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
This, the company says, makes Simparica Trio the only oral moxidectin that is licensed to treat A.vasorum in dogs in the UK.
Louise Longstaff, National Veterinary Manager at Zoetis UK said: “The last time a product was licensed for the treatment of lungworm in the UK was some time ago, so this is an especially important development.
"Simparica Trio offers a new licensed route of administration for lungworm treatment in dogs, giving vets another option to that which is currently available.
"It enables them to tailor treatment based on their patient’s needs while still prescribing within the cascade.”
Simparica Trio is a chewable monthly tablet for dogs containing sarolaner, moxidectin and pyrantel.
It kills fleas and ticks, treats mites, roundworm and hookworm, prevents and treats lungworm and prevents heartworm disease.
https://www.noahcompendium.co.uk/?id=-485011
The CVS practice aimed to change its prescribing culture by adopting an evidence-based, case-by-case approach and supporting its vets in only using antibiotics where absolutely necessary.
The practice identified the use of antibiotics in the treatment of cat bite abscesses (CBAs) as worthy of investigation.
Cefovecin, a third-generation cephalosporin and critically important antibiotic, is often used in the treatment of CBAs.
The practice first sought guidance from a dermatology specialist with an active research programme involving the study of antimicrobial resistance (AMR).
It then developed a clinical guideline advising that if a cat has a discrete abscess, with no pyrexia (raised temperature) and no cellulitis, antibiotics are not required.
White Lodge then conducted an eight-month clinical audit across its Exmouth Hub, with the aim of measuring the effect of the new guideline.
The practice treated patients with CBA’s with NSAIDS, lancing and flushing (if necessary), and cleaning of the abscess.
Owners were advised to flush the affected area at home once daily.
An antibiotic awareness leaflet was given to clients with an explanation of the reasoning behind not prescribing antibiotics.
Cats presented 5-7 days after treatment for a nurse re-examination.
A consultation template was created for both the vet at initial presentation and another for the nurse’s post treatment check, to gather standardised information.
The measure of successful treatment was whether, on re-examination, the CBA site appeared free from infection and wound healing was evident.
If the wound had not started to heal or if there was infection or pyrexia, the treatment was deemed to have failed and further treatment was provided.
Analysis of the results showed that of the 22 cats included in the audit, 19 (86%) did not need antibiotics to successfully treat the abscess.
There was also a 32.6% reduction in the number of times cefovecin was dispensed in the eight-month period after the audit started, compared with the previous eight months.
Emily Parr, Head Veterinary Surgeon at White Lodge, said: “We think, due to lack of confidence in treatment without antibiotics as well as client pressure or expectation, the profession tends to default to the prescribing of antibiotics.
“However, this clinical audit has given our veterinary colleagues increased confidence in treating CBA’s without antibiotics.
"There has also been an improved client understanding in accepting treatment without antibiotics.
"Clients have also been positive when minimal intervention has been required, particularly as it eliminates the cost of antibiotics.
"This has had a positive impact on the vet-client relationship and trust in our practice.
“Antimicrobial resistance is continuing to threaten the efficacy and treatment of an ever-increasing range of infections.
"So we hope that our CBA clinical audit outcome results will help to set a benchmark and shape clinical guidelines for the wider veterinary profession in this area.”
The new facility will have 9 consultation rooms and 4 theatres, and is expected to open in early 2022.
It will be Animal Trust’s 10th veterinary hospital – with existing locations in Wrexham, Yorkshire and North England.
Animal Trust now employs more than 300 vets and veterinary care staff.
A further 15 jobs will be created in Rhyl when the new hospital opens.
Owen said: “Our ethos has always been that every animal deserves access to experienced and professional veterinary care as soon as they become ill.
"That’s why we offer free consultations for sick and injured animals brought to our surgeries.
"Our clients are from all walks of life and they come to us because of what we stand for and in some cases, for the prices we offer.
“As a CIC, we try and make sure that a comprehensive veterinary service is within reach of as many pet owners as possible.
"We build large veterinary hospitals that will serve the needs of the local pet-owning community and make a positive impact on their lives.
"Our new surgery will allow us to extend our services to the residents of the North Wales coastline, many of whom currently have to travel to one of our other existing surgeries.”
Funding for Animal Trust was provided by the £500 million Wales Flexible Investment Fund.
Mr Antonovs faced three charges.
The first was that in September 2020 whilst in practice at Beverley Vets4Pets, he attended work when under the influence of alcohol.
The second was that between September and December 2020, whilst at Peel Veterinary Clinic, he attended work on two occasions when under the influence of alcohol.
