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VetNurse.co.uk publishes a curated feed of veterinary nursing news for registered veterinary nurses (RVNs), students (SVNs) and veterinary nursing assistants, with a primary focus on the UK profession.
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We report across all areas of practice, including companion animal, referral and specialist settings, with a focus on issues affecting veterinary nurses in clinical and professional roles.
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The WSAVA is calling on veterinary surgeons around the world and anyone with an interest in veterinary – and human – medicine to sign the petition to ensure access to ketamine in the face of lobbying by some countries, principally China, to have it put under international scheduling.
According to the WSAVA, proposals for international control stem from the misconception that ketamine is merely a 'recreational drug.' The WSAVA says this is inaccurate and devalues its huge contribution to human and animal medicine.
Dr Walt Ingwersen, WSAVA President Elect and Member of the WSAVA’s Global Pain Council, said: "In 2015, the WHO Expert Committee on Drug Dependence (ECDD) stated that the abuse of ketamine does not cause a global public health threat and that control would limit access for those using it as an anaesthetic. This view was confirmed at a meeting of the UN Commission on Narcotic Drugs in March 2016, helped by strong support view from the global medical and veterinary communities. However, China has repeated its view that ketamine should fall under international scheduling and we have no doubt that it will raise the issue again. This mean the risk to ketamine remains."
He added: "Ketamine is a safe anaesthetic which can be used without oxygen, ventilators, electricity and the support systems required for other products, making it the only anaesthetic suitable for both medical and veterinary use in lower and middle income countries. If developing countries were denied access to it, which would be the effect of international scheduling, the effects on veterinary medicine, human health and animal welfare would be devastating."
Dr Ganga de Silva, President of the Society of Companion Animal Practitioners of Sri Lanka, said: "Sri Lanka is a poor country with an underdeveloped veterinary profession. If ketamine was not available, in my opinion, all surgeries would have to cease as almost all of the veterinarians in the country rely on it for anaesthesia. The result would be suffering for animals and it would also seriously impact our ability to control rabies as we would not be able to carry out spay and neuter programs on stray dogs."
Dr Nancy Shaffran CVT, VTS(ECC), President of the International Veterinary Academy of Pain Management (pictured above), said: “In addition to its use as an anaesthetic agent, ketamine is a critical medication used in the pain management in animals. The mechanism of action of ketamine (NMDA receptor antagonism) delivered as a Constant Rate Infusion has been well established to be effective in the prevention and correction of severe neuropathic pain and spinal cord wind-up. The loss of ketamine in veterinary practice would result in the needless suffering of many patients and we strongly oppose this action. We are very grateful for WSAVA’s efforts to keep ketamine available for our patients."
Dr Walt Ingwersen added: "Ketamine is also used in human medicine as it has a particular value for use 'in the field' - for instance, in treating trauma patients, those with traffic and sporting injuries or affected by natural disasters and conflict. Taking these factors together, it is clear that ketamine is an essential medicine and we are determined to ensure that it remains freely available. We are continuing to harness our global veterinary community to highlight the importance of ketamine because this is a battle our patients can’t afford us to lose. We ask all those agreeing with to sign our petition and help our collective voice grow."
The petition is here: http://chn.ge/1RFSou6.
The WSAVA’s Global Pain Council has produced a range of tools and resources, including an infographic, to support its ketamine campaign. They can be accessed here: http://www.wsava.org/educational/global-pain-council
By way of example, Emma highlights syringomyelia (SM) and mitral valve disease (MVD) in Cavalier King Charles Spaniels, two diseases which cause considerable suffering and which could be significantly reduced with selective breeding.
Following the uproar caused by the Pedigree Dogs Exposed programme in 2008, a voluntary BVA/Kennel Club SM screening programme was introduced in 2012. However, Emma says that in the time since then, during which 20,429 CKCS puppies have been registered with the Kennel Club, only 331 have been scanned.
She points out that there is still no official heart scheme in the UK, despite the Kennel Club promising at a meeting at the House of Lords in 2008 that they would introduce one.
Meanwhile, Sweden, Belgium, the Netherlands and Denmark have introduced mandatory heart testing schemes for CKCS, and the latest figures from Denmark apparently show there has been a 73% reduction in heart disease.
Back in the UK, this year's Crufts Best of Breed Cavalier sired his first litter untested when he was only 9 months old, against the recommendations of the MVD Breeding Protocol.
Emma said: "It's all very well single vets like me saying 'I'm bloody sick of this', but I don't know how we can change it unless the Kennel Club does something."
Responding in Veterinary Times, the Kennel Club’s secretary Caroline Kisko blamed the veterinary profession for the lack of progress with a heart testing scheme, saying: "The KC has been committed to developing a new heart scheme in the UK for many years but, unfortunately, the veterinary profession has been unable to agree testing protocols."
Emma said: "It is typical of the KC to blame the veterinary profession. It beggars belief to say a heart scheme is too complicated when many other countries have them already in place. At the very least the KC could insist on the well-accepted MVD breeding protocol being followed for Cavaliers. It would be a start. If we never do anything because it’s not perfect, how will we ever evolve change? Looks like us vets will just have to continue to pick up the pieces while dogs carry on dying.”
