The threshold values for diagnosis of the disease currently vary dependent on the season, but Waltham says these new findings suggest that diet should also be considered.1
PPID, formerly termed Equine Cushing’s Disease, results from a change in hormone regulation in the pituitary gland, which is situated just below the brain. In healthy equids, the release of some hormones from this gland is controlled through another; dopamine. However, in those with PPID, there is a reduction in the amount of dopamine released. This, in turn, removes the restriction of the hormones from the pituitary gland. One such hormone under this control is adrenocorticotropic hormone, ACTH.
A simple baseline ACTH test is often used to diagnose PPID, with a result above a certain level deemed as positive. However diagnosis is not clear cut as there is a grey area between the threshold for normal and positive results.
Diagnosis can also be challenging because the circulating concentration of ACTH is seasonal, peaking in the Autumn. It is also known to vary with stress, exercise and nutritional state (fasted or fed). When the results lie in the grey zone (between the maximum normal and the minimum disease level), a modified test can be used. This involves measuring the ACTH level before and after administering thyrotropin-releasing hormone (TRH). TRH stimulates the release of hormones from the pituitary gland for all horses. However, the subsequent increase in the circulating ACTH is much greater for those with PPID, even in the early stages of the disease, than healthy animals.
The research investigated the impact of different factors on ACTH levels. Eight senior horses and eight adult horses were all fed grass hay and a rotation of four complementary feed options over seven weeks. The base diet was a low starch and sugar pellet fortified with vitamins and minerals. Horses were fed either the base feed alone or in reduced amounts with one of three options; feeds rich in sugar, starch or fibre. All diets provided the same amount of total energy. The effect of each of these on the ACTH concentrations at specific time points was measured.
As expected, the ACTH in the blood from the senior horses was higher than for the adults. As with previous studies, the level of ACTH was raised in October (Autumn) compared to March, May and August, regardless of age. However, the results revealed that diet can also influence the ACTH levels in horses. The senior horses had much higher levels of circulating ACTH when fed the starch rich diet compared to the adult group at the same time of the year.
Reference
The campaign comprises a series of short videos featuring equine behaviourist Gemma Pearson MRCVS. The videos demonstrate quick and simple ways of teaching horses to be quiet, relaxed and safe for injections, clipping, worming, examinations and other veterinary procedures.
Equine practices can share the video links with clients here.
According to a paper published in the journal Equine Veterinary Education in January, an equine vet may expect to sustain between seven and eight work-related injuries that impede them from practicing, during a 30-year working life.1
This is far a higher figure than other civilian occupations such as the construction industry, prison service and the fire brigade.
Bruising, fracture and laceration to the leg or the head were the most common injuries reported with the main cause being a kick with a hind limb. Nearly a quarter of these reported injuries required hospital admission and 7% resulted in loss of consciousness.
David Mountford, CEO at BEVA said: "Many accidents reportedly occur when vets are trying to work with horses who have learnt to avoid examination or treatment and where handlers are not in full control. Gemma’s work at the Royal (Dick) School of Veterinary Studies and her amazing videos show how a little preparation can have a big impact on horse, owner and vet safety.”
David Catlow, Blue Cross director of clinical services, said: "These videos are a superb resource to help with behaviour training in horses and to help them remain calm and manageable in all sorts of circumstances. Time spent on behaviour training of horses, using positive reinforcement methods such as these, is time well spent for everyone’s safety. Blue Cross invests a great deal of time in behaviour training on the horses we rehome, and it works."
The seven practical videos cover how clients can train and prepare their horse for:
David Mountford added: "These videos make interesting viewing for vets as well as horse owners and build on Gemma’s eBEVA webinar "Practical Equine Behaviour" and the Guidance on Managing Equine Risks that BEVA has produced.”
You can watch the videos here.
Photo: Equine vets Malcolm Morley and Gemma Pearson
The Investigating Committee and the Disciplinary Committee are responsible for conducting desk-top investigations and disciplinary hearings in response to complaints, disclosures and notifications that may amount to serious professional misconduct by Registered Farriers.
As the Royal College of Veterinary Surgeons did in 2015, the FRC is splitting off its disciplinary functions from that of its Council, meaning it now needs to recruit new members to perform the role.
More information is available in VetSurgeon Jobs, here.
The YuMOVE ADVANCE 360 range contains a new combination of ActivEase Green Lipped Mussel extract and purified fish oil to provide a concentrated, sustainable source of Omega 3 EFA’s and higher levels of essential fatty acids, ETA, EPA and DHA.
Lintbells says that these ingredients, together with other additions to the formula, aid the body's own natural anti-inflammatory process to soothe stiff joints. The company says the new product is clinically proven to work within six weeks.1
Lintbells Product Marketing Executive Gemma Cunningham said: "It’s important that the company keeps innovating. This new launch reflects Lintbells commitment to take quality to the highest level and to invest in research and development to constantly improve the products available to practices."
