Pennard Vets has announced that it has become an employee ownership trust (EOT), making it the largest practice in the world to become employee-owned.

The new structure means that all 99 members of Pennard Vets' team, who work across six sites in Kent, are now practice owners and shareholders in the business. This, says the practice, will protect it's independence and 125-year-old core values.

The group celebrated the completion of the employee ownership trust earlier this month at a summer family BBQ and party held at Hadlow Manor Hotel in Tonbridge.

Pennard Vets’ three previous sole directors, comprising of Matthew Flann, Caroline Collins and Andy Green, all worked as vets at the practice for several years before becoming part of the leadership team in 2007, and the trio will all continue to work in the business following the EOT transfer.

Andy said: “Pennard Vets is a special practice that has been a part of the fabric of the local community for 125 years and we want to be here in another 125 years. At a time when many other practices are being taken over by large corporate organisations, we knew that the EOT was the right way to guarantee an independent future for our 99 team members. Although we received plenty of interest and offers from the corporates, it was important to remain true to ourselves and our values.

“It is increasingly difficult for vets to buy into independent practices and the traditional partner progression model no longer works, so after exploring various possibilities, it became clear that the EOT option was ideal for us and protects everything that we stand for.

“Crucially, it also means Pennard Vets won’t be taken over and gives everyone in our team both autonomy and a voice, as well as safeguarding our fundamental core values that are built around compassion, client focus and continually improving everything we do. There’s no doubt this will further enhance the high standard of care that our clients enjoy and is also helping us to grow our team and attract new talent.

“As we expand our practice across Kent, we’re recruiting both vets and nurses. Every new team member becomes an employee owner and can influence the decisions we make for the future of our practice. Our people are helping to shape our employee benefits scheme and influence how we reinvest profits in a forward-thinking practice, that will remain independent. This is proving very attractive to new members of the team, which makes it a really exciting and rewarding time for us.”

Newly appointed vet, Emma Ball, has become one of the first new recruits to benefit from the EOT model after joining the group’s Sevenoaks practice. Emma said: “I initially did work experience at Pennard Vets eight years ago and immediately felt like part of the family. Everyone took the time to make sure I learnt as much as possible, so when I was offered this role, it was an easy decision for me.

“Coming back to the practice has been a fantastic experience and to benefit from the EOT is the icing on the cake. Although lots of people dream of owning their own practice, it’s a very difficult thing to achieve. However, now we’re all stakeholders in the business, it has made our team spirit even stronger and means everyone makes even more effort to make Pennard Vets successful and ensure clients always enjoy the very best level of care.”

The dedicated veterinary nurses at White Cross Vets in Wolverhampton have given five extremely sick kittens another chance at life after they were rescued by a local charity, Stray Cat Rescue Team West Midlands.

The kittens had severe cat flu, were struggling to breathe, had no appetite and ulcerated eyes. 

Rosie Levene-Barry, clinic director at White Cross Vets in Wolverhampton, said: “These poor kittens were in a terrible state when they arrived with us. Our nurses immediately set about administering medication to treat the symptoms of their cat flu but it quickly became apparent that because they were so critically ill, they would need round the clock care.

“Stray Cat Rescue Team couldn’t find any available foster homes and it would be very difficult for one person to look after all five, so three of our registered veterinary nurses, Jo, Danni and Sioned, volunteered to split the group and take them home. This meant they benefitted from 24-hour critical care, which included nebulising regularly to support breathing, administering medication and bottle feeding, as they weren’t eating by themselves."

The White Cross Team named the kittens Tommy, Polly, Ada, Grace and May, after leading characters in the hit TV series.

Rosie added: “May and Tommy were particularly ill, and we had doubts over whether they would survive the first night. Tommy had a ruptured eye and severe breathing difficulties and May was extremely weak. In addition, Ada’s eyes were both severely ulcerated and we were unsure whether we could save them. It was a heart-breaking scenario.

“Thankfully though, with the team’s hard work and commitment, over the next few days their breathing started to improve and eventually they all started eating independently and building their strength up. Once they hit 300g, we had to remove Tommy’s ruptured eye and one of Ada’s eyes, but they are all now doing brilliantly well and thriving. They have good appetites and are purring and playing like kittens should. In fact, we are so proud of our resilient Peaky Blinders that we haven’t been able to let them go!

