DVS highlights that the phenomenon of large group veterinary businesses is on the rise: big corporations such as Pets at Home Vet Group have recently bought stakes in several of the UK’s biggest referral practices and CVS Group, for example, now owns more than 360 of the UK’s veterinary surgeries, including referral practices.
By contrast, Davies Veterinary Specialists has now reduced the shareholdings of its founder (Jerry Davies), financial director (Mike Thomas) and managing director (Clive Elwood), in order to increase the holdings of Ian Battersby (internal medicine), Ronan Doyle (soft tissue surgery), David Gould (ophthalmology) and Nat Whitley (internal medicine) and create 8 new shareholders: Louise Clark (anaesthesia), Nuria Corzo-Menendez (diagnostic imaging), Mike Farrell (orthopaedic surgery), Laurent Garosi (neurology), Mark Goodfellow (oncology), Patricia Ibarrola (internal medicine), Pedro Oliveira (cardiology), Peter Smith (neurology).
The company says that its increasing number of shareholders will build a more effective business democracy, and in turn help uphold its core values of integrity, professionalism, compassion and respect.
Clive Elwood said: "Maintaining our independence is important to us as a business because it ensures we retain the culture and ethos that provides leading multi-specialist care to all of our patients and exceptional service to our customers and referring colleagues.
"I am delighted we have managed to achieve this transaction, which represents the next stage in the development of our amazing practice. Retaining ownership means we can demonstrate that there remain alternative business models and career paths outside corporate practice. It is a pleasure to welcome such a fantastic group of new shareholders who will, I am certain, contribute greatly to our future success."
DVS says it will continue to evolve the management and governance structure of the practice as it grows. In the future DVS shareholders will set overall strategy and direction for the business and ensure effective governance by the Board of Directors. As well as clinical skills, the development of management and leadership skills will be encouraged across the practice. A strong commitment to learning, research, innovation and teaching will support the delivery of exemplary patient care.
73 employers took part in the survey, which concluded that when it comes to increasing your chances of a successful job application:
Many survey respondents also shared their own tips and advice about how you can increase your chance of a successful application with them.
You can read the full report here.
The guidelines are designed to support veterinary surgeons, veterinary nurses and wildlife rehabilitators, in order to promote and achieve the best possible care and welfare for indigenous British wild animals in accordance with UK law.
The Society says that guidelines are needed because:
Mark Stidworthy, BVZS President (pictured above right), said: "The rescue and rehabilitation of wildlife by veterinary surgeons and wildlife professionals is highly valued by the British public, making a positive contribution to local communities, the health and welfare of individual animals and to conservation. We hope these guidelines will inform best practice in this area and ensure its continued success."
Theresa Amory, Chair of the British Wildlife Rehabilitation Council (BWRC) said: "BWRC aims to support and promote the professional integrity of wildlife rehabilitators. While we recognise that meeting all of these guidelines may be difficult (particularly for smaller scale rehabilitators) we hope that they will enable rehabilitators to work alongside veterinary partners with increased awareness and confidence in their own working policies and procedures."
Michael Stanford, BVZS Senior Vice President, Veterinary Defence Society Claims Consultant said: "The BVZS Wildlife Guidelines should ensure all stakeholders involved with wildlife rehabilitation are acting in the best interests of animal welfare, with the added reassurance that they are acting in accordance with UK law."
Liz Mullineaux, veterinary surgeon and one of the authors of the guidelines said: "Working with British wildlife has always been challenging, for both vets and rehabilitators, in terms of what is ethical, legal and of an adequate clinical standard. These guidelines clarify many of those things, describing best practice and achievable standards for this area of work."
The guidelines can be downloaded from: http://www.bvzs.org/images/uploads/BVZS_Good_Practice_Guidelines_for_Wildlife_Centres_011016_.pdf
According to the Pet Food Manufacturers Association, there are an estimated 1M pet rabbits in the UK. They are commonly presented for treatment in practice and clients are beginning to expect complex workups and high levels of veterinary care.
Ivan, who qualified from the RVC in 1999, has been taking on first and second opinion rabbit cases for over 12 years and was instrumental in developing the v-gel anaesthetic device for rabbits and other species (www.docsinnovent.com). Jo has worked in first opinion practice since 2007 and was the Blue Cross Veterinary Nurse of the Year in 2014. Asides from her nursing experience, Jo has been teaching rabbit husbandry and nursing to owners and nurses directly and also via the Rabbit Welfare Association since 2012. Jo and Ivan have also taught rabbit anaesthesia at the Western Veterinary Conference in the USA for the last 3 years as well as lecturing for the Rabbit Welfare Association in the UK.
Ivan said: "We’re trying to get rabbit medicine to be seen as an important CPD subject for vets and nurses. We’re going to be offering day courses and conferences with an enjoyable and challenging mix of small group teaching, problem solving, practical teaching and conventional lectures - making sure that all our courses offer a really enjoyable day out as well as being first class CPD. Our first course is on the 13th October in Berkshire and we’ll be offering many more courses and conferences in the future!"
For more information about LagoLearn and its rabbit CPD, visit: http://www.lagolearn.com
In a letter to Danny, RCVS President Christopher Tufnell wrote:
"As the regulator of the veterinary profession, we place an emphasis on the importance of evidence-based veterinary medicine. We therefore recommend that there should be a cautious approach to homeopathy for animals and that normal evidential standards should be applied to complementary treatments."
