You could otherwise call them "Britain's Best Places to Get Ill (if you are a dog)", or alternatively "Britain's Worst Places to Open (another) Veterinary Practice".
The best town, in the whole of the UK, for a dog to get ill, is, wait for it ... Worcester, which has a veterinary practice for every 7,308 people. Not far behind, Worthing, Chelmsford, Southampton, and Exeter all have a practice for every 9,916 people or less.
At the other end of the scale, the very worst place for a dog to get ill - and possibly the best place to open a practice - is Birmingham, where (according to this research) each practice serves 227,424 people. London was in second place (one practice for every 210,119 people), Manchester in third (1:181,833) and St Helens in fourth (1:179,331).
The research was part of a bigger analysis to see where in the country pets are best catered for, according to the number of pet shops, dog groomers, vets, parks, dog walkers and kennels in the area, as listed on yelp.co.uk.
Blackpool was the clear winner, with pet-friendly facilities for every 2,680 people. In fact, it was the only Northern town in the top ten. In second was Chelmsford and in third was Woking.
The full rankings of UK towns and cities by number of veterinary practices per capita was:
1. Worcester (.0001368)2. Worthing (.0001277)3. Chelmsford (.0001192)4. Southampton (.0001189)5. Exeter (.0001008)6. Cheltenham (.0000939)7. Gloucester (.0000930)8. Eastbourne (.0000872)9. Watford (.0000828)10. Cambridge (.0000801)11. Oxford (.0000776)12. Bath (.0000742)13. Maidstone (.0000715)14. Woking (.0000692)15. Reading (.0000675)16. Southend-on-Sea (.0000660)17. Ipswich (.0000650)18. Blackpool (.0000643)19. Norwich (.0000641)20. Swindon (.0000635)21. Crawley (.0000627)22. York (.0000625)23. Blackburn (.0000605)24. Telford (.0000569)25. Brighton (.0000555)26. Poole (.0000529)27. Newport (.0000528)28. Bournemouth (.0000513)29. Lincoln (.0000508)30. Peterborough (.0000503)31. Dundee (.0000471)32. Solihull (.0000467)33. Portsmouth (.0000466)34. Wolverhampton (.0000462)35. Rochdale (.0000458)36. Northampton (.0000443)37. Belfast (.0000441)38. Newcastle upon Tyne (.0000439)39. Bristol (.0000435)40. Basildon (.0000434)41. Warrington (.0000429)42. Nottingham (.0000425)43. Kingston upon Hull (.0000422)44. Luton (.0000419)45. Coventry (.0000416)46. Cardiff (.0000414)47. Slough (.0000403)48. Edinburgh (.0000390)49. Derby (.0000389)50. Oldham (.0000385)51. Plymouth (.0000380)52. Colchester (.0000368)53. Middlesborough (.0000356)54. Bolton (.0000351)55. Gateshead (.0000346)56. Basingstoke (.0000342)57. Glasgow (.0000338)58. Stoke-on-Trent (.0000313)59. Stockport (.0000275)60. Milton Keynes (.0000262)61. Doncaster (.0000259)62. Wigan (.0000246)63. Swansea (.0000244)64. Liverpool (.0000224)65. Aberdeen (.0000219)66. Wakefield (.0000205)67. Sheffield (.0000190)68. Sunderland (.0000180)69. Rotherham (.0000152)70. Leicester (.0000141)71. Salford (.0000119)72. Bradford (.0000112)73. Leeds (.0000102)74. St Helens (.0000056)75. Manchester (.0000055)76. London (.0000048)77. Birmingham (.0000044)
The Crafty Vet Project aims to ignite your interest in one of a range of creative hobbies, which include cheese, beer, candle, soap and teddy-bear making, with kits available for sale from the new 'Craft Corner' section of their website. £3 from the sale of each kit will go to Vetlife.
Sarah said: "We wanted other veterinary professionals to experience the same pleasure that we get from creative hobbies. It is a chance for people no matter what day you have had to switch off, follow a pattern or instructions and come out with something at the end that you can be truly proud of."
Your new hobby might even turn into a nice sideline business. Sarah said: "One evening over a catch-up Zoe and I were discussing items that we wished we had in practice to make our lives as nurses easier.
"Despite having drunk 2 bottles of wine together we felt that there and then was the best time to start our new business. Two hours later having chopped up an old pair of curtains, accidently sewn my jumper sleeve into the material and woken my husband up at 3am to our cackles, we had the first prototype of our Slumberpet Recovery Coat.
"Our business has grown nicely since then and we are still coming up with more ideas, albeit in a slightly more sober, professional manner."
To select and order your hobby kit, visit: https://www.vnpetproducts.co.uk/craft-corner
Fearne, who has been presenting live TV since she was 15 years old, has published eight books including the top 10 bestseller 'Happy', in which she talks about her own experiences of happiness and advocates raising awareness around the many ways people can build their own resilience and maintain good mental wellbeing.