“Polly now lives with Jo, Tommy lives with our receptionist Laura, Sioned kept May and Ada and Grace have stayed with Danni, so they can now all enjoy the lives they deserve in the loving care of our fabulous team.”

Rosie added: “Hopefully this story will demonstrate the importance of vaccinating and neutering cats, because although they’ve had a lucky escape, their suffering was avoidable.”

Animalcare has launched Equizol, the UK’s first omeprazole granule treatment for gastric ulcers in horses.

The apple-flavoured, gastro-resistant granules can be mixed with dry feed to make administration easier for owners.

Animalcare says that up to 37% of leisure horses and 93% of race horses are reported to be affected by gastric ulcers¹, for which the most prescribed treatment is omeprazole.

Equizol’s granule formulation has been developed to support owners who find syringe administration difficult or wasteful. It is presented in packs of 28 sachets, each containing sufficient omeprazole to treat 200 kg body weight. Owners mix the appropriate number of sachets into a small amount of the horse’s feed.

Animalcare Product Manager James Beaumont said: “Offering innovative product solutions which better meet our customer’s needs is our goal and Equizol is a perfect example. Our established equine healthcare range includes products for pain management, infusion therapy and microchips. Now, with the launch of Equizol, we are offering an innovative, easy-to-use and cost-effective solution to the common problem of gastric ulcers, based on tried and trusted omeprazole. We are delighted to add it to our range.”

Reference

1. Practical Gastrocopy Course Gives Equine Vets ‘Inner Vision’: Author: Sam Luis Hole; Published in Veterinary Times, August 1, 2011

A survey of 500 veterinary professionals, carried out by marketing communications agency Pegasus, has revealed how veterinary professionals feel that the pandemic has affected their working lives.

• 72% said they think clients undervalue remote consultations and telemedicine
• 36% said they do not feel safe from infection with coronavirus in the workplace
• 20% say management didn't listen to their concerns during the pandemic
• 62% are worried about the increased mental strain of working during the pandemic
• 27% said they are worried about managing client relationships and expectations during the pandemic
• 39%  have found communicating the options to clients for the purchase of veterinary medicines a challenge
• 71% say the pandemic has changed the way they communicate with clients, and this will continue after the pandemic
• 66% say they want an improved work/life balance to be a legacy of the pandemic
• 51% want to see more flexible working patterns and job share
• 55% say they have spent more time online during the pandemic
• 49% say they are using more digital tools at work as a result of the pandemic, but,
• only 17% said digital disruption was needed. 

Richard Casey, President of The Veterinary Marketing Group (VMG) said: “Pegasus’s survey has shown some very encouraging results. But it is also very worrying that so many of our colleagues do not feel safe from COVID19 exposure in the workplace.

"I encourage all our colleagues, regardless of whether they are management or not, to reach out to workplace colleagues. Ask them how they’re feeling, what are their concerns and what is working well?

"The same goes for clients. Let’s not assume that because we’re not yet fluent in consulting virtually that the client doesn’t value the flexibility of hearing your expert voice from the comfort of their home.

"Instead, invite feedback on how your new approaches are landing. What could be done differently? The key to managing anyone’s expectations is always clear communication. Even more so in today’s consumer driven, 24/7 economy. The veterinary practices who come out of COVID-19 well, will likely be the ones who embrace the new normal. They’ll have listened to their team and clients needs, and found ways to meet them.”

The RCVS is reminding veterinary surgeons and nurses that there is one week left till the deadline for nominations for the 2012 RCVS and RCVS VN Council elections.

Nominations must be made in writing on the prescribed form and received by the RCVS on or before 31 January 2012.

Prospective candidates need to provide the signatures and registered/listed addresses of two proposers, and should also submit a short biography, manifesto and photograph for inclusion in the RCVS News Extra election specials.

Nobody may nominate more than one candidate, and no current member of the RCVS Council or VN Council may make a nomination.

Full details and guidance notes for both elections are available online from the RCVS Council Election page (www.rcvs.org.uk/rcvscouncil12) and VN Council Election page (www.rcvs.org.uk/vncouncil12).

Nomination forms and candidate information forms for RCVS Council may also be requested from Mrs Gabriella Braun (020 7202 0761 or executiveoffice@rcvs.org.uk) and those for VN Council from Mrs Annette Amato (020 7202 0713 or a.amato@rcvs.org.uk).

