With regard to all types of complementary and alternative medicine, the statement says that the College expects MsRCVS to offer treatments that "are underpinned by a recognised evidence base or sound scientific principles."
The new position statement states very clearly that homeopathy falls below this benchmark: "Homeopathy exists without a recognised body of evidence for its use. Furthermore, it is not based on sound scientific principles."
The full statement reads:
RCVS POSITION ON COMPLEMENTARY AND ALTERNATIVE MEDICINES"We have recently been asked questions about complementary and alternative medicines and treatments in general and homeopathy in particular.
"We would like to highlight our commitment to promoting the advancement of veterinary medicine upon sound scientific principles and to re-iterate the fundamental obligation upon our members as practitioners within a science-based profession which is to make animal welfare their first consideration.
"In fulfilling this obligation, we expect that treatments offered by veterinary surgeons are underpinned by a recognised evidence base or sound scientific principles. Veterinary surgeons should not make unproven claims about any treatments, including prophylactic treatments.
"Homeopathy exists without a recognised body of evidence for its use. Furthermore, it is not based on sound scientific principles. In order to protect animal welfare, we regard such treatments as being complementary rather than alternative to treatments for which there is a recognised evidence base or which are based in sound scientific principles. It is vital to protect the welfare of animals committed to the care of the veterinary profession and the public’s confidence in the profession that any treatments not underpinned by a recognised evidence base or sound scientific principles do not delay or replace those that do."
RCVS President Professor Stephen May said: "It is fair to say that debates on either side of this issue have been passionate and this too has been reflected in the debates that we have had amongst Council members as to how to best articulate the College’s position on complementary and alternative medicines.
"What we have is a statement that reinforces the evidence-based and sound scientific foundations of our profession and our commitment to put animal health and welfare at the forefront of all we do.
"I am very pleased that the overwhelming majority of Council members agreed with this statement and that the College has a firm and clear position on this important topic."
Simon Boulton MRCVS, Marketing Manager at TVM said: "Traditional activated charcoal is slow, complex and often messy to prepare. Carbodote is different – a simple, ready-to-use preparation that can be quickly and easily administered to patients when they have eaten something that you want to help adsorb. Carbodote coats the gut wall where it adsorbs elements non-specifically - thus limiting the absorption of unwanted molecules, whether solid, liquid or gaseous. Studies have also shown that Carbodote also has greater adsorbancy that other products on the market1."
Carbodote is stable and homogenous solution with no mixing required. TVM says it will even pass down nasogastric tubes. It comes pre-prepared in bottles of 100ml - enough for a 20kg dog.
TVM says activated charcoal can be used as an aid to the management of multiple poisonings and the company has created a list of the adsorbancy potential of activated charcoal for a variety of poisons.
For more information about Carbodote, speak to your local Territory Manager, email help@tvm-uk.com, visit www.tvm-uk.com, or call TVM on 01737 781 416
Reference
238 veterinary surgeons responded to the survey which found that 52.3% of practices reported that they do not have all the veterinary surgeons they need, with the average shortfall being 21.6% or approximately 1/5th of the workforce.
28% reported that this lack of vets meant that they are unable to cover their OOH without unacceptable levels of overtime.
88% of practices had tried to recruit in the past 12 months, 31% of which had failed to find a candidate at the time of the survey.
SPVS carried out a similar survey in 2015 and a comparison between the two showed a worsening situation with only 22% of practices finding a new recruit within three months compared to over 30% two years ago. 90% of respondents also felt the recruitment situation had worsened since four years ago.
An unwillingness to do OOH and dissatisfaction with working hours was cited as the most common reason for candidates not accepting a position, mirroring the results of a survey carried out by VetSurgeon Jobs in 2016. This, combined with most respondents saying that personally they planned to reduce their working hours suggests that the crisis can only deepen and that to succeed in recruitment, employers will have to consider more flexible working.
Brian Faulkner, SPVS President said: "This survey provides valuable evidence to support the profession as they work with government and the colleges to try and counter this crisis in recruitment which threatens to get worse with Brexit. If not tackled it will become increasingly difficult for vets to provide a satisfactory 24 hour health service for the UK’s pets, horses and farm animals."
VetSurgeon.org Editor, Arlo Guthrie said: "This is precisely why recruitment adverts on VetSurgeon.org Jobs run for two months rather than the one month typically offered on other websites. In these difficult times, it is also important to try and use every trick in the book to spread the word about your job, and present it in a way that really stands out. On that score, we're working on some new features designed to help good employers stand out from the crowd. Watch this space."
The full survey is available on the SPVS website at: www.spvs.org.uk
The new guidelines strongly recommend an overall reduction in the use of all classes of medically important antibiotics in food-producing animals, including complete restriction of these antibiotics for growth promotion and disease prevention without diagnosis. Healthy animals should only receive antibiotics to prevent disease if it has been diagnosed in other animals in the same flock, herd, or fish population.
