Vetpol says its new course, which is delivered online, has been designed to deliver a positive experience for students, as SQP training is acknowledged to be challenging, with a lot of information to assimilate. The course uses the principles of reflective learning, with simple exercises to help embed what is learned, and highlighting of key facts to aid recall.
Caroline Johnson, Vetpol Founder and Director (pictured right) says the team thought hard about how best to match need and application while covering the day-one-competencies required for SQP registration: "There is an increasing number of NFA-VPS medicines available alongside POM-VPS medicines and a growing need to broaden knowledge of companion animals, which we have reflected in the course content. In agriculture too, it has never been more challenging to deliver the kind of service that farmers and stock-keepers need in the 21st century - we have looked at this both from the farmer and outlet's point of view and we have really addressed health and disease with this in mind."
Vetpol will provide companion animal, farm, equine and avian training leading to a Level 4 SQP qualification. Level 4 qualifications are rated above A level (which is a level 3 qualification) and include NVQ Level 4, Higher National Certificates (HNC) and Certificates of Higher Education (CertHE).
The course writers have aimed to make sure the course contains information that is relevant, practical and necessary, building on a solid base of animal welfare and husbandry. They plan regular updates to ensure the course reflects current thinking and keeps pace with changes in medicines legislation.
Caroline says she has concentrated on trying to make sure that SQPs have the knowledge they need to add value to customer and client transactions: "We were especially keen when writing the online course to give SQPs the scope to apply their knowledge in practical day to day situations and to make excellent recommendations."
Future students or employers can register their interest or request further information now at www.vetpol.uk or by emailing caroline@vetpol.co.uk.
The Weight Management range offers nutritional solutions to support healthy weight and the management of cats and dogs with diabetes mellitus.
Caroline Burke, Weight Management Specialist at Royal Canin, said: "Obesity is a growing problem and puts pets at risk of developing further conditions. Now recognised as a chronic incurable disease, we are passionate about tackling this problem with science. The Weight Management products are the gold standard in nutritional support for weight management."
Royal Canin Satiety Weight Management has high levels of fibre to make pets feel fuller for longer. It also comes in a new kibble shape which Royal Canin says increases chewing and meal duration by 57% and decreases begging significantly in 15 days.
Royal Canin Diabetic is formulated to help with the management of glycaemia and the wet pouch now comes in a new size, moving from 100g to 85g, for better portion control. Both diets have been launched with a new premium pack design.
Caroline added: "We know studies show that obese cats and dogs may live shorter lives and can be more susceptible to skin diseases, diabetes mellitus, urinary disease and cardio-respiratory dysfunction. In addition to a reduced life expectancy, owners of obese pets spend more on average; from diagnostics to surgical procedures and medication. Our new Weight Management range will help veterinary professionals support owners in creating healthier habits and work towards better management of overweight pets."
For more information on the new Weight Management range, visit https://vetportal.royalcanin.co.uk/vhn/veterinary-health-nutrition-weight-management/
The College says the consultation, which closes on 22nd December, reflects its commitment to keep reviewing its requirements for newly-qualified VNs to ensure they remain up-to-date and reflect the standards and expectations of current veterinary nursing practice.
Participants will be asked to comment on a proposed new set of requirements, which is divided into three parts:
Day One Competences: the minimum essential competences that the RCVS expects all student veterinary nurses to have met when they register, to ensure that they are safe to practise on day one.
Day One Skills Lists: the essential clinical skills that veterinary nurses are expected to possess on entering clinical practice.
Professional behaviours and attributes: this encompasses the behaviours newly-qualified veterinary nurses are expected to demonstrate on entering the profession.
Julie Dugmore, RCVS Director of Veterinary Nursing (pictured right), said: “With this consultation we want to gain an effective representation of what the professions desire from future RVNs in term of their range of skills and knowledge and professional behaviours from their first day in clinical practice.
"Any feedback we receive on the proposed new requirements will be vital in helping to ensure that student vet nurses receive the appropriate education and training, and that our RVNs are fully prepared and armed with what is necessary to thrive in and add value to current veterinary clinical practice.
Once the consultation is complete, the responses will be reported to the working group, which will then have a final opportunity to amend and agree the proposals, before being submitted to VN Council for consideration.
The aim is that VN Council will agree to the new version of the requirements in its February 2022 meeting.
The deadline for completing the consultation is 5pm on Wednesday 22 December 2021. A PDF document with the proposed new requirements as well as the link to the online survey can be accessed from www.rcvs.org.uk/VNdayone.
To take part, visit: www.rcvs.org.uk/VNdayone
Everyone taking part in the survey will receive a fob watch to thank them for their participation.
Sarah is leading the project, which is supported by Ceva Animal Health, alongside Professor Danièlle Gunn-Moore, fellow RCVS Feline Medicine Specialist and Professor in Feline Medicine at The University of Edinburgh.
