The Legislative Reform Consultation took place between November 2020 and April 2021 and asked members of the veterinary profession and the public to give their responses to a package of proposals for future veterinary legislation designed to enhance the role of veterinary nurses, modernise RCVS registration, lead to a modern fitness to practise regime, and ensure the regulation of veterinary practices.
The proposals represent the biggest legislative reform since the 1966 Veterinary Surgeons Act.
In total the consultation received 1,330 responses, of which 714 (54%) were from veterinary surgeons, 335 (25%) from veterinary nurses, 93 (7%) from veterinary paraprofessionals, 73 (5%) from student veterinary nurses, 58 (4%) from members of the public, 40 (3%) from veterinary and industry organisations, including representative bodies, and the remainder from veterinary students and veterinary practice managers.
An analysis of the consultation responses covering each of the five core areas and their individual recommendations can be found in the final report, which is available at www.rcvs.org.uk/legislativereform.
After considering this report, Council voted by a majority to accept the recommendations, meaning that they are now formally adopted as RCVS policy and will form the basis for discussions on the need for new legislation with the Department for Environment, Food & Rural Affairs (Defra).
Professor Stephen May has chaired the Legislation Working Party that developed the proposal since its inception in 2017 when he was RCVS President. He said: “We are very grateful to those individuals and organisations who took the time to complete this very important consultation on recommendations for the future legislative framework for the professions. We also appreciate the candour of those who were unsure about or opposed to the recommendations.
“When the Legislation Working Party met to consider the responses and the report, it decided that, while no substantive changes needed to be made to the principle-based recommendations, the points raised both against and in favour of individual recommendations gave us important material for additional consideration, and food for thought as to how any detailed proposals would be implemented once enabling legislation is in place.
“We look forward to submitting these recommendations to Defra formally, with a view to them becoming, in time, a bill put before Parliament to replace the Veterinary Surgeons Act 1966. In so doing, this would establish a modern, flexible and comprehensive piece of legislation that would make sure the regulatory structure for the veterinary professions is fit for purpose for decades to come.”
As well as the main report of the Legislative Reform Consultation, RCVS Council also considered a series of interim measures that would be in line with the overall aims of future legislative changes, but which could be implemented without primary legislation.
The proposed interim measures included:
Council members voted on each of these interim measures on an individual basis – with the mini-PICs and the Charter Case Protocol being accepted by majority vote.
However, Council members voted against implementing the change to the standard of proof at this time, citing a number of concerns about the potential impact of it being implemented under the current concerns investigation and disciplinary procedures. Similar concerns had been put forward by many of those who responded to the consultation itself.
Eleanor Ferguson, RCVS Registrar, said: “The approved procedural changes will, I believe, lead to a significant improvement in the efficiency and effectiveness of our disciplinary processes. The Charter Case Protocol will mean that, in suitable cases where a finding of serious professional misconduct at a full disciplinary hearing would likely only lead to a reprimand or to no further action being taken, a more proportionate and less time-consuming and expensive means of resolving cases will be available. However, it will still reflect the seriousness of the matters and continue to protect the public interest, welfare and the reputation of the profession.
“Furthermore, by phasing out the Case Examiner Group stage and instead referring concerns to ‘mini’ PICs, which will decide if the threshold of serious professional misconduct has been met, it will make our concerns investigation processes clearer and more streamlined and therefore more efficient. We look forward to publishing further details on both of these changes in due course.
“Although Council members accepted that a change of the standard of proof would be an integral part of introducing a modern fitness to practise (FTP) regime as part of any future legislation, they had significant concerns about the ‘interim’ recommendation to introduce it under the current arrangements, in advance of implementing a full FTP model, and so a majority felt that they could not vote for it.”
To read the full report of the Legislative Reform Consultation, including analysis of the responses, please visit www.rcvs.org.uk/legislativereform.
Ciar, who works at Davies Veterinary Specialists, says her driving aim was to help acknowledge and understand why the veterinary sector is the least diverse profession in the UK (Gyles, 2018), with veterinary nursing being worse than veterinary medicine, and her article also considered possible solutions.
Ciar first studied animal management at Shuttleworth College, before completing a bachelor’s degree in veterinary nursing at Middlesex University.
She then participated in Linnaeus’s post registration programme (PRP) at Davies Veterinary Specialists and is now a permanent member of the team.
Davies Hospital Director Ben Orton said: “Many congratulations to Ciar on her impressive achievement.
“We are extremely proud that she is a member of our nursing team here at Davies.
"Her drive, focus and commitment strongly reflect our hospital ethos and her article pertinently and comprehensively tackles the very important subject of BAME representation within the veterinary sector.”
Matthew has been a veterinary nurse since 1989 and, throughout his career, has had a focus on nursing exotic animals, particularly in the zoo setting, with experience of nursing everything from ‘ants to elephants’. He regularly lectures to veterinary nursing and veterinary surgeon undergraduates at the Royal Veterinary College as part of their core modules on topics such as herpetological husbandry, and some areas of zoo and wildlife diagnostic imaging and anaesthesia. He also lectures extensively on herpetology throughout Europe and America.
