The main change to the guidance was from:
A veterinary surgeon who has an animal under their care should have a 24/7 facility to physically examine the animal or visit the premises in the case of production animals, farmed aquatic animals and game.
to
A veterinary surgeon who has an animal under their care must be able, on a 24/7 basis, to physically examine the animal or visit the premises in the case of production animals, equines, farmed aquatic animals and game.
Where a veterinary surgeon is not able to provide this service, they must make arrangements for another veterinary service provider to do so on their behalf, details of which must be provided to the client in writing in advance of providing veterinary services.
The new guidance elaborates on the details which must be given to clients:
Veterinary surgeons should provide clients with full details of this arrangement, including relevant telephone numbers, location details, when the service is available and the nature of service provided.
The amended guidelines maintain that the prescription of antimicrobials and controlled drugs requires a physical examination in all but exceptional circumstances, but clarify that for antimicrobials, this applies to all except production animals, farmed aquatic animals and game.
The guidance for limited service providers, such as vaccination and neutering clinics, has been amended with the requirement that if they engage the services of another provider to provide 24-hour emergency cover, this arrangement must be confirmed in writing with the client before veterinary services are offered.
Council voted unanimously for a review of the guidance to be conducted 12 months from the implementation date, with the caveat that the Standards Committee would continue to monitor any impacts on an ongoing basis.
The full details of the amendments can be found in the papers for the March 2023 RCVS Council meeting at: www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/
Linda Belton MRCVS, Chair of the RCVS Standards Committee, said: “I would like to thank all the organisations and individuals within the professions who helped provide the crucial content and context for the case study scenarios, as well as feedback to make sure they were realistic and applicable in practice.
"Thank you also to all those who have fed into the further improvements that have been made to the guidance and I would like to reassure those with concerns that the guidance is robust, we have considered how it will be enforced and we will continue to review the guidance.”
Eleanor Ferguson, RCVS Registrar, added: “Ahead of it coming into force, we will also be publishing resources about the guidance, including the case studies that we are currently finalising, and some FAQs.
"We hope these will help to further explain the context behind the guidance changes, and help to counter any misunderstanding about the impact of the guidance and what it will actually mean for practising professionals on a day-to-day basis.”
For further information about the guidance and the consultation process that led to its development visit: www.rcvs.org.uk/undercare
Dr Stephen Hearns, a consultant in aeromedical retrieval (human) medicine, who delivers pre-hospital critical care for major trauma patients, will open Congress as the keynote speaker.
He'll also present a limited-seat session where he’ll focus on performance under pressure.
Joining Stephen in the speaker line up are Simon Cook from the RVC, Megan Brashear from Purdue University Veterinary Hospital, Tim Travail, Chloe Fay, Dan Tipney, Jenny Guyat, Ashton Hollworth and Dr Craig Joyce, an educational psychologist who will be offering his insights into dealing with imposter syndrome.
Racheal Marshall, RVN and head of clinical nursing at Vets Now, teamed up with Simon Hagley, ECC specialist at Vets Now hospital in Manchester, to create this year's veterinary and nursing programmes for Congress.
She said: “We have carefully tailored our programme again this year to provide an inclusive learning experience for vets and vet nurses no matter what stage they’re at in their career, from students through to specialists and everything in between.
"The biggest change this year, in our 20th year of running the ECC Congress, is an entire day dedicated to advanced referral nursing, and a very hands on approach during all the CPD and practical workshops.”
This year, participants will have the opportunity to follow a trauma case from arrival to departure on the first day of Congress, gaining real-time insights into the decision-making process and management strategies.
On day two, speakers will delve into lessons learned, allowing attendees to deepen their understanding of emergency and critical care practices
Simon said: “Get ready for a fantastic speaker line-up, an array of workshops and learning experiences, a bustling exhibition hall and more opportunities than ever for veterinary and nursing delegates to reconnect with old friends and make new ones.
"Brace yourselves to absorb knowledge and tips from some of the world’s leading veterinary experts discussing emergency and critical care.”
The ECC Congress programme for 2023 is open to veterinary professionals of all levels, including veterinarian surgeons, vet nurses, students and graduates.