Fearne has recently been appointed as a Princes Trust Goodwill Ambassador where she will be focussing on young peoples’ wellbeing and mental health.
She is also an ambassador for the charity Mind and has spoken about her wish to help stop the subject of depression being such a taboo.
Noel Fitzpatrick said: "We are absolutely thrilled that Fearne is joining us for the VETFest Conversation this year, continuing on what has become an integral and enlightening fulcrum of the wellness program of our event schedule.
"It means a great deal to myself and the organisers that all delegates who attend VET Festival have a very special and personally enriching experience - but they also feel part of a wider community of compassion too - within the industry among their peers but in a broader societal sense as well.
"With Fearne, we will explore many themes about health and well-being relevant to all of us. We hope to make you think, laugh and have a great time, and impart some wellness to take home into day to day life as well."
The VETFest Conversation is open to all delegates at VET Festival and takes place after the clinical programme on Friday 8th June at 6.00pm – 6.45pm.
You can book tickets for the event here: https://www.vetfestival.co.uk/delegate-info/ticket-information
Burgess reminds everyone that RVHD2 is a highly infectious strain of RVHD with few or no visible symptoms. It is fatal and can kill within hours. RVHD2 poses a significant threat to Britain’s rabbit population and outbreaks have been reported all over the UK and Ireland meaning no area is safe.
According to the company, the most recent sales figures show that only 137,405 RVHD2 vaccinations have been distributed in the last year1. This, says the company, shows a concerning number of practices are still not stocking the necessary vaccines to protect rabbits against RVHD2 and other fatal diseases.
Rabbits who have received the combined vaccination for RVHD and myxomatosis need a separate vaccination for RVHD2.
BSAVA President Sue Paterson said: "The British Small Animal Veterinary Association (BSAVA) supports the Rabbit Awareness Week 'Protect and Prevent' approach to saving the lives of rabbits in the UK. The BSAVA urges all rabbit owners to get their rabbits vaccinated against this disease and encourages all practices to remind their clients of the importance of doing this."
Richard Saunders BVSc DZooMed MRCVS said: "It's important for vets to be aware of the importance of vaccinating rabbits against all 3 viral diseases: Myxomatosis, RVHD1 and RVHD2.
"We certainly don't want rabbits to go without their annual myxomatosis vaccine: this horrible disease is very much still around. RVHD1 appears to have been overtaken by the new variant, RVHD2, but should still be vaccinated against.
"RVHD2 is a recent strain of the RVHD virus, which the Nobivac Myxo-RHD vaccine does not cover, and it is, quite literally, everywhere. Transported by inanimate objects as well as animals, it can affect both indoor and outdoor rabbits anywhere in the UK.
"If you wait until you see the first case in your area before recommending vaccination, rabbits will die, when this could be avoided.
"Remember that rabbit owners are much more likely to bury their dead pets at home than cat and especially dog owners, who generally bring their pets to a vet for cremation, and so we, as a profession, are under-aware of the incidence of the disease out there.
"RVHD2 is a core vaccination requirement, being endemic in the UK. Additionally, it’s not just a fatal disease, it’s a fatal disease with a reservoir in the wild. We strongly recommend vaccination of rabbits with either Filavac or Eravac in addition to Nobivac Myxo-RHD."
For more information on this year’s campaign and to request your RAW veterinary pack with marketing materials and free samples, visit www.rabbitawarenessweek.co.uk
Reference
I had hoped that the increasing absurdity of the reasons given for the rise might have tipped everyone off to the fact that the story was a spoof.
The idea that the College would ask veterinary nurses to fund some glitzy, showy, award-winning designer headquarters along the lines of London’s City Hall? C’mon. London City Hall employs 1000 staff, whilst the Royal College employs less than 100. And let's face it, the RCVS has no record of having showy offices. On the contrary, it has managed to operate out of a sardine can now for a great many years. Have you ever been in the lift at Horseferry Road? You need to breathe in.
Or that the College had set aside £6M to recruit and pay 20 veterinary surgeons as short term contracted OVs to help in the event of a no-deal Brexit. Let’s say a flight from Delhi to London costs £500, give or take. Twenty vets. That’s £10,000 to get them here. Let's say they’re here for 6 months. That’s £299,500 per vet. You really think the College is going to ask you to pay more than a quarter of a million pounds to fly in a single vet for 6 months? Or that 20 recruits would solve the predicted OV shortage?
Lastly, the quote, supposedly from an Indian vet, but one with a name that doesn’t really sound like a name (still less an Indian one), but does sound strangely like it may be an anagram of April Fool.
There have been a small number of reports of people being really upset by this story. I guess they must have skim read, or only read the headline.
To them I want to say sorry, I genuinely didn’t mean to upset anyone.
In fact, I thought it might cause some reflection on what good value the RCVS really offers. It maintains the register and thereby your ability to hold the title of RVN, it runs the disciplinary process (an essential component of maintaining public trust), it oversees and sets educational standards, it awards Fellowships, Diplomas and Certificates, it runs the Practice Standards Scheme.
