532 veterinary practices responded to the survey, which was sent to 3,096 veterinary practices for which the RCVS had a unique email address, on 3rd April.
The survey found that:
Three-quarters of those who responded to the survey answered a question on how the RCVS could better support veterinary practices through the crisis. The most frequent response (27%) was that the RCVS needed to provide clearer guidance, in particular as to what services it was permissible for veterinary practices to provide [the College published its updated guidance and flowchart on 9 April].
Of those who responded to the question, 15% felt that the RCVS was doing a good job or that there was nothing more it should do, while just 2% of responses expressed negative sentiment towards the RCVS.
Lizzie Lockett, RCVS Chief Executive, said: “I would like to thank all those practices who took the time in what is already a very fraught situation to respond to our survey and provide the evidence we need to gain a holistic picture of coronavirus’ impact on the business and economics of veterinary practices. We plan to continue running these surveys on a regular basis in order to gauge impact over time and the findings will feed into our policy and decision-making.
"This ongoing research will also be a vital tool when we are talking to Government and other bodies about the impact of policy on the veterinary sector. On this note, we are aware of the challenges of a minimum furlough period of three weeks given the need for practices to take steps to offer 24/7 emergency and critical care, and have written to government on this with some case studies around the impact this is having.
"To those on the ground it won’t come as too much of a surprise that the impact of the coronavirus has been profound in areas such as practice turnover and staffing, with many vets, veterinary nurses and other support staff being furloughed with the aim of signing them up to the Government’s Coronavirus Job Retention Scheme.
"There are some bright spots in the data we’ve gathered – very few practices reported that they had made or were planning to make staff redundant, and many practices reported mitigating the challenge of social distancing by carrying out consultations with new and existing clients remotely.
"Since the survey took place we have also taken steps to meet some of the requests for greater clarity and guidance from the RCVS with the publication of our flowchart helping practices to decide what treatments it is appropriate to carry out safely amidst the COVID-19 pandemic."
The survey results can be read in full at www.rcvs.org.uk/publications.
The next practice impact survey is planned for early May.
Xavier (pictured right), who graduated from Cardenal-Herrera University in Valencia, Spain, in January 2006, has joined Southfields from the Royal Veterinary College, where he was working on the high profile Mitral Valve Repair Programme.
Xavier moved to the UK in 2009 to specialise in cardiology, first spending two years in Scotland where he completed a general and a cardiology internship at the Universities of Glasgow and Edinburgh, before beginning a cardiology residency at the University of Liverpool which he completed in March 2016.
He then continued at the University of Liverpool as a lecturer in cardiology for 16 months, before becoming a cardiology clinician at the Royal Veterinary College.
Henry L'Eplattenier, clinical director at Southfields, said: “We’re extremely pleased to welcome Xavier to Southfields and look forward to him progressing his career with us.
“He’s a very talented cardiologist who brings with him a wealth of expertise and experience which makes him a very valuable addition to our world-class team.”
Xavier said: “The move to Southfields is a wonderful opportunity for me and I’m really energised and motivated for the challenge ahead.
“This is one of the leading veterinary referral centres in the UK and it is set to become even better when we move into a new, purpose-built building boasting the finest facilities and most up-to-date equipment.
For more information, visit www.southfields.co.uk.
The first webinar will be run by Dr Sarah Caney (pictured right), the CEO and founder of Vet Professionals, and Dr Hannah Newbury, technical lead vet at MSD Animal Health.
It will cover how telemedicine can benefit you, your practice and your patients. Sarah and Hannah will offer practical tips on how to set up a remote consultation, what you can do via telemedicine during the UK lockdown, and how to carry out these consultations and provide care during this time. There will also be an opportunity to ask specific questions in advance.
The series will also explain the financial benefits of remote consulting and the release of a new telemedicine platform.
To register for the first webinar, visit: https://attendee.gotowebinar.com/register/4735768510902351372.
Click here to submit your questions before the webinar: https://getfeedback.com/r/hBY8qihT/q/1.