Long-time Cavalier health campaigner Margaret Carter has a petition on change.org calling for compulsory SM and MVD screening. It has amassed over 27,000 signatures. She said: "It [the Kennel Club] has been talking about a heart scheme for years. It has the know-how and power to not only create a scheme but insist breeders use it. While the Kennel Club prefers to placate its most important customers – breeders - more and more Cavalier puppies are being born to suffer from inherited disease.
"Its Assured Breeders’ Scheme (ABS) is almost meaningless for Cavaliers because the only health test required is for eyes: a token nod to health when the breed is plagued by conditions as horrific as SM and MVD.
"And with so few recorded Cavalier health tests because of the absence of a heart scheme and the breeder boycott of the official SM scheme, the KC’s Mate Select tool is rendered pretty useless too.
Margaret added: "We are very grateful to Emma Milne for voicing so powerfully the situation regarding Cavalier health, however unpalatable the truth might be to some. I’d ask all vets to follow Emma’s lead in writing to the KC and their professional bodies demanding action."
Photograph: Bailey Cooper
Agria Pet Insurance has announced an 'age amnesty' in May, during which time the company will quote for cover regardless of the age of a pet.
The company says it is common for the owners of older pets to have difficulties finding insurance cover for older pets, and a lack of cover may be a barrier to presenting the animal for regular health checks and disease investigations.
Agria has been offering five weeks free pet insurance plus insurance quotes without an age limit for rehomed older pets from rehoming centres and charities for a year now, in order to give prospective rehomers greater confidence to take on the additional commitment of an older pet.
The company says that opening up the offer to all pet owners through May offers a rare opportunity to insure potentially vulnerable senior dogs and cats.
Alastair Cook, Head of Sales and Marketing, said: "It's a great way to reinforce to clients how much you care. The bond with an older pet is often special and it can be very distressing when they develop a condition that is going to require treatment on an ongoing basis. We don't want cost to be the pet owners biggest worry, or for people to feel that they can't afford to ask their veterinary practice for help. We're asking practices to reach out to pet owners and let them know about this time limited offer so we can help as many pets and people as possible."
Agria has produced an Age Amnesty waiting room poster, available on request by calling its veterinary helpline on 03330 30 83 90 or email admin.vet@agriapet.co.uk. Practices that work with charities are also encouraged to contact the company.
For more information, visit www.agriapet.co.uk/veterinary
Zoetis has announced the launch of Simparica, a once-monthly oral medication for the treatment of flea, tick and mite infestations in dogs beginning at eight weeks of age.
The company says the new product, which comes in the form of a tasty chewable tablet, acts quickly and provides continuous protection for 35 days without losing efficacy at the end of the month.
Simparica is effective against both Ctenocephalides felis and Ctenocephalides canis flea infestations in dogs.² It starts to kill fleas quickly within three hours³ and continues to kill fleas for at least 35 days², making it suitable as part of a treatment strategy for Flea Allergic Dermatitis.
The product also protects dogs against infestations with the most common ticks found to infest dogs in Europe2,4, including Dermacentor reticulatus, the species associated with the disease babesiosis, which has recently been reported in the UK. It’s also the only treatment for Ixodes hexagonus, one of the most prevalent ticks in the UK. The killing effect against Ixodes ricinus starts within 8 hours after a single oral administration and over 96% are killed within 24 hours.4
Zoetis says Simparica is also effective against Rhipicephalus sanguineus, and Sarcoptes scabiei, and that laboratory evidence shows efficacy for Demodex Canis and Otodectes Cynotis.
Zoetis believes that Simparica’s ability to provide continuous protection up to and beyond the monthly treatment period is very important for pet owners. Sixty three per cent of owners confess to giving flea and tick treatment later than when it was due, with the median being 5 days late.¹ Simparica gives vets and forgetful pet owners the peace of mind of extended duration of activity helping to minimise the potential risk of protection gaps.
Ned Flaxman, companion animal business unit director at Zoetis said: "With Simparica, we bring to the market an advanced parasiticide solution, helping to deliver improved client and pet owner satisfaction. The chewable tablets are easy to administer and readily accepted by dogs. But more importantly, Simparica helps vets and dog owners minimise the potential risk of protection gaps, as it acts very fast to kill fleas and ticks and performs for at least 35 days without losing efficacy — well beyond the monthly treatment period.
"With its rapid onset, robust duration of activity and very good safety profile, Simparica is the only oral isoxazoline indicated for four species of ticks in Europe including Ixodes hexagonus and the two species of fleas, dogs are most frequently infested with. Unlike most treatments, Simparica protects from both types of ectoparasites for the same duration."
For more information please speak to your account manager or contact customer support on 0854 300 8034.
Merial has announced the launch of Viral Cats, a national campaign designed to educate one million cat owners about the importance of vaccination.
According to PDSA research, approximately 3.9 million cats in the UK are not up to date with their vaccinations and around 2.7 million cats have never been vaccinated1.
As part of the campaign, Merial is pushing a series of animations to cat owners via Facebook, which link to the campaign website: www.viralcats.co.uk. The website offers detailed information about the importance of vaccination and interactive content including a 'risk checker' quiz.
The 'risk checker' quiz will ask owners a series of questions to find out whether their cat is up to date with its vaccinations. If not, they'll be directed to speak to their vet. If the vet recommends restarting the primary vaccination course, owners will be able to download an amnesty voucher – directing them to participating practices to get their pet back on track. For those who are up-to-date with their cat’s vaccinations, but want to help spread the word, there will be a competition and prize.
