The charge against Ms Law was that in November 2017, having performed surgery on Kiwi, a German Shepherd/Wolfhound-cross dog, to address gastric dilation volvulus (GDV), she failed to obtain informed consent to the entirety of the surgical process and management, including post-operative aftercare.
The charge also stated that she failed to provide adequate analgesia to Kiwi before, during or after the surgery, failed to provide appropriate and adequate fluid therapy to Kiwi, failed to offer an appropriate and adequate post-operative care plan and/or post-operative transfer for Kiwi to another practice and failed to inform the owners that there would be nobody present at the practice to provide post-operative monitoring and aftercare for Kiwi for approximately seven hours during the night.
Finally the charge stated that Ms Law allowed Kiwi to remain at the practice overnight from 12:30am to 07:45am without adequate monitoring or post-operative aftercare.
Ms Law admitted some of the charges against her, including that she had failed to obtain informed consent, failed to offer an appropriate and/or adequate post-operative care plan, failed to inform the owners that there would be nobody present at the practice and allowed Kiwi to remain at the practice overnight without adequate monitoring and/or post-operative aftercare. However, she denied that she failed to provide adequate analgesia or fluid therapy to Kiwi.
The Committee found all of the charges proved, with the exception of failing to provide adequate analgesia during the perioperative period.
Having considered the facts, the Committee then moved on to consider whether the admitted and proven charges against Ms Law amounted to serious professional misconduct, taking into account any aggravating and mitigating factors. The aggravating features were that, as a result of Ms Law’s failures in relation to analgesia and fluid therapy, there was either actual injury to Kiwi, or a risk of such injury.
In mitigation, the Committee considered that she promptly and accurately diagnosed GDV, and proceeded to perform the necessary emergency surgery. The Committee considered that the charges related to a single isolated incident and that Ms Law has had an unblemished career to date. They also noted that Ms Law had made open and frank admissions as to the majority of the charges.
The Committee found that the conduct of Ms Law set out in the majority of the charges did not amount to serious professional misconduct. However, in the judgement of the Committee, Ms Law’s conduct in allowing Kiwi to remain at the practice overnight without adequate monitoring or post-operative aftercare did amount to serious professional misconduct.
Jane Downes, who chaired the Committee and spoke on its behalf, said: "The Committee considers that the respondent (Ms Law) has insight into the serious mistake that she made in failing to ensure that Kiwi was checked or monitored overnight. The Committee has found that this was a single isolated incident, which involved a serious lapse of clinical judgement, which will probably stay in the mind of the respondent for the rest of her career.
"The respondent has been in practice for some nine years now, and apart from this incident, there is no suggestion that the respondent has fallen short of the standards expected of her on any other occasion. The Committee does not consider that there is a risk that the respondent is likely to leave an animal overnight after major surgery again, without ensuring that it is checked during that time, and, as such, the Committee considers that there is no future risk to the welfare of animals so far as the respondent is concerned."
The Committee considered that the finding of disgraceful conduct in a professional respect in this case is too serious for no further action to be taken, having regard to the need to maintain public confidence in the profession and declare and uphold proper standards of conduct.
The Committee therefore concluded that the appropriate sanction in this case was to issue a reprimand to Ms Law, in relation to the finding of serious professional misconduct.
Jane Downes added: "The Committee considers that this sanction, coupled with the findings of fact and disgraceful conduct made against the respondent, is sufficient to maintain public confidence in the profession and uphold proper standards of conduct. The Committee does not consider it necessary to issue a warning to the respondent about her future conduct, on the basis that the Committee has concluded that there is no risk of repetition."
There were three charges against Ms Creese, all pertaining to the period between July 2016 and November 2017.
The first charge was that she failed to ensure that there were adequate systems and processes in place for out-of-hours’ care for in-patients.
The second charge was that she publicised that the practice had "24 hour care provided by our vets at our practice" and/or "Care 24/7 for your pets" on its website, which suggested that staff were present at the practice 24 hours a day when they were not and as such publicity was dishonest and/or misleading.
The third charge against Ms Creese was that she failed to ensure that Kiwi's owners were informed about arrangements at the practice for out-of-hours’ care for in-patients.
At the outset of the hearing, Ms Creese denied all the charges against her.
After hearing evidence from relevant witnesses, the Committee considered that the practice did have in place systems and processes for out-of-hours care for in-patients and that there was no evidence of repeated or ignored failures of these systems and processes. The Committee therefore found the charges against Ms Creese not proved and all three were dismissed.
For the study, 309 university students were randomly assigned to one of three four-week stress prevention programs featuring varying levels of exposure to animal-assisted activities and evidenced-based stress management content.
The research found that students who were considered at a higher risk of poor academic performance saw a significant boost in executive function including improvements in attention, memory, self-regulation and improved cognitive function when they received exclusive exposure to interaction with the dogs.
This improvement was not seen in students who participated in a more traditional stress management learning program using lectures containing information about stress management or sessions that combined such information with lower levels of animal interaction.
