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 review, which had been due to start in late 2019, will now start in April 2020.
Melissa Donald, Chair of the RCVS Standards Committee (pictured right), said: "Regretfully, as the scope and complexity of the review became clearer following Council’s approval of the project, it was also apparent that the original methodology, and the timetable set for it, was not going to be suitable to the task.
"Therefore, over the past few months, the Standards Committee and College staff have been working hard with the external research agency to revise the methodology and we have now reached the stage where we are confident we have got it right, and can now proceed with the review.
“While we regret the delay, as this review relates to fundamental principles about the provision of veterinary care, it is vital we get it right and that the process is as comprehensive as possible. It is better that it is right than rushed.”
Under the new methodology the review has been split into the following stages:
Melissa added: “Invitations to our regional focus group discussions, which will be selected randomly from amongst the professions by our research agency, will be going out soon and I would urge anyone who receives an invitation to come along and share their views and ideas.”
For further information, see: www.rcvs.org.uk/undercare
Normally, students would be required to complete a minimum of 38 weeks of EMS throughout their degree programme in order to gain real-life work experience to enhance their university-based studies.
Under the circumstances, however, Council has decided to allow a temporary flexibility around completion of EMS:
RCVS President Niall Connell said: “Extra-Mural Studies (EMS) are an important and valued part of the veterinary programme, and all students are required to complete a total of 38 weeks across the full programme.
“However, the health and safety of students and staff are paramount, and we are aware that a number of restrictions are being put in place at this time to ensure their safety and minimise the risk of Covid-19 transmission.”
These measures will be subject to further review/extension depending upon the prevailing situation with the COVID-19 pandemic. The RCVS will monitor the impact of this through EMS completion data provided by UK veterinary schools.
Regarding final exams and assessment, the College says it may be necessary for UK veterinary schools to consider alternative methods to assess students in certain areas, but that UK veterinary schools should continue to ensure that any alternative assessment methods continue to be robust, valid and reliable, and ensure students have met the RCVS Day One Competences.
HSR, which provides emergency and routine specialist orthopaedic and neurology services, now offers video consultations with a specialist and a pet transportation service. It has also introduced strict strict biosecurity and operational preventative measures.
Clare Hamilton, Managing Director, says, “Our priority is to continue to offer gold-standard service for both routine and emergency orthopaedic and neurological cases whilst doing our utmost to limit the spread of Covid-19 as much as possible. We are to all intents and purposes, ‘business as usual’ with additional hygiene measures to protect clients and staff”.
HSR is asking clients that if there is a chance that they have Covid-19 and/or have come into contact with anyone with the virus they do not attend the hospital in person, but instead contact via email or telephone to discuss their pet’s treatment on an individual basis. Clients visiting the clinic are being asked to wait in their cars until their appointment, whereupon the animal is collected from the car by one of the team for its clinical examination. The vets are then speaking to the clients by telephone to discuss and gain consent for any further investigation or treatment.
For vulnerable clients who are self-isolating and in need of their services, HSR is offering a pet ambulance service for collection and drop off of pets. They will then have a video consultation with the specialist. Medications will be posted out and advice given over email or telephone.
Clare added: “We are doing all we can to support colleagues and clients in what are unprecedented circumstances. We recognise the strain on many practices having to reduce the number of appointments in the face of staff shortages. We want to reassure vets that we are happy to offer advice and support with cases, and continue to take referrals during this difficult period. We also have free online CPD for practices via our website as meetings are postponed or cancelled”.
The practice advises clients and referring vets to check for further developments on social media, or sign up to their email list for updates.
Pam Mosedale, Lead Practice Standards Scheme Assessor, said: “We are very sorry for any inconvenience this may cause, but based on the UK Government’s advice and our duty of care to our team of Assessors, as well as team members and clients at veterinary practices, our only option was to postpone and reschedule all visits in the short-term.
"Although we have cancelled all assessments until the end of April, we will be constantly monitoring the situation over the coming weeks, and it is likely that there may be some further postponement of assessments planned for May and beyond."
The Veterinary Medicines Directorate, which carries out assessment inspections of veterinary premises that are not within the ambit of the Practice Standards Scheme, has also confirmed that it has postponed its forthcoming inspections. Further information can be found here: https://www.gov.uk/government/news/the-vmd-remains-open-for-business.
The RCVS Practice Standards Team can be contacted on pss@rcvs.org.uk or 020 7202 0767 for further advice.