Aiz Baig, product manager at Merial, said: "This campaign is really exciting for Merial, offering us a great opportunity to reach and educate cat owners on the importance of vaccination, which of course will drive footfall into practices."
There are several ways veterinary practices can get involved with the campaign:
To find out more about the campaign, or take part, contact your regional Merial Territory Manager.
References:
The partnership happened after Lumbry Park’s Clinical Director, veterinary cardiologist, Dr Luca Ferasin and his wife Heidi had a son, Mattia, with multiple and life-threatening congenital heart defects. During their son's subsequent treatment, which involved seven hours of successful open heart surgery, Dr Ferasin and his wife got to know Dr Caner Salih, a consultant paediatric cardiac surgeon and member of the team caring for Mattia. So when Dr Salih acquired French Bulldog puppy called Büdu a few weeks later, and a heart murmur was detected during his first visit to the vet, he turned to Dr Ferasin for advice.
Dr Ferasin diagnosed Büdu with the congenital heart condition Perimembranous Ventricular Septal Defect (VSD). A VSD is characterised by a hole between the left and right ventricles of the heart which causes an abnormal blood flow between the two chambers. Ironically, a large VSD was one of the multiple heart defects successfully corrected during Mattia’s life-saving cardiac surgery.
Dr Salih said: "I first met Dr Ferasin and Heidi under one of the most stressful circumstances a parent can experience, that of waiting for a child to undergo life-saving cardiac surgery. Sometime later I had first-hand experience of something not comparable but nonetheless very stressful of having to wait for the results of a diagnostic test which Dr Ferasin was able to provide for our newly acquired puppy. I appreciated more than ever the importance of knowing that our newest family member was in the most capable of hands."
Dr Ferasin said: "The related stories of Mattia and Büdu highlight the remarkable similarities between paediatric and small animal medicine, not only in terms of medical conditions, diagnostic techniques and therapeutic procedures, but also in terms of the psychological, emotional and social importance of the human-animal bond – in both directions. After all, just like babies and young children, veterinary patients cannot communicate with us - while their ‘parents’ have the same need for reassurance that their beloved ‘baby’ will recover.
"Our partnership with the Evelina London Children’s Hospital will celebrate these similarities and promote the concept of ‘One Health’ in a bid to advance both human and veterinary medicine. By working closely with the Evelina London, we aim to contribute positively to the development of novel techniques, research and therapies in both our children and in companion animals. We’re planning a range of initiatives, including fundraising and collaborations with the clinical staff at Lumbry Park and the Evelina London, in particular with those in the cardiology and cardiac surgery departments. We’re also planning social events, such as advanced pet-therapy sessions for children undergoing treatment at the Evelina and their families, including direct interaction with our veterinary patients with similar conditions."
He added: "Thanks to the dedicated team at the Evelina London Children’s Hospital, Mattia is thriving and is a happy, healthy and fun-loving little boy. He will continue to visit the hospital for reassessments as he grows. Büdu visited us again at Lumbry Park during 2016 for a reassessment and an ultrasound of his heart showed the spontaneous closure of his VSD, resulting in the resolution of his condition. This is a rare but fantastic outcome which, to the best of our knowledge, has only been reported in a couple of canine cases in the veterinary literature. What better reason to cement the bond between human and veterinary medicine!"
Dr Salih added: "Many people do not appreciate the amount of shared learning that has, for decades, occurred between the study of animals and medicine. Many of the advances in areas of human healthcare we embrace today simply could not exist without this relationship – and open heart surgery is one. The Evelina is delighted to be collaborating with Lumbry Park on this exciting venture."
Telemedicine can be defined as any clinical healthcare service that is provided using remote telecommunications services.
The aim of the consultation, which starts on the 13th February, is to receive feedback to help the College develop an appropriate regulatory framework for such services in the veterinary sector. The College’s current Code of Professional Conduct and supporting guidance is generally concerned with face-to-face provision of veterinary services.
The consultation will consider issues such as who is responsible for veterinary care if it is provided remotely, how 'under veterinary care' is defined in the context of the telemedicine delivery of services, the potential risks as well as opportunities for improving animal welfare that may arise out of new technologies and the appropriate regulation of veterinary services provided directly to clients using new remote technologies.
Nick Stace, RCVS Chief Executive, said: "We want the UK’s veterinary surgeons to be at the forefront of innovation and to be making use of, and developing, new technology to extend the reach of veterinary services and thereby improve animal welfare.
"However, while the adoption of technology can greatly benefit veterinary services, we also need to develop a regulatory framework that takes into account the questions it poses, for example, in areas such as remote diagnosis and prescribing, to ensure that animal health and welfare is the foremost consideration."
David Catlow, Chair of the RCVS Standards Committee that approved the consultation, added: "What we are looking for in this consultation are comments that will help inform a new position for the College on the use of telemedicine. There are questions that need to be answered around the principles of using telemedicine and we hope that we will get the views of a broad range of the profession.
"I would strongly encourage all members of the profession to engage with this survey so that we can build a better picture of how this technology is currently being used, how it might be used in the future and how we can best regulate it."