Lead study investigator, Associate Professor Patricia Pendry, from Washington State University said:"Academic stress and associated negative impact on student performance is a significant issue for universities today and something we need to better address.
"While more traditional learning programs continue to play a role, the results of the study are exciting as they indicate this type of intervention can be a positive stress management tool especially for students who are at-risk of poor academic performance.
“We know from previous research the positive effects of animal visitation programs on the mood3 of college students – and even recently discovered their positive effect on stress hormone levels4. However, this is the first study to demonstrate that more frequent and regular inclusion of dogs can positively affect aspects of cognitive functioning that may be more difficult to change with existing interventions."
Study co-author and expert in Human-Animal Interaction expert Professor Nancy Gee said: "This study was informed by previous research and reinforces the growing body of evidence showing the benefits of pets for people in many different contexts and for at-risk groups.
"This type of animal-assisted stress reduction program is both easy to implement and low cost – offering a fantastic way for universities to support their students. After participating, participants feel calmer and more socially supported and this leads to an improvement in mental health and cognition.
"My hope is that evidence-based interventions which are already gaining popularity can become common practice in educational settings."
References:
Tracey, who started working in practice as a trainee in 1986 and qualified in 1989, spent her nursing career in both mixed and small animal practice in her home town of Hinckley, Leicestershire before retiring in 2018.
She says the book is mainly aimed at people thinking of embarking on a career as a veterinary nurse, but she also hopes colleagues in the profession will enjoy it, particularly those who are newer to the profession and have an interest in how things have progressed over the last three decades.
Tracey said: "Having enjoyed a very long career as a veterinary nurse, I wanted to take the opportunity to share some of my experiences, the happy, the sad and the sometimes downright crazy!
"The role of the veterinary nurse has changed so much over the last thirty years and continues to evolve with each passing year. My story is a light-hearted journey from my early years as a fresh-faced trainee to a fully qualified head nurse, will all the highs and lows along the way.
"The book will hopefully appeal to all members of the veterinary profession, past, present and future as well as to animal lovers everywhere. It was written from the heart to celebrate the work that veterinary nurses do, the diversity of their role and the steep learning curves that many of us had to climb."
You can read a sample of the book here.
Confessions of a veterinary nurse is available from all good bookstores, and Amazon, priced at £10.99.
This year the congress is being organised in collaboration with the British Veterinary Dermatology Study Group and will form the Group’s autumn meeting.
The main scientific topics are skin and ear surgery, skin biology, host-microbial interaction, dermatophytosis, exotics dermatology and clinical pharmacology. There will be a three-tiered programme:
Basic level: providing updates on the topics covered
Intermediate level: advanced information for those with a good grounding in veterinary dermatology
Advanced level: more specialist subjects, including human dermatology
For the first time, there will also be a dedicated nurses programme, taking place on Saturday 28th September.
Laura Buckley CertVD DipECVD MRCVS, Local Organising Committee (pictured right), said: "Congress is always a major event in the veterinary dermatology calendar, featuring some of the world’s leading specialists, and this year showcases some of Liverpool’s spectacular historic sites.
"As always there will be commercial and poster exhibitions featuring state-of-the-art veterinary products and leading research in veterinary dermatology respectively."
This year’s social programme includes the Welcome Reception on Thursday 26th and the Dinner Dance on Friday 27th September. The Welcome Reception will be held at Liverpool’s Anglican Cathedral, designed by Sir Giles Gilbert Scott. It is the largest Cathedral in the UK and the fifth largest in the world.
The Dinner Dance will take place at Revolución de Cuba overlooking the UNESCO World Heritage Site, the Albert Dock.
For further information and to register please visit the congress website: www.esvd-ecvdcongress.com
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."
The new drug represents the fruit of 8 years of product development and more than 11 proprietary studies performed by Ceva R&D teams.
Marie Boutot, development project leader said: "Isemid is an original drug developed by Ceva, and was the subject of full pivotal efficacy and safety studies."
Ceva says the new drug has been recognised by the European Medicines Agency as a "2018 Innovation, advancing animal health".
Isemid is presented as pork-flavoured, scored tablets in three strengths: 1, 2 and 4 mg. They can be administered orally once daily, with or without food. The company's research showed a 98% owner compliance (compared to 92% for furosemide, p<0.05) and 80% voluntary acceptance.
Emilie Guillot, DVM, Ceva Technical Manager for Cardiology said: "With Isemid, we seek to help veterinarians in their goal to improve survival of dogs with heart failure.
"But above all, thanks to its potent action and long half-life which allow once-daily dosing, we hope to ease owner compliance."
Scientific communications with data on Isemid were presented at the American College of Veterinary Internal Medicine forum in Phoenix in June and will be held at the European College of Veterinary Internal Medicine congress in Milan in September.
Claire Gotto, Veterinary Advisor at MSD Animal Health said: "With increasing numbers of pets travelling abroad1 and the risk of exposure to exotic diseases, we need to ensure Britain’s pets are protected by providing owners with advice on comprehensive preventative healthcare for their travelling pets.
