View all veterinary jobs
The company is hosting 14 sessions over the two days, delivering over 8 hours of CPD
Speakers include Tara Ryan, CVS Chief Veterinary Officer, Laurent Garosi, Clinical Director of Vet Oracle Teleradiology, Kieran Borgeat, Specialist in Veterinary Cardiology at Bristol Vet Specialists, Emma Cooper, Head Veterinary Surgeon at Bell Equine, Alan Johnson, Regional Clinical Lead at CVS and Mark Moreton, CVS Director of Learning & Development.
Clinical topics will range from bone marrow biopsies and neurological examinations, to emergency diagnostics and perioperative analgesia.
Professional discussions will focus on clinical freedom or clinical guidance, and why career progression is more than certificates or practice ownership.
Leadership and management sessions will cover supporting new graduates and adopting the right coaching mindset.
Mark Moreton said: “Whether you're a vet, nurse, practice manager or student - there’s something here for everyone.
"CVS Learning Live is designed to help our veterinary colleagues grow, connect, and thrive.
"It reflects our ongoing mission to help every colleague reach their full potential through accessible, high-quality education and peer support.
"We encourage delegates to plan their sessions in now so that they don’t miss out.”
https://london.vetshow.com/conference-programme.
The company says the new framework is designed to help veterinary teams make prescribing decisions which balance animal welfare, public health, and environmental sustainability, the latter especially in the light of recent research which found significant levels of imidacloprid and fipronil - which are toxic to invertebrates - in waterways1,2.
The Lifestyle Parasite Risk Assessment considers the following factors before recommending treatment, including:
Pet-specific behaviours such as scavenging, hunting, or eating raw foodEnvironmental exposure, including outdoor access and swimming habitsHousehold composition, especially the presence of vulnerable individualsTravel history, both domestic and internationalOwner compliance and preferred administration methods
Alongside the new assessment, CVS has launched a training course for all staff who interact with parasiticides, so they can confidently explain the benefits of lifestyle-based prescribing.
References
The company says that over that time, it has invested £122 million in sites, equipment and technology, but for some vets and nurses, a lack of training and confidence and a perceived lack of time has been a barrier to getting the most out of it.
The new CVS ‘Equipment Optimisation’ project will focus on CT, X-ray, dental X-ray, microscopy, endoscopy and laparoscopy, aiming to maximise its value and longevity.
The project plans to do this by helping to increase colleague confidence in the equipment’s ability, and to improve its maintenance - thereby reducing down time.
Each CVS practice will select one piece of equipment as a focus area for the next 12 months.
Each practice will create a plan, set project goals and then evaluate and share what works.
To support practices in their work, CVS has created a new clinical projects hub offering information and guidance on equipment set up, use, clinical interpretation, maintenance and troubleshooting.
The company is also offering additional training in the form of in-practice mentoring, radiation protection supervisor training, and a variety of online courses.
Lizzie McLennan Green, CVS Companion Animal UK Veterinary Director, said: “We’ve invested significantly in clinical equipment to improve patient diagnoses.
"And this project will help teams to feel confident in using and maintaining it.
"It offers a huge opportunity to continuously improve; offering better treatment and improved services to our clients and their animals.
“Each practice is being given the chance to select a piece of equipment that best fits their client base, their team and the way they work.
"We’re getting everyone involved from the start to tailor their own project – to make the process more targeted and meaningful.
“And to help colleagues, our clinical projects hub will be the go-to space containing all of the information, tools and support they need to get involved.
"It’ll also allow colleagues to connect with others, share ideas and build confidence as a wider team.”
Senior educators came from both UK and international veterinary and nursing schools to discuss and agree approaches to teaching contextualised care in first opinion practice for the first time.
The workshop aimed to give delegates an understanding of what contextualised care is and why it is important.
It also covered the types of clinical training settings that are conducive to supporting contextualised care learning.
Delegates then discussed the challenges associated with contextualised care learning in community-based clinical training settings.
They included: perceived conflicts between educational and commercial interests, a lack of previous formal teaching of contextualised care (during education), and the absence of established culture (and experience) of undergraduate teaching in clinical practice.