WHO says that where possible, sick animals should be tested to determine the most effective and prudent antibiotic to treat their specific infection. Antibiotics used in animals should be selected from those WHO has listed as being "least important" to human health, and not from those classified as "highest priority critically important", as they are often the last line, or one of a limited number of treatments available to treat serious bacterial infections in humans.
The new guidelines were informed by a systematic review published in The Lancet Planetary Health which found that interventions that restrict antibiotic use in food-producing animals reduced antibiotic-resistant bacteria in these animals by up to 39%1.
Dr Kazuaki Miyagishima, Director of the Department of Food Safety and Zoonoses at WHO said: "Scientific evidence demonstrates that overuse of antibiotics in animals can contribute to the emergence of antibiotic resistance. The volume of antibiotics used in animals is continuing to increase worldwide, driven by a growing demand for foods of animal origin, often produced through intensive animal husbandry."
Dr Tedros Adhanom Ghebreyesus, Director-General of WHO said: "A lack of effective antibiotics is as serious a security threat as a sudden and deadly disease outbreak. Strong, sustained action across all sectors is vital if we are to turn back the tide of antimicrobial resistance and keep the world safe."
Responding to the announcement, BVA Senior Vice President Gudrun Ravetz said: "We welcome the WHO continuing to tackle this serious global health issue. Their guidelines echo the guidance BVA has long been issuing on the responsible use of antimicrobials.
"We agree that the prophylactic use of antimicrobials in healthy animals to prevent disease is never a substitute for good animal husbandry and management.
"Through cross-sector working, the UK is leading the way in significantly reducing antimicrobial usage, having already achieved the UK Government usage targets set for 2020.
"Critically Important Antimicrobials use is at a very low level in the UK, and, as recent Government data shows, is continuing to decrease. It is encouraging that WHO recognises that these vital medicines are sometimes needed, under veterinary judgment and prescription, as a last resort, to prevent the further spread of disease and to protect animal and human health."
The new guidelines can be downloaded here: http://www.who.int/foodsafety/areas_work/antimicrobial-resistance/cia_guidelines/en/
The study, Understanding How Dogs Age: Longitudinal Analysis of Markers of Inflammation, Immune Function, and Oxidative Stress, was published this week in the Journal of Gerontology: Biological Sciences1. It followed 80 dogs for over 10 years, from adulthood till end of life, measuring a number of parameters to track their aging process.
Findings included:
Mars says it is the largest prospective study to investigate aging in dogs and offers new insight into the ways in which we may be able to support dogs in their old age.
Janet Alexander, Senior Research Scientist at the Waltham Centre for Pet Nutrition and lead author of the study said: "We now know that dogs suffer from low level inflammation and cellular damage as they get older, similar to humans. The study identified multiple targets for potential therapeutic intervention to defend against or delay the impact of aging and the new insights can help us to provide more effective life stage support."
Mars has also released the results of its Aging Pets Ownership Survey2, conducted last month, which found that:
References
The awards, which were first launched last year, are open to UK practices, branch surgeries or other organisations who employ veterinary surgeons or nurses. They were created to highlight wellbeing in the veterinary profession and celebrate workplaces where:
• health and happiness are valued;• there are systems and initiatives that motivate;• staff are engaged;• communication is positive;• there is commitment to being a better place to work.
The prize for each category includes two registrations and banquet tickets for SPVS/VPMA Congress 2018 where the winners will be announced to the media and will be available for interview.
Practices that are thinking about applying can now access a free five-minute Wellbeing Checklist that can help provide examples of some simple activities that can improve the health and wellbeing of the veterinary team.
Nick Stuart from SPVS said: "Taking five minutes to fill out the Wellbeing Checklist is a great way to get a sense of how your practice is doing, and to identify ways in which you could improve. Practices are often doing a lot more than they realise and the Checklist shows how even such small steps as a having a fruit bowl in the staff room, or having a five-minute huddle at the start of the day, can make a huge difference."
Lizzie Lockett, MMI Director, said: "Having a supportive and constructive culture is key not just for the welfare of the staff, but for the animals they take care of. It allows all members of the team to feel comfortable coming forward with questions, clarifications, or even mistakes, and can ultimately lead to safer and more consistent care for patients."
Entries can be made now via the website www.vetwellbeingawards.org.uk, where the Wellbeing Checklist is also available.
The closing date for entries is Friday 15 December 2017. You can follow the awards on twitter @vetwellbeing and Facebook /vetwellbeingawards/.
The joint submission points to evidence from recent surveys indicating a current workforce shortage of 11% in small animal practice and an overall deterioration in the ability of practices to hire suitably qualified staff.
Following the exit from the EU, existing shortages will likely worsen, whilst changes in trade could increase the demand for veterinary skills, producing a shortfall in the UK’s capacity to ensure animal health and welfare, food safety and public health.