Tickets range in price from £50+ VAT for exhibition-only tickets, up to £520+ VAT for a vet to attend for 2 days plus the Gala dinner.
https://www.vets-now.com/congress/
The event is being hosted by Luke Gamble as part of the company's ‘Advocates of Knowledge’ series, and there are £400 worth of prizes to be won:
Advocate Senior Brand Manager Vicky McAlister said: “We want to ensure that we’re delivering CPD in an engaging way, so that vet nurses are still able to upskill in these areas, whilst also being able to engage with other nurses in the industry, which is especially important given current times.
"Following the success of the first event, we’re pleased to be back again to host another and are committed to continuing to support CPD progression.”
To register for the event, visit: https://www.eventbrite.co.uk/e/113870170746
The two organisations are collaborating to produce a topical monthly webinar with an expert speaker, supported with a collection of resources in the BSAVA library
Idexx is also offering a bursary scheme with 10 places on a BSAVA course of choice.
Dr Jason Johnson, Chief Medical Officer of Idexx said: "Continuous learning is an essential part of veterinary clinic life and an area that is increasing in demand, particularly with so many new and innovative ways to engage.
"Education enables veterinary professionals to provide better care for their patients and we are delighted to support them through our collaboration with BSAVA."
The first two ‘Topic of the month’ webinars will be on anaemia in cats and increased SDMA on pre-anaesthetic testing.
The webinars will be free of charge to all BSAVA members.
Sarah Fitzpatrick, Head of Partnerships and Events at the BSAVA said: “We are thrilled to be working with Idexx. It is increasingly important to us that our members receive accessible CPD, and through this valuable collaboration we are able to continue to support the veterinary profession.”
You can access the webinars through the BSAVA Library.
The study was the first to use prospectively collected data to estimate the prevalence of and risk factors for gingivitis in a cohort of domestic cats, using data from 860 cats aged up to six years enrolled in the Bristol Cats Study. Gingivitis was found to be a common condition in cats aged up to six years, with prevalence increasing with age, from 24.5% in cats less than 12 months old, up to 56.3% in cats between five and six years old. Odds of gingivitis in cats aged three to four years were higher in cats fed a wet only or mixed wet/dry diet compared to those on a dry only diet; cats not reported to hunt prey compared to reported hunters; cats reported to dribble whilst being stroked at age six months compared to reported non-dribblers; and cats with orange variants in their coat colour compared to non-orange cats. Sex was not found to be a risk factor for gingivitis (Ed's note: what a relief). Jess Williams, lead author of the study, said: “Periodontal disease is one of the most common conditions in cats, potentially causing issues with eating and behaviours like grooming.
"Our study showed that even young cats may have signs of gingivitis, so it is important to discuss and monitor dental health regularly and early on in a cat’s life, especially for those cats who may be more at risk.”
The study was funded by BSAVA PetSavers.
https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13737
For the study, researchers from the RVC’s VetCompass Programme identified 2,105 hypothyroidism cases diagnosed amongst a study population of 905,553 UK dogs.
This revealed an annual frequency of one case in 400 dogs (0.23%) for the condition, with the most common breeds diagnosed being Standard Doberman Pinschers (x 17.02), Tibetan Terriers (x11.25), Boxers (x10.44) and Alaskan Malamutes (x 9.71).
The average age at first diagnosis was 7.65 years.
Other findings included:
Dr Rebecca Geddes, Lecturer in Small Animal Internal Medicine at the RVC Queen Mother Hospital for Animals and last author of the paper, said: “It is great to have this data from UK primary care practices, which will help highlight high risk breeds to veterinary surgeons so they can diagnose and treat affected dogs as early as possible. Hypothyroidism is usually straightforward to manage with medication that can greatly improve quality of life in affected dogs.”
Reference
The event will focus on companion animals and deliver 7.5 hours of CPD.
150 tickets have been pre-sold and a further 100 tickets will be made available to pre-registered delegates first.
Vetpol director Caroline Johnson said: “SQPs have few opportunities to connect with and learn from their peers from other businesses in their day to day work.
"Our 2024 Congress will allow delegates to network, fully immersing all attendees in an enjoyable, practical learning experience.
"While the event is companion animal focused, we expect to attract SQPs from vet practices, retail environments, saddlers, and agrimerchants, bringing together a diverse audience with different experiences and perspectives.
"This means there is a huge potential to share tips and ideas, as well as to really experience the energy and passion that SQPs bring to their roles.”