The final charge was that between February 2021 and February 2023, Mr Antonovs failed to respond adequately to requests from the RCVS regarding concerns raised about his conduct and/or health.
Mr Antonovs admitted the facts of the charges and the Committee decided that the facts amounted to serious professional misconduct.
The Committee therefore decided, in the particular circumstances of this case, to impose a reprimand and warning as to his future conduct on the basis that it would be proportionate in order to maintain public confidence in the profession and uphold proper standards of conduct and behaviour.
The full details of the hearing and the Committee’s decision can be found at www.rcvs.org.uk/disciplinary
In a statement given to the Veterinary Record earlier this year, the College said:
"In 2017, our commitment to equality for our LGBTQ+ employees, members of the professions and other stakeholders, was cemented when we became a Stonewall Diversity Champion, with the aim of ensuring that all people in the community are accepted, without exception, within the veterinary professions.
In subsequent years this commitment has been demonstrated by the establishment of our Diversity & Inclusion Group, for which LGBTQ+ representation is a key component and has been incorporated into both our internal and external diversity and inclusion strategies.
Focusing on our internal diversity and inclusion strategy, the insight from Stonewall and our internal LGBTQ+ group, has aimed to make the RCVS a safe space for people from the LGBTQ+ community by creating a fully inclusive workplace.
These insights have also fed into the profession-facing work of the Diversity & Inclusion Group and its strategy.
After six years as a Stonewall Diversity Champion, we have decided this year not to renew our contract with the organisation, on the basis that we feel we no longer need to work with an external organisation to continue to deliver on our commitment to equality, diversity and inclusion.
The RCVS will continue to demonstrate allyship and be a safe space for all groups within the LGBTQ+ community, as demonstrated by the fact we are creating a staff network representing RCVS colleagues from marginalised communities.
We may in future decide to work with another accredited organisation, but until the staff network is in place, no decisions have been made. For example, we have recently brought in a staff policy regarding how best to support RCVS employees who are going through the process of gender reassignment, reiterating the current legal position, how to report experiencing or witnessing transphobic discrimination, as well as advice for colleagues supporting those undergoing gender reassignment and those who have family members going through the process. We are grateful for Stonewall for working with us over the past six years and helping us, through its Workplace Equality Index, to finesse our policies and procedures in relation to LGBTQ+ rights and issues and drive forward our agenda to be a diverse and inclusive workplace and regulator."
The RCVS has announced the steps it will be taking in response to the Standards Committee's review of 24/7 emergency care.
Whilst the College has stopped short of making home visits entirely discretionary, it has confirmed that with regards to 24/7 emergency care overall:
This follows RCVS Council's agreement in principle on recommendations that flowed from the Standards Committee's comprehensive review of 24/7 emergency care. The review was triggered by a number of issues, including the profession's response to the Chikosi Disciplinary Hearing of June 2013.
The College says the recommendations were developed out of a detailed process of evidence gathering, which included 656 pages of views submitted to the College, 2,801 signatures to a petition on home visits, a three-day select-committee-style hearing where representatives from 15 organisations and a further 10 individuals gave their views, a snapshot of responses from 1,062 vets taking part in the RCVS Survey of the Professions, and an online survey of 1,250 animal owners.
Council praised the work, which had been carried out under the guidance of Standards Committee Chair Clare Tapsfield-Wright, and agreed that draft changes to the supporting guidance to the Code of Professional Conduct should be refined and agreed by the Standards Committee and published over the next couple of months.
Clare said: "This process was not carried out as a typical consultation, with proposals being issued for consideration: we really wanted to be open to the views of the profession and the public from the start.
"We found that the profession did not wish to remove the 24/7 requirement, but there was a lot of frustration and concern, particularly around safety, home visits, who should be seen, outsourcing and contingency planning.
"The Standards Committee looked in detail at all of these issues and I am delighted to have Council's support for the general direction of our proposals. We will now review some changes to the wording of the new guidance, to improve clarity, and publish it as soon as possible."
President Neil Smith said: "I am delighted with the way this process has been carried out. No doubt the outcome will not please everyone, but these changes are based on robust evidence.
"The approach taken by the Standards Committee forms a useful model that could be adapted to address other such issues that we may face in the future."
The presentation given to Council on 5 June can be downloaded from the RCVS website at https://www.rcvs.org.uk/news-and-events/news/council-agrees-new-emphasis-for-24-7-guidance/ .
Part of the Goddard Veterinary Group and based at Wanstead Veterinary Hospital in East London, the College takes most of its students from vet practices in London and the home counties.
At the time of the inspection, the College had 34 students on its Registered Veterinary Nurse course and 15 students working towards their Level 2 animal care and welfare assistant qualification.