Six seats on RCVS Council and two on VN Council are due to be filled in the 2012 elections.

Those elected will take their seats on RCVS Day in July, to serve four-year terms, and will be expected to spend at least six to eight days a year attending Council meetings, working parties and subcommittees (a loss-of-earnings allowance is available).

Ceva Animal Health will be hosting Derma Day, a free online conference about the latest developments from the world of veterinary dermatology, on Thursday 28th October from 12:00 - 4:00pm.

Dr Natalie Marks DVM CVJ will present "Meeting the expectations of the new generation of pet owners. Let’s go digital!" and Dr Sarah Heath RCVS & EBVS European Veterinary Specialist in Behavioural Medicine will talk about "Approaching dermatology cases with behaviour in mind".

Natalie's presentation will focus on what the millennial generation of pet owners expect from interactions with their vets and how clinicians need to dig deep to understand how these client groups process information. The talk will demonstrate the benefits of new digital technologies for communication and treatment follow ups, focusing on digital tools to meet client expectations and help the veterinary team offer the best advice.

Sarah's presentation will offer hands-on tips for everyday dermatology work in practice, focusing on the importance of considering emotional health when investigating and treating dermatology patients. She will also discuss the links between emotional state and dermatological disease.

There will also be live studio discussions with vets and nurses including Emma Lindbland Åström DVM, Kerstin Bergvall Diplomate DVM and Cecilia Friberg Diplomate DVM from Sweden. These discussions will focus on communication with pet owners and how the veterinary team copes with the many challenges that occur, especially when it comes to detailed dermatology treatments.  Emma will be joined in the studio by a dog owner who will provide owner insights.

Andrew Fullerton BVSc (Hons) MRCVS, product manager at Ceva Animal Health, said: “Today’s pet owners are often millennials who embrace their new family member with huge enthusiasm, however they often have very different expectations than those of previous generations because they can easily access a wealth of pet health information online.

"The Ceva Derma Day will address this by providing online delegates with extensive information on what makes millennials tick and offer proactive communication tools to strengthen vet/client relationships.”

To register for Ceva Derma Day visit: https://ceva-derma-day-2021.confetti.events 

The event will count for four hours CPD. Delegates who pre-register in advance will be issued with a certificate and be able to watch a recording of the sessions afterwards. Those who don't, won't.

The Pet Food Manufacturers Association (PFMA) has produced two new waiting room posters: ‘Handling Commercial Raw Pet Food Safely’ and 'Importance of Hay in a Guinea Pig’s Diet'.

The raw pet food poster gives owners guidance on how to handle and prepare their pet’s meal when feeding a commercial raw pet food. The guinea pig one gives guidance on what owners need to feed their guinea pig to ensure good health and well-being. It is also available to download from: www.pfma.org.uk/the-importance-of-hay-poster-guinea-pigs.

The PFMA will be giving away free copies of both the posters, alongside a range of other fact sheets and posters, at the London Vet Show.

The Association is also offering veterinary nurses the chance to win a £100 high street shopping voucher by taking part in its annual survey focusing on health and feeding trends, which can be done here: www.surveymonkey.com/r/PFMALVS19

The survey closes on Sunday 17th November.

A joint statement issued by the RCVS and the BVA with updated guidance for the professions about working during the coronavirus pandemic has led to an outcry on social media and highlighted flaws in the structure of the veterinary profession.

Earlier this month, the government had exempted veterinary surgeries from the requirement to close their doors during the pandemic. Strictly speaking, the exemption meant that practices could carry on offering the same level of service as before, provided they followed further government guidelines on social distancing.

However, the College then advised that non-essential treatments should not be carried out until further notice, and that animals should only be seen in emergency, or if their health was likely to deteriorate as a result of inaction.

This included vaccination, where RCVS advice stated that whilst routine vaccinations were considered not urgent, there "may be scenarios where, in your professional judgement, vaccines are being given to reduce a real and imminent risk of disease; this includes in the face of an animal disease outbreak, or in a scenario where part of a vaccine course has been given and the animal may be exposed to the disease." 

The updated College guidelines, issued last Thursday evening, appeared little changed, except to say that its advice concerning vaccinations is under review. Meanwhile, its new flowchart gives a very clear framework for veterinary professionals to work within, essentially leaving it to your own professional judgement to weigh up the risks.

