Cranial cruciate ligament insufficiency (CCLI) affects 3% to 5% of dogs1.
Past research has demonstrated satisfactory short (6-12 weeks)2 and medium (mean 16 months)3 term outcomes for lame dogs treated with TTA.
However, Steve says there is limited research on longer (>16 months) follow-up periods.
It has also been speculated that dogs with tibial plateau angles (TPA) of greater than 30⁰ are not well suited for a TTA4.
For the study5, the researchers reviewed patient records for a total of 149 TTA-Rapid procedures carried out in 120 dogs over an 80 month period.
They also reviewed owner questionnaires that evaluated the outcome of at least six months after surgery, using a validated clinical metrology instrument, Liverpool Osteoarthritis in Dogs (LOAD).
Follow-up questionnaires were received from owners of 64 of the 120 dogs (53.3%), with a median follow-up time of 37.5 months.
This cohort included a wide range of breeds, aged between 2&12 years and with bodyweights ranging from 6.3 to 41.8kg.
The dogs included 37 females and 27 males, and of the 79 limbs treated in these dogs, 41 were left and 38 were right.
The researchers found 26 of the dogs (40.6%) had a TTA performed with a TPA less than 30◦ and 38 (59.4%) with a TPA of 30◦ or more.
Of the 79 procedures, meniscal injury was noted in 27 (34.2%), surgery to stabilise the patella was required in 11 (13.9%), there was one surgical site infection (treated successfully with a short course of antibiotics), one dog sustained a fracture of the tibial seven days after surgery, and one sustained a late meniscal tear 12 months after initial surgery (treated successfully by partial meniscectomy).
The outcome was judged to be satisfactory, based on frequency of lameness, in 63 (98.4%), while satisfactory outcomes were achieved in 61 (95.3%) based on severity of lameness and in 50 (78.1%) based on mobility score.
Statistical analysis showed that age, bodyweight, tibial plateau angle (TPA), meniscal injury, and concurrent patellar surgery did not influence the outcome, but time to follow-up positively correlated with mobility score (suggesting mobility declined with time from surgery).
The researchers concluded that the long-term (median of 37.5 months) outcome for dogs undergoing TTA-Rapid for cranial cruciate ligament disease is satisfactory, with no risk factors associated with poorer outcomes identified.
The study also revealed no evidence to support the suggestion that dogs with TPAs of greater than 30◦ may be inappropriate candidates for TTA - after testing several parameters to judge outcome including frequency of lameness, severity of lameness, distance walked daily and mobility score.
Steve said: “This research is important in trying to ensure that decisions on whether to use this treatment modality, are based on sound clinical evidence.
"The only factor identified that influenced the outcome measure was that of time since surgery.
"All other factors, including TPA, had no effect on the outcome.”
References
The survey of 2717 horse owners, 56% of which were leisure owners and 35% professionals, found that most horses (62%) were retired between 15-24 years of age, mainly for health reasons.
Mares had a higher risk of retirement than geldings, which the researchers say may be due in part to mares used for breeding not doing much structured exercise.
Just over 1 in 6 horses in the study were affected by low muscle mass according to their owners.
Age, sex, osteoarthritis, laminitis, pituitary pars intermedia dysfunction (PPID), and primary use were identified as risk factors for low muscle mass.
Geldings had a higher risk of low muscle mass than mares, which the researchers say may be a result of low testosterone.
Horses with owner-reported veterinary-diagnosed PPID, osteoarthritis and laminitis had a higher risk of low muscle mass.
Primary use was identified as a risk factor for low muscle mass, with retired horses having a higher risk than horses used for competition or pleasure riding.
Owner-reported low muscle mass was perceived to affect welfare and the ability to work in the majority of senior horses.
Alisa Herbst, who led the study, said: “A prolonged working/active life may not only be desired by owners but is also likely to provide health and welfare benefits to the horse.
"We hope the results of this study may be useful for veterinarians caring for senior and geriatric equines, by helping to achieve this."