The consultation questionnaire will be available to complete for six weeks from Monday 13 February 2017 at www.rcvs.org.uk/telemedicine
Brainchild of Tom Towey MRCVS, an ECC clinician, the new service allows vets to upload case details, including the level of urgency, and then browse the referral centres that can meet the need, listed by the distance to the practice or to the client and the level of expertise available (eg. Specialist / Advanced Veterinary Practitioner).
The vet then selects the ones that look interesting, presses submit, and the request is sent on their behalf.
The referral practices they've contacted can then reply with their estimate for the procedure and details of when they can see the case.
The owner is notified about each new estimate and can decide which to accept.
When they do, the referral clinic then calls the owner to make an appointment.
Tom highlights part of the Competition and Markets Authority provisional report which says:
"10.16: Our provisional view is that, in a well-functioning market, where multiple referral providers are available and clinically appropriate, we would expect pet owners to be made aware that they can choose a referral provider and to be able to access information about those providers including the nature of the treatment, the skills and experience of the referral vet, the availability of appointments, and, in many cases, the likely cost."
Tom's new service seems to fit the bill precisely.
www.rapidreferrals.co.uk
She said: "The veterinary family – which is my focus as BVA President – is part of the international scientific community, and we are a diverse profession with far-reaching influence and impact in so many areas of political and public life ... A healthy veterinary workforce is vital for UK animal and human health."
With the residence or working rights of UK-based EU vets a 'top five' priority for the profession in forthcoming Brexit negotiations, Gudrun highlighted workforce issues: "The UK veterinary profession relies heavily on EU graduates, who have felt the impact of the EU referendum result since day one … In the meat hygiene sector alone, some estimates suggest 95% of veterinary surgeons graduated overseas.
"That’s why our first action after 23 June was to call on UK governments to protect the status of EU veterinary surgeons and veterinary nurses currently living and working in the UK. It was encouraging to see some of these key priorities … make it into the Prime Minister’s list of negotiating priorities. But we have said from the outset that our members need certainty and reassurance, so we urge the Government to make that firm commitment now."
"We know vets remain nervous about the changes to come, with many of our members concerned about the threat Brexit poses for UK animal health and welfare … Yet we can also see the opportunities Brexit presents, and BVA is determined to work with the Government to seize these opportunities, where they exist, to improve standards."
Highlighting opportunities that Brexit could offer in terms of improving animal health and welfare, Gudrun suggested a tightening up of the Pet Travel Scheme to reduce the growing trend of illegal puppy imports and improvements for welfare at slaughter. She said:
"The Welfare at Time of Killing or WATOK Regulations for England … are a case in point about the welfare-mismatch that could occur between domestic standards and those of our trading partners under the new Brexit arrangements. By failing to bring in evidence-based parameters for all waterbath stunning of poultry, [the] legislation has rendered it impossible for Official Veterinarians to protect the welfare of all chickens at slaughter. The regulations are simply not for fit for purpose, and could call into question England’s claim as a leader in high animal welfare."
The BVA President then shared a highlight of an early meeting between BVA and the then new Defra Secretary of State Andrea Leadsom MP last July: "We were pleased to hear [the Defra Secretary of State’s] vision to make the unique selling points of 'UK PLC' high animal welfare and food safety standards. It's a commitment that BVA fully backs ... To ensure our high standards continue, it is essential that we maintain existing veterinary certification and controls to satisfy our own consumer demand for quality and safety. Official statistics put the value of UK livestock outputs at £13 billion and not a penny of that could be realised without veterinary input."
Gudrun concluded by saying: "We can only make a success of Brexit if we harness our veterinary resource in clinical practice, public health, government services, conservation, academia, research and industry. We are a small profession but our impact is significant."
The Parliamentary Under Secretary of State for Rural Affairs and Biosecurity Lord Gardiner of Kimble responded, saying: "In my role at Defra I am continually reminded of the importance of the relationship between vets and government - most recently in tackling the outbreak of Avian Influenza in the UK. Your thoughts and ideas are invaluable as we manage the many opportunities and challenges posed by exiting the European Union, ensure the highest standards of animal welfare, protect the country from new animal disease threats, and attract the brightest and best into the profession.
"I look forward to continuing to work closely together as we push ahead with our plans to create a world leading food and farming industry based on high standards of animal health and welfare."
To find out more about the BVA’s work on the UK’s exit from the EU, visit www.bva.co.uk/news-campaigns-and-policy/policy/future-of-the-profession/brexit/
The nine-page booklet is being distributed electronically to all BEVA members, together with a guide on spotting some of the warning signs horses may display, written by equine veterinary surgeon and behaviourist Gemma Pearson.
A report commissioned by the BEVA in 2013 indicated that an equine vet could expect to sustain between seven and eight work-related injuries that impeded them from practicing, during a 30-year working life.
Data available from the Health and Safety Executive suggests that this is a very high number of injuries compared to other civilian occupations, including those working in the construction industry, prison service and the fire brigade.
The new guide has been produced ‘by horse vets for horse vets’ with BEVA members contributing their views, experiences and suggestions to early drafts.
It provides information for those handling and involved with equine veterinary care; to make workers consider the steps that they can take to make their activities as safe as reasonably possible by assessing a situation and implementing measures to limit the risk that vets and others are exposed to.