Danny said: "A cautious approach? What, like this claim by the BAHVS that homeopathy cures cancer?. Or would you say that this claim on national TV represents a cautious approach?
"Talking about homeopathy and normal evidential standards in the same breath is oxymoronic. If you apply normal evidential standards to homeopathy, it is completely ineffective and should not therefore be used in animals."
Mr Tufnell wrote: "We believe it is also essential that such treatments, until they can be proved, are complementary rather than 'alternative' and that they are therefore used alongside conventional treatment."
Danny said: "This argument makes sense whilst evidence-gathering for new treatment modalities. Homeopathy, however, has been with us since 1796. In that time, there has been no good evidence that homeopathy is effective for any condition. Against that, we now have the benefit of an increasing body of meta analyses that show it isn’t. How much more evidence does the RCVS require?"
Mr Tufnell wrote: "Whatever views there may be within the veterinary profession, it is clear that there is a demand from some clients for complementary therapies for their animals."
Danny said: "That may be true, but client demand is not an argument for prescribing medicines shown not to work. Nor should ill-informed client demand trump animal welfare"
Mr Tufnell added: "It is better that they [clients] should seek advice from a veterinary surgeon - who is qualified to make a diagnosis, and can be held to account for the treatment given - rather than turning to a practitioner who does not have veterinary training."
Danny said: "It makes no difference to the animal's suffering whether effective treatment is withheld by a layperson or a qualified vet. At what point do we trust the clinical judgement of vets who subscribe to this magical thinking? In the case of hyperthyroidism in a cat, at what point do we trust them to start giving proper treatment? Maybe when the T4 levels reach a certain number? Or when renal failure kicks in? Or when the cat loses a certain percentage of its body weight?"
Finally, Mr Tufnell wrote: "homeopathy is currently accepted by society and recognised by UK medicines legislation and does not, in itself, cause harm to animals."
Danny said: "I'm not sure how it is possible to claim homeopathy is 'accepted by society'. What constitutes 'societal acceptance'? The NHS says that: 'The ideas that underpin homeopathy are not accepted by mainstream science, and are not consistent with long-accepted principles on the way that the physical world works'; the Australian Government says: 'Homeopathy should not be used to treat health conditions that are chronic, serious, or could become serious.' Clearly homeopathy is far from being accepted by society.
"Even if it was, the argument that we should prescribe medicines because they are 'societally accepted' is no different to the argument that we should do so because there is 'consumer demand.' Both are plainly wrong. Presumably the RCVS wouldn't approve of veterinary surgeons prescribing antibiotics just because there is 'consumer demand', or because they are 'societally accepted'.
As to the veterinary medicines regulations, homeopathic remedies were ‘grandfathered’ and have not had to prove efficacy to become authorised. So their recognition by UK medicines legislation is meaningless.
"Lastly, homeopathy does, in itself, cause harm to animals when given ahead of, or in place of proven treatments."
At the same time as Danny was running his petition for banning homeopathy, the Campaign For Rational Veterinary Medicine has been running a petition which instead asks that the RCVS takes steps to allow animal owners to make a more informed decision, thereby limiting the harm that homeopathy causes animals.
This petition, which is for the veterinary profession only, has so far gathered over 400 signatures, and the campaign organisers are now inviting anyone who signed the petition to ban homeopathy to consider signing this one as a pragmatic alternative.
During the four-day hearing, the Committee heard evidence in respect of three separate heads of charge brought against Mr Shah following a castration operation conducted on Shadow, a six-year old Newfoundland dog, which took place on 20 June 2014.
The three charges were as follows:
There was no complaint made as to the undertaking of the operation itself, and the Committee followed the advice from the Legal Assessor that each charge should be considered separately. When making its decision, the Committee did not take into account the fact that Shadow had died as it is impossible to say whether he would have survived had Mr Shah acted differently.
The Committee found each of the allegations against Mr Shah proved. In respect of the first charge the Committee heard from two expert witnesses, Professor Williams and Mr Plumley, who agreed that the decision to discharge Shadow at about 6pm on 20 June 2014, given his condition, was inappropriate.
The Committee considers that discharging Shadow at that time into the care of the owner given his state on discharge, was grossly negligent and a serious error of judgement. It therefore found Mr Shah to be guilty of the first charge.
The Committee then considered that, after being alerted to Shadow’s continued lack of progress by the telephone call from Gemma Ballantyne between 30 and 45 minutes after discharge, Mr Shah exacerbated the situation by the inadequacy of his response in dealing with the concerns raised which, in the Committee’s view, represented a continuation of his previous poor judgement.
The Committee considered that Mr Shah was under a duty of care to advise Gemma Ballantyne to seek urgent veterinary attention for Shadow and by his own admission he failed to do so, and he was therefore found guilty of the second charge.
During that telephone call Mr Shah also gave no further details about the out-of-hours care available to Gemma Ballantyne other than to inform her that there would be an additional cost.
He did not seek confirmation that any such information been supplied by his colleague, Emma Martin (who at the relevant time was a student nurse), however, and at no time did he see Gemma Ballantyne in possession of the discharge sheet. The Committee therefore found Mr Shah guilty of this final head of charge.
