the surrounding areas, has launched a training programme designed to develop the skillsets of newly-qualified RVNs.

Oliver Jackson, Managing Partner at Pets’n’Vets said: "We pride ourselves in investing heavily in the training and enhancing the abilities of our already highly qualified and capable staff. Our latest training programme has been developed in response to a demand from our RVNs for a programme of structured additional training designed to meet their specific needs to enhance and develop their clinical skills.

"The modular programme, which takes place at the award-winning Roundhouse Veterinary Hospital, will feature a line-up of presenters with specialist knowledge delivering a range of learning objectives for participants encompassing such topics as anaesthesia and consulting, will be developed further in future years following feedback from RVNs enrolled on the course."

Ceri Boyd, RVN at the Pets‘n’Vets Family with responsibility for co-ordinating the initiative, said: "There is a growing recognition within the veterinary profession for RVNs to participate in the elevation of the status of veterinary nursing and we want to play an active part in that by helping RVNs blossom and realise their full potential.

"This initiative will endow our RVNs with the confidence they require to progress their skillsets and the initial feedback has been encouraging, with our nurses welcoming this opportunity to enhance their roles and responsibilities, offering the prospect for an even more rewarding career as a consequence of a programme that is not readily available in other veterinary practices."

Forum Animal Health, makers of Apometic, an emetic for dogs, has launched a campaign to raise awareness among vets about the dangers of human foods to dogs, particularly over the festive period.

According to the PDSA, almost half a million dog owners are still giving them chocolate treats intended for human consumption¹ despite the fact that 85%² of consumers know chocolate is poisonous to dogs,.

Chocolate is, of course, not the only human food that is dangerous to dogs. Other treats such as mince pies and Christmas cake (containing raisins or sultanas), as well as food containing onions and leeks, plus sweeteners and human medication, are all potentially lethal if not treated as soon as possible.

The company is also stressing the importance of dog owners presenting their pets at the vets as soon as possible after eating something potentially harmful. Tim Gooders, UK Companion Animal Product Manager at Forum Animal Health said: “During the festive season clients often don’t recognise what is poisonous and don’t know what to do if there is a problem. Their instinctive response is to wait and see, however, animals need to be treated quickly before they have metabolised what they have eaten.” He added that Apometic is most effective if the animal is presented early, pre poisoning.

In order to help raise awareness and alert owners about the importance of acting promptly, the company has created a range of posters which can also be downloaded and printed out from its website.

References

1. Forum Animal Health data on file

2. PDSA PAW report 2013 press release April 2014

In preparation for its first Veterinary Dry Eye Awareness Month, Bayer - maker of Remend Dry Eye Lubricant Drops - is highlighting what it calls a 'blinding gap' in client awareness of keratoconjunctivitis sicca (KCS), aka dry eye.

A survey carried out by the company in 2015¹ found that 46% of dog owners were not aware that dogs can potentially suffer from the condition, despite the fact that it affects an estimated 375,000 dogs in the UK.³

The company says ocular conditions account for around one in ten canine consultations in first opinion practice,² with KCS affecting around 5% of all dogs³, and up to 20% of predisposed breeds.⁴

To help raise owner awareness, Bayer will be holding the first veterinary Dry Eye Awareness Month in July.

Because early diagnosis and treatment can have a significant impact on prognosis, the focus of the campaign will be on encouraging pet owners to speak to their veterinary surgeon in the hope of increasing early diagnoses and improving the uptake of regular testing of at-risk breeds.

The campaign will include a dedicated social media element, targeting communities of at-risk breeds by inviting them to pledge their commitment to managing dry eye in their pet. A range of practice materials have also been produced for practices to support the drive in their waiting room.

Hannah Watts, Group Product Manager at Bayer said: "With this significant gap in owner understanding of the significance of KCS in dogs, it was clear that more is needed to be done to encourage owners of at-risk breeds to visit their vet practice for early diagnosis.

"The focus of Dry Eye Awareness Month is to support vets in championing the issue amongst their client base, through a range of educational materials. We hope vets will join us in utilising the month as a platform on which to discuss the prevalence and potential seriousness of the condition if left unmanaged."

Bayer’s research also found how poor understanding of the lifelong nature of the condition is one of the main barriers to owner compliance when managing cases, further highlighting the need for education.⁵

Chris Dixon, Director at Veterinary Vision Ophthalmic Referrals, said: "KCS cases can present acutely, or with subtle clinical signs that will not be detected from initial observations and require a Schirmer tear test to effectively quantify the reflex tear film production. Unless vets are actively discussing the condition with owners, and performing these tests on a regular basis, it is likely that many dogs could remain undiagnosed."

"In any case where ongoing treatment is required, client education is key in successful disease management. Accurate determination of the cause of the KCS will allow for an appropriate choice of medical therapy. When adjunctive tear replacement therapy is required, many owners will admit to not having the time to administer treatments frequently enough, which should factor into the recommendations we make as practitioners. For example, offering a longer acting product which requires less frequent application.” 

You can download the Remend ‘Vision Matters – A Focus on Keratoconjunctivitis Sicca’ educational guide here: www.remend.co.uk/vets-area.

Dry Eye Awareness Month practice display materials can be ordered from your Bayer Territory Manager or email: ahmarketing@bayer.com

References

1. Survey of 2500 pet owners April 2015, commisioned by Bayer
2. O’Neill DG, Church DB, McGreevy PD, Thomson PC, Brodbelt DC. Prevalence of Disorders Recorded in Dogs Attending Primary-Care Veterinary Practices in England. PLoS ONE. 2014; 9(3)
3. Pierce V & Williams D. Determination of Schirmer Tear Test values in 1000 dogs. BSAVA Abstract 2006
4. Williams D, Mann B. A Crosslinked HA-Based Hydrogel Ameliorates Dry Eye Symptoms in Dogs. International Journal of Biomaterials. Volume 2013, Article ID 460437
5. Survey of 165 veterinary surgeons June 2015

The RCVS has announced that it is cracking down on veterinary nurses who don't comply with their CPD requirements.

