The 45-minute webinar: Debt Management: Prevention Is Better Than Cure is presented by Mike Brooks from veterinary-specialist debt recovery agency, dsl.
VPMA President Renay Rickard (pictured right) said: "Debt can affect any business, but, because of the role vets play as care-giver in an emotionally-based animal-owner relationship, we are particularly vulnerable. This is something that is commonly brought up by members at our regional meetings and events, and it’s a real dilemma for them how to juggle being strict with payment policies against owner expectations and misperceptions of the cost of veterinary medicine.
"This has been a very popular topic in both our regional meetings and with our webinar and we wanted to open it up to more people to help them tackle this topic in their practices. The feedback on this webinar has been very positive. Mike gives clear guidance on how to set up payment protocols that will minimise debt in such a way that maintains the client-practice relationship. There’s also information on how to recover existing debts. It makes sense to prioritise tackling this issue as if we’re not paid, then we can’t deliver the service that we are expected to, and that our patients need.
"We’re pleased to open this webinar up to all practices as a Christmas gift, and hope it will also highlight the support that is available through VPMA membership."
The webinar can be accessed through a link on the home page of the VPMA website www.vpma.co.uk.
According to the calculator, the most expensive animal is - by virtue of its longevity - the tortoise (£27,787 over 75 years), followed by a small dog (£19,224 over 15 years), a large dog (£17,234 over 11.5 years) and a medium-sized dog (£16,828 over 11.5 years). A cat comes in at £12,322 over 16 years. A chicken will set you back £4,701 (it's not clear whether they've offset the money you'll save in eggs). The cheapest is a fish, at £914.
Chris will also be donating any money he raises throughout the course of his Presidency to those same charities.
His chosen charities are: Vetlife, Riding for the Disabled Association (RDA), the People’s Dispensary for Sick Animals (PDSA), Hearing Dogs, and The Gambia Horse and Donkey Trust (GHDT).
Chris said: "I chose the charities because I'm dedicated to charities that have a wide effect. The GHDT and the PDSA, by improving the health and welfare of animals, directly benefit the health and wellbeing of the communities in which they work. The GHDT dramatically improves peoples’ lives economically by increasing the working lives of their animals, almost all of which are transport animals, while the PDSA enhances the lives of the less well off by allowing them to keep animals and afford their veterinary care.
"Riding for the Disabled Association and Hearing Dogs for the Deaf then both use animals to help people, strengthening this vital human animal bond that runs through all of these charities. You have to witness the interaction between deaf or disabled people with the dogs and ponies respectively to fully appreciate how much this means to them. Unlike single interventions, these charities provide assistance that keeps on giving.
"Finally, none of this is possible without a healthy veterinary community and Vetlife plays a significant part in ensuring this. Good mental health and wellbeing is essential to the delivery of a good service, and it's important that we do everything we can to ensure that any veterinary professionals that suffer get the assistance they need.”
The charities have already been in touch to thank Chris and the College, and to detail how it will help their activities.
Graham Dick, Vetlife’s Honorary Treasurer, said: “Vetlife is currently expanding its vital support services to meet the changing needs of the veterinary community so we are sincerely grateful that Chris Tufnell has chosen our charity to benefit from his fundraising activities during his year as President. It is heartening that all the major veterinary organisations are so supportive of Vetlife and eager to work together to address the issues that many people in the veterinary community are struggling with."
Heather Armstrong, the Director of the GHDT, said: "We would like to give our very sincere thanks to Chris Tufnell, President of the RCVS for choosing us as one of his charities. Over the years we have relied on volunteer vets from UK to provide training to our staff and to Gambian livestock workers. This is helping to increase Gambian veterinary capacity and we hope is also giving British vets a small insight into global veterinary problems. The British veterinary profession should be very proud, it has enabled us to achieve so much in the last 14 years and we are immensely grateful to each and every vet who has been out to help including Chris, who has kindly helped us in the past with training."
Rosie Gibbons, Challenge & Community Events Fundraiser UK at the PDSA, said: "The donations received through the RCVS’ President’s Fund to PDSA will ensure that someone’s much loved pet will receive the treatment and healthy life they deserve. It will also ensure that our veterinary teams can continue to educate people about responsible pet ownership and issue preventative treatments, making the lives of so many animals much more bearable in the future."
Sal Atkinson, Fundraising Manager for the RDA, said: "We are thrilled that Chris has chosen RDA as one of this year’s RCVS President’s Fund charities. RDA relies on voluntary donations such as this to enable us to provide life changing therapy through horses to disabled adults and children in the UK. We currently have over 3,000 horses and ponies who work with our riders, carriage drivers, volunteers and equine advisors and this support will really help us to offer more opportunities to disabled people in the community."
The President’s Christmas Box donation is made every year in lieu of sending out RCVS Christmas cards. Previous recipients have included Worldwide Veterinary Service, Mind, Canine Partners, Hounds for Heroes, and the Veterinary Benevolent Fund.
Feel Good Colic Rectals is a 20-minute online guide that uses state-of-the-art 3D modelling technology to allow you to visualise an examination of the normal equine abdomen, and to demonstrate how to differentiate abdominal abnormalities during a rectal examination.