Congress also includes an optional party night which promises to offer a great opportunity to create lasting friendships and develop an extended network of support.
To pre-register or find out more about the congress programme, contact: molly@vetpol.co.uk.
The course was developed with RCVS Leadership and Inclusion Manager, Gurpreet Gill (pictured), and aims to increase self-awareness of unconscious bias, explore strategies to reduce it, and promote equity, diversity, and inclusion in the workplace.
Gurpreet said: “Unconscious bias is an area that some within the professions may not be familiar with and so this course provides an overview of unconscious bias and its impact in the workplace.
“We also explore strategies that we can all apply to help reduce unconscious bias.
"This is important in helping to achieve fairer and more equitable working environments, and I’d encourage any veterinary professional, whatever your role, to undertake the course.”
The course is accessible free via the RCVS Academy, and takes about an hour and three quarters to complete,
https://academy.rcvs.org.uk
The day will be led by Sonya Miles, BVSc CertAVP (ZM), CertAqV, MRCVS, RCVS Recognised Advanced Practitioner in Zoological Medicine and WAVMA Certified Aquatic Species Veterinarian.
Lectures will look at techniques, protocols, potential drug options and combinations as well as blood sampling and hospitalisation techniques in a wide variety of exotic species.
Delegates will also be provided with lecture notes, a CPD certificate, refreshments and lunch, as well as goodie bags provided by sponsors Pinmoore Animal Laboratory Services Limited.
Sonya says the aim of the day is to dispel many myths associated with anaesthetising a wide variety of exotic species, including fish and amphibians, whilst simultaneously providing vets and nurses with the skills to undertake these often challenging and comparatively high-risk anaesthetics.
To book your place or for more information, email: info@justexotics.co.uk or book online at https://justexoticsevents.co.uk/dont-miss-out-on-our-latest-event
RCVS Council had introduced temporary guidance allowing the remote prescription of drugs for animals not under care back in March, to ensure that animal health and welfare could be maintained during lockdown without risking the health of veterinary teams or their clients.
Since then, the College has twice extended this guidance, because of the ongoing situation.
However the College says it now recognises that many practices are returning more to 'business as usual' and that the guidance and associated flowchart should be updated according.
Consequently, before deciding to prescribe POM-Vs remotely, the updated guidance now requires veterinary surgeons to first consider whether the animal is already under their care; or, if not, whether it is possible to physically examine the animal in order to bring the animal under their care. If the answer to both questions is ‘no’, POM-Vs may still be prescribed remotely providing the guidelines set out in the College’s coronavirus advice hub are adhered to.
Surprisingly, the College says that its surveys of the profession have thus far identified no immediate safety concerns around remote prescribing.
RCVS President Dr Mandisa Greene, who chairs the Taskforce, said: “The reason for maintaining the possibility of remote prescribing without a physical examination was that we recognised that the current situation is unpredictable, and while the ability for the public to visit practices in person has improved over the last few months, we felt that situations might still arise where that would not be possible, and where access to remote prescribing would be necessary. These could include further local lockdowns, ongoing quarantine arrangements, and the remaining fact that some members of both the veterinary team and the public continue to shield.
“It remains our intention that this guidance will continue to be a temporary measure and may be subject to further extensions or updates given the uncertain nature of the Covid-19 pandemic.”
RCVS Council will review the position on 8 October, with any changes being effective by 1 November at the earliest.
Meanwhile, the RCVS review of ‘under care’ and out-of-hours emergency cover has now resumed, starting with a number of virtual focus groups and consultation with stakeholders within the veterinary and veterinary nursing professions.
The findings from these focus group discussions will then inform a wider survey to be sent to all veterinary surgeons and veterinary nurses in early 2021, along with stakeholder organisations and the animal-owning public. Remote prescribing will continue to form a part of this review.
The VetCompass study, which was based on the records of over 900,000 Westies under the care of UK first opinion veterinary practices in 2016, also found that ownership of Westies has fallen dramatically, to just a quarter of what it was a decade ago. Researchers found that the breed comprised only 0.43% of puppies born in 2015 compared to 1.69% of puppies born in 2004.
The average age of the Westies studied was a relatively elderly 7.8 years, suggesting an ageing population with fewer new puppies entering the population compared to other breed studies carried out by VetCompass.