Workshop co-presenter and CVS’ Equine Development Lead Charlotte Sinclair, said: “Most veterinary graduates will enter primary care practice upon graduation and we know the majority of new graduates and employers agree that graduates are not prepared to practice contextualised care. The consequences of not being prepared include a tension between presumed ‘gold standard’ and the realities of practice, stress and moral distress.
“We hope that our landmark workshop will go some way towards helping trainers to support graduates in developing authentic communication skills, building client rapport, creating shared decision making, and being outcome focused. As true contextualised care relies on all of these skills.”
CVS says it believes the phone-based resource is a first in the profession.
It contains the ‘kennel side’ veterinary guidelines, notes and charts that clinicians would need to refer to in day-to-day companion animal practice.
It also includes clinical guidelines, anaesthesia, diagnostic imaging, dentistry and toxicology sections, along with an antibiotic guide.
CVS says it hopes the breadth of information in the MiGuide will improve and speed clinical decision-making, making recommendations to clients easier - and ultimately improving patient outcomes.
The hub is the brainchild of Alan Johnson, Regional Clinical Lead at CVS.
He said: “Every day in practice is different.
"You regularly have to do things you have not done for a while.
"So you either have to recall how to do them or spend time looking them up.
"This can be especially difficult when you are looking for very specific information which is buried in a textbook.
“I wanted to consolidate the key clinical information that every colleague needs every day - all in one location.
"I wanted to make information easy to find at a few clicks.
"And I wanted vets and nurses to have this information in their pocket – to refer to if the need arose.
“We hope our new portal is helpful and supportive – and makes daily practice smoother for our vets and nurses.
"And we hope that it improves and speeds up clinical decision-making to provide the best care for our patients.”
The pathway allows receptionists to progress through five stages of seniority, from receptionist to head receptionist - then beyond into practice and regional leadership roles.
It also shows how receptionists can branch out laterally into different roles within the group’s other divisions.
For each stage, there's a detailed outline of the necessary skills and capabilities and a curriculum of learning.
Philip Webb, Learning Partner at CVS who led the development of the pathway, said: “Receptionists are one of the most important roles in practice.
"They are the first and oftentimes key point of contact for our clients and play an instrumental role in how the workload of a practice is managed.
“We hope that the structured information and learning within our pathway will build the skills of each of our front-line colleagues, enhance the role of the receptionist in our practices, and give clear guidance on how to progress.
To date most of these imaging procedures have been performed by vets within the group’s small animal first opinion veterinary practices.
The company says its Foundations in Diagnostic Imaging for Nurses training is designed to give its nurses more clinical stature in first opinion practice.
The programme will teach nurses the workings of an x-ray machine, common X-ray positions and contrast material.
It will also cover the principles of CT and MRI, showing how to set up and operate each piece of equipment, and how to support patients through these imaging procedures.
Finally, the course will provide the training nurses need to be able to perform ultrasounds within the current RCVS legal frameworks.
CVS says it believes this is a first in the veterinary profession
Tara Ryan, Chief Veterinary Nursing Officer at CVS said: “Imaging is a brand new area that we are starting to delegate to our nurses. Having heavily invested in our small animal first opinion practices over the last decade, we have a wide range of imaging equipment at many of our sites.
“Excitingly, this programme will open up the ability for nurses to start to contribute more information - to help vets identify and diagnose conditions and diseases in patients.
"It is another big step that we are taking to empower our brilliant nurses and to enable them to make a great clinical contribution towards the care of our patients – and to be the nurses they want to be.”
CVS is prioritising the consulting room and Schedule 3 delegated tasks as important areas for improving what it calls 'nurse optimisation'.
The company recognises that 'buy in' from veterinary surgeons is vital to the success of its efforts to optimise the role of its nurses, and the group has also published guidelines to provide clarity around effective delegation under Schedule 3.
It will compare current prescription levels with two-year retrospective data to gain an understanding of prescribing behaviour.
It will also look at the proportion of prescriptions that are Highest Priority Critically Important Antimicrobials (HPCIAs).
Individual practice data will then be given to a dedicated AMS representative at each surgery who will be responsible for sharing it with their team - to gain an understanding of their prescribing for these conditions and to review actions which can be taken at practice level.