The video features leading colic experts Professor Debra Archer BVMS PhD CertES (Soft Tissue) DipECVS MRCVS, head of equine surgery at the University of Liverpool, and Rachael Conwell BVetMed CertEM(IntMed) DECEIM MRCVS, European specialist in equine internal medicine.
To be in with a chance of winning one of 30 rectal tops, watch Feel Good Colic Rectals at www.boehringer-academy.co.uk, then answer two multiple choice questions.
This year’s Horse Health Week, which ran at the end of September, focused on the small things that can be done to help keep Britain’s horses happy and healthy. Equine practices were encouraged to get involved and engage with their clients throughout the week with the support of a toolkit that offered both off and online communication materials.
The toolkit included a social media campaign for practices to run called #BonVoyageBuzz. Horse owners were invited to send 'Buzz' around the (virtual) world by sharing and tagging on Facebook. By the last count, he'd reached Denmark, the U.S., Canada and Saudi Arabia. The final part of Horse Health Week was a survey that gave the views of horse owners on preventative healthcare.
MSD says the week was welcomed and supported by a number of equine vet practices which reported that the campaign generated high levels of engagement from horse owners.
Peter Young, Equine Business Manager said: "Horse Health Week was created to help practices promote their businesses and educate and promote the benefits of preventative healthcare, so we are delighted that we’ve had such a good uptake of the resources we provided this year. A number of equine practices uploaded the daily animations we created to help encourage maximimum engagement. Some also reported the animations and posters being mentioned at yard appointments so, together with equine vet practices, we’ve successfully helped raise awareness and are eduating horse owners."
If you would like to provide feedback speak to your MSD Animal Health Equine Account Manager. For further details, visit: www.healthyhorses.co.uk/horse-week.
The survey, believed to be the first of its type, is being conducted by MRes student Mark Turner MRCVS (pictured above right), under the direction of Martin Whiting and Elizabeth Armitage-Chan. It's based on a tool used in the human health care sector to monitor care quality in hospitals and G.P surgeries.
All veterinary surgeons, veterinary nurses and practice managers in small animal practice are invited to complete the survey, which is confidential and has received research ethics approval from the RVC.
Mark said: "We believe this survey could represent a significant milestone in the profession's understanding of patient safety. This topic is still in its infancy in our industry, but there is already evidence to suggest we lag some way behind the NHS in our application of important safety principles such as openness and 'learning'.
Without this sort of safety culture, the profession risks missing important opportunities to improve quality and safety for the animals in it's care. One of the questions we would like to answer is: 'When mistakes occur in practice, are lessons routinely being learnt to prevent the same thing from happening again?'
He added: "In the NHS this subject has received a lot of media coverage after stories like the Bristol heart scandal and the enquiry into Mid Staffs Hospital. And our health system now understands that patient safety relies on a whole organisation effort to maintain standards. What we don't know however is how well we are doing in this regard."
Please do take take some time to complete the survey, and SHARE this story with your colleagues (buttons below). It's an important piece of work that should really benefit the profession. You can also discuss the project with Mark here.
https://www.surveymonkey.co.uk/r/VetPatientSafety
Published by CABI and sponsored by Mars Petcare UK, Companion Animal Economics was developed by Daniel Mills, Professor of Veterinary Behavioural Medicine at the University of Lincoln, and Dr Sandra McCune, Human-Animal Interaction expert at Mars Petcare’s WALTHAM Centre for Pet Nutrition. It documents and examines available evidence on the direct and indirect benefits and costs of companion animals to society, including their influence on human mental and physical health, illness prevention and well-being.
Other authors include Dr Sophie Hall from the University of Lincoln’s School of Life Sciences, Professor Ted Fuller and Luke Dolling from the Lincoln International Business School, and Katie Bristow-Wade of Dogs for Good.
Professor Mills said: "Vets are well aware how important companion animals are to their owners, but it is important that they appreciate the positive impact that they can have on the physical, mental and social health of both individuals and society more widely. This book should help raise awareness of this and their economic importance in times of economic uncertainty."
Dr McCune said: "Almost half of households in the UK share their homes with animals cared for as companions – a relationship we consider to be valuable and enriching. At Mars Petcare, we’re committed to creating A BETTER WORLD FOR PETS™. That’s because we know that pets make our world better. This important report provides a modern day update on the impact of companion animals on the UK economy and society, without reducing the discussion to a simplistic cost-benefits ratio. Critically, it aims to raise awareness of the need for research to evaluate the complex routes by which pets make an economic impact on UK society."
The author says relatively little information on the economic impact of pets has been published since the 1988 seminal Council for Science and Society (CSS) report on Companion Animals in Society, which inspired Companion Animal Economics. Since then, trends in pet ownership and associated industries, have changed a great deal. The report’s methodology sought to capture this new context, including issues like pet tourism, pet obesity, and expanding veterinary services, identifying clear gaps where further high-quality data and additional research are needed.
When evaluating the contribution of companion animals to the UK economy, both positive and negative aspects were considered. The cost of NHS treatment for bites and strikes from dogs is estimated at £3 million per year. At the same time, the report also estimates that pet ownership in the UK may reduce use of the UK health service by up to £2.45 billion per year. This conservative conclusion is drawn through examining healthcare savings through reduced number of doctor visits.