"This is particularly important as pet travel legislation is primarily in place to protect human health, and pet owners may be unaware of the similar risks to their pets.
"As an industry, we should therefore be advocating preventative healthcare, in addition to the legislation, in order to protect not only individual travelling pets from exotic disease, but also the UK pet population as a whole."
MSD says the risk of exotic disease to travelling pets was highlighted by the results of the Big Tick Project which showed that 76% of dogs travelling abroad returned with ticks2. This included Rhipicephalus sanguineus and Dermacentor reticulatus, the latter of which was found to carry Babesia canis3, a potentially life-threatening pathogen.
The risk to the UK pet population from travelling pets have been highlighted by recent cases of babesiosis4 and leishmaniasis5 in untravelled dogs within the UK.
The Safe Journey campaign includes educational materials about potential exotic disease risks abroad, including Babesiosis, Ehrlichiosis, Rabies, Dirofilariasis (heartworm), Leishmaniasis, Leptospirosis and Echinococcus multilocularis (tapeworm), and the preventive healthcare required to reduce the risk.
Materials available include veterinary practice posters, social media material and leaflets.
For further information contact your MSD Animal Health account manager.
References
VetFinders will recruit for permanent and locum positions for veterinary practices throughout the UK, from administration roles through to nursing staff and vets.
The agency has been founded by a man called Chris Worthington who previously built an engineering recruitment firm called Qualtech Resourcing.
Alongside Chris in the VetFinders team are recruiters Gabrielle Dawson and Martin Wilson, both with over 15 years’ experience in recruitment, Chris’s wife Anna, who is charge of accounting and payroll, and administrator Suzy Buttress.
Chris said: "VetFinders is a business with a purpose, a business with a force for good and a business with a double bottom line! Our approach is totally unique in the industry and it’s what sets us apart. Candidates are already hearing about our message and registering with VetFinders rather than other agencies.
"We have chosen four specific charities and our support for them does not stop at the point of donation. We will also be working closely with them, funding specific projects and working on their front line."
The chosen charities are:
Hope Pastures, in Leeds, which rescues, rehabilitates and re-homes horses, ponies and donkeys.
Moorview Rescue in Harrogate, which has re-homed almost 2000 dogs in the UK since it was set up as a registered charity in 2009.
Nuzzlets, a small charity based near Great Ouseburn in York which specialises in giving loving homes to unwanted animals and enabling young people free access to them for therapy and education.
Blue Cross.
When a candidate is placed by VetFinders, the client can choose which of the four charities they want a percentage of their fee to be donated to. The client and placed candidate will then be given regular updates of how their money has benefitted children and animals, including through photos, videos, emails and website updates.
For more information, visit: https://www.vetfinders.co.uk/
Photo: Top (L-R): Martin Wilson - Veterinary Recruitment Consultant, Chris Worthington - Managing Director. Bottom (L-R): Gabrielle Dawson - Veterinary Recruitment Consultant, Anna Worthington - Finance and Payroll Manager and Suzy Buttress - Administrator.
They include the successful completion of its governance review, the launch of the Graduate Outcomes consultation (the biggest in 20 years) and the Edward Jenner Leadership Programme (a massive open online course to develop leadership skills at all levels of the profession).
The College also highlights the continuation of its Mind Matters Initiative and how the initiative's aim - to encourage a compassionate and empathetic profession - is becoming a central part of the College's core strategy.
The report also covers the work done by the College to explore an outcomes-based approach to continuing professional development (CPD), review Schedule 3 and the Veterinary Surgeons Act, plan for the UK’s exit from the European Union and promote (jointly with the BVA) the benefit of registering with a vet to the public via a social media campaign.
The report includes the College’s independently-audited finances with details of income and expenditure. Whilst the College is not a charity, the accounts have been prepared in accordance with the Charities Statement of Recommended Practice – a framework for charity accounting and reporting, which allows easier comparison with the finances of similar bodies.
The report will be presented for adoption by members of the College at this year’s RCVS Day on Friday 12 July 2019 at the Royal Institute of British Architects.
The report can be downloaded from the RCVS publications webpage, or contact publications@rcvs.org.uk to request a hard copy.
The BCVSp says the aim of its proposal is to identify practices that offer a multi-disciplinary referral service, to incorporate standards for specialist care and to define training, veterinary and nursing qualifications, behaviours and facilities which optimise management of cases with complex problems and those requiring advanced diagnostic and/or therapeutic approaches.
Terry Emmerson Hospital Director at North Downs Specialist Referrals and BCVSp trustee said: "Increasing numbers of veterinary graduates are choosing to pursue training leading to post-graduate diplomas and RCVS recognition as Specialists.
"Many vets and nurses are working in groups that allow a multidisciplinary approach to be offered to animals with complex problems. We hope that we can devise a new accreditation strand to give the animal-owning public the ability to distinguish multidisciplinary specialist hospitals from general veterinary hospitals in order to make informed choices regarding the veterinary care they wish to access for their animals."