All that, and more for £67 per annum?
Honestly? I think it would be cheap at half the price.
Photo: Truth is that the RCVS has operated out of a sardine can for years.By Rl - Own work, CC BY-SA 3.0, Link
According to the College, the increase in fees is needed primarily to develop its regulatory capacity for paraprofessionals. However it also says it needs to increase fees to pay for a new, Midlands-based headquarters designed by Foster and Partners, following the announcement last year about the sale of Horseferry Road.
Brexit is another significant factor in the decision to raise fees.
As has been widely reported, the College has already been on a number of fact-finding trips to India, with a view to making up the shortage of vets in the UK with graduates from Indian vet schools. But however forward-thinking these trips were, they have not borne fruit in time for Brexit.
For this reason, the College has announced that it has set aside an emergency contingency fund of £6M in order to fly as many as twenty veterinary surgeons from India and pay them to act as OVs on short term contracts in the event of a no deal Brexit.
An RCVS spokesperson said: "Brexit has dominated proceedings over the last two years, and we have been working collaboratively with our colleagues in Defra and the BVA to make appropriate plans to ensure that vital veterinary work will continue, whatever the outcome of Brexit. However, we have been unable to persuade the government to put veterinary surgeons on the Shortage Occupation List and our only alternative is to recruit from abroad."
Dr Frill Poao from the Indian Veterinary Association Kerala said: "We are standing by to help our British colleagues in their time of need".
Photo: Could the new RCVS headquarters look something like this? Foster and Partners also designed London City Hall. Gary Knight / Wikipedia CC BY-SA 2.0
Carried out by the Royal Veterinary College (RVC), the Animal Health Trust (AHT) and Rossdales Equine Hospital, the study also revealed that the groups particularly at risk were native pony breeds and their crosses, as well as horses and ponies with a history of laminitis and those with lameness or soreness after routine hoof care.
This research, funded by World Horse Welfare, comes from the first ever online study that collected information on laminitis from a group of owners in real time.
The researchers say that the study is also the second largest to identify weight gain as a risk factor for laminitis. Data was collected from the owners of 1,070 horses and ponies in Great Britain, who reported their animal’s management, health and estimated weight via online questionnaires for 29 months.
Owners were encouraged to use a custom weight tracking tool designed by the study/research team to help regularly track changes in their animal’s weight and body condition. The uptake of this tool was high, with over half of participating owners using it.
The tool is freely available at: www.aht.org.uk/research/lameness/laminitis.
Other study findings included:
A high risk of laminitis was present in horses shod or trimmed at intervals of more than 8 weeks, and in those that took a long time to return to soundness after a bout of laminitis.
Diet, grazing management and health were factors closely associated with the development of laminitis and will be the subject of future investigation.
Researchers also noted that weight gain often occurred unintentionally, even when owners were aiming for their animals to maintain or lose it. This reiterates the need to consistently record weight and body condition in order to prevent undesirable weight gain.
Dr. Dee Pollard of the AHT, one of the study’s chief authors, said: "This is one of the largest, and the first, online laminitis studies where we collected regular information from the same group of owners in real-time. We assessed the relationship between laminitis and many potential management and health factors and identified those more likely to be present before a laminitis episode was reported.
"We now have good evidence to develop laminitis prevention guidelines, and a number of different avenues to explore in the future. We cannot emphasise enough how important systematic and regular weight and body condition monitoring are. It’s very easy to miss weight gain when you are just relying on your eyes and you see your horse or pony every day. You need to get hands on, feel for the fat deposits and take measurements, remember the figures don’t lie!"
Developed by Italian tech company, Otech Industry srl, the Onemytis 2 uniquely uses gas ionisation to vaporise tissue at lower temperatures and, claims Excel, with greater precision than is possible with conventional electrosurgery.
The knife works by a strong electromagnetic field through air. This releases plasma which vaporises tissue at a maximum operating temperature of 50°C (compared to more than 118°C in conventional electrosurgery).
During surgery, the electrode does not touch the patient. Plasma is formed when it is between 1 and 2 mm away from the patient, depending on the power setting. This means the surgeon does not apply any pressure when creating an incision, allowing greater precision.
The Onemytis range starts from £4500 +VAT.
West Sussex first opinion vet, Julian Hoad, Head of Crossways Veterinary Group, started using Onemytis last year for a range or procedures including laparoscopic surgery and the removal of masses, often without the need for a general anaesthetic.
Julian said: "I’ve used electrosurgery for 20 years and this is an order of magnitude better. It is more precise, more reliable and results in a much better healing surface."
"I recently removed an enlarged lymph node. The mass was around the mesenteric root. Because Onemytis is so precise I was able to dissect around the blood vessels, removing tissue that was attached to them with no blood loss. Onemytis is also excellent for removing epulides. It cuts though gingival tissue with very limited burning and produces very good, pain-free healing."