YuMOVE ADVANCE 360 is available as a palatable tablet for dogs that is accepted like a treat by 86% of dogs.2. The cat product is well accepted by 86% of cats3 and is presented in a capsule that is broken to allow the contents to be sprinkled on food.
Lintbells Veterinary Director, James Howie, says YuMOVE ADVANCE 360 can be recommended with confidence as part of a multimodal approach to joint management: "We want to provide practices with the best and most advanced formulations with proven outcomes.
"YuMOVE ADVANCE 360 is highly bioavailable, benefits from full traceability and purity assessments and is made with real expertise using the highest quality ingredients. It makes sense to make it veterinary exclusive and put it into the hands of professionals who can recommend it to the animals that will benefit most."
YuMOVE ADVANCE 360 Dog and YuMOVE ADVANCE 360 Cat are expected to be available to order from veterinary wholesalers on 5th February 2018. For further information practices should contact their Lintbells Veterinary Business Executive or call 01462 790886.
References
iRecall Consent Management falls into two parts: an initial three staged campaign to gain clients' consent before the 25th May deadline, then ongoing maintenance of the database, managing existing clients' communication preferences and gaining consent for new clients.
Thereafter, iRecall will cross reference consent and communication preferences for any iRecall-powered outbound marketing communication for a practice.
Practice-branded client consent requests are created in real time using live practice data and are personalised for each individual client and their pets.
Consent Management uses the company's SMARTdelivery technology to maximise response rates: first selecting the best delivery method (SMS, email or letter) for each client, based on current information in the practice management system. If a message fails to send because of an invalid number or email address, Consent Management automatically selects the next delivery method.
iRecall says Consent Management already interfaces with the six leading practice management systems, and can interface with any system on request.
Jamie Crittall, Director of Virtual Recall and himself a practice owner said: "Practices need to stop thinking that GDPR is a burden but see it as opportunity to forge stronger relationships with their clients and helping them to keep their pets healthy. Practices who treat their clients’ personal data with the same care that they show their pets will be rewarded with greater trust and loyalty, ensuring the future success of their business. Furthermore, it’s the perfect opportunity for practices to re-engage with previously lapsed clients to make them active and loyal once more - a massive value add."
For more information, visit: http://www.virtualrecall.com/
The 18,000 sq ft centre's facilities include a £1 million imaging suite with state-of-the-art MRI and CT scanners, five operating theatres and extensive kennelling facilities and cat wards. It is also equipped with fluoroscopy equipment with additional mobile C-arm, mobile digital radiography, a Phaco machine and Mindray WATO anaesthetic equipment.
A total of up to 80 staff will be employed at Paragon, including up to 18 referral veterinary surgeons and 32 nurses. Treatment will include ophthalmology, orthopaedics, soft tissue surgery, cardiology, neurology, medicine, oncology and dermatology.
The centre, which is part of Dewsbury-based Calder Vets, which has 12 practices across Yorkshire, is being led by managing director Ian Monteith and clinical director Adam Bell.
Adam said: "The opening of Paragon is the culmination of an 18-month project to bring the very best quality referral veterinary centre here to Wakefield.
"We’re delighted to open our doors and the team here at Paragon Veterinary Referrals are totally committed to, and looking forward to, providing excellent care for patients using the latest veterinary techniques."
For more information about the services Paragon will be offering, and for details of the vacancies on offer at the vet centre, as well as Continuing Professional Development (CPD) opportunities, visit www.paragonreferrals.co.uk.
The first is Design Hub, a self-service marketing portal which allows practices to choose from a variety of designs for posters, social media posts and other collateral and brand them with the practice logo. The portal includes a planner which details noteworthy dates, veterinary campaigns and events that practices might want to include in their marketing plans.
Member practices using the new portal during February also have the chance to enter a competition to win £500 Love2shop vouchers.
The second resource is a pets portal which the company says will make it easier to access live information about pets enrolled on its health plans, make administrative changes, process refunds or cancellations and soon, add new pets.
From July the pets portal will compatible with tablets and other mobile devices, so practice staff can move out from behind the desk and have conversations with pet owners in the waiting or consulting rooms.
Paul Bates, Practice Development Specialist, said: "We had already identified that practices wanted to be able to register plans and change details online. It was important for us to also ensure that the tool we developed had the desired functionality and was robust enough to handle large volumes of data being entered simultaneously across the country.
"We also wanted it to be fit for purpose so that if we want to develop more advanced features going forwards, we don’t have to recreate the wheel and can build on what we have already. The portal will be really useful in its own right and gives us a great launching pad for future development."
To access the new portals, email: pethealthplanscomms@denplan.co.uk, or contact your Simplyhealth Professionals Practice Support Advisor or Business Development Consultant.
For more information about Simplyhealth Professionals visit http://www.pethealthplans.co.uk/vets.