However, the BVA went further, declaring amongst other things, that:

Vaccinations – we are now recommending that primary vaccinations and year 1 boosters in dogs and cats go ahead due to the increased risk of disease outbreak over a longer period of time, and annual leptospirosis vaccination due to the zoonotic risk. If additional component of the core vaccine is due at the same time, it should also be administered. In addition, we’re recommending rabbit vaccinations go ahead due to the seasonal disease risks. Rabies vaccinations should be carried out if required for certification reasons

.... leading to an outcry that the BVA's advice appeared to be being relaxed at precisely the point when the government is imploring the public to stay at home, and that:

• it must have been the result of pressure from corporate veterinary businesses which are taking a severe financial hit from the loss of vaccination sales,
• that it would lead to veterinary surgeons being forced by their (probably corporate) employers to work when they believe it is wrong to do so,
• that it would put unnecessary strain on practices that are struggling to look after urgent case with reduced staff,
• that it would lead to pressure from the public to carry out non-essential vaccinations,
• that it would cause Vesuvius to erupt and the oceans to boil.

To add further fuel to the flames, the British Small Animal Veterinary Association then issued a statement to the effect that it had not been consulted during the preparation of the new BVA guidelines, which BVA past President Robin Hargreaves felt was so economical with the truth that he resigned his BSAVA membership on the spot.

COMMENT
At the end of it all, there is but one simple truth for every veterinary surgeon who is working in these difficult times, and it is this: The government and the RCVS guidance gives you the freedom to exercise your professional judgement concerning whether or not an animal needs to be seen for whatever reason. Provided you can explain why you reasonably concluded that an animal should or should not be seen, that is all that matters. It trumps everything else.  

This whole farago has highlighted a number of important issues in the profession, starting with the social media conspiracy theories that the new guidance came after pressure from corporate practices when as far as I can tell, it appears to have been driven by a genuine concern that that failure to vaccinate could cause significant welfare issues in the future.

That seems a reasonable argument, and very much in line with the College advice. But that in turn raises a far bigger question, which is what on earth the BVA (a voluntary membership organisation) was doing issuing what appeared to be instructions ostensibly for all members of the profession. Notwithstanding the fact that BVA recommendations have no legal weight, having all these chefs running around with different recipe books is itself a recipe for muddled communications and confusion over leadership.

In turn, that raises the even bigger question of what the BVA's role should be. Should it be snuggling up in bed with the RCVS, issuing joint edicts? Or should it instead be holding the College to account, challenging its decisions and demanding clarification where clarification is necessary. I would argue the latter. In this situation, the ONLY organisation issuing guidelines about vaccinations for practising vets should be the regulator. And it is the role of the BVA to challenge those guidelines if necessary, or to demand clarification.

Which leads me on to the next thing, which is that increasingly, members of the profession seem to demand explicit rules or guidelines to operate within. There are lots of hypotheses for why this might be true. Perhaps because we live in a more (or seemingly more) litigious world and veterinary professionals like the reassurance rules provide. Perhaps it is because the younger cohort of vets lack the self-confidence needed for decision-making. Perhaps corporatisation has a part to play, in that employees of larger organisations tend to play more by the rules. Or perhaps it is a consequence of the growth in the 'refer everything’ culture which means vets take fewer clinical risks.  

Whatever the reason, it seems clear that in some cases, the RCVS tack of "you're a professional, decide for yourself" is perfectly reasonable, whereas on other occasions, such as Schedule 3, more explicit guidelines are demonstrably necessary. Once again, surely the role of the BVA as the "Voice of the profession” is not to issue its own advice, but to press the College for more explicit guidelines as necessary.

Lastly, there is the role of Facebook in all of this. Quite obviously vets are no more immune to conspiracy theories than members of the public who think that coronavirus is spread by 5G telephone masts. Sadly, the truth is usually far less exciting. However, the problem at the moment is that the growth in social media and Facebook groups has left the regulator and the representative associations on the back foot, such that it is often left to individuals from those organisations who 'happen to come across OK online' (rather than having any properly defined role) to firefight.

Photo: https://www.scientificanimations.com/wiki-images/

Researchers in the US have shown it is possible to detect skin conditions in dogs using canine activity trackers. 