BCVSp has proposed that prior to entry into the new strand, VSH(M)s would first be required to meet the Core, GP and Veterinary Hospital requirements in all of the modules (Small Animal or Equine as appropriate) and achieve Awards Points at Outstanding level in the relevant modules. BCVSp has put forward an outline plan which is currently being considered by the PSG in which VSH(M)s will be required to offer a minimum number of services but there will also be scope for individual units to highlight particular areas of expertise.
Celia Marr, BCVSp Chairman said: "A key element of the strand we are working on is that each service will be led by RCVS Specialists ensuring on-going accreditation of the experience and expertise within the range of services that together underpin a multidisciplinary approach to case management. We have consulted widely amongst our members to reach consensus on the standards each specialist service should be aiming for."
She added: "We hope to work together with the PSG to develop an accreditation within this strand over the next few years, however working through the current PSS modules to Awards Points level is not easy. Specialist-staffed hospitals aiming for the multidisciplinary strand will need to start planning their approach as soon as possible."
Mandisa Greene, Chair of the Practice Standards Group, said: "The RCVS Practice Standards Group welcomes BCSVp’s proposal and the passion of the group for developing this new accreditation level. Both the PSG and the RCVS Standards Committee will be working with the BCVSp to consider the proposal's feasibility, how the accreditation level might be achieved, potential levels of interest and other criteria in the coming months. It is critical that specific criteria which BCVSp and the RCVS Practice Standards Group develop together are clear, transparent and testable."
Photo: Newmarket Equine Hospital
This, says the government, would be one of the toughest sanctions in Europe, strengthening the country's claim to be a global leader on animal welfare.
The Animal Welfare (Sentencing) Bill comes after a public consultation held last year which found that more than 70% of people supported proposals for tougher prison sentences. It will allow the courts to take a tougher stance on things like dog fighting, puppy and kitten abuse, and neglect of farm animals.
The new Bill has been welcomed by animal welfare charities.
Chief Executive for the RSPCA, Chris Sherwood, said: "This reform is long overdue. Those responsible for extreme cruelty towards animals or those criminal gangs involved in organised animal crime will now face the tough justice they deserve.
"We need to better protect our animals and the RSPCA hopes that this new Animal Welfare (Sentencing) Bill will give courts the powers they need to punish those responsible for the most unimaginable cruelty to animals.
"We also believe this will act as a much stronger deterrent to others and help us stamp out animal cruelty once and for all."
James Yeates, Cats Protection’s Chief Executive said: "We very much welcome this announcement which is an important step in ensuring the UK is one of the world leaders on animal welfare issues.
Claire Horton, Chief Executive of Battersea Dogs & Cats Home, said: "The introduction of this bill is a landmark achievement, which will make a profound difference to dogs and cats in England and Wales."
Andrew Parry MRCVS, an RCVS and European Specialist, heads Diagnostic Imaging at Willows. He said: "Our previous CT scanner was excellent but all technology moves on. We wanted to ensure we maintained our position at the forefront of specialist veterinary diagnostic imaging.
"We have a large cardiology service and the Siemens scanner, with its advanced cardiac imaging package, will allow the team to gain a huge amount of information about cardiac disease and other vascular abnormalities. This combination of technology and on-site Specialist imaging expertise is unusual, even at a referral level.
"A further advantage of the new scanner is its use of tin filters, which enables it to produce high quality images of regions of high contrast, such as feline chests."
Willows has also invested in a software package which does all sorts of clever stuff to bring the images to life for clients.
He said: “The syngo.via software allows anyone to access and manipulate images from any computer in the hospital. This can be building complex models or more straightforward multiplanar reconstruction.
"Specialists can show models to clients immediately, while surgeons can manipulate images in theatre and all clinicians can view and interact with images from their own working environment.
"Additionally, we have invested in Siemens-manufactured software called syngo.via Cinematic VRT, which means we can build, rotate and fly through volume rendered CT models with clients, giving them a dynamic understanding of anatomy and pathology."
The CPD-qualifying webinar is being given by Professor Saul Faust, Professor of Paediatric Immunology & Infectious Diseases at the University of Southampton, and Ian Wright MRCVS, a veterinary parasitologist, Head of ESCCAP UK & Ireland and one of the owners of The Mount Veterinary Practice in Lancashire.
The webinar will reveal the real threat of this disease and its impact on sufferers, and give an insight to the challenges of diagnosing the condition.
Register for the webinar here: https://cloud.mc.zoetis.com/beneath-the-fur-webinar
It is hoped the survey will capture the experiences that vet nurses have had reporting ADRs, as well as identifying barriers to the current process which could be used to improve the ease with which ADRs are reported in the future.
PhD student Heather Davies (pictured right), who is leading the research project, said: "The survey is an important opportunity to gain insights into the issues that vet nurses face when dealing with ADRs.
