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VetNurse.co.uk publishes a curated feed of veterinary nursing news for registered veterinary nurses (RVNs), students (SVNs) and veterinary nursing assistants, with a primary focus on the UK profession.
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We report across all areas of practice, including companion animal, referral and specialist settings, with a focus on issues affecting veterinary nurses in clinical and professional roles.
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The new platform will be officially launched in January 2020, and will support the new approach to CPD with requires veterinary nurses to reflect on the outcomes and / or impact of the CPD they have undertaken on them or their practice.
1CPD will replace the existing Professional Development Record (PDR) after which all content from the PDR will automatically be transferred to 1CPD.
In addition, College staff will be on hand to share information and answer questions about the upcoming CPD policy changes from January 2020, including the shift to an annual hourly CPD requirement and the introduction of outcomes-focused CPD.
The outcomes–focused approach to CPD is being introduced on a voluntary basis over two years, with this becoming mandatory in 2022.
Dr Linda Prescott-Clements, RCVS Director of Education, said: "We are excited to be in a position to share the first iteration of our new CPD recording platform with BVNA Congress delegates and to get their vital feedback on its functionality. We are also particularly interested in receiving feedback on the platform, and are currently encouraging vets and VNs to get involved with our user-testing phase.
"With the first stage of the development of the CPD recording platform due to finish in October, we are looking for a cohort of both veterinary surgeons and veterinary nurses who can spend a few months using and providing feedback on the new platform. We will then consider their feedback carefully in order to improve the recording platform ready for launch in January 2020."
Veterinary nurses who want to volunteer to take part in the testing for the CPD app, as well as CPD providers who want to discuss the CPD policy plans, should contact Jenny Soreskog-Turp, RCVS CPD Officer, on cpd@rcvs.org.uk or 020 7202 0701.
Congress delegates will also be able to chat to VN Council members and RCVS staff about the College’s proposals for a wide-ranging review of its guidance on ‘under care’ and 24/7 emergency cover, and how best to get involved in the initial call for evidence, planned for later this year.
Further details on the review will be published at www.rcvs.org.uk/undercare as they become available.
The researchers say that urinary incontinence affects around three per cent of bitches in the UK, and whilst the link between urinary incontinence and neutering in bitches has been suspected, this study provides new evidence on the extent of the relationship.
The research was carried out by the RVC’s VetCompass programme, supported by BSAVA Petsavers. Apparently, it was the largest cohort study on incontinence in bitches carried out worldwide to date, using the anonymised veterinary clinical records of 72,971 bitches.
The research indicated that bitches of certain breeds including Irish setters, Dalmatians, Hungarian vizslas, Dobermans and Weimaraners are more prone to early-onset urinary incontinence than other breeds. Special care therefore needs to be taken when deciding whether to neuter these breeds.
The results identified an increased risk of 2.12 times of urinary incontinence in neutered bitches compared with entire bitches. However it also identified an increased risk of 1.82 of urinary incontinence within the first two years of being neutered, in bitches neutered before 6 months of age compared with those neutered from 6 to 12 months.
Other findings included:
The average age at diagnosis of UI was 2.9 years.
The average time from neuter to UI was 1.9 years.
Bitches weighing over 30kg had 2.62 times the risk of UI compared with bitches weighing under 10 kg.
Increasing body weight was also associated with an increased risk of early-onset urinary incontinence.
Camilla Pegram, VetCompass epidemiologist and lead researcher on the study (pictured right), said: "Neutering is something that every owner will need to consider at some stage but there has been limited information on the risks of urinary incontinence following surgery up until now. The decision to neuter a bitch is complicated but the results of this study suggest that early-age neuter should be carefully considered, particularly in high-risk breeds and bitches with larger bodyweights, unless there are major other reasons for performing it."
Reference:
The new leaflet, ‘Separation anxiety as a result of the pandemic. What can you do?’, was written in collaboration with clinical animal behaviourist, Rosie Bescoby, and is aimed at dog owners whose pets are struggling to adjust to the ‘new normal’.
It includes an overview of separation anxiety, including the signs to look out for and how to tackle it, together with training tips to help adult dogs and preventative advice for puppies.
The leaflet also includes advice on the dog fear ladder, which demonstrates the different levels of fear a dog may exhibit resulting in more extreme reactions being displayed, and information on the Adaptil range of products which help support dogs throughout their lives.
The leaflet is available as both a printed and online version to enable vet practices to distribute it to their clients in a format of their choice. It is supported by a social media toolkit for vet practices consisting of posts, graphics and a video.
Abigail King, senior behaviour product manager at Ceva Animal Health, said: “Lockdowns have been a positive experience for many of our dogs, as they are social animals and love being with their owners.
“However, with the 2021 PFMA annual pet population report confirming that 3.2 million households in the UK have acquired a pet since the start of the pandemic, some pet owners have never left their dogs home alone, so it’s going to be a totally new experience which some pets may struggle with.
"Our new separation anxiety leaflet will help support both pets and owners as they adjust to the new normal.”
For further information, contact your local Ceva Animal Health account manager or email cevauk@ceva.com.
When you post a job advert, or a shout for assistance on VetNurse Jobs, it is emailed to subscribers immediately and fed out onto other social networks. You can further extend the reach of your post by sharing it yourself and (with "Share and reward") encouraging other members of your team to do likewise.