The most common illnesses suffered by Westies were found to be dental disease (which affects 15.7% of Westies), ear disease (10.6%), overgrown nails (7.2%), allergic skin disorder (6.5%) and obesity (6.1%). Lower respiratory tract disease and cancer were the most common causes of death, with each accounting for 10.2% of deaths in the breed. Spinal cord disorders were the next biggest killer at 7.8%.
Dr Dan O’Neill, Senior Lecturer and VetCompass researcher at the RVC, who was the main author of the paper, said: "With the ascent of social media as a dominant influencer of public opinion, ownership preferences for dog breeds are becoming increasingly polarised and susceptible to the whims of internet celebrity endorsement and advertising.
"Previously, preferences for dog breeds used to wax and wane gently over time. But VetCompass breed data now show rapid changes in preferences among breeds that create bubbles and troughs of demand that can have far-reaching implications for these breeds.
"Flat-faced (brachycephalic) breeds are currently the darling of the nation but this has created huge welfare problems for breeds such as the Pug and French Bulldog. And breeds such as the West Highland White Terrier and Cavalier King Charles have fallen sharply out of favour."
Camilla Pegram, Veterinary Epidemiologist and VetCompass researcher at the RVC, who co-authored the paper, said: "The most common disorders of Westies shown in this study are also common in the wider UK dog population. However, the breed does seem predisposed to lower respiratory tract disease which was a common cause of death in the Westie. Owners should be aware of this as their Westie ages.
"What is particularly interesting is the level of skin disorders, which although relatively high, are still lower than might have been predicted a decade ago. It is possible that the reduction in Westie ownership has relieved the pressure on breeders to breed from less healthy individuals to meet demand and therefore contributed to improved skin health within the breed. Paradoxically, reducing popularity may have led to better health in the Westies that are now being born."
This, says the government, would be one of the toughest sanctions in Europe, strengthening the country's claim to be a global leader on animal welfare.
The Animal Welfare (Sentencing) Bill comes after a public consultation held last year which found that more than 70% of people supported proposals for tougher prison sentences. It will allow the courts to take a tougher stance on things like dog fighting, puppy and kitten abuse, and neglect of farm animals.
The new Bill has been welcomed by animal welfare charities.
Chief Executive for the RSPCA, Chris Sherwood, said: "This reform is long overdue. Those responsible for extreme cruelty towards animals or those criminal gangs involved in organised animal crime will now face the tough justice they deserve.
"We need to better protect our animals and the RSPCA hopes that this new Animal Welfare (Sentencing) Bill will give courts the powers they need to punish those responsible for the most unimaginable cruelty to animals.
"We also believe this will act as a much stronger deterrent to others and help us stamp out animal cruelty once and for all."
James Yeates, Cats Protection’s Chief Executive said: "We very much welcome this announcement which is an important step in ensuring the UK is one of the world leaders on animal welfare issues.
Claire Horton, Chief Executive of Battersea Dogs & Cats Home, said: "The introduction of this bill is a landmark achievement, which will make a profound difference to dogs and cats in England and Wales."
The new product contains astaxanthin (an anti-oxidant), fucoidan (a fucose-rich, sulfated polysaccharide) and indigo (a deodorant), which together are claimed to fight against gum infections, deodorise the mouth, and reduce the build-up of plaque and tartar.
Bob Ferguson, Commercial Lead for Accord Animal Health said: “We are excited to bring to the UK and Ireland market, Vivinicord Chews, a novel combination of natural ingredients designed to aid pet owners support their dogs’ oral health.
"Dental disease and associated infections are such a huge issue for vets and owners, we believe Vivinicord Chews can be a valuable part of the solution.
“Vivinicord Chews will only be available for owners to buy from their local veterinary practice, supporting our mission of building a sustainable partnership with our veterinary customers.”
Vivinicord comes in packs of 30 chews with a shelf life of 24 months.
For further info or stock enquiries, contact: info@accord-animalhealth.com / 01271 385 200
For the study, 309 university students were randomly assigned to one of three four-week stress prevention programs featuring varying levels of exposure to animal-assisted activities and evidenced-based stress management content.
The research found that students who were considered at a higher risk of poor academic performance saw a significant boost in executive function including improvements in attention, memory, self-regulation and improved cognitive function when they received exclusive exposure to interaction with the dogs.
