The BSAVA has published the fourth edition of its Manual of Canine and Feline Dermatology.

Under the direction of Hilary Jackson and Rosanna Marsella, the manual has been revised and updated to provide a resource focused on the clinically relevant aspects of dermatological diseases. It also includes several new chapters and various sections have been expanded.

This new edition keeps the same format as the third edition. The initial chapters review the basic structure and function of the skin, discuss a logical approach to history-taking and outline the core investigative tests that can be performed. A separate chapter on skin cytology has been added to this edition, providing information on common skin diseases which the association says should be useful to all practitioners.

The introductory section is followed by chapters taking a problem-oriented approach to common dermatological conditions, including papules and pustules, scaling, and erosions and ulcerations. The chapters on pyoderma, ear disease and atopic dermatitis have been expanded and there are two new chapters dedicated to feline dermatological conditions.

A chapter covering the indications for allergy testing and the use of allergen-specific immunotherapy is also new to this edition. The main purpose of an allergy test is to confirm the clinical diagnosis of atopic disease and to identify the relevant allergens, which can then be selected for allergen-specific immunotherapy.

The final section of the manual focuses on the major skin diseases encountered in dogs and cats, and includes a chapter on topical treatments, which have an increasingly important role in the management of small animal dermatology patients, either as a sole therapy or as part of a multimodal treatment regime.

The BSAVA Manual of Canine and Feline Dermatology is available as a print edition (£90; £60 to BSAVA members), which can be bought at the BSAVA online shop, and a digital edition (£90; £60 to BSAVA members), accessible via the BSAVA Library.

Louise Clark, Head of Anaesthesia at Davies Veterinary Specialists has put together seven top anaesthesia tips for colleagues in general practice.

Louise is an RCVS and EBVS European Specialist in Veterinary Anaesthesia and Analgesia, and a Past President of the Pain Medicine Section Council at the Royal Society of Medicine. She has also been an invited examiner on the European Diploma examination and a Treasurer of the Association of Veterinary Anaesthetists. She has headed the anaesthesia team at Davies since 2007.

Her tips are:

• Be aware of the multiple mechanisms that contribute to chronic pain – this is key to understanding the likely benefit of any pharmacological approach. 
• With ongoing chronic pain, it is unusual for a single medication to result in satisfactory pain relief in a unimodal, stand-alone fashion. 
• Combination pharmacologic treatment is an important aspect of multimodal chronic pain management. 
• A key component of treating pain with medications is finding the balance between effective treatment and acceptable side effects. “Effective treatment” is difficult to define because it will almost never mean a complete remission of pain. 
• Human chronic pain trials suggest that a reduction of pain by 30% is clinically meaningful, because it is at this this level that patient ratings demonstrate “much improved” pain. This returns us as veterinary professionals to the complex issue of pain assessment. 
• A rational approach is to consider the mechanisms and assess potential targets that might respond to available analgesics; in the periphery, at the level of the spinal cord and within the brain/descending inhibitory pathways.  
• Appreciate the “type” of pain you are treating, the wrong " fire extinguisher" will expose the patient to the potential drug side effects without necessarily positively impacting the patient`s pain.

The London Vet Show is getting ready to throw open its doors on the 11th and 12th November for what will be the first major vet gathering in two years. 

Rob Chapman, MD of the event organiser, CloserStill Media, said: "The London Vet Show in 2019 was the last major in-person event pre-Covid-19 pandemic

“We are delighted to be gathering once more. We had more tickets booked this September than any other year which has reinforced that there’s a real desire amongst the veterinary community to get back together and that confidence in events is returning.

"Our team is busy putting the final touches in place – including our new Covid-safety features, our speakers are excited to present to live audiences again, the delegates are making plans to see old friends. And, very importantly, our exhibitors are busy organising fantastic giveaways and getting stock ready. There has been so much fantastic R&D in the veterinary sector over the past two years and vet professionals will get to try it out first at the London Vet Show.”

BVA Senior Vice President, James Russell, said: “The London Vet Show is a highlight of the CPD and social calendar. The range of lectures we have on means there’s something for everybody – whether it’s clinical, non-clinical, BVA Congress or our career development stream. But the opportunity to see each other again after two years is something which I am so excited about. 

"I know that there will be some people feeling nervous about the idea of coming together again. But one of the tremendous privileges I’ve had during the past year is being in London and watching it slowly unlock. I have to say that my recent experiences of being out and about in London make me feel very safe here.