The sessions, which are delivered by the company's territory managers and cover things like toxicology, ophthalmology and the management of epilepsy, will now be streamed live to computers, tablets or smart phones.
Product Manager Will Peel (pictured right) said: "We know that concerns over coronavirus are affecting our customers so we want to make it as easy as possible for them to benefit from the information imparted in our Lunch and Learn sessions while normal service is disrupted.
‘We hope that these measures will also help us offer more virtual workshops in the future to make our sessions more accessible for busy veterinary staff and we are looking at the possibility of organising virtual drop ins from our sales team in the future.’
For more information visit: https://www.tvm-uk.com. To rearrange a previously booked session contact your local territory manager or email help@tvm-uk.com.
The College says it will, however, continue to operate as close to normality as possible, with the main support services for veterinary surgeons and veterinary nurses such as advice, lifelong learning (including qualifications and the new 1CPD platform), finance and Practice Standards available as usual over the phone, on email or via the website.
The College’s main statutory activities around accreditation, registration and regulation of the professions will also be largely unaffected, with most Committee, Sub-Committee and working group meetings held by telephone or video conference.
Apparently, however, the April meeting of RCVS Council was going to be too big to be held remotely, so it has been cancelled.
The things that were up for discussion, such as the standard of proof and the report of the Legislation Working Party, will be moved to a subsequent meeting. Should there be any urgent business to consider, Council members have been asked to remain available via email on the date originally scheduled.
The College says it will be deciding whether to proceed with forthcoming DC hearings on a case-by-case basis, to balance maintaining the health and welfare of all involved with the College’s responsibility to protect animal health and welfare and public health.
The College is having to postpone or cancel an increasing number of its events; latest updates and advice for the profession is at: www.rcvs.org.uk/coronavirus.
RCVS Chief Executive Lizzie Lockett, pictured right, said: "We have been planning for this eventuality for some time, so whilst Monday’s announcement from UK Government came a little sooner than expected, we are in a strong position to be able to operate as close to normal as possible.
"We have an excellent and highly committed team of staff and Council members at the College, who I know will continue to work hard from kitchen tables, studies and living rooms over the coming days and weeks to serve the veterinary professions and the animal-owning public.
"Whilst we are fortunate that much of our work can be carried out remotely, we fully appreciate that this is not the case for most veterinary professionals who themselves are currently facing many significant challenges in their daily work to care for the nation’s animals whilst also prioritising the health and welfare of their own teams."
The College is urging all veterinary surgeons, nurses and practices to check they have supplied it with their most up-to-date email address via www.rcvs.org.uk/myaccount so it can relay its latest advice as the situation evolves.
Joii has announced that its free vet nurse consultations and £20 consultations with veterinary surgeons will now be available 24 hours a day. The out-of-hours service will be delivered by eight UK-trained vets based overseas in countries such as Australia, to ensure its UK-based staff continue to enjoy a healthy work-life balance with no interruptions from nighttime working.
Meanwhile FirstVet has announced that for the next six weeks, all consultations via its platform will be free of charge. Appointments will be available for five hours per day, from 12:00pm to 5:00pm.
Veterinary practices that wish to provide their own online consultations have a couple of options to consider: The Virtual Vet Group, and VetHelpDirect.
The relevant section of the Government advice states: "This [key worker status] includes those involved in food production, processing, distribution, sale and delivery, as well as those essential to the provision of other key goods (for example hygienic and veterinary medicines)."
The RCVS/BVA statement, which is intended to help veterinary surgeons decide whether or not they can claim ‘key worker’ status and ask for their children to continue to be taken into schools, reminds veterinary surgeons to consider the wider societal picture and ensure that they only claim ‘key worker’ status if absolutely necessary.
The statement also stresses that the RCVS Code of Professional Conduct responsibility of the veterinary surgeon to take steps to provide 24-hour emergency first aid and pain relief to animals according to their skills and the specific situation continues, and veterinary practices will need to continue to carry out this work. It is important that animal owners are able to focus on their own health, and not need to worry about their pets. Both the RCVS and BVA believe that veterinary surgeons who are providing this essential work can be considered key workers.
The statement in full is as follows:
Veterinary surgeons as key workers in relation to school closures
RCVS and BVA appreciate that veterinary surgeons will feel a great deal of uncertainty at the present time, and that many will be facing considerable difficulties due to the closure of schools for most pupils.