This improvement was not seen in students who participated in a more traditional stress management learning program using lectures containing information about stress management or sessions that combined such information with lower levels of animal interaction.
Lead study investigator, Associate Professor Patricia Pendry, from Washington State University said:"Academic stress and associated negative impact on student performance is a significant issue for universities today and something we need to better address.
"While more traditional learning programs continue to play a role, the results of the study are exciting as they indicate this type of intervention can be a positive stress management tool especially for students who are at-risk of poor academic performance.
“We know from previous research the positive effects of animal visitation programs on the mood3 of college students – and even recently discovered their positive effect on stress hormone levels4. However, this is the first study to demonstrate that more frequent and regular inclusion of dogs can positively affect aspects of cognitive functioning that may be more difficult to change with existing interventions."
Study co-author and expert in Human-Animal Interaction expert Professor Nancy Gee said: "This study was informed by previous research and reinforces the growing body of evidence showing the benefits of pets for people in many different contexts and for at-risk groups.
"This type of animal-assisted stress reduction program is both easy to implement and low cost – offering a fantastic way for universities to support their students. After participating, participants feel calmer and more socially supported and this leads to an improvement in mental health and cognition.
"My hope is that evidence-based interventions which are already gaining popularity can become common practice in educational settings."
References:
The new pass offers both physical and virtual tickets so that the practice rota doesn't have to stop any member of the team from attending.
BEVA says the new tickets also offer a saving of up to £113 per vet.
David Mountford, Chief Executive of BEVA said: “We know that not every vet at a practice can attend congress every year because someone is always going to have to stay behind and work.
"So, by offering a mix of physical and virtual tickets in the pass it means those staying at home to look after the practice can still benefit from the live stream as well as the six-month access to all the lectures afterwards.
"Congress always contains plenty of relevant and dedicated content for nurses, so the pass obviously includes nurse tickets too.”
Practice Passes are available for BEVA members in three packages: small (£599), medium (£1,333) and large (£2,666).
Individual early bird BEVA member prices are £499 for vets and £187 for vet nurses for all three days (with concessions available for those in their first three years’ post-graduation or on a lower salary).
Practice Passes and early bird tickets are available to purchase until Monday 1 August 2022.
Day tickets are also available.
Virtual tickets are £199 for vets and £40 for nurses.
For more information, or to book tickets, visit http://www.bevacongress.org
The service will be run by Dr Eloise Quince BVetMed CertAVP(SAM-F) PgCertVPS MANZCVS MRCVS and Dr Kate Allgood BVetMed CertAVP(SAM) MRCVS.
The practice says radioactive iodine therapy is the treatment of choice for hyperthyroid cats as it provides a permanent cure in up to 95% of cases.
It is administered by an iodine injection under the skin in a specialised unit by a trained vet and nurse.
The practice says a benefit of RI is that it treats ‘ectopic tissue’ that may be present outside of the thyroid gland, for example in the chest, which is not treated by surgical methods of thyroid removal.
Normal thyroid tissue is also spared, so that there is normal thyroid function post-treatment.
Though some blood tests need to be taken post-treatment, there is no need for ongoing blood samples and the monitoring of the thyroid function once successful treatment has occurred.
Elissa Norman, Clinical Director, who initially developed the idea for the iodine unit said: “The iodine unit first started as a scribble on a piece of paper and a dream of our team back in 2017 and it has taken a huge amount of dedication and effort from a large team of people to get to the point of opening in 2023.
"Radioactive iodine offers a lifetime cure for our hyperthyroid cats and we are delighted to be able to bring this service to the cats of East Anglia.”
To refer a cat patient, vets should email iodine@veterinary-hospital.co.uk.
The company says the like-for-like sales increase was at the upper end of its target of between 4% and 8%, and that it continues to see resilience in the veterinary sector, with membership of its Healthy Pet Club preventative healthcare scheme increasing in the year by 19,000 members (an increase of 4.0%) to 489,000.
CVS says its Board decided to enter the Australian marketplace because of its low levels of corporate consolidation, favourable market dynamics and strong similarities with the UK, including highly trained veterinary surgeons, shared language and culture, and the group's experience with UK vets working between Australia and the UK.
Earlier this month, the group signed agreements for the conditional acquisitions of four independent small animal first opinion veterinary practices in Australia: two in Brisbane, one in Queensland and one in Sydney, for an initial consideration of £16.8M.