The research was carried out by the Kansas State University College of Veterinary Medicine Center for Outcomes Research and Epidemiology, Holland Management Services, Zoetis and the Pet Insight Project team at Kinship (part of Mars Petcare).

For the study, researchers recorded pet scratching activity use Whistle canine activity trackers. They then compared that information with the visual observations of 358 pet owners who graded the severity of their pet’s scratching activity on a scale from 0, which represents a normal dog (“itching is not a problem for my dog”) to 100, corresponding to extreme itching (“itching disrupts my dog’s sleep, eating, play and exercise”). 

The researchers found that measurements of scratching severity determined by the Whistle activity tracker corresponded to the owner’s overall impression of the pet’s pruritus, or itch, level. As scratching severity increased, as measured by the Whistle device, owner’s assessment scores significantly increased as well (P < 0.01).

Aletha Carson DVM, Data and Clinical Studies Senior Manager for Kinship said: “Pet owners can overlook the subtle changes in behaviour that may be a warning sign for an underlying issue and are often too late to recognise their beloved companion is suffering.

“This new method of analysing pet behaviours provides pet owners with an ‘always-on’ monitor that may be helpful in keeping their dogs healthy and happy.

“It may also prove to be quite useful for veterinarians who need an objective way to gauge a pet’s response to prescribed therapies used to reduce inflammation and scratching without requiring time-intensive monitoring from the owner.” 

Details of the research were shared at the European Veterinary Dermatology Congress on September 17, 2021.

IVC Evidensia has threatened multiple independent practices with legal action over their use of the term 'Pet Health Club', which the company says infringes its trademark rights.

VetNurse.co.uk has seen copies of correspondence from IVC which claims that its Pet Health Club has built up goodwill amongst the group's customers, and that the use of the term by other practices risks confusing the public and taking unfair advantage of the reputation built up by IVC.

One wonders which bright spark at IVC thought this was a good idea. 

Bullying small independent businesses is not a great look, particularly in a caring profession such as this. 

Besides which, where is the evidence that other practices using the term 'Pet Health Club' has any impact on IVC's business whatsoever?

After all, pet health plans, or clubs, are inexorably linked to the practice providing the subscription services they offer. 

Nobody goes online looking for which practice offers the best pet health club, like they were choosing between the Hurlingham and the Groucho. It's something offered to the existing clients of a practice. 

So there is literally zero chance of confusion over who is providing the service.

And on what planet does IVC think a client of another practice might be presented with an option to join a pet health club and think: "Oh this is that wonderfully smashy nicey club I have seen elsewhere. I must join it."

Ironically, given the CMA investigation, IVC's Pet Health Club website is opaque about which practice group (or practice) provides its own service.

How it is therefore possible to argue that it has built up a reputation is also unclear.

Finally, if you Google "Pet Health Club", you'll see that IVC already dominates the search results in a way that makes it vanishingly unlikely that its service is going to be confused with anyone else's.

This would all be laughable, except it's not if you're one of the 20 or 30 practices that VetNurse.co.uk hears have been on the receiving end of a threatening letter. 

Natalie Morris-Webb MRCVS from Malthouse Veterinary Group, one of the affected practices, said: “I was stunned to receive a letter from IVC claiming that our Pet Health Club, which we launched in 2017, is an infringement under the Trade Marks Act 1994 and that we’re using a registered word mark without the consent of the proprietor.

“It’s a ubiquitous term that lots of practices use and it quickly became apparent that these letters have been sent out far and wide.

"There are practices that have been using the term for well over 10 years and to rebrand will be very expensive and time-consuming for what are mostly small businesses.

“We’ve had some conversation with IVC’s representatives to discuss how else we can resolve the situation and whether such a heavy-handed approach is really necessary, because surely IVC don’t want a legal spat with so many independent businesses.

“It’s also very worrying to receive aggressive legal threats from a huge organisation, so it was reassuring to hear from other practices that are facing the same dilemma, and we want to extend our support to others in the same position.

"We’ve therefore launched We Are Spartacus where any practices that are affected can register their details.

"We can then work together and decide how to move forward as a collective."

Hopefully, there will be no need.

Hopefully, someone higher up the chain at IVC will stop this madness, admit that it called this one wrong and immediately write to the businesses it has already contacted, apologise profusely and withdraw its threat.

But if the company persists and wins it'll probably be a pyrrhic victory.