Matthew has been an elected member of VN Council since 2016 and was re-elected this year. He was chosen to be Chair at last week's meeting of VN Council. He said: “I am very proud to be the first male veterinary nurse to hold the position of Chair of RCVS VN Council. In this position I will continue to work hard to support and progress the profession of the veterinary nurse.
"It is fundamental we give the general public, as well as our fellow veterinary professionals, a greater understanding of the excellent work we do. We have a positive impact on animal health and welfare, whatever the clinical environment or species. The lack of understanding of what veterinary nurses do is often cited as a chronic issue within my profession and it is something I plan to prioritise during my tenure as Chair of VN Council."
Joining Matthew will be Belinda Andrews-Jones RVN who was elected as Vice-Chair of VN Council. Belinda has worked in veterinary nursing for almost 30 years with a focus on emergency & critical care and is currently Director for Nursing at CVS, where she leads the more than 2,000 nurses in the group. Belinda has been an appointed member of VN Council since 2018.
Belinda said: “I am delighted to have been elected as Vice-Chair of VN Council by my fellow Council members. It is a huge honour and privilege to be contributing to the RCVS and the profession, in protecting and upholding the high standards of the UK veterinary nurse profession, while progressing the profession forward.
“I feel I can make a positive contribution to the already fantastic work that the college has achieved. I am passionate about progressing the profession forward and expanding the role of UK veterinary nurses."
Both Matthew and Belinda will take up their appointments as Chair and Vice-Chair respectively at this year’s RCVS Annual General Meeting which takes place on Friday, 10 July 2020. On that day the RCVS will also be saying farewell to the current VN Council Chair Racheal Marshall who was not re-elected in this year’s VN Council election.
More information about this year’s AGM can be found at: www.rcvs.org.uk/news-and-views/events/royal-college-day.
Purina carried out a survey earlier this year which revealed the different ways British cat owners manage sensitivity to cat allergens2. They included removing the cat when sensitivities to allergens act up (76%), restricting the cat to specific places in the home (75%), using special cat products on the cat such as dander removers or allergen sprays (64%), bathing the cat (56%) and taking the cat to a groomer (52%).
92% also use a high-quality vacuum cleaner, 66% put covers on their furniture and 26% clean their home and furniture daily to remove traces of cat hair.
Dr Ebenezer Satyaraj, PhD, immunologist for Nestlé Purina Research and lead investigator on the research that led to the development of Pro Plan LiveClear, said: “Many people think that cat hair or dander is the allergen, but it’s actually what’s on it – the major cat allergen called Fel d 1, a protein that cats produce naturally in their saliva.” 3,4
All cats produce Fel d 1, regardless of breed, age, hair length, sex or body weight, but at differing levels.4-6 When cats groom themselves, Fel d 1 gets on the hair and skin through the saliva and with shedding, it eventually gets into the home environment. Feld d 1 attaches itself to any surface it comes into contact with and remains in houses for over a year or more.
Purina says Pro Plan LiveClear contains a specific protein, sourced from eggs, which binds itself to the Fel d 1 and safely neutralises it in the cat’s mouth, thereby reducing the amount of active allergen shed in the environment 7,8.
In a study, feeding Pro Plan LiveClear was shown to reduce the allergens on cat hair and dander by an average of 47%, starting in the third week of daily feeding7.
There have been no studies as yet which have tested the effect of this allergen reduction on human symptoms, but Purina says anecdotal evidence from consumers who have tried the product has been positive thus far.
Amena Warner, Head of Clinical Services at Allergy UK said: "Amena Warner, Head of Clinical Services at Allergy UK said: "There are a number of ways in which cat owners try to manage their exposure to cat allergens and keep their symptoms at bay, including taking antihistamines, using inhalers for quick symptoms relief as sensitivity to cat allergens is often linked to allergy-related asthmas, regularly cleaning and hoovering, bathing and grooming the cat by non-allergic family members. And if these measures do not work, current medical advice is often to relinquish the pet to limit exposure to the allergens.
"Every cat is unique though, and so the level of Fel d 1 they produce varies, just as every person's sensitivity level to these allergens is different. That is why there is no ‘one size fits all’ way to manage exposure to cat allergens. Every little bit helps so a combination of management tools often works best to help reduce cat allergens in your home - the combination is unique to your lifestyle. We welcome the development of Pro Plan LiveClear, which when used as part of a cat allergen management regime, could be a meaningful extra tool for affected households.”
Purina says Pro Plan LiveClear is not intended to replace other cat allergen-reduction strategies but to add another measure that can help reduce the cat allergen burden in cat households.
Pro Plan LiveClear is available at Pets at Home retail stores and from the Purina online shop as a complete life-stage range with six products tailored for Kitten, Adult and Adult 7+.