Suzanne Page MRCVS, Amodip Product Manager at Ceva, said: “There are many barriers to ensuring that all older cats and those with relevant concurrent diseases receive screening for hypertension.
"The survey will help us better understand what those barriers are and how these challenges can be addressed positively to improve animal welfare.
"It is also an issue that requires the whole practice team to come together to deliver a better outcome for their patients.
"We are therefore very keen to find out how all members of the practice team view these important issues and want to encourage all vets and veterinary nurses to share their perspective on the challenges they face in carrying out blood pressure measurements.”
Sarah is emphasising the importance of keeping feline patients calm and relaxed during blood pressure assessments: “The so-called ‘white coat effect’ or situational hypertension, has been observed in both people and animals.
"The survey will also explore the tools and techniques veterinary professionals use to minimise the impact of blood pressure assessments on their patients and will help us to develop some best practice approaches.”
The survey can be found at https://bit.ly/FelineHypertensionSurvey.
The publication of the guide follows a study of vet professionals published in the Journal of Feline Medicine and Surgery which revealed that the main barriers to blood pressure measurement are a lack of time (72.8%) and situational hypertension (92%)1.
Vet professionals also thought the main barrier for owners was cost (80%) whilst the least problematic aspect is the longer consultation needed to accommodate a blood pressure measurement (48.8%).
The guide has been written to address these concerns and empower vet nurses to run nurse-led clinics for older pets.
Written by RVN, Beth Kirwan, the guide provides information on the benefits of vet nurse-led senior pet clinics, which can either be free or paid, together with hints and tips on how to get started and promotion.
The guide also covers the importance of a senior health-check questionnaire, tips on preparing and setting up a clinic, a 10-point health check providing guidance on what should be covered and information on additional senior pet tests that can be carried out, such as blood pressure checks for senior cats aged seven years or older to help identify feline hypertension.
Beth said: "I was really excited to be asked by Ceva to create this resource for veterinary nurses and grateful for the opportunity to share my experiences and knowledge.
"I have been a nurse for over 22 years, and I am passionate about making our nurses feel valued in practice.
"Nurse clinics are a really good way to do this, but I feel that setting up a senior nurse clinic service in a practice creates so much value in many ways and for every member of the practice, from the receptionists to the vets.
"Our RVNs are the stars of the show with senior nurse clinics; they bring so much experience, care and compassion and are a great reflection of our practice values.
"They often have the time that the vets don't have and will go home knowing they made a difference to a pet and an owner, or a family.
"Veterinary nurses can help identify disease early, support the owners with home adaptations or new medicine regimes.
"They can also educate the clients in senior and super senior care as our pets are living longer and provide quality of life and end of life support.
"The benefits are huge; as well as a financial benefit support like this will bond clients to a practice for life.
"We are all businesses, but we need to be caring businesses.
"I hope the guide provides inspiration to many nurses and empowers them to set up a new service or helps them to improve their current one."
Dr Sarah Caney, RCVS recognised Specialist in Feline Medicine who led the study said: “Our recent survey had more VN participants than vets, showing just how enthusiastic and engaged nurses are when it comes to assessing blood pressure in cats.
"Owners very much appreciate nurse clinics and I’m delighted to hear that there is a new senior pet clinics guide to support nurses in setting up and running successful clinics.”
https://easethepressure.co.uk/feline-senior-health-clinics
Reference
Julie won the award for her dedication to progressing veterinary nurse education, both in the UK and abroad.
Julie is Chair of the Accreditation Committee for Veterinary Nurse Education (ACOVENE) and a Board member of the Veterinary European Transnational Network for Nursing Education and Training (VETNNET).
Over the past ten years, she has been involved with several Leonardo da Vinci European funded projects developing veterinary nurse training across the European Union.
Other winners of this year's awards included Laurent Garosi (The Bourgelat Award for outstanding international contributions to the field of small animal practice), Sarah Girling (The Simon Award for outstanding contributions in the field of veterinary surgery), Kit Sturgess (The Woodrow Award for contributions to the advancement of small animal medicine), Martin Hawes (The Amoroso Award for outstanding contributions to small animal studies), Daniella Dos Santos (The J.A. Wight Memorial Award for an outstanding contribution to the welfare of companion animals) and Claire Bessant (The Ray Butcher Award for an individual who has made a significant contribution to animal welfare in the community).
BSAVA Honorary Secretary, Krista Arnold said: “Congratulations to all those that are receiving an accolade.
“All the nominations were exceptional, making judging particularly difficult this year.”
The dispensation was originally introduced during the spring 2020 lockdown to safeguard animal health and welfare, the health and safety of the veterinary team, and public health, by allowing prescriptions to be made by veterinary surgeons without their having first physically examined the animal, subject to conditions and safeguards.
The RCVS says the Committee considered the ongoing challenges posed by Covid-19 and recognised that staff absences due to isolation requirements were still causing issues.
However, given the relaxation of the requirement to work from home in England, Scotland and Northern Ireland and relaxation of restrictions generally across the UK, the Committee felt it was time to end the dispensation.