“The information may aid in the investigation of diseases affecting senior horses and in establishing senior horse-owner education programs.
"The low muscle mass risk factor list may assist vets in identifying horses at risk of low muscle mass to be selected for close monitoring.
“Vets may also consider inclusion of an objective measurement of muscle atrophy, such as the muscle atrophy scoring system (MASS)***, in annual wellness exams, so that atrophy can be identified and managed as early as possible."
Sarah Nelson, Product Manager at Mars Horsecare added: “This survey has highlighted several interesting retirement trends.
“With a better understanding of when and why senior horses are being retired we hope, eventually, to be better placed to monitor for, prevent (where possible), and treat the underlying conditions early on, to help horses stay active and healthy for longer.”
https://www.seniorhorsehealth.com
Reference
Each candidate will produce a written reply to two questions of their choice, which will be included on their candidate profile webpage ahead of the start of the election.
The three candidates who are standing in this year’s election for the two available elected places on VN Council are:
The VN Council candidate biography and statements are available to read on www.rcvs.org.uk/vnvote24
The two candidates with the most votes will join VN Council for their three-year terms at the College’s AGM in July.
The College says it will only accept one question per person and questions must be decent.
Offensive, defamatory and inaccurate questions will not be passed on to candidates.
You can email your question to: vnvote24@rcvs.org.uk.
Happy Snack is described as a light, delicious creamy snack which contains alpha-casozepine, a natural milk protein with claimed appeasing properties.
In a study conducted by the company, the new treat was taken by 86% of cats.
Happy Snack is suitable for cats and kittens from 12 weeks of age and can be used directly from the sachet, on food or from a finger.
Feline behaviourist, Lucy Hoile, said: “I am very excited about Happy Snack, as I think there is a real gap in the market!
"Something delicious that a person can give easily to a cat, is a great tool to help with general distraction and bond building.”
Happy Snack by Feliway is available in packs of six sachets.
www.feliway.com/uk.
The Client Care Hub, which is thought to be an industry-first, aims to provide CVS's 1,100 receptionists – and other colleagues who look after clients in CVS’ practices, crematoria and laboratories – with a solid foundation in all aspects of good client care.
The training hub offers a range of live and on-demand courses, including short courses, guides, webinars, in-depth courses and a Level 4 certificate programme.
Courses cover various aspects of client care, such as handling challenging conversations, triaging cases, diary management, finance, and personal wellbeing.
Some course content, designed by CVS’ in-house team in collaboration with receptionists and practice managers, is unique to the veterinary profession.
Philip Webb, Learning Partner at CVS Group, said: "We hope the quality of training we’re offering, along with the peer support network we’re facilitating, will make our colleagues’ day-to-day life even more rewarding and will longer-term serve to develop their careers.”
https://knowledgehub.cvsukltd.co.uk
The app allows practices to submit results along with cytology and histopathology results in order to help train the AI algorithm and improve its accuracy from an original sensitivity of 85% and negative predictive value of 97%.
Liron Levy-Hirsch, Managing Director of HT Vista, said: “The HT app has provided us with over 700 additional validated scans to analyse this year alone.
"The validation process is well controlled, whereby we use the lab results to tag the scans as benign or malignant and let the algorithm know if it was correct or not.
"The more we train the algorithm the more accurate it becomes, and it is extremely exciting to see the sensitivity increase to 90% and the NPV to 98%.”
HT Vista says the app was developed to meet demand from clinics.
Liron said: "By having a portal to upload lab results alongside the device’s results not only do we further improve the device, but we also increase confidence among our vets and nurses that the device is a reliable tool.
https://ht-vista.uk
The programme is designed to take advantage of the RCVS Under Care review changes, which mean that veterinary nurses can now start the patient's journey of care in certain cases, when before, vets were required to do a hands-on examination before delegating.