References
Andrea, who is also an EBVS Specialist in Small Animal Internal Medicine, is joining Paragon after returning from a spell in Australia. The transfer fee was not disclosed.
Andrea graduated from Bristol in 2011 and became a Specialist in 2017. She said: "I'm so pleased to be returning to my beautiful home county of Yorkshire and joining the brilliant team at Paragon.
"Internal medicine will be my key area and my main interests are infectious diseases and post graduate clinical teaching."
Andrea represented England youth at basketball between 2000 and 2002, starring in tournaments in Hungary and Italy, and her passion for sport is still high on her list of priorities.
She added: "Now I’m back home I’m looking to join a triathlon club and will attempt to master the ukulele, which I recently began playing."
Paragon managing director, Ian Monteith, said: "Andrea is the fifth high-calibre specialist addition we’ve made in the past six months which illustrates our dedication to delivering the highest level of care and treatment to our patients."
Neptra has been approved for the treatment of acute canine otitis externa or acute exacerbations of recurrent otitis caused by mixed infections of susceptible strains of bacteria sensitive to florfenicol (Staphylococcus pseudintermedius) and fungi sensitive to terbinafine (Malassezia pachydermatis), by the European Commission.
Mario Andreoli, Head of Marketing at Bayer Animal Health, said: "Otitis externa is a common disease in dogs and a leading cause why owners take their dog to a veterinarian.
"Neptra offers a key advantage, unlike competing products, it requires just one dose, administered by the veterinarian in the practice."
No at-home applications by the dog owner are required. The treatment stays in the hands of the vet who has full control over compliance.
Mario added: "With Neptra we provide a high-quality veterinary treatment that is convenient for the dog owner and ensures the well-being of dogs with a proper, effective application."
VetSurgeon understands the new product will be available in the UK in January 2020.
HSR, which provides emergency and routine specialist orthopaedic and neurology services, now offers video consultations with a specialist and a pet transportation service. It has also introduced strict strict biosecurity and operational preventative measures.
Clare Hamilton, Managing Director, says, “Our priority is to continue to offer gold-standard service for both routine and emergency orthopaedic and neurological cases whilst doing our utmost to limit the spread of Covid-19 as much as possible. We are to all intents and purposes, ‘business as usual’ with additional hygiene measures to protect clients and staff”.
HSR is asking clients that if there is a chance that they have Covid-19 and/or have come into contact with anyone with the virus they do not attend the hospital in person, but instead contact via email or telephone to discuss their pet’s treatment on an individual basis. Clients visiting the clinic are being asked to wait in their cars until their appointment, whereupon the animal is collected from the car by one of the team for its clinical examination. The vets are then speaking to the clients by telephone to discuss and gain consent for any further investigation or treatment.
For vulnerable clients who are self-isolating and in need of their services, HSR is offering a pet ambulance service for collection and drop off of pets. They will then have a video consultation with the specialist. Medications will be posted out and advice given over email or telephone.
Clare added: “We are doing all we can to support colleagues and clients in what are unprecedented circumstances. We recognise the strain on many practices having to reduce the number of appointments in the face of staff shortages. We want to reassure vets that we are happy to offer advice and support with cases, and continue to take referrals during this difficult period. We also have free online CPD for practices via our website as meetings are postponed or cancelled”.
The practice advises clients and referring vets to check for further developments on social media, or sign up to their email list for updates.
The winners were the first veterinary nursing students to place in the awards, which were launched by RCVS Knowledge last year to recognise and support students’ engagement with evidence-based veterinary medicine (EBVM) and its application into practice.
The winning Knowledge Summary was written by Carla Husband, Abbie McMillan and Lauren Sweeney (pictured right), all studying veterinary nursing at the University of Bristol.
The team highlighted the paucity of evidence regarding the impact of educational interventions on hand hygiene compliance in small animal environments, a highly relevant topic during the COVID-19 pandemic, and called for more research to be carried out to support hand hygiene compliance in the veterinary professions.
Carla said: “I feel so proud of myself and my co-authors for winning this competition. We worked very hard on making this Knowledge Summary the best it could be and can’t believe our hard work has paid off. I also feel very proud to represent the vet nursing profession and to come out of university with a published paper.
"To any vet nursing or vet students out there who are thinking of submitting to Veterinary Evidence, I say go for it! The more evidence we can contribute to our knowledge base, the better our profession can become.”
Lauren said, “It was really exciting as a Student Veterinary Nurse to be able to submit our work into this competition. I truly believe that the Veterinary Science evidence base should be continually built upon and I am so glad this competition allowed our Knowledge Summary to do so!
Second and third place awards went to vet students Laura Pratley at the University of Liverpool and Lesca Sofyan at the University of Sydney in Australia, respectively.
RCVS Knowledge says the vet nurses' win underscores how an evidence-based approach can be embedded by all veterinary professionals. Peter Cockroft, Editor-in-chief of Veterinary Evidence, said: “I would like to congratulate the award winners on their outstanding achievements. We hope the student authors who have either won or been accepted for publication will feel encouraged to continue to practise EBVM in their future careers.”