"We want to make the process easier in order to improve the safety of veterinary medicines, and ultimately, we need the help of professionals on the front line in order to do that."
She added: "The survey is relatively short and can be completed anonymously.
"We’re really keen to gather as many of your experiences as possible so we’d like to encourage veterinary professionals to complete it."
The research is being carried out as part of a PhD project funded by the Veterinary Medicines Directorate (VMD) in collaboration with the Small Animal Veterinary Surveillance Network (SAVSNET), based at the university.
The survey is now open and you can take part here: https://liverpool.onlinesurveys.ac.uk/adrs-vet
Any questions about the survey can be addressed directly to the researchers: Heather Davies (PhD student): H.H.Davies@liverpool.ac.uk and/or Dr David Killick (Supervisor): David.Killick@liverpool.ac.uk.
The company, which was founded by scientists from the human field, managed to raise £8 million of Series A funding by February this year. It is now seeking further investment for an extension to that Series A funding by the autumn.
The company's Chief Scientific Officer is Professor Allan Bradley, Emeritus Director of the Wellcome Trust Sanger Institute and a Fellow of the Royal Society (pictured right). He spearheaded the development of mouse transgenics and their translational use, which provided the basis for developing canine monoclonal antibody therapies.
Allan said: "We are growing a world-class scientific team that will enable PetMedix to become a global leader in the development of novel monoclonal antibody therapies for the expanding animal health market. In the short lifetime of the company we have attracted huge talent in both our scientists and executives, and moved into the heart of the Cambridge biotech sphere with its excellent facilities and networking opportunities. The recent appointment of Dr. Fabian Kausche to the board marks our intent to become a global leader in animal health."
CEO, Dr. Tom Weaver added: "We have the people and the technology in place, and are champing at the bit to progress these therapies to reach the pets that could benefit. We know this technology has transformed the treatment and survival of human patients with a variety of conditions and we want to create the same paradigm shift in veterinary treatment options to improve welfare, quality of life and longevity for our dogs and cats."
PetMedix says it is interested in hearing from potential investment partners, and mergers and acquisitions. Contact Jolyon Martin via email: jolyon.martin@PetMedix.co.uk or telephone: +44 (0) 1223 734140,
The recall is due to the fact that particulates have been found in identified batches of product during routine stability testing.
The affected batches are:
This issue only applies to the batches listed above. All other batches and the 20 ml pack size are not affected.
For further information regarding the recall, contact Richard Beckwith on 07584 099536 or: richard.beckwith@jurox.co.uk.
Omniotic combines three ingredients to remove ear wax and debris: a detergent, a solvent and an emulsifier. It also contains Octoxynol-9, lactic acid, salicylic acid and parabens, which Vita says have anti-fungal, anti-viral and anti-bacterial properties.
The product is sold in 120ml bottles with a transparent flexible tip designed to be comfortable even in stenosed, tender ear canals.
Omniotic can be used for regular daily cleaning, especially in predisposed breeds such as spaniels and lop-eared rabbits where ear conformation increases the risk of ear disease.
The product can also be used alongside other antibiotics or anti-fungal medications, something which Vita highlights as being especially important in rabbits, the ear canals of which are less prone to inflammation and stenosis, and for which topical treatment can be very effective.
Tara Evans, RVN and sales manager said: "Omniotic is an ear cleaner for dogs, cats and rabbits which combines features to meet the needs of owners and vets at the same time. The feedback from our customers is very positive; they are finding the soft, flexible applicator tip is easy to use and well tolerated. The unique combination of ingredients and the multi-species use means Omniotic can be used to support ear health across a wide variety of indications."
For more information and for the latest promotional offers, contact Tara Evans, via email: info@vitaanimalhealth.com, or telephone: 01256 591032.
A 15-minute consultation with Online Vets on the IVC-owned www.myfamilypet.co.uk website costs £16, compared to the three other players in this marketplace: Pawsquad, Vet AI and Firstvet, which all charge £20.
The other significant difference is that Online Vets is backed by IVC's extensive network of 800+ bricks and mortar practices, so they have somewhere to refer cases that need treatment and they undertake to deduct the online consultation fee from the final bill if that happens.
Douglas Veitch MRCVS, Head of Online Vets (the affable-looking chap pictured right) said: "In human healthcare, an online doctor can prescribe medication to their patients. However under the Royal College of Veterinary Surgeons (RCVS) legislation, vets cannot do that. This impacts the wallets of our clients, as it will often mean they pay twice; once for the online consultation and then for the subsequent consultation in practice. That’s why we have launched our Online Vets service as the digital vet team can refer into one of our 800+ practices and ensure the initial online fee is deducted from the bill."
That sounds like a bit of a pop at the RCVS being responsible for legislation that impacts clients' wallets, so it might be worth reflecting whether the GMC would allow doctors to prescribe medication online if their patients were all deaf, mute and had a mental age of less than one, which I assume is the intellectual capacity of the average dog.