Chair of the Standards Committee, Dr Melissa Donald MRCVS, said: “The safety and wellbeing of veterinary professionals, as well as the health and welfare of the animals they care for, have remained uppermost in our minds when considering this temporary position on remote prescribing.
“We are pleased to have been able to support the professions through a very difficult time by introducing this dispensation, however, it was only ever a temporary measure and, given the relaxation of restrictions across the UK, we feel the time has come to revert to our usual guidance.
“We will continue to keep the position under review in light of any changes, including governments’ advice and regulations, as we have throughout the pandemic.”
NDSR’s director of neurology Rodolfo Capello said: "This technology is one of the most advanced in medicine and helps to surgically remove tumours while also reducing the tissue damage to vital structures.
"The accuracy and control of the system offers us greater versatility and precision, and minimises invasive manoeuvres during both soft and hard tissue dissections.
"Surgeons can therefore be extremely confident of accurate tumour excision with reduced blood vessel and tissue damage which will all help increase and improve the outcome of our surgeries.
"We’ll be using the ultrasonic surgical aspirator for the removal of tumours in the brain, liver and to cut through bone where necessary. It will be a great asset."
For more information, visit: www.ndsr.co.uk
The nurses have coordinated a donation of unwanted scrubs, tops and other surgical clothing to Leicester-based charity Inter Care, which supports health clinics in countries such as Ghana, Tanzania, Sierra Leone, Malawi and Zambia.
Harriet said: “It all came about because we were about to dispose of some surgical wear, including scrub tops and trousers.
“We thought it a waste to throw them away so got in touch with Inter Care via email and they were very quick to come back to us.
“They said they frequently ship containers full of medical supplied to Africa and one was being sent this summer so we quickly sent them our supplies to be included in the next shipment.”
Bianca added: “We initially looked at this as just a one-off donation but now we’ve learned all about Inter Care we’ll be looking into sending more things in the future.
“I think it’s a great idea and a great cause because the charity supports more than 100 health units in some of the poorest parts of Africa, sending much-needed medical supplies and aid to rural clinics.”
A new study from the University of Surrey, published today in the journal PLOS One, has identified the specific effects of a malformation which affects affects toy breeds.
According to researchers, Chiari malformation has become prevalent as a result of selective breeding and affects many toy dog breeds which have been bred to look more doll-like, including Griffon Bruxellois, Cavalier King Charles Spaniels, Chihuahuas and their crosses.
Researchers took brain, skull and vertebrae measurements of 155 Griffon Bruxellois and compared dogs affected by the condition with normal Griffons. They discovered that Griffons with the disease had taller foreheads and that it had also caused the shape of the brain to change, with severely affected animals having their cerebellum pushed underneath the main part of the brain.
The researchers say that although it can be asymptomatic, in many dogs Chiari malformation can cause headaches, problems with walking or even paralysis.
The condition can also affect humans and the University is working with human geneticists at the University of Montreal, in the hope that better understanding of the condition will lead to improved treatment for both dogs and humans.
Lead author, Dr Clare Rusbridge from the new School of Veterinary Medicine at the University of Surrey, said: "Chiari malformation can be described as trying to fit a big foot into a small shoe. It can be very painful, causing headaches and pressure on the brain and can result in fluid filled cavities in the spinal cord. Our latest discoveries will be significant in driving this research forward and hopefully allow us to identify which genes may be associated with the condition.
"Our next steps will be to apply our technique to other breeds with Chiari malformation and investigate more sophisticated ways of screening, so that risk of disease can be detected more easily, at an earlier age and with a single MRI scan.
"We want to engage breeders and give them practical advice about the condition, but it is also important that the public recognises that breeding dogs in a certain way to influence how they look might not be in the animal's best interest. There are responsible breeders out there, who have invested in screening and who are breeding for health as well as producing attractive puppies, and it is vital that people only look to buy from them."
The app allows trainers to store and share medical records and treatment plans, identify horses and, with a Bio Thermo chip, monitor temperature non-invasively.
In Ireland, the Irish Horse Racing Board (IHRB) requires every yard keep a Blue Book which has to be submitted monthly. In the Blue Book, every medication given to every horse is recorded, with the amounts, the name of the medication and its batch number all written in by hand. EquiTrace enables a trainer to email the blue book information direct from their mobile phone.
Vincent O’Connor, senior vet at Sycamore Lodge Equine Hospital on the Curragh, Ireland, says he has found the app very easy to use and particularly appreciates the way it suggests stand down periods required for intraarticular medication, where injections into different joints require different numbers of days withdrawal before competition. The experience of John Oxx, whose winner I Know I Can was disqualified because of a positive test for TCA (triamcinolone acetonide) on 2 July 2020, is a case in point. Dr Lynn Hillyer, IHRB Chief Veterinary Officer and Head of Anti-Doping, stated that the minimum recommended stand down time for TCA would be 14 days but added that the stifle is a complex joint and can be associated with longer excretion times than might be expected.