Racheal Marshall, Vets Now’s Head of Clinical Nursing said: “So, for example, under the protocols a nurse may offer blood tests prior to vet consultation, and the vet can then continue the consultation with the owner with additional clinical information.”
The 'Enhancing the Nurse Role' training programme is covers three main areas: front of house care, patient procedures and team dynamics.
So far, Vets Now has held 11 training workshops using partial task simulators to provide a realistic experience and safe environment to learn new skills.
Emphasis is placed on hands-on practical skills that can be used back at clinics, including placement of central lines, urinary catheterisation of blocked cats, feeding tube placement, suturing and a two-day ultrasound training.
The third phase of the Enhancing the Nurse role programme, which looks at team dynamics, has been overseen by Zara Kennedy, Head of Veterinary Standards at Vets Now.
She said: “As a vet, the collaboration between the vets and the rest of the team, and maximising everyone’s skills is critical.
“This third phase focuses on teamwork and communication, and we are utilising much of what has been learned in human medicine.
"A focus on these softer skills enhances the way the teams carry out patient care and ultimately result in better patient care.
Using the great skills of our nurses can help take the pressure off those bottlenecks where currently the patients are waiting for the vet.”
Vets Now says the Vets Now programme is designed to make the company an appealing place for veterinary nurses to work.
Racheal said: "Using all their skills provides them with greater job satisfaction, and by mixing with other nurses at the training, as well as being a great opportunity to bring our nurses together, they get to share and learn from each other's experiences.
“It will bring greater benefits for patients and clients and their experience in the clinic.”
The event will include empowering talks by Vet Empowered founders Katie Ford and Claire Grigson MsRCVS.
Expert guests include Aoife Smith, an ex-RVN and psychotherapist, Chloé Hannigan from VetYogi and Jo Kelly, a registered veterinary nurse and accredited nutritional therapist.
There'll be hands-on workshops and immersive activities aimed at challenging comfort zones, fostering connections, and cultivating a mindset of growth and empowerment.
The organisers say Vet Empowered Live also offers the chance to connect with like-minded professionals, share experiences, and build a supportive community of peers committed to personal and professional growth.
Katie said: "We're thrilled to bring Vet Empowered Live to life and provide veterinary professionals with a unique opportunity to invest in their personal development.
"Our mission is to empower individuals to unlock their full potential, overcome obstacles, and create fulfilling careers on their own terms.
"We are passionate about providing a safe and inspiring space to do this."
Tickets cost £150 and include six hours of CPD and food and drink throughout the day.
https://www.eventbrite.co.uk/e/vet-empowered-live-confidence-beyond-manchester-2024-tickets-775605325407
https://www.vetempowered.com
25% of owners said they have seen their dog running away on hearing the word 'vet' and 30% have actively avoided a visit to the vet because of the animal's stress.
To try and get round the problem, 30% of owners use language to avoid alerting their animal: either spelling out the word 'V-E-T', or using a different word, like the 'dogtor'.
47% of owners disguise the trip and take their dog for a walk first, whilst 46% give their dog extra treats that day.
Duncan makes three requests of the UK Government:
The first is to make changes to encourage more overseas vets, and specifically the return of EU vets.
The second is to increase funding for UK universities to provide veterinary courses.
The final request is to update the regulatory framework to enable veterinary nurses to expand their role.
Full article: https://ivcevidensia.co.uk/News/duncan-phillips-time-to-overhaul-vet-support
RCVS Council recommended the increase due to inflationary pressures and increased business costs.
Dr Tshidi Gardiner MRCVS, RCVS Treasurer, said: “We recognise that these are difficult economic times, so Council has endeavoured to limit the fee increase as far as possible; however, in proposing these new fees, Council has had to take account both of increased costs due to inflation, and of additional costs related to ensuring we are fulfilling our regulatory remit to the best of our abilities and meeting our strategic priorities.