The Committee did accept that there was no element of dishonesty, nor was there an aim of financial gain in the case. The Committee also considered that Mr Shah was acting in good faith at all times. It also accepted that Mr Shah was entitled to assume that normal practice had been followed and that a previously compiled discharge sheet, containing the number of the out-of-hours provider, had been supplied to Miss Ballantyne.
Ian Green, chairing the Committee and speaking on its behalf, said: "Balancing all of the factors as the Committee must, it is clear that on this occasion Mr Shah’s conduct fell far short of that which is expected and it therefore finds he conducted himself disgracefully in a professional respect."
Mr Green added: "In imposing the sanction of a reprimand, the Committee urges Mr Shah in the strongest possible terms to ensure that his future conduct by way of training and support systems within his practice are such as to avoid any possibility of a future incident such as this occurring in order to ensure animal welfare and public confidence in the veterinary profession. The Committee notes that in her evidence, Emma Martin said that the working practices at the surgery have been changed and the Committee expects that all animals kept in the care of Mr Shah are fully monitored, examined and assessed in relation to their condition before being discharged."
Specifically, the review is of The Non-Commercial Movement of Pet Animals Order 2011 as amended by the Non-Commercial Movement of Pet Animals (Amendment) Order 2014.
The consultation is seeking opinions on whether:
The consultation is not about potential changes to the legalisation following Brexit although evidence collected as part of this review may be relevant to future discussions.
The BSAVA says it is aware that the changes to the Pet Travel Scheme, introduced in January 2012 and December 2014, have significantly increased the number of animals, particularly puppies, entering the UK including those for sale which should not be coming in under the Pet Travel Scheme.
It says it also knows that a significant number of veterinary practices have been presented with animals that do not fully comply with the requirements of the Pet Travel Scheme and that contacting the appropriate department in the Local Authority is not always easy.
The Association is therefore encouraging members of the profession to feed into this consultation and encourage any clients who have experience of travelling to and from Europe with their pets to do so as well.
The BSAVA says it will be submitting a response itself, and if anyone would rather send their comments via the BSAVA, you should email Sally Everitt (Head of Scientific Policy) s.everitt@bsava.com by 20th October.
Research shows that 73% of hospitalised dogs suffer from an energy deficit² and with nutrition being an important part of managing these patients, the company says it will be showing veterinary nurses how they can play a key role in providing this care.
On Friday 7 October, Royal Canin's Sarah Collins DipAVN(Medical)RVN, VTS(ECC), Cert CFVHNut will be hosting two lectures on assisted feeding. The first (Nutrition Stream, 1:00pm-2:00pm) will explore how, once a patient is stable, nutritional support can significantly impact morbidity and mortality¹.
Sarah said: "Inadequate nutrition may lead to malnutrition which can have negative effects on wound healing, immune function and ultimately on overall prognosis. The consequences of malnutrition are very different in healthy cats and dogs compared to ill ones, with ill or traumatised patients catabolising lean body mass when they are not provided with sufficient calories. This lecture will go on to explain how Veterinary Nurses can select a suitable diet and put a thorough feeding plan in place."
The Assisted Feeding Part 2 lecture (Nutrition Stream, 4:00pm-5:00pm) will look into anorexic or inappetant patients and cases where an animal is unlikely to feed, such as fractured mandible. Sarah will delve into the advantages and disadvantages of different feeding tubes and how an appropriate tube can be chosen.
Royal Canin's Weight Management Specialist, Shelley Holden RVN, Cert SAN (pictured above right), will also be delivering a lecture: 'Weight Clinics – managing the challenging case' (Friday 7 October, Nutrition Stream, 9:30am-10:30am). Shelley will highlight the difficulties in getting patients to lose weight to nurses already running dedicated clinics in practice. Shelley will also discuss adhering to weight loss plans, challenges that owners can face and how to educate them on the importance of making changes for their pet.
References
Amflee Combo, a POM, is being launched by a newcomer to the UK market, a Slovenian company called Krka (pronounced kirka). The company says it plans to introduce a vast range of small and production animal products onto the UK market in the next few years.
Killian Gaffney, Head of sales and marketing at Krka, says the company intends to support UK veterinary surgeons by offering high quality products and by building business relationships that will help protect veterinary incomes, at the same time as offering good value to their customers.
Killian said: "Amflee Combo has some unique features that we believe will set it apart from the competition. We know the combination of the two active ingredients in Amflee Combo is very effective for the treatment of fleas, ticks and biting lice and as part of a treatment strategy for flea allergy dermatitis in dogs and cats. S-methoprene is also effective against flea eggs and larvae in the environment.
"However, these ingredients can be susceptible to degradation when subjected to light and moisture, which is why each Amflee Combo pipette comes in its own special foil wrapper. The pipettes have also been designed for convenience of use, since we know that only 22% of owners apply spot-ons correctly1."
A range of product and client literature to support the use of Amflee Combo is available by calling 01753 722 150.
Amflee Combo is available in a variety of packs for cats and different sized dogs, containing either three or six pipettes. The recommended treatment is one pipette every four weeks.
Further information about Amflee Combo or Krka is available at www.krka.co.uk
Reference
1 El veterinario ante el cambio climatico Argos 107, 2010.
Almost all rabies cases are as a result of being bitten by an infected dog, with around half of all dog bites and rabies deaths occurring in children under 15 years of age. Rabies, which is preventable, is categorised as one of the 17 Neglected Tropical Diseases by the World Health Organization (WHO).