Placing the veterinary profession on the Shortage Occupation List would reduce restrictions on recruiting veterinary surgeons from abroad, something the response says will become a necessity post Brexit.
Currently about half of vets registering each year in the UK are graduates from the EU. If there are no appropriate immigration measures in place when the UK leaves the EU, this EU contribution could decline, leaving a large gap in the veterinary workforce. Research among BVA members has indicated that since the EU referendum, about one fifth are reporting that recruitment has already become harder. Meanwhile, a study commissioned by the RCVS has shown that nearly a third of veterinary surgeons and veterinary nurses whose nationality is non-UK European are considering a move back home.
The BVA / RCVS response highlights that although the veterinary profession is relatively small, it performs a range of roles that are vital to the UK’s economy and maintaining standards in society. Agriculture and food production would suffer from a lack of veterinary input, potentially reducing its livestock outputs worth £12.7bn in 2016, whilst the equine industry and aquaculture would also struggle. The companion animal veterinary market, that has a turnover of £3 billion, could experience significant losses due to workforce shortages.
Veterinary surgeons from the EU make a particularly significant contribution to critical roles in public health with estimates suggesting that 95% of Official Veterinarians working in abattoirs are from overseas and the large majority of these are from the EU. Reducing the veterinary presence in slaughterhouses would increase the risk of food fraud, provide the potential for animal welfare breaches and remove a level of public health reassurance.
While the number of UK veterinary graduates has increased year-on-year from the established veterinary schools, with potentially more schools in the pipeline, it is unlikely that UK universities can meet this increased demand in the short timeframe required. BVA, RCVS and Defra recently launched the Veterinary Capability and Capacity Project (VCCP) to help ensure the veterinary sector can continue to play its role in society.
BVA Senior Vice President Gudrun Ravetz said: "Our members have been reporting problems with recruitment and retention of vets for several years and this situation will only worsen under Brexit unless appropriate measures are in place. Vets are vital to our society. Across the UK vets are needed to certify imports and exports, conduct cutting-edge research, prevent disease outbreaks, ensure food safety in abattoirs and achieve our world leading standards in animal welfare.
"We are setting out a very strong case to add the profession to the Shortage Occupation List now to help us manage the immediate shortfall in critical veterinary roles, while the UK negotiates a longer term immigration policy that must meet the UK’s veterinary workforce needs post-Brexit without creating disproportionate administrative burdens for veterinary businesses."
Chris Tufnell, RCVS Senior Vice-President and Chair of the College’s Brexit Taskforce, said: "The first of our recently published Brexit Principles is that ‘vital veterinary work continues to get done’. In order to ensure this is met we want the Government to recognise that there are significant current and potential shortages in the profession that can only be mitigated by putting it on the Shortage Occupation List so that animal health and welfare and public health is safeguarded.
"Our ideal outcome is that EU veterinary surgeons currently living and working in the UK are allowed to stay indefinitely and that, in terms of any post-Brexit immigration system, graduates of European schools accredited by the European Association of Establishments for Veterinary Education (EAEVE) are allowed to work here with the minimum of restrictions."
More information is available in BVA/RCVS’s full response to the Migration Advisory Committee’s Call for Evidence:www.bva.co.uk/uploadedFiles/Content/News,_campaigns_and_policies/Get_involved/Consultation_archive/Migration%20Advisory%20Committee%20BVA%20RCVS%20Submission%20FINAL.PDF
Liz set up vetsnet to bring together all the wellbeing, leadership and management tools being created by individuals, groups and veterinary organisations in one place, and then to curate, streamline and signpost resources to increase accessibility and use by everyone in the profession.
The Aviva scheme is open to anyone and offers the chance to get funding for an important cause within a community. If successful in its bid, Liz says it will allow Vetsnet to rebrand more clearly as a resource hub, increase ease of use and add user ratings, which in turn will help users to find the help they need when they need it.
Liz said: "I setup Vetsnet to meet needs experienced personally in practice life. Great work is being done to address the mental health and organizational issues within the profession, I wanted to curate, signpost and increase accessibility to the growing wealth of resources for all involved in the provision of veterinary services, to make it a happier profession."
Voting closes on 21st November. To add your support to the bid, go to https://community-fund.aviva.co.uk/voting/project/view/17-1093, register, opt out of mailing options and cast up to 10 votes for a single or multiple projects. Those with the most votes will be judged and finalists announced in the new year.
Equip EHV 1,4 is licensed for the active immunisation of horses to reduce clinical signs due to infection with Equine Herpesvirus 1 and 4 and to reduce abortion caused by EHV-1 infection.
Zoetis says it has already communicated directly with veterinary surgeons to inform them that Equip Rotavirus will be out of stock from the end of November 2017 until mid-2018.
During this time an imported vaccine for Rotavirus, will be available to provide an interim solution until supply is restored.