“For example, increased costs related to the additional number of veterinary degrees coming on stream, modernising our membership database, our Charter Case Committee, the trial of our private prosecutions protocol against non-vets breaching the Veterinary Surgeons Act, and much more besides.”
As part of the University of Bristol, Langford is the only referral hospital in the South West which has an educational facility.
The new academy will also be developing its Veterinary Nurse Graduate Program and give access to its Vet Nurse Congress.
Juliet Morrison, Nurse Graduate Lead said: “At LV we passionately believe in nursing progression.
"Through our SAH Graduate Nursing Programme, we continue to support the next generation of nurses to become confident, resilient professionals.”
For more information, email: brm@langfordvets.co.uk
The new pathway shows the opportunity to progress through either clinical or team leadership and how nurses can move into management roles.
Behind each level in the pathway there's a curriculum of learning which starts at the stage of being newly qualified and then moves into three clinical activity levels.
Level 3 nurses for example, would regularly undertake advanced Schedule 3 nursing procedures - such as tail amputations and mass removals, as well as diagnostics - such as MRI and ultrasound.
Beyond this, there are opportunities to become a CVS clinical or team lead, with the former leading a defined area of clinical practice and the latter responsible for line managing some of the nursing team.
In CVS multi-disciplinary hospitals and practices there will also be a new role of Nurse Manager, who will be responsible for the management of a larger team.
Tara Ryan, Chief Veterinary Nursing Officer, said: “There are so many good reasons to provide structure and clarity around nursing careers.
“The nursing career progression will enhance the role of the RVN in our practices and ensure we utilise the skills of our nurses.
"It should give more confidence to vets when delegating to nurses and it will enable nurses to do more for clients whether that be consulting or procedures.
“Most importantly it will support nurses in taking the direction in their career that they want to take.
"There are multiple different options for nurses to progress within CVS – whether it be in practice, procurement, client services or learning, education and development. It means nurses can truly have a life-long career at CVS.”
The company says the new addition leverages a combination of image recognition technology, algorithms, and cloud-based deep learning AI to enable accurate, in-clinic sediment analysis of fresh urine, delivering results within minutes.
The system evaluates red and white blood cells, squamous and other epithelial cells (e.g. urothelial and renal tubular epithelial cells), hyaline and non-hyaline casts, struvite and calcium oxalate dihydrate crystals, and cocci and rod bacteria.
Zoetis says its performance is comparable to that of a clinical pathologist.
Richard Goldstein, DVM, DACVIM, DECVIM-CA, Vice President and Chief Medical Officer, Global Diagnostics Medical Affairs at Zoetis said: “Urinalysis is an essential diagnostic test for veterinary surgeons, and often a good indicator of potential wider issues.
"Having the ability to get these results faster will improve the speed and level of care teams can provide their patients, facilitating efficient medical decision-making and helping to ensure smooth workflows.
For the research, the medical histories of 188 Basset Hounds and 270 Dachshunds presenting to CVS’ Dovecote Veterinary Hospital and Chestergates Veterinary Specialists, and the University of Ghent were retrospectively assessed.
Information included signalment, whether the dog had received a diagnosis of TL-IVDE, the duration of clinical signs, affected discs and anatomical region and the neurological grading at presentation and discharge.
Basset Hounds and Dachshunds are both chondrodystrophic breeds which are predisposed to IVDE.
However, the study found 77.4% of Dachshunds had presented with IVDE, compared to only 36.2% of Basset Hounds.
Dachshunds also presented earlier (66.5 months) compared to Basset Hounds (median 87.5 months).
Dachshunds had a lower proportion of midlumbar IVDE and were more frequently non-ambulatory at discharge than Basset Hounds.
In addition, Dachshunds were more likely to be paraplegic without sensation at presentation than Basset Hounds (16/154 Dachshunds compared to just one Basset).
The Basset Hound is the largest chondrodystrophic breed and the physical characteristics of this larger body conformation may have benefits, with previous studies suggesting the protective effects of being a larger dog2.