"I do recognise that different people are at different points on their journey with that, but I hope that everyone finds a way of getting to the London Vet Show in a way they feel comfortable with. CloserStill have put in measures when we are there that will make us feel as safe and as comfortable as we can do.”

Professor Jill Maddison, who programmes the Royal Veterinary College Clinical’s small animal streams, said: “After almost two years I am beyond excited that we will be back together again at the London Vet Show. As usual we have a great line up of speakers from abroad, the RVC and around the UK who will deliver lectures covering many different aspects of clinical practice.

"I hope that whatever sessions you attend and whatever exhibits you visit at the 12th LVS you will find something to interest, intrigue and inspire you that you can take back to your practice to enhance the welfare of your patients and clients, your team and of course, yourself.”

Rob added: “We also have some fantastic new and returning features in store for delegates. For example, I’m delighted to announce the return of the popular Community Masterminds where online peers can meet in person and discuss topics that matter most to them.

"We are also hosting our very first Very Happy Hour on the exhibition floor from 5.30-6.45 pm on Day 1 where there will be drinks available for everyone to enjoy in a relaxed, spread-out fashion to celebrate being back together again.”

“We do ask that delegates planning on attending pre-register so we can best lay out the event and cater for the audience in a Covid-secure manner.”

One day and two-day tickets are available now. Register before Friday, 22nd October to receive your badge in the post. You can book at: https://london.vetshow.com/, call +44 (0)2476 719 687.  

Canine Arthritis Management, the charity set up by Hannah Capon MRCVS, is to hold a series of virtual walks throughout September to raise awareness of all the things that arthritic dogs can do. 

The virtual walks come in the form of a 30 day series of emails taking owners on an imaginary adventure exploring different environments and looking for the things that make these places so exciting for an arthritic dog. Each email will include soundbites from experts and CAM founder Hannah Capon, together with tips and advice.

This year, the charity is also fundraising to keep its live sessions free, to keep its resources accessible to the public and to refurbish its website for owners and animal health professionals. 

There are three levels of participation: Garden Wanderer is £10 and gives access to the emails, Facebook group, discount codes and the chance to win prizes and play Big Walk Bingo. Park Explorer is priced at £40 for which participants also get a CAM big walks T-shirt (ladies or unisex fit) and a dog bandana to match. Finally, the £70 Forest Adventurer package adds access to CAM Comprehensive, a course to help owners on their journey with their arthritic dog.

Hannah said: "Please support us, and invite your dog-owning friends and colleagues to do the same. Share the event to your social media pages and help us get the message out that there is more to life with an arthritic dog and even if a dog can’t do the activities they used to there is still a whole world of fun to be found out there whether it is at the beach, in the local park or simply in the garden!"

For more information, visit: https://www.camonlineshop.com/the-big-walk-2021/ 

Dechra has launched Equibactin Powder (25mg sulfadiazine and 5mg trimethoprim), a new antibiotic powder designed to help prevent the under-dosing of larger horses being treated for bacterial infections.

Equibactin oral powder comes in a 60g sachet, which Dechra says is the scientifically considered accurate dose¹ for two daily treatments for a 600kg horse. The sachets come in a box of 10, which is sufficient for the twice daily treatment of a 600kg horse for five days.

The combination of sulfadiazine and trimethoprim antibiotics (known as TMPS) has a broad spectrum of uses and can be used to treat equine infections associated with Streptococcus and Staphylococcus aureus, gastrointestinal infections associated with E. coli and urogenital infections associated with beta-hemolytic streptococci.  

Emma Jennings, Equine and Food Producing Animal Brand Manager, said: “Our product allows for twice daily 30mg/kg treatments, making the treatment of large horses easier and ensuring they receive the correct dose, which is crucial when it comes to tackling antibiotic resistance.” 

She added: “TMPS is the only registered oral antibiotic available for use in horses and it is recommended as the first line of treatment for ‘common’ equine bacterial infections including those which have developed through wound infections or open or drained abscesses.^2,3 

“Effective antibiotics are an important part of the veterinarian’s arsenal when it comes to treating a variety of common bacterial infections in horses. But in recent years, the emergence of drug resistant bacteria has meant that extra precautions must be taken to prevent underdosing - one of the prominent causes of drug resistance.” 