That's by the by. It is this ability to offset Online Vets' consultation fee against any treatment needed offline that forms the basis of IVC's claim to save pet owners nearly £100 per annum on veterinary bills.
Of the other online service providers, only one (Vet AI) undertakes to refund the fee if offline treatment is then required. Online Vets says pets typically need 5 consultations per annum, and if they all need a subsequent consultation (and presuming none use Vet AI), £20 x 5 would therefore be down the drain, or, as the French would say, hors de la fenêtre.
I think that claim is a bit punchy myself. It would be interesting to see the research that shows pets need 5 consultations per annum. My dog rarely sees the vet more than once in a year. And even if it did, I'll bet at least a couple of those consultations could be handled online.
But really, isn't this a bit of a red herring? The truth is that all these services are still in their infancy, and online consultations still make up only a tiny fraction of the overall number of veterinary interactions. So really, whether you'll actually save a few quid using Online Vets vs one of the others is probably not the point.
The really big savings for pet owners will surely come when bricks and mortar veterinary practices, IVC included, offer online consultations between clients and their normal vet, who can already prescribe medications remotely if the animal has been seen recently enough. That'll save me a lot more than £20 a visit.
In the meantime, if I was using one of these services to consult about my dog (and I might), the bigger deal for me would be to have the reassurance of knowing the advice was backed by a bricks and mortar practice, which is why I find it curious that the only mention of IVC (and all its resources) on the www.myfamilypet.co.uk website is, er, in the cookie policy.
The study, which was led by the College's VetCompass programme, found that British bulldog ownership has increased from 0.35% of all puppies born in 2009 to 0.60% in 2013.
At the same time, the study found that British bulldogs suffer more than other breeds from a number of conditions associated with their aesthetic characteristics, including: skin fold dermatitis (7.8%), prolapsed gland of the third eyelid or 'cherry eye' (6.8%), interdigital cysts (3.7%), entropion or inward turning of the eyelid (3.6%), and corneal ulceration (3.1%).
Worse still, only 3.5% of the 1,621 British bulldogs analysed in the study were diagnosed with brachycephalic obstructive airway syndrome (BOAS), despite an earlier study reporting that 84.8% of tested Bulldogs are affected by BOAS to some extent, with 44.0% exhibiting clinically relevant disease2.
This, say the researchers, suggests owners consider breathing problems such as snoring as normal and are not therefore taking their dogs for needed check-ups.
Other findings included:
12.7% of British bulldogs suffer from ear infections, 8.8% from skin infections and 8.7% from obesity
Males are more likely than females to develop skin infection, interdigital cysts, atopic dermatitis and aggression, whereas females are more likely to develop dental disease and obesity.
The average adult bodyweight for a British bulldog is 26kg.
The average lifespan of bulldogs is 7.2 years.
The most common causes of death are heart disease (11.8%), cancer (10.9%) and brain disorder (9.1%).
The RVC says that the results of the study will support initiatives by the Kennel Club and the UK Bulldog Breed Club to improve breeding and also help owners and vets prioritise tackling the leading issues British bulldogs face.
Dr Dan O’Neill, VetCompass epidemiologist at the RVC and Chairman of the Brachycephalic Working Group, said: "The UK has seen unprecedented increases in the popularity of certain short-faced breeds over the past decade. This has led to a series of well-documented welfare issues relating to how these dogs are bred and sold for the UK pet-owning market, high levels of dumping of unwanted dogs into the UK charities and health problems that are intrinsically linked to the extreme body shape of these dogs.
"This new study gives firm evidence for the first time on the true levels of popularity and also of disease diagnosed in the wider population of bulldogs in the UK. This information can help to move the conversation on welfare from 'what are the issues' to 'how do we deal with these issues'. Reliable evidence is pivotal to good decision-making."
Dr Rowena Packer, BBSRC Research Fellow at RVC, said: "The bulldog is an iconic breed but concerns over the health problems allegedly facing these popular dogs have mounted in the past decade. It is extremely valuable to have solid data on the health problems facing this breed, confirming a number of inherent breed predispositions that need to be tackled.
This data supports current initiatives encouraging breed reform, particularly regarding health problems inherently related to their looks, and the need for selection for healthier body shapes. For example, skin fold dermatitis was common in bulldogs and is associated with the desired wrinkled face in this breed – this calls into question the justification of this and other such breed traits that put dogs at risk of potentially avoidable disease."
Steve Dean, Chairman of the Kennel Club Charitable Trust said: "The Kennel Club has put into place a number of crucial measures over the years to monitor, protect and improve bulldog health and to provide the many responsible breeders with the tools they need to do the same, but this paper highlights there is still work to be done."
The study is published open access in PLOS ONE.
The recognised qualifications are expected to take 12 months to complete and are assessed via a combination of online written exams, a skills portfolio, case scenarios, assignments and practical exams.
VetSkill's Qualifications Manager, Sam McMillan, said: "It’s an exciting time within the veterinary nursing industry and to be involved in the creation of such iconic qualifications.