CPD on antimicrobial stewardship will be given to all practices to encourage responsible antimicrobial usage.
The research project will then capture ongoing data - from August 2024 until July 2025 - to show changes in antimicrobial prescribing.
The research is expected to provide an opportunity to build upon ongoing veterinary antimicrobial stewardship strategies.
This could include: using diagnostics to ensure accurate diagnoses and appropriate treatment plans, informing a change in prescribing behaviour, selecting antimicrobials responsibly, educating pet owners on antimicrobial resistance and using evidence-based guidance.
The clinical research project is being run by Kezia Wareham, Doctor of Philosophy student at Bristol Veterinary School (supervised by Dr Fernando Sanchez-Vizcaino, Dr Emi Barker, Dr Nicola Rooney and Dr Irene Bueno Padilla) and Deb Komianos, Regional Clinical Lead at CVS.
Deb said: “Antimicrobial resistance is one of the top ten global health threats and the figures projected by the WHO for attributable deaths are truly startling.
"To address the development of drug-resistant pathogens requires a One Health approach.
"It is not enough to pay lip service to AMS, we need to be leading the change."
The project looked first at how effective CVS small animal first opinion practices were at conducting echocardiography.
It found that a barrier to wider uptake was a lack of up-to-date equipment, along with a lack of current knowledge and training - both in using ultrasound and echocardiography equipment and in interpreting images.
CVS says that as a result, many colleagues were routinely referring suspected cardiac disease cases.
The project leaders then reviewed and recommended practice equipment, so that clinicians had the tools to perform echocardiograms in practice.
This included buying echocardiography tables - so that practitioners could scan an animal’s chest from underneath, more advanced cardiac ultrasound machines and electrocardiogram (ECG) machines.
The company then produced a range of resources for vets and nurses, to help them to improve echocardiography scan rates and nurse cardiology clinics, including clinical guidelines, machine guides and client resources.
It then held a number of training sessions for its vets and nurses, focusing on the latest advancements in heart disease diagnosis and treatment for vets, and training nurses how to conduct nurse cardiology clinics, how to perform and interpret electrocardiography, how to take blood pressure readings and thoracic point of care ultrasound (POCUS).
Lynsay Morgan, Regional Clinical Lead at CVS who is responsible for the cardiac ultrasound clinical improvement project, said: “We want to empower our first opinion small animal vets to perform more echo evaluations and to work up their cardiology cases to a high standard.
"We also want our nurses to be involved in patients’ life-long care, and provide ongoing support to owners of pets with heart disease.
“We hope this project will improve case identification, increase skills and confidence, and see optimum diagnosis and management of cardiac disease.”
The Equine Nursing Committee is comprised of members of CVS Equine Nursing practice teams from across the country, supported by senior nursing team members within CVS Group.
The committee’s remit will be for nurses to review and appraise the evidence supporting new-to-market therapies, appraise treatments and equipment, and guidance for practice-level decisions.
CVS says the group will also identify and share the most important clinical developments, provide technical knowledge and feedback on clinical policy, update clinical guidelines and disseminate the clinical decision-making process.
The group is also tasked with developing nursing career pathways and student nurse support programmes, creating psychologically safe working environments and forming support programmes for nurses.
The project was 'highly commended' at the RCVS Knowledge 2024 awards.
The CVS clinical improvement project found that a major barrier to conducting ultrasound scans was a lack of confidence - both in using equipment and interpreting images.
A recent Canadian industry study has also reviewed barriers, citing a lack of equipment, training and skills as root causes1.
The ultrasound project aimed to review practice equipment, improve clinician case identification, increase clinical skills and confidence, and recommend ultrasound in all appropriate cases.
The company put together resources for vets and nurses designed to help improve ultrasound scan rates, including clinical guidelines, webinars for how to approach cases, and machine guides.
CVS then held training sessions which for vets focussed on case identification and improving diagnostic skills, and for vet nurses looked at how to use ultrasound equipment and conduct scans.
An audit of each participating practices’ ultrasound scan rates was conducted at the start of the project. Results were then shared with each practice every month.
Twelve months after launch, data shows that the number of ultrasound scans has increased by 3,675.