The official government advice can be found here: https://www.gov.uk/government/publications/coronavirus-covid-19-maintaining-educational-provision/guidance-for-schools-colleges-and-local-authorities-on-maintaining-educational-provision.
The guidance emphasises that if children can be at home then they should be, in order to help to prevent the virus from spreading.
The government has granted key worker status by sector rather than profession. Some veterinary work will definitely fall into the ‘key worker’ category. RCVS and BVA are therefore providing some additional advice below, following consultation with the UK Chief Veterinary Officer:
SummaryAt this time the provision of public health and the maintenance of food production need to take priority, and veterinary surgeons working in these areas should be considered key workers.
Veterinary surgeons working in emergency care can also be considered key workers. This will not apply to every veterinary surgeon in clinical practice, and practices may need to consider rationalising their services to achieve this.
The guidance has been welcomed by both the BSAVA and BEVA. David Mountford, Chief Executive of BEVA said: "As veterinary professionals we are duty-bound to provide essential care, relieve suffering and protect the health of the public. Recognition as key workers in such circumstances is welcomed but we would encourage vets to only add to the burden faced by schools where animal welfare is at risk and all other avenues have been explored."
There are eight veterinary surgeons standing in this year’s RCVS Council election, including three existing Council members eligible for re-election and five candidates not currently on Council. They are:
John DaviesDr Melissa DonaldDr Tom LonsdaleProfessor Stephen MayDr Kate RichardsPeter RobinsonDr Richard StephensonDr Kit Sturgess
Ballot papers and candidates’ details for both elections have been posted to all veterinary surgeons who are eligible to vote. Voters have also been emailed unique links the secure voting websites.
All votes must be cast, either online or by post, by 5pm on Friday 24 April 2020.
All candidates were invited to produce a video in which they answered up to two questions submitted to the RCVS by members of the electorate. The videos received so far have been published on the RCVS website at www.rcvs.org.uk/vetvote20 and on the College's YouTube channel (www.youtube.com/rcvsvideos). The candidate statements and biogs, and the questions submitted by members of the profession have also been published on the vetvote20 page.
Eleanor Ferguson, RCVS Registrar and Returning Officer, said: “With all that is happening currently, we are glad to say that we have been able to continue with business as usual as far as the RCVS and VN Councils elections are concerned, albeit with some minor delays on publishing the candidate videos.
Those who are eligible to vote in the RCVS Council election but have not received either an email or ballot paper should contact Luke Bishop, RCVS Media Manager, on l.bishop@rcvs.org.uk
The charity says that it had already been suffering a period of 'dire financial constraints' and the economic effects of coronavirus are now having a direct effect on funding.
The charity's Trustees and Executive Committee is still trying to find emergency funding to try and save the organisation, failing which it will close on the 31st March.
Consultations are delivered online using video conferencing software, with the aim being to provide an immediate diagnosis and treatment plan. However, if a diagnosis cannot be made remotely, or the situation requires intensive medical or surgical intervention, Optivet offers non-contact clinical facilities in Hampshire, London and the Isle of Wight, or will recommend other, closer ophthalmology facilities if necessary.
Optivet says it has the medical and surgical expertise to deal with any ongoing issues and follow-up is provided remotely wherever possible.
Rob Lowe, RCVS Specialist in Veterinary Ophthalmology and founder of Optivet, said: “We have come up with an innovative, non-contact ophthalmology solution for both the present and the future. Optivet’s response time and immediate availability of an ophthalmology specialist is unmatched in the UK.
"Once you become a client, you become part of the Optivet family. Our amazing team will work with you throughout the patient journey to provide the highest level of care.”
For more information, visit: remote.optivet.com
On 23rd March, the Government demanded that the majority of public-facing businesses close their doors. Veterinary surgeries, however, have been exempted and are allowed to remain open.
However, the number of clients seen face-to-face should be kept to an absolute minimum and veterinary teams must insist on strict social distancing measures at all times.
In addition, the RCVS/BVA say that:
The College has updated its FAQs for veterinary professionals, which can be found here: https://www.rcvs.org.uk/setting-standards/advice-and-guidance/coronavirus-covid-19/
The BVA is now developing some further guidance to provide examples of what constitutes routine, urgent and emergency care.
The tool is available to all practices, free of charge.
The downloadable and printable guide chart, which has been created by a number of specialists, will help veterinary surgeons, nurses and receptionists to identify urgent, potentially urgent, non-urgent and delayable cases to help limited veterinary resources be used to best efficiency without compromise to animal health or welfare.