The winning paper is available to read on the Veterinary Evidence website at: https://bit.ly/SAKSHandHygiene. The second and third place papers, along with the other submissions, will be published at a later date. The awards will be presented at the RCVS Day Honours and Awards virtual event in September. The Veterinary Evidence Student Awards 2021 are now open to submissions. All undergraduates studying veterinary medicine, veterinary nursing, veterinary bioscience or bioveterinary science are eligible to apply.
Further information is available on the RCVS Knowledge website: http://bit.ly/VEstudentawards.
Emotional Resilience Skills for the Veterinary Profession, which the BSAVA presents in association with the RCVS Mind Matters initiative and Two Roads Charity, are half day events will be now held virtually by the BSAVA Regions.
Mary Harrison, Programme Director at Two Roads Charity, said: “Twice as many members of the Veterinary Profession suffer mental health issues as the general population; due to many reasons including overwork, trauma, imposter syndrome, unsupportive colleagues and overly demanding clients. Emotional Resilience is a major defence against many mental health issues including depression and anxiety and the good news is that it’s primarily learned behaviours."
The programme is designed to equip participants with an understanding of the role emotional resilience plays in protecting our mental health. Emotional resilience is mainly a learned behaviour, and there are recognised steps that can be taken to increase resilience and reduce the risk of developing mental health issues including depression.
Jennie Bartholomew, Education Coordinator at the BSAVA said: “We’re thrilled to be able to offer these courses to the veterinary profession again, especially given the exceptionally tough year we have all experienced which has placed additional strain on mental health and wellbeing for many. We know that this programme will be well received and will be helpful to all members of the profession, wherever they are based”.
Lisa Quigley, Mind Matters Initiative Manager, said: “We know how tough the last 18 months have been for the veterinary profession, and we’re pleased to be working in partnership with two organisations who are as passionate about supporting the mental health of the profession as we are. We are really looking forward to the launch of the programme and we are sure that anyone who attends will come away with a better understanding of their mental wellbeing and how to respond to emotional challenges.”
Designed for the whole practice team, the programme is suitable for anyone who wishes to increase their own resilience and develop the ability to help others at work or at home. Participants will work in groups, and no personal disclosures are necessary, although participants are welcome to discuss private issues after the programme.
The programme is free to BSAVA members; £40 to non-members. Spaces are limited and the sessions will not be recorded. You can book your place online now at: https://www.bsava.com/emotionalresilience.
The researchers hope that the study will help to increase a veterinary surgeon’s index of suspicion of a particular liver disease, particularly if a biopsy-confirmed diagnosis is not possible.
In the study titled “Histopathological frequency of canine hepatobiliary disease in the United Kingdom”, histopathology reports from canine liver tissues submitted to a commercial veterinary laboratory by UK first and second opinion practices were retrospectively reviewed.
Data collected included breed, age, sex, gross and histological descriptions, diagnosis and additional comments.
Data were then grouped into 23 categories according to WSAVA histological criteria for canine hepatobiliary diseases using the four main morphological groups of vascular, biliary, parenchymal and neoplastic disorders. Breed analysis was then performed on the top five ranking breeds within each individual category.
A total of 4584 histopathology reports of canine liver tissue were included in the analysis.
The most common histopathological diagnoses were reactive hepatitis (16.8%), chronic hepatitis (16.0%) and reversible hepatocellular injury (RHI) (12.9%).
Labrador retrievers were found to have increased odds for reactive hepatitis (OR 1.57, 95%CI 1.23-1.99), whilst crossbreeds demonstrated reduced odds (OR 0.65, 95%CI 0.54-0.79).
Breeds with increased odds of chronic hepatitis included the Labrador retriever (OR 4.14, 95%CI 3.47-4.93), springer spaniel (OR 6.30, 95%CI 5.10-7.79), cocker spaniel (OR 2.78 95%CI 2.20-3.53) and West Highland White Terrier (OR 3.23, 95%CI 2.24-4.65).
Within the RHI group, the schnauzer (OR 8.06, 95%CI 5.77-11.26) and Bichon Frise (OR 5.19, 95%CI 3.63-7.42) had increased odds of disease.
Dr Yuvani Bandara, corresponding author for the paper, said: “This is the first study to report the histopathological frequency of hepatobiliary diseases and to identify possible breed predispositions in a large cohort of dogs in the UK.
“Despite multivariable analysis not being performed to account for confounding factors, we hope that this information informs and supports future investigations for hepatic disease in particular breeds and potential predispositions.”
The full article can be found in the September issue of the Journal of Small Animal Practice and can be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13354.
Reference
Originally known as ‘Our Dumb Friends League’, the Blue Cross was formed in 1897 to help the working horses of London, who were often underfed, struggled to carry heavy loads and became injured on slippery asphalt roads created for new motor vehicles.
Bill Bailey said: “I had a great time transforming into a Pearly King! I love all animals, so having an opportunity to celebrate Blue Cross’ heritage and highlight the support that they have continued to offer to horses, and other animals, since their inception was really special."