Kevin Corley said: "Keeping a horse’s identity straight might seem a simple thing, but when you have a yard where staff and horses can change frequently and records are kept in the office, far away from the stables and fields where the horses are, it is not as easy as you think. I remember a time when I was called out to genetically test four two year olds, each valued at over €50,000 because their registration documents had been lost before they had been filed and no one knew which one was which."
EquiTrace has been in trials in Ireland, England, USA, Sweden and Italy and Kevin says every yard which has tested the app has kept it in operation.
EquiTrace is a subscription service, with a basic service for $1/€1 per month per horse and a premium subscription at $2/€2 per month per horse. A scanner available from EquiTrace as a one-time cost is required to operate the system, ranging in price from €250 to €400 or USA $350 to $550.
EquiTrace works with all ISO-compliant microchips but some of the service offerings are dependent on the type of chip in the horse.
EquiTrace is available on Apple and Google appstores. Establishments with over 200 horses can contact EquiTrace directly to arrange a subscription. Current clients include DK Weld in Ireland, Ramsey Farm and Three Chimneys Farm in Kentucky, USA, Kinsale Stud in the UK and Avantea in Italy.
For more information, visit: https://equitrace.app
Earlier this year, the company called on veterinary team members to nominate nurse colleagues who had gone beyond the call of duty, particularly since the outbreak of the COVID-19 pandemic.
And the winners are:
Claire Defries, VN Programme Leader at the College of Animal Welfare, who was instrumental in developing online training virtually overnight when the national lockdown was announced in order to support vet nurses in training and to enable third year students to sit their finals. She was also commended for the pastoral support she has provided to students during lockdown.
Ellie Tappenden from Albyn Veterinary Centre in Broxburn, was nominated for the long shifts she has been working before delivering regular medicines and ensuring that self-isolating clients are coping. She also created a local support network with other vets and organised a collection of spare PPE for the local hospital. She achieved this while managing her pain from Ehlers Danlos, a degenerative disease which she fights every day.
Tammy Jarvis from the RSPCA Block Fen Animal Centre in March was nominated for the exceptional support she has provided to all 105 patients at the RSPCA centre and the veterinary surgeon. With other staff furloughed, she has also taken on additional duties, including maintenance and grounds management, and has recently started sewing facemasks for the team.
Bethany Lavill (pictured right) from Etwall Vets in Derby was nominated for the wide range of additional duties she has taken on, including collecting animals from owners who are self-isolating; coming in after hours to check up on in-patients and supporting bereaved clients. She has gone over and above the call of duty on many occasions and still asks what more she can do to help.
Student vet nurse Shannon Mills from Leeds Colton Vets4Pets was nominated for being a major asset to the team over the last few months, despite a recent diagnosis of epilepsy. She has willingly covered a range of roles and recently nursed a critical care rabbit throughout the day, whilst manning reception. She even managed to pass her mock exam with flying colours during lockdown with little time to study.
Each of the five winners was rewarded with a Betty’s Gift Box, brimming with treats, including Betty’s champagne truffles, chocolate desires, Yorkshire tea and shortbread.
Animalcare Product Manager James Beaumont said: “We wanted our competition to highlight the fantastic contribution vet nurses around the country are making to their colleagues, clients and patients – but the number and quality of entries hugely exceeded our expectations.
"At such a difficult time, the positivity, passion and care that each nomination exuded made reading them a moving experience and selecting only five as winners was no easy task. We thank all those who took the time to nominate their amazing colleagues and thank every vet nurse who was nominated for their extraordinary commitment and dedication."
Amy was diagnosed with a rare form of cancer in 2019 and treated at the Bristol Royal Infirmary, Bristol Haematology and Oncology Centre and Southmead Hospital.
She underwent cancer surgery, chemotherapy and radiotherapy, and afterwards wanted to show her appreciation for the expert care she’d received by supporting the charity Above and Beyond, which raises money for Bristol City Centre Hospitals.
Unfortunately, the pandemic put paid to her plans for a fundraising event, so instead, Amy decided to sell Christmas trees from home and donate a percentage of the profits to the charity.
Amy said: “I wanted to give something back in return for the wonderful care the hospitals provided me with.
"The people who work in this field truly are angels and made a terrifying road ahead much easier to get through. I really do not know how some of them do the jobs that they do.
"The charity Above and Beyond raises money for Bristol City Centre Hospitals, including the children’s hospital, so I decided to pick them so that all the hospitals that had been involved in my care would benefit."
Amy managed to sell 102 trees, well surpassing her original target of 70. She added: "I am extremely thankful to everyone who chose to support me and the charity. We had raised more than £2,000 by the end of January, which is fantastic.
"I hope everyone enjoyed their beautiful real trees and I look forward to seeing them all again next year!"
Cave’s clinical director Nele Van den Steen said: “This was a wonderful effort by Amy and typical of her caring and considerate nature."