The guide also aims to challenge prevailing attitudes and culture. It outlines how to make ‘on the spot’ or ‘mental’ risk assessments and when to stop if a procedure becomes unsafe.
The guide is accompanied by an illustrated leaflet Signs of Increased Arousal Combined with a Negative Effective State. Written by Gemma Pearson, BVMS Cert AVP (EM) MRCVS who specialises in equine behaviour and learning theory, it explains signs of increased arousal including facial expressions, stance, movement and response.
David Mountford, CEO of BEVA said: "The new guidelines have been carefully developed to ensure that they are as pertinent, pragmatic and helpful as possible for vets in practice. Hopefully they will help to make the equine veterinary workplace a little safer."
The new guides can be downloaded at: https://www.beva.org.uk/workplacesafety
Four veterinary nurses are contesting two places in this year’s VN Council elections. Two of these are existing VN Council members eligible for re-election while two candidates are not currently on VN Council. They are:
Ballot papers and candidates’ details are due to be posted to all veterinary nurses eligible to vote during the week commencing 13 March, and all votes must be cast, either online or by post, by 5pm on Friday 28 April 2017.
Once again the College is inviting members of the profession to 'Quiz the candidates' by putting their questions directly to all those standing for election. Each candidate will then be invited to choose two questions to answer from all those received, and produce a video recording of their answers. Recordings will be published on the RCVS website on Thursday 16 March.
The biographies and statements for each candidate in the elections can be found at www.rcvs.org.uk/vnvote17.
Eleanor Ferguson, RCVS Registrar, said: "This year we will be publishing the candidate biographies and statements online ahead of the start of the official voting period. This is to allow both veterinary surgeons and veterinary nurses to be better informed about the candidates and their reasons for standing before they put their questions forward.
"We would strongly encourage all members of the professions to review the candidate profiles and pose questions for them to answer. We hope it will spark some interesting debates about how the profession is regulated."
Nurses should email their question (NB only one per person) to VNvote17@rcvs.org.uk, post it on the College’s Facebook page (www.facebook.com/thercvs) or on Twitter using the hashtag #VNvote17 by midday on Monday 27 February.
Specifically, Ms Hodgkinson was alleged to have placed five orders between 1 September 2013 and 1 April 2015:
The medications for charges (i) to (iii) above, were intended for her own personal use, as she had previously at various times been prescribed Codeine, Naproxen and Amitriptyline after being involved in a serious car accident in November 2012, as a result of which she suffered from chronic back pain and other problems.
Charges (iv) and (v) above, were intended for her dog, ‘Minnie’, but the dosages ordered were incorrect. The medications were never removed from the practice or given to Minnie, but were instead returned to the wholesaler.
From the outset Ms Hodgkinson admitted the charges against her, although she believed that other staff at the practice had placed similar personal orders and that she had been given permission to do so as well. Ms Hodgkinson also accepted that the facts amounted to disgraceful conduct in a professional respect.
The Committee accepted Ms Hodgkinson’s admission of the charges and, accordingly, found the charges proved. The question of whether the facts amounted to serious professional misconduct was, however, a matter for the Committee’s judgement, notwithstanding Ms Hodgkinson’s admission.
In reaching its decision, the Committee took into account Ms Hodgkinson’s assertion that she believed she had been given permission to order medication through the practice. She did admit however that she must have been mistaken in that belief. The Committee also took note of the College’s submission that a number of aggravating features were present which amounted to serious professional misconduct, namely: the potential risk posed to animal welfare; Ms Hodgkinson’s ignorance of fundamental legislative provisions; a breach of trust placed in her by virtue of her RVN status; the fact that the misconduct was repeated over a period of time; and a lack of awareness of professional responsibilities at the time of the conduct. The Committee therefore had no hesitation that the conduct did amount to serious professional misconduct.
The Committee then turned to the question of sanction. A number of mitigating factors were put forward in Ms Hodgkinson’s defence including the fact that a period of lengthy suspension or removal from the register would result in her losing an offer of employment, the fact that up to the relevant conduct she had had an unblemished career and the fact that she had made early admissions of guilt and shown insight into her misconduct.
The Committee decided that a period of 10 months’ suspension would be appropriate and proportionate in this case.
Chitra Karve, who chaired the Committee and spoke on its behalf, said: "The length of the period of suspension…is intended to reflect this Committee’s view, assisted as it has been by the experience and knowledge of a practising RVN and a veterinary surgeon, of the seriousness of the respondent’s conduct in its totality and of the need for the message to go out to all veterinary professionals that the ordering of POMs without the authority of a valid prescription is a most serious instance of misconduct. In such circumstances the personal mitigations that a practitioner might place before a Disciplinary Committee, whilst not immaterial, is inevitably of limited persuasion. And that is what this Committee has concluded in this particular case, having reflected carefully on the mitigation factors placed before it.
"Having weighed the matters of personal mitigation against the fact that a rudimentary knowledge of the governing legislation was effectively all that was required of the Respondent to ensure that the misconduct complained of did not occur, it is the clear view of the Committee that it would be failing in its public duty were it to do anything less than to impose a period of suspension from practice and the least period of suspension that is appropriate in this case is one of ten months. The Committee therefore instructs the Registrar to act accordingly."
Together, they're producing an educational video to be distributed and used by registered career advisers across the Southwest of England, and subsequently across the rest of England.