The training material includes a range of new downloadable marketing resources for vets and SQPs to help maintain communications with their farmer customer base while face-to-face contact opportunities are restricted. They include a newsletter and social media and farmer engagement tools for various dairy, beef and sheep disease management issues.
Vets can also access new BRD management content highlighting the benefit of immunity-led disease prevention and ultrasound scanning of calf lungs. You can also view a range of practical ‘how to’ videos, as well as five different webinar recordings explaining ways to collaborate more effectively with farmers over youngstock rearing issues. The content is based on implementing MSD Animal Health’s versatile calf health checklist engagement tool, which facilitates an audit-based approach to assessing and improving current on-farm management practices.
MSD says it has another two webinars in the pipeline, which will be released in the weeks ahead: ‘Immunology’ with Professor James Roth and ‘Salmonella’ with Katrina Henderson from SAC.
To access all the training content, visit: https://www.msd-animal-health-hub.co.uk
Specifically, the statement explains that:
Vets will risk assess each case and exercise their clinical and professional judgement to decide whether face-to-face treatment or care is essential or whether services could be provided remotely. These assessments will vary across the country due to local disease risks. They will also vary between clients due to individual circumstances.
On the specific issue of pet vaccinations, BVA guidance says that following a risk assessment both for animal health and welfare and with regard to Covid-19, some vaccinations could go ahead. But this does not mean that all vaccinations now have to be, or should be, carried out. Vets will risk assess each case to decide whether certain vaccinations are essential at this time.
BVA is asking all animal owners to respect their vets’ clinical and professional judgement and be patient during this time.
The Queen’s Medal - the highest honour that the RCVS can bestow upon an individual veterinary surgeon - was given to Dr Mary Stewart MRCVS, a retired academic who spent most of her career at the University of Glasgow where she was responsible for the development of the modern vet school.
Dr Stewart was nominated by Professor Stuart Reid, the Principal of the Royal Veterinary College and former Dean of the Glasgow Veterinary School. In his nomination he said: “Mary Stewart is one of the unsung heroes of the veterinary profession. A veterinarian graduating from Cornell in 1949, Mary has been MRCVS since 1951 and without doubt has been one of the major influencers of ethical approaches in the vet-client-patient environment and, in particular, the impact of euthanasia on both owners and attending veterinarians. Conducting nearly all her professional career in the UK, the vast majority at the University of Glasgow, Mary was of the generation selected by Sir William Weipers to create the modern school at Glasgow, an institution in which Mary played a pivotal role that would have reach nationally and internationally.”
The Inspiration Award is given to vets or nurses to recognise their ability to inspire and enthuse others consistently throughout his or her career. This year, it has been awarded to Dr Freda Scott-Park MRCVS. Freda is a former president of both the British Veterinary Association (BVA) and the British Small Animal Veterinary Association (BSAVA) as well as the current coordinator of the Highlands & Islands Veterinary Services Scheme and a campaigner for identifying the links between animal and other forms of abuse through The Links Group.
The Impact Award is given to vets and nurses who have recently made a considerable impact that has affected the profession at large, animal health or welfare, or public health. This year two Impact Awards have been bestowed. The first is to Dr Rosie Allister MRCVS, a leading campaigner and researcher for and about veterinary mental health, as well as a veterinary educator, the manager of the Vetlife Helpline and a member of the RCVS Mind Matters Initiative Taskforce.
The second Impact Award recipient is Hannah Capon MRCVS, the co-founder and director of Canine Arthritis Management (CAM), a self-funded social enterprise that provides advice to both other veterinary professionals and animal owners on the treatment and management of arthritis in dogs.
This year the RCVS is also awarding three Honorary Associateships, bestowed upon those who are not veterinary surgeons or veterinary nurses but who are making a considerable impact in the veterinary sphere, whether in the field of campaigning, charities, research, politics or journalism, for example.