Given the scale of the potential impact, the report concludes that research into companion animals and their economic impact on society needs further investigation and should be supported by government. While UK data were used in the report, many of the points raised relate to other industrialised nations, demonstrating the global nature of this issue.
Zoetis Business Consulting has released figures showing that Profit Solver, its financial analysis tool, has delivered an average EBITDA (earnings before interest, taxes, depreciation and amortization) growth of 36% for the 28 UK practices that have used the new service since its launch.
Profit Solver was first launched in the USA, where the company says more than 300 practices have now benefited from the service.
Zoetis says that traditionally, veterinary practices have set their prices by simply adding a set mark-up, without knowing which services make a profit or loss and without understanding exactly how overall practice profit is being generated.
Profit Solver instead uses the practice’s own data to calculate the exact cost for the 130 most commonly performed veterinary services, representing 90% of the revenue generated by the practice. It then combines labour, inventory and equipment costs with time-and-motion studies for each service, and assesses the variance between cost and price to reveal profit or loss.
By using a collection of cost data, which staff perform which part of the procedure, how long the procedure takes and what equipment and materials are used, Profit Solver calculates the correct pricing to both cover costs and deliver a pre-determined profit margin.
Implementing Profit Solver is done with a Zoetis business consultant who guides the practice through the process, from data collection to examining the time-and-motion studies. They discuss the level of profitability the practice needs to deliver and help analyse prices to achieve this goal whilst preserving the price-point of highly competitive services and covering all the practice’s costs.
Ian Camm, Group Director of B&W Equine Vets in Gloucestershire heard about Profit Solver from a vet in a neighbouring practice who was impressed with how it had helped his business. Ian discussed Profit Solver with his Zoetis account manager and booked an appointment with Zoetis Business Consultant Anthea Pike who has helped him implement the software across B&W Equine Group.
He said: "Initially I was concerned that Profit Solver would suggest we put prices up where we felt that we would not be able to - people shop around for their veterinary services these days and many services are very price sensitive. The first stage in the process addressed this by looking at our figures, calculating the cost price for each procedure and then, by comparing with our fees charged, identified where we were losing money. The big question was whether we would be comfortable to increase our fees on loss-making procedures. The beauty of the system was that by looking at a large number of procedures which were done frequently, very small increases in fee would total to a significant improvement in the bottom line.
"The software has made us recognise where the real costs are and how to address these areas accordingly, for example we have identified that current stud packages are not profitable. One of the problems in arriving at true costs is the difficulty in accurately allocating time to various procedures when several different vets are involved or an expensive scanner is used, which can have a significant impact on the results. It’s early days, but I can already see the difference that Profit Solver could make to our bottom line and wouldn’t hesitate to recommend it providing the practice is prepared to make changes in light of the results. We are looking at improving our bottom line by a six figure sum over a 12 month period with what we hope, will be hardly noticeable price rises.”
For further information visit www.zoetis.co.uk/businessconsulting.
The company says it has been working hard to ensure improved supply on a number of brands including Apoquel, Palladia and now Trocoxil, with animal welfare being the key consideration at all times throughout this process.
Ned Flaxman, business unit director for companion animal, equine and innovation at Zoetis said: “It was a really difficult decision to stop production of Trocoxil in favour of Apoquel and Palladia but we felt that it was the right thing to do on animal welfare grounds. As soon as we had full stocks of these products we resumed the manufacture of Trocoxil and I am delighted to say that it will be back in stock in December.
"I would like to thank our veterinary clients for their patience and reassure them that we brought the product back to market as quickly as we could and do not anticipate any further stock issues."
Trocoxil chewable tablets are used for the treatment of pain and inflammation associated with degenerative joint disease in dogs aged 12 months or over.
For more information, contact your Zoetis account manager.
Until the arrival of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), radiographs were the only feasible option. More recently, the availability of bigger, wider and more adaptable scanners has allowed horses to be examined in a standing position, significantly improving diagnostic and treatment strategies and avoiding the need for general anaesthetic.
Against this background the collection considers the advantages of cutting-edge modalities and draws comparisons with more readily available tools such as radiography.