Veterinary nurses are required to carry out at least 45 hours of CPD over a rolling three year period.

The results of an audit to discover how many veterinary nurses were complying with this requirement were presented at VN Council last week. 

As part of the audit, the RCVS requested the CPD records of 1,016 veterinary nurses, including:

• a random selection of around 10% of the profession who declared they were compliant when they renewed their registration;

• veterinary nurses who declared they were non-compliant upon renewing their registration;

• veterinary nurses who took part in the previous year’s audit who were not compliant;

• veterinary nurses whose records were requested in the previous year who did not respond.

939 nurses responded, of which 72% (672) were found to be compliant and 28% (267) were non-compliant.

Reasons given by respondents for their failure to comply include maternity leave, family commitments, lack of time or opportunity and illness.

Eight members of the profession had been included in a total of seven of the previous annual audits and, each time, were found to be non-compliant.

As a result, Council decided that any veterinary nurse who was audited and found to be non-compliant in three consecutive years should have their records sent to the CPD Referral Group, a subcommittee comprising members of RCVS and VN Council who review cases of CPD non-compliance for both vets and VNs.

The CPD Referral Group makes decisions on how to follow-up these cases including, in the most serious instances, referring individuals to the Preliminary Investigation Committee.

Racheal Marshall, Chair of VN Council, said: "It is disheartening that a substantial number and proportion of the profession still aren’t compliant and that this proportion has remained static for the last three years with the same reasons occurring year after year including family commitments and lack of time and opportunity.

"However, CPD need not be onerous or expensive and can be done from the comfort of your own practice or home, it could, for example, involve reading relevant clinical papers in a veterinary magazine or journal, reflection on your professional practice, in-house training, participation in webinars and research for presentations as well as organised courses, lectures and webinars. The key is that CPD should be relevant to you and your role and should keep your skills, knowledge and competences up-to-date to ensure that you are providing the best possible care to your patients and clients."

One way to accumulate hours towards your annual CPD requirement is to participate in discussions and read content on VetNurse.co.uk. Just press the 'Claim CPD' above the content, and you'll be able to record the time spent, what you learned and how you plan to put it into practice. The system also records a link to the content you were reading, so you'll be able to refer back to it again later. Then, when you need to submit your record to the RCVS, you can export a VetNurse CPD certificate with your accompanying notes for the selected time period.

For more information about the CPD requirement for both vets and vet nurses, what activities might count as CPD, how to record your CPD and a series of frequently asked questions about CPD please visit www.rcvs.org.uk/cpd.

The full results of the CPD audit can be found in the papers for the February 2019 meeting of VN Council: www.rcvs.org.uk/who-we-are/vn-council/vn-council-meetings/6-february-2019/

The RCVS's new Royal Charter has come into effect today, meaning that the whole of the veterinary nursing profession in the UK is now regulated.

The new Charter received the Great Seal of the Realm and was collected from the House of Lords by RCVS Registrar Gordon Hockey and Policy Consultant Jeff Gill (pictured right). It had previously been approved at a meeting of the Privy Council on 5 November 2014.

Under the changes instituted in the new Charter, there are no longer listed veterinary nurses and all those formerly on the List have effectively been moved to the Register and become RVNs.

As a result they will now be expected to undertake the minimum requirement for continuing professional development (CPD) of 45 hours over a three-year period, will need to follow the RCVS Code of Professional Conduct for Veterinary Nurses, and will be subject to the College’s disciplinary system in cases of serious professional misconduct. Any veterinary nurse removed or suspended from the Register will not be entitled to give medical treatment or carry out minor surgery.

Gordon said: “This is a proud day for us and an important day for the profession as a whole. We worked very hard to get to this point and I would like to thank all those who helped us along the way including RCVS and VN Council members, College staff and the members of the profession and representative organisations, in particular the BVA and BVNA, that responded to our consultation on the proposed Charter last year.

“This Charter clarifies the role of the College and its aims and objectives while also modernising many of our regulatory functions. This represents another significant step towards the College becoming a first rate regulator.

“Critically, this Charter fulfils one of our long-term ambitions to create a coherent regulatory system for veterinary nurses and to recognise them as true professionals, dedicated to their vocation, their development and proper conduct.”

During this year’s renewal period for veterinary nurses (in the autumn), those formerly on the List will be expected to confirm that they are undertaking CPD and will also need to disclose any criminal convictions, cautions or adverse findings when they renew their registration. The annual renewal fee for veterinary nurses remains unchanged.

A detailed set of frequently asked questions for former listed veterinary nurses can be found at www.rcvs.org.uk/rvn.

The Veterinary Products Committee, which advises Defra on veterinary medicinal products and animal feed additives, is seeking applicants for ten vacancies, including one veterinary nurse.

The committee meets three times a year, typically in February, May and September, to consider issues relating to the marketing authorisations for veterinary medicines and animal test certificates, and reports of suspected adverse events relating to veterinary medicines. 

Meetings are held at offices of the Veterinary Medicines Directorate in Surrey. On occasion the committee holds additional ad-hoc meetings. 

Members of the committee are paid £148 for each meeting, plus £76 for preparation time. 

Further information about the Veterinary Products Committee can be found at: https://www.gov.uk/government/organisations/veterinary-products-committee, or from the secretary, Sandra Russell s.russell@vmd.defra.gsi.gov.uk. 

To apply, contact Chris Abbott: c.abbott@vmd.defra.gsi.gov.uk

The closing date for applications is Friday 27th October 2017.