Ofsted inspectors found that the College’s apprentices learn and work in very supportive environments and value the support they get from the tutors and clinical coaches.
In their report the inspectors said: “Apprentices’ academic and welfare needs are met well.
"Apprentices enjoy their training and would recommend it to others.
"Leaders and managers have a clear rationale for delivering their training.
"They aim to train apprentices so they become skilled veterinary practitioners and develop a career in the sector.”
Group Training Manager and Head of Centre at the college, Emma Eve-Raw, said: “To receive such positive feedback from Ofsted is very rewarding.
"Our team prides itself on inspiring the next generation of veterinary nurses and veterinary nursing assistants and we have a flexible approach to give students the best chance of reaching their full potential.
“We offer hybrid learning to make it easier to balance studying alongside working in practice and every student is assessed to find out how they best learn, so their course can be tailored to suit them.
“We are also very proud of our teaching team, as we have more than 100 years of RVN experience between us and our senior teaching team spends time in practice every year to ensure their practical knowledge is kept up to date.”
Dr Power faced a number of charges relating to alleged clinical and communications failings surrounding surgery carried out on two separate dogs on two separate occasions.
The first concerned laryngeal tieback surgery carried out on Harvey, a Tibetan Terrier in March 2018, and the second concerned oesophageal surgery carried out on a boxer dog, Boss, in October 2018.
The College withdrew a number of the charges at the start of the hearing, and more later after hearing from witnesses.
Of the remainder, Dr Power admitted that she had not undertaken pre-operative radiographs before proceeding with the laryngeal surgery, had failed to perform the surgery appropriately (she dissected excessive tissue and had inappropriately placed sutures), and had undertaken the surgery when it was outside her area of competence.
In relation to the oesophageal surgery, Dr Power admitted failing to provide a referral report and/or clinical records to the veterinary practice he was referred from, despite requests from the practice.
The Committee found that the majority of the charges which had not been withdrawn or admitted by Dr Power, not proven.
However, the Committee found that in addition to the admitted charges, Dr Power had subjected the dog undergoing oesophageal surgery to an excessive 9.5 hours of anaesthesia.
The Committee then went on to consider whether the proven charges amounted to serious professional conduct.
Counsel for the College submitted that Dr Power’s conduct breached the part of the Code of Professional Conduct relating to veterinary surgeons keeping within their area of competence and referring responsibly; and providing veterinary care that is appropriate and adequate.
In terms of aggravating factors, the College submitted that there was both actual injury to the animal, as well as actions that posed a risk of injury, that Dr Power financially benefitted from the alleged misconduct as she was paid to perform a procedure outside her competence, and that she occupied a position of increased trust and responsibility as she advertised herself as a practitioner who accepted referrals and was competent to perform soft tissue surgery.
Dr Power’s counsel submitted that the charges that had been found proven amounted to clinical and administrative failings and that this was not a case of a veterinary surgeon deliberately or recklessly acting outside of their capabilities, but rather a case where a diligent and responsible veterinary surgeon had fallen short in discrete areas of her clinical practice and had reasonably believed at the time that she was competent to perform the surgery.
The Committee found that although the conduct within the proven charges fell short of what would be reasonably expected of a veterinary surgeon, it did not fall so far short that her conduct constituted serious professional misconduct.
Paul Morris, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee understood that it had a responsibility to consider the wider public interest, taking into account the view of a reasonable member of the public in possession of all the relevant facts and information.
“The Committee considered that such a member of the public would understand that veterinary surgery is a challenging profession. It was of the view that such a member of the public would not expect perfection, but understand that any professional practitioner may make mistakes in the course of their practice.
“It is the judgement of this Committee that the respondent’s conduct does not constitute disgraceful conduct in a professional respect.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
Dr Mostert admitted to his conviction but denied that it rendered him unfit to practise as a veterinary surgeon.
He also admitted not disclosing his conviction to the RCVS but denied that it amounted to dishonesty or was misleading and that failing to do so amounted to disgraceful conduct in a professional respect.
The Committee first considered whether Dr Mostert’s conviction affected the public interest, which included the need to maintain public confidence in the profession by upholding proper standards of conduct and behaviour for members of the profession.
The Committee noted that the conviction involved dishonesty relating to false statements about the value of goods sent to the USA.
The Committee felt that a conviction for a serious offence involving dishonesty would have a negative impact on public confidence in the profession, and that its reputation would be damaged if proper standards of conduct and behaviour were not upheld.