One hypothesis is whether breed conformation and anatomy – the relative height/weight ratio - influences the severity and occurrence of IVD and points to a link between the size of the patient and the space in the vertebral canal.
A smaller spinal cord versus vertebral canal ratio in the Basset Hound may indicate a less compressive lesion.
Sergio Gomes, Head of Neurology and specialist in veterinary neurology at Dovecote Veterinary Hospital, who led the study, said: “This is the first time that IVDE data for Basset Hounds has been directly compared with that for Dachshunds.
“We now need to look closely at the conformation and anatomy of the Basset Hound to see what learnings we can take.
"This could have positive future implications for Dachshund breeding programmes, so that longer term we can try to minimise this painful and common canine condition.”
The company says that although some UK insurers are continuing to offer protection to existing policy holders, Agria is one of the few insurers to offer lifetime veterinary fee cover to new customers.
Insurance will be available to owners who have an exemption certificate.
Vicki Wentworth, Managing Director at Agria Pet Insurance, said: “We know that the last few months have been particularly difficult for owners of American XLBully dogs, and we are pleased to be able to reassure them that we can provide lifetime veterinary fee cover for their dog, so we can support them in prioritising their pet’s welfare”.
The company says that although it can provide cover for veterinary fees, it can't cover third party liability.
Agria is advising owners to contact an organisation such as Dogs Trust which can provide third party cover.
The judges praised the practice group for leveraging employee ownership (EO) to drive growth and staff satisfaction, protect independence, and champion EO in the veterinary sector.
Pennard Vets, which has eight practices in Kent, says its driving ambition when it took the decision to transfer the business into an employee ownership trust and make its 150-strong team business owners, was to protect its independence and core values.
Pennard Vets has also been eager to spread the word about employee ownership to other veterinary practices.
Matthew Flann, a director from Pennard Vets, said: “Winning this award is a huge coup for our entire industry, who have been searching for ways to secure the future of their independent practices.
"Set against a backdrop of increasing corporatisation of UK veterinary practices, we chose to protect our heritage by becoming an EOT.
“It hasn't been easy, but it has been massively rewarding and our team have passionately bought into their new status as owners, and the results can be seen throughout the practice – from team-led initiatives to the impact on the range of procedures we can now offer to our patients.
"It’s genuinely been transformational and since 2021 we’ve doubled turnover and grown our team by 30%.
"We’ve also welcomed Abbotsley Veterinary Group and Priory Lodge into the group with the two local Kent practices citing our EOT status as a motivating factor for their moves.
“Crucially our EOT structure provided the launchpad to becoming the first veterinary practice in Europe to achieve B-Corp status in 2022, which we see as another step towards becoming the very best practice possible, using input and ideas from our team to provide a better service, give back to our community and protect the environment.
“We’re also determined to make the journey less arduous for other veterinary practices to follow our lead and we regularly hear from practice owners who are exploring becoming EO.
"We’ve established the British Veterinary Employee Owned Association to help guide other practices through the journey of becoming an EOT by networking, attending events and presenting webinars.
"This year we have supported thriving practices to become EO in all parts of the UK, including Arrowfield Vets in Herefordshire, Animal Tails Veterinary Practice in Stirling, Shetland Vets and Cornerstone Veterinary Clinic in Belfast.
“We believe intrinsically in the value of supporting and promoting our team as the best way to grow our business and provide the best possible service to our clients and patients, and that same approach will pay dividends for other veterinary practices. Because of this we fully intend to continue to campaign for the benefits of EO.”
James de le Vingne, CEO of the EOA, said: “Congratulation to Pennard Vets on winning this award.
"The awards recognise businesses and individuals that are delivering great employee ownership. Collectively, great employee owned businesses deliver significant uplift in productivity and performance, outperforming their non-EO counterparts across multiple impacts for employees, society, the environment and the economy.”