Equine glandular gastric disease is a complex syndrome that is distinct from gastric ulceration. A number of studies now indicate that it is an inflammatory gastritis, predominantly at the gastric outflow, which has different causes and risk factors from gastric ulcers. As such, medication effective in treating gastric ulceration may be less effective for this specific condition.
The clinical signs of EGGD are diverse and non-specific and may be mild or recurrent. They may include changes in temperament, changes in rideability, unexplained weight loss, reduced appetite or cutaneous sensitivity manifesting as biting of the flanks or resentment of girthing, grooming, leg aids or rugging. Recommendations for reducing the prevalence of disease, based on putative risk factors, include providing rest days from work, maximising turn-out, minimising management changes and other potential stress factors and minimising changes in equine companions and human carers.
The new guidelines have been published by a group of equine medicine specialists, based on a review of published and unpublished evidence. The intention is to provide veterinary practitioners with up-to-date guidance on risk factors, diagnosis, treatment, dietary management and prevention of EGGD.
David Rendle, an internal medicine specialist at Rainbow Equine Hospital in North Yorkshire who chaired the group and is a consultant editor of UK Vet: Equine said: "Our findings challenge long-standing dogma on EGGD, a condition about which there is currently very little advice available to vets and horse owners. It is becoming increasingly clear that the distinction between disease of the squamous and glandular mucosa is important clinically and the group felt that updated guidance may help to improve management of EGGD in practice."
Provision of evidence based clinical guidelines should enable practitioners to adopt more standardised and logical approaches and base EGGD management decisions on the most current data.
Professor Josh Slater, Professor of Equine Clinical Studies at the Royal Veterinary College said: "Clinical guidelines are commonly used in human health care and have been shown to improve clinical outcomes by condensing data from large numbers of research publications and promoting rapid adoption into clinical practice. These new guidelines represent a step forward in the management of this complex condition by combining a consensus of expert opinion with the best available current clinical research and evidence."
Mark Bowen, Professor of veterinary internal medicine at the University of Nottingham who is based at Oakham Veterinary Hospital said: "Whilst the panel hasn’t come up with miracle cures there was universal agreement that new treatment options have to be integrated in a logical and responsible manner."
"Our understanding of this condition is in its infancy but we hope that the summary document, which also highlights the gaps in our knowledge, will provide a useful framework for vets to follow and will be a stimulus for future research."
The guidelines can be found here: https://www.magonlinelibrary.com/doi/full/10.12968/ukve.2018.2.S1.3
Photo: Marked multi-focal depressed haemorrhagic and fibrinosuppurative lesions
Interested parties are invited to share their views by the 2nd May 2018.
The ban is being explored by the government as part of a package of reforms designed to drive up animal welfare standards.
A number of other measures to tighten up the regulation of puppy breeders are also being laid before Parliament today, to come into force later in the year:
Banning licensed sellers from dealing in puppies and kittens under the age of eight weeks;
Ensuring that licensed dog breeders show puppies alongside their mother before a sale is made;
Tackling the sale of weak underage puppies and the breeding of unhealthy dogs and dogs with severe genetic disorders;
Introducing compulsory licensing for anyone in the business of breeding and selling dogs;
Requiring puppy sales to be completed in the presence of the new owner, preventing online sales where prospective buyers have not seen the animal first;
Insisting licensed dog breeders can only sell puppies
Environment Secretary Michael Gove said: "We need to do everything we can to make sure the nation’s much loved pets get the right start in life. From banning the sale of underage puppies to tackling the breeding of dogs with severe genetic disorders, we are cracking down on sellers who have a total disregard for their dogs’ welfare.
"This is a further step to raise the bar on animal welfare standards. We are also introducing mandatory CCTV in all slaughterhouses and increasing maximum prison sentences tenfold for animal abusers."
BVA President John Fishwick said: "As vets, we see first-hand the tragic consequences that can result from poorly bred puppies so it’s encouraging to see the Government announce this raft of measures to improve dog welfare.
"We support the principle that puppies should not be sold by third parties, but this is a complex area that must consider advertising, internet sales and pet owners’ buying habits to ensure illegal puppy sales won’t be driven underground.
"Effective legislation must be backed by enforcement, so it’s essential that local authorities are equipped with adequate resources to help guarantee the welfare of millions of dogs across the UK.
The consultation can be found here: https://www.gov.uk/government/consultations/banning-third-party-sales-of-pets-in-england-call-for-evidence
In addition, less than half of those surveyed knew the correct temperature for vaccine storage, showing there is a lack of knowledge surrounding standard procedures.
Paul Williams, MSD Animal Health UK technical manager for ruminants said: "Failing to maintain the correct fridge storage temperature compromises vaccine effectiveness and consequently animal health.
"In a significant number of farm fridges monitored, the temperature was elevated to 80C for long periods of time, with the maximum fridge temperature recorded being 240C.