Remi qualified from the Royal Veterinary College in London as a registered veterinary nurse in 2019 and then applied to start the graduate Veterinary Medicine programme at the same university.
She said: “I didn’t quite get the grades to study to be a vet straight away, but I always knew that I wanted to focus on a surgical career path and having gone through the university application twice, I want to help other students realise that they too can pursue a career as a vet or vet nurse.
“I met the managing director of JHP Recruitment, Justin Powlesland, at a networking event and explained how keen I was to help more people realise that there is more than one way to become a veterinary professional and to encourage school age children not to dismiss a veterinary career from an early age.
Justin said: “We have employed a production company and are now looking for a location to film it.
"Ideally, we need a teaching hospital to offer us some space for a day, as we want to set our interview with Remi in a clinical setting, where there is plenty of equipment to see.
"We are hoping to film this summer and are appealing for help to find a location.
“The video will tell Remi’s story about the hurdles she has faced and overcome to ultimately study to become a vet, it will also show students where the veterinary industry can take them and the different roles and routes to study that are available.
"As well as the video, a downloadable PDF version will be created, which are both great resources for career advisers that we will also share across social media.”
Remi added: “I really hope that what we are doing will encourage more people from diverse backgrounds to consider going to into higher education to start a career in veterinary medicine or veterinary nursing – that’s the ultimate goal.”
Any teaching hospital that can help with a filming location is being asked to contact Justin via email Justin@jhprecruitment.com or to call him on 07506 981 354.
Game players have to 'catch' falling symbols marked with a '+' or the Credelio Plus ingredients, milbemycin oxime and lotilaner to win points, and avoid ones with fleas, ticks and worms, which lose points.
In addition to the £50 vouchers, there are goody packs for four runners up each month.
William Hawker, Parasiticides Marketing Manager at Elanco Animal Health said: "We are excited to showcase our novel new game at BVA Live with this exciting drop and offer all attendees the first chance to play Plus Plummet and win some great prizes by topping the leaderboard every month."
To play the game, visit: https://www.myelanco.co.uk/brand/plus-plummet
Incidentally, if you're at BVA Live, you're invited to join Elanco at the Exhibitor Showcase Theatre tomorrow from 09:00-09:50 for ‘Parasitology: Testing Times? Navigating the current challenges in practice’.
Cat Henstridge (BVSc MRCVS, small animal vet) will be interviewing Ian Wright (head of ESCCAP) and answering questions on everything from when to test, when to treat and how to communicate with pet owners about choice and the parasiticide treatment options available.
Photo: Elanco launches Plus Plummet at BVA Live
Although developed by the RCVS and VSC BAME Student Support Working Group ostensibly for use by Universities, EMS placement host practices and other educational establishments, it is recommended that all veterinary practices review the guidance.
The Guidance on Religious Clothing and Beliefs covers issues such as: balancing accommodations for religious dress with clinical considerations, and making accommodations for religious observance in academic timetabling and exams.
Gurpreet Gill, RCVS Leadership and Inclusion Manager said: “This document is about recognising that personal religious beliefs should be respected and accommodated as far as possible, while also not compromising professional responsibilities such as infection control, effective communication and the health and safety of individuals and their colleagues.
"Most importantly, it is about creating a welcoming and inclusive environment and ensuring that all students are able to express their religious identity whilst participating in educational and workplace settings.
“Although the guidance is not exhaustive, we would highly recommend that, where relevant, educators, practices and other veterinary workplaces review, adopt and adapt this guidance for their own settings to ensure that all members of the professions are welcomed and included.”
The Guidance on Religious Clothing is available to download from: https://www.rcvs.org.uk/news-and-views/publications/guidance-on-religious-clothing-and-beliefs/
Sabrina joins Fran Taylor-Brown, Simon Bertram and head of service Tom Cardy.
Tom, a European and RCVS specialist in neurology, said Cave is now the biggest specialist-led neurology service in the South West:
“We are very pleased to have Sabrina join the neurology service at Cave, expanding our team to four European and RCVS-recognised specialists in veterinary neurology. This really sets Cave apart from our competitors.
“Sabrina’s arrival, in conjunction with the installation of our new state-of-the-art MRI scanner, means we can see most urgent neurology referrals within 24-48 hours in nearly all cases and increase the number of neurology cases we treat each day.”
Cave’s new £1.2m Phillips Ingenia 1.5T Evolution offers 50% faster scans at a far higher resolution than its previous MRI and shorter general anaesthetics for patients.
It also allows a more detailed and accurate diagnosis of complex neurological conditions.
Tom added: “The MRI scanner is one of the most advanced imaging modalities for the nervous system, providing millimetre-thick cross-sectional images of the brain and spinal cord which is essential for both accurate diagnosis and treatment.
“Having such advanced equipment and facilities plus four recognised specialists means all our clients and their pets will see a vet with the highest level of training in veterinary neurology.
“All of our specialists are happy to discuss challenging cases on the phone with our referring vets and Sabrina's skills and enthusiasm will continue to improve and diversify the service we offer.
https://cave-vet-specialists.co.uk
The report is the culmination of the work of a joint RCVS and VSC BAME Student Support Working Group, set up to explore key issues in supporting BAME veterinary students during their studies.