I have taken the decision to drop the charge for advertising because it seems very clear now that we all face a very grim few months ahead, and it has never been more important that we all pull together and support each other, both personally and in business.
Of course, removing the charge for advertising for help on VetNurse.co.uk and VetSurgeon.org is not, in and of itself, going to save anyone from going under, but I hope perhaps other veterinary suppliers might follow my lead and consider dropping their prices until such time as everyone is back on their feet.
Over the last few months, VetNurse.co.uk has been undergoing a major upgrade, and we're now within two weeks relaunching the website. When we do, I have a number of other ideas in the pipeline, all designed to help bring the profession together and support each other, which I will announce shortly thereafter.
Meantime, take care everyone.
The kittens had severe cat flu, were struggling to breathe, had no appetite and ulcerated eyes.
Rosie Levene-Barry, clinic director at White Cross Vets in Wolverhampton, said: “These poor kittens were in a terrible state when they arrived with us. Our nurses immediately set about administering medication to treat the symptoms of their cat flu but it quickly became apparent that because they were so critically ill, they would need round the clock care.
“Stray Cat Rescue Team couldn’t find any available foster homes and it would be very difficult for one person to look after all five, so three of our registered veterinary nurses, Jo, Danni and Sioned, volunteered to split the group and take them home. This meant they benefitted from 24-hour critical care, which included nebulising regularly to support breathing, administering medication and bottle feeding, as they weren’t eating by themselves."
The White Cross Team named the kittens Tommy, Polly, Ada, Grace and May, after leading characters in the hit TV series.
Rosie added: “May and Tommy were particularly ill, and we had doubts over whether they would survive the first night. Tommy had a ruptured eye and severe breathing difficulties and May was extremely weak. In addition, Ada’s eyes were both severely ulcerated and we were unsure whether we could save them. It was a heart-breaking scenario.
“Thankfully though, with the team’s hard work and commitment, over the next few days their breathing started to improve and eventually they all started eating independently and building their strength up. Once they hit 300g, we had to remove Tommy’s ruptured eye and one of Ada’s eyes, but they are all now doing brilliantly well and thriving. They have good appetites and are purring and playing like kittens should. In fact, we are so proud of our resilient Peaky Blinders that we haven’t been able to let them go!
“Polly now lives with Jo, Tommy lives with our receptionist Laura, Sioned kept May and Ada and Grace have stayed with Danni, so they can now all enjoy the lives they deserve in the loving care of our fabulous team.”
Rosie added: “Hopefully this story will demonstrate the importance of vaccinating and neutering cats, because although they’ve had a lucky escape, their suffering was avoidable.”
There are a number of reasons why you may wish to raise your professional profile online.
For example, it will help locum vet nurses raise your profile as you build your client base.
Likewise, it will make it easier for clients to find veterinary nurses who provide specific client services.
Practice owners and managers might also like to encourage staff to create professional profiles with a link to the practice website, which will help push it up the search engine results.
Finally, any supplier of products or services to the profession can complete a profile about their business.
Activating your new professional profile is simple.
First, login and visit www.vetnurse.co.uk/user/settings and enter your practice or business website, to appear on your profile (NB. You MUST include the http:// or https:// part of the address).
Then visit and complete your profile page from the ‘View/Edit my profile' link in the main site navigation.
Then press the link at the top right which says ‘Make Profile Public’ (it’s reversible at any time, if you change your mind).
A LIMITED amount of information from your profile will then be made visible to search engines and publicly on the site (ie without logging in).
You will need to allow a few days before your entry starts to appear in search engines like Google.
Importantly, your telephone number and address are NOT revealed, and nor is your extended career history (only the most recent career entry is displayed). Your interests, collaborations, and association memberships are also not shared.
To see an example of a public professional profile, visit vetnurse.co.uk, make sure you are logged out, and then see: www.vetnurse.co.uk/members/editor
Log back into the site, visit that same link, and you'll see that further career details, interests, membership etc are visible to members only.
If you have any questions about VetNurse Professional Profiles, you can ask them here: https://www.vetnurse.co.uk/001/nonclinical/f/life-in-veterinary-practice/32292/professional-online-profiles-for-veterinary-nurses.
The new structure means that all 99 members of Pennard Vets' team, who work across six sites in Kent, are now practice owners and shareholders in the business. This, says the practice, will protect it's independence and 125-year-old core values.
The group celebrated the completion of the employee ownership trust earlier this month at a summer family BBQ and party held at Hadlow Manor Hotel in Tonbridge.
Pennard Vets’ three previous sole directors, comprising of Matthew Flann, Caroline Collins and Andy Green, all worked as vets at the practice for several years before becoming part of the leadership team in 2007, and the trio will all continue to work in the business following the EOT transfer.
Andy said: “Pennard Vets is a special practice that has been a part of the fabric of the local community for 125 years and we want to be here in another 125 years. At a time when many other practices are being taken over by large corporate organisations, we knew that the EOT was the right way to guarantee an independent future for our 99 team members. Although we received plenty of interest and offers from the corporates, it was important to remain true to ourselves and our values.
“It is increasingly difficult for vets to buy into independent practices and the traditional partner progression model no longer works, so after exploring various possibilities, it became clear that the EOT option was ideal for us and protects everything that we stand for.