Iain Heaton, Deputy CEO and CFO at Blue Cross, says: “We are delighted to share these recreated historic images with our supporters, beneficiaries, and the British public. Bill, David, Lauren, and our hard-working rehoming team have done a phenomenal job at demonstrating how we have supported both pets and people over the last 125 years, and we can’t wait to see people’s response.
To learn more about the Blue Cross's heritage, visit: https://www.bluecross.org.uk/125-years-of-blue-cross
The online book invites veterinary nurses to leave written messages of condolence, and pictures.
The book will be available until Monday 3rd October.
Dr Melissa Donald MRCVS, President of the RCVS who will be attending the Queen’s state funeral on behalf of the College, said: “I, along with my colleagues in the Officer Team and on RCVS and VN Councils, were greatly saddened to learn of the death of Her Majesty the Queen last week.
“As our Patron and benefactor since her accession to the throne 70 years ago, as a keen supporter of the veterinary professions who had many interactions with its members, and as an animal-lover, we were keen to give veterinary surgeons and veterinary nurses the opportunity to leave messages of condolence, anecdotes about meeting Her Majesty, and tributes for her many years of duty and service to this country.
“After it closes, we plan to save a digital copy of the online book in the RCVS historical archives for posterity.”
Any nurses who have not received the original email should contact communications@rcvs.org.uk.
Mr Eccles had first appeared before the Disciplinary Committee in November 2018 where he admitted a number of clinical failings regarding his diagnosis of a cat, the keeping of accurate and detailed clinical records, giving the animal appropriate treatment, surgery and care, and failing to provide the cat’s owners with adequate information on the cat’s care upon discharge.
After Mr Eccles admitted the two charges against him, and the Committee found him guilty of serious professional misconduct, the Committee then postponed its decision on sanction on the condition that Mr Eccles agreed to abide by a set of undertakings in the interim. They included: the preparation of a personal development plan, the enrolment of his practice in the RCVS Practice Standards Scheme, the appointment of a veterinary mentor, the completion of additional training and CPD, and his agreement to pay any costs of complying with the undertakings, including the appointment of and work undertaken by the appointed mentor.
At the resumed hearing last week, the Committee received evidence from Mr Eccles confirming that he had complied with all the original undertakings agreed to in 2018. It also considered some further undertakings that Mr Eccles had agreed to in October 2020 when his reconvened hearing was postponed due to the coronavirus pandemic. They included: confirming his compliance with the personal development plan he had drawn up in 2019, his practice achieving the Core Standards accreditation level within the Practice Standards Scheme, continuing to meet with his veterinary mentor, and undertaking additional CPD – all of which were found to be completed.
The Committee also heard evidence from both the veterinary mentor and Mr Eccles himself. In his evidence, Mr Eccles apologised to the owners of the cat for the care he had provided, admitting that he had let them and himself down by not having sufficient knowledge to recognise the cat’s needs and to provide him with a sufficient level of care. He also confirmed he was continuing to make improvements to his practice and that he had enjoyed the process of being mentored.
Dr Martin Whiting, chairing the Committee and speaking on its behalf, said: “In November 2018, Mr Eccles practice had fallen significantly short of an acceptable and adequate standard. He was a sole practitioner who had drifted away from professional standards.”
“The Committee today considers that Mr Eccles has met the undertakings which he accepted in November 2018 and again in October 2020 when the resumed hearing was adjourned owing to Covid-19. It accepts the College’s analysis as to how those standards have been met. It notes that Mr Eccles’ practice has achieved accreditation in Core Standards under the Practice Standard Scheme, something which is voluntary in ordinary practice. That is an exacting scheme. He has engaged with his mentor and had indicated that he will continue to do so as the need arises in order to maintain his development.”
Dr Whiting added: “The Committee also recognises that this was a single incident in a long career. It accepts that he has shown insight into his shortcomings. He understands what went wrong and why. The Committee was impressed with Mr Eccles’ statement of apology in his oral evidence today.”
“The Committee found the language which he used in answering its questions, as to the effect compliance with the undertakings has had upon him professionally, reassuring. He said he had been rejuvenated and stimulated; he had renewed enthusiasm for the profession. The Committee commends him for exceeding the minimum requirement of the undertakings, despite the stressful context of the Covid-19 pandemic.”
In considering its sanction for the original admitted charges from November 2018, the Committee considered that a reprimand and warning as to future conduct was the most appropriate and proportionate sanction.
The full findings for the case can be found at: www.rcvs.org.uk/disciplinary
Looking at the imagery on the company's website, I'm not altogether sure I'll be able to resist it either.
The new range, which comes in chicken or tuna flavour with vegetables and rice, includes:
Urinary Care - to help dissolve struvite uroliths
Derm Defense - to support skin health
Digestive Care - for pets with gastrointestinal disorders and pets in recovery
Metabolic - a weight management diet for pets
Kidney Care - to support pets with kidney conditions
For more information, visit: https://www.hillspet.co.uk/prescription-diet/stew.