The Working Group made a total of 14 recommendations, which included:
Stephanie-Rae Flicker is a recent Royal Veterinary College (RVC) graduate who co-chaired the Working Group alongside Professor Rob Pettitt from the University of Liverpool.
She said: “I hope this encourages and supports our veterinary institutions to actively implement change regarding discrimination faced during studies and placements, nurturing role models and helping affected students develop sense of belonging and community during their studies and beyond.
"Many thanks to all that have contributed to the completion of this Report – we hope the recommendations have a lasting impact, and benefit those both already present and yet to enter our profession."
RCVS/VSC BAME Student Support Working Group Report.
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
Alice and Mariella, who co-authored the book Cracking the Menopause, met with MPs earlier this month to present the goals of their campaign: education for all on the menopause, an end to scaremongering, prescribing women with the correct medication and making HRT affordable and accessible to all.
Vets Now says 88% of its 1800 employees are women, 28% of whom are aged over 40, when they could be perimenopausal, menopausal or postmenopausal.
The company's new app offers its employees video consultations with health experts, health and fitness programmes, and support with mental health and nutrition.
Vet's Now says it's the starting point for a wider menopause support plan being launched later in the year which will include steps to help manage mental wellbeing at work, menopause support hubs and encouraging a culture which talks honestly about menopause.
Laura Black, Head of Health, Safety and Wellbeing, said: “Women over 50 are the fastest growing demographic in the workplace and sadly it’s estimated that almost 900,000 women in the UK have quit their jobs due to the menopause.
“We are committed to creating an understanding workplace for employees going through the perimenopause and menopause and want to make sure they feel supported by us at all times.
“We've launched Peppy to help our colleagues take control of their health and get the answers they need from experts, anytime, anywhere.
"The app is free to access for all employees and their partners.
“We’ve been working hard on formulating a menopause support package for staff over the past couple of years and we’re really proud that we’re one of the first major veterinary businesses to make this step change.
"We’d encourage other businesses in the sector to look at similar plans for their colleagues.”
While the drive to launch Peppy was initially to support the Vets Now Menopause policy, it also provides support for fertility, pregnancy, early parenthood and men’s health.
For more information on Peppy visit www.peppy.health.
Animalcare says hydrocortisone aceponate is a potent, topical anti-inflammatory, proven to quickly relieve itchy and inflamed skin in dogs.
The new product is applied as a spray, designed to make it easy to target affected areas of skin.
Hydrocortisone Cutaneous Spray Solution is presented in a 76 ml size with a two-year shelf life, six months once opened.
Animalcare Product Manager Eleanor Workman Wright said: “Skin problems are extremely common in dogs.
"They can often cause great discomfort to dogs and concern to their owners.
"We believe that Hydrocortisone Cutaneous Spray Solution will be a useful addition to the range of treatment options currently available to vets as they consider the most appropriate care plan for their patients.”
The 2016 PAW Report, in which 4252 dog, cat and rabbit owners were surveyed by YouGov, found that 24% (an estimated 5.2M) of owners did no research at all before buying a pet.
Only 5% of prospective owners spoke with a veterinary professional before buying an animal.
This raises the question of whether practices could be doing more to engage with prospective pet owners, by offering free or low-cost pre-purchase consultations with a veterinary nurse which offer advice about suitable pets and breeds to fit with the buyer's lifestyle.
The PAW Report also discovered that 65% of prospective pet owners were unaware of the five welfare needs. Many also dramatically underestimate the financial implications of owning a pet with 12% of owners believing their pet would only cost up to £500 over their entire lifetime. Overall, 98% of respondents underestimated the lifetime cost of owning their pet to some degree.
Buying pets from inappropriate sources was another major concern, with 23% of veterinary professionals identifying this as one of most critical issues which they would choose to resolve tomorrow. 50% of owners said they would consider getting a pet from a private, classified online advert. 18% of owners said they would still consider getting a puppy from a puppy farm, while others would consider getting a pet from an advert posted on social media (37%), from a pet supermarket (41%), or a pet that has been imported from abroad (28%).
A pre-purchase consultation could help address all of these issues, helping to set the owner's expectations about costs, educate them about the five welfare needs and steer them in the direction of reputable source to buy their new pet.
Such consultations would obviously need to be marketed beyond existing clients in the waiting room, but could be added to existing marketing materials used in the local media and added to the practice website ('Thinking of buying a pet, talk to us first').
To help practices that want to engage with potential pet owners in this way, the PDSA has launched a free ‘Which Pet?’ consultation framework for veterinary teams. The materials include client and explanatory vet team booklets, marketing materials and an e-learning CPD module. They can all be accessed free of charge on PDSA’s website at: pdsa.org.uk/whichpet
Commenting on the PAW Report findings, Sean Wensley, PDSA senior veterinary surgeon, said: "There is little doubt that we’re a nation of animal-lovers. But the PAW Report highlights that impulse-buying pets is still an issue of great concern, and shows no signs of improving. Little or no research before getting a pet means owners have limited understanding of what their pets require throughout their lives, which is undoubtedly leading to an array of other troubling pet welfare problems."
Other key findings:
The six videos, which were recorded by Dechra's technical team, range in length from 10 minutes to 37 minutes.
Episode one describes the pathophysiology of Addison’s disease, different types of Addison’s disease and helps veterinary professionals recognise the common clinical presentations of chronic hypoadrenocorticism.