Practices wanting to buy the alternative imported Rotavirus vaccine will need to apply to the VMD for a Special Treatment Certificate (STC).
The company says it acknowledges the concern and frustration this causes its customers and wants to reassure the equine community that it is working diligently to restore the supply of Equip Rotavirus as soon as possible.
For more information, contact your Zoetis account manager or Zoetis technical team.
The robot is used to show how well potential new products or prototypes are performing when it comes to plaque removal.
Built using a scan of a real canine mouth and jaw, the 3D-printed model replicates the normal mastication action of a dog and the pressures it might exert on a dental chew. This, the company says, allows it to test the effectiveness of different product materials and shapes more rapidly and then refine its products at a much earlier stage in the research and development process.
Dr Phil McGenity, Global Pet Oral Care Technical Leader, Mars Petcare said the robot allows them to observe the effects of a dental chew much more easily than in a real dog: "Typically, it’s very difficult to look inside the mouth of a dog while it's chewing, but this robot allows us to assess products more rapidly than we’ve ever been able to in the past. It means we can continually improve the texture and materials in our products."
Mars uses the robot to compare different textures and shapes of products by analysing how much plaque is removed from the robot’s teeth.
Phil said: "We apply a plaque mimic to the surface of the teeth, so we can observe how effectively different prototypes or textures remove this mimic. We take before and after images and, using computer analysis, we can accurately determine what percentage of plaque has been removed.
"This robot has been extremely beneficial for us, to see just how visible the effects of our products, such as DentaStix Daily Oral Care, are."
Veterinary dentist John Robinson said: "One of the key benefits of the chewing robot is it allows a preliminary testing stage before you move into clinical trials. Clinical trials are lengthy and expensive, but the chewing robot means the product can be refined and improved to ensure optimum effectiveness.
"Then you can move into the full clinical trial knowing it has already had extensive texture and plaque removal analysis."
He added: "New research developments such as the chewing robot are vital to improving home dental care in dogs and giving vets the confidence to recommend dental chews to dog owners. Although brushing is regarded as the gold standard, vets need to work more closely with owners to improve homecare via the use of dental products."
Mars Petcare has produced a short report explaining each stage its product development and testing. You can download the report on the WALTHAM website: https://www.waltham.com/waltham-research/oral-health-research/oral-health-r-d/
Publishing Editor Arlo Guthrie said: "I've lost count of the number of vets who remark that all veterinary recruitment adverts say that there's a 'happy working team' or a 'supportive environment', or 'all the latest toys' and it's only when they arrive at the practice that they discover that everyone's at each other like ferrets in a sack, and the practice's idea of 'all the latest toys' is a 1972 Goblin Teasmade."
VetSurgeon Jobs now includes the ability for advertisers to display in their advert links to the VetSurgeon profiles of other employees at the practice who are prepared to have an informal chat with candidates about what it's like working there.
Using the messaging system on VetSurgeon.org, the potential applicant and the employee can then arrange a time for a chat, without revealing the employee's email address, after which the candidate will hopefully feel far better placed to decide whether it's the job for them.
Arlo said: "Of course, no advertiser is going to display the name of an employee who is going to say bad things about the practice, but it still offers the chance for candidates to ask questions and make their own mind up before applying for an interview."
Aside from that, just the fact that a practice shows that it has the confidence in its employees to put them in touch with potential candidates says something very positive about those practices which use the feature.
To use the new feature, job advertisers need to enter the email address of another employee at the practice who is also a member of VetSurgeon.org and has agreed to talk to candidates, when they place their advertisement. When it goes live, the advert will then contain a direct link to the employee's profile, under the title: "Talk to other employees of this practice."
The booklet contains practical advice on handling rabbits, anaesthetic drugs, procedures and what to look out for from the moment the rabbit arrives into the practice up to recovery and homecare. Special attention is given to reducing anxiety in rabbit patients as much as possible at every stage.
Topics covered in the booklet include: medications in rabbits generally used according to the UK prescribing cascade, preparing for rabbit anaesthesia in clinic, staff training, an overview of anaesthetic drugs, the induction process and important points of difference, monitoring and recovery and adjunctive treatments.
Richard Beckwith, country manager of Jurox said: "Rabbits are prey species and often become stressed in the veterinary practice environment which can have a negative impact during anaesthesia and post-anaesthesia. Our new Considerations for Anaesthetising Rabbits expert panel guidelines booklet will help address this and raise anaesthesia and analgesia standards in veterinary practices."
For more information, visit www.alfaxan.co.uk, contact Jurox customer services on info@jurox.co.uk or telephone 0800 500 3871.
Vet Direct says the unit, which is used for the diagnosis and monitoring of anaemia in dogs, cats and horses, requires only a simple ear-prick test to deliver a result.