The End Rabies Now campaign aims to significantly raise the profile of rabies as a global neglected tropical disease with policy makers and journalists, explaining what is being done to control and eliminate the disease. The campaign is led by Global Alliance for Rabies Control (GARC), and has three key messages:
Ahead of the tenth World Rabies Day, BVA has also recognised vet Professor Sarah Cleaveland OBE for her work in rabies control by awarding her the Chiron Award, one of the Association’s most prestigious awards for outstanding contributions to veterinary science.
Sarah said: "Awards like this are recognition of the contributions not only of one person, but the work of many. We are deeply committed to continuing our efforts towards the global elimination of canine rabies and tackling other zoonotic diseases that affect the health and livelihoods of many of the poorest people in the world."
The End Rabies Now campaign is based around the strong scientific evidence that vaccinating dogs is fundamental to disrupting the cycle of rabies transmission to humans. The target of 2030 was chosen because one of the UN’s sustainable development goals, launched in September 2015, includes the ambition to end by 2030 neglected tropical diseases such as rabies.
With 120 countries still affected by canine rabies, the End Rabies Now campaign advocates that collaborative cross-sector efforts are needed to end zoonotic diseases such as rabies: rabies elimination plans must include human and animal government agencies, veterinary and human health professionals, educators, scientists and community groups.
BVA President Gudrun Ravetz said: "The work being done worldwide by vets, human health professionals and others to combat this horrific disease that senselessly kills thousands each year is of the utmost importance and BVA is proud to support the End Rabies Now campaign and help get those key messages out to policy makers and governments worldwide – every rabies death is entirely preventable and we can end rabies by 2030 through vaccinating dogs."
TVM, which has a wide range of products in ophthalmology, neurology, geriatrics, gastroenterology, anti-poison management and health and wellness, says that the acquisition is designed to boost the company's international scope, building market share and expanding its leadership in the fields of ophthalmology and neurology beyond France.
The acquisition will also strengthen TVM’s position in the area of animal anti-poison treatment as Forum Animal Health already supplies a canine emetic which it has been marketing in the UK for three years with an awareness campaign about the dangers of toxic products to dogs. This, the company says, has contributed to a significant increase in early interventions by veterinary surgeons in cases of poisoning. A similar campaign is currently being led in France by the TVM laboratory.
To accompany the change, Forum Animal Health is adopting a new visual identity, shown above right.
As with last year the RCVS has sent the annual renewal notice to the majority of veterinary nurses by email. This year only 1,086 veterinary nurses have been contacted by post – down from last year, when around 3,500 had letters sent to them.
Text message reminders will also be sent to those for whom the College holds a mobile number.
Nicola South, Head of Registration, said: "It is great to see that we have been able to respond to members’ feedback and increase our contact by email and text with veterinary nurses, but I would like to suggest that VNs should regularly check their email for information from the RCVS.
"Unfortunately a larger than normal amount of veterinary nurses were removed from the Register at the beginning of the year, and we would very much like to avoid this happening again. Each year we send the renewal notice at least four weeks before the 1 November deadline, so if you have not received your annual renewal notice, please contact us so that we can arrange for this to be sent to you again."
The annual renewal fee of £61 is due for payment by 1 November. If a veterinary nurse does not pay the annual renewal fee by the end of the year they will be removed from the Register.
Payments by debit or credit card can be made online via the ‘My Account’ area of the RCVS website (www.rcvs.org.uk/login) or by cheque, bank draft or bank transfer.
All veterinary nurses also need to confirm their Register details and their compliance with the RCVS continuing professional development requirement of 45 hours over a three-year period, and declare any convictions, cautions and/or adverse findings.
Any veterinary nurses who have not received an annual renewal email or letter by the end of September should contact the RCVS Registration Department on 020 7202 0707 or registration@rcvs.org.uk
Veterinary nurses with any queries about paying the annual renewal fee should contact the RCVS Finance Team 020 7202 0723 or finance@rcvs.org.uk
As part of its continued support of the 2016 regional events organised by VPMA and SPVS, in partnership with Zoetis, the company is sponsoring the ‘Focus on the Practice Team’ course on Thursday 13 October at Chesford Grange, Warwickshire. Four veterinary professionals will be selected at random to win a place worth £210.
Royal Canin says the day will bring together some of the best experts in leadership, management, employment law and staff training to ensure that practices are ahead of the game when it comes to trained, happy and well managed staff.
The first half of the day will concentrate on the impact front of house employees can have on client communication, whilst the second half will cover HR issues. Guest speakers include Brian Faulkner from The Colourful Consultancy, Nick Steele from Zoetis, Veterinary Mentor, Carolyne Crowe, and Alison Lambert from Onswitch.
To have a go at winning a free place, send an email with your name, job title, the name of your veterinary practice and the reason why you would like to attend to royalcaninvet.gbr@royalcanin.com by Friday 30 September. The company will then select four applicants at random and will inform the winners via email by Friday 7 October.
Places on the course can also be booked by calling 01453 872731 or by visiting www.spvs-vpma-events.co.uk. Focus days cost £175 plus VAT for non-members and £125 plus VAT for VPMA and SPVS members (group/ bulk booking discounts are also available). The cost includes lunch and refreshments.
Consistent with previous surveys, lameness was shown to be more likely to be caused by conditions such as osteoarthritis in the limb rather than problems in the foot.