"I now routinely use it for performing nostril widening surgery in brachycephalic dogs; it reduces surgery time dramatically and completely abolishes bleeding in most cases."
"I have also used it to remove a large mass from a dog’s spleen and, by using a combination of Onemytis and Ligasure, managed to do so with a total blood loss of less than 2 ml."
Steve Hayden, Director at Excel Lasers, said: “We are delighted to be bringing Onemytis 2 to the UK. An important part of our role is to identify the technological innovations we think are most likely to help vets and their patients and Onemytis really stands out. The feedback we have had from our clients has been extremely positive and we think it has a fantastic future in veterinary surgery.”
To find out more about Onemytis 2 and watch videos of it in action, visit: https://www.excellasers.com/airplasma/
The new website explains what Veterinary Specialists are, how they may be able to help, and how the referral process works. The BCVSp says it has been designed to be a useful resource which primary practices can direct their clients to if a referral is being considered.
As well as being able to search for a Specialist by location and by discipline, owners can also read some real life patient case studies following the referral, treatment journeys and outcomes of animals that have benefited from Specialist care and meet some of the Specialists via podcast links.
BCVSp Trustee Celia Marr said: "While most happy healthy animals will never need Specialist veterinary care, if they do we want their owners to know that we are here to help.
"There are many hundreds of Specialists working at the forefront of veterinary care and also those working in research, pathology and academia, helping to advance animal health and welfare, every day. We believe our new website should help to spread the word and make referral more understandable and accessible."
Visit the new website at www.yourvetspecialist.org
The diagnostic imaging group is one of a number of special interest groups being launched on VetNurse.co.uk in the coming months which ALL members are invited to come and join.
The new groups make it much easier to find and follow content that interests you. More than that, they bring together members with a shared interest in the subject, thereby facilitating the sharing of information, experience and knowledge.
To that end, each group will have a number of 'expert contributors' who dip in from time to time and help out where they can. I'm delighted to welcome Nick Shackleton FdSc PgCert Dip AVN (Surgical) RVN as our first Diagnostic Imaging Expert Contributor.
As elsewhere on VetNurse.co.uk, reading content in the new groups or participating in discussions can count towards a VetNurse.co.uk CPD certificate. Just press 'Claim CPD' at the top of the page, then collect the record and certificate from your profile.
The new groups have been set up in order to offer veterinary nurses a more valuable online discussion tool than Facebook. In particular:
On Facebook, posts are displayed chronologically, so what you see is largely defined by the time you arrived. On VetNurse, posts are displayed by title, making it much easier to pick out the discussions you want to participate in.
On Facebook, you usually have no idea whether the person you are 'talking to' has any idea what they are talking about, unless they are a 'friend' and you can see their profile. Even then, you can probably only see that they have a cat and like to wear a silly hat when skiing. On VetNurse.co.uk, professional profiles are visible to all logged in members of the site.
On Facebook, discussions are threaded, which means replies to replies are collapsed and you have to expand them to reveal what was said. This makes it near impossible to refer back and find who said what, when. Importantly, that also means that when experts share something useful, it is too easily lost, where on VetNurse, discussions - and the information they contain - are far more enduring.
Lastly, whilst you can theoretically claim time spent sharing on Facebook towards your CPD requirement, who has the inclination to record it? On VetNurse, it's as easy as clicking the 'Claim CPD' button, and you get a certificate at the end, together with an auditable list of the discussions you have contributed to, or the content you have read.
The bottom line is that for general chat, Facebook is great. But if you have questions about specific clinical disciplines, VetNurse is where you'll find better answers, quicker, and VetNurse is where you can claim it towards your annual CPD requirement.
So, with no further ado, you are all invited to come and join Nick in the Diagnostic Imaging Group. You'll need to login to the site, then press the 'Join' button top left of the Diagnostic Imaging home page (on mobile phones you may need to rotate your phone to landscape). You may also want to subscribe to the weekly (or daily) digest of new content added to the group.
According to head veterinary surgeon Simon Maddock, about one third of the practice's workload is now for guinea pigs – a figure growing year by year. More to the point, many of their clients are travelling a considerable distance to get veterinary care.
Simon said: "We certainly didn’t start out to become so popular with guinea pig owners; it’s happened more by word of mouth. Our reputation has grown mainly through owners talking to each other on online forums.
"I reckon we must see at least one guinea pig a day that has travelled more than 50 miles to see us. One couple regularly make a 175-mile round trip from North Wales. We even have someone visit us from Scotland. That’s one long trip to make!"
Simon added: “Although the practice was originally established to provide dedicated cat and rabbit owners with veterinary care specifically tailored to these pets, we have also found guinea pig owners to be just as committed to their pets and they are quick to look for signs of illness."
Vetnapp offers a secure alternative to traditional paper records, allowing for the entry of drugs administered, recording of physiological parameters (for example, heart rate, respiratory rate, blood pressure), and recording complications occurring during an anaesthetic.