Leon Wright, managing director at Vet Direct, said: "The AniPoc device eliminates the need to draw blood with a syringe, a simple pin prick is enough, and is perfect for both veterinary practices and home visits.
"The speed and accuracy of the product means that it is better equipped to monitor animals undergoing anaesthesia or transfusions, and can be used to effectively screen animals taking part in Pet Blood Banks and mobile clinics."
Vet Direct says the AniPoc also delivers results much faster than a centrifuge and doesn’t require any time to be spent in the lab; a process which can take 10-20 minutes to get a result - by which time they are often out-of-date in critical cases.
The AniPoc Handheld Monitor and Starter Kit is available from Vet Direct for £250.
For more information, visit www.vet-direct.com or call 0800 068 3300.
The campaign was created to highlight individual perspectives on what animal health looks like, with contributions from veterinary surgeons, politicians, NOAH members, animal charities, industry experts, livestock stakeholders and pet owners.
Contributions have included images of ‘cleaner fish’ and their role as a safe, effective and sustainable form of biological control for salmon, medical detection dogs, assistance animals who improve the quality of life for their owners, and household pets and livestock that play a key role in our lives.
VetSurgeon.org's favourite so far is the photograph by BVA Vice President Gudrun Ravetz (shown right). She said: "It was a rare moment of peace in the house and showed why one health is important. The two of them are one inseparable unit of fun and trouble, but their health is interlinked. The parasite control that I use with Tess is informed by her contact with Leo and the environment she runs in and the lessons Leo learns about dog behaviour and animal welfare will inform and protect him. They exercise each and are good for each other’s mental health.”
Dawn Howard, NOAH chief executive, says:"We’re delighted to see that so many people are keen to show what animal health means to them. With such breadth of images, it’s fascinating to see so many different perspectives and we look forward to many more.
"Animal health means something very different to each and every one of us. The images showcased through the contributions highlight what a varied and inspiring industry we work in and the passion of the people involved in it.
"The campaign is all about keeping animal health at the forefront of everyone’s minds, not only to celebrate the work that we, as an industry, do to keep animals happy and healthy, but also to address challenges that have the potential to put our animals’ health at risk, and ensure that the UK continues to lead the way for good animal health and welfare."
The marketing pack includes a poster, leaflet and a counter top display which highlight the stress factors facing pets and provide pet owners with an overview of how Feliway and Adaptil help pets cope with challenging situations.
Ceva will also be running a competition for pet owners to win £150 of John Lewis vouchers in a prize draw. To enter, they need to email cevauk@ceva.com with the subject 'Stress Free Christmas' and their name and contact number. The competition closes on 24 December 2017 and the winner will be contacted by telephone in January 2018.
Claire Russell, brand manager at Ceva Animal Health, said: "Big family gatherings, noisy toys and being home alone more often are just some of the stressful situations that pets can find themselves in during the festive period. Our new marketing pack will help highlight these stress factors amongst pet owners and raise awareness of how Feliway and Adaptil can help support their pets."
To request a Christmas marketing pack, contact your Ceva Animal Health account manager, email cevauk@ceva.com or contact customer services on 01494 781510.
The charity points out that with the arrival of winter, so comes an increase in the number of cats poisoned by antifreeze. For this reason, it has produced the poster to try and raise awareness of the fact that due to their specialised metabolism, a teaspoon or less of antifreeze can be enough to cause serious illness or death and even a curious lick of a small spillage can be enough to poison a cat.
The poster can be downloaded free of charge here: https://icatcare.org/sites/default/files/PDF/antifreeze-campaign-poster.pdf.
Alternatively, a hard copy can be ordered from the iCatCare shop for a small fee to cover postage: https://icatcare.org/product/antifreeze-poster
More information for pet owners can be found at: https://icatcare.org/advice/keeping-cats-safe/antifreeze
Instead, eligible clients are being invited to join PDSA Pet Care, a new scheme costing £4.50 per month which entitles them to veterinary consultation, one primary vaccination course or booster each year (including a health check), a 20% discount on qualifying treatments in private practice, access to a nurse-led 24/7 triage service and preferential rates on PDSA pet insurance.
The PDSA says that pet owners and practices registered to the current Pet Practice service have been informed directly about the changes, which are being introduced over the next 12 months, as the current service is gradually phased out.
PDSA Director of Veterinary Services, Richard Hooker, said: "Following the review it was clear that the PDSA Pet Practice model was no longer financially sustainable for the charity in its existing form. However, it was important to many practices and PDSA to identify how we can best continue to offer some help to pet owners who live outside the catchment area of our Pet Hospital network and who have a need for affordable veterinary care and advice.
"We are grateful to all those in the profession who contributed to the development of the new scheme. It provides a more sustainable way in which to support households on low incomes across the UK. We are hopeful that practices will look to work with us to support pets and owners in their local communities by participating in the replacement scheme.