The Committee also noted that as the products that Dr Mostert imported into the USA were not labelled as coming from a foreign market and were not labelled as needing to be administered by a vet, his conviction also related to animal safety, as anyone who accessed the medications could believe that it was safe for them to be given to an animal.
The Committee then considered Dr Mostert’s failure to declare the conviction to the College on three separate occasions.
Dr Mostert testified that, at the time, he did not believe he had to disclose his conviction as it occurred in a country where he had not practised as a veterinary surgeon.
He also said he had not taken the time to read and interpret the application form accurately.
However, the Committee considered that the wording around convictions on the application and annual renewal forms is very clear and that, as a veterinary surgeon, Dr Mostert would be familiar with such documents.
The Committee considered that it was inconceivable that an experienced veterinary surgeon, making a declaration of this kind to his regulator, would not have understood that a serious conviction in the USA, dating from June 2017, was a conviction that he was obliged to disclose.
The Committee therefore found Dr Mostert’s failures to declare his conviction dishonest.
Judith Way, Chairing the Committee and speaking on its behalf, noted that in deciding upon the appropriate sanction, the case did not involve any actual harm to an animal or human and that Dr Mostert had had a long and otherwise unblemished career.
However, a key aggravating factor was that the action that led to the conviction resulted in financial gain through the creation of a business enterprise and that Dr Mostert falsely declared the value of goods.
The extent of any financial gain was not known to the Committee, but the business operated on the basis that false declarations were repeatedly made.
Judith said: “After careful consideration the Committee has concluded that in all the circumstances, a lengthy period of suspension would properly reflect the gravity of the case and satisfy the public interest. The Committee has decided that the appropriate length of suspension is one of 18 months.”
The Committee’s full findings can be viewed at www.rcvs.org.uk/disciplinary
The new Nutrition VNMA, which starts in March 2021, will be led by Georgia Woods RVN (pictured right) who holds the Canine and Feline Veterinary Health Nutrition Certificate and the American Veterinary Technician Specialist (VTS) Nutrition Certificate. Georgia is a Royal Canin Weight Management Clinic Nurse at the University of Liverpool, Small Animal Teaching Hospital, where she deals exclusively with pet obesity and nutrition.
The course, which is sponsored by Royal Canin, combines a series of online lectures, a practical teaching day and a variety of resources and quizzes, together with a discussion and Q&A forum.
The learning objectives are that by the end of the course, participants will be able to:
Following completion of the teaching, there is an assessment to help embed the learning experience.
VNs who complete the course will be awarded a BSAVA Veterinary Nurse Merit Award in Nutrition and will receive a certificate and badge. The course is also worth 30hrs CPD.
Lucie Goodwin, Head of Education said: “We are pleased to be able to add this important and highly topical course to our expanding repertoire of learning resources for RVNs. Practices really recognise the value of VNMAs and are continuing to send their nursing teams on multiple courses.”
The nutrition course costs £525.00 for BSAVA Members or £787.50 for Non-Members.
For further information visit: https://www.bsava.com/Education/VN-Merit-Awards or contact us courses@bsava.com
Two equine journals have joined forces to create a free online collection of their recent articles on endocrinology to raise awareness of these common disorders and to provide veterinary surgeons with what they say is a definitive source of references all in one place.
The collection of references published by Equine Veterinary Education (EVE) and Equine Veterinary Journal (EVJ) covers a range of topics within the field of endocrinology and includes authoritative review articles on insulin dysregulation2, glucocorticoids and laminitis3 and paraneoplastic syndromes4.
The initiative has been made possible with the support of British Equine Veterinary Association Trust and has been compiled by leading international authorities on equine endocrinology, Professor Philip Johnson, of University of Missouri and Professor Nicholas Frank of Tufts University, Boston and the University of Nottingham.
They say that equine endocrine disorders, such as Pituitary pars intermedia dysfunction (PPID), are becoming more promptly identified and treated, thanks to ongoing research and advances in diagnosis, pharmacokinetics and management protocols.
PPID, or Cushing's, is a progressive neurodegenerative condition that is more easily recognised in its advanced form in older horses. Surveys show a PPID prevalence rate of up to 22% in horses over the age of 155, with the odds of developing clinical signs associated with PPID increasing by approximately 20% per year after this age.
Insulin dysregulation (ID), characterised by increased insulin response to oral sugars, hyperinsulinaemia and insulin resistance, is identified in both PPID and equine metabolic syndrome (EMS)2. Both PPID and EMS have been linked to the development of recurrent laminitis with subsequent high risk of mortality6. The exact mechanisms which link insulin to laminitis remain to be clarified1 but this online collection highlights several studies, which partially address this important jigsaw7-12.