Two of the acquisitions have now been completed, and the other two are expected to be completed shortly.
The company says it now plans to acquire more Australian practices in major urban conurbations, including Sydney, Melbourne, Brisbane, Perth, Canberra, Newcastle and Adelaide.
Ben Jacklin, Deputy CEO said: "Having worked as a vet in Australia earlier in my career, I know well their high standards of clinical care, and the dedication of highly talented veterinary professionals that work there.
"As a company dedicated to giving the best possible care to animals, I see a fantastic opportunity for us to enter this growing market, with low levels of corporate consolidation, and execute our vision of being the veterinary company people most want to work for.
"I have spent time in Australia over the last 12 months, including meeting some fantastic veterinary practices, and it is clear we have a significant opportunity.
"With the four outstanding practices that are joining us, and a strong pipeline of further acquisition opportunities, I am excited to build a significant CVS business in Australia with the same culture and values that have brought us success in the UK."
Dilaterol is an oral syrup containing 25 mgs/ml clenbuterol hydrochloride, indicated to treat respiratory disease in horses. It causes intense bronchodilation, inhibits histamine release and increases ciliary mucous clearance. It can be used as a frontline or adjuvant therapy.
Dilaterol is administered via food and comes in a 355 ml bottle with a pump dispenser for easy and accurate dosing.
Emma Jennings, Equine Brand Manager at Dechra said: “We are very pleased to have added Dilaterol to our comprehensive range of equine therapies as it is an established and effective treatment for bronchial conditions.
"It is particularly useful in cases of respiratory allergy, bronchospasm and equine asthma and is already regarded as a valuable tool for veterinary professionals."
Dilaterol will be available to order through wholesalers. For more information, visit www.dechra.co.uk.
The new service will offer all the chemo and surgical options.
Matthew (pictured right) said: "At Eastcott, we have amazing facilities and staff to care for pets with cancer, so we are proud to launch this comprehensive new oncology service.
"We have a custom-designed chemotherapy room, multiple sterile theatres - including our interventional radiology theatre - and state-of-the-art imaging facilities, with a 64-slice CT scanner and advanced ultrasound equipment.
"We are able to manage the full range of tumour types including maxillofacial tumours, from diagnosis to treatment.
"We use a variety of techniques to allow accurate staging, including minimally invasive biopsy and lymph node harvesting, as well as sentinel lymph node mapping and advanced medical imaging.
"Treatment options include advanced soft tissue surgical oncology and the full range of medical oncology. This may involve standard and metronomic chemotherapy, intracavitary chemotherapy and immunotherapy, such as the melanoma vaccine.
"We pride ourselves on helping owners understand our treatment plan through the whole process and emphasise the importance of making the right decisions to maintain the welfare of our patients.”
For more information, visit www.eastcottreferrals.co.uk.
The company says it is calling for the change after analysing the records of its consultations held during the pandemic and finding that there was a low antibiotic prescribing rate, treatments were effective and no harm was caused.
During the seven months that Vet-AI collected data, from the 1st April to the 31st October 2020, its vets held 21,383 veterinary video consultations, an analysis of which is the subject of a paper published in the RCVS Knowledge journal, Veterinary Evidence1.
78.1% of the consultations were for dogs and 21.9% for cats.
Of the vet-led video consultations completed, 3,541 had medicines prescribed during the consultation.
Some consultations required more than one prescription, which meant a total of 4,282 POM-V medications were prescribed.
Of those, Vet-AI says 0.87% reported a mild adverse effect.
Antibiotics were prescribed in 5.9% of all consultations, 99.3% of which was first line.
Vet AI says follow-up on prescribing was available in 67.7% of cases and 89.4% of all known treatment outcomes were complete or had an expected response to treatment.
Skin problems were the most common body system/disease category seen and prescribed for.
The remaining 17,482 consultations, which did not require a prescription medicine, had resolutions assigned.
They included 959 referrals to an emergency in-person veterinarian visit; 4,852 recommendations to visit a vet in-person; 4,216 alternative products recommended, 6,421 follow-up consultations with the remote veterinary team, and 219 remote laboratory tests.
Samantha Webster MRCVS (pictured right), from Joii Pet Care, said: “Given the clear evidence outlined in this report, we believe the future of veterinary medicine should include remote consultations with remote prescribing where appropriate and regulated.