"In the worst cases, over 60% of fridges had been at 0 0C or below 0 0C long enough for vital contents to freeze. When the temperature is too high, vaccines become ineffective. If frozen, the vaccine is destroyed.
"This research shows we have work to do in educating customers about how to store vaccines and I encourage all farmers to check their farm fridge temperatures.
"To promote better practice, we’ve launched an awareness campaign called Fridge Check to educate farmers on the importance of storing vaccines correctly.
"The campaign is being promoted by Disease? Not On My Farm!, an initiative helping farmers take a more proactive approach to preventing disease on farm."
To find out more, visit the Disease? Not On My Farm! Facebook and Twitter pages or follow the hashtag #FridgeCheck for more information about how to store vaccines correctly.
There is a need to raise farmers’ awareness of correct vaccine storage temperatures. Williams P. (MSD Animal Health), Paixao G. (University of Bristol).
The Ruminant Wellbeing Achievement Award will be offered to a practising veterinary surgeon or a researcher in veterinary science, animal science or related disciplines to recognise his/her achievements in advancing the well-being of ruminants.
The Ruminant Wellbeing Research Award will be offered to a recent PhD graduate in veterinary science, animal science or related disciplines that made an exceptional contribution to the scientific knowledge on ruminant well-being.
The winners will be awarded with a €10,000 cash prize. Travel expenses to attend the meeting and awards ceremony (which coincides with the World Buiatrics meeting) will also be covered.
Scott Deakin, Metacam brand manager at Boehringer said: "Farm animal wellbeing is at the heart of efficient and effective production and Boehringer is delighted to have led the way in raising the importance of this over the last 10 years and is committed to doing so for the next 10 years and beyond.
"By linking with the World Buiatrics Association for the first time and offering two awards at the Wellbeing Forum, we believe the company is offering an exciting and valuable opportunity for vets and we look forward to receiving a large number of interesting applications."
Veterinary surgeons can apply directly or nominate a colleague at: www.farmanimalwellbeing.com.
An independent jury will decide on the winner.
The deadline for applications is 28th February 2018.
Fiproclear Combo, which contains fipronil and S-methoprene, is licensed for use on cats and dogs and can also be used to treat and prevent fleas and ticks on ferrets.
Norbrook says the new product provides effective protection from new flea infestations for up to eight weeks on dogs and four weeks on cats, while protecting against certain ticks for up to four weeks on dogs, and two weeks on cats.
Monica Whistler, Norbrook Marketing Product Manager, said: "With its triple-action approach, Fiproclear Combo kills adult fleas, ticks and biting lice. The addition of S-methoprene to the already-trusted ingredient fipronil, breaks the flea life cycle in the home by ensuring that any eggs laid by the fleas, which have come into contact with the product are infertile, and by preventing development of flea larvae within a pet’s surroundings.
"Adult fleas on pets are killed within 24 hours whilst newly arrived ticks are killed within 48 hours of attachment – before the main risk period of disease transfer. Ticks rank second only to mosquitoes as insects that spread infectious diseases to both pets and people1; the most common of which is Lyme disease."
Norbrook highlights research which showed almost a third of cats suffered from ectoparasites2, while around one in every three dogs are affected by ticks3, and that many traditional treatments do not help break the flea life cycle in the home.
Monica added: "Typically, by the time an owner notices a flea problem, an infestation has already been present for up to two months. At that point the visible adult fleas on the pet are only part of the problem, with 95% of the parasites already living in the home itself as eggs, larvae and pupae."
The awards celebrate the achievements of remarkable people from the farming, veterinary and charity industries, who go beyond the call of duty to better the lives of animals around the world. Nominations were submitted by friends, family, clients and colleagues.
Spanning six categories, the shortlist for the 2018 Ceva Animal Welfare Awards is as follows:
Chris Laurence Vet of the Year Award supported by Your Dog and Your Cat magazines
Vet Nurse of the Year Award supported by Agria Pet Insurance
Charity Team of the Year supported by PDSA
Charitable Contribution of the Year supported by Blue Cross
Farm Animal Welfare Award supported by R.A.B.I. and NADIS
International Cat Care Welfare Award
International Cat Care will be choosing the winner of this award from its extensive membership base. The winner will be announced at the awards’ ceremony.
In addition to the scheduled categories, the judges have granted one additional award in special recognition of an individual’s lifetime commitment to animal welfare.
The shortlist for each award was decided following a day of deliberations by a panel of judges chaired by retired veterinary surgeon, Chris Laurence MBE FRCVS. Chris is chairman of the Animal Welfare Foundation, the Canine and Feline Sector Group of the Animal Health and Welfare Board and BVBA (British Veterinary Behaviour Association) and before retiring he was chief veterinary officer at the RSPCA and veterinary director of Dogs Trust. He is also involved in a number of charities and is a trustee of the Pet Blood Bank and the Bella Moss Foundation.