Best practice for the management of EMS is outlined by Professors Nick Frank and Ray Geor in the December issue of EVE13. The first goal is to induce weight loss, and guidelines for designing diets for obese equids are provided. Exercise and dietary management14 have been shown to reduce the clinical signs and indices of inflammation in equine metabolic syndrome13 - 15, however, further studies are needed to quantify the efficacy of these management changes on long-term outcomes.
The online collection also includes several studies addressing the diagnosis of PPID. The value of plasma adrenocorticotropin hormone (ACTH), when interpreted with seasonally adjusted reference ranges, is discussed by several authors18-20. Professors Frank and Geor advocate it as the most readily accessible test for monitoring PPID cases in a field setting, although they maintain that the thyrotropin- releasing hormone (TRH) stimulation test is more sensitive and therefore has advantages when diagnosing PPID in its early stages13.
Pergolide has emerged as the drug of first choice for treatment of PPID13. While many vets recommend the early introduction of medication in the hope that it may avert the specter of laminitis, at present, there are no trials comparing pergolide with alternatives. Furthermore, there have been no long-term studies to show that horses treated with pergolide before the onset of clinical signs of PPID have better outcomes, including a reduced incidence of developing laminitis, than horses in which treatment is delayed until clinical signs become apparent.
Professor Celia Marr, Editor of Equine Veterinary Journal said: "Better control of PPID and insulin dysregulation should lower the risk of laminitis to help improve the health and longevity of many predisposed horses and ponies.
"Raising awareness of the benefits of early diagnosis and sharing the latest research on these and other associated conditions are imperative to provide horse owners with the best diagnostic and treatment programmes for their horses. However, it is easy to under-estimate obesity: horse owners need to think about improving management of their horses' feeding and exercise in order to avert problems before they become a veterinary issue."
References
The award is to recognise the dedication of the country’s veterinary nurses and the support they give to their veterinary teams, the nation’s pets and pet owners. It is given to a vet nurse who not only cares for sick and injured pets but also encourages responsible pet ownership and improves pet welfare in their community.
The award will be presented at the BVNA Congress on Saturday 2nd October 2021, which will this year be a hybrid event with live speakers at the event in Telford and remote delegates.
David Catlow, Blue Cross Director of Veterinary Clinical Services said: “The veterinary profession faced difficult times for much of the past couple of years but vet nurses strove on to provide their usual professionalism, compassion and special care for pets and their owners.
"Now, more than ever, we need to recognise their invaluable work and the incredible reassurances and support they offer pet owners and how they are dedicated to helping the welfare of the nation’s pets in their communities.”
Last year, the award went to Chloe Mackintosh (pictured right), a veterinary nurse at RSPCA in Harmsworth, North London, who was nominated for her passion and commitment to animal welfare.
If you know a vet nurse who you believe has gone the extra mile for your pet or you believe they have made a significant contribution to animal welfare, complete the nomination form on the Blue Cross website at www.bluecross.org.uk/bvna.
The event aims to deliver the latest knowledge on parrot nutrition and welfare and provide an opportunity to collaborate on education and potential next steps for research.
The full programme is as follows:
Sarah Hormozi, Head of Science & Education at PFMA said: “We are hoping to make it a worthwhile event, where parrot experts, welfare groups and parrot food industry can share their knowledge and experience.
"Through discussions we will come up with collective decisions and steps forward to improve the health and welfare of parrots that are kept in captivity, especially from a diet and nutrition perspective."
For ticket prices and to register: https://www.pfma.org.uk/pfma-parrot-symposium-2022
The VMD's ruling sets a chilling precedent for the curtailment of free speech by a Government body.
The ruling came to light after VetNurse.co.uk published an independent video news report relating to the launch of Bravecto Injectable, a new yearly flea treatment for dogs.
The film was neither paid for nor commissioned by the manufacturer, and nor did the maker exercise editorial control over its content.
The film was clearly labelled for and aimed at veterinary professionals, and its intent was not to promote the sale or supply of a prescription medicine, but rather to inform vets and nurses about the new product, albeit in an enthusiastic manner.
It was therefore not an advertisement, but journalism.
The Dictatorship nevertheless argued that it defines any social media content that mentions the brand name of a prescription veterinary medicine and which does not give a balanced overview of all the other treatment options for a given condition, as an advertisement.
This, it said, is regardless of whether content is created by the manufacturer or supplier of drug to promote sales of their product, or any member of the public or journalist who just wants to talk about or report on a prescription medicine publicly without any intent to promote sales.
The Dictatorship's position is that any such content can only appear in spaces dedicated to the appropriate audiences.