"We’re thrilled with the positive reaction gained by the industry and are confident that developing these skills based qualifications will give veterinary nurses the opportunity for further career growth and improve nurse retention in the industry."
Kim, who is a veterinary nurse at Avonvale Veterinary Centres’ Heathcote practice, felt there was a lack of CPD events for nurses in her area, and made it her mission to do something about it.
She has already organised three CPD events for the remainder of 2019, with the first one taking place last month.
Kim said: "As a dedicated RVN who loves nothing more than a good webinar to watch or a CPD event to expand my knowledge, I thought it would be great if I could put that passion into providing CPD for fellow vet nurses.
"I contacted the BVNA asking if they needed a representative and it didn’t take long for them to get back to me saying they would like me to join the team.
"My main job is to provide high-quality CPD at affordable prices for veterinary nurses and the aim is to provide at least three evening CPD events a year or one full day course.
"Other aspects of the job role include taking part in Veterinary Nursing Awareness Month. You can do this by organising an event, coming up with stories for social media, or asking the local paper or radio station to interview you.
"We also go to the BVNA Annual Congress to raise awareness of the BVNA and the vital role nurses play."
Kim plans to focus on nurse consultations this year and the first CPD event will look at pet obesity which, she said, is a major concern in the UK, so feels it is important that veterinary staff have the most up-to-date information to give to the public.
She added: "I very much look forward to seeing as many veterinary nurses at my CPD events as possible and I hope my passion comes across in what I can provide for them.
"If anyone wishes to request a particular subject all they need to do is ask and we will endeavour to find a speaker and get something organised."
The proposals put to Council by the Education Committee included six key recommendations for changes to CPD policy:
To change the CPD requirement – as stated in the Codes of Professional Conduct – to 35 hours per calendar year for veterinary surgeons and 15 hours in the same period for veterinary nurses, from the start of 2020. This replaces the previous requirement of 105 hours and 45 hours of CPD over a rolling three-year period for veterinary surgeons and veterinary nurses respectively.
Making the use of the new CPD platform (currently in development) for recording learning and development mandatory from 2022.
Giving veterinary surgeons and veterinary nurses who, upon renewing their registration, have confirmed their compliance with the requirement, the opportunity to download a certificate demonstrating this.
The introduction of an administration fee (which is currently yet to- be determined) that will be charged to any veterinary surgeons or veterinary nurses who continually (defined as two or more years in a row) fail to confirm their compliance with the requirement and/or fail to respond to requests from the College for their CPD records.
Changing the words of the Codes of Professional Conduct to include the fact that CPD should be ‘regular’ and ‘relevant’.
The continuation of the RCVS CPD Referral Group, which meets to consider what further steps should be taken in cases of veterinary surgeons and veterinary nurses who continually fail to comply with CPD requirements and/or respond to requests.
RCVS Council agreed, by a majority vote, to approve the above recommendations.
RCVS Council member Dr Sue Paterson (pictured right), who introduced the paper and is the incoming Chair of the Education Committee, said: "While the majority of both veterinary surgeons and veterinary nurses do recognise the importance of continuous learning and development for their professional practice, their clients and, ultimately, animal health and welfare, it’s clear that there has been a cohort of people in both professions who take a more lax view of undertaking CPD.
"The changes to our CPD policy are intended to tighten up our processes and are targeted at those who, when challenged about why they have not undertaken sufficient CPD, say that they will meet the requirement one or two years down the line as part of the rolling three-year system. The administration fee also recognises the amount of time and effort spent by staff in the College in contacting and chasing up those people who aren’t compliant.
"However, we also recognise the fact that some members of the profession may have personal circumstances that means they are unable to meet their CPD requirement in a given year – whether that’s because of parental leave or other caring responsibilities, or long-term sick leave. So we will be retaining flexibility within the system and will be considerate and compassionate when taking into account individual circumstances when considering non-compliance.
"Furthermore, in light of the fact that the majority of vets and vet nurses do meet the requirement but also often go above-and-beyond it, we also thought it would be a good idea to introduce a downloadable compliance certificate in recognition of their achievement. This could be displayed, for example, in the practice and would be particularly useful for Practice Standard Scheme assessments.
"Over the coming months we will be fine-tuning the details of these policies and will be making further decisions about how they will work in practice in due course."
Veterinary surgeons and nurses who feel they will struggle to complete their CPD requirement within a 12-month period due to personal circumstances can contact RCVS confidentially at any time to discuss their difficulties on cpd@rcvs.org.uk
For full details about the decision, you can download the RCVS Council paper at: www.rcvs.org.uk/document-library/rcvs-council-papers-13-june-2019/
The review was recommended to Council by its Standards Committee following its exploration of the implications of new technologies for both animal health and welfare and veterinary regulation.
The main areas under consideration are the interpretation and application of an animal being under the care of a veterinary surgeon, and the provision of 24-hour emergency cover.