Given the increase in use of CT in horses and the contamination hazards faced particularly by horse handlers, two practical articles in the collection describe the role of equine head CT, how to set up standing equine CT and the radiation exposure risks.1,2
The most revolutionary recent advance in diagnostic imaging for dental disease in horses is CT. However, a study of horses with diseased mandibular cheek teeth found that while CT is useful to identify defects in the bone and tooth it is far less useful for the identification of inflammation and tissue destruction which is far better served by MRI.3
The structure of the equine head is complex and subject to great variation so several articles focus on practical anatomy and interpretation of radiographs of this region.4.5 Advanced diagnostic techniques are helping with clinical and surgical approaches to problems with the equine head. The sphenopalatine sinus is challenging to assess radiographically because of its tricky position but CT can help overcome this obstacle. One of the studies describes how CT can help unravel the pathology of various equine sinonasal tumours. Other articles cover less common pathological conditions including the historical, clinical, diagnostic imaging findings and outcomes of five horses with pneumocephalus. 6,7,8
Practitioners recognise MRI as the gold standard for neurologic imaging because of the excellent soft tissue detail but the size of horses and the size of scanners makes it a challenge to use. An additional constraint is the longer acquisition time compared to CT. Notwithstanding these limitations three studies in the collection display the various benefits of using MRI for the spine and neck, including the evaluation of 84 equine head disorders, the diagnosis of cervical stenotic myelopathy, and the assessment of two foals with closed head trauma.9,10,11,12
Despite the significant advances in imaging, the horse’s back is still defying conventional systems, primarily because of its size, concludes a spinal evaluation article. New technologies such as robotic fluoroscopy and cone-beam CT, may provide a cross-sectional method to evaluate the equine spine, but for now radiographs are still better to help evaluate findings of spinous process impingement seen on scintigraphy. The take home message here is that the wide variety of abnormalities seen on scintigraphy and radiography in horses with and without back pain makes a diagnosis more likely to be achieved by physical examination rather than the imaging findings.13
Anthony Pease, associate editor of the EVJ said: "Advanced imaging is still in its infancy with sequences still being developed to help optimise the time and detail needed for diagnosing complex musculoskeletal and neurologic disorders. Continued research in a controlled environment and comparing to histopathology will allow clinicians to further their knowledge and understanding of the CT and MRI findings in the equine patients."
References
Government Chief Veterinary Officer Nigel Gibbens has declared a Prevention Zone introducing enhanced biosecurity requirements for poultry and captive birds, in order to help protect them from a strain of avian flu circulating in mainland Europe.
The zone covers England and will remain in place until 6th January 2017. Declarations have also been made by the Scottish Government and Welsh Government.
Keepers of poultry and other captive birds are now required to keep their birds indoors, or take appropriate steps to keep them separate from wild birds.
Outbreaks of Highly Pathogenic Avian Influenza (H5N8) have been confirmed in poultry and wild birds in several countries across Europe. No cases of H5N8 have been found in the UK and this order is a precautionary measure to help prevent potential infection from wild birds.
Public Health England (PHE) advises that the threat to human health remains very low.
Defra is continuing to monitor the situation closely and has increased its surveillance activity, while keepers are being urged to reinforce biosecurity measures on their premises.
Nigel Gibbens said: "While no cases of H5N8 avian flu have been found in the UK, and PHE advises the public health threat is low, we are closely monitoring the situation across Europe and have scaled up surveillance in response to the heightened risk.
"As a precaution, and to allow time for poultry and captive bird keepers to put in place appropriate biosecurity measures, we have declared a 30-day Prevention Zone to reduce the risk of infection from wild birds.
"Even when birds are housed a risk of infection remains so this must be coupled with good biosecurity - for example disinfecting clothing and equipment, reducing poultry movement and minimising contact between poultry and wild birds."
More information available at: https://www.gov.uk/government/news/new-measures-to-protect-poultry-against-avian-flu
Homeopathy is widely used in livestock, especially to replace or reduce the use of antibiotics in the treatment of infectious diseases, although its use is often seen as controversial. For organic agriculture, homeopathy is even promoted.
In the review, Dr Caroline Doehring and Professor Albert Sundrum from the University of Kassel, Germany, assessed peer-reviewed studies on the efficacy of homeopathy in cattle, pigs and poultry published between 1981 and 2014.
They analysed a total of 52 clinical trials, 34 with cattle, 12 with pigs and six with poultry. They were published in 48 publications.
Of these, 28 concluded that the homeopathic remedy administered was effective, 22 showed no efficacy and 2 were inconclusive.
Only 10 trials provided information on cure rates for the treatments. These varied to a high degree, while the remedy used did not seem to make a big difference.
Trials on pigs were frequently efficacious, while studies with cattle or poultry had a similar distribution of efficacious and non-efficacious treatment.
Double-blind randomised controlled trials reported efficacy of the homeopathic treatment almost as often as they reported lack of it.
Meanwhile, single-blind and non-blind randomised controlled trials, and observational trials were more likely to present evidence of efficacy, suggesting that positive outcomes may be due to bias.
Other study limitations, such as potential conflict of interests, low sample size, risk for selective reporting and bias, were found in the majority of trials.
While some clinical trials showed effectiveness, the authors of the review question the reliability of the evidence, because all studies had a range of limitations. For example, all clinical trials were conducted under very specific conditions and none were repeated under comparable conditions.
Therefore, the authors say the findings cannot be be used to recommend homeopathy: "The current evidence of studies providing evidence in favour of homeopathy lacks reproducibility and therefore cannot claim to have sufficient prognostic validity."
"Due to a lack of prognostic validity, replacing or reducing antibiotics with homeopathy currently cannot be recommended unless evidence of efficacy is reproduced by RCTs and proven in various farm practice conditions."
The company says it is a further step forward in its plans to expand into Europe and follows the launch of its online pharmacy business, Animed Direct, into France during 2016. It adds that further acquisitions are expected in Europe during 2017, in addition to continued growth in the UK.
The two Dutch practices joining CVS are the Kliniek voor Gezelschaps Dieren, a three site small animal practice based in the central Netherlands, and a single site small animal practice, Dierenziekenhuis Drachten, based in the north of the country. Both practices cited the business support and staff development opportunities offered by CVS, combined with the clinical freedom and practice autonomy it allows, as the reasons for choosing to join the company.