Anecdotal evidence has also shown that colleague confidence and practice team culture has improved as a result of the project.
Dr Victoria Woods, Regional Clinical Lead at CVS responsible for the ultrasound clinical improvement project, said: “It’s fantastic to see the benefits increased ultrasonography is already bringing to our practices on this project – especially as a result of upskilling our nurses.
"I am certain that this will help contribute towards them providing some of the best clinical diagnosis and care in our profession.”
Following the success of the project in its first year, the project is now being developed to focus on echocardiograph and is being undertaken in 52 CVS primary care practices in year two.
Reference
The new centre, based at The Harrogate Vet, will be Vetskill- and RCVS-approved and will specialise in training student nurses and patient care assistants.
CVTC Harrogate will offer a day release classroom-based Level 3 Diploma in Veterinary Nursing, along with online courses - including a Level 2 certificate in Veterinary Care Support and Level 5 Advanced Veterinary Nurse Diploma courses in Practice Nurse and Emergency and Critical Care.
Jackie Evans, Head of the CVTC Harrogate centre said: “We are delighted to be opening a third centre for veterinary nurse training.
"This will provide accessible training and highest quality training courses for veterinary nurses and veterinary care assistances in the Northeast region.”
The first cohort of students are due to start at CVTC Harrogate in autumn 2024.
Students wishing to apply for a places should visit chestervtc.co.uk or email nursingschool@cvsvets.com.
The new app has been specifically developed for CVS, is unique to the group, and is owned by the company.
It is powered by LocumBell technology.
When registering on the app, locums can input their work preferences - including their skills, desired travel radius and preferred shift times - so that they are only served up shift advertisements relevant to them.
Users can also set up notifications for upcoming jobs.
The app then allows locums to set minimum shift rates, submit the rate they would like to receive for a shift and negotiate their fees directly with a practice.
Shifts can be then be booked or cancelled on the app at the touch of a button.
All upcoming booked shifts appear on the users’ calendar.
Once a shift has been completed, locums can submit the invoice for their work using the app.
The app allows locums to see every CVS practice invoice and its status, which CVS says will allow queries to be resolved quicker and payments issued faster.
The app is being rolled out to all of CVS's practices from this August.
Amy Hughes, Head of Recruitment at CVS, said: “Locum administration can be time-consuming – as locums first have to identify work, liaise with a practice and our central support team, to negotiate and book a shift, then complete all invoice paperwork.
"We wanted to remove that pain and make it easier for locums to work with us.
The app is available for Apple devices on the App Store and for Android devices on the Play Store.
For any technical difficulties or assistance, contact: support@locumbell.com or call 0161 556 7685.
The hub has been launched after research conducted by the company found that the most common reason for nurses resigning was career progression1.
CVS says it hopes the breadth of development, training and support on the new Nursing Hub will further advance colleagues’ skills and knowledge, develop their career pathways, and empower nurses to take on more responsibilities.
The hub comprises a range of peer-reviewed courses, training and support, including the facility for nurses to develop their own personal career pathway.
Courses range from ‘bite sized’ short courses, professional gyms, guides and webinars, to longer ‘in-depth’ courses and Level 5 certificate programmes.
Tara Ryan, Chief Veterinary Nursing Officer at CVS Group, said: “This new hub brings together all of our nursing resources, training and support required by our colleagues – wherever they work.
"And for the first time it’s easy to access and all in one place.
"We hope that our veterinary nursing colleagues find it helpful and supportive – and that it inspires them to be the nurse they want to be.”
A team of researchers led by Tim Mair, CVS Equine Veterinary Director and Specialist in both Equine Internal Medicine and Equine Soft Tissue Surgery at Bell Equine Veterinary Clinic, will review 100 cases of colitis in adult horses and 100 controls referred to seven equine veterinary hospitals in the UK: five CVS equine veterinary hospitals as well as Rossdales Equine Hospital and University of Liverpool’s equine hospital.
A set of diagnostic tests on blood and faeces will be performed in these cases.