All existing BEVA members will have their membership automatically extended until 30 June 2020. The association is also inviting vets and vet nurses who are not already BEVA members to join as online members free of charge until 30 June 2020.
BEVA President Tim Mair said: “In this extraordinary time of global crisis our profession, as with many industries, is under immense pressure. By offering free membership we are giving equine vets easy access to a wealth of supportive resources and online CPD to help them through these dark times.”
BEVA membership includes:
The association is also looking at other ways to support the profession, which has included making all BEVA Congress 2019 webinars available to members via the BEVA online learning platform.
To sign up from Monday 30 March 2020 visit: https://www.beva.org.uk/Join-BEVA
Dr Guillaume Leblond, an American specialist in veterinary neurology at NDSR said: “Traditionally, bone cement has been used to provide support and stabilisation when treating veterinary spinal instability cases.
“Polyaxial pedicle screws have proven a very reliable and efficient way of treating such spinal problems in human medicine.
“These special screws can be inserted in the vertebrae and connected to strong metal rods instead of bone cement and we’re now very excited to be offering this new service to our patients.
“The main advantage to this cutting-edge procedure is its flexibility.
"Once cement is set in place it is obviously very hard to move, manipulate or remove should you need to adjust or correct.
“With the metal rod and screw system, it is more adaptable and you can adjust it far more easily and quickly.
“It may also be less prone to infection compared to cement, which has been known to harbour bacteria sometimes causing infections several years after the surgery.
"Another hope we have for this system is that it will be less prone to failure compared to cement, especially on extended stabilisation constructs.
Guillaume added: “The neurology team at NDSR has been training in applying this new system as soon as it became available and we have already used it to treat two dogs, both of them having surgery on the same day.
“One was a golden retriever treated by my colleagues Rodolfo Cappello (head of neurology) and Natalie West (neurology resident), and the other was a whippet under my care.
"They were two very different sizes of dog but both operations went well.
“We are grateful to OrthomedTM, the company manufacturing the stabilization system, provided all necessary details to plan the surgeries as precisely as possible.
“We also collaborated with Vet3DTM to create patient specific 3D printed guides to ensure the precise placement of screws and it proved a great solution in both cases.”
“Admittedly, it is still early days for the introduction of this new spinal stabilisation system but we are optimistic it will prove a significant advancement in treating many spinal problems.”
www.ndsr.co.uk
BSAVA’s new Congress Programme Committee Chair, Paul Higgs MRCVS (pictured right) said: "The new venue provides an opportunity to really shake up the content. It’s the first time BSAVA Congress delegates will have met in two years and we want to deliver an unforgettable experience."
"We’ve thought long and hard about what delegates want and need, as well as the way people like to learn, integrating those approaches within the programme. Delegates will find few long-format lectures, instead there will be lots of opportunities to participate, to discuss, to do and to experience."
He added: “For general practice vets and nurses, we’re offering an immersive experience designed to support the skills required in first opinion practice yet rarely provided in a lecture alone. And while the CPD will provide ample opportunity to learn about the clinical aspects, delegates will also have the opportunity to immerse themselves in true-to-life case management events in a dedicated space to help reflect those paraprofessional skills that are so critical to first opinion practice.”
Delegates will also be able to drop-in to practical sessions and perfect a technique such as undertaking cytological examination, reading radiographs and performing endoscopy in as little as 15 minutes. For the first time, the practical sessions will be included within the ticket price.
BSAVA will also be giving delegates the opportunity to meet and pick the brains of the speakers in a dedicated space in the exhibition during lecture breaks.
Although some sessions will be more aligned to veterinary nurses, all sessions will be open to both vets and nurses. Paul said: "Nurses are increasingly looking for opportunities to expand their knowledge, horizons and skillsets, while many vets want to, and would benefit from, learning from our excellent nurses. The programme will reflect this."
The BSAVA Programme Committee is also going to incorporate practice management within the programme. Paul said: "Vets and nurses aren’t isolated from the fact practices are businesses and the decisions they make have a financial impact."
“Everyone in the profession has something to give and BSAVA Congress 2022 is a chance for everyone to come together to hear people you’ve never heard before, see things you’ve never seen and do things you’ve never done."
Tickets will be on sale late October. To find out more visit: https://www.bsavaevents.com/bsavacongress2022/en/page/home.
The reasons are: above average increases in veterinary salaries, advances in veterinary medicine which mean practices can now offer ever more complex but expensive treatments, veterinary practices becoming more business-focused and now charging fair prices for services that they have in the past subsidised, and the cost of providing out-of-hours care.
One reason for the increase in veterinary salaries is the fact that historically veterinary surgeons and especially nurses have been relatively badly paid, although for vets that was always mitigated by the expectation of practice ownership later in their career, something which is no longer a realistic prospect for many.