"We are mindful that any changes to our service can have an impact on some pet owners and our colleagues in the profession. This is why we have consulted on these moves and put measures in place to support those most affected."
Clients currently using the Pet Practice service who have a pet with a lifelong chronic condition will continue to receive some financial support towards the cost of their pet’s ongoing care and treatment via the PDSA Chronic Voucher scheme, which offers £25 per month towards the ongoing care of their pet for its lifetime.
The charity says it is also looking at a number of specific locations, where existing clients and their pets could supported by its Pet Hospital network when the current Pet Practice service closes.
Richard Hooker added: "The changes to the Pet Practice service are part of a much wider review of PDSA charitable services carried out this year. We have also made changes to our Pet Hospital service: reducing the number of eligible pets that owners can register for free treatment, from three to one, and withdrawing our Pet Treatment Fund.
"These important steps ensure that our available funds are targeted as effectively as possible, achieving our charitable aims of preventing illness, educating pet owners and treating sick animals.
"As a charity we receive no Government funding and rely on the generosity of our supporters and clients to run our services, which cost more than £60 million each year to fund."
Instead of conducting major open surgery, Chris Shales, an RCVS and European Specialist in Small Animal Surgery, Andrew Kent, a European Specialist in Internal Medicine, and the cardiology team at Willows are using coil embolization, a minimally invasive technique which they say is far safer and less likely to lead to post-operative complications.
The procedure involves threading tiny coils, via the jugular vein, through the venous system and positioning them in the blood vessel that needs to be closed. The coils encourage the blood to form a clot and so, over time, seal the vein.
Chris said: "This procedure of treating intrahepatic portosystemic shunts is associated with a lower risk of mortality and a lower surgical morbidity rate when comparted to open surgery. The overall outcome of the two approaches is similar in terms of reduction of flow through the shunt vessel.
"Access is gained via a small incision in the neck to allow the team to operate on the liver via the jugular vein using fluoroscopy to visualise the placement of a stent within the vena cava and embolization coils within the abnormal vessel.
"Intrahepatic shunts can be extremely challenging for the surgical team to access with the result that standard, open surgical treatment of these abnormal vessels can risk life-threatening complications and animals can require a significant time to recover."
For more information about shunt surgery at Willows, contact Chris Shales or Small Animal Internal Medicine Specialist Andrew Kent on 0121 712 7070 or email enquiries@willows.uk.net.
Photo: Chris Shales, left, with Andrew Kent, centre, and cardiologist Mike Martin ('pass me a gin and tonic, would you').
Positive lists are evidence-based regulations that permit the sale and keeping of only those species that are suitable to keep in the home, and that do not pose a disproportionate risk to people or the environment. All other species are prohibited from keeping or may only be kept with a special permit (by those who can demonstrate that they have specialist facilities or expertise).
The results of the poll were 512 in favour, and, er, one against.
The APA says it was delighted at the enthusiastic response from the veterinary community. APA Director, Elaine Toland said: "We are grateful to all those delegates who took part in the poll and offered their valuable insight. Throughout the two days, exotic animal vets and nurses in particular aired their frustrations about the poor state of animals that frequently present at their clinics, where even the most basic husbandry standards are not met. Some described the positive list proposition as a no-brainer".
The Animal Protection Agency is working as part of Eurogroup for Animals alongside Animal Advocacy and Protection (AAP) in the Netherlands and OneKind in Scotland to develop and galvanise support for positive lists as a means of reducing the large-scale animal suffering that is currently part and parcel of the exotic pet industry.
In order to raise awareness and encourage discussion within the veterinary profession about positive lists, APA is organising a seminar for veterinary surgeons and nurses: Positively shaping the future of pet-keeping, taking place in London during 2018 (date and venue to be confirmed).
To register interest in the seminar or to join the mailing list for more information and updates, email: info@apa.org.uk with PostiveList4Pets in the subject line.
The seminar will count as 5 CPD hours and certificates of attendance will be issued.
The practice was formed earlier this year by Jade Statt and Sam Joseph, two veterinary surgeons who, quite separately, had been inspired by the bond between homeless people and their dogs and decided to do what they could to help. Each hit the streets, Jade in Westminster and Sam in North London, offering healthchecks and basic flea and worm treatment to the homeless. Unbeknownst to each other, they worked under the same name of Streetvet.
Their paths crossed earlier this year, whereupon they decided to join forces and create a proper framework through which to deliver not just preventative care for the majority of animals that are well cared for and healthy, but treatment for those that need it. So Streetvet was born.
Since then, the practice has grown to a 65-strong team of volunteer veterinary surgeons and nurses providing a free, first opinion veterinary service across London, supported by drug companies, veterinary practices, animal welfare charities, social non-profit organisations and local councils.
Jade said: "We have vets out in the community at least 4 days a week and everything that can be done in a consultation room, we can perform on the street. This includes medicating, vaccinating, blood sampling, urine analysis, lump sampling, microchipping and more.