The chart, which can be printed and put on a practice wall or referred to as a webpage via a mobile phone or tablet, has a number of supporting resources produced by the same specialists.
Sue Paterson, BSAVA President, said: “During these exceptional and worrying times veterinary surgeons need as much practical help and support as possible.
"We are hugely grateful for the indefatigable support of an enthusiastic group of volunteers who have rapidly produced this triage tool, which we are now able to share. It should enable patient queries to be processed, reliably and efficiently, allowing for emergency patients to be seen as a matter of urgency, within the current government and RCVS guidelines."
The triage tool is free to download and share: https://www.bsava.com/TriageTool
BSAVA is working on a number of other initiatives to support veterinary professionals during the current crisis, including new guidance on obtaining consent remotely for veterinary treatment. for more information, visit: https://www.bsava.com/adviceforCOVID19
All existing BEVA members will have their membership automatically extended until 30 June 2020. The association is also inviting vets and vet nurses who are not already BEVA members to join as online members free of charge until 30 June 2020.
BEVA President Tim Mair said: “In this extraordinary time of global crisis our profession, as with many industries, is under immense pressure. By offering free membership we are giving equine vets easy access to a wealth of supportive resources and online CPD to help them through these dark times.”
BEVA membership includes:
The association is also looking at other ways to support the profession, which has included making all BEVA Congress 2019 webinars available to members via the BEVA online learning platform.
To sign up from Monday 30 March 2020 visit: https://www.beva.org.uk/Join-BEVA
VetViewer is currently used by over 400 small animal, mixed and equine practices in the UK to track their metrics.
The tool also allows users to run simulations - so for instance if the practice has had to stop offering routine consults, or has a reduced number of vets or RVNS available, they can immediately see the impact on the practice top line.
VetViewer can be used by all practices, independent or corporate, or individual branches. It can track performance for the past 18 months, allowing comparisons to be made with before, during and after the COVID-19 outbreak.
VetViewer Director, Alex Arpino, says the service usually helps practices to thrive but right now offers potential to help them survive: "Many clinics are struggling to know what to do for the best and not knowing the magnitude of the economic impact of their decisions doesn't help.
"Everyone wants to protect their staff but also ensure they have jobs to return to. We can link data from nearly every PMS in the UK to VetViewer and the practice's management team is given access to a portal where they can see the data at a glance. Right now, being able to run simulations is central to current and future planning and could help alleviate stress for many practices managers and owners."
In normal circumstances, VetViewer allows practices to look at their performance over time and the effect of any changes they might make. The company says it can also help practices evaluate where they over and under-perform relative to their region and the UK as a whole.
The data available in VetViewer includes income from food, wormers and flea treatments and other provisions that many practices might find ways to sustain in the coming weeks.
Looking forward to a time when isolation and distancing can be lifted, the tool also shows where there is potential for practices to increase income - whether that's because they are under-charging for consults compared to the regional average, or performing fewer neutering procedures, or under-utilising potential diagnostic or imaging aids.
Such information is likely to be vital to recovery, providing a clear indication of the speed of recovery and the services that are making the biggest contribution to that recovery.
The VetViewer service can be demonstrated remotely by the company's dedicated team of Business Development Managers and the service can be activated at a distance, so practices can set up their account quickly and without any costs, either to set up or maintain.
For more information, visit: www.vetviewer.co.uk / www.veterinaryinsights.com or practice owners or managers can telephone 01403 800135 to make an appointment for an online meeting or to find out more.
The company says the initiative, which is targeted at veterinary professionals and farmers, will be supported by an extensive social media, advertising and PR campaign.
The social media campaign will take the form of social media content, newsletter articles and images for veterinary practices to use on their social media channels and will include information on the cost of dairy cow lameness and tips to manage lameness.
Rose Jackson BVSc DBR CertVBM MRCVS is the farm clinical director at Scarsdale Vets which has already trialled the new materials. She said: “The ‘Wave Goodbye to Pain’ social media content has ensured that we are able to post eye-catching and thought-provoking content to continue to engage with our clients and raise awareness of the ‘triple works’ approach to lameness in cows, which includes using a NSAID such as Ketofen, alongside a trim and block for a more complete recovery from lameness than trimming alone.”