Episode two examines the similarities in clinical presentation between hypoadrenocorticism and other disease processes.
The third episode looks at the changes commonly seen in the haematology, biochemistry and urinalysis of Addison’s patients. This section also covers how to perform and interpret hormone testing with the knowledge of the common causes of false positive results.
The fourth looks at a clinical presentation of an acute Addisonian crisis and best practice for emergency treatment of these patients, as well as the transfer of an acute patient onto maintenance treatment with Zycortal.
The final two films explore the treatment and monitoring of a patient on Zycortal and how to switch existing Addisonian patients from fludrocortisone acetate to Zycortal. It also documents the help which is available for those more complex cases.
Dechra Brand Manager Craig Sankey said: "These short films are an important support tool for any veterinary professional who is treating patients with hypoadrenocorticism or who may be presented with cases in their practice.
"Addison’s disease can be very hard to diagnose as it mimics so many other illnesses and we hope these presentations will give insights into a complex disease. The introduction of Zycortal has been a vital development in the treatment of the disease and we hope the new resources will be beneficial to veterinary professionals."
The presentations complement resources that Dechra has already produced for dog owners, including a website -www.myaddisonsdog.co.uk - which provides information and resources to help dog owners understand the condition and monitor their pet's progress.
In June the College held a six-week consultation with the profession, asking for opinions on its proposal for an outcomes-based approach to CPD which would concentrate less on hours logged and more on interactive, reflective learning and measuring the impact that CPD has on the individual’s practice and patient health outcomes.
The proposed model for CPD had four key components: planning, doing, recording and reflecting. While an overall majority of the 3,357 people who responded to the College’s consultation agreed with the proposed changes to the CPD requirement, certain elements received less support than others. The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
The RCVS Education Committee therefore decided that a pilot of a new outcomes-based approach should be held during 2017 with a group of volunteers, before making a recommendation to Council.
Professor Stephen May, who chaired the Working Group that developed the CPD proposals, said: "Because of the concern voiced by members of the profession responding to the consultation we decided that, at this stage, it would not be appropriate for the RCVS to move straight into this new way of doing CPD but that it would be more appropriate to hold a pilot. The idea is that we will explore some of the concerns around reflection and around the extra time and paperwork that people felt that a more reflective approach may lead to.
"We have taken all these comments into account and are now seeking to work with individual volunteers on this pilot. It is important to note that we are not only looking for volunteers who agree with what we are doing but also those who are apprehensive about it or even some who see it as something they do not support. We want to explore the full range of views and how we can move forward in changing our approach to CPD."
The pilot is expected to be launched in February next year and the College is now looking for volunteers who both support the proposals and have a ‘healthy scepticism’ about them. Volunteers will receive help and support throughout the trial and will also be invited to attend an introductory CPD meeting at the RCVS offices in February.
If you are interested in volunteering, contact Jenny Soreskog-Turp, RCVS CPD Officer, on cpd@rcvs.org.uk.
Further information, including the CPD Policy Working Party’s response to the consultation and the full interview with Stephen May, is available at www.rcvs.org.uk/CPDpilot.
The article, which is available open-access, comprises a literature search of both medical and veterinary medical journals for evidence of the effectiveness of input-based and outcomes-based CPD.
Its conclusion is that outcomes-based CPD, which concentrates less on hours logged and more on interactive and reflective learning, is the most effective at improving practice and patient health outcomes.
The paper was originally presented to the RCVS CPD Policy Working Group on 4 December 2015 to inform its discussions. A six-week consultation with the profession was held over the summer asking for their views on the resulting proposals for an outcomes-based approach to CPD.
The proposed model for CPD has four key components: planning, doing, recording and reflecting. While an overall majority of the 3,357 people who responded to the College’s consultation agreed with the proposed changes, certain elements received less support than others. The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
With this in mind the RCVS Education Committee and VN Council decided that a pilot of a new outcomes-based approach should be held during 2017 with a group of volunteers, and made this recommendation to RCVS Council. RCVS Council approved this pilot at its meeting on 10 November.
The pilot is expected to be launched in February next year and the College is now looking for volunteers who both support the proposals and those who have a ‘healthy scepticism’ about them. Volunteers will receive help and support throughout the trial and will also be invited to attend an introductory CPD meeting at the College’s offices on 28 February.
To access the article for free, visit the Veterinary Record: http://veterinaryrecord.bmj.com/content/179/20/515.full?keytype=ref&ijkey=bwDIVYMY8Vwd0su.
Further information, including the CPD Policy Working Party’s response to the consultation, is available at www.rcvs.org.uk/CPDpilot.
According to the company, gum disease is five times more common in dogs than humans, as dogs have a more alkaline mouth, promoting plaque formation. The company also says that studies have shown 80% of dogs suffer some form of gum disease before they are three years old.
The survey found most owners associate bad breath, tooth loss and inflamed gums (76%, 67% and 65% respectively) with poor oral hygiene.
However, many dog owners were unaware it could lead to more serious consequences with only 11% identifying heart disease as a potential cost of poor oral hygiene and only 7% understanding the liver can be affected.
The company has produced a YouTube video with Marc Abraham MRCVS and behaviourist Carolyn Menteith about canine oral care and Pettura Oral Health - a gel applied directly to dogs' teeth and gums to help maintain oral hygiene.