"When we meet a dog that needs more advanced treatment we are able to take them to one of the practices that we work at to perform procedures including neutering, dental work, surgery, diagnostic imaging and even hydrotherapy.
"Being vets, we love animals, but much of our day-to-day work involves caring for their owners as well. Many of the owners that we meet are vulnerable people and one of the main benefits of having vets out on the streets is that we get to know the owners and their dogs and gain their trust.”
Streetvet will be launching in Brighton on Sunday 26th November and in Bristol on 2nd December.
if you are in the Brighton or Bristol area and want to volunteer, offer practice support or get involved with fundraising, email: info@streetvet.co.uk.
Veterinary professionals across the UK are also encouraged to email their interest in volunteering, to help StreetVet build its database and in time set up StreetVet UK-wide.
The survey was promoted to the profession via the websites, by Veterinary Times and through the RCVS Mind Matters newsletter. The data was then anonymised, analysed and reported on by Sally Everitt MRCVS, ex Head of Scientific Policy at BSAVA.
677 participants reported being on the receiving end - within the last year - of at least one of 15 types of unpleasant behaviour which ranged from being physically intimidated through to being on the receiving end of sly glances. However, on average, each respondent experienced no less than five different types of unpleasant behaviour.
Of these, 390 were veterinary nurses, 252 were veterinary surgeons and 13 were practice managers.
The most frequently reported behaviours were: 'being belittled in front of other staff' (73%), 'being criticised minutely, repeatedly and seemingly unfairly' (65%), 'being aware of management or senior staff talking negatively about you behind your back' (51%), and '‘having your authority undermined to others in the practice, for example by having your instructions countermanded commonly and without consultation' (50%).
Seen in isolation, some might question whether these sorts of behaviour amount to bullying. It is important therefore to stress both that they typically formed part of a pattern of behaviour (the five different behaviour types reported, on average, by each respondent), and that the survey specifically asked only for reports where the behaviour was repeated.
Separately, 344 people also said they were currently on the receiving end of sustained patterns of behaviour, usually from one person, which seemed designed to make their life unpleasant.
Respondents were also invited to describe in more detail how they felt they had been mistreated at their practice.
Sally said: "Reading the responses, four main themes stood out: not feeling part of the team, lack of respect, lack of support and issues around management including not being listened to and perceptions of being treated unfairly."
Participants in the survey were then asked to describe what impact the behaviour had on their working life.
Sally said: "The answers to this question often demonstrated that the respondents had been very upset by the behaviours. Of the 560 replies to this question, 220 described an impact on their mental health, from anxiety to breakdowns and suicidal thoughts. 120 respondents talked specifically about the impact on their lack or loss of confidence, and 207 talked about leaving their job or the profession entirely."
Survey participants were then asked what they planned to do about it. Out of 680 replies, 195 talked about moving practice as soon as they can, 164 said they would take it up with the practice manager (however, of the 55 who reported this in the free text answer, 30 said it led to no change or made things worse), and 109 said they had no choice but to suffer in silence. 45 said they had or would leave the profession and only 35 said they would take it up with the perpetrator themselves.
As regards who is bullying who, more or less the same number of people reported being bullied by a veterinary surgeon as a veterinary nurse. What was interesting, and important for those in positions of leadership to note, is that veterinary nurses were much more likely to be bullied by other nurses and vets by other vets.
Finally, respondents were asked a series of questions about whether there was a zero tolerance of bullying or conflict resolution policy in force and enforced at their practice. Only 24 and 28% of respondents respectively were aware of such policies being in place. What was also clear was that having such policies and enforcing them correlated with lower levels of being on the receiving end of sustained patterns of unpleasant behaviour at the practice.
Arlo Guthrie, Editor of VetSurgeon.org and VetNurse.co.uk said: “Above all else, I want to thank everyone who shared their experience so that others can draw comfort in knowing they are by no means alone in this. I also want you to know that you’ve been heard.
"Given the survey design, it is not possible to draw any conclusions concerning the prevalence of bullying in the veterinary profession. What we can say for sure is that there have been 680 reports. If, as the data indicates, these are from different practices, then it is something that goes on in a significant proportion of veterinary practices."
"The million dollar question is what needs to be done next. It seems to me that the first and most important thing is that the profession needs to talk about behaviour and its impact openly and candidly, mirroring the great strides forward in the area of mental health."
In addition, the survey report proposes further discussion - at both a practice and professional organisation level - about things which:
As one veterinary nurse commented: "Pay is obviously important when you have a mortgage and bills, but not dreading going into work every day, it’s priceless!"
To download the report in full, click the link below:
PDF
The letter called on the UK government to ensure there is a duty on the state to have due regard for animal welfare in the development and implementation of policy, as Article 13 of the Lisbon Treaty sets out. Under the UK’s Animal Welfare Acts, accountability for the treatment of an animal focuses on the animal keeper, but not on the state.