Equibactin oral powder is available now in the UK and Ireland. For more information visit www.dechra.co.uk.  

References 

1. Trimethoprim/sulfonamide combinations in the horse: a review. E. Van Duijkeren, et al. J Vet Pharmacol Ther. 1994 Feb;17(1):64-73.
2. BEVA. Protect ME: Antimicrobial Guidelines. Practice Policy Template: Dose and routes of administration of common antimicrobials www.beva.org.uk
3. EMA.(2019) Categorisation of antibiotics for use in animals for prudent and responsible use. https://bit.ly/30ZEuRi   

Animalcare is offering veterinary practices free 'lunch and learn' sessions about its recently launched canine osteoarthritis (OA) treatment, Daxocox.

Animalcare Marketing Manager, James Beaumont said: “Practice life is busier than ever and we know that practice teams are working very hard. It’s important that they are well-fuelled, so we aim to nourish their bodies and minds with our new Daxocox ‘Bitesize Lunch and Learns’. We’re simply asking practices to tell us their lunchtime desire and we’ll make sure that it’s delivered direct to their door.

"Then, in less time than it takes for them to demolish their feast, we’ll explain how breakthrough pain could be haunting their canine OA patients and, more importantly, how our new weekly NSAID, Daxocox, can help."

Practices can register for a lunch and learn and submit their lunch order by registering at www.daxocox.co.uk/lunch_learn  or contacting Animalcare on 01904 487687.

Andrew Michael Dobson MRCVS has been struck off by the RCVS Disciplinary Committee after it found that he had carried out an act of veterinary certification while off the Register, failed to have professional indemnity insurance, then failed to respond to repeated requests from the College. 

At the start of the hearing the RCVS applied for it to take place in the absence of Mr Dobson, who had failed to respond when informed about the hearing. The application was granted by the DC on the basis that Mr Dobson, by refusing to respond to communications from the College – including by letter, telephone and email – had voluntarily waived his right to attend.

There were three sets of charges against Mr Dobson. The first charge was in June 2018, while he was not on the Register of Veterinary Surgeons, Mr Dobson had carried out an equine pre-purchase examination (PPE) and used the postnominals MRCVS to sign the associated PPE certificate and covering letter.

The Committee found this charge proven after it was presented with evidence of the certificate and covering letter alongside the fact that Mr Dobson had been removed from the Register on 1 June 2018 for non-payment of the annual renewal fee needed to remain on the RCVS Register. He was only restored to the Register upon paying his outstanding fee in late November 2018.

The second charge was that Mr Dobson did not have any professional indemnity insurance (or PII) or other equivalent arrangements in between June 2018 and August 2020. He also failed to provide adequate details of his PII when requested by the RCVS.

The Committee was presented with evidence that Mr Dobson had failed to confirm that he had PII arrangements or other equivalent arrangements in place prior to August 2020 and that he had failed to respond to numerous requests for evidence from the College. On this basis the Committee found the charges proven.

The third and final charge was that Mr Dobson had failed to respond to numerous requests from the RCVS, including: failing to provide written comments on concerns relating to the equine PPE; failing to provide written comments on the concern that he had carried out the PPE and used the postnominals MRCVS while not on the Register; failing to provide details of his continuing professional development (CPD) for the previous three years; and failing to provide copies of his Day Book and/or Controlled Drugs Register. All elements of this charge were found proven when the Committee was presented with evidence of numerous attempts to contact him that went unacknowledged and unanswered.

Regarding the first charge, the Committee recognised that Mr Dobson had not intentionally allowed his registration with the College to expire and that it was down to administrative error. However, it also considered that he had not responded to or taken action upon receiving numerous reminders to pay his fees. It considered that Mr Dobson had therefore acted recklessly in not only allowing his registration to expire but in continuing to practise veterinary surgery while not registered, a criminal act in contravention of the Veterinary Surgeons Act. The Committee therefore found that the first charge amounted to serious professional misconduct.

The Committee also found that the remaining charges constituted serious professional misconduct.

Cerys Jones, chairing the Committee and speaking on its behalf said: "The respondent demonstrated a pattern of behaviour in not responding, which was sustained and persistent. He asked for extensions of time but did not make good on his assurances that he would provide information. Due to the length of time during which the respondent failed to comply with the requests, as well as the proliferation of issues in respect of which he did not comply, the Committee was of the view that he demonstrated a wilful disregard of the role of the RCVS and the regulatory processes. This was particularly serious in light of the reliance which the RCVS places upon its members to cooperate with providing it with information relating to their professional practice which is relevant to the RCVS’s regulation of the profession.