The laboratory tests will include: small redworm serology, culture and PCR of faeces for Salmonella spp, PCR of faeces for Clostridioides difficile and Clostridium perfringens, ELISA of faeces for toxins of C.difficile and C.perfringens, PCR of faeces for coronavirus.
The clinical features, laboratory results, treatments and outcomes will also be recorded.
Tim said: “Acute colitis accounts for around 5% of admissions to referral hospitals.
"And of those who are referred with it, half will not survive but there is very limited evidence available.
"So it’s vital that we build our evidence-base of this life-threatening condition.
"We hope that the outcomes of our new study will lead to a greater understanding of the causes and better inform veterinary treatment of colitis in UK adult horses.”
The Colitis in Adult Horses study is supported by a research grant from CVS, and funding for the small redworm ELISA will be given from Austin Davis Biologics.
The study started at the beginning of 2024 and the first horses have been recruited.
The results of the study are expected to be published in 2025.
For the study, 12 month's worth of anonymised data from CVS practices was analysed2.
The study concluded that lower engagement between a practice and its staff or clients, recent parental leave, shorter practice employment tenure, and younger age were all associated with an increased likelihood of support staff resignations.
Lower practice client engagement, which CVS says is a proxy for client satisfaction, was associated with increased odds of support staff resigning3, highlighting the potential impact of client incivility on veterinary colleagues who are typically in customer facing roles.
Reduced employee engagement – measured by a ‘employee net promoter score’ (eNPS), where colleagues rate how likely they would recommend the practice as a good place to work4, also correlated with increased resignations.
Within CVS, eNPS has been demonstrated to be positively correlated with the frequency of line manager discussions.
The current data suggests that consistent measurement of employee engagement in a veterinary setting at regular intervals throughout the year can have benefits for line managers in identifying increases in the risk of resignations and practice attrition, allowing them to take proactive steps to improve engagement.
A recent record of taking parental leave was also associated with greater odds of resigning in the following 12 months than staff who have not taken parental leave in the previous 12 months5.
Qualitative studies in other professions highlight the need for greater flexibility in working hours and focused managerial check-in support.
Therefore ‘return to work’ interventions may present an opportunity to improve retention.
Conversely, the increased length of employment tenure was associated with decreasing odds of support staff resignations6, potentially highlighting the role for long service reward schemes, such as the long service holiday awards CVS introduced a couple of years ago. Whilst employee age was associated with the odds of resignations, with a 1% decrease in the odds of support staff resigning with each additional year of age7.
Imogen Schofield, Director of Clinical Research at CVS, said: “Support staff are integral members of the team.
"These key roles contribute to the efficient and effective functioning of a veterinary practice.
"Despite the important roles of support staff, little research exists on these team members and there is no data describing reasons for their attrition.
“This research was done to help the wider industry to understand how we can reduce support staff resignations.
"It aims to identify demographic, payroll and engagement factors associated with resignations.
"We believe it adds valuable insights to previous survey-based research by organisations such as the British Veterinary Receptionist Association.
“Reflecting on our research from 2021, we have introduced a Zero Tolerance Policy to protect our colleagues against intrusive, offensive, violent or aggressive behaviour from clients.
"We have launched monthly interactive Receptionist Support Sessions, giving receptionists the opportunity to connect with their peer network, share experiences and ideas, and feel supported.
"And we are now focussing on developing our support staff through creating new Receptionist and Patient Care Assistant Career Pathways.”
The Diabetic Clinical Score is a quick, standardised scoring system to record the clinical signs of diabetes in a patient, which was designed by Royal Veterinary College Internal Medicine Specialist Dr. Stijn Niessen.
The scoring system has been turned into a pet diabetes app which allows clients to record and monitor the impact of treatment.
CVS' aim is to use the recently validated tool in over 80% of patient cases to improve the treatment and control of diabetes whilst supporting the practice team to develop their skills in managing the condition.
Participating practices will use the DCS, alongside blood glucose measurements, to diagnose and monitor patients.
Veterinary nurses will refer animals coming in for six-monthly Healthy Pet Club check-ups to a vet for a possible diabetes diagnosis, whilst vets diagnosing diabetes will introduce owners and patients to the DCS to record a diabetes log, to help manage the condition.