Blue Cross carries out NEHS in May each year in partnership with the British Equine Veterinary Association (BEVA). It is sponsored by Dodson & Horrell and Zoetis and supported by the UK’s leading equestrian organisations and charities.
This year saw a 14% increase in participation compared to 2015, with survey records returned for almost 16,751 horses, ponies, donkeys and mules and 5635 people taking part. Most horses were kept in livery or a private yard and used for leisure and hacking.
Lameness has been consistently seen as the most common syndrome affecting horses in the NEHS results year on year. In the latest survey a total of 32.9% (24.4% in 2015) of horses and ponies with health problems were recorded as lame. Overall, as in previous years, lameness in the limb was more common than lameness caused by problems in the foot.
A breakdown of the types of lameness revealed that 47.4% were recorded as suffering from proximal limb lameness, 31.9% from causes of foot lameness other than laminitis and 20.7% from laminitis. Degenerative joint disease (including foot and proximal limb) was the most frequently reported single cause of lameness (41.2% of all lameness) and the most frequently reported joint affected by DJD was the hock (15.3% of all lameness).
Reports of foot lameness (excluding laminitis) more than doubled this year at 10.5% (4.5% in 2015) of all syndromes reported with pus in the foot being the most frequently recorded problem. This could possibly be attributed to the persistent wet weather during and prior to the survey, which can increase susceptibility to the condition.
Josh Slater from the Royal Veterinary College, who is a member of BEVA’s Health & Medicines Committee and analysed the NEHS data, said: "The data gleaned from the survey remains consistent year on year, confirming the reliability of our findings for benchmarking, referencing and research. This year’s increase in overall lameness may be in part attributed to the higher incidence of pus in the foot but may also be because owners are becoming more aware of lameness issues. Ongoing research on lameness has generated significant media coverage over the past year, helping to raise understanding of the importance of accurate diagnosis and treatment both from welfare and performance perspectives."
The six most notable disease syndromes identified in the 2016 National Equine Health Survey are:
Gemma Taylor, Education Officer at Blue Cross said: "The significant increase in participation again this year shows that owners and keepers of horses are really getting behind the survey and recognising its importance in safeguarding the future health and of the UK’s horses. Over the past year NEHS data has been referred to in leading equestrian and veterinary media, showing its credibility as a valuable benchmarking reference."
The 2016 NEHS survey results are now available. To download a copy visit http://www.bluecross.org.uk/nehs2016results and to register for next year’s survey please visit www.bluecross.org.uk/nehs
BVA has added its voice to the Labelling Matters campaign for the introduction of mandatory method of production labelling of meat and dairy products. This would help consumers across the UK to answer the simple questions "How was this animal kept?" and "Did this animal die a humane death?", including stunning before slaughter.
A key element of the Labelling Matters campaign is that mandatory method of production labelling must be underpinned by robust welfare outcome safeguards, with on-farm welfare assessments ensuring that high welfare standards are being achieved.
Legislation for mandatory method of production labelling has been implemented already for shell eggs, which must legally be labelled either as “eggs from caged hens”, “barn eggs”, “free range” or “organic”. Labelling Matters wants to see this principle extended to meat and dairy products from other farmed animals.
The BVA highlights evidence which shows that consumers in the UK and across Europe want clear food labelling with information about animal welfare:
BVA President Sean Wensley said: "For vets it's a top priority that the animals we rear for food have a good life and a humane death. Research shows that vets are not alone in caring about where their food comes from. Mandatory method of production labelling makes sense on a number of fronts: consumers can be clearly and consistently informed about how the animals reared for their meat and dairy products were kept, with on-farm welfare assessments assuring high standards. Mandatory method of production labelling would give unambiguous information to the high numbers of consumers who care about animal welfare when buying meat and dairy products and help ensure market support for British farmers who pride themselves on achieving the highest welfare standards."
The RVC says that until now, there has been little reliable evidence on the frequency and severity of syringomyelia in the overall dog population, which has limited veterinary surgeons’ ability to diagnose and manage the condition.
It's not just syringomyelia for which there is a lack of data. Scientists have for years struggled to identify the true extent and severity of diseases seen in the wider general dog population because the main source of veterinary health data on dogs has come from universities and referral hospitals.
While this referral data is useful, the types of animals and conditions that are referred to these referral centres is unrepresentative of the wider dog population, making it very difficult to extrapolate any findings to the general population. The vast majority of animals are managed perfectly well by the primary vet practitioners without ever being referred or even being ill at any one time.
However, through VetCompass, the RVC is now collecting anonymised clinical data from first opinion veterinary clinics across the UK; data which is being analysed to answer a wide variety of previously unanswerable health questions.
The VetCompass syringomyelia study published in the Veterinary Record is a case in point. It highlights for the first time the frequency and severity of syringomyelia seen in general practice in the UK.
At an overall dog population level, syringomyelia is not that common, affecting just one in 2,000 dogs. But among Cavaliers, the frequency of syringomyelia is much higher, affecting one in every 60 of the breed. VetCompass data reveals that almost 2,000 Cavaliers suffer from clinical syringomyelia in the UK at any one time.
Syringomyelia is a severe condition for affected dogs, with the VetCompass study showing that 72% of affected dogs were recorded as showing pain. The study showed that these dogs would often yelp or scream when they were picked up or when their necks were touched. Many of them also showed ‘phantom scratching’ where they would try to scratch at their necks with their hindlegs but without ever even making contact with the skin. Some people refer to this action as ‘playing an air guitar’.