The final anaesthetic chart can be converted to a PDF and attached to patient records, simplifying the paper trail.
Alastair, who works at Willows Referrals, says his motivation for developing the app was born out of frustration with handwritten anaesthetic records which can often be incomplete, illegible and easily lost.
Alastair said: "Vetnapp is excellent for ease of data entry via the use of sliders and drop-down lists. It also stores records, allowing easy retrieval, which is not possible with paper records.
"Now the app is available for both Apple and Android devices, it is much more accessible. I have even had people downloading it in Australia, America and China, which is fantastic."
"It’s still very much early days and I hope its popularity grows over time. Ideally, I would like it to be downloaded by veterinary groups, as well as independent practices."
To download Vetnapp, visit the App Store or Google Play and search 'Vetnapp'.
Richard, who works at North Downs Specialist Referrals (NDSR), graduated from the Royal Veterinary College in 2003.
While working in general practice, he developed an interest in ophthalmology and undertook an internship in the field at the Animal Health Trust in 2013.
Richard said: "Watching cataract surgery for the first time as a student, I was amazed it could be performed through such tiny incisions and an artificial lens could be placed inside the eye.
"My grandmother had cataract surgery around this time, followed later by corneal transplants when I was a recently qualified vet, and this further sparked my interest.
"I was very fortunate during my time in general practice to be able to attend an excellent one-year modular course, with an inspiring teacher, and also to spend some time with two specialist ophthalmologists at NDSR.
"These experiences made me realise it was time to make the leap and try to become a specialist. It was quite a daunting step, but one I’ve never regretted."
Following his internship, Richard undertook a three-year specialist training programme in comparative ophthalmology at the Queen Mother Hospital for Animals, studying towards the European College of Veterinary Ophthalmology Diploma.
After the successful completion of his training, he remained at the RVC as a clinician for a further year before joining the team at NDSR in July 2018.
Richard says he is now looking forward to further developing ophthalmology services at NDSR, alongside RCVS and American specialist James Histed: "I have already been discussing with James how we can develop the ophthalmology service, with new equipment and treatment options.
"We will soon be taking delivery of a new Zeiss operating microscope, which will have video facilities and eyepieces for an assistant. This will help us to perform more complex surgical procedures, and also help in teaching our interns and visitors to NDSR."
For more information, visit www.ndsr.co.uk.
The surgery was carried out in August 2018 and is, they say, the first time it has been performed on a companion animal anywhere in the world. The dog, a five-year old spaniel called Gigha, has now made a full recovery.
Gigha’s surgery was carried out by Dr Guy Killick and featured in a recent episode of The Yorkshire Vet. Guy said: "Gigha provides vital companionship to her owner, Mrs Taylor. She fell into a drainage ditch last summer and this caused a tiny cut on her elbow.
"The initial wound did not seem severe, however, despite intensive decontamination and treatment with broad spectrum antibiotics, the wound proved to have been infected with a resistant Haemolytic E. coli infection, causing a significant loss of skin from the medial aspect of the elbow. During this time, Gigha was hospitalised and was at significant risk of DIC and septicaemia."
"The skin loss was full thickness and, once the compromised tissue was debrided away, she was left with a large wound.
"We managed the wound in hospital for four days with daily dressing changes and an irrigation device to provide local anaesthesia and the delivery of topical antibiotics.
"Unfortunately, skin grafting in her case was not suitable given the infection and a lack of sufficient loose skin to donate. As such, we elected for healing by second intention but, given the large area, we felt it was important to explore novel methods to accelerate the healing process and reduce Gigha’s pain.
"Surgery using Tilapia fish skin grafts was pioneered at UC Davis in the USA and was used successfully on a horse with acid burns in the UK last year. It is still very rare, however, and had not been used to treat an infected wound before. Nor had it been used on a dog.
"Having done our research though and finding that these grafts have a natural anti-infective and analgesic effect, while also reducing the frequency of bandage changes that would cause discomfort and distress to the patient, we felt it was an appropriate treatment for Gigha and carried out the surgery a week after the initial wound."
Guy says the surgery was straightforward and simply involved tacking the skin in place. It adhered to the developing granulation bed, accelerating its growth and providing an antiseptic and analgesic effect. After application, Gigha’s owner reported that she was much brighter and seemed to be in less pain. Pain-scoring during check-ups confirmed this to be the case despite pain relief being voluntarily withdrawn by the owner.
This initial graft stayed in place for two weeks before breaking down and being removed. By this stage, granulation of the wound had been completed and around one cm of neo-epithelisation had occurred. A further graft was then placed which remained for a further two weeks until the wound was 50% of its initial size. No further grafts were placed as the team did not have access to further supplies so they simply bandaged the wound with traditional bandages. It was completely healed within nine weeks. Eight months on, Gigha has made a full recovery and the wound has healed completely.