This year’s first Honorary Associate is Professor Maureen Bain, Professor of Comparative Anatomy and Histology at the University of Glasgow’s Institute of Biodiversity, Animal Health & Comparative Medicine, and an Associate of Glasgow Vet School who has dedicated her career to research on improving the quality and safety of eggs for human consumption.
The second Honorary Associate is Mike Flynn, the Chief Superintended of the Scottish Society for the Prevention of Cruelty to Animals (SSPCA), for his collaborative work with the veterinary profession in areas such as the illegal puppy trade and the Links Group.
The third and final Honorary Associate is Professor Roberto La Ragione, the Deputy Head of the Surrey Vet School where he is also Professor of Veterinary Microbiology and Pathology and Head of the Department of Pathology and Infectious Diseases. Professor La Ragione was nominated for his contribution to veterinary education and research.
RCVS President Niall Connell (pictured right) said: “My hearty congratulations to all of this year’s award winners. Once again, it was a very strong field of people who have made and are making an indelible impact on veterinary science, the professions, animal health and welfare, food safety, public health, and plenty more besides."
Normally RCVS Awards & Honours are presented at Royal College Day in July. However, due to the coronavirus pandemic, the 2020 awards ceremony will instead be part of the proceedings of a combined Royal College Day and Fellowship Day, which will take at the Royal Institution on 2 October 2020. This event may be subject to cancellation and postponement depending on the latest Government advice and restrictions on the prevention of transmission of coronavirus.
The webinar will consider questions such as how practices can maintain turnover whilst sticking to the government and regulator guidelines, and how this can be done without compromising the customer experience.
Hosted by Past President of the British Veterinary Association Gudrun Ravetz, three additional veterinary business experts - Brian Faulkner, Alison Lambert and Alan Robinson - will come together to share their advice on how to minimise the impact that coronavirus has on the practice, the team and a practice’s clients.
Veterinary professionals can submit questions directly to the panel who will answer them during the live event.
To register for the webinar, visit the Boehringer www.boehringer-academy.co.uk.
Earlier this month, the government had exempted veterinary surgeries from the requirement to close their doors during the pandemic. Strictly speaking, the exemption meant that practices could carry on offering the same level of service as before, provided they followed further government guidelines on social distancing.
However, the College then advised that non-essential treatments should not be carried out until further notice, and that animals should only be seen in emergency, or if their health was likely to deteriorate as a result of inaction.
This included vaccination, where RCVS advice stated that whilst routine vaccinations were considered not urgent, there "may be scenarios where, in your professional judgement, vaccines are being given to reduce a real and imminent risk of disease; this includes in the face of an animal disease outbreak, or in a scenario where part of a vaccine course has been given and the animal may be exposed to the disease."
The updated College guidelines, issued last Thursday evening, appeared little changed, except to say that its advice concerning vaccinations is under review. Meanwhile, its new flowchart gives a very clear framework for veterinary professionals to work within, essentially leaving it to your own professional judgement to weigh up the risks.
However, the BVA went further, declaring amongst other things, that:
Vaccinations – we are now recommending that primary vaccinations and year 1 boosters in dogs and cats go ahead due to the increased risk of disease outbreak over a longer period of time, and annual leptospirosis vaccination due to the zoonotic risk. If additional component of the core vaccine is due at the same time, it should also be administered. In addition, we’re recommending rabbit vaccinations go ahead due to the seasonal disease risks. Rabies vaccinations should be carried out if required for certification reasons
.... leading to an outcry that the BVA's advice appeared to be being relaxed at precisely the point when the government is imploring the public to stay at home, and that:
To add further fuel to the flames, the British Small Animal Veterinary Association then issued a statement to the effect that it had not been consulted during the preparation of the new BVA guidelines, which BVA past President Robin Hargreaves felt was so economical with the truth that he resigned his BSAVA membership on the spot.
COMMENTAt the end of it all, there is but one simple truth for every veterinary surgeon who is working in these difficult times, and it is this: The government and the RCVS guidance gives you the freedom to exercise your professional judgement concerning whether or not an animal needs to be seen for whatever reason. Provided you can explain why you reasonably concluded that an animal should or should not be seen, that is all that matters. It trumps everything else.