The first, hosted by Sam Taylor, head of veterinary specialists at ISFM (International Society of Feline Medicine) is titled ‘Whetting the appetite: purr-fectly feeding your knowledge of feline inappetence and why early detection shouldn’t be overlooked’.
The session, which starts at 12:30pm on Tuesday 6th, will explore the importance of feline inappetence, how it goes overlooked by owners and practices alike and why it shouldn’t be underestimated.
In the second session, which starts at 12:30pm on Friday 9th, Libby Koytzoumis, veterinary technical advisor at Dechra (pictured), will talk about one of the most commonly diagnosed endocrine diseases in dogs, Cushing’s syndrome.
Libby's webinar, ‘Are you seeing these usual suspects in practice?’ will explore the common signs, routes to diagnosis and the effective treatment and monitoring of Cushing’s.
https://thewebinarvet.com/events/virtual-veterinary-congress-2024
The Scottish Fold is bred for a cartilage abnormality which gives them their distinctive folded ears.
However, that same cartilage abnormality affects their joints, meaning that they go on to develop painful arthritis, even from a young age.
The charities say the impact of using this breed in a Hollywood film cannot be overstated and is likely to significantly increase their popularity with potential cat owners.
Nathalie Dowgray, Head of ISFM, said: “International Cat Care (iCatCare) and its veterinary division, the International Society of Feline Medicine (ISFM), believe that it is simply unethical to continue to breed cats with a genetic mutation that is known to cause significant painful disease – the rationale for breeding these cats was purely for traits considered attractive to humans, as some people believe the folded ears look appealing.
"This is an unnatural appearance for a cat, and the underlying genetic defect has far-reaching and severe consequences for the health of the cat.
"Health should always be more important than looks.”
The trailer for the film also shows a cat travelling in a backpack and subjected to rough handling, including being picked up by the scruff and thrown from a building.
ISFM says that although these scenes have been created using digital animation, the organisations share concerns that suggesting these interactions with cats are acceptable or entertaining may have a negative impact on the welfare of cats.
Sarah Ellis, Head of Cat Mental Wellbeing and Behaviour at International Cat Care, said: “Scruffing a cat is an unacceptable form of restraint that can cause a cat considerable discomfort, fear and even pain, as the weight of its body is completely unsupported, and the cat cannot escape the pressure from its skin being grasped.
"Backpacks are not a cat friendly way to transport a cat; they can leave a cat cramped, without enough ventilation, struggling to control body temperature, and uncomfortable due to the unpredictable movement from being worn on a person’s back.
"Backpacks are simply not cat friendly - they do not respect the cat as a species and run the risk of psychological and physical suffering to the cat.”
The organisations have contacted Universal Pictures, asking them to adopt Cat Friendly Principles in future, and not to promote cat breeds with extreme features in future.
The annual survey gives an overview of remuneration levels within the veterinary sector.
It covers everything from basic earnings, bonuses, dividends and overtime, to benefits such as accommodation, car allowances and pensions.
SPVS is asking everyone in the veterinary profession to take part, whether they're in a clinical or non-clinical role, a vet, a nurse, a practice manager, support staff or working in industry.
The main findings of the survey will be published in a report and freely available to any participant who gives their email address at the end of the survey.
SPVS members will be able to access the full results with additional commentary and analysis.
All survey data is treated as strictly anonymous and totally confidential.
https://www.smartsurvey.co.uk/s/LOZS6O
Any questions: office@spvs.org.uk
In the last four years, there has been an increase in the number of identified B. canis cases in the UK, which had previously been sporadic and isolated.
Data released by the Government shows that cases have risen from three reported before 2020 to 240 in the last three years.
Most dogs were either imported, had returned from holiday overseas, or been bred with an imported dog.
In 2022, the first UK case of dog-to-human transmission was reported, highlighting the risks to those handling and treating infected dogs and raising levels of concern within veterinary teams, although the BVA says the risk is relatively low.