Chris said: "Judging the ever-increasing number of nominations takes a lot of work, just to read them all let alone deciding who should go forward as a finalist. The standard of nomination improves every year and each is an inspiration to the judges because of the selfless effort put in by each nominee to improve animal welfare, often in the most difficult circumstances."
Cuneyt Seckin, managing director of Ceva Animal Health, added: "Year-on-year we are amazed and humbled by the individuals and organisations who dedicate their lives to enhance and improve animal welfare both in the UK and abroad. We are delighted to be able to honour these people, while highlighting their important work to a wider audience."
The winners will be announced and presented with their awards during a ceremony held in Birmingham ahead of BSAVA Congress on 4th April 2018.
To find out more about the awards, visit: www.cevawelfareawards.com.
BEVA says it was aware, from both younger members and their employers, that there were some equine fields, for which the association had no courses, where newer graduates were lacking in clinical skills.
The new Equine Practice Fundamentals Programme comprises 10 individual CPD courses with a mix of lectures and hands-on practicals. BEVA says it builds on the broad training delivered by the universities to specifically provide the pragmatic knowledge and hands-on clinical skills needed by those in the early stages of an equine veterinary career.
The content was designed on the back of consultation with over 60 senior practitioners from across BEVA’s membership.
The average senior practitioner rated the likelihood that they would encourage recent graduates to attend the programme as 9/10 and BEVA says feedback on the initial course proposal was highly encouraging.
The courses cover:
David Mountford, Chief Executive of BEVA, said: "Because BEVA doesn’t seek to make a profit on its CPD we can deliver an outstanding programme that is both highly regarded and affordable. We anticipate that the series will become essential CPD for those looking to establish themselves in equine practice, for practices looking to support the development of new staff, and for employers looking to differentiate between candidates."
The first five courses will be running during 2018 and again in 2019 together with the remaining five. The full series of ten courses can be booked at a discounted rate. Alternatively, each course can be booked individually.
For further information visit https://www.beva.org.uk/Home/Education/CPD/The-Fundamentals-of-Equine-Practice
NDSR’s European Specialist in neurology and neurosurgery Niklas Bergknut is performing the surgery.
He said: "This type of surgery for dogs is not performed in many clinics across the country.
"The pituitary gland is, of course, a very small gland which is very close to the brain, so it requires considerable expertise to perform the operation, followed by a lot of after-care to help the animal recover properly after surgery.
"The pituitary gland produces hormones which are essential for life, so it is then vital to constantly monitor the dog, its blood, hormones and fluid levels both during surgery and for a longer period after surgery.
"Although surgery may be challenging, the aftercare can be even more challenging and requires very skilled internal medicine specialists to manage the patients after surgery.
"Our medics and nurses carry out various blood tests and manage the fluid balance every hour after surgery and all the way through to the dog going home.
"Every department in the hospital has to work closely together to ensure the best possible treatment and the best possible outcome."
Niklas, who learned the technique from Bjorn Meij, Professor of Surgery at the University of Utrecht, described how the operation is performed. He said: "We go in through the mouth, up through the soft palate and into the underside of the cranium. Then you drill a little hole to access the tumour that way.
"It is obviously essential to make sure you are in exactly the right place or the outcome could be disastrous.
"It is also important to operate as early as possible before the tumour gets too big.
"Trying to remove a big tumour is more difficult and holds greater risks because of the damage that can be done to the surrounding brain in attempting to remove the tumour."
Niklas says that if surgery is successful, the results are impressive, with most dogs making a full recovery and not suffering any recurrence of the tumours, a better outcome than treating the dogs with traditional methods such as radiotherapy.
He added: "Removing the tumour like this is the only way of permanently treating tumours of this type. Radiotherapy is very good too but there is a much larger likelihood of the tumour growing back."
For more information, visit www.ndsr.co.uk.
There are 10 candidates standing in this year’s election, including four existing Council members eligible for re-election and six candidates not currently on Council. They are:
Mr David Catlow MRCVS
John C Davies MRCVS
Dr Mandisa Greene MRCVS
Miss Karlien Heyrman MRCVS
Professor John Innes FRCVS
Dr "Not Again" Thomas Lonsdale MRCVS
Dr Susan Paterson FRCVS
Mr Matthew Plumtree MRCVS
Mr Iain Richards MRCVS
Colonel Neil Smith FRCVS
The biographies and statements for each candidate can be found at www.rcvs.org.uk/vetvote18.
At the time of writing, the College is still waiting for the Legislative Reform Order (LRO) concerning its governance arrangements, including a reduction in the size of Council, to be approved.
Under current arrangements six candidates will be elected to RCVS Council – however, if the LRO completes the legislative process and is passed by both Houses of Parliament, then only the three candidates with the most votes will take up their places on Council.