To upskill and develop colleagues in the use of the DCS, dedicated vet and nurse training sessions have been held by the clinical leadership team, including a kick-off ‘diabetes day’ which focussed on current thinking and introduced the DCS tool.
CVS teams have also grouped together to agree a coordinated approach to managing pets with diabetes in their practice.
Supporting diabetes resources have also been drafted for practices, including new clinical guidelines, supporting paperwork and CPD.
Lara Wilson, Regional Clinical Lead at CVS said: “Diabetes is notoriously difficult to diagnose and different vets can use different approaches to managing cases.
“The Diabetic Clinical Score will help the whole team around the patient – the owner, vet and veterinary nurse – to effectively and cohesively manage their care.
It will implement joined-up thinking and help to put a standardised disease management framework in place.
“It will be fantastic to see the benefits that the Diabetic Clinical Score will bring to our patients and practices.
"I am certain that this will help contribute towards them providing some of the best diabetes clinical diagnosis and care in our profession.”
A similar scheme will also be run for Australian colleagues wanting to spend time in the UK.
The programme will allow the company's vet nurses to enhance their role internationally and to explore other parts of the world whilst furthering their career.
The programme is open to nurses with over two year's experience, who want to work overseas and then return to their current practice afterwards.
Secondments are also available for staff in support office roles.
Staff will be able to return to their existing roles for up to 12 months, and thereafter a similar role will be made available to them in their region.
Graeme Cramb, Managing Director for CVS Australia, said: “Our vision is to be the veterinary company that most people want to work for and we believe this UK-Australia secondment scheme represents an attractive option for colleagues.
“As the first vet company to offer a UK-Australia secondment scheme, we hope that it enables our colleagues to learn from colleagues in a new territory, further their career and to lead to some exciting cross-pollination of ideas.”
When colleagues express an interest, they will be contacted by CVS recruitment team member to discuss potential opportunities that they can apply for.
They must meet the criteria required to be able to obtain a visa to work in Australia.
Successful applicants will be offered a relocation package and continue to be paid their salary in the UK.
They may also be eligible for the cost of living allowance, paid in Australia.
https://www.careerswithcvs.co.uk/intranet/vacancy/uk-to-australia-secondment-program-4472/18753/description/
For the project, the company has developed a Brachycephalic Obstructive Airway Syndrome (BOAS) clinical assessment tool which can be used by a vet or nurse in practice to make a diagnosis.
The assessment is a holistic one which includes taking a history of the animal, a full physical examination, an exercise test and an examination of the dog’s nostrils.
The results of the assessment are then discussed with the owner to agree on a course of treatment.
During each consultation, vets and nurses also look to talk sensitively with clients about breeding, buying and owning brachycephalic dog breeds, offering welfare advice on how to manage their dog’s lifestyle, including issues such as keeping their weight low and looking after them in hot weather.
CVS says it hopes this will increase a general level of welfare awareness amongst brachycephalic dog owners.
CVS has also created a collection of resources for its teams, including new clinical frameworks and veterinary guidelines, webinars and a CPD day on the subject.
The company has also created materials to help vets and nurses have what can be challenging discussions with clients, including consultation room posters and practice reception TV videos which showing the physiology of the brachycephalic breed.
CVS says that since launch in July last year, the 25 participating practices have conducted nearly 900 brachycephalic assessments, and it aims to have at least 5% of Pugs, French Bulldogs and Bulldogs undergoing assessment across its small animal division by 2028.
It is the first time this Ofqual-regulated qualification has been offered to small animal first opinion practice nurses in the UK.
The new Level 5 qualification is designed for RVNs who have been qualified for at least six months and who have access to working in an emergency and critical care (ECC) environment.
CVS says it will help them to advance their knowledge and skills in ECC to a mastery level.
Students passing the course will gain post nominals and be placed on a register of Advanced Nurse Practitioners.
The course comprised six modules: the fundamentals of emergency and critical care, management of emergency and critical patient presentations, management of the emergency and critical patient, interventions for the emergency and critical patient, transfusion medicine and collaborative practice and wellbeing within the emergency and critical care setting.
The course will be taught online, with live tutor sessions and webinars, supported by an interactive virtual learning platform.