“Crucially, it also means Pennard Vets won’t be taken over and gives everyone in our team both autonomy and a voice, as well as safeguarding our fundamental core values that are built around compassion, client focus and continually improving everything we do. There’s no doubt this will further enhance the high standard of care that our clients enjoy and is also helping us to grow our team and attract new talent.
“As we expand our practice across Kent, we’re recruiting both vets and nurses. Every new team member becomes an employee owner and can influence the decisions we make for the future of our practice. Our people are helping to shape our employee benefits scheme and influence how we reinvest profits in a forward-thinking practice, that will remain independent. This is proving very attractive to new members of the team, which makes it a really exciting and rewarding time for us.”
Newly appointed vet, Emma Ball, has become one of the first new recruits to benefit from the EOT model after joining the group’s Sevenoaks practice. Emma said: “I initially did work experience at Pennard Vets eight years ago and immediately felt like part of the family. Everyone took the time to make sure I learnt as much as possible, so when I was offered this role, it was an easy decision for me.
“Coming back to the practice has been a fantastic experience and to benefit from the EOT is the icing on the cake. Although lots of people dream of owning their own practice, it’s a very difficult thing to achieve. However, now we’re all stakeholders in the business, it has made our team spirit even stronger and means everyone makes even more effort to make Pennard Vets successful and ensure clients always enjoy the very best level of care.”
The raw pet food poster gives owners guidance on how to handle and prepare their pet’s meal when feeding a commercial raw pet food. The guinea pig one gives guidance on what owners need to feed their guinea pig to ensure good health and well-being. It is also available to download from: www.pfma.org.uk/the-importance-of-hay-poster-guinea-pigs.
The PFMA will be giving away free copies of both the posters, alongside a range of other fact sheets and posters, at the London Vet Show.
The Association is also offering veterinary nurses the chance to win a £100 high street shopping voucher by taking part in its annual survey focusing on health and feeding trends, which can be done here: www.surveymonkey.com/r/PFMALVS19
The survey closes on Sunday 17th November.
VetNurse.co.uk has seen copies of correspondence from IVC which claims that its Pet Health Club has built up goodwill amongst the group's customers, and that the use of the term by other practices risks confusing the public and taking unfair advantage of the reputation built up by IVC.
One wonders which bright spark at IVC thought this was a good idea.
Bullying small independent businesses is not a great look, particularly in a caring profession such as this.
Besides which, where is the evidence that other practices using the term 'Pet Health Club' has any impact on IVC's business whatsoever?
After all, pet health plans, or clubs, are inexorably linked to the practice providing the subscription services they offer.
Nobody goes online looking for which practice offers the best pet health club, like they were choosing between the Hurlingham and the Groucho. It's something offered to the existing clients of a practice.
So there is literally zero chance of confusion over who is providing the service.
And on what planet does IVC think a client of another practice might be presented with an option to join a pet health club and think: "Oh this is that wonderfully smashy nicey club I have seen elsewhere. I must join it."
Ironically, given the CMA investigation, IVC's Pet Health Club website is opaque about which practice group (or practice) provides its own service.
How it is therefore possible to argue that it has built up a reputation is also unclear.
Finally, if you Google "Pet Health Club", you'll see that IVC already dominates the search results in a way that makes it vanishingly unlikely that its service is going to be confused with anyone else's.
This would all be laughable, except it's not if you're one of the 20 or 30 practices that VetNurse.co.uk hears have been on the receiving end of a threatening letter.
Natalie Morris-Webb MRCVS from Malthouse Veterinary Group, one of the affected practices, said: “I was stunned to receive a letter from IVC claiming that our Pet Health Club, which we launched in 2017, is an infringement under the Trade Marks Act 1994 and that we’re using a registered word mark without the consent of the proprietor.
“It’s a ubiquitous term that lots of practices use and it quickly became apparent that these letters have been sent out far and wide.
"There are practices that have been using the term for well over 10 years and to rebrand will be very expensive and time-consuming for what are mostly small businesses.
“We’ve had some conversation with IVC’s representatives to discuss how else we can resolve the situation and whether such a heavy-handed approach is really necessary, because surely IVC don’t want a legal spat with so many independent businesses.
“It’s also very worrying to receive aggressive legal threats from a huge organisation, so it was reassuring to hear from other practices that are facing the same dilemma, and we want to extend our support to others in the same position.
"We’ve therefore launched We Are Spartacus where any practices that are affected can register their details.
"We can then work together and decide how to move forward as a collective."
Hopefully, there will be no need.
Hopefully, someone higher up the chain at IVC will stop this madness, admit that it called this one wrong and immediately write to the businesses it has already contacted, apologise profusely and withdraw its threat.
But if the company persists and wins it'll probably be a pyrrhic victory.
After all, pet health plans have largely been sold on the back of routine flea, worm and tick control, the need for which is starting to be questioned by the profession, particularly in the light of research pointing to the possible harm to other species, but also because of the greater focus on the cost of veterinary care.
Abbeydale says this was a particularly special achievement because it was its first full inspection as a training provider.
Sam Morgan RVN, a director alongside Kirsty Gwynne RVN, said: "The inspectors were particularly impressed by our ambitious curriculum which reflects current industry practice, our ability to link on and off-the-job training, and how senior leaders and tutors support apprentices to understand career pathways.