The ‘Wave Goodbye to Pain’ campaign was launched following a study by Nottingham University which revealed that NSAIDs have a synergistic effect when given alongside effective hoof trimming and blocking to treat lameness1.
The study looked at claw horn disease of the hind foot and found that trimming alone resulted in a 69% rate of return to mobility without lameness in 35 days. Adding a block into an effective trimming protocol raised the success rate to 72%; trimming and administering a NSAID raised it to 76%. Interestingly, using all three techniques together - trimming, applying a block and administering an NSAID - resulted in 85% of cases being successfully resolved (Mobility score or 0 or 1).
Gemma Robinson BVM BVS MRCVS, ruminant veterinary adviser at Ceva Animal Health, said: “The study highlights that effective and prompt pain relief with NSAIDs can quickly help restore animals back to full productivity. Attitudes on the use of pain relief have changed significantly over the last 10 years and dairy farmers can have a positive influence by ensuring they recognise the value of NSAIDs and prioritise their use on-farm. It is important that vets discuss NSAIDs with their clients, both to manage illness and for routine procedures, and our ‘Wave Goodbye to Pain’ campaign will help encourage farmers to think about their current pain management plan, take action and seek help from their vet.
“Some concerns have been raised that the issues associated with antimicrobial resistance and antibiotic administration are causing farmers to avoid the use of all injectable treatments. We need to be clear that NSAIDs are anti-inflammatories, not antibiotics, and it is important they are used for pain management, fever and the clinical signs associated with many common conditions. With zero milk-withhold NSAIDs available - there really is no reason to hesitate when it comes to administering pain relief in otherwise healthy cattle.”
For more information on the ‘Wave Goodbye to Pain’ campaign visit the website designed for farmers (www.wavegoodbyetopain.co.uk), contact your local Ceva territory manager or call 01494 781510.
To request a copy of the ‘Wave Goodbye to Pain’ social media pack (including pre-developed posts and images which you can send out to your own clients), speak to your Ceva territory manager or email: cevauk@ceva.com with your name, practice name and address details.
References
RSPCA Chief Veterinary Officer, Caroline Allen, today praised the vets and nurses who are providing essential care to animals through the crisis.
She said: “This is an incredibly challenging time for the RSPCA, trying to advise the public and keeping emergency services going with fewer staff, strained resources and in line with Government advice.
"I know this is equally stressful and challenging for vet staff too and I wanted to say a huge thank you from everyone at the RSPCA for your hard work, dedication and support you are giving the RSPCA.
"Our call centre team and officer are working hard to maintain a frontline animal welfare service, but we know there may be occasions where we are unable to attend and this may impact demand on the local vet practice."
Current guidance from the BVA defines emergency and urgent treatment as:
Caroline continued: "There are some circumstances particular to the RSPCA, such as animals that have been subject to abuse or severe neglect, or injured/unwell unowned animals, that may not initially appear to be such an “emergency” in the traditional sense, but our officers will only be collecting them if there is considered to be ‘significant impact on health/welfare and likely to deteriorate if left unmanaged’ as covered by the BVA emergency criteria. We would greatly appreciate your support in ensuring we can protect the welfare of these animals.
"Our National Control Centre will also be following the guidance from the BVA and will be limiting, wherever possible, sending members of the public to vets. However, on occasions where there is a welfare need that would justify an essential journey, we will always ask members of the public to call practices first and follow their social distancing protocols.
"For vets who provide care for our shelters and private boarders we understand the support available will be limited, we will be producing further advice for our teams around options, including remote support.
"We do understand and appreciate the current restrictions being put in place by the BVA and we do understand the very serious strain on practices and teams at this time and we hope that we can continue to work together during this unprecedented time."
The annual minimum requirement for vets will be reduced from 35 to 26 hours of CPD, while that of veterinary nurses will be reduced from 15 to 11 hours. The reduction comes into force immediately.
A similar 25% reduction will also be introduced for veterinary surgeons holding Advanced Practitioner or RCVS Specialist status.
The decision to reduce the hours was made by the new RCVS Council COVID-19 Taskforce, chaired by RCVS President Dr Niall Connell, which was set up in order to make temporary policy decisions related to the pandemic in a quicker and more agile way. The proposal had previously been considered and supported by the RCVS Education Committee, VN Council and CPD Policy Working Group.
Niall said: “A number of veterinary surgeons and veterinary nurses expressed concern that it may be difficult to undertake CPD at present and so, in order to give the professions some breathing space, we decided we would reduce the minimum hours required for 2020. We also recognise that some practices are having to make the difficult decision to reduce their CPD budgets this year in response to falling footfall.