People are invited to organise or join a walk to raise money for Canine Arthritis Management and its work to educate both dog owners and veterinary professionals about how even the smallest of changes can help to enhance the life of a dog with arthritis.
CAM highlights recent work from the Royal Veterinary College and University of Sydney through VetCompass, which highlighted some of the biggest welfare challenges facing our pet population including obesity, dental disease and osteoarthritis, with osteoarthritis identified as one of the most severe conditions.
Hannah said: "We need to start more conversations about arthritis; both dog owners and vets need to be more aware of the steps we can take to help prevent arthritis, and where dogs are affected, how we can take positive action to help them live fulfilled and comfortable lives."
Hannah says that arthritis is currently one of the biggest causes of owners choosing to euthanise their dogs, and she hopes that owners taking part in the walks will help spread the word that arthritis can be managed.
To find out more about the Big September Walks visit www.facebook.com/CAMBigSeptemberWalks
The reasons are: above average increases in veterinary salaries, advances in veterinary medicine which mean practices can now offer ever more complex but expensive treatments, veterinary practices becoming more business-focused and now charging fair prices for services that they have in the past subsidised, and the cost of providing out-of-hours care.
One reason for the increase in veterinary salaries is the fact that historically veterinary surgeons and especially nurses have been relatively badly paid, although for vets that was always mitigated by the expectation of practice ownership later in their career, something which is no longer a realistic prospect for many.
Veterinary salaries have also been driven higher by the reduction in EU vets coming to work in the UK post-Brexit, although the report shows that UK trained vets and vets from the rest of the world are starting to pick up the slack.
The BVA report says it recognises that it is 'challenging' for clients to accept that rising bills are in part because of increased salaries, but they need to increase further still, pointing to the fact that NHS consultants earn around £100K per annum after four years, whilst vets earn around half that.
The submission also points to developments in veterinary medicine and technology which allow for far better standards of care, but which come at increased cost, notably in advanced imaging, dental work and laboratory services which increasingly involves specialist input.
The BVA also highlights the fact that veterinary practices have become more business savvy, especially since the 1997 decision by the RCVS to allow people and organisations other than veterinary surgeons to own practices.
With that came an influx of business skills and a prioritisation of financial considerations.
Lastly, the report points to the ongoing burden of providing out-of-hours care.
Unlike in most European countries, British vets must provide 24 hour emergency first aid and pain relief to animals, the costs of which have increased considerably as practices which used to provide the service in house at a loss, have increasingly opted to outsource it to veterinary service providers which charge commercially realistic prices.
The submission also discusses the cost of prescriptions, noting how important it is that veterinary practices are able to charge for the time and work it takes to issue a prescription, which despite an above-inflation increase, still only costs around £18.
Finally, the BVA addressed the issue of transparency over practice ownership, saying that whilst it is not aware of any data concerning whether pet owners select a practice based on its ownership, it nevertheless "supports the principle of improved transparency of ownership to help increase customer awareness and enable consumers to make an informed choice".
British Veterinary Association President Anna Judson (pictured) said: “In our submission to the CMA, we have explained the complex challenges facing the profession, alongside highlighting the value of veterinary care.
"The CMA’s review will provide valuable insights, but it is essential that any recommendations are informed with full knowledge and understanding of today’s veterinary landscape and the pressures the profession is operating under, including workforce shortages.”
COMMENT
In all, the submission seems a detailed and fair representation of the reasons for increasing veterinary costs, although there is no mention of the impact of the increasing regulatory burden (such as the cascade), other than, ironically, the need for more regulation at a practice level, as well as of individuals.
It will be very interesting to see what the Competition and Market Authority concludes.
After all, there is no reason whatsoever why veterinary practices shouldn't charge a price which reflects the costs of providing the service, or that veterinary professionals should not be paid reasonably for their knowledge, skills and experience.
The problem is that as the industry has started to charge commercially viable rate for an increasingly higher standard of more advanced care, so the true cost of providing that care has become clear.
Maybe the industry is in danger of trying to sell a Rolls Royce service to marketplace of people who either can't afford or don't want to spend more than the cost of a Ford Focus.
If that is true, the only logical conclusion is that either society will have to accept that pet ownership is a luxury for a smaller group of people who can afford it, or the industry will have to adapt its offering, in other words offer a lower level of cheaper care in order that more people can experience the joys of pet ownership.
The latter of those will be ideologically challenging for a profession bound by its oath that "my constant endeavour will be to ensure the health and welfare of animals committed to my care", not to mention pet owners who often want the best that the profession can offer, despite not always having the wherewithal to pay for it.
https://www.bva.co.uk/media/5459/submission-to-cma-oct-2023.pdf
Ronnie (pictured right) will look at quality control and artefacts of sample quality and review the effects of different pathologies.
By examining analyser output, he'll demonstrate how abnormalities of cells and plasma may affect measured parameters and their indices.