Notwithstanding the fact that all of VetSurgeon.org's social media channels are dedicated to the appropriate audiences, it leaves us in the almost laughable position where, according to the VMD, the BBC is allowed to report about powerful prescription medicines for humans in a way that inevitably promotes their supply, but VetSurgeon.org cannot report the launch of ... wait for it ... a flea treatment.
However the VMD then shared its incontinent interpretation of the law in a series of emails in which it was unable to provide a consistent definition of where it would allow content about prescription veterinary medicines to be published.
It first claimed (without any supporting evidence of any law to this effect), that:
"... it would need to be on a closed page which only followers could view would require active confirmation of the follower’s professional status before allowing access."
However, it swiftly backtracked, presumably realising that this definition would require Vet Times to remove most of its content from public view, including actual advertisements for veterinary prescription medicines published by the manufacturer.
When pressed, the VMD changed tack to a rather looser definition:
"Regulation 11(3) of the VMR does allow you to advertise POM-V products at vets and vet nurses, however to ensure this wouldn’t also be considered as advertising to the general public, it would need to be in a closed space, separate from the general public and directed at veterinary healthcare professionals. For example, on a website, or closed social media group."
However, it then presumably realised that Vet Times would still have to remove most of its content because it is not a closed space, and loosened its definition further still.
"Please note that, where an advertisement for POM-V or POM-VPS veterinary medicine appears in a space dedicated to the appropriate audiences this would not be a breach of Regulation 11(1)(a) due to Regulation 11(3) and Regulation 11(5)."
Clearly the Dictatorship was making it up as it went along.
Nevertheless, it threatened VetNurse.co.uk that it would contact TikTok and demand removal of the film.
So what does this matter?
Two reasons.
Firstly, it may just be a report about a flea treatment, but there is an important principle at stake here: it is simply not acceptable for the Government to censor free speech about medicines by journalists or members of the public.
This, you would think, is so blatantly obvious that it calls into question the overall competence of the Veterinary Medicines Directorate.
Secondly, the ruling also demonstrates the VMD's backward-looking, Canute-like view of the world we now live in.
People talk and social media is awash with information about prescription veterinary medicines; just try typing 'Bravecto Injectable' into TikTok.
As we all know much of what you find online is false.
Fighting misinformation online is an un-winnable fight.
So perhaps instead, the VMD should promote the dissemination of accurate information in order to counter the misinformation.
Bear in mind, it is only the VMD's interpretation of the law which dictates that a manufacturer cannot publish information which mentions a brand name or give a balanced overview of all treatment options because it would promote the supply or prescription of a veterinary medicine.
It could equally well be argued that manufacturers publishing strictly factual information, ie devoid of hyperbole, would NOT be intended to promote the supply or prescription, but instead to counter false information and provide owners with information which time-poor vets are not always able to.
That would be a more pragmatic approach which would do far more good than trying to censor independent journalists and the public.
The framework sets out the professional values, skills and behaviours required of the approved education institutions, delivery sites and training practices responsible for providing training and support for veterinary nurses.
The new version includes updates relating to sustainability and academic integrity.
Julie Dugmore, RCVS Director of Veterinary Nursing, said: “The Standards Framework for Veterinary Nurse Education and Training last underwent an extensive review in 2019, with a small interim review taking place in 2021.
“In November 2023, RCVS VN Council agreed to set up a task-and-finish group to look at the potential changes, before these changes then went to consultation back in January this year.
“Animal health and welfare and public safety is central to our standards, and it is important that we continue to review them on a regular basis with input from veterinary nurses from across the profession.
"Nurses play a central role in upholding animal health and welfare and public health, and so it is important that students receive the best training possible in order to prepare them for life in clinical practice.
“Over the summer, we held a number of educator meetings to help familiarise AEIs, delivery sites, and TPs with the new framework, in order to make the transition as smooth as possible.
The new standards came into force on 1 September 2024.
https://www.rcvs.org.uk/news-and-views/publications/vn-standards-framework
This, says the company, suggests that infection could be more common among seemingly healthy dogs than vets or owners realise, which may mean there is a greater risk of perioperative bleeding caused by the coagulopathies associated with A. vasorum2 than previously thought.
Elanco says another recent study indicates that there may be a bigger environmental risk for dogs than previously thought, too.
In the study, by Robbins et al, L3 larvae of A. vasorum and Crenosoma vulpis arising from the gastropod intermediate host were found to be immediately infective to dogs and remain so for up to eight weeks, meaning that dogs may only need to lick the molluscs’ slime to be at risk of infection.3
Elanco says this new data means A.vasorum should be added to many differential diagnosis lists, and that pre-operative testing could also be wise.