Veterinary salaries have also been driven higher by the reduction in EU vets coming to work in the UK post-Brexit, although the report shows that UK trained vets and vets from the rest of the world are starting to pick up the slack.
The BVA report says it recognises that it is 'challenging' for clients to accept that rising bills are in part because of increased salaries, but they need to increase further still, pointing to the fact that NHS consultants earn around £100K per annum after four years, whilst vets earn around half that.
The submission also points to developments in veterinary medicine and technology which allow for far better standards of care, but which come at increased cost, notably in advanced imaging, dental work and laboratory services which increasingly involves specialist input.
The BVA also highlights the fact that veterinary practices have become more business savvy, especially since the 1997 decision by the RCVS to allow people and organisations other than veterinary surgeons to own practices.
With that came an influx of business skills and a prioritisation of financial considerations.
Lastly, the report points to the ongoing burden of providing out-of-hours care.
Unlike in most European countries, British vets must provide 24 hour emergency first aid and pain relief to animals, the costs of which have increased considerably as practices which used to provide the service in house at a loss, have increasingly opted to outsource it to veterinary service providers which charge commercially realistic prices.
The submission also discusses the cost of prescriptions, noting how important it is that veterinary practices are able to charge for the time and work it takes to issue a prescription, which despite an above-inflation increase, still only costs around £18.
Finally, the BVA addressed the issue of transparency over practice ownership, saying that whilst it is not aware of any data concerning whether pet owners select a practice based on its ownership, it nevertheless "supports the principle of improved transparency of ownership to help increase customer awareness and enable consumers to make an informed choice".
British Veterinary Association President Anna Judson (pictured) said: “In our submission to the CMA, we have explained the complex challenges facing the profession, alongside highlighting the value of veterinary care.
"The CMA’s review will provide valuable insights, but it is essential that any recommendations are informed with full knowledge and understanding of today’s veterinary landscape and the pressures the profession is operating under, including workforce shortages.”
COMMENT
In all, the submission seems a detailed and fair representation of the reasons for increasing veterinary costs, although there is no mention of the impact of the increasing regulatory burden (such as the cascade), other than, ironically, the need for more regulation at a practice level, as well as of individuals.
It will be very interesting to see what the Competition and Market Authority concludes.
After all, there is no reason whatsoever why veterinary practices shouldn't charge a price which reflects the costs of providing the service, or that veterinary professionals should not be paid reasonably for their knowledge, skills and experience.
The problem is that as the industry has started to charge commercially viable rate for an increasingly higher standard of more advanced care, so the true cost of providing that care has become clear.
Maybe the industry is in danger of trying to sell a Rolls Royce service to marketplace of people who either can't afford or don't want to spend more than the cost of a Ford Focus.
If that is true, the only logical conclusion is that either society will have to accept that pet ownership is a luxury for a smaller group of people who can afford it, or the industry will have to adapt its offering, in other words offer a lower level of cheaper care in order that more people can experience the joys of pet ownership.
The latter of those will be ideologically challenging for a profession bound by its oath that "my constant endeavour will be to ensure the health and welfare of animals committed to my care", not to mention pet owners who often want the best that the profession can offer, despite not always having the wherewithal to pay for it.
https://www.bva.co.uk/media/5459/submission-to-cma-oct-2023.pdf
CardioCare is based on research carried out at the Purina Technology Center which explored how nutrients can support the ailing heart. First, a series of metabolomics studies identified metabolic changes that occur in MMVD. Then the company developed a ‘Cardiac Nutritional Blend’ to address these metabolic changes and evaluated it in a clinical study.
The main elements of the Cardiac Nutritional Blend include carnitine precursors, antioxidants and medium-chain triglycerides. Purina says the latter provides an alternative energy source that is easy for the struggling heart to use, something which is particularly important as the metabolomics research revealed that dogs with MMVD showed less efficient cardiac energy metabolism1.
The company highlights a 2019 clinical study, which showed that the Cardiac Nutritional Blend has the potential to delay disease progression in dogs with preclinical MMVD. Over the six-month study period, dogs with preclinical MMVD fed the Cardiac Nutritional Blend showed a reduction in left atrial size, while an equivalent group of dogs fed a control diet showed an increase. Additionally, none of the dogs fed the Cardiac Nutritional Blend progressed from stage B1 to B2 during the study, while 37% of dogs fed the control diet showed progression2.
Purina also says that while the research to date has focused on MMVD, the nutrients in CardioCare are recognised to be beneficial under conditions of cardiac stress and the diet may prove a useful tool to provide support in a wider range of conditions. The company recommends that the diet be considered as part of the management plan for any dog with cardiac insufficiency.
Dr Libby Sheridan, Purina Scientific Affairs Manager for the UK & Ireland, said: "Metabolomics research has the scope to drive huge advances in managing a range of conditions. We’re proud to be at the forefront of this exciting field and bring the benefits of our findings to vets in practice.
"CardioCare opens up a new avenue of support for patients with cardiac insufficiency and vets can use this diet as a tool to complement medical treatment."