"There was no harm caused to animals or the public, and the Committee acknowledged that practice circumstances have been made more difficult in general by the Covid-19 pandemic. However… the respondent’s failures to comply were serious and undermined the functions of the RCVS. The Committee was satisfied that the respondent’s failures fell so far below what was expected as to amount to serious professional misconduct."

Having found that all the charges amounted to serious professional misconduct the Committee then considered the most appropriate sanction for Mr Dobson. In terms of aggravating factors, the Committee considered Mr Dobson’s recklessness in failing to renew his registration and practising while it was lapsed, his pattern of not responding to the RCVS, the fact that financial gain was obtained as a result of misconduct, a wilful disregard to the RCVS and regulation, and limited evidence of insight. In mitigation the Committee considered Mr Dobson’s previous good character, a long and otherwise unblemished career, the fact that no animals were harmed and increased demands on time and processes due to Covid-19.

However, taking all of the information into account, the Committee decided that removal from the Register was the appropriate and proportionate sanction due to the sustained and prolonged nature of the misconduct.

Cerys Jones said: “The respondent demonstrated a wilful disregard of the role of the RCVS and the regulatory processes by way of his disgraceful conduct. In addition, his lack of engagement with the hearing process indicates to the Committee that he is not engaging with his regulator and, along with the limited insight and lack of remediation with respect to the disgraceful conduct, this demonstrates a lack of insight into the seriousness of his actions or their consequences.”

IVC Evidensia has announced plans to shake up the traditional lecture format at the London Vet Show, taking place at the ExCel on 11th-12th November. 

Instead of the traditional format, where one expert, perhaps two, come and lecture on a subject, IVC has gathered together experts from different disciplines to give their differing perspectives on a subject, each talking for 30 minutes. 

For example, you'll be able to hear about BOAS surgery from the perspective of a Specialist in Small Animal Internal Medicine, an anaesthetist, a Specialist in Small Animal Surgery and a Specialist Surgical Nurse.

Collapse will be covered by a neurologist, a cardiologist and an ECC specialist.

IVC says the aim is to make the sessions as concise and to-the-point, but as practical as possible, and you'll be able to come and meet the speakers on the stand afterwards.  

Richard Artingstall (MBA, MA, Vet MB, CertSAS, MRCVS, RCVS Advanced Practitioner in Small Animal Surgery) from Vale Referrals and the IVC Evidensia Referrals Strategy Group, said: "Working our Referrals and Equine streams like this gives delegates the opportunity to gain a real insight, from different disciplines, into how our specialists work up a case.

"The lectures will offer practical, discipline-based guidance, looking at clinical presentations and problems from different discipline perspectives. Our hope is that this will help delegates in decision making and planning case management plans for these more tricky case presentations in practice. I think it will be incredibly useful for them and I can’t wait to be there."

More information: https://london.vetshow.com/ivc-clinical-theatre 

Animalcare has announced the launch of Identichip Ultra, a new slimline microchip with enhanced read range for smaller species.

The new microchip is 1.4mm wide and is inserted with a 15 gauge needle which is 50% slimmer than the needle used with standard microchips. The length of the mini microchip has been increased to 10.3mm to accommodate a longer ferrite rod which boosts the signal to the microchip scanner.

Animalcare says Identichip Ultra has been designed to offer a slimline microchipping solution for small species and breeds with a reduced compromise on read range.

Beverley Campbell, Identichip and Anibase Product Manager said: “We recognised the increasing trend for slimmer microchips and the benefit this offers for small species and breeds. We also know that mini microchips have a reduced read range which could ultimately lead to a microchip not being detected so we wanted to challenge this and bring a solution to the market.

"Identichip Ultra is as slim as the other mini microchips currently being offered but the increased length gives us a read range up to 24% further¹. We firmly believe that there is a place for mini microchips in the market and while we have enhanced the read range versus other mini brands we still believe that standard size microchips should be used in larger animals. We would encourage implanters to always choose a microchip size suitable for that particular animal in relation to its size now and when fully grown.”