Ballot papers and candidates’ details are due to be posted to all veterinary surgeons eligible to vote during the week commencing 12 March, and all votes must be cast, either online or by post, by 5pm on Friday 27 April 2018.
Once again this year the College is inviting veterinary surgeons to email a question for the candidates to vetvote18@rcvs.org.uk or tweet it using the hashtag #vetvote18 by midday on Monday 26 February.
Each candidate will then be asked to answer two questions from all those received, and produce a video recording of their answers. Recordings will be published on the RCVS website and YouTube channel (www.youtube.com/rcvsvideos) on the week the election commences.
Eleanor Ferguson, RCVS Registrar, said:"After last year’s record turnout in the RCVS Council elections we are continuing to work with Electoral Reform Services (ERS) to make it easier for members to vote for their preferred candidates.
"While the traditional paper ballot papers and booklets will be posted as usual, ERS will once again send personalised emails linking members to their unique secure voting website and then send regular reminders to those who haven’t yet had the chance have their say."
It's the second of five new practices that White Cross says it plans to open in a 12-month period.
The Hyde team will be headed up by clinic director Mike Robinson MRCVS, pictured with veterinary nurses Anneliese O'Toole & Aimee Lee.
Located on the site of a former pub, the new Hyde practice opened this month following an investment of £250,000. It is equipped with digital dental x-ray and ultrasound machines, an on-site laboratory, pheromone diffusers to relax pets, ultra-soft bedding and warm, cosy LED lighting in the pet wards.
There are separate, sound-proofed wards for dogs and a specialist cat ward featuring kennels positioned so the cats can’t see each other, to minimise stress-levels. Music specifically composed to reduce anxiety in both dogs and cats is also played in the wards.
Tim Harrison, managing director at White Cross Vets, said: "Hyde is a busy suburb of Manchester with a large number of pets in the surrounding area, which made it the ideal location to continue our expansion into the North West.
"Mike and the team are all highly experienced professionals and bring lots of enthusiasm to their new roles. When this is combined with the practice’s state of the art design, there’s no doubt it will prove to be hugely popular.
"It also offers the potential to expand the team to approximately 20 people in the next five years, which is an exciting prospect."
The group’s Board, led by outgoing president, Renay Rickard and incoming president, Julie Beacham, decided to change the trading name to better reflect the diverse nature of the organisation’s membership and promote inclusivity.
The VMG says that in parallel with evolving models of veterinary business management, it has seen its membership expand to include clinical and non-clinical team members from practice, as well as those from industry and academia.
Renay said: "We are seeing a trend where the veterinary practice manager role is now complemented by - and in some cases superseded by - tiers of team leaders, many with management responsibilities and interests.
"This is reflected in our membership, which is increasingly diverse – we have growing numbers of members from the clinical side of practice, such as head nurses and vet team leads, as well as involvement from front-of-house and administration teams. In larger group practices, we have operations staff, marketing managers, finance teams and so on all joining up.
"Part of the success of our organisation is that we have attracted and catered for these diverse roles. Our New to Management series of CPD webinars last year was one example, and we will build on this in 2018, adding in new content. 2018 will also see a new structure for our regional group meetings, with roadshows and day events.
"This diversity in membership brings vibrancy and new ideas with it, vital to the life-blood of any organisation. Our aim is to be inclusive and cater for the needs of anyone with an interest in management through development and support."
The VMG has also launched a new website, www.vetmg.com with a private members’ area which offers various resources, from CPD to protocols.
The awards are designed to recognise successful implementation of quality improvement (QI) in veterinary practice, which can reduce avoidable errors, ensure practice is based on the best available evidence and, ultimately, save lives.
Entrants will need to demonstrate the impact that QI methods have had in their practice, such as increased efficiency, improved clinical or financial effectiveness, the development of a culture of continuous improvement, support in the use of evidence-based approaches, or a general bettering of excellence in care.
The awards are open to any member of a practice, including veterinary surgeons and nurses, practice managers, receptionists, locums, students, and more. You can also nominate a colleague, or vice versa.
Individual winners will get free tickets to an upcoming RCVS Knowledge event and be given a plaque pronouncing them a 'Knowledge Champion', while one team will scoop Knowledge’s 'Champion Practice' award.
RCVS Knowledge Executive Director Chris Gush said: "These awards are a great opportunity to celebrate the good work that is going on in practice and to highlight examples of quality improvement.
"I would encourage all – from quality improvement experts to QI beginners – to get involved and enter the awards."
The closing date to submit an application is 1st November 2018, allowing plenty of time for those interested in introducing a quality improvement initiative in their practice to do so and apply for the awards at a later date.
To learn more about QI and how you can get started, visit RCVS Knowledge's QI pages.
Alternatively, you can enter the awards here: https://knowledge.rcvs.org.uk/grants/available-grants/
Themed 'Controlling Disease Threats at Home and from Abroad’, this year's conference will highlight the increasing importance of OVs in safeguarding the UK’s international trade and in protecting human health through disease surveillance and control.