The coordinated letter from the veterinary professions follows widespread media attention after a House of Commons debate, wherein MPs voted down an amendment tabled by Green MP Caroline Lucas to include the principles set out in Article 13, which also states animals are sentient, in the EU (Withdrawal) Bill. Since Article 13 has its origins in a treaty rather than a regulation, it did not qualify to automatically transfer into UK law as part of the EU (Withdrawal) Bill.
The signatories of the Daily Telegraph letter span all areas of veterinary work including small and large animal practice, research, government and academia as well as including former UK Deputy Chief Veterinary Officers, Officers of BVA specialist divisions and the Chief Veterinary Officer of SSPCA, amongst others.
BVA Senior Vice President Gudrun Ravetz has been leading BVA’s lobbying on this issue while BVA President John Fishwick recovers from a back operation. Gudrun said: "The public and professional response to the Article 13 vote was astonishing, but there was much misunderstanding borne from sensationalist headlines that suggested the MPs who voted the amendment down do not believe in animal sentience. The real crux of the debate got lost in this noise.
"BVA supports the principle of Article 13, since it not only recognises that animals are sentient, but importantly puts a duty on the state to have due regard for animal welfare in the development and implementation of policy."
The company's charity of the year is chosen by employees at its annual conference in October. Fundraising then begins the following January.
This year, fundraising activities included cake sales, 'wearing blue days' and dog shows. Others took a more energetic approach: a team from Tone Veterinary Centre in Taunton cycled the equivalent of Land’s End to John O’Groats on exercise bikes over a fortnight, raising £525, while groomer Ceri James from Petherton Vets in Cardiff climbed Ben Nevis.
Simon Innes, CVS Chief Executive said: "Each year, thousands of cats, dogs, small animals and horses rely on the hospitals, clinics and rehoming services run by Blue Cross so it was a very natural charity for us to support and the overwhelming winner of last year’s vote.
"Yet again, our teams have surpassed themselves by really getting behind our fundraising efforts and showing great creativity and dedication to the task. Judging by some of the photos, they also seem to have had a great deal of fun. We held a group-wide charity day during July in which all parts of the business participated. It was a fantastic event and really showed the power of collective fundraising."
Matt Cull, Deputy Director of Fundraising at Blue Cross, said: "The dedication from CVS to fundraise for our pets through many different activities is so inspiring. We are very grateful to all the teams for helping Blue Cross as the money raised will assist us in helping thousands of pets in need and support our other charitable activities, such as our education programmes and bereavement support service. Pets change lives and with this generous help, we can change theirs."
Photo: Simon Innes CVS Group Chief Executive; Diane James, Blue Cross; Piers Gibbon, CVS Conference compere
95% of the vets surveyed by the company reported success treating cats with Thyronorm Oral Solution for Cats, while 89% expected the liquid solution to improve compliance in the management of hyperthyroidism.
93% also said they found Thyronorm gave them an easier way to offer cats a low dose, or an 'in-between' dose, as it can be titrated 'to effect' – meaning the dose of treatment can be varied more easily to suit the individual animal.
Feline hyperthyroid specialist Dr Sarah Caney said she is unsurprised by the survey results: "Treatment is complex for cats needing a low dose, or an ‘in between’ dose, as standard anti-thyroid tablets are only available in a small number of dose sizes and are not designed to be split, halved or quartered. Also, if a cat is on alternating doses, it can be difficult for carers to remember which dose is due today."
Rachel Crowe, Norbrook’s Companion Animal Senior Product Manager, said: "We are delighted that overall 99% of the 200 veterinary surgeons surveyed would recommend Thyronorm in the management of hyperthyroidism, compared to other medical options."
Thyronorm contains 5mg/ml of thiamazole (methimazole). The initial starting dose is 5mg active ingredient per day, split into two doses.
Available in 30ml and 100ml bottles, with an in-use shelf life of six months, Thyronorm is available to order from all UK veterinary wholesalers.
The interactive checklist is designed to help practitioner and farmer to work closely together to draw up a workable action plan to improve youngstock health.
MSD Animal Health ruminant veterinary adviser Kat Baxter said: "This new checklist-based tool explores, records and scores calf health performance across five core areas to identify the strengths and weaknesses of any rearing unit’s environment and processes.
"Working through a series of 10 questions within each core area – designed to tease out where a rearing unit is in terms of accepted best management practice – allows vet and farmer to quickly pinpoint any areas needing attention. What’s more, repeating the checklist every six or 12 months is a great way to keep things on track, allowing both parties to monitor progress against agreed targets. Vets can also use the scores to benchmark their clients’ farms against each other."
Vets interested in using the new checklist-based tool on farm should contact their local MSD Animal Health account manager for further information.