The RVC is urging veterinary surgeons and owners alike to be aware of the symptoms of syringomyelia, so that clinically affected dogs can be recognised and treated earlier and better. Symptoms include:
Dr Dan O’Neill, Companion Animal Epidemiologist at the RVC, said: "I loved being a first opinion practice vet for over 20 years where I could help animals on a one-by-one basis. But now, with VetCompass, we can help animals by their thousands. An example is this syringomyelia study which may lead to many affected dogs getting treatment much earlier and therefore making their lives so much better."
Professor Holger Volk, Professor of Veterinary Neurology and Neurosurgery, said: “These VetCompass data are an eye-opener; we very frequently see Cavaliers with clinical signs of syringomyelia at RVC’s referral hospital but now we know how common it is in the real world, outside of the referral world."
Dr Ludovic Pelligand, Senior Lecturer in Clinical Pharmacology and Anaesthesia, said: “VetCompass allows us to identify how Cavalier King Charles affected by syringomyelia are treated for pain every day, nationwide. This will help us to understand optimal management and we are currently working on new ways to monitor pain and working towards developing new treatment options to further improve their pain relief and quality of life in the future".
Step 1: Clean with Oticare, a non-irritating, alcohol-free ceruminolytic ear cleaner formulated to keep ears hygienically clean and restore the normal microbiological balance of the ear canal. The product contains soothing essential oils and propylene glycol to moisturise the lining of the ear canal. It also contains a low concentration of lactic acid and salicylic acid.
Step 2: Treat with Aurimic (polymyxin B, miconazole and prednisolone acetate), which tackles the most common causes of otitis externa; e.g. Staphylococcus spp. and Malassezia. Animalcare says the proven synergistic effects of polymyxin B and miconazole1 allow the reduction of antibiotic concentration and help to minimise the probability of resistance.
Step 3: Prevent with new Oticurant, which Animalcare says is a completely new concept for maintaining healthy ears. Oticurant contains lactic acid to lower the pH, kaolin and lactose to absorb any additional moisture, and special sugars to prevent bacterial adherence to the skin in the ear canal. Oticurant is presented as an odourless mixture of fine powder in single dose sachets.
Tamsin Day, Veterinary Advisor at Animalcare, said: "This is a unique three step approach which we believe will give veterinary professionals more confidence in treating first line ear problems. The Super-earo’s represent a range of three products that together cover cleaning, treatment and prevention. Pet owners will find them easy to administer which will also help to keep these owners compliant to their treatment schedule."
For more information on the Super-earo’s contact your Animalcare representative or visit www.superearos.com
The first, carried out by Nanna Luthersson and colleagues and published online in theJournal of Equine Veterinary Science in March, evaluated the laminitis risk factors in a group of Danish horses and ponies.1 It confirmed that Cold-blooded type animals <149cm, such as certain native ponies, as well as those being kept on high quality pasture were at an increased risk of developing laminitis for the first time. It also highlighted the important role that a change in grass intake, in terms of both type and amount, may play at any time of the year not only the spring as commonly thought.
The second study, funded in part by the PetPlan Charitable Trust, British Veterinary Association Animal Welfare Foundation Norman Hayward Fund and the Laminitis Trust, was undertaken in conjunction with Nicola Menzies-Gow (Royal Veterinary College) and published online in the Equine Veterinary Journal (EVJ) in August. The study evaluated the risk factors for the development of laminitis prior to the occurrence of the disease.2 It identified that low concentrations of the adipose tissue derived hormone adiponectin, together with high serum insulin concentrations (at rest and as part of a diagnostic test for PPID) may predict an increased risk of future pasture-associated laminitis.
It is hoped that future studies will be able to generate more robust cut off values, which will more accurately predict future laminitis development in an individual animal.
The RVC in collaboration with Waltham is now taking this forward through a study in which these markers are measured regularly, in conjunction with a detailed management assessment, in a group of ponies with no known history of laminitis at the start.
Clare Barfoot RNutr and the research and development manager at Spillers said: "The Danish study gives us important practical facts about the susceptibility of cold-blooded types, and is particularly applicable to natives in the UK. The second study gives hope that there may soon be a test or series of tests that will help predict those at an increased risk of suffering from pasture associated laminitis in the future thereby reducing the number of animals affected by this debilitating condition. In the meantime until we fully understand the condition it is sensible to manage all the risk factors we currently know about, in particular keeping your horse at a healthy weight."
The man was arrested on Sunday 4th September in connection with six burglaries, all of which occurred overnight between 22 August and 3 September at practices in Esher, West Molesey, East Molesey and Claygate.
The police say entry was gained by smashing windows (so, not what you'd call a cat burglar, then). Various items were stolen, including money and medication. There were also a number of unsuccessful break-in attempts.
Detective David Thomas, who is investigating the offences, said: "Although we have made an arrest in relation to these burglaries, I am still appealing for anyone who has seen anything suspicious in the vicinity of a vets surgery recently, or with any other information which could help to progress the investigation. I would also like to speak to anyone who has come across any discarded cash boxes or safes or been offered any cut price veterinary drugs."
If you can help, please call Surrey Police on 101, quoting master crime reference number 45160072203 or you can use the online reporting system found at https://report.police.uk/ and enter the reference number in the ‘Additional information' section.