Using images, photomicrographs and video links, he'll move onto explain the techniques and equipment needed to complement analytical automation in order to confirm results quality.
Ronnie said: “We now have more near patient testing in veterinary haematology than ever before. Quality is key to best practice and ultimately superior patient care.
"Sod’s Law states that ‘if something can go wrong, it will!’, so along the way to your generating a Complete Blood Count, it pays to be aware of some of the pitfalls that you may encounter.
“One should never underestimate the value of gross exam and simple methods that can be used to ensure sample quality and results accuracy. Seeing is believing after all!”
There will also be an open Q&A session with Ronnie after the presentation, so attendees are invited to bring any questions on all things haematology.
To register for the webinar, visit: https://register.gotowebinar.com/register/2458623866746094093
Krka says the new pack, available for cats and for toy, small, medium and large dogs, is designed to offer practices greater dispensing flexibility and to encourage quarterly visits and compliance with healthcare plans.
Selehold is presented in a pipette with a colour-coded cap and transparent tube to enable the owner to check when the full dose has been given. Each pipette is individually wrapped for ease of use and dispensing.
Ms Sabrina Jordan, Country Brand Manager for Krka, said: "We aim to optimise the value we give to our customers by offering them highly effective, tried and trusted, affordable generic medicines with added value.
"Selehold has proved a popular addition to our parasite control range because of its ease of use and cost-effectiveness.
"With many of our customers focusing on encouraging owners to visit the practice quarterly and to sign up to a healthcare plan for their pet, the 3-pack version of Selehold works well as it enables the practice to offer clients a high quality, good value solution that supports this compliance framework."
PawSquad, which was founded in 2015 by Diwaker Singh and Radu Georgescu, offers veterinary consultations by video and live text chat in the United Kingdom. IVC says it continue to operate as an autonomous entity within the IVC group.
PawSquad CEO, Dr Mark Boddy MRCVS (pictured right) said: “Our network of experienced veterinarians has already helped many thousands of pets in the UK, providing medical advice, emergency triage and preventive health plans. Being part of IVC will allow us to help even more pets and to continue to work positively and collaboratively with the veterinary profession, as well as expand geographically.”
Stuart Caton, Chief Commercial Officer at IVC Evidensia said: "Telemedicine will support the efforts of the group to make high quality veterinary care more accessible to pet owners, lowering the barriers to engagement with the veterinary profession. It’s an excellent acquisition that will further complement the group as pet services grow and evolve in the future. We are delighted the entire PawSquad team will continue with the business supporting their corporate and private clients as before.”
IVC says the accessibility of the PawSquad service encourages pet owners to seek professional advice earlier and more frequently, with around half of all queries being referred for necessary in-clinic follow-up and otherwise providing much valued reassurance and peace of mind.
The company also says telemedicine is particularly appreciated by cat owners or those with nervous dogs, where the stress of a clinic visit can sometimes result in those pets missing out on veterinary care.
PawSquad Chairman and Founder, Diwaker Singh said: “We are pet lovers and launched PawSquad with the objective of making sure that pet owners have instant 24/7 access to quality pet care, accessible from their homes. Towards this end, PawSquad is a great success. The service has grown significantly, confirming there is a clear need for this service. IVC Evidensia’s extensive network will help the business strengthen and grow to even greater heights.”
Speakers include Prof. Jo Dukes McEwan, Head of Service, Professor in Small Animal Cardiology (University of Liverpool), Doctor Jennifer Schissler, Veterinary Dermatologist, Best Friends Animal Hospital & Urgent Care Unit (US), and Doctor Pascal Prélaud, Dermatologist, CEO ADVETIA Vet Hospital Center (France).
Participants will also be able to access to an immersive experience, the Vet Symposium Village, which includes the Live Stage, Vet Lab, Clinic Lounge, and Innovation Hub, all offering exclusive videos and lectures.
The event will be translated into Chinese, French, Spanish, Italian, Portuguese, Russian, and German, and a replay of the event will be available until the end of the year.
Dr. Jennifer Welser, Chief Medical Officer, Mars Veterinary Health, said: “It’s more critical than ever for pet professionals from various countries, fields, and perspectives to meet and share their knowledge.
"I look forward to participating in the Vet Symposium and speaking with my peers on topics ranging from mental health to advancements in quality medical care and retaining veterinary talent.”
https://digital-vetsymposium2022.com/
NDSR’s director of neurology Rodolfo Capello said: "This technology is one of the most advanced in medicine and helps to surgically remove tumours while also reducing the tissue damage to vital structures.
"The accuracy and control of the system offers us greater versatility and precision, and minimises invasive manoeuvres during both soft and hard tissue dissections.
"Surgeons can therefore be extremely confident of accurate tumour excision with reduced blood vessel and tissue damage which will all help increase and improve the outcome of our surgeries.
"We’ll be using the ultrasonic surgical aspirator for the removal of tumours in the brain, liver and to cut through bone where necessary. It will be a great asset."