"We invite the RCVS and other veterinary governing bodies to consider that there is a place for prescribing remotely on an ongoing basis for certain cases under certain conditions, such as a secure video and audio link with clinical record keeping and pharmacovigilance practice.
"A blanket ban is not appropriate with the advance of modern technology."
“Bold steps have been taken in human health, incorporating modern technologies to support both GPs and patients, to great success.
"Our industry could use these learnings to help reduce the current strain and demands on vets across the country where mental health is already a key issue due to increased pressures, under resourcing, and compassion fatigue.
“We feel it’s important to take this approach to reach as many owners and provide professional advice and appropriate treatment on pet health so that those animals that do not necessarily currently receive veterinary care do so, and to bridge the gap wanted by clients.”
The study1 suggests that dogs with uncomplicated diarrhoea do not need antibiotics as part of their veterinary care plans.
The study included a random sample of 894 dogs aged between three months and 10 years old diagnosed with uncomplicated diarrhoea in 2019.
Of these, 355 (39.7%) dogs were prescribed antibiotics, and 539 (60.3%) dogs were not prescribed antibiotics (with or without additional supportive treatment) at first presentation for diarrhoea.
For the analysis, the dogs were balanced for a range of other differences between the groups including age, breed, bodyweight, insurance status, the presence of two or more medical conditions, vomiting, reduced appetite, blood in faeces, raised temperature, duration of diarrhoea, additional treatment prescription and veterinary group.
The researchers say this effectively meant that the only difference between the two groups was that one group received antibiotic treatment while the other did not.
The likelihood of clinical resolution of diarrhoea in the dogs prescribed antibiotics was 88.3%, compared with 87.9% in dogs not prescribed antibiotics.
This tiny difference of 0.4% between the groups was not statistically significant, leading to the conclusion that antibiotic treatment did not cause any beneficial effects in the treatment of uncomplicated diarrhoea in dogs.
Almost nine in 10 dogs with uncomplicated diarrhoea recovered after a single veterinary visit regardless of antibiotic treatment.
As an additional analysis, the study also explored gastrointestinal nutraceuticals (products derived from food sources that aim to restore digestive health such as probiotics and prebiotics) for treatment of uncomplicated diarrhoea in dogs.
Gastrointestinal nutraceutical prescription (with or without other supportive treatment) at first presentation of uncomplicated diarrhoea caused no statistically significant difference in clinical resolution compared to dogs not prescribed gastrointestinal nutraceuticals.
Camilla Pegram, VetCompass PhD student at the RVC and lead author of the paper, said: “This study used an exciting new approach that allowed us to determine ‘cause’ rather than being limited to ‘association’.
"Diarrhoea is a common condition in dogs and is often treated with antibiotics.
"However, this study highlighted that antibiotic prescription at first presentation of diarrhoea caused no difference in clinical resolution.
"Therefore, this arms veterinarians with the evidence-base for restricting antibiotics for uncomplicated diarrhoea in dogs, and owners should be prepared to only have an antibiotic prescription if absolutely necessary.”
Fergus Allerton, project lead for the PROTECT ME guidelines and co-author of the paper said: “Rational antimicrobial use is critical to defend ourselves and our pets against the growing threat from antimicrobial resistance.
"This study provides vital evidence to strengthen recommendations to withhold antibiotics when treating dogs with acute diarrhoea. Knowing that the outcome will be the same without antibiotics should reassure veterinarians to adopt this approach consistently.”
The Association says it delayed this decision as late as possible, and whilst the most recent government advice does not prohibit large public gatherings, it recognises the importance of personal safety for Congress attendees and the need to support the profession in preserving business continuity, maintaining client services and protecting animal welfare.
Amanda Stranack, BSAVA CEO, said: "As the situation continues to escalate, the government have given a clear steer that they expect more stringent controls to come into force in the coming weeks. With Congress now only a few weeks away, we want to give all our attendees as much notice as possible, both to ensure peace of mind, and to give people adequate time and flexibility to change their plans.
"BSAVA recognises the pressures the current situation brings to bear on the veterinary community and in making this difficult decision, has the interests of the profession first and foremost in its mind.
"We would thank all those who have worked hard over the past two years to contribute to the development of Congress, a huge amount of effort goes into preparations from BSAVA volunteers, Congress participants and our staff."