Simon Innes, CEO at CVS, said: "We see many parallels between small animal practice in the Netherlands and the UK and have been talking to practices in the country about the benefits of joining us for some time. The level of interest has been encouraging and we are delighted to announce the acquisition of these two practices and welcome their teams to the CVS family.
"During 2017, we will continue to explore opportunities to extend our activities into Europe, particularly in the Netherlands and in Ireland."
At the outset of the hearing, Mr Kashiv, from Vets & Pets, Broxbourne, denied all aspects of the charges against him. During the course of the inquiry, some heads of charge were not pursued and some he admitted, leaving the remaining heads of charge to be determined.
The charges concerned the treatment of a Scottish Terrier, called Tanzy, whose owner, Mrs Greenhill, brought her in to see Mr Kashiv on 5 March 2015. Mrs Greenhill was concerned about blood in Tanzy’s urine and swellings in her mammary glands. After carrying out a cytopathology test, Mr Kashiv advised Mrs Greenhill that Tanzy would require surgery to remove the mammary glands. There were no further tests conducted, and no alternatives to surgery suggested.
On 13 March another veterinary surgeon at Vets & Pets therefore undertook a right-side mammary strip on Tanzy, discharging her the following day. On 17 March Mrs Greenhill brought Tanzy back in for a post-operative check and was seen by a locum veterinary surgeon, who found her to be in good condition.
On 20 March Mrs Greenhill then became concerned about Tanzy’s deteriorating condition and returned her to see Mr Kashiv. He admitted Tanzy for observation over the weekend but did not conduct any further tests at that stage, apart from radiography on 22 March. The hospitalisation records were of poor quality and substantially incomplete.
On 23 March Mr Kashiv then informed Mrs Greenhill that Tanzy could be discharged, although he recommended an MRI scan to assist in the diagnosis; this was declined on cost grounds. He did not however explain clearly to Mrs Greenhill that Tanzy’s prognosis was bleak, and did not give adequate home care instructions.
Tanzy continued to deteriorate, and on 24 March Mrs Greenhill took Tanzy to the RSPCA Harmsworth Hospital where a veterinary surgeon conducted tests which showed that Tanzy was in renal failure. The veterinary surgeon then called Mrs Greenhill and recommended that Tanzy was put to sleep, which was then performed in Mrs Greenhill’s presence.
The Committee found that Mr Kashiv had failed to conduct the necessary investigations when Tanzy was admitted from 20 to 23 March 2015, being satisfied that, by the time Tanzy had been hospitalised for a period of three days, it was mandatory for a blood test to have been performed, given her marked deterioration.
The Committee also found while Mr Kashiv did express his opinion that Tanzy’s prognosis was poor, he did not give the full explanation required in the circumstances of this case to enable Mrs Greenhill to understand fully the prognosis. The Committee also considered that Tanzy was not in a fit state to be discharged on 23 March 2015, and that he had failed to keep sufficiently clear and/or detailed and/or accurate records.
After full consideration, the Committee found that Mr Kashiv’s actions amounted to serious professional misconduct, and was satisfied that his actions fell far short of the conduct to be expected of a reasonably competent veterinary surgeon in respect of heads of charge 1, 2 and 3 but not 4.
Although it was concerned "about the culture of care in the practice, in particular not having in place proper protocols and procedures and without necessary support from properly trained staff", in deciding on appropriate sanction, the Committee was satisfied that there were "a number of serious misjudgements by Mr Kashiv in this case".
The Committee decided to postpone judgement for a period of two years, whilst recommending that Mr Kashiv agree to undertake a structured programme to benefit his clinical practice including a Personal Development Plan, mentoring, practice visits, additional CPD and regular reports to the Disciplinary Committee.
Non-compliance with these undertakings may result in the hearing being resumed at a date earlier than the two-year period.
Stuart Drummond, Chairing the Disciplinary Committee and speaking on its behalf, said: "The Committee considers that Mr Kashiv is a dedicated veterinary surgeon, as evidenced by the large number of testimonials, and that he provides a valuable service to the community, particularly with rescue animals.
"Nevertheless, the Committee considers that there were a number of fundamental failings in Mr Kashiv’s clinical competence which are required to be addressed during the period of postponement. For the reasons set out above the Committee considers that Mr Kashiv’s clinical practice will benefit from a structured programme over the period of postponement, whilst protecting the welfare of animals, maintaining public confidence in the profession and declaring and upholding proper standards of conduct."
For the full charges, findings and decisions, see: http://www.rcvs.org.uk/concerns/disciplinary-hearings/
The Department for Environment, Food and Rural Affairs (Defra) says this is evidence that its strategy to tackle bovine TB, which costs taxpayers £100m a year, is delivering results.
Defra says that gaining OTF status for the low risk area, covering the north and east of England, would boost trade opportunities and mean some herds require less regular TB testing, reducing costs for farmers.
This would be the first time anywhere in England has enjoyed this status and the government says it is a key step in its 25-year plan for the whole of the UK to be TB-free by 2038.
Environment Secretary Andrea Leadsom said: "Gaining global recognition that more than half of England is TB-free will be a significant milestone in our long-term plan to eradicate this devastating disease, and will open up new trading opportunities for farmers.