Jenny Helm, BVMS Cert SAM Dip-ECVIM CA FHEA MRCVS, European Specialist in Small Animal Internal Medicine, said: “Owners need to be aware that healthy dogs could be silently carrying and spreading the disease and that asymptomatic carriers could develop clinical signs at any time.
"They need to be aware that dogs don’t necessarily have to eat slugs and snails to become infected, as recent evidence suggest that other routes of transmission are possible.” To improve data on the prevalence of lungworm, Elanco has developed a version of its lungworm map specifically for veterinary surgeons, where you are invited to upload your cases (including asymptomatic positive cases: www.lungwormmap-vet.co.uk.
For those practices which want to run lungworm awareness campaigns in their area, Elanco has a how-to guide, posters and artwork available to download at www.myelanco.co.uk.
FirstVet says the funding will enable it to expand its service globally, including the United States, Germany, and France. It will also allow it to continue developing its product and introduce new features to improve the experience for pet owners and vets, such as new automation tools and integration with clinics' existing systems.
The latest round of financing takes FirstVet’s total funding to-date to €24.5M.
Founded in 2016 in Sweden, FirstVet currently has a presence in five markets: the United Kingdom, Norway, Denmark, Finland, and its native Sweden. The company says it has over 200,000 registered users and has provided consultations for over 150,000 pets since launch.
Currently, FirstVet consultations are offered free to millions of owners through partnerships with 20 insurance companies across all markets, including Bought By Many in the UK.
Co-founder David Prien said: "FirstVet is the first truly neutral stakeholder in the world to coordinate pet care. In what is a highly privatised industry, our reliable service provides value to the entire sector, and we are growing at an incredible rate."
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.
Purina says the foods contain adjusted and graded levels of protein and phosphorus to address the delicate balance of providing needed protein in older cats against uraemic toxin production in late phase renal decline.
The current advice is that phosphate should be restricted when the renal patient has confirmed CKD, and IRIS provides therapeutic serum phosphate targets for each stage.
Dr Ellie Groves BA(Hons) VetMB MRCVS, Purina Technical Manager for the UK and Ireland, said: “As obligate carnivores, cats have a high requirement for protein, however, around 20% of senior cats have decreased ability to digest protein, and so are absorbing less protein.
"An inadequate intake of protein leads to loss of lean body mass as muscle is catabolised to meet this need.
"We know that this loss of lean body mass is significantly correlated with an increased risk of mortality.
"But we need to be careful – in renal disease, there is the potential for protein breakdown products to increase in the circulation, acting as toxins.
"So, we need to fine-tune the amount of protein, depending on the stage of chronic renal insufficiency (CRI).
"A dual approach, with Early and Advanced products, allows tailoring of protein levels.”
“Alongside protein, phosphorus content is also tailored to the stage of kidney decline.
"Restricting phosphorus can slow the progression of chronic kidney disease by reducing morphological damage to the kidneys and is thought to be the most important influencer of survival in cats with CKD.
"The levels of phosphorus in the products, are tailored, alongside the protein, to reflect the needs of the cat, with increased restriction when cats are in advanced decline and the kidneys are struggling most.”
NF Renal Function Early Care is available in a dry format (1.5kg) and a pouch (tender pieces with chicken 85g).
NF Renal Function Advanced Care is available in 1.5kg and 5kg packs of dry food, and ‘wet’ options of tender pieces with chicken/ salmon (85g pouches) and a mousse (195g can).
Both diets are now available in veterinary wholesalers.
Henry won the title in recognition of his work tackling bird flu, as the outbreak of this devastating disease spread across the country this summer.
A total of 140 nominations were received for this year’s Zoetis-sponsored award, which celebrates vets who have made a significant impact in the first stages of their professional career.
The judging panel comprised BVA President Anna Judson, Royal College of Veterinary Surgeons (RCVS) President Sue Paterson, National Veterinary Lead Ruminant and Equine at Zoetis UK Ally Ward, and last year’s award winner vet Hannah Hunt.
In addition to his work tackling bird flu, the judges also acknowledged Henry’s role in encouraging other young vets to join the poultry industry.
After graduating from the Royal Veterinary College (RVC) in 2018, he began working at Crowshall Veterinary Services, Norfolk, providing dedicated consultancy and Official Veterinarian (OV) provision to the poultry/gamebird industry across Great Britain and internationally.
This has seen him working through the recent bird flu outbreaks, holding multiple OV panels, and preparing for export changes associated with Brexit.