With compulsory microchipping of dogs due to be introduced in England, Scotland and Wales from April 2016 awareness of microchipping is increasing. However, Animalcare says it still feels there is a lot of education needed to ensure dog owners are prepared for the legislation. For this reason, it has produced a range of promotional materials including leaflets, posters, letter templates and digital stickers.

Identichip Ultra is available in a sterile packed syringe style implanter with a detachable needle for sharps disposal.

For further information speak to your Animalcare Representative.

¹Based on a laboratory trial comparing mini microchips (1.4mm x 8.5mm), standard microchips (2.1mm x 12.5mm) and idENTICHIP Ultra (1.4mm x 10.3mm) using three different microchips scanners (RT100-V5, Halo Scanner and idENTICHIP Pocket Reader)

MSD Animal Health has announced the launch of Take a Closer Look, a campaign to encourage dog owners to have their pet checked for dry eye (keratoconjunctivitis sicca) this summer.

According to the company, around 1 in every 22 dogs suffer from dry eye which in most cases is caused by destruction of the glands that produce tears needed to lubricate the surface of the eye. In many cases, owners can't see any sign of the early stages of the disease. So, as part of the campaign, owners are being encouraged to complete an online risk assessment and download a voucher for a free diagnostic Schirmer tear test to take to their local vet practice.

Practices can register to take part in the campaign at www.ukvetsonline.co.uk from the 1st June. MSD says that those that do will benefit from the additional footfall as well as the opportunity to make an early diagnosis. Registration also gives practices access to a free online CPD update on dry eye, free Schirmer tear tests and a variety of support materials. Participating practices will also be listed in the 'vet finder' area of the mypetonline website and will be given extra help in the form of client emails, texts and postcards to raise awareness in their local area.

The company is also preparing Informational videos to explain the condition, which practices will be able to embed in their websites and share on social media. There is also a quiz and prizes to win for pet owners visiting the dry eye pages on mypetonline. The summer campaign will open up to dog owners on 1st July and run right through to 31st August.

Zorica Agbabas, Optimmune Marketing Manager said: "There can be few things more likely to bond a pet owner to a practice than the ability to save their pet's sight. We know the vets and nurses are passionate about the health and welfare of the pets under their care and there is nothing more demoralising than the patient being presented after the condition has already progressed. TheTake a Closer Look campaign seeks to drive pet owners into practices at an early stage to help vets and nurses do what they do best – make pets' lives better."

Practices are encouraged to register early from 1st June to make sure they have all the materials in place to take full advantage of this important campaign. Register at www.ukvetsonline.co.uk

Northwest Surgeons, the Cheshire-based referral centre which is now part of Pets at Home, has announced the expansion of its clinical specialisms into the field of neurology, with the appointment of Dr Lorenzo Golini.

Dr Golini underwent residency training in neurology and neurosurgery at the University of Zurich where he remained as a clinician after his residency. He holds the European Diploma in Veterinary Neurology and a Master's degree in behavioural medicine. His main interests lie in epilepsy and MRI.

Dr Chris May, Northwest Surgeons' Managing Director said: "Neurology is a natural extension of the services we offer currently and is an area of growth in response to an increased demand from our referring vets. I am delighted to welcome Lorenzo to our team."

Dr Golini will accept referrals for both medical and surgical neurology cases, expanding on the case load seen by Northwest Surgeons' existing specialist teams which offer referrals in orthopaedic, soft tissue and spinal surgery and internal medicine. These services are supported by veterinary specialists in anaesthesia, pain management and diagnostic imaging.

For more information, visit: www.nwsurgeons.co.uk

A new study, conducted by Scotland’s Rural College (SRUC) in collaboration with the Waltham Petcare Science Institute, has identified the impact of the pandemic on equine welfare and called for new guidelines for use in the event of future pandemics. 

The objectives of the study¹ were to assess the impact of the pandemic on the management of laminitis susceptible horses and ponies, to identify challenges faced in implementing COVID-19 based guidance, and to ascertain areas of decision making and policy development which could undergo improvement in future pandemic or emergency scenarios. 

Lead author Ashely Ward, a PhD student at SRUC said: "We discovered that lockdown-associated factors had the potential to compromise the welfare of horses and ponies at risk of obesity and laminitis.

“These included: disparate information and guidance, difficulties enacting public health measures in yard environments, and horses having reduced exercise during the pandemic. 