"However, it is worth reiterating that CPD need not be expensive or require physical attendance at lectures, congresses or other events. There are many online providers of CPD and other resources such as articles and webinars, some of which may be free. The key is that the CPD is relevant to you and enhances your professional practice and so we would still encourage all our members to undertake CPD as and when they can."
The policy will be under regular review and may be extended further if the circumstances demand. Those with any questions on the policy change should contact the RCVS Education Department on cpd@rcvs.org.uk
A full range of FAQs on the COVID-19 pandemic and the impact on the veterinary profession are available to view at www.rcvs.org.uk/coronavirus
Normally only accessible by ISFM members, the channel has been opened up as a free resource to help vets keep on top of CPD and includes over 40 webinars presented by internationally recognised veterinary specialists.
Topics include: anaesthesia and analgesia, behaviour, emergency and critical care, feline medicine and neurology. Each webinar is worth 1 hour of CPD and you get a certificate.
The channel includes a new webinar: ‘COVID-19 – helping cats cope’ which looks at how you can advise owners to help their cats deal with changes at home.
ISFM’s Feline Medicine Consultant, Sam Taylor said: "ISFM is committed to educating veterinary professionals on all things feline, so we are delighted to be able to bring some of our normally member-only benefits to a wider audience during this challenging time."
To register for the ISFM webinar channel, visit: https://icatcare.org/event/isfm-vet-webinars/
The measures agreed by RCVS Council will allow UK-practising members to spread the cost of renewal over three instalments: paying 50% of the full cost by 30th April, 25% by 30th September, and the remaining 25% by 31st December.
Kit Sturgess, Treasurer, said: “We recognise that most veterinary businesses will be seeing a downtown during the coronavirus (COVID-19) lockdown, especially as veterinary practices reduce their workloads to emergency-only procedures or those that can be classed as urgent. Furthermore, we understand that many individual veterinary surgeons will no longer be working, and that this will cause financial difficulties for many vets and their families.
"We appreciate that this is a very difficult time for the profession, and as part of our compassionate approach to regulation we wanted to do our bit to help people manage the difficult financial consequences of the coronavirus crisis, and to help them to return to work as soon as Government advice allows. While fees for veterinary nurses are not due until the end of the year, we will keep the impact of the coronavirus pandemic under review on an ongoing basis.”
Any UK-practising member wishing to switch to the payment-by-instalments system should cancel their existing Direct Debits immediately (the College has already temporarily deferred these direct debits for around 10-14 days to allow time for them to be cancelled).
The College says that any member who does not pay the first instalment of 50% of the total fee by the end of April will need to pay the full amount in one instalment by the end of May. Should they then fail to make this payment, the College would then have to remove their name from the Register.
Those who pay the initial 50% instalment but fail to pay one or both of the subsequent 25% instalments will be moved to the non-practising Register for up to one year. This would mean that they could transfer back to the UK-practising Register without incurring a restoration fee. However, they would no longer legally be entitled to practise as a veterinary surgeon while on the non-practising Register until they had paid the retention fee in full and been transferred back to the UK-practising Register.
RCVS Council also agreed that the higher fee that usually applies for late payments, ie those made between 1 May and 30 May, will not be applied to any category of membership this year.
Members can opt to move to the new arrangements or continue with full payment. Details of how to pay under the new arrangements will be sent to members shortly. Any member who has already paid their fee in full and would like to switch to the payment-by-instalments mechanism should contact the College on refunds@rcvs.org.uk.
Further details about the scheme are available in a detailed Frequently Asked Questions guide via www.rcvs.org.uk/coronavirus.
COMMENTIt has been argued that at a time when many veterinary surgeons have lost a significant part of their livelihood, the College should have gone further and reduced the renewal fees, at least for the period of time that vets' earning ability is compromised. I'm not qualified to judge whether the College could have afforded that, and a spokesman would only say: "...we have to work within the framework of the legislation and the statutory instrument and, given this, the measures that RCVS Council has put in place is a reasonable outcome and will assist veterinary surgeons who may be struggling during these very tough times."
By offering an alternative to face-to-face consultations, VetHelpDirect's online consultation platform provides a means to continue to care for animals while protecting both clients and vet practice staff and still maintaining revenue streams.