The conference programme includes dedicated lecture streams aimed at large animal, small animal and equine practitioners. Improve says that lecture content has been tailored to cover areas of key relevance for more than 8,000 OVs due to revalidate their qualifications in March 2019. The programme also includes interactive workshops, including drop-in question and answer sessions offering practical advice and guidance on the revalidation process.
An exhibition of products and services for OVs runs alongside the conference.
David Babington MRCVS, Business Development Director at Improve, said: "This conference remains the only event dedicated to the needs of OVs. They receive industry updates from leading figures in the veterinary sector, attend lectures on OV work from experts and, in so doing, work towards their CPD revalidation requirements. We’re currently finalising a packed programme for this year’s conference and urge OVs to take advantage of our time-limited Early Bird offers and register without delay."
For more information on the Official Veterinarian Conference and Exhibition or to register visit: www.officialvet.com
Davies says pulmonic stenosis is one of the most common congenital heart defects in dogs. In most cases it is caused by a malformation of the pulmonic valve with fusion of the leaflets (type A stenosis) or with the presence of rudimentary valves accompanied by hypoplasia of the annulus (type B stenosis).
Dogs with severe stenosis are at risk of sudden death, heart failure and have a decreased survival time in comparison to normal dogs.
Minimally invasive catheter based procedures (balloon valvuloplasty) have become the treatment of choice for valvular pulmonic stenosis, with good results in most but not all cases. French Bulldogs are predisposed to the condition and tend to not respond to valvuloplasty as well as other dogs.1
In this case, the dog was first referred to Pedro Oliveira, RCVS and European Veterinary Specialist in Small Animal Cardiology at Davies, for treatment of severe pulmonic stenosis.
An echocardiogram confirmed the presence of a type B stenosis accompanied by marked right ventricular hypertrophy and also an atrial septal defect.
A standard balloon valvuloplasty procedure was performed without complications and the dog initially showed improvement (click image right to enlarge). Soon after, however, she began to suffer episodes of weakness and collapse and was readmitted.
An echocardiogram showed that the right ventricular obstruction had worsened.
Pedro said: "Re-stenosis has been reported in up to 16% of cases following balloon valvuloplasty and in this case it was suspected to be due to the formation of scar tissue in the valve leaflets. The pressures inside the right side of the heart were now higher than left allowing blood to flow through the atrial septal defect from the right to the left atrium directly without receiving oxygen from the lungs.
"Whenever Gracie got excited or tried to exercise she would go 'blue' from lack of oxygen and collapse. In fact her quality of life was so poor that euthanasia was suggested at that point. For this reason we decided we should attempt this novel procedure. The only other option would have been open-chest surgery (patch graft) but this held a higher risk of complications during the anaesthesia and even death. Also, the cost of surgery would have been higher than this new option."
Pedro performed the procedure with fellow Davies cardiologist, Jose Matos, while Antonia Mavropoulou guided them using transoesophageal echocardiography.
Under a general anaesthetic the heart structure was assessed using transoesophageal echocardiography and angiography to choose the correct size of the stent for Gracie.
An 8mm wide and 4cm long stainless steel catheter tightly mounted on a balloon was chosen.
This was then positioned across the pulmonic valve and the balloon was expanded forcing the stent to open up to its full size (figure 2B). There was an immediate and significant improvement of blood flow through the stent (figure 2C), the patient recovered well and she was discharged four days later.
Re-examination after three months showed improved flow across the stent and a reversal of the right to left shunting across the atrial septal defect. Gracie stopped experiencing episodes of collapse or cyanosis and is now able to exercise and lead a more normal life.
Pedro said: "This technique has been used in very few cases in the whole world and to the best of our knowledge this is the first time it has been used in the UK.
"It is more technically challenging and costly than a standard ballooning although it may provide an effective, safe, and cheaper alternative to patch graft surgery. In this particular case we feel it made an important difference in terms of quality of life and prognosis for Gracie.
The company held a draw for the centrifuge via VetSurgeon.org and VetNurse.co.uk at the start of January. The draw attracted entries from 577 vets and nurses.
However, the rules of the draw stated that people could enter as many times as they liked, so in total there were 1699 entries.
In fact, one gentleman was so eager to win, he entered no less than 759 times.
By comparison, the 155 entries from a Northumberland practice and the 69 entries from staff at Severn Edge Vets looked comparatively modest.
Jo, pictured right with her prize, said: "It’s the first time I've won anything. Our centrifuge was over 10 years old, and ready to spin in its grave. Our new CombiSpin arrived today. I like it because it’s so quiet, takes up hardly any space and looks sleek and robust."
Fiona Sturgess from Vetlab Supplies said: "It’s great that the prize was won for a practice by a veterinary nurse. Perhaps she’ll get a raise! Also nice to hear that it’s replacing a machine that was obviously living on borrowed time.