CardioCare will be available from 30th June. Contact vettechline@purina.nestle.com for more information.
References
The clinic is being run by Liz Leece, an RCVS and EBVS Specialist in veterinary anaesthesia and analgesia, to offer bespoke pain management plans for clients.
Liz has more than 20 years’ experience in specialist anaesthesia and analgesia and has extensive experience managing dogs and cats with complex problems causing chronic pain.
Liz said: "Our pets are similar to humans in the sense that the longer they live, the greater the chance they will develop conditions causing chronic pain.
"The clinic is available for any pet referred by their primary care vet for management of chronic pain, including osteoarthritis and other orthopaedic conditions, neurological and cancer pain.
"Animals will be assessed and advice given on how the pain can be managed, including monitoring a pet’s response to different treatments and what to expect."
For more information, visit www.paragonreferrals.co.uk.
For the research, Purina questioned 1535 current and potential dog owners using validated scales assessing depression, anxiety, happiness, attitude and commitment toward their pet, and perceived social support.
67% of participants said they felt that COVID had had an emotional impact on them.
One-third of participants also felt that their health had been impacted by the pandemic, while 45% had experienced a financial impact.
However, it was found that dog owners had higher perceived level of social support and lower depression scores.
Francois Martin, M.A., Ph.D., applied behaviour and welfare research section leader at Purina and lead Purina scientist on the project said: "Our research showed that dog owners fared better from a social support and emotional standpoint during COVID than people who like dogs but didn’t own one during the pandemic.
"Our work adds to a growing body of evidence demonstrating the power of the human pet bond, especially in times of stress.”
Libby Sheridan MVB MRCVS, Purina Scientific Affairs Manager for the UK and Ireland said: "The research aimed to build on prior evidence that suggests that dogs can contribute to their owner’s positive affective state - a psychological term describing when people are in generally positive frame of mind like excited, enthusiastic, and inspired.
"Purina also set out to gain a better understanding of whether the power of the pet-owner bond continued to persist during the pandemic. Not only was the effect of dogs shown to be positive, it was also measurable and statistically significant.”
Purina says the results also provide an opportunity to reflect on the important contribution of veterinary professionals, many of whom continued to work throughout the pandemic to provide much needed services.
For full results, visit: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260676
So far this year the charity says it has received 144 requests from people asking for it to take in or help rehome their horse or pony through the Blue Cross Home Direct service.
More than 70% cited personal or financial circumstances as the reason.
In comparison for the full year of 2021, 43 (or around 15%) of a total of 277 intake and rehoming requests specified financial reasons.
In 2020 a total of 32 (around 14%) out of 231 requests stated financial reasons.
Annabelle Taylor, Rehoming Coordinator at Blue Cross, said: “It is distressing to see that the number of people seeking rehoming support because of financial reasons is already more than double last year’s annual total and we still have a third of the year to go.
Rosemullion Veterinary Practice is a three-site small animal practice owned by CVS.
It has 100 members of staff and dispenses 3,584 medications in an average month.
According to an article in Companion Animal, medication errors account for 30% of all reported errors in veterinary practice1.
Errors can be prescribing errors - where the vet prescribes the incorrect medication or dosage, or dispensing errors where the incorrect medication, strength or volume is dispensed by the pharmacy team.
Some errors can ‘look or sound alike’ – where medications have similar names or packaging – making them easy to mix up.
Rosemullion conducted an initial clinical audit of entries on its VetSafe system between 1st March and 31st May 2023.
Analysis was conducted on the drugs involved, whether they were prescribing or dispensing errors or near misses, and looking for patterns of behaviour or the drugs involved.
During this time there were 29 (0.27%) near misses and 14 (0.13%) errors.
Prescribing near misses most often involved flea and worm products.
Here additional feedback from vets was that it was difficult to remember weight brackets for all products and when weight brackets were included in the drug description this made them easier to prescribe accurately.
As a consequence, the Rosemullion pharmacy team introduced the inclusion of weight brackets on all flea and worm products.
Dispensing errors and near misses were mostly related to ‘look or sound alike’, particularly in worming tablets, flea treatments and Rheumocam cat and dog.
To address this, the Rosemullion pharmacy team added extra labelling to dispensary draws and separated draws for flea and worm treatments into different weight brackets.
Rheumocam – with its similar packaging design and box sizes – was also split into separate cat and dog drawers, and drawers clearly labelled up with the version and volume to make dispensing clearer.
Feedback was also given to the drug manufacturer.
Rosemullion also held a CPD session to highlight the common errors that were occurring, to explain resulting process and systems improvements, and ask the team to take extra care with these dispensaries.
A new ‘handing out medication’ process was also created – involving checking the medication in the bag matched the on the screen notes, confirming it was for the correct animal and validating it was what the owner was expecting.
A subsequent audit was run from 1st October to 31st November 2023.