The BVA, SPVS and BVNA joint policy calls on the Government to :
British Veterinary Association President Anna Judson said: “Vets are seriously concerned about the lack of adequate checks for potentially zoonotic diseases entering the country via imported dogs.
"Brucella canis is not currently considered to be widespread in the UK, so a proactive approach with an emphasis on reducing the risk of this and other worrying exotic diseases being brought into the UK is crucial.
“This is important both for the health of the UK’s dogs and the humans who care for them."
https://www.bva.co.uk/take-action/our-policies/brucella-canis
Identichip says the scanner is particularly suited to noise-sensitive dogs and cats.
It's designed to fit in one hand, and is compatible with all ISO 15-digit (FDX-B) microchips.
Tammie O’Leary, commercial lead at Identicare, said: “With compulsory microchipping coming into effect for owned cats from 10 June in England, it is likely that more cats will be presented to check for a chip or to be implanted.
"Many practices are making substantial efforts to minimise fear or stress in their patients, however most microchip scanners beep when they locate a microchip, which can be stressful for animals.
"The silent microchip scanner will help reduce any associated stress for noise sensitive animals.”
Dr Ellie Lee, veterinary surgeon and director at Manchester Cat Clinic, has trialled the silent microchip scanner.
She said: “The scanner is a great tool; we really like how compact it is, which makes it less intimidating for cats, and the silence is definitely beneficial to them too.
"As it doesn’t beep, we watch the screen to check that a chip has been detected, but this is easy to do as it’s such a handy size.”
The silent scanner can be purchased from NVS, Covetrus or from identichip direct.
Questions: contact@identichip.co.uk.
Amongst the proposals agreed by Council was to move towards an independent appointment system for Council membership to replace the current election system.
In addition, Council voted:
Council was tied on whether to separate the position of RCVS President and the Chair of RCVS Council, meaning that this will come back for decision at a later date following the consultation.
RCVS President Sue Paterson said: “The unique way that RCVS Council is currently constituted with annual elections to Council is an old model of self-regulation which is no longer found in other professions including doctors, nurses, pharmacists, solicitors and social workers, among others.
“As a responsible regulator we have a duty to operate in a way that recognises modern principles of regulation, and best meets our objectives to enhance society through improved animal health and welfare by setting, upholding and advancing the educational, ethical and clinical standards for the veterinary professions.
"The College’s recommendations would see us retain self-regulation in the sense of independence from government, and maintain registrants within our governance framework, while better assuring the public that we are acting on their behalf.
“It is our firm belief that, among other things, moving to an all-appointed Council member system, whereby those who serve on Council are selected via an independent process based on their knowledge and experience to ensure input from all parts of the veterinary sector, will better serve our aims, as will having a better balance of professional and lay members.
"Of course, veterinary expertise, knowledge and experience will also remain a vital part of any future arrangements throughout our committee structure, so the veterinary voice will be as important as ever in our policy and decision-making processes.
rcvs.org.uk/who-we-are/rcvs-council/council-meetings/18-january-2024/
Further details about the consultation process will be published in due course.
The new service was reported in The Times, in an article titled "How much should your vet cost? Pet owners bitten by untamed fees."
Since launch, VetHelpDirect has offered owners information to help them pick a veterinary practice, including reviews, ratings (including a value for money score), RCVS accreditation, cat/ rabbit friendly status, health plan details and how out of hours cover is provided.
It has now added some basic information about each practices' charges, specifically the first consultation fee, a dog castrate and health plans, and then categorised them according with £££££ signs to indicate how far above or below the average they sit.
Susie said: “Most practices will give out these prices over the telephone, but there’s no way for the client to find them without directly getting in touch, something people are less and less likely to want to do nowadays.
"Our research data suggests that people want to find this information online, just as they would in any other service industry.
"When they can’t find any information at all on pricing, there can be a perception of secrecy that can do damage to the vet-owner relationship.”
Susie added: “True comparison for vet practices is of course very complex and no basket of services is ever going to capture the whole complexity.