Guy said: "Given the large wound area and risk of further infection we decided on this novel approach to improve the quality of life for the patient while the wound was healing. While we were naturally apprehensive of making the first attempt at this potentially revolutionary technique, what we knew about fish skin grafts and suggested that they could work in her case so we were determined to give it a try.
"Looking at her now, you wouldn’t believe that she’d been days from death just a few months ago. Her case is a demonstration of the efficacy of fish skin grafts as a treatment for large wounds where there are no other suitable methods of closure – and for their use in dogs. We hope her story and her recovery will be useful to colleagues treating dogs with similar wounds in the future and are happy to discuss the case with them if this would be helpful.
"I would also like to thank Dr Jamie Peyton, Chief of Integrative Medicine Service at UC Davis for her invaluable help and advice during this case and her assistance in the use of the Tilapia graft."
The study "Influence of dietary restriction and low-intensity exercise on weight loss and insulin sensitivity in obese equids" was carried out by Nick Bamford and colleagues at the University of Melbourne’s Faculty of Veterinary and Agricultural Science, in collaboration with Spillers.
A total of 24 obese horses and ponies were randomly divided into two groups; 'restricted diet only' or 'restricted diet plus exercise'. All horses and ponies were fed the same diet of restricted hay (no grazing), a small amount of alfalfa chaff and soya bean meal, and a vitamin and mineral supplement.
The exercise programme, which was designed following feedback from horse owners to help ensure it could be implemented relatively easily in the real world, consisted of 15 minutes of brisk trotting (with a five minute walk before and after) five days per week for 12 weeks.
The 'restricted diet only' group showed an overall reduction in body weight and body condition score. They had increased levels of adiponectin – a hormone produced by fat cells, low levels of which are a risk factor for laminitis. They had decreased baseline insulin, high levels of which have been linked to an increased risk of laminitis, and decreased leptin, high levels of which are associated with obesity.
Although exercise did not increase weight loss, it did produce additional benefits that were not seen in the 'restricted diet only' group, the most important one being improved insulin sensitivity. More insulin sensitive horses and ponies need to produce less insulin in order to control their blood sugar. This is important because high levels of insulin in the blood and/or reduced insulin sensitivity are risk factors for laminitis. Horses and ponies in the exercise group also had decreased levels of ‘serum amyloid A’, a protein that is a marker for inflammation.
Clare Barfoot RNutr, the research and development manager at Spillers said: "Reducing calorie intake and feeding a diet low in starch and sugar should be the priority for overweight horses and ponies. However, the results of this study suggest that exercise may offer additional health benefits for obese horses and ponies and/or those with ‘EMS’ that cannot be achieved by cutting calories and weight loss alone."
Photo: Spillers/Steve Bardens
107 dogs completed the randomised, double-blinded, placebo-controlled clinical trial, which concluded that: "Treatment with anti‐diarrheal probiotic pastes (ADPP) compared to placebo in dogs with acute, uncomplicated diarrhea led to a decrease in the duration of diarrhea and a decrease in the requirement for additional medical intervention because of non‐improvement or deterioration."
Sophie Nixon, Veterinary Research Manager at Protexin Veterinary said: "Dogs with acute diarrhoea are presented to veterinarians on a daily basis yet the evidence base on which to identify appropriate treatment for these cases has been lacking."
James Kyffin, Veterinary Director at Protexin Veterinary said: "We are delighted to have published such a strong clinical study in one of the most well-respected veterinary journals, the Journal of Veterinary Internal Medicine (JVIM).
"At ADM Protexin, we believe it is important to have products that are supported by published studies and the Pro-Kolin Advanced study represents one of the first of its kind looking at the benefit of a probiotic paste in dogs with acute diarrhoea.
"We hope this study will provide vets with the evidence they need to prescribe Pro-Kolin Advanced for their cases and give them the confidence not to dispense other medical management, like antibiotics, that may not be necessary."
The study can be viewed by following the link: https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15481
The new publication is a guide to evidence-based medicine (EBM) in veterinary practice. It aims to secure a commitment to EBM from veterinary practices and help them implement an evidence-based approach.
The workshop will be held at The Bloomsbury Building, 10 Bloomsbury Way, London WC1A 2SL from 1:00pm till 3:30pm
Attendees will be asked for their opinion on the content, language and format of the new guide, and how clear they find it.
Your involvement will directly help RCVS Knowledge make the evidence-basis of veterinary techniques understandable for a larger number of people.
No advance preparation is required and it sounds like it will be a very informative, engaging session.
An honorarium of £50 is available to anyone who attends. A sandwich lunch is provided and travel expenses will be covered.
If you’d like to participate, contact: Maryam Tehami at maryam@senseaboutscience.org
The Association had over 100 entries for the awards from both veterinary staff and clients. The two runners-up were Laurie Williams from Vets4Pets, Hereford in second place and Kristin Hardin from Maven Vets, North Cheam in third place.