"We have much still to do in the worst affected parts of the country, but this shows that our strategy - combining practical biosecurity measures, a robust cattle movement and testing regime, and badger control in areas where the disease is rife - is right and is working."
Results published today confirm all ten licensed badger control operations achieved successful outcomes. A consultation opens today on next steps for badger control in areas that have completed the first four years of intensive culling.
Other measures announced today include:
Chief Veterinary Officer Nigel Gibbens said: "This year we have seen that badger control can be delivered successfully on a wider scale. Further expansion in the coming years, alongside our robust cattle movement and testing regime, will allow us to achieve and maintain long term reductions in the level of TB across the South West and Midlands where the disease is currently widespread."
The government says it is taking robust action to make the country TB-free by 2038, with a strategy including stronger cattle testing and movement controls, good biosecurity, badger control in areas where TB is rife and vaccination when possible.
Vaccinating healthy badgers is part of the government’s long-term plan and could play an important role in preventing bovine TB spreading to new areas of the country. Defra plans to resume the Badger Edge Vaccination Scheme, which offers support for private badger vaccination projects in edge area counties, in 2018 when we expect vaccine supplies to be available once more following the current global shortage.
The government is also supporting farmers to take practical action to reduce the risk of infection onto their farm. This includes support for a new CHeCS TB cattle herd accreditation scheme, on-farm biosecurity demonstrations for farmers, and training for veterinary surgeons delivered by APHA jointly with the private sector. Farmers can also access practical guidance on the TB Hub, which brings advice from farming experts, vets and government together in one place.
At the outset of the hearing, Ms Giles admitted that between 1 August 2012 and 21 June 2016 she had failed to respond to reasonable requests from the RCVS to share her CPD records – these requests amounted to 11 letters, two emails and three telephone calls. Of these attempts to contact Ms Giles, she responded to just one email. This was in May 2016 in which she issued an apology (and an explanation that she had moved address) and offered to provide certificates proving that she had undertaken CPD – despite the fact that no such evidence could in fact be produced.
During the proceedings the RCVS asserted that Ms Giles had failed to comply with several crucial aspects of the Code of Professional Conduct for Veterinary Nurses – namely that all members of the profession are expected to undertake at least 45 hours of CPD over a rolling three-year period in order to keep their professional skills and competences up-to-date, that these CPD records should be provided upon request and that members of the profession must comply with reasonable requests from the RCVS.
In her evidence Ms Giles said that she knew she should have responded to these requests but admitted that she did not originally regard the requests as important and thought that the matter would 'go away' if she did not respond. When it became clear that this was not the case she said she found it difficult to face up to her obligations. She also admitted that her failures to respond were unprofessional and that she now has an appreciation of the importance of undertaking CPD in terms of keeping up with changing practices and advances in veterinary and nursing practice.
Having found the charges against her proved and finding her guilty of disgraceful conduct, the Committee then considered its sanction against Ms Giles. The Committee took into account the seriousness of Ms Giles' failings in that she made repeated decisions not to comply with requests from the RCVS over a protracted period of four years.
Professor Alistair Barr, chairing the Committee and speaking on its behalf, said: "Your failures show, inevitably, a disregard for the regulatory responsibilities of the RCVS to police veterinary nurses' obligations to fulfil their CPD requirements."
He added: "The RCVS can only seek to ensure compliance with those obligations at one step removed, namely by requesting information from its registrants that they have complied with their CPD obligations. They are in this respect, therefore, heavily dependent on the cooperation of registrants to provide full, honest and prompt responses to their reasonable requests for confirmation of their compliance. It is that which has been sorely absent in this case."
The Committee heard mitigating evidence on behalf of Ms Giles including witness statements and letters from current and former colleagues which complimented her communication skills with work colleagues and animal owners and in which it was accepted that she is a "valued member of the veterinary nursing profession."
The Committee also recognised that she had shown insight into her failings, that she had not attempted to excuse the failures to respond to the RCVS and had been making efforts to keep records of her CPD.
However, the Committee decided that a suspension from the Register would be the most appropriate sanction. Professor Barr said: "The mitigation that has been advanced on your behalf has been considered by the Committee and that has served to reduce the period of suspension that a bare account of the facts pertaining to the charge laid against you might suggest is appropriate.
"In the result that mitigation has persuaded us that we would be acting consistently with our public duty by imposing a period of suspension of two months. In imposing that sanction we have noted the evidence as to your professional competence and your other professional qualities. The Committee trusts, therefore, that once you have served your period of suspension you will return to the practice which you say you love."
The ban on gatherings applies to birds at higher risk of avian flu including chickens, turkeys, ducks and geese, and restricts events such as livestock fairs, auctions and bird shows.
Since the disease was declared on 16 December it has now been confirmed all 2,500 birds at the farm have been destroyed, the farm has been disinfected and there have been no subsequent cases reported, though a 3km Protection Zone and a 10km Surveillance Zone around the site remain in place.
The ban is part of the Government’s measures to tackle the disease and reduce the risk of the virus spreading, which includes a requirement to keep all poultry and captive birds housed or otherwise separated from contact with wild birds and advice urging farmers and poultry keepers to ensure strict biosecurity standards.