“We are proud that our hard work has been recognised in this way.
"It is a team effort here at Abbeydale and it is a combination of all our tutors, learners, employers, clinical coaches, and governance boards’ input to ensure our provision is fit for purpose.”
The full Ofsted report can be read at www.reports.ofsted.gov.uk
To find out more about Abbeydale Vet Nurse Training visit www.vetnursetraining.co.uk
Photo: R-L Kirsty Gwynne RVN and Sam Morgan RVN.
According to the charity, one in ten homeless people have a pet, which is around 32,000 people in the UK. However, the majority of hostels do not accept animals, so they are unable to access accommodation.
The new StreetVet Accredited Hostel Scheme will make sure that hostels are well-equipped to support pet-owning residents. This includes having a variety of pet-friendly health, hygiene and safety policies; access to vet care including telemedicine, free provision of pet essentials, transport to vet practices when needed, emergency kennelling should the pet owner be taken ill and trained hostel team members able to offer support.
The scheme - which will roll out nationwide – has launched today with its first accredited site, The Elms in Hemel Hempstead.
The charity was able to launch the programme after winning £41,000 in funding from Purina’s BetterwithPets Prize which rewards social entrepreneurs and innovators seeking to harness the pet-human bond to tackle societal issues.
StreetVet co-founder Jade Statt MRCVS said: “Under current regulations, if people turn down housing due to 'no pets' clauses, they are told they are making themselves 'intentionally homeless' and are refused further housing assistance. Any pet lover will understand that choosing between a roof over your head and the company of your beloved pet is no choice at all.
"Our hope is that in setting up the StreetVet Accredited Hostel Scheme, fewer people will have to make this impossible choice. Access to pet-friendly hostels is their first step towards independent housing. With homelessness on the rise due to the economic impact of COVID-19, it was important to us to launch this scheme before Christmas, as winter sets in."
Bernard Meunier, Purina EMENA chief executive said: “This great achievement demonstrates how a programme built on deep love for pets and their owners, and belief in the power of the pet-human bond, can deliver positive change for both individuals and communities. And this is what we want to achieve with ourBetterwithPets Prize.”
For more information, visit https://www.streetvet.org.uk
Richard Casey, President of The Veterinary Marketing Group (VMG) said: “Pegasus’s survey has shown some very encouraging results. But it is also very worrying that so many of our colleagues do not feel safe from COVID19 exposure in the workplace.
"I encourage all our colleagues, regardless of whether they are management or not, to reach out to workplace colleagues. Ask them how they’re feeling, what are their concerns and what is working well?
"The same goes for clients. Let’s not assume that because we’re not yet fluent in consulting virtually that the client doesn’t value the flexibility of hearing your expert voice from the comfort of their home.
"Instead, invite feedback on how your new approaches are landing. What could be done differently? The key to managing anyone’s expectations is always clear communication. Even more so in today’s consumer driven, 24/7 economy. The veterinary practices who come out of COVID-19 well, will likely be the ones who embrace the new normal. They’ll have listened to their team and clients needs, and found ways to meet them.”
Dr Natalie Marks DVM CVJ will present "Meeting the expectations of the new generation of pet owners. Let’s go digital!" and Dr Sarah Heath RCVS & EBVS European Veterinary Specialist in Behavioural Medicine will talk about "Approaching dermatology cases with behaviour in mind".
Natalie's presentation will focus on what the millennial generation of pet owners expect from interactions with their vets and how clinicians need to dig deep to understand how these client groups process information. The talk will demonstrate the benefits of new digital technologies for communication and treatment follow ups, focusing on digital tools to meet client expectations and help the veterinary team offer the best advice.
Sarah's presentation will offer hands-on tips for everyday dermatology work in practice, focusing on the importance of considering emotional health when investigating and treating dermatology patients. She will also discuss the links between emotional state and dermatological disease.
There will also be live studio discussions with vets and nurses including Emma Lindbland Åström DVM, Kerstin Bergvall Diplomate DVM and Cecilia Friberg Diplomate DVM from Sweden. These discussions will focus on communication with pet owners and how the veterinary team copes with the many challenges that occur, especially when it comes to detailed dermatology treatments. Emma will be joined in the studio by a dog owner who will provide owner insights.
Andrew Fullerton BVSc (Hons) MRCVS, product manager at Ceva Animal Health, said: “Today’s pet owners are often millennials who embrace their new family member with huge enthusiasm, however they often have very different expectations than those of previous generations because they can easily access a wealth of pet health information online.
"The Ceva Derma Day will address this by providing online delegates with extensive information on what makes millennials tick and offer proactive communication tools to strengthen vet/client relationships.”
To register for Ceva Derma Day visit: https://ceva-derma-day-2021.confetti.events
The event will count for four hours CPD. Delegates who pre-register in advance will be issued with a certificate and be able to watch a recording of the sessions afterwards. Those who don't, won't.
The oral corticosteroid powder formulation was previously only available in 180g tubs.
Severe equine asthma, which was previously known as Recurrent Airway Obstruction (RAO), Chronic Obstructive Pulmonary Disease (COPD) or Heaves, can lead to airway neutrophil influx and excessive mucus production. Although it is generally managed by environmental measures to suppose triggering factors, it can be combined with corticosteroid therapy to control airway inflammation in more severe cases.