The winners were chosen by an independent judging panel who, despite the high standard of entries, all chose the same top three finalists. Each received an award, certificate and vouchers.
Kendall Clee said: "It’s absolutely amazing to win. Everyone at my practice is a joy to work with, so they’ve played a part in this too, as they make my job easier."
Kay Watson-Bray, who founded the BVRHA with Brian Faulkner, said: "We’ve had such a fantastic response from colleagues and clients wanting to recognise the efforts of their veterinary receptionists.
"The stories they shared were really heart-warming and it was clear that not only are veterinary receptionists appreciated, they make a considerable contribution to practice success.
"We’ll be sending everyone nominated a certificate to mark their achievements and would like to extend our thanks to anyone who took the time to nominate their favourite veterinary receptionist.”
For more information, visit: www.bvra.co.uk.
Photo: Left to right, Kendall Clee, Brian Faulkner, Kay Watson-Bray
Founder Jade Statt said: "As StreetVet grows, we are being contacted to help clients outwith our current active StreetVet locations, of which there are now 13. For this reason and to help us continue to expand, we would like to put out a call to the profession to ask any practices that are happy to work with us to get in touch and help us set up a StreetVet Directory of Supporting Practices."
If you'd like to know more about partnering with StreetVet, email: StreetVet.practices@gmail.com
You'll be sent detailed information about the options for working with StreetVet and offered a fundraising pack. If you go ahead, you'll also have your practice logo added to a directory on the StreetVet website.
The Government says that contracts have been secured with Brittany Ferries and DFDS to run ferries into and out of Poole, Portsmouth, Plymouth, Immingham and Felixstowe, thereby relieving pressure on the Dover straights.
Critical goods have been identified as those essential for the preservation of human and animal welfare, including all veterinary medicines authorised under the Veterinary Medicines Regulation 2013, including finished and un-finished products, and Active Pharmaceutical Ingredients (for import and export).
Critical goods also include unauthorised medicines permitted for import under the Veterinary Medicines Directorate’s Special Import Scheme (for import only).
Photo: Shutterstock/Peter Hermes Furian
It's a subject that will be front of many people's minds following the recent cases of equine flu.
As part of the campaign, MSD has produced a range of veterinary practice support materials to help you engage with owners and yards on the subject of preventative healthcare best practice and compliance.
The range includes shareable social media content, videos, a 'What's Your Risk' practice poster, an online risk assessment tool and a number of downloadable information leaflets. Practices will also be supported through the Keep Britain's Horses Health (KBHH) web page, Facebook page and Twitter.
MSD says there are also planning and evaluation resources to help practices manage an effective campaign.
Vicki Farr, Equine Veterinary Advisor at MSD Animal Health said: "The recent outbreaks of equine flu have rocked the horse-racing world, costing the industry millions and raising important animal welfare issues. Furthermore, they have highlighted the need for good preventative healthcare and, in particular, vaccination.
"HHW will therefore come at a relevant time for horse owners and yards when the impact of equine flu is still at the front of their minds.
"This year HHW will provide vital tools for practices; building on the knowledge and resources we’ve acquired throughout the KBHH campaign and from previous HHWs.
"Our focus is on engaging owners and yards on understanding the risk of disease for their horse, while rewarding them for best practice. We are again providing a wide range of resources for practices to help them create an engaging and successful campaign that helps build knowledge amongst the equine community."
For further information, talk to your MSD Animal Health Equine Account Manager, call 01908 685685 or refer to KBHH social media feeds on Facebook page and Twitter (@keepinghorseshealthy).
Fitzpatrick says that the initial results from a study at the University of California Davis has shown a reduction of up to 40% in the volume of prostatic tumours following embolisation, along with significant improvements in the patient's quality of life (the ability to pass urine and faeces in particular)1. However, prostatic embolisation in veterinary patients has only been performed in a small numbers of centres globally and not previously in Europe.
Gerard McLauchlan (European and RCVS Specialist in Small Animal Internal Medicine, Fitzpatrick Referrals Oncology and Soft Tissue) first carried out the procedure in December 2018 and has since performed it on two more patients.
Fitzpatrick is now offering prostatic embolisation alongside targeted intra-arterial (IA) chemotherapy, a treatment which it has now given to over forty patients with urinary tract tumours in the past 24 months, leading to a reduction in tumour size of up to 30% and an improvement in clinical signs.
Gerard said: "We have been developing and refining new techniques for treating various cancers over the past two years at our oncology and soft tissue centre. Really excellent results have been seen so far in cases with prostate cancer treated with intra-arterial chemotherapy and embolisation is the next logical step for managing this condition.
"Prostatic embolisation has only been performed at two centres in the United States and has shown very promising results in terms of patients quality of life and overall survival.
"With a recent study documenting the mean survival of patient with prostate cancer receiving standard intravenous chemotherapy as being only 101 days these new techniques offer an amazing opportunity to truly change how we view and manage this condition."