The ban on gatherings does not apply to pigeons or aviary birds which are at much lower risk of passing the disease to domestic poultry. It will be kept under review and may be lifted or amended if the risk level changes.
Advice from Public Health England remains that the risk to public health from the virus is very low. The Food Standards Agency has also made clear bird flu does not pose a food safety risk for UK consumers. There is not anticipated to be any impact on the supplies of turkeys or other birds over Christmas.
Chief Veterinary Officer, Nigel Gibbens, said: "While we have seen no further cases of bird flu following the outbreak in Lincolnshire, we must continue to be vigilant and do all we can to protect against this highly pathogenic strain of the disease.
"This ban on gatherings is a proportionate step that will help protect our farmers and bird keepers from seeing their flocks infected with this disease that can have a devastating impact on poultry.
"The risk to human health continues to be very low and there is no impact on the food chain, but infection at a gathering could lead to rapid dispersal of infection to kept birds in many locations.
"Our Avian Influenza Prevention Zone remains in place across the country and anyone who has regular contact with birds should stay alert for signs of disease, maintain the highest biosecurity standards and take all reasonable steps to minimise contact between poultry and wild birds."
Bird keepers should report suspected disease immediately and must maintain high biosecurity standards by:
The product is marketed in a 10ml pack and has an expiry date of December 2017. The batch number is 6231-90D.
The 1ml syringe within the pack has 'Lbs' printed as the unit of measure instead of kg, which could lead to an incorrect dose being administered to dogs.
Any queries about returning this product should be addressed to:
Mr Ken Allen Qualified Person and Quality Advisor E-mail: ken.allen@norbrook.co.ukTelephone: + 02830 264435
"The undersigned veterinary organisations would like to extend New Year’s greetings to all our colleagues in the languages of the EU. We would like to send a message in 2017 that says we value all our colleagues and their invaluable contribution across the UK, wherever they come from in the world.
Happy New YearBonne annéešťastný Nový rokGodt NytÅrGelukkig nieuwjaarHyvää uutta vuottaFrohes neues Jahr Kali chronya Boldog új évetFelice anno nuovoSzczesliwego nowego rokuFeliz año nuevoChestita nova godinaSretna Nova godinaMutlu YıllarHead uut aastatAthbhliain faoi mhaise daoibhLaimīgu Jauno gaduLaimingų Naujųjų metųIs-sena t-tajbaFeliz Ano NovoAn Nou FericitBliadhna Mhath ÙrSrečno novo letoGott nytt årBlwyddyn Newydd DdaUrte berri onFeliç any nouFeliz ano novo
Gudrun Ravetz, President of the British Veterinary Association, said: "My theme for my year as BVA President is the veterinary family and it has never been more important to pull together as one profession, whoever you are, and wherever you come from. We are delighted that there has been such an overwhelming response to this idea from Andrew Cobner, the President of the British Cattle Veterinary Association. Together with the RCVS, BVA has made clear to government our concerns about the working rights of our EU colleagues post-Brexit – as well as the potential impact on standards of animal health and welfare, and public health – and we will continue to do so."
VetSurgeon.org also wishes all its members a very Happy New Year, and in particular that it brings some common sense, clarity and certainty for those affected by Brexit.
The company says the challenge has been developed on the basis of recent research which found that despite 74% of vet-visiting pet owners believing in the value of preventative healthcare, more than half of active pet owners currently don’t see the vet as their primary source of information regarding pet health. Furthermore, those pet owners that fail to return for an annual preventative health consultation often cited their pet being healthy as the main reason.
The new scheme focuses on driving client compliance and footfall by developing the partnership between the vet and pet owner. MSD says it takes a more holistic approach to the relationship, focusing on the vet practice as the primary source of advice and information on all aspects of pet healthcare and wellbeing, whether the pet is healthy or sick.
Practices that register with their MSD Animal Health account manager will receive a toolkit to support their whole team in positioning the practice as a centre for expertise on preventative healthcare and wellbeing.
Caroline Darouj, Nobivac Brand Manager at MSD Animal Health said: :This Challenge is a step-change in terms of our work with vets and support for the practice-pet owner partnership. We are focusing on encouraging communications that highlight the value of the preventative healthcare visit going beyond the obvious benefits of vaccination and parasite control.
"We have recently heard in the news how by just having a conversation about obesity medical practitioners can be an effective catalyst for positive change with patients. It is our belief that changing the conversation and focusing on preventative health has the potential to create positive outcomes in pet health and wellbeing, as well as owner satisfaction and business outcomes."
MSD says the challenge goes beyond the important and widely recognised aspects of preventative healthcare such as vaccination, worming and ectoparasite control to embrace five principal wellbeing needs around care and companionship, feeding, the pet’s environmental, behavioural and preventative health needs. The toolkit will aim to increase the pet owner’s understanding of the value and benefit of annual preventative healthcare visits and develop the level of client engagement with practice staff.
Practices interested in further details should contact their MSD Animal Health Account Manager or call MSD Animal Health on +44 (0) 1908 685 556.
The new reader is compatible with all ISO 15-digit (FDX-B) identification microchips. It features an integrated LCD screen that displays microchip numbers in a large, easy-to-read format and it also reports the temperature of temperature-sensing microchips.
Sureflap says the reader is lightweight, ergonomically designed, fits easily into the hand and is easy to operate. The company also says that its small size makes it less intimidating for pets.