If you do not want to leave your name the independent charity Crimestoppers can be contacted on 0800 555 111.
In the week that VetNurse Jobs released the results of a survey which found that the most important thing to nurses about a job in practice is to feel valued and appreciated as part of a team, White Cross Vets, the 15-practice, family-run group headquartered in Guiseley, has shown that it's leading the way in this area, taking it's entire nursing team for a 3-day training and team-building event in the South of France
The 29 strong team jetted into Nice for a series of training sessions by Kristie Faulkner focussed around nurse consulting skills. Topics covered included dealing with challenging clients, efficient ways to manage consultations and prescribing health care plans.
The team also attended a presentation hosted by senior managers from Virbac, followed by a tour of the company’s vaccine manufacturing facility in Carros. In the evening, the team went for a guided tour of Monaco and dinner at the Café de Paris in Monte Carlo.
Tim Harrison, Managing Director of White Cross Vets, said: "Every year we run a training event in Nice and each years it’s been an amazing few days, which prove to be hugely beneficial and enjoyable for everyone involved. We have committed to give every White Cross team member across every level the opportunity to enjoy the trip to Nice, and we’re already planning future events for our vets and leadership team."
Bekkii Bridges, a student Veterinary Nurse from White Cross Vets in Northampton, said: "To have a training session in such a fabulous place was out of this world! Everyone involved had an incredible weekend and came away with lots of fresh ideas that will enable us to continue building on the high standards of nursing and client care that we are renowned for."
You can find current job vacancies at White Cross Vets here.
The original deadline for nominations for the three honours (the Queen’s Medal, Golden Jubilee Award and Honorary Associateship) was Friday 16 September – this has now been moved to Friday 21 October 2016.
Chris Tufnell, President of the RCVS, said: "Do you know someone who goes above-and-beyond the call of duty? Whose achievements have had a tangible impact on their profession or the veterinary and animal health and welfare sector at large? Then we would strongly encourage you to nominate them for an RCVS Honour. Those who are successful will receive their award at our Annual General Meeting and Awards Day where their achievements will be described and recognised in front of their peers."
The Queen’s Medal was introduced in 2013 and is the highest honour that the College can bestow upon a veterinary surgeon in recognition of those who have achieved a highly distinguished career and outstanding achievements. Nominations can be made by any Member of the RCVS in respect of another veterinary surgeon.
The Golden Jubilee Award was introduced in 2011 to mark the 50th anniversary of the first RCVS training course for veterinary nurses and now recognises those nurses who are taking a leadership role within the profession. Nominations can be made by either veterinary nurses or veterinary surgeons in respect of a veterinary nurse.
Finally, nominations can also be made for Honorary Associateship which is eligible for those who, while not veterinary surgeons or nurses, have had a significant impact in the veterinary field. Previous winners have included scientists, farmers, farriers, educationalists and journalists.
Further information about making nominations for each of these awards, including nominations forms, can be found at www.rcvs.org.uk/honours. All awards will be bestowed at RCVS Day 2017 in July next year.
Those with questions about making a nomination can contact Peris Dean, Executive Secretary, on p.dean@rcvs.org.uk
The company said:"The RSA Referral Vet Network has been established to give customers access to a trusted network of vets that provide a high standard of service and value for money. However we do understand that in some cases where the primary vet recommends a referral practice and circumstances dictate that our nearest Network partner is not suitable, we will allow our customers to make a choice without being penalised.
If the treatment in question is covered under the policy, there will be no additional fee charged whether or not they choose to use a Network practice."
Vets For Choice, a group of referral practices campaigning against RSA's Preferred Referral Network, welcomed the news.
However other brands, such as MoreThan, Tesco and Argos, have proceeded with the penalty.
Clive Elwood, one of the referral practitioners behind Vets For Choice, said: "The big question to ask now is if John Lewis can opt out of the fines why can’t Tesco and Argos?
"John Lewis clearly does not agree with springing extra charges on their customers at the point of need and this seems to be in line with their reputation for better customer service.
"MoreThan, Tesco and Argos customers should rightly ask why they are being treated differently to John Lewis customers."
In a press release, Vets For Choice highlighted RSA's July announcement that it was extending its then 29-practice strong referral network by 24, noting that only weeks later it announced its group operating profit was up 20% to £312 million.
In a robust response, an RSA spokesperson said: "The handful of vets behind Vets for Choice have point blank refused to discuss the real issue with non-emergency referrals - the huge variation in costs being charged to pet owners by some vets and paid for by insurers. Vets for Choice has refused to address this issue with us either directly or indirectly, and their desire remains to have a complete lack of transparency about their costs and charges. We are no longer prepared to duck the issue of cost and the lack of transparency in vets’ charges. This impacts on pet owners and means their cover limits do not go as far as they should.
"Our network partners recognise that for pet insurance to remain affordable, the veterinary and insurance industry needs to work more closely together on behalf of customers. Vets for Choice are happy to discuss any issue but the real one and they continue to knowingly distort the facts. The reality is that we have now had 12,700 referral claims from our Network partners, with only 79 customers choosing to pay the £200 charge to use a non-Network partner – well under one percent of all customers. The reality is there is no huge public outcry. The reality is that we have not seen any rise in complaints. The reality is that is our customers are more than happy to have our Network partners treat their pets, knowing that their cover limits are going further.