After all, pet health plans have largely been sold on the back of routine flea, worm and tick control, the need for which is starting to be questioned by the profession, particularly in the light of research pointing to the possible harm to other species, but also because of the greater focus on the cost of veterinary care.

RCVS Knowledge is calling for all veterinary teams performing neutering in dogs, cats, and rabbits to submit their data to the National Audit for Small Animal Neutering (NASAN) on the vetAUDIT website before the 15th of October.

The NASAN is an audit for practices to share their data anonymously, to establish UK benchmarks in post-operative complications rates for small animal neutering.

Each year, RCVS Knowledge releases the national routine neutering benchmark to enable veterinary teams to compare their figures against the national average and use this data as part of a benchmarking exercise towards continuous improvements for neutering outcomes.

In 2020, 72% of neuters were complication-free, 13% lost to follow, and 15% of animals suffered an abnormality related to the operation, mostly requiring medical treatment.

Chris Gush, Executive Director of RCVS Knowledge, said, “Data submitted to the NASAN last year, and so far this year, has been lower than expected – likely due to the strain put on the professions by the pandemic.

"We believe many practices have neutering data that they have not been able to submit yet. We would be grateful for any unsubmitted neutering data for 2020 and 2021 to be sent to the NASAN, when practices are able, so that it can contribute to the national picture and allow us to gain the most accurate representation of the benchmarks for neutering in the UK.”

RCVS Knowledge is asking that practices submit their data for 2020 and 2021 by the 15th of October.

Anonymised data may already be available via the practice’s PMS and can be added to RCVS Knowledge’s spreadsheet. Practices can use the results to carry out their own audits and produce internal benchmarks, guidelines and checklists to help monitor their progress and help reduce complication rates by using RCVS Knowledge’s free Quality Improvement resources. The yearly benchmarks are reported in November each year.

You can submit your data from 2020 and 2021 on the vetAUDIT website: https://vetaudit.rcvsk.org/nasan

RCVS Knowledge has created a ‘How to guide’ for using the NASAN, which can be watched on YouTube: https://youtu.be/otoyYK3heCQ

The RCVS has launched an independent service to provide emotional support to veterinary nurses and surgeons who are under investigation by the College after a complaint about their professional conduct.

The ProfCon Investigation Support (PCIS) service is a free, confidential listening and support service funded by the RCVS and its Mind Matters Initiative mental health project but delivered independently by VetSupport.me, an organisation that already offers general support services to veterinary surgeons and veterinary nurses.

The service is provided by a group of trained and experienced volunteers who will also be able to offer support to any veterinary surgeon or nurse who is acting as witness.

Lizzie Lockett, RCVS CEO, said: “At the RCVS we recognise that being investigated in respect of alleged professional misconduct is a very stressful and trying experience that can knock confidence and, in some cases, lead to distress amongst practitioners.

“While part of the social contract of being members of regulated and protected professions is that, when accusations around professional misconduct are made, they have to be fully investigated by a regulator to determine if there is a case to answer. As a compassionate regulator we want to make sure that individuals going through this process can access the help and support they need.

“This service is staffed by a team of brilliant volunteers who already have experience in  providing help and support on matters of mental health and wellbeing and have received additional training to augment their ability to provide emotional support to vets and nurses who may be under investigation.

“In our Strategic Plan for 2020-24, one of our key ambitions is to strengthen our credentials as a compassionate regulator that acts with empathy and understanding. The ProfCon Investigation Support Service is an important step in fulfilling this ambition, and I hope that it can deliver help to the people that need it.”

David McKeown, from VetSupport, added: “Whether via a phone call, an email conversation, or a meet-up over Zoom, our team of trained volunteers, all of whom are registered vets or vet nurses themselves, will support service users through the duration of an RCVS investigation.

“Through their support we will aim to help individuals going through this process maintain good mental health and wellbeing and strive to prevent more serious issues arising. The service is completely confidential and no conversations that individuals have with our volunteers will ever be shared with anyone else, including the RCVS. Nothing will be fed back to the College nor be used as part of the investigation process. It is also completely within the individual’s control as to how much information is shared with the VetSupport volunteer. There is no obligation to disclose any information other than perhaps a first name.

“We look forward to working with the RCVS to provide this very important service. Please don’t hesitate to contact us on info@vetsupport.me or visit www.vetsupport.me to find out more about the service and meet our team of supporters.”