Alana McGlade BVMedSci BVM BVS MRCVS, Equine Business Manager, said: "Severe equine asthma is the most common cause of chronic coughing in mature horses. Attributed to a hypersensitivity to inhaled allergens and dust, clinical signs - such as inflammation of the airways - can be alleviated by Equisolon’s active ingredient prednisolone.
"Prednisolone has been shown to have positive effects on clinical signs, endoscopic evaluation, arterial blood gases and pulmonary function when used in conjunction with environmental changes to reduce a horse’s exposure to potential triggers.
"Previously, vets would have had to measure out the powder but the sachets make dosing more convenient. The sachets come in a box of 10, so each pack will treat one 300 kg horse for 10 days or one 600 kg horse for 5 days. As the sachets are pre-measured, horses get exactly the dose they need.”
Equisolon oral powder contains 33.3 mg/g of prednisolone and should be administered at 1 mg prednisolone per kg of body weight per day. Treatment can be repeated at 24 hour intervals during 10 consecutive days.
For more information visit www.dechra.co.uk
The Canine Cruciate Registry is a free, anonymised, data collection audit tool that will enable veterinary surgeons to share information on techniques and procedures to improve patient care.
RCVS Knowledge will collect data from both vets and dog owners on patients recovering from cruciate surgery to identify which procedures and techniques give the best outcomes and have the fewest complications.
According to the charity, injury to the cruciate ligament is one of the most common causes of lameness and the most common type of orthopaedic problem in dogs, affecting about 1 in every 200 individuals in the UK each year.
Surgery is widely accepted to result in better outcomes for cruciate patients, however, there is a lack of high-quality evidence comparing which surgical techniques and implants are most effective and have the fewest complications. The Canine Cruciate Registry aims to fill this gap and provide evidence that veterinary surgeons worldwide can access to help guide decision-making about techniques for every patient they see with a cruciate rupture.
RCVS Knowledge has developed the registry with Amplitude Clinical Outcomes, a global leader in online registry software. It involves a web-based series of questions that vets, and dog owners are asked to complete throughout the dog’s care, to monitor their long-term progress.
In human medicine and surgery, outcome measures are common practice, with many human surgeries involving mandatory data entry onto a national registry.
Clinical Lead for the RCVS Knowledge Canine Cruciate Registry is veterinary orthopaedic surgeon Mark Morton. He said: “Thanks to several years of hard work and development from a group of vets across the UK and the team at RCVS Knowledge, I am delighted that the Canine Cruciate Registry is now up and running.
“We want to work with as many vets and dog owners as possible, we want to know about complications, we want to know about different techniques and how dogs recover so we can build a knowledge base for vets around the world to improve the quality of care they provide.
“As vets, it's our job to advise owners on treatments options, as well as what can go wrong with those treatment options and how often these potential complications may occur.
“I invite all vets in the UK as well as owners caring for dogs having cruciate surgery to join us and help improve outcomes for all patients in the future.”
Chair of the RCVS Knowledge Board of Trustees, Amanda Boag said: “This is a hugely exciting step forward in developing quality improvement initiatives within the veterinary profession and potentially transformational in terms of consistency and quality of care for our patients.
“I applaud the vision of the surgeons in setting this registry up and am keen to see how the same approach can be applied in other common disease conditions.”
Orthopaedic Surgeon, Richard Whitelock said: “The benefits of the Canine Cruciate Registry are immense – for dogs, owners and veterinary surgeons. Owners will be able to make better-informed decisions and their feedback on outcomes will be included. Surgeons will be able to monitor and compare their results, adapting and improving their treatments accordingly.
“I believe that the Canine Cruciate Registry could trigger a widespread change in the veterinary profession, we look forward to owners and surgeons across the UK engaging with it.”
The Canine Cruciate Registry has been endorsed by the British Veterinary Orthopaedic Association (BVOA), and all UK vets performing cruciate surgery are encouraged to sign up to the registry.
For more information, visit: www.caninecruciateregistry.org
George Philippus Hauptfleisch faced three charges in relation to allegations of clinical failings surrounding three patients:
The first charge surrounded the allegations that in 2018, Mr Hauptfleisch failed to provide appropriate and adequate care to Steel, a Cane Corso Mastiff, in that he performed surgery outside of his competence, failed to offer a reasonable range of treatment options as alternatives, failed to make adequate enquiries about the possibility of a referral to a specialist, failed to obtain informed consent to the surgery, and failed to maintain adequate clinical records.
The second charge, in relation to a German Shepherd, alleged that in 2019, Mr Hauptfleisch failed to provide appropriate and adequate care when he undertook surgery which was outside of his competence and failed to undertake the surgery to an adequate standard, failed to note sufficient details to show that informed consent for the surgery had been obtained, and failed to maintain adequate clinical records.
The third charge, in relation to a Retriever, alleged that Mr Hauptfleisch failed to provide appropriate and adequate care with regards to surgery he performed when it was outside of his competence, failed to undertake the surgery to an adequate standard, failed to note sufficient details that showed informed consent had been obtained, and failed to maintain adequate clinical records.
Prior to the hearing, Mr Hauptfleisch made an application to the Committee to dispose of the matter by way of adjournment for an indefinite period, against his undertakings to request the Registrar to remove him from the Register, and never to seek restoration to the Register.