Sue Paterson, BSAVA President, said: "It is with great regret that we have made the difficult decision to cancel Congress, which has taken place annually for more than 60 years. Congress is an incredibly important event in the veterinary calendar, and we were all looking forward to an inspiring agenda and saying a fond farewell to the city that has made Congress such a great success over so many years. The health and wellbeing of our attendees is of utmost importance to us, and whilst we are sorry to be making this decision, we are confident it is the right one."
BSAVA says it is aware of the impact that cancelling will have on many delegates' CPD hours, so it is now looking at other ways it can deliver Congress lectures and podcasts.
Sue added: "Whilst we won’t be able to deliver the full Congress programme, we will be working with our speakers to capture as many lectures as we can to make content available online."
The group will also be supporting members in how to reflect on their CPD as a way of consolidating learning, and considering plans for how the benefits of CPD and the VetGDP can be communicated to the professions.
RCVS Council member Dr Olivia Cook MRCVS will be chairing the group.
She said: “The Engagement Group has been set up in recognition that, although the majority of the professions are engaged with meeting their CPD requirements and completing the VetGDP, there are still those who feel confused about the requirements or remain uncompliant for other reasons, and we would like very much to help them.
“Therefore, this is an exciting opportunity for anyone who wants to play an active part in advancing veterinary standards by ensuring that as many members of the professions as possible have the benefits of lifelong learning in their own practice and their ongoing work for animal health and welfare. In doing so they will help grow public confidence in the professions.
“From the VetGDP perspective, we’re particularly keen that there’s a strong peer-to-peer element, so that those who are doing the VetGDP, or have just recently completed it, are using their recent experience and understanding to evolve the policy and drive engagement.”
Applicants who are interested will have until Friday 30 August to apply to become members of the CPD and VetGDP Engagement Group and are invited to send a concise email to CPD@rcvs.org.uk explaining their experience and how they feel that can contribute to work of the committee.
Whilst there is extensive research into the mental health and wellbeing of veterinary surgeons and veterinary students, far less research has been conducted on this topic with VNs.
The researchers say that despite similarities with vets, the differences in the history, context, education paths, and responsibilities between the professions necessitate a separate study of factors that may have a negative impact on veterinary nurses.
The survey is part of ‘Nursing Matters’, a two-year mixed-methods project, led by the RVC’s Dr Tierney Kinnison, Lecturer in Veterinary Education, and Dr Jackie Cardwell, Associate Professor in Epidemiology, which will attempt to benchmark the profession's mental health and wellbeing, as well as exploring the factors that may lead to poor mental health.
The study aims to identify issues relating to the workplace or educational institutions that can be changed to support VN wellbeing, and to inform the development of supportive and effective clinical teams.
Dr Tierney Kinnison, project leader and Lecturer in Veterinary Education at the Royal Veterinary College, said: “Veterinary nurses are key members of the veterinary clinical team and have received less attention than veterinary surgeons in mental health research to date.
"Responses from any RVN or SVN in the UK, whether they have been directly affected by mental health challenges or not, will be very useful for this research.”
https://rvc.onlinesurveys.ac.uk/nursing-matters
On day one, Laura Playforth, IVC Evidensia’s Group Quality Improvement Director, will be looking at psychological safety and the adoption of a safety-critical culture in veterinary practice.
Sayaka Okushima from Pride Veterinary Referrals and Sarah Heath, IVC's Director of Sustainability, will be discussing the use of anaesthetic gases and ways to reduce them.
Other talks on day one will include: ‘Vets vs Nurses: Are we Blurring the Lines?’ and ‘The Criminal Underworld and Animal Welfare’.
On the second day, IVC referral clinicians will present lectures on various subjects, from handling emergency situations to mastering diagnostic testing equipment in first opinion practice.
David Owen, a Referral ECC Clinician at Vets Now in Manchester, will be talking about talking about emergency dyspnoea cases and how veterinary colleagues can cope with challenging situations efficiently.
Frances Bird, a European Specialist in Small Animal Surgery at Pride Veterinary Referrals, will be closing out the day with a discussion on treating respiratory disease from a surgeon’s perspective.
For the full programme, visit: https://london.vetshow.com/conference-programme?&filters.LOCATION=63903&searchgroup=ADD5CDE8-conference-programme-2023