The results revealed there were no prescribing or dispensing errors (0%) and only 8 (0.13%) near misses during this time.
Alice Bell, Senior Vet and Quality Improvement Lead at Rosemullion Veterinary Practice, said: “We place patient safety at the forefront of all we do.
"We wanted to conduct this extensive audit to assess our prescribing and dispensing processes and systems.
“The methods we had in place made it easy to do the task correctly and the changes we have now put in place have made the process even safer for our clients.
"Our overall error and near miss is now at a really low number compared to our total number of medication dispenses.
“The teams have been very receptive to the improvements and the project has had a positive impact on various aspects of the practice, including on team wellbeing.”
Rosemullion Veterinary Practice’s initiative has recently been recognised with a RCVS Knowledge Highly Commended status at its 2024 awards.
The new guidance replaces Chapter 25 of the Supporting Guidance to the Code of Professional Conduct.
Routine Veterinary Practice describes the procedures and techniques performed on animals by veterinary surgeons (or veterinary nurses under their direction) in the course of their professional duties, which ensure the health and welfare of animals committed to their care.
CVR is when routine procedures are undertaken for the benefit of the animal/s, with the concurrent intention to generate new knowledge that benefits animals, such as developing new procedures, improving a diagnosis, changing a routine procedure, or comparing existing procedures.
While the idea of CVR is not new, this is the first time that the RCVS has provided specific guidance on it.
The guidance also introduces an obligation, which comes into effect on 1st September, to obtain ethics review for all studies where one would be expected to obtain permission from the owner/keeper of an animal prior to being enrolled, or when consent is needed for use of previously collected samples or the use of data from an animal.
The newly drafted Chapter 25 gives extra guidance on the following areas:
Chair of the Standards Committee and incoming RCVS President, Dr Melissa Donald (pictured right), said: “We hope that the guidance will inspire confidence in our veterinary colleagues at all levels to undertake treatment routes which develop veterinary knowledge as a whole, while still being for the benefit of the animal being treated.”
For further information or advice on whether a proposed procedure would be covered by the guidance, contact the Standards and Advice team via advice@rcvs.org.uk.
The new guidance will be found on the RCVS website from the 1st July: www.rcvs.org.uk/recognised
For further information in relation to ethics review of proposed veterinary clinical research studies, contact the Secretary to the RCVS Ethics Review Panel via ethics@rcvs.org.uk or visit www.rcvs.org.uk/ethics
Titled Nurses and Dermatology – the Bite Sized Guide to Getting Started, the series is presented by Frances Gaudiano, the RVN who wrote Veterinary Dermatology: A Manual for Nurses and Technicians.
Accounting for two hours’ CPD, the series is split into four 30-minute webinars covering:
Ceva is also including further training on its Douxo S3 range.
To pre-register for Nurses and Dermatology – the Bite Sized Guide to Getting Started, visit: https://www.thewebinarvet.com/pages/ceva-register-nurses-and-dermatology-bite-sized-guide/
The company is also hosting another series which is aimed at vets, but may also be of interest to nurses, called The Dermatology Extravaganza.
The Dermatology Extravaganza is presented by Dr Tim Nuttall, RCVS Specialist in Veterinary Dermatology and Head of Dermatology at The Royal (Dick) School of Veterinary Studies in Edinburgh and Dr Sarah Heath, RCVS and European Veterinary Specialist in Behavioural Medicine. The three sessions, which are between 30 minutes and an hour in length, will cover: ‘Topical therapy in canine atopic dermatitis’ and ‘Antimicrobial resistance’ presented by Dr Tim Nuttall and ‘Emotional considerations in dealing with dermatology cases’ by Dr Sarah Heath.
To register for The Dermatology Extravaganza, visit: https://www.thewebinarvet.com/pages/ceva-dermatology-tea-time-top-ups-bite-size-cpd-sessions/
All viewers will be able to enter into a prize draw to win a £50 Love2Shop voucher and a free Cytology Manual.
Entitled ‘Managing mitral valve disease from start to finish’, the course will account for four hours’ CPD split into six short bite-size sessions which can be completed at your own pace.
The sessions are presented by Dr Mike Martin MVB DVC MRCVS, and business thought leader, Dr Alison Lambert BVSc CMRS MRCVS. They consist of a practical review of MVD both pre-clinically and clinically and how to diagnose and stage it following the new 2019 American College of Veterinary Internal Medicine (ACVIM) Consensus guidelines.
The course also includes tips on how to treat and manage dogs with MVD with diuretic management; a step-by-step guide to treatment options for acute and long-term management of congestive heart failure and how to troubleshoot problem congestive heart failure cases.
There's also a bonus ‘Communicating Cardiology’ session which looks at how to communicate the heart disease journey to owners.
To register for the course visit www.veterinarywebinars.com/mvd-reg.
Ceva will donate £2 for every veterinary professional completing the course throughout February and March 2021 to Vetlife, which provides support to the veterinary community and their families who have emotional, health or financial concerns.