In deciding whether to grant the application, the Committee took into account a number of factors.
These included the fact that Mr Hauptfliesch had, in December 2021, returned to South Africa, after a career of over 32 years in the UK, and now resides there permanently, the fact that he has no intention of moving back to the UK, and that he had not practised as a veterinary surgeon since the day he left.
He had also removed himself from the equivalent register in South Africa and the Committee noted that the RCVS would inform the South African Veterinary Council of the outcome of these proceedings.
The Committee also noted that there were no previous disciplinary findings against him, that Mr Hauptfleisch now spends the majority of his time undertaking charitable activities, including running a mentoring programme for young people, and, that he expressed deep regret for anything which he did or did not do which failed to protect the welfare of animals or caused upset to his clients and fellow members of the profession.
Mr Hauptfleisch also drew attention to the fact that the charges did not allege dishonesty and that the reputation of the profession would be upheld as Mr Hauptfleisch would no longer practise as a veterinary surgeon and would not return to practise.
Therefore, it would not be proportionate, nor in the public interest, for there to be a lengthy contested hearing resulting in substantial costs for both the RCVS and for Mr Hauptfleisch.
Hilary Lloyd, chairing the Committee and speaking on its behalf, said: “Taking into account the removal from the Register and the respondent’s undertaking never to apply for restoration, in conjunction with all of the circumstances, the Committee was satisfied that allowing the application would be sufficient to uphold the public interest, confidence in the profession and the RCVS as a regulator, and protect the welfare of animals.
“As a result of all the factors set out, and taking into account the nature of the charges which relate to the alleged inadequate standard of clinical practice, the Committee decided that this is not a case in which there were wider issues relevant to the profession at large, such as those which had public policy implications and which required full consideration at a hearing.
“The Committee was satisfied that neither the public interest nor the welfare of animals demands that there be a full hearing in this case.
“Taking into account proportionality and weighing in the balance all the circumstances of the case, the interests of justice, the public interest, the need to uphold proper standards of conduct and performance, and the need to protect the welfare of animals, the Committee decided to grant the respondent’s application.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings/
IVC says the new brand will allow better communication for equine teams within the IVC Evidensia group as well as collaboration with the wider equine world.
IVC Evidensia Equine Vets range from graduates to European Specialists, working in both dedicated equine and mixed practice, with all practices supported by the four large equine veterinary referral hospitals in the UK: Donnington Grove Veterinary Group, Fyrnwy Equine Group, Oakham Veterinary Hospital and Pool House Equine.
IVC says the brand's mission is to put the welfare of horses at the heart of everything it does, to providing outstanding continuity of care for all equine species and breeds across the network, to be at the forefront of continual professional development, supporting and facilitating the development of clinical and leadership skills across all their equine teams, and to build the leading network for equine veterinary care across Europe.
Richard Stephenson, Chair of the IVC Evidensia Equine Clinical Board, said: "Our network brings together all forms of equine work from ambulatory practice to some of leading UK equine referral centres.
“It gives support to all our staff in their careers. We facilitate clinical development from the graduate academy, through intern training, residencies and training up to European Diplomat level.
“We provide coaching and leadership, flexible roles and friendly, inclusive teams.”
For more information, visit https://www.ivcevidensia.co.uk/Equine or stand B01 at BEVA 2021 congress.
The RCVS is reminding veterinary surgeons and nurses that there is one week left till the deadline for nominations for the 2012 RCVS and RCVS VN Council elections.
Nominations must be made in writing on the prescribed form and received by the RCVS on or before 31 January 2012.
Prospective candidates need to provide the signatures and registered/listed addresses of two proposers, and should also submit a short biography, manifesto and photograph for inclusion in the RCVS News Extra election specials.
Nobody may nominate more than one candidate, and no current member of the RCVS Council or VN Council may make a nomination.
Full details and guidance notes for both elections are available online from the RCVS Council Election page (www.rcvs.org.uk/rcvscouncil12) and VN Council Election page (www.rcvs.org.uk/vncouncil12).
Nomination forms and candidate information forms for RCVS Council may also be requested from Mrs Gabriella Braun (020 7202 0761 or executiveoffice@rcvs.org.uk) and those for VN Council from Mrs Annette Amato (020 7202 0713 or a.amato@rcvs.org.uk).
Six seats on RCVS Council and two on VN Council are due to be filled in the 2012 elections.
Those elected will take their seats on RCVS Day in July, to serve four-year terms, and will be expected to spend at least six to eight days a year attending Council meetings, working parties and subcommittees (a loss-of-earnings allowance is available).
Earlier this month, the government had exempted veterinary surgeries from the requirement to close their doors during the pandemic. Strictly speaking, the exemption meant that practices could carry on offering the same level of service as before, provided they followed further government guidelines on social distancing.
However, the College then advised that non-essential treatments should not be carried out until further notice, and that animals should only be seen in emergency, or if their health was likely to deteriorate as a result of inaction.
This included vaccination, where RCVS advice stated that whilst routine vaccinations were considered not urgent, there "may be scenarios where, in your professional judgement, vaccines are being given to reduce a real and imminent risk of disease; this includes in the face of an animal disease outbreak, or in a scenario where part of a vaccine course has been given and the animal may be exposed to the disease."