This whole farago has highlighted a number of important issues in the profession, starting with the social media conspiracy theories that the new guidance came after pressure from corporate practices when as far as I can tell, it appears to have been driven by a genuine concern that that failure to vaccinate could cause significant welfare issues in the future.
That seems a reasonable argument, and very much in line with the College advice. But that in turn raises a far bigger question, which is what on earth the BVA (a voluntary membership organisation) was doing issuing what appeared to be instructions ostensibly for all members of the profession. Notwithstanding the fact that BVA recommendations have no legal weight, having all these chefs running around with different recipe books is itself a recipe for muddled communications and confusion over leadership.
In turn, that raises the even bigger question of what the BVA's role should be. Should it be snuggling up in bed with the RCVS, issuing joint edicts? Or should it instead be holding the College to account, challenging its decisions and demanding clarification where clarification is necessary. I would argue the latter. In this situation, the ONLY organisation issuing guidelines about vaccinations for practising vets should be the regulator. And it is the role of the BVA to challenge those guidelines if necessary, or to demand clarification.
Which leads me on to the next thing, which is that increasingly, members of the profession seem to demand explicit rules or guidelines to operate within. There are lots of hypotheses for why this might be true. Perhaps because we live in a more (or seemingly more) litigious world and veterinary professionals like the reassurance rules provide. Perhaps it is because the younger cohort of vets lack the self-confidence needed for decision-making. Perhaps corporatisation has a part to play, in that employees of larger organisations tend to play more by the rules. Or perhaps it is a consequence of the growth in the 'refer everything’ culture which means vets take fewer clinical risks.
Whatever the reason, it seems clear that in some cases, the RCVS tack of "you're a professional, decide for yourself" is perfectly reasonable, whereas on other occasions, such as Schedule 3, more explicit guidelines are demonstrably necessary. Once again, surely the role of the BVA as the "Voice of the profession” is not to issue its own advice, but to press the College for more explicit guidelines as necessary.
Lastly, there is the role of Facebook in all of this. Quite obviously vets are no more immune to conspiracy theories than members of the public who think that coronavirus is spread by 5G telephone masts. Sadly, the truth is usually far less exciting. However, the problem at the moment is that the growth in social media and Facebook groups has left the regulator and the representative associations on the back foot, such that it is often left to individuals from those organisations who 'happen to come across OK online' (rather than having any properly defined role) to firefight.
Photo: https://www.scientificanimations.com/wiki-images/
Practice staff, managers, clinicians and researchers are invited to apply for an award of up to £2,000 to fund a research project to support the development of best practice in any area of veterinary business, leadership and management.
The VMG launched its Research Grant Scheme in 2019 to encourage research that enhances understanding of the veterinary sector, including strategy, people, finance and marketing, or exploring how management and leadership theory can be applied to the sector’s everyday work.
Topics being researched by 2019 grant holders include gender and entrepreneurship, corporatisation, and career pathways. The three recipients will report on progress later this year, prior to presenting their full results and recommendations at a new Evidence-Based Practice Showcase during VMG-SPVS Congress in January 2021.
VMG President Rich Casey said: "The veterinary sector was already changing rapidly with the COVID-19 pandemic serving only to further accelerate the changes. The leaders of our profession have a critical role to play in helping us to overcome and embrace the challenges of our changing and increasingly volatile, uncertain, complex and ambiguous (VUCA) world.
"We believe that the VMG is uniquely placed to support not only our own members, but also the whole profession in building an evidence base of best practice in veterinary leadership, management and business and our Research Grant scheme will, of course, contribute to this. We were delighted at the response to last year’s call for proposals and look forward to receiving some equally exciting bids this year.”
Further information, including the Call for Proposals, Application Form, and Guidance Notes are available here: https://vetmg.com/vmg-research-awards/
The deadline for applications is 28 August 2020.