"All entrants to the draw are entitled to a 20% discount on a new CombiSpin, we’ll be emailing vouchers shortly."
The legislation will come into effect from May 2018, at which point businesses will have six months to comply. The penalty for failing to comply will be an enforcement notice to the business or prosecution.
In August 2017, the Secretary of State launched a consultation on the plans to deliver a manifesto commitment for CCTV to be required in every slaughterhouse in England in all areas where live animals are present, with unrestricted access to footage for Official Veterinarians.
A summary of responses published in November showed that of almost 4,000 respondents, more than 99% were supportive of the plans.
Environment Secretary Michael Gove said: "We have some of the highest animal welfare standards in the world and want to cement our status as a global leader by continuing to raise the bar.
"Introducing compulsory CCTV cameras in slaughterhouses is a further demonstration to consumers around the world that as we leave the EU, we continue to produce our food to the very highest standards.
"The previous reaction to the consultation highlighted the strength of feeling among the public that all animals should be treated with the utmost respect at all stages of life and be subject to the highest possible welfare standards."
The proposals will also give the Food Standards Agency’s (FSA) Official Veterinarians (OVs) unfettered access to the last 90 days of footage to help them monitor and enforce animal welfare standards.
BVA President John Fishwick said: "Mandatory CCTV in all areas of slaughterhouses will provide an essential tool in fostering a culture of compassion that could help safeguard animal welfare.
"We commend the Government’s commitment to provide Official Veterinarians with unrestricted access to the footage, which the veterinary profession has long been campaigning for.
"It is vets’ independence and unique qualifications that help ensure the UK will continue to have the highest standards of animal health, welfare and food safety post-Brexit."
Photo: Lititz, Pennsylvania. Hoisting a slaughtered steer in Benjamin Lutz's slaughterhouse, 1942. Wikipedia.
The group attributes part of its success to the various initiatives it runs for employees, including a scheme through which every member of its 220-strong team is allowed five fully paid donation days each year so they can volunteer to support meaningful local causes.
Employees also receive a £500 cash gift when they become new parents or adopt a child and can take 'peternity leave', which offers anyone with a new pet two fully paid days off work to help the animal settle into their new home.
Team members also get birthdays off (with cakes), a health care scheme, subsidised Fitbits and gym memberships.
Tim Harrison, managing director at White Cross Vets, said: "Making White Cross Vets a great place to work is vitally important to us, especially because our people are such a fundamental part of our success. Plus we’ve just launched the second of five new practices that will open during a 12-month period, so we’re continually expanding and recruiting.
"Being at the forefront of the veterinary industry with a wide range of innovative and high-quality employment initiatives, many of which are ideas from individual team members, helps us to attract and retain the best people. This enables us to grow quickly whilst fostering a close-knit and highly motivated team. This ethos also translates into the level of care and standard of service that our clients receive, which is something we’re very proud of."
Briar House Veterinary Surgery achieved 944 top rated reviews over the past 12 months, with pet-owners leaving comments such as 'Absolutely fantastic would recommend to everybody', 'Brilliant all round service' and 'You can tell that they love and care for the animals as much as the owners do'.
Briar House said: "We are absolutely delighted to win the Vet Help Direct Best UK Vet award, it means so much to the practice and team. We would like to say a big thank you to all of our wonderful clients and patients for taking the time to review your experience with us. We are very proud of our surgery, so it is a pleasure to receive such positive feedback from our clients."
Silver and Bronze Awards were achieved by Vets 1 Group and St Anne’s Veterinary Group, with 350 and 330 top reviews respectively. Other winners included Lamond Veterinary Clinic (Best Scottish Vet), Bridgnorth Veterinary Centre (Best Small Practice), Penmellyn Equine Vets (Best Equine Vet), Medivet The Vets Hendon (Best London Vet), The Mobile Vet (Best Mobile Vet), St James Veterinary Group (Best Welsh Vet) and Cedar Grove Veterinary Clinic (Best Northern Ireland Vet).
The full list of results, including those making the Top 25, can be viewed here.
Susie Samuel, Managing Director of VetHelpDirect said: "Reviews are a great way to find out what your clients really think, offering insight into where you are excelling or where there could be improvements. They are also excellent for building your online reputation, which will give you the competitive edge over other local practices, ultimately leading to new clients.
"More than ever, people are using review sites to seek 'real' opinions, in fact a recent survey in the US found that 97% of consumers read online reviews for local businesses, and 85% of consumers trust online reviews as much as personal recommendation.1 While these numbers may not truly reflect the situation in the UK veterinary industry, they are quite staggering, and signal that reviews and online reputation is going to become increasingly more important.
For more information about building your online reputation, contact Vet Help Direct on 0845 4961 204 or email: info@vethelpdirect.com.
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