The updated College guidelines, issued last Thursday evening, appeared little changed, except to say that its advice concerning vaccinations is under review. Meanwhile, its new flowchart gives a very clear framework for veterinary professionals to work within, essentially leaving it to your own professional judgement to weigh up the risks.
However, the BVA went further, declaring amongst other things, that:
Vaccinations – we are now recommending that primary vaccinations and year 1 boosters in dogs and cats go ahead due to the increased risk of disease outbreak over a longer period of time, and annual leptospirosis vaccination due to the zoonotic risk. If additional component of the core vaccine is due at the same time, it should also be administered. In addition, we’re recommending rabbit vaccinations go ahead due to the seasonal disease risks. Rabies vaccinations should be carried out if required for certification reasons
.... leading to an outcry that the BVA's advice appeared to be being relaxed at precisely the point when the government is imploring the public to stay at home, and that:
To add further fuel to the flames, the British Small Animal Veterinary Association then issued a statement to the effect that it had not been consulted during the preparation of the new BVA guidelines, which BVA past President Robin Hargreaves felt was so economical with the truth that he resigned his BSAVA membership on the spot.
COMMENTAt the end of it all, there is but one simple truth for every veterinary surgeon who is working in these difficult times, and it is this: The government and the RCVS guidance gives you the freedom to exercise your professional judgement concerning whether or not an animal needs to be seen for whatever reason. Provided you can explain why you reasonably concluded that an animal should or should not be seen, that is all that matters. It trumps everything else.
This whole farago has highlighted a number of important issues in the profession, starting with the social media conspiracy theories that the new guidance came after pressure from corporate practices when as far as I can tell, it appears to have been driven by a genuine concern that that failure to vaccinate could cause significant welfare issues in the future.
That seems a reasonable argument, and very much in line with the College advice. But that in turn raises a far bigger question, which is what on earth the BVA (a voluntary membership organisation) was doing issuing what appeared to be instructions ostensibly for all members of the profession. Notwithstanding the fact that BVA recommendations have no legal weight, having all these chefs running around with different recipe books is itself a recipe for muddled communications and confusion over leadership.
In turn, that raises the even bigger question of what the BVA's role should be. Should it be snuggling up in bed with the RCVS, issuing joint edicts? Or should it instead be holding the College to account, challenging its decisions and demanding clarification where clarification is necessary. I would argue the latter. In this situation, the ONLY organisation issuing guidelines about vaccinations for practising vets should be the regulator. And it is the role of the BVA to challenge those guidelines if necessary, or to demand clarification.
Which leads me on to the next thing, which is that increasingly, members of the profession seem to demand explicit rules or guidelines to operate within. There are lots of hypotheses for why this might be true. Perhaps because we live in a more (or seemingly more) litigious world and veterinary professionals like the reassurance rules provide. Perhaps it is because the younger cohort of vets lack the self-confidence needed for decision-making. Perhaps corporatisation has a part to play, in that employees of larger organisations tend to play more by the rules. Or perhaps it is a consequence of the growth in the 'refer everything’ culture which means vets take fewer clinical risks.
Whatever the reason, it seems clear that in some cases, the RCVS tack of "you're a professional, decide for yourself" is perfectly reasonable, whereas on other occasions, such as Schedule 3, more explicit guidelines are demonstrably necessary. Once again, surely the role of the BVA as the "Voice of the profession” is not to issue its own advice, but to press the College for more explicit guidelines as necessary.
Lastly, there is the role of Facebook in all of this. Quite obviously vets are no more immune to conspiracy theories than members of the public who think that coronavirus is spread by 5G telephone masts. Sadly, the truth is usually far less exciting. However, the problem at the moment is that the growth in social media and Facebook groups has left the regulator and the representative associations on the back foot, such that it is often left to individuals from those organisations who 'happen to come across OK online' (rather than having any properly defined role) to firefight.
Photo: https://www.scientificanimations.com/wiki-images/
The research was carried out by the Kansas State University College of Veterinary Medicine Center for Outcomes Research and Epidemiology, Holland Management Services, Zoetis and the Pet Insight Project team at Kinship (part of Mars Petcare).
For the study, researchers recorded pet scratching activity use Whistle canine activity trackers. They then compared that information with the visual observations of 358 pet owners who graded the severity of their pet’s scratching activity on a scale from 0, which represents a normal dog (“itching is not a problem for my dog”) to 100, corresponding to extreme itching (“itching disrupts my dog’s sleep, eating, play and exercise”).
The researchers found that measurements of scratching severity determined by the Whistle activity tracker corresponded to the owner’s overall impression of the pet’s pruritus, or itch, level. As scratching severity increased, as measured by the Whistle device, owner’s assessment scores significantly increased as well (P < 0.01).
Aletha Carson DVM, Data and Clinical Studies Senior Manager for Kinship said: “Pet owners can overlook the subtle changes in behaviour that may be a warning sign for an underlying issue and are often too late to recognise their beloved companion is suffering.
“This new method of analysing pet behaviours provides pet owners with an ‘always-on’ monitor that may be helpful in keeping their dogs healthy and happy.
“It may also prove to be quite useful for veterinarians who need an objective way to gauge a pet’s response to prescribed therapies used to reduce inflammation and scratching without requiring time-intensive monitoring from the owner.”
Details of the research were shared at the European Veterinary Dermatology Congress on September 17, 2021.