The BSAVA Library Collection, which is freely available until the end of June 2020, includes resources relating to total intravenous anaesthesia (TIVA) and anaesthetic monitoring in addition to a new guidance document on the administration of anaesthetics during the pandemic, which has been endorsed by the Association of Veterinary Anaesthetists (AVA).
Kerry Woodhouse, author of the guidance document, said: “In line with RCVS recommendations to promote safe practice and social distancing, anaesthesia for routine procedures should be stopped during the current restrictions relating to the COVID-19 pandemic. There will however remain a need for anaesthetics for emergency and urgent procedures on welfare grounds. This guidance document provides practical information on administering anaesthesia while conserving oxygen supplies."
BSAVA President, Sue Paterson added: “The potential prioritisation of oxygen cylinders into human medicines means that we must be ready and able to revert back to using some more basic anaesthetic techniques. BSAVA is pleased to be able to support the profession during these challenging times through the provision of up-to-date guidance and resources to address these concerns.”
The new Anaesthesia Resources collection can be found here: https://www.bsavalibrary.com/content/update
The Association is also reassuring the profession that there is no indication of a shortage of medical gases.
In preparation for an escalation of coronavirus cases, BOC has been building stocks of medical gases to ensure its supply chain is in the best position to respond to customer requirements.
BOC has also implemented a ‘Full for Empty’ supply of all medical cylinder gases and customers with medical oxygen are being encouraged to manage their cylinders in an effective manner and ensure that empty cylinders are available promptly for collection. The company has also increased the frequency of deliveries and collections to help with cylinder turnover.
Customers are being asked to be vigilant and ensure that medical gas cylinders are kept as secure as possible to deter potential misuse or theft.
BSAVA understands that if a practice is closed for the foreseeable future, BOC will collect cylinders free of charge.
For further information, call BOC’s Customer Information Centre on 0800 111 333 or visit https://www.boconline.co.uk/shop/en/uk/customer-information
For more BSAVA resources relating to coronavirus, visit https://www.bsava.com/adviceforCOVID19
The anaesthesia team has produced a fact sheet, infographic and CPD webinar to help practices minimise the oxygen and volatile anaesthetic agent used in animals safely.
The resources can all be found at: https://vetspecialists.co.uk/oxygen-conservation
Anaesthetist Sarah Gibson will be following up the webinar with a live online Q&A on Low Flow Anaesthesia on Tuesday 7th April at 2pm; to book your place please email CPD@vetspecialists.co.uk.
Managing Director Tim Richardson said: "By sharing our practical information on oxygen conservation, we hope we can help our colleagues safely use less oxygen during general anaesthesia and sedation, thus ensuring more of this valuable resource remains available."
Davies Veterinary Specialists' premises remain open for urgent and emergency cases. For all other cases, assistance is being provided via remote consultation, be that either telephone or video.
The product was one of eight NSAIDS that had been suspended following a European ruling that an excipient, diethanolamine, may pose a risk to human health.
Allevinix is licensed for both intravenous (I/V) and intramuscular (I/M) administration over one to three days in cattle. It has a dose rate of 4ml per 100kg liveweight in cattle, and milk withdrawal times of 24 hours after I/V injection and 36 hours after I/M injection.
Ceva says Allevinix reaches peak plasma levels (CMax) approximately 30 minutes following I/M injection. It is available in 100ml and 250ml vials.
Peter Keyte, ruminant business unit manager at Ceva Animal Health, said: "Allevinix is the only flunixin licensed for both intramuscular and intravenous administration in cattle and provides both vets and farmers with a cost-effective, fast-acting and versatile NSAID that is a useful addition to the range of NSAID options available."
For more information, contact your Ceva account manager, email cevauk@ceva.com or call the ruminant marketing department at Ceva on 01494 781510.
The CPD event takes place this Thursday 9th April, from 9:30am to 5:30pm, using the Zoom video conferencing platform. The organisers say that the agenda is still being finalised, but will be split into three streams: Farm Animal, Equine and Small Animal.