On Monday, Kathy Kissick, current Veterinary Nurses Council member and former Head of School Veterinary Nursing and Farriery at Myerscough College, will give a talk entitled 'It’s not the job you do; it’s how you do the job'.
The talk will look at how clinical coaches can encourage their students not only to achieve their qualification, but also develop professional accountability, consider issues regarding fitness to practise and understand the links between professional, legal and ethical responsibilities and accountability.
The next day, RCVS Director of Veterinary Nursing Julie Dugmore (pictured right) and Jill Macdonald, VN Project Coordinator, will give an update on VN Futures and report the work done by its various working groups.
These working groups were set up shortly after the publication of the VN Futures Report in July 2016 to focus on areas such as retention and recruitment in the veterinary nursing workforce, Training Practices, developing meaningful career progression routes for the profession and developing ‘One Health’ links with other healthcare professions, including medical nurses.
Julie said: "Much of the work of the VN Futures project has been going on under the radar for the past few years, but with the appointment of Jill as our VN Futures Project Manager, and moving towards the deadline of the five-year VN Futures plan, we want to make sure the profession is aware of what has been happening and our plans for the next two years."
Finally, RCVS CEO Lizzie Lockett will give a talk about the Mind Matters Initiative. She'll explain how the project is aiming to improve the mental health and wellbeing of those in the veterinary team by offering mental health awareness training, trying to break down the stigma associated with mental ill-health and developing support resources and courses to help members of the veterinary team flourish and, where needed, get back on form.
She will also give an outline of current activities, provide tips on improving wellbeing in the practice and give information on how veterinary nurses can get involved in the project as well. Further information about the Initiative can be found at www.vetmindmatters.org
What is 'quality improvement', you ask? Good question. Sure, it's an improvement in, er, quality. But of what?
'Quality improvement' is a term adopted from the human healthcare sector, variously defined as anything which makes: "healthcare safer, effective, patient-centred, timely, efficient and equitable (NHS)", or "the combined and unceasing efforts of everyone—healthcare professionals, patients and their families, researchers, payers, planners and educators—to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development (BMJ)."
The RCVS research project, which is being conducted by RAND EUROPE, will assess current perceptions and adoption of quality improvement in the veterinary profession.
Specifically, it'll look at the drivers, barriers and expectations associated with QI, with the ultimate goal of strengthening the support provided to the profession.
Chris Gush, Executive Director of RCVS Knowledge, said: "We are delighted to be launching this research project with RAND Europe.
"We know that many of our colleagues across the profession have embedded quality improvement into their practice to great benefit, while we are also aware that it can be a challenge to do so all of the time.
"This research will provide an unprecedented body of evidence on the experiences and perceptions of QI, which will be critical to how we work to support the sector in this area going forward."
Integral to the research is a survey which all members of the profession are invited to take part in, here: bit.ly/QIvetsurvey.
The survey will be live for six weeks, closing early April. It takes around ten minutes to complete, with a prize of one £150 Amazon voucher on offer. Responses will be anonymised.
You can read more about Quality Improvement on the RCVS Knowledge website, here: https://knowledge.rcvs.org.uk/quality-improvement/
According to Davies, Sharpsmart is the world’s safest and most environmentally responsible sharps and clinical waste management system, proven to:
Ellie West, anaesthetist at Davies and Green Group leader said: "We are really excited to have the opportunity to be the first veterinary centre to be working with Sharpsmart and are already seeing great results in carbon reduction and we look forward to sharing our results later in 2019."
Adrian Giles, Total Waste Program Manager for Sharpsmart added: "Working with Davies has enabled us to showcase our safety engineered sharps system in a new and exciting arena where sharps safety and sustainability are a priority.
"The transition to Sharpsmart was seamless and was completed across the centre in a day without any challenges. Face-to-face training was provided to staff along with touch point education material. We look forward to strengthening our partnership with Davies over the coming months and years."
As part of its green drive, Davies will be hosting 'Sustainability CPD' for referring vets on May 2nd 2019 at its HQ in Higham Gobion, Hertforshire.
Ellie West said: "Run by the Sustainability Leads at DVS, this evening aims to increase your carbon literacy, explore the challenges and barriers to improving sustainability in your daily practice and find some positive solutions to implement sustainability. The challenges which we have faced at DVS will be explored, along with the co-benefits of sustainability to our business, and useful resources to help your practice to be more environmentally friendly and resilient will be highlighted."
You can book your place here https://vetspecialists.co.uk/events/davies-first-sustainability-cpd-for-referring-vets/ or contact Ellie.West@vetspecialists.co.uk if you are interested in attending or would like more information.
Davies has also produced a suite of Waste Segregation Posters which are proving popular with their referring practices. You can find out more and view the posters here https://vetspecialists.co.uk/sustainability/sustainability-initiatives-at-davies-your-questions-answered/.
For more information or to receive print ready PDFs, contact marketing@vetspecialists.co.uk