"Vets for Choice also mentioned our 20% rise in Group Operating Profit. The key word here is Group – the fact is the majority of our profit was made from our international markets. Group operating profit bears no relation to how our UK pet insurance business performed and it is disingenuous to link the two. It is also disingenuous to imply that all brands should act in the same way as their business models differ according to the customer segment they wish to attract. As ever, the choice remains with the customer."
The survey, which was designed to give veterinary surgeons and employers a greater insight in order to be able to attract the highest calibre applicants, was completed by 206 veterinary nurses who described themselves as having recently looked for a job, or actively looking for a job, or could imagine looking for a job in the foreseeable future.
The second most important job attribute cited by veterinary nurses - out of 13 - was ‘pay’, with ‘work-life balance’ in third.
Interestingly, when asked a similar question, veterinary surgeons said ‘pay’ was only the 6th most important factor, perhaps a reflection of the fact that a reasonable salary is more of a given amongst veterinary surgeons than nurses.
The survey also found that only slightly more veterinary nurses are prepared to do out-of-hours work than veterinary surgeons: 58% versus 52%.
Lastly, the survey showed that nurses may be more internet-savvy than veterinary surgeons, with an overwhelming majority (85%) said they were likely to spend most time browsing jobs online, as opposed to traditional magazines (compared to nearly 70% of veterinary surgeons that said the same).
VetSurgeon.org/VetNurse.co.uk Editor Arlo Guthrie said: "The survey was carried out primarily to help practices create recruitment adverts that better meet the hopes and aspirations of candidates, thereby improving response rates.
"I think it provides clear evidence of the need for advertisements to give examples of how practices show they value their nurses, such as support for further education, a system which allows their voices to be heard and good ideas implemented, and team-building events.
"And if you pay well, don’t be shy about staying so."
The full survey results can be downloaded here.
Hand-mouldable into any shape, Hoof Repair is used to create prosthetic hoof extensions and additions that restore foot integrity.
The company says there is no exothermic reaction when the thermoplastic hardens, which eliminates issues caused by excessive heat and makes the product suitable for treating acute laminitis, cracked hooves and horses that have lost a lot of hoof.
When used with Imprint Structural Adhesive, Hoof Repair forms a bond with hoof wall which can be nailed into and rasped, and will stay in place as hoof grows. Hoof Repair is also suitable for treating foal foot deformities.
The company says Hoof Repair is often used in conjunction with Imprint shoes, which are made of the same low melt, long lasting thermoplastic. It allows extensions to be made to the shoes and together the Imprint system protects and supports the hoof allowing the foot to flex and move freely.
Andrew Poynton, Imprint’s Inventor said: "Hoof Repair forms part of a foot care system that has been developed over 20 years by farriers in association with veterinary surgeons. Hoof Repair assimilates hooves precisely to retain the foot integrity and it is particularly useful for treating acute laminitis and cracked or badly damaged hooves."
For more information, visit: www.imprintshoes.co.uk
The figures highlight the burden placed on veterinary surgeons every day when they're asked to euthanise perfectly healthy animals.
Problem behaviours include persistent barking and howling, destructive chewing and inappropriate toileting. Aggressive behaviour, towards both people and other pets, is also a problem, with the PDSA Animal Wellbeing (PAW) report revealing that a third of pet owners have been attacked or bitten by a dog. Such behaviours can cause a breakdown of the human-animal bond, leading to pets being excluded from family life to the detriment of their welfare, relinquished to rehoming centres or euthanised.
The BVA says these figures overwhelmingly show the importance of adequate socialisation of animals at an early age – young animals should safely encounter a variety of people, animals and everyday household sights and sounds in their first few weeks and months of age, beginning at the place where they are born.
Other reasons that owners give their veterinary surgeon for wanting to euthanise a healthy pet included: poor health of the owner (48%), owners moving to accommodation that is unsuitable for their pet (39%), and legal enforcement reasons (32%).
British Veterinary Association President Sean Wensley said: "These figures are stark and are likely to come as a shock to members of the public. But this is the sad reality of a failure to socialise animals from the earliest possible age – a specific time in a puppy’s development which has a significant impact on their future temperament and behaviour. With dogs, this process starts from before a puppy is even seen by a potential owner. In recent months there has been a litany of news stories about the illegal importation, breeding and trading of puppies through puppy farms. This is no way for a family pet to start life and we urge potential owners to thoroughly research where a puppy has been born and reared, using the AWF/RSPCA Puppy contract to help. Then, in the first year of ownership, and especially in the first few weeks, work with your local veterinary practice to ensure your puppy is introduced to everyday sights and sounds, including other people and animals, in a safe and structured way."
Mr Wensley also commented on the impact on vets: "Nobody enters the veterinary profession wanting to euthanise healthy pets, but this is the stressful situation that many vets are facing because of undesirable behaviours in pet animals. Vets will do all they can in these situations to avoid euthanasia, including offering evidence-based behavioural advice, referring to accredited pet behaviourists or assisting with rehoming through reputable rehoming organisations, but sometimes these options are not appropriate, particularly where the behavioural issues make it extremely difficult to rehome the animal. Vets are not required to euthanise healthy animals at an owner’s request, but sometimes, having carefully considered all options and given the circumstances the pet finds themselves in, it may be in an animal’s best interests to do so. Euthanising an animal who could have been a loving pet is the hidden, tragic cost of poor socialisation."