Henry is also a mental health first aider and trustee of regional rural mental health charity You Are Not Alone (YANA), deputy rotation lead for the new RVC poultry rotation, which takes its first students in 2024, and is also co-lead of his practice green group through which he has steered his practice to the top Green accreditation for sustainability with Investors in the Environment.
In his role as external lecturer for the RVC, Henry provides opportunities to engage with avian population medicine for new members of the profession.
Henry said: “To be named BVA Young Vet of the Year is a huge honour and it means all the more having heard about the outstanding work, dedication and skills of the other two finalists.
I’m delighted that after a challenging few years the poultry sector has been highlighted tonight, as all those involved have worked tirelessly to overcome the largest animal health outbreak the UK has experienced in recent times - I hope that winning this award will encourage more young vets to consider joining us in the poultry sector.
"It’s extremely rewarding work.”
Henry was shortlisted alongside vet Rebecca Hampson, who co-founded animal welfare charity Veterinary Education Malawi, and equine vet Camilla Church, who set up her own practice, Perth Equine Vets.
BVA President Anna Judson said: “The standard of nominations this year was outstanding. It sounds cliché, but we really did have our work cut out when choosing the finalists.”
Photo: Young Vet of the Year Henry Lamb with finalists Rebecca Hampson, BVA President Anna Judson and Camilla Church.jpg
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
The courses are designed for self-paced learning and include practical hints and tips for treating common animal health issues in companion animals and livestock.
Small animal topics include cardiology, hypertension, dermatology, behaviour and gastroenterology.
Cattle topics include Q fever, reproduction and mobility.
In swine health, content focuses on respiratory health, neonatal disease and zoonotic conditions.
The Ceva Academy also includes downloadable resources, including practice posters, social media content and owner leaflets.
Dan Cripwell, vet channel marketing and technical manager at Ceva, said: “We have consolidated our portfolio of online learning courses and resources into one multi-species portal to give animal health professionals flexible access to high quality CPD and information in one convenient location.”
https://ceva.vbms-training.co.uk/dashboard
There's a complimentary counter top unit and pillow packs to help veterinary surgeons and nurses communicate the benefits of probiotics to clients. The unit can hold a cat and dog 30 sachet box of Purina Pro Plan FortiFlora from practice stock and the pillow packs can be used to dispense single sachets, so the client can trial the product with their pet at home.
At the same time, the company is encouraging vets and nurses to look at the evidence behind the probiotics they recommend. Although carried out a while ago now (2003 and 2011), two studies have shown that other diets claiming to contain probiotics generally did not meet the label claim when evaluated1,2.
Libby Sheridan, MVB MRCVS, Purina Veterinary Technical Affairs Manager, UK & Ireland says the efficacy of probiotics is thought to be strain-specific3 and recommends that clinicians critically assess the evidence for the particular strain and preparation of probiotics stocked or used.
Libby said: "The quality and efficacy of probiotics can vary and while in some cases there is strong evidence for efficacy in the targeted species, for others, the evidence is scant. Having experienced it myself, I know it's not always easy when working in a busy practice to take the time to ensure the evidence is there, but the studies back up that we should assess these things carefully before making a robust recommendation to our clients."
Most of the probiotics commercially available to veterinary professionals use the lactic acid bacterium Enterococcus faecium.
The particular strain and preparation of any probiotic will affect its ability to reach the large intestine, the expected site of action, intact. The evidence for the SF68 strain of Enterococcus faecium has been validated in a number of studies4-11 over recent years. Proven benefits of the SF68 strain include those focused on the gastrointestinal system where it supports canine and feline intestinal health and microflora balance and those with wider implications, such as support for a healthy immune system.
To obtain a unit or discuss the science, contact your Purina Veterinary Nutrition Partner or telephone the Purina Veterinary Nutrition Team on 0800 212161 quoting code VETPRESS.
"We are urgently looking at what these new national lockdowns will mean for veterinary professionals and services, and we are liaising with the Chief Veterinary Officers.
"We aim to issue updated guidance in the coming days but can confirm that we will not be reverting to emergency-only work, as we saw at the start of the first UK-wide lockdown last March.
"Instead, we are developing guidance to support veterinary professionals to carry out work that is essential for public health and animal health and welfare, in the context of the very strong ‘stay at home’ messages from both governments.
"We recognise that this continues to be a very challenging and difficult time for our colleagues, and we want to thank veterinary teams across the UK for continuing to work safely so that we can all play our part in stopping the spread of Covid.
"Once again we thank animal owners for their understanding and ask them to continue to respect their vets’ decisions at this time. The range of services available will vary between practices so that vets can work in Covid-safe ways to keep their colleagues and clients safe."