Tim was the principal veterinary surgeon at Nine Mile Veterinary Group in Wokingham, Berkshire, from its opening in 1985. He grew the business from one vet and three staff to 16 vets and 60 staff, before selling to CVS in 2007.
Thereupon he became the National Veterinary Director for CVS, supporting the business as it grew from 200 to 1200 vets and supporting individual vets and practices with management advice and clinical practice.
In more recent times Tim has been working with a peripatetic surgery group.
Tim has worked at Guide Dogs before: between 1987 and 2007, he was a Centre Veterinary Advisor at the charity’s now-closed site in Wokingham.
Tim said: “Guide dogs are fantastic to work with – they are good-natured and easy to handle, and the owners always have the best interests of the dog at heart. Plus, you know you are helping more than someone’s pet, a working dog making a real difference to a person’s life. A guide dog needs to be happy and healthy to fulfil its role. It all adds up to a very different flavour of vet work.
“I am looking forward to being back, but in a more central role with more strategic responsibility. The veterinary world has changed so much, even in the last ten years, and it will be good to draw on my experiences to help Guide Dogs traverse that change.
“It’s important that we keep the healthcare of guide dogs at the top of the priorities list; the dogs have always been at the very core of the charity. It’s crucial that we have solid relationships with veterinary practices, to ensure our dogs receive the greatest care at the best value to the charity."
The university says that new resource, which is aimed at qualified and student nurses, will provide fresh perspectives on the interactions between nursing care, animal health and patient behaviour and how the overlap between these things can improve patient welfare and clinical outcomes.
Topics covered include clinical skills, patient handling and behaviour, wound management and bandaging, animal welfare and inpatient care. Content includes video tutorials, downloadable fact sheets and interactive quizzes.
The Royal (Dick) School’s Welfare and Anaesthesia Nurse Hayley Walters, who teaches final year vet students, said: “Knowledge and compassionate veterinary nurses improve patient welfare, so we want to share some of our educational and animal welfare expertise with a global audience.
"This new resource will help to promote the role of the veterinary nurse as a para-professional who is an essential part of the veterinary team."
For more information or to register, visit: https://www.ed.ac.uk/vet/jeanne-marchig-centre/cpd/vnos
To apply for the VTS, you have to have to have been working in your speciality for a minimum of three years, and demonstrate 40-plus hours of RACE-approved CPD.
Before you can sit the exam, you also need to show that you already meet the required standards.
Emily said: “For the application itself, I had to demonstrate mastery of more than 40 advanced nursing skills, signed off by a neurology specialist, and submit three exam questions.
“I submitted more than 60 case logs demonstrating my nursing care in a variety of different patients and disease processes, and four of these logs I further expanded into 10-page case reports where I discussed the nursing care and disease process in more detail.
“Then, after submitting my application, there was a nerve-wracking wait for the results, but last December I received the news I had been accepted and I was invited to sit the examination in Philadelphia, USA, in June.
“The examination was four hours long and consisted of 200 questions in my specialty, and I’m really delighted I passed.
“Neurology is an area that can be quite niche and daunting to those unfamiliar with it, and I hope to use my new qualification to share my knowledge and enthusiasm with other professionals to help them feel more confident and comfortable with these patients.
“Personally, I find nursing neurologic patients extremely rewarding, as there is so much we can do as RVNs which has a direct impact on patient comfort, client understanding and, ultimately, on the clinical outcome.”
Adam graduated from the RVC in 2007. He then undertook an internship before spending two years in practice including sole charge night work. In 2013, he completed his residency in ECC, again at the RVC, becoming a diplomate the same year. He was appointed an honorary lecturer of the University of Liverpool in 2014 and teaches and examines for advanced certification in ECC for a number of organisations.
Adam became an RCVS recognised specialist in emergency and critical care in 2015, before going on to become head of emergency and intensive care for four hospitals, overseeing standards of out-of-hours provision to 50-plus sites in and around London from 2013 to 2017.
He is the ECC representative to the RCVS practice standards group, he is a member of the central organising committee for EVECC conference, a member of the ACVECC education committee and vice-chair of a clinical advisory committee to 400 practices.
Hospital director David Walker said: “Emergency and critical care is a pivotal offering and Adam’s arrival means we can provide even better care to the most critically ill patients at Anderson Moores. Adam is working closely with all of our specialist-led services and he is already having a positive impact.”
For more information, visit www.andersonmoores.com.
The new devices are an evolution of the original v-gel device launched in 2012, which is widely used in veterinary anaesthesia and resuscitation.
Dr Muhammed Nasir, inventor of v-gel and President of Docsinnovent, said: "Our original product has proven to be extremely popular globally because it makes airway management easier; quicker; more comfortable for patients; and most importantly, safer for patients and staff.
"However, since launch our R&D team have been hard at work to make the devices even better. They are now slimmed down so that there is more room in the mouth for dentistry; they seal even better; and they are single-use, improving standards of hygiene"
Chris Geddes MRCVS, Docsinnovent’s Marketing Manager, added: "Our newly-launched website www.docsinnovent.com includes plentiful information on the new products including two hour-long CPD webinars from Dr Ivan Crotaz detailing how the new devices can be utilised for optimal airway management in anaesthetised patients.”
Information on where to buy the new products can be found at www.docsinnovent.com/distributors