Dr Nick Hill, managing director of SureFlap said: "The SureSense Microchip Reader was developed following feedback from veterinary and shelter staff that they often had to share microchip readers.
"The reader is our first professional product, developed exclusively for veterinary professionals, shelters, breeders and pet care professionals. Its affordability and size will ensure that it is possible to have multiple readers in each veterinary practice and shelter."
For further information, contact your wholesaler or the SureFlap team on 0800 9127 114 or via email vet@sureflap.com.
Nigel Gibben said: "The Prevention Zone means anyone who keeps poultry such as chickens, ducks and geese, even as pets, must take action to stop them coming into contact with wild birds to protect them from avian flu.
"Birds should be moved into a suitable building, or if that isn’t possible owners must take sensible precautions to keep them away from wild birds, like putting up netting to create a temporary enclosure and keeping food and water supplies inside where they cannot be contaminated by wild birds.
"Even when birds are kept indoors a risk of infection remains so keepers must also practice good biosecurity, for example by disinfecting footwear and equipment and washing clothing after contact with birds.
"Recent H5N8 avian flu findings in wild birds and a backyard flock in Wales highlight just how essential it is to minimise contact between wild and captive birds and maintain good biosecurity to reduce the risk of infection.
"We must continue to be vigilant and do all we can to protect against this highly pathogenic strain of the disease, which is why we are extending the Prevention Zone, have introduced a ban on poultry gatherings and continue to strengthen surveillance to understand the extent of infection in wild birds."
Addison’s disease is caused by a reduction in corticosteroid secretion from the adrenal glands. Symptoms can include lack of appetite, tremors or vomiting, diarrhoea, lethargy, low heart rate, muscle weakness, low body temperature and collapse. If left untreated, Addison’s disease can present as an acute, life-threatening emergency.
Zycortal is the only European licensed treatment for the disease. It is a prolonged-release suspension used as replacement therapy for mineralocorticoid. Dechra says it has proved highly effective in clinical trials with more than 80% of dogs responding positively to treatment1.
The golden rules are available at: www.dechra.co.uk/goldenrules.
Dechra has also produced a series of six video presentations to help veterinary surgeons in their diagnosis and treatment and created a dedicated owner website - www.myaddisonsdog.co.uk - to help owners understand the condition and monitor their pet's progress.
Dechra Brand Manager Craig Sankey said: "Addison’s can be a hidden disease but Zycortal presents a very visible answer. With the wealth of expertise from the endocrinologists, the Five Golden Rules should be an important reference tool for vets.
"We hope that the series of resources we have produced, used in partnership with Zycortal, will make the diagnosis, treatment and management of dogs with Addison’s an easier journey for both vets and owner."
Reference
Containing ceftiofur (50mg/ml) and ketoprofen (150mg/ml), Curacef Duo is presented in a ready-to-use suspension for injection at a low volume dosage – 1 ml/50kg – which is identical to short-acting ceftiofur alone.
Virbac says that Curacef Duo’s combined action can help to minimise production losses in calves and offer a quick return to production for dairy cows affected by bacterial BRD. It can also improve welfare by targeting infection, inflammation and pain all at once, while its ease of use and simple dosing help to increase compliance. Curacef Duo offers a zero milk withdrawal period and an eight day withdrawal period in meat.
Brigitte Goasduf MRCVS, Large Animal Product Manager at Virbac, said: "In creating the first 'two-in-one' combination of two tried and trusted actives, the antibiotic ceftiofur and NSAID ketoprofen, we are offering practitioners an alternative to the treatment of bacterial BRD.
"We believe that the benefits Curacef Duo offers in terms of efficacy, ease of use and action on inflammation and pain, will be valued by both practitioners and farmers."
Researchers found that ticks continued to quest in woodlands throughout the year, even during the coldest months and ticks could also be detected on dogs throughout the year.
These observations concur with the results of a recent analysis of practice electronic health records which showed the presence of ticks on pets in all weeks between December and March2.
The study confirms the importance of treating dogs all year round to help reduce the risk of transmission of tick-borne diseases.
Lynda Maris, Product Manager for NexGard Spectra at Merial said: "It’s been thought for some time that ticks are very inactive or even dormant in winter and don’t present a risk. These findings show that they continue to quest in an attempt to find a host and are often successful. If ticks are attaching and feeding during the winter months, the risk of Lyme disease and babesiosis remains a real possibility. If the appropriate product is selected, the same year-round treatment programme that controls fleas and other parasites, will also treat ticks and thus help reduce the risk of tick-borne diseases."
The study recruited nine veterinary practices and monitored tick activity across three woodland sites in Southern Cumbria. In some cases multiple ticks were found on the animals – with one animal hosting an incredible 21.
Post graduate student Jessica Hall has been running the study since 2013, which has also involved running PCR for detection of DNA from Borrelia burdorferi (Lyme disease) on the collected ticks, with this data due to be released early next year. She said: "From the data we have collected in this longitudinal study we have identified questing ticks all year round at some sites and have shown that this pattern of questing activity results in pets being bitten by ticks even during winter."
Photo: Questing tick; Mcvoorhis, Wikipedia, CC BY-SA 3.0