"Our conclusion was that guidelines should be developed for the care of horses and ponies at risk through collaborative input from veterinary and welfare experts. This would help to reduce the negative impacts of future lockdown events in the UK.” 

Clare Barfoot RNutr, Marketing and Research and Development Director at Spillers said: “This work carries important recommendations to reduce equine welfare risks during any future lockdowns.

“This summer our primary focus has been on helping horse owners keep their horses at a healthy weight to reduce the risks associated with obesity, in particular laminitis. Until formal guidelines are developed we hope our range of practical advice, available online and via our Care-Line will help, should there be another lockdown."

The study was conducted in tandem with research looking at how the challenges brought about by the Covid-19 lockdown affected horse on the human/animal interaction. The conclusion, disseminated by SRUC last week, concluded that the coronavirus pandemic had a negative impact on the mental health and wellbeing of horse owners. https://www.sruc.ac.uk/all-news/horse-power-helps-owners-through-lockdown

Reference

1. Ward AB, Stephen K, Argo CM, Harris PA, Watson CA, Neacsu M, et al. (2021) COVID-19 impacts equine welfare: Policy implications for laminitis and obesity. PLoS ONE 16(5): e0252340. https://doi.org/10.1371/journal.pone.0252340 

Tim Harrison, who with his father Craig built White Cross Vets into a 20-practice group across the North East, North West, Yorkshire and the Midlands, has announced plans to launch a new independent practice group. 

Harrison Family Vets opened its first practice earlier this month in Woodley, Reading, in a £350,000 investment that created eight jobs.

The plan is for the next practice to open later this summer in the Midlands, before the group expands north towards the end of the year. The group is now searching for further properties across the north and south of England, with plans to open 75 practices by the end of the decade.

Tim joined his dad's practice in 1995 as General Manager. He later co-founded Vets4Pets in 2001 before joining Mars Inc. to head the overseas growth of Banfield, then the world’s largest veterinary practice. He then rejoined the family business to grow it further, until it was acquired by IVC Evidensia in 2018.

Alongside Tim is operations director, Kristie Faulkner who also worked at White Cross Vets until it was acquired by IVC, whereupon she became regional operations manager, overseeing more than 200 of the IVC's practices across the South East of England.

Between 2012 and 2018, White Cross Vets was repeatedly named as one of the UK’s best employers and a truly extraordinary place to work. The company secured a place in the prestigious ‘Top 100 Sunday Times Best Small Companies to Work For’ league table for seven consecutive years, as well as being the inaugural SPVS Wellbeing Award Winners.  

Tim said: “The whole ethos at Harrison Family Vets is about fostering a culture within our team that sets us apart and differentiates our practice from all others. Every individual’s strengths and personality traits will contribute to what we do, in a family-orientated environment. Our culture is about looking after people. Focus on attracting the very best people and then look after them as much as possible. A successful practice with a fabulous reputation amongst the profession and amongst clients is what automatically follows.

“Our state-of-the-art clinics boast extensive facilities including on-site laboratories, full x-ray suites, operating theatres, ultrasonography and separate dog and cat wards that have been carefully designed with mood lighting, aromas and music to offer a calming atmosphere. 

We’ve also worked hard to create a customer experience that’s more akin to an Apple store, than a traditional veterinary practice. We don’t have a reception desk and instead, our front of house team have the autonomy to freely interact with our clients and their pets.

Our waiting areas feature bespoke pods, which give clients their own space and offer pets privacy, thus shielding them from the stresses of facing other pets in a traditional waiting room. Each pod also has its own tablet where clients can update their details, sign up to our Total Wellness Plan or even order fresh and healthy dog food from Butternut Box.

“Everyone wants to know why we want to start another veterinary group now. For Kristie and I the timing is perfect as there is a clear void to fill. The people-focused independent practice is becoming a thing of the past and is what the profession is yearning for.  This will attract the very best team members which in turn will provide a superior client and pet experience.  

"Creating a successful business and building a fantastic team is incredibly exciting and we genuinely believe Harrison Family Vets can become the most innovative, forward-looking and caring practice, as well as the employer of choice for vets and nurses, in the UK.”

VetNurse.co.uk wishes Tim and Kristie all the very best luck in the world with their new venture, although one suspects that they won't need to rely on luck. White Cross under his direction was consistently doing extraordinary things to foster what seemed to be a remarkably good working environment. If they can come close to repeating the formula, or improving on it, they must be on to a winner.