The system can be used by clients on most smart phones or tablet devices. Clients can book online or be sent a link by the practice, and payment taken online before the consultation starts.
Transactions on the platform are subject to a 4.8% platform fee and at the end of the 3 month free period, the service costs £20 per month. In addition, to continue using the service, practices need to be registered on the VetHelpDirectory, which costs £38 per month for the first branch and £16 for each additional branch.
For more information, visit: bit.ly/VHD_registration, where you can 'self onboard'. On which note, I will disembark.
Investigation of the relationship between ionised and total calcium in dogs with ionised hypercalcaemia1 was undertaken by Tørnqvist-Johnsen et al. at the Hospital for Small Animals, University of Edinburgh, UK.
Initially, a normal reference interval for ionised calcium, total calcium and albumin, serum and plasma biochemistry was established by analysing samples from 351 healthy adult dogs.
After establishing a reference interval for ionised calcium, the laboratory’s database was searched for adult dogs with ionised hypercalcaemia that had attended the university small animal hospital between 2012 and 2017, a time frame when the same sample handling protocols and instrumentation was in use. The hospital records were searched for patient information and the biochemical parameters statistically analysed.
Of 63 dogs identified with ionised hypercalcaemia, 23 did not have a total hypercalcaemia (37%). 16 of these 23 dogs (70%) had albumin within the reference interval. To summarise the key findings; using total calcium, one third of patients with ionised hypercalcaemia were not identified. There was also no significant relationship between albumin and total calcium in these cases.
Camilla Tørnqvist-Johnsen, lead author of the paper, said: "Hypercalcaemia is a very important clinical abnormality, often revealing severe underlying disease in dogs who do not get idiopathic hypercalcaemia. This study reveals the true importance of doing an ionised calcium measurement when evaluating calcaemic status."
Nick Jeffery, Editor of JSAP said: "This study demonstrates that, if relying on total calcium alone, more than one third of dogs with ionised hypercalcaemia will be classified as normocalcaemic. Furthermore, the study demonstrates that the discordance between ionised and total calcium cannot be routinely explained by a low protein-bound component.
"Whilst reference intervals are key in clinical practice to determine whether a result is an outlier from 95% of a healthy population, it is not inevitable that a patient with an outlying biochemical test result has a clinically relevant disease."
The full article can be found in the April issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13109
Reference
The weekly sessions will offer practical guidance for veterinary surgeons and nurses about how they can manage chronic cases in line with guidelines issued by the Royal College of Veterinary Surgeons, the British Veterinary Association and the government.
Dechra’s Veterinary Technical Advisor Emily Casey BVM&S MRCVS will present the first webinar tackling Addison’s disease on Thursday April 2 from 1pm to 2pm and again from 7pm to 8pm. It will be available to watch again or download via the Dechra Academy.
It will include advice on how to stabilise patients and administer Zycortal while respecting government guidelines, including prioritisation of blood testing, use of telemedicine and provision of additional owner support. Each webinar represents one hour of CPD.
Dechra’s Technical Services Manager Jamie Walker said: “Since the outbreak of coronavirus began, we have received a large number of calls from practices wanting advice and guidance on how they should be managing chronic cases at this time.
"Our case management webinars will offer practical advice on a number of common small animal issues and aim to provide reassurance and support to veterinary professionals at this challenging time."
Further webinars will be held each Wednesday in April.
To register for the free webinars visit www.dechra.co.uk/events.
XLVets has called on experts in people development, legal, IT and HR, as well as its practice owners, managers and team leaders to develop a package of coronavirus resources. The package includes guidance and best practice, tips offered by XLVets members, expert guidance in the use of technology to support home workers, access to the XLVets Thriving in Practice wellbeing initiative and more.
To access the resources at www.xlvets.co.uk without charge or obligation, email admin@xlvets.co.uk.
Colm McGinn (pictured right), from XLVets said: "We are very good at working together to develop solutions for problems and supporting each other. This is a national challenge and while our members have faced some difficult decisions, they've been able to share that decision-making process with their peers, calling on them for ideas, guidance and support.
"It's a big ask for just one or two partners to interpret the guidance in a rapidly changing environment and to stay informed about advice from regulatory bodies and associations. We've all benefited from sharing knowledge and it's lifted some of the pressure that comes from taking individual action, while still having freedom to do what's right for your own practice and people. I can't think of a better time for us to share our learning and resources for the greater good."
For more information, visit: https://www.xlvets.co.uk/the-boss.