For more information, visit: www.ndsr.co.uk
532 veterinary practices responded to the survey, which was sent to 3,096 veterinary practices for which the RCVS had a unique email address, on 3rd April.
The survey found that:
Three-quarters of those who responded to the survey answered a question on how the RCVS could better support veterinary practices through the crisis. The most frequent response (27%) was that the RCVS needed to provide clearer guidance, in particular as to what services it was permissible for veterinary practices to provide [the College published its updated guidance and flowchart on 9 April].
Of those who responded to the question, 15% felt that the RCVS was doing a good job or that there was nothing more it should do, while just 2% of responses expressed negative sentiment towards the RCVS.
Lizzie Lockett, RCVS Chief Executive, said: “I would like to thank all those practices who took the time in what is already a very fraught situation to respond to our survey and provide the evidence we need to gain a holistic picture of coronavirus’ impact on the business and economics of veterinary practices. We plan to continue running these surveys on a regular basis in order to gauge impact over time and the findings will feed into our policy and decision-making.
"This ongoing research will also be a vital tool when we are talking to Government and other bodies about the impact of policy on the veterinary sector. On this note, we are aware of the challenges of a minimum furlough period of three weeks given the need for practices to take steps to offer 24/7 emergency and critical care, and have written to government on this with some case studies around the impact this is having.
"To those on the ground it won’t come as too much of a surprise that the impact of the coronavirus has been profound in areas such as practice turnover and staffing, with many vets, veterinary nurses and other support staff being furloughed with the aim of signing them up to the Government’s Coronavirus Job Retention Scheme.
"There are some bright spots in the data we’ve gathered – very few practices reported that they had made or were planning to make staff redundant, and many practices reported mitigating the challenge of social distancing by carrying out consultations with new and existing clients remotely.
"Since the survey took place we have also taken steps to meet some of the requests for greater clarity and guidance from the RCVS with the publication of our flowchart helping practices to decide what treatments it is appropriate to carry out safely amidst the COVID-19 pandemic."
The survey results can be read in full at www.rcvs.org.uk/publications.
The next practice impact survey is planned for early May.
The Weight Management range offers nutritional solutions to support healthy weight and the management of cats and dogs with diabetes mellitus.
Caroline Burke, Weight Management Specialist at Royal Canin, said: "Obesity is a growing problem and puts pets at risk of developing further conditions. Now recognised as a chronic incurable disease, we are passionate about tackling this problem with science. The Weight Management products are the gold standard in nutritional support for weight management."
Royal Canin Satiety Weight Management has high levels of fibre to make pets feel fuller for longer. It also comes in a new kibble shape which Royal Canin says increases chewing and meal duration by 57% and decreases begging significantly in 15 days.
Royal Canin Diabetic is formulated to help with the management of glycaemia and the wet pouch now comes in a new size, moving from 100g to 85g, for better portion control. Both diets have been launched with a new premium pack design.
Caroline added: "We know studies show that obese cats and dogs may live shorter lives and can be more susceptible to skin diseases, diabetes mellitus, urinary disease and cardio-respiratory dysfunction. In addition to a reduced life expectancy, owners of obese pets spend more on average; from diagnostics to surgical procedures and medication. Our new Weight Management range will help veterinary professionals support owners in creating healthier habits and work towards better management of overweight pets."
For more information on the new Weight Management range, visit https://vetportal.royalcanin.co.uk/vhn/veterinary-health-nutrition-weight-management/
The nurses have coordinated a donation of unwanted scrubs, tops and other surgical clothing to Leicester-based charity Inter Care, which supports health clinics in countries such as Ghana, Tanzania, Sierra Leone, Malawi and Zambia.
Harriet said: “It all came about because we were about to dispose of some surgical wear, including scrub tops and trousers.
“We thought it a waste to throw them away so got in touch with Inter Care via email and they were very quick to come back to us.
“They said they frequently ship containers full of medical supplied to Africa and one was being sent this summer so we quickly sent them our supplies to be included in the next shipment.”
Bianca added: “We initially looked at this as just a one-off donation but now we’ve learned all about Inter Care we’ll be looking into sending more things in the future.
“I think it’s a great idea and a great cause because the charity supports more than 100 health units in some of the poorest parts of Africa, sending much-needed medical supplies and aid to rural clinics.”
Aimed at all members of the veterinary team across Europe, the webinar is moderated by veterinary nutrition expert Dottie Laflamme.
The webinar, which will also be available on demand after the event, follows others in the series that allow conversations about nutrition to be integrated into everyday consultations.
Speakers Shoshanah Verton Shaw, RVT, VTS (nutrition) (pictured right), and Marge Chandler (a diplomate of the American College of Veterinary Internal Medicine, the European College of Veterinary Internal Medicine and the American College of Veterinary Nutrition) will be sharing their tips for handling nutrition discussions in a non-confrontational way that preserves the client bond with the vet and the practice.
Registration for this and another three free webinars is available at https://bit.ly/purinawebinars2022.