"Every practice is different, from facilities and team qualifications; to the time allotted for consultations; to monitoring equipment for surgery; and of course the level of investigations undertaken which can also vary from vet to vet.”
“We can’t solve all this straight away but we started from a good place, over the years we have built up more information about vet practices than any other website.
"The aim is to provide commonly requested prices for owners to easily access and to add more and more detail on the vet practices over time so that owners can make the most informed choice on the vet that's most appropriate for them and their pet”.
VetHelpDirect says it will soon be adding prescription fees and out of hours consultation, and a much wider range of species-specific fees in the near future.
The company also points to the Competition and Markets Authority investigation into pricing in the UK, highlighting that in its 2019 Report into Funerals in the UK, the CMA noted that weaknesses in the sector included the fact that less than 40% of funeral directors posted any form of pricing online, and those that did were frequently not in a form that made for easy comparison.
Susie says the veterinary sector has an even lower rate of online pricing transparency.
To add your pricing information to VetHelpDirect, email: info@vethelpdirect.com.
COMMENT
Whilst greater transparency over pricing in almost any field is surely to be welcomed, it seems questionable whether comparing prices for consultations and standard procedures will be of much help to pet owners, because things like the level of investigations, how defensively a clinician practises and the owner's own relationship with risk are likely to have a far greater impact on the bill than whether a consult costs £20 more or less up the road.
There is perhaps also a risk of practices rated as '£££££ / more expensive than average' will be seen as just that. Expensive and nothing more.
It's not like a restaurant where £££££ usually means particularly delicious.
Whilst this may not matter much whilst so many practices are having to turn away business, it may become more important in the future.
The group says it has led to 6,086 more clinical metrology questionnaires being conducted at participating practices with their patients, a 1,014% increase.
Developed by John Innes at the University of Liverpool, the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire is a 13-item clinical metrology instrument (CMI) used to assess canine articular disorders like osteoarthritis.
It includes questions on the pets’ medical background, lifestyle and mobility.
Individual question scores are summed to provide an overall “LOAD score” suggestive of the animal’s disease presence and severity.
The questionnaire should be conducted every time the pet is presented to the veterinary clinic, with results tracked over time.
Treatment options - including the benefits and risks of all available modalities – can then be considered and discussed with owners to determine the best course of action, including weight management, diet, supplements, exercise and environmental modification, in addition to medication.
As part of the project, CVS provided a range of supporting resources for its practices, together with training.
Training focussed on diagnosing and managing conditions causing lameness in dogs and cats, using the clinical metrology questionnaire to engage clients in their pets’ treatment plan, offering best practice treatment options and running nurse mobility clinics.
It comprised of a vet CPD day run with Zoetis and the VOA on approach to and management of lame patients, two nurse CPD days on mobility clinics, a feline and canine orthopaedic examination video, First Opinion Clinical Club webinars on canine and feline osteoarthritis and an approach to radiographic interpretation course.
Resources included: new clinical guidelines, IMV resources (radiographic positioning, optimising the image and optimal chemical restraint) and a Mobility Clinic Booklet for clients.
Each site was then provided with its own data, so that they could monitor what they were doing individually.
One year after its nation-wide launch, results reveal that the number of clinical metrology questionnaires being conducted in the 35 participating practices has increased from 6 to 6,092 over a 12 month time period.
CVS says there was also evidence of an increasing incidence of the osteoarthritis drugs Librela and Solensia being prescribed.
Kathryn Patel, Hub Clinical Lead at CVS (pictured), who was responsible for the lameness clinical improvement project, said: “This project uses owner questionnaires to screen for and monitor the impact of lameness on patient quality of life and emphasises the importance of the whole clinical team in patient management.
"Vets and nurses will be supported to improve their ability to reach a diagnosis in every lame case, improve engagement with and compliance of owners with lame pets, and improve the quality of care of lame patients through appropriate medication, surgical intervention, and nurse and physiotherapy support.”