It will last 12-18 months, with enrolment through CVTC.
To apply, visit www.chestervtc.co.uk to complete an application form or email the Centre nursingschool@cvsvets.com .
Despite being a common disease, CVS says very little research has been undertaken into EPD in the UK.
In addition, numerous different treatments are currently used for EPD, for which there is not always robust scientific evidence.
The CVS study, which started in 2022 and will continue till early 2024, involves 20 practices.
Samples have been collected from over 70 cases from horses that have been diagnosed by EPD throughout the UK.
Full blood profiles have been assessed, in addition to bacterial culture analysis of the lesions, PCR analysis for dermatophytes (ringworm fungi), microscopy for ectoparasites (mites) and skin cytology.
An owner questionnaire has also been completed to gather information on EDP management.
Each horse’s lesions have been graded and descriptive data relating to the lesions were recorded.
Data collection is now complete and a team of researchers, led by vet Manuela Diaz Ramos, has started analysing the data.
A full report on the findings, along with treatment and management recommendations, is expected to be presented at a scientific conference later this year.
The course covers wound management, making decisions on dressings, drain management, how to complete biopsies and fine needle samples, how to complete a number of suture patterns and how to remove cutaneous masses and complete other surgeries under Schedule 3 legislation.
The course includes eight hours of practical skills training on cadavers as well as 2 hours online training, covering suture selection and legislation.
On completion of the course, CVS nurses are able to recognise what nurses can complete under Schedule 3 legislation, identify the correct dressing for each stage of wound healing, identify the equipment and correct technique for a range of biopsies, complete a number of different suture patterns, and remove cutaneous masses and complete other surgeries under Schedule 3 legislation.
Each nurse has a skills checklist to inform their ongoing training needs and is encouraged to have regular, informal meetings with a local mentor – who is able to support their learning.
The next Surgical Schedule 3 Course is scheduled for 21st March 2024.
Karen Learmonth, LED Nursing Lead at CVS said: “I am excited about the opportunity that Surgical Schedule 3 provides for nurses within CVS to further their skills and knowledge.
"Advocating nurses’ involvement in Schedule 3 procedures supports improved patient care and provides nurses with rewarding careers.
“It’s fantastic to see so many nurses completing the course to date and we’ll further develop nurse utilisation in 2024 where we’ll rollout both ultrasound and lab skills training.
"We hope this will encourage nurses to utilise all aspects of their role in line with Schedule 3 guidelines.”
Fran Wood, an RVN at Albavet - Rogers, Brock & Barker said: “I have been loving doing surgery and felt the course was the best CPD I have ever been on!
"It has given me the confidence to complete stitch ups, tail amputations and many other procedures.”
One of the critical factors in allowing vet nurses to use all their skills is having vets who are comfortable delegating.
To that end, CVS has vets who have pledged to support nurses to achieve this work.
The group has also published guidelines for its vets to provide clarity around effective delegation under Schedule 3.
The new pathway shows the opportunity to progress through either clinical or team leadership and how nurses can move into management roles.
Behind each level in the pathway there's a curriculum of learning which starts at the stage of being newly qualified and then moves into three clinical activity levels.
Level 3 nurses for example, would regularly undertake advanced Schedule 3 nursing procedures - such as tail amputations and mass removals, as well as diagnostics - such as MRI and ultrasound.
Beyond this, there are opportunities to become a CVS clinical or team lead, with the former leading a defined area of clinical practice and the latter responsible for line managing some of the nursing team.
In CVS multi-disciplinary hospitals and practices there will also be a new role of Nurse Manager, who will be responsible for the management of a larger team.
Tara Ryan, Chief Veterinary Nursing Officer, said: “There are so many good reasons to provide structure and clarity around nursing careers.
“The nursing career progression will enhance the role of the RVN in our practices and ensure we utilise the skills of our nurses.
"It should give more confidence to vets when delegating to nurses and it will enable nurses to do more for clients whether that be consulting or procedures.
“Most importantly it will support nurses in taking the direction in their career that they want to take.
"There are multiple different options for nurses to progress within CVS – whether it be in practice, procurement, client services or learning, education and development. It means nurses can truly have a life-long career at CVS.”