The College says that during the course of its research, which included numerous meetings and reports, a public consultation and examination of external legal advice, the Committee identified a number of anomalies in the College’s existing guidance that could affect how the Code’s provisions were applied across a range of different scenarios.
Chair of the Standards Committee, Dr Kate Richards, said: "It became clear to us that we could not consider telemedicine and remote prescribing in isolation and that it raised broader questions around the appropriateness of, and justification for, certain elements of existing RCVS guidance. I’m therefore pleased that RCVS Council has decided that the right and responsible approach is first to conduct a full review of these provisions."
The College anticipates that the review will require wide engagement from all relevant sectors, potentially including a Select Committee-style hearing in certain areas. This, it says, would help to ensure any decision to treat different groups differently, in relation to 'under care' and 'out-of-hours', is both reasoned and justified.
In the meantime, the College says that the current provisions of the RCVS Code of Professional Conduct and its supporting guidance remain in full effect.
Further information about the review will be made available in due course.
UPDATE (19/06/2019)
Following a number of concerns raised by members of the profession about this story, the RCVS has issued a further statement as follows:
We would like to acknowledge and address a number of concerns that have arisen amongst the profession following RCVS Council’s discussion last week that followed up queries raised during the previous debate in November, around the provision of telemedicine services, including remote prescribing.
The RCVS Council decision, made unanimously, was to proceed with a wide-ranging review of RCVS supporting guidance concerning 24-hour emergency cover and the interpretation and application of ‘under veterinary care’, and to postpone the proposed telemedicine trial for the foreseeable future and certainly until the conclusion of this review. The review will encompass, but not be limited to, consideration of what restrictions or safeguards to place on remote prescribing in the form of vet-to-client telemedicine.
RCVS Council discussed this paper ‘in committee’ in order to be able to examine the confidential legal advice it had requested at its previous meeting. The decision to hold these discussions privately was purely related to the privileged nature of legal advice and in no way related to any ‘commercial interests’.
We recognise fully that this is a complex issue, with strong views held on all sides. However, it is entirely right and proper for RCVS Council members to be able to discuss and debate such topics in detail, before reaching a decision through a vote. In the course of such discussions, issues may arise that had not previously been identified, and which may alter the original direction of thinking.
We appreciate that Council’s decision was perhaps unexpected, especially as the original topic had been under consideration for some time. This is why we announced it as soon as possible, along with an indication of what Council would like to happen next.
Whilst it is far too early to have worked out the details of the agreed review, it will be open and inclusive in parallel with our previous consultations, which continue to receive considerable levels of engagement across the veterinary professions and wider industry stakeholders.
We will publish full details about our plans for this review over the coming weeks, and will continue to work hard to engage all veterinary professionals in these important decisions.
Led by Jacques Ferreira, an RCVS and European Specialist in Veterinary Anaesthesia and Analgesia (pictured right), the new clinic will provide a bespoke pain management plan for pets referred both by external first opinion practices or internally by colleagues in other disciplines at the centre.
Jacques, who joined Willows in 2018 having previously lectured in Veterinary Anaesthesia at the University of Liverpool after specialising in the same subject in his native South Africa, said: "Just as with humans, our pets are living longer and, with that, there is an increased risk of developing chronic pain conditions.
"Traditionally, the most common patients are cats and dogs with chronic joint disease such as osteoarthritis but patients with a history of back problems and trapped nerves, cats with chronic cystitis and even those with some forms of cancer may benefit.
"We will work with first opinion vets who refer their patients to us, as well as internal referrals. The management of chronic pain is obviously ongoing but the aim for us would be to get to a stage where pain is effectively managed through the most appropriate avenue and check-ups are only needed every few months.
For more information, visit www.willows.uk.net.
Founder Professor Noel Fitzpatrick said: "It is a real joy to see the VET Festival growing and growing, not just in physical size, but from the immense goodwill that radiates from it. The weather didn’t get in the way of the wellness and there was nothing rainy about the atmosphere at VET Festival - in fact I think that the rain brought us closer together.
"I set out to build a community of compassion for our profession and I genuinely felt that there was a tangible sense of togetherness. There were loads of great conversations with each other and with the exhibitors. The educational content really was world class and the tents were packed. I hoped that VET Festival would be a breath of fresh air, where having an education event outdoors - combined with a focus on wellness of body and mind for all of us - could help vet professionals to be the very best that they could be - and so serve our patients better.
"Everyone there was part of something innovative and refreshing I felt – the delegates, the exhibitors, the team who have worked year-round to create the event, and the fantastic speakers. I’m very grateful to all of them and I sincerely hope that this feeling remains strong for each and every one all year round.
"The resonant theme this year was ‘kindness’ – to ourselves, to each other, to the families of animals and the animals we are lucky enough to take care of. Nobody is a nobody at VET Festival, and never will be. In that field, we’re all equal, no matter what we do in the vet profession - we all matter - we all want the same thing, which is wellness for each other and the animals we serve - and importantly, we’re all in it together for the greater good, rain or shine."