For the research, the medical histories of 188 Basset Hounds and 270 Dachshunds presenting to CVS’ Dovecote Veterinary Hospital and Chestergates Veterinary Specialists, and the University of Ghent were retrospectively assessed.
Information included signalment, whether the dog had received a diagnosis of TL-IVDE, the duration of clinical signs, affected discs and anatomical region and the neurological grading at presentation and discharge.
Basset Hounds and Dachshunds are both chondrodystrophic breeds which are predisposed to IVDE.
However, the study found 77.4% of Dachshunds had presented with IVDE, compared to only 36.2% of Basset Hounds.
Dachshunds also presented earlier (66.5 months) compared to Basset Hounds (median 87.5 months).
Dachshunds had a lower proportion of midlumbar IVDE and were more frequently non-ambulatory at discharge than Basset Hounds.
In addition, Dachshunds were more likely to be paraplegic without sensation at presentation than Basset Hounds (16/154 Dachshunds compared to just one Basset).
The Basset Hound is the largest chondrodystrophic breed and the physical characteristics of this larger body conformation may have benefits, with previous studies suggesting the protective effects of being a larger dog2.
One hypothesis is whether breed conformation and anatomy – the relative height/weight ratio - influences the severity and occurrence of IVD and points to a link between the size of the patient and the space in the vertebral canal.
A smaller spinal cord versus vertebral canal ratio in the Basset Hound may indicate a less compressive lesion.
Sergio Gomes, Head of Neurology and specialist in veterinary neurology at Dovecote Veterinary Hospital, who led the study, said: “This is the first time that IVDE data for Basset Hounds has been directly compared with that for Dachshunds.
“We now need to look closely at the conformation and anatomy of the Basset Hound to see what learnings we can take.
"This could have positive future implications for Dachshund breeding programmes, so that longer term we can try to minimise this painful and common canine condition.”
The group says it has led to 6,086 more clinical metrology questionnaires being conducted at participating practices with their patients, a 1,014% increase.
Developed by John Innes at the University of Liverpool, the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire is a 13-item clinical metrology instrument (CMI) used to assess canine articular disorders like osteoarthritis.
It includes questions on the pets’ medical background, lifestyle and mobility.
Individual question scores are summed to provide an overall “LOAD score” suggestive of the animal’s disease presence and severity.
The questionnaire should be conducted every time the pet is presented to the veterinary clinic, with results tracked over time.
Treatment options - including the benefits and risks of all available modalities – can then be considered and discussed with owners to determine the best course of action, including weight management, diet, supplements, exercise and environmental modification, in addition to medication.
As part of the project, CVS provided a range of supporting resources for its practices, together with training.
Training focussed on diagnosing and managing conditions causing lameness in dogs and cats, using the clinical metrology questionnaire to engage clients in their pets’ treatment plan, offering best practice treatment options and running nurse mobility clinics.
It comprised of a vet CPD day run with Zoetis and the VOA on approach to and management of lame patients, two nurse CPD days on mobility clinics, a feline and canine orthopaedic examination video, First Opinion Clinical Club webinars on canine and feline osteoarthritis and an approach to radiographic interpretation course.
Resources included: new clinical guidelines, IMV resources (radiographic positioning, optimising the image and optimal chemical restraint) and a Mobility Clinic Booklet for clients.
Each site was then provided with its own data, so that they could monitor what they were doing individually.
One year after its nation-wide launch, results reveal that the number of clinical metrology questionnaires being conducted in the 35 participating practices has increased from 6 to 6,092 over a 12 month time period.
CVS says there was also evidence of an increasing incidence of the osteoarthritis drugs Librela and Solensia being prescribed.
Kathryn Patel, Hub Clinical Lead at CVS (pictured), who was responsible for the lameness clinical improvement project, said: “This project uses owner questionnaires to screen for and monitor the impact of lameness on patient quality of life and emphasises the importance of the whole clinical team in patient management.
"Vets and nurses will be supported to improve their ability to reach a diagnosis in every lame case, improve engagement with and compliance of owners with lame pets, and improve the quality of care of lame patients through appropriate medication, surgical intervention, and nurse and physiotherapy support.”