Confirmed speakers include:
Although the event is free, participants are asked make a voluntary contribution at justgiving.com/fundrasing/vets-for-nhs.
To register for the event, visit www.vetsfornhs.co.uk
Vets for NHS is supported by Boehringer Ingelheim, MSD Animal Health, Nimrod and the Scottish Vet Fair.
The PAC offers pain scale apps for dogs, cats and rabbits, a library of downloadable resources and multiple webinars released via the Animalcare Learning Alliance.
Animalcare Product Manager Kai Crawshaw said: “The PAC serves as a one-stop-shop for a wide range of resources, available in digital form and printed form if required. Whether you’re looking to offer clients educational materials on a particular clinical topic; refresh your own knowledge or take some online CPD via one of our webinars. The PAC will prove a useful and easily accessible tool for veterinary teams.
“In light of the current changes to the industry, having a fully-functional digital platform like this to provide to our customers is now more important than ever. We hope that The PAC can be enjoyed anytime, anywhere; no matter what your current circumstance is.
He added: “We would also like to extend our support and thanks to the many veterinary teams right across the UK, which are working so hard to deliver much-needed services in the challenging conditions posed by the COVID-19 pandemic.”
The PAC can be accessed here www.the-pac.co.uk.
In common with the various other telemedicine platforms which have come to market in recent months, the app will allow veterinary professionals to give help and advice to clients and maintain a revenue stream whilst maintaining social distancing.
VisioCare is highlighting a number of features over and above standard video conferencing, including the ability for the clinician to take photos, video and produce a case file that can be added to the clinical record. The system also allows vets to access the client's smartphone and zoom into areas that need to be examined or turn on a flashlight to improve visibility.
Visiocare says it has also been able to address limitations in clarity due to poor smartphone reception.
Linkyvet includes a payment module - which will be integrated free of charge for orders taken during April - so practices can charge for services provided remotely.
Alexander Arpino, Managing Director of Veterinary Insights, said: "During the current COVID-19 situation, Linkyvet has real potential for triage, as well as enabling routine consultations, without putting anyone at risk. It's good news for patient care, staff wellbeing and also ensuring that the practice remains a viable business that's still there for everyone to return to when life returns to normality.
"Outside crisis times, the tool has ongoing value, providing a great way to generate revenue from services such as advisory consultations and follow ups provided remotely and giving clients a convenient alternative to visiting the practice."
VisioCare Linkyvet is available as a standalone tool or can be included in a bundle with other VisioCare products such as VisioCare Consult, which provides explanatory animations and videos that support clinician recommendations and the myBuddy app, which provides a secure and personalised communication channel between clinic and pet owner.
For more information, visit www.visiocareservices.com or contact your VisioCare Business Development Manager: telephone 01403 800135 or email enquiries@visiocareservices.com.
XLVets has called on experts in people development, legal, IT and HR, as well as its practice owners, managers and team leaders to develop a package of coronavirus resources. The package includes guidance and best practice, tips offered by XLVets members, expert guidance in the use of technology to support home workers, access to the XLVets Thriving in Practice wellbeing initiative and more.
To access the resources at www.xlvets.co.uk without charge or obligation, email admin@xlvets.co.uk.
Colm McGinn (pictured right), from XLVets said: "We are very good at working together to develop solutions for problems and supporting each other. This is a national challenge and while our members have faced some difficult decisions, they've been able to share that decision-making process with their peers, calling on them for ideas, guidance and support.
"It's a big ask for just one or two partners to interpret the guidance in a rapidly changing environment and to stay informed about advice from regulatory bodies and associations. We've all benefited from sharing knowledge and it's lifted some of the pressure that comes from taking individual action, while still having freedom to do what's right for your own practice and people. I can't think of a better time for us to share our learning and resources for the greater good."
For more information, visit: https://www.xlvets.co.uk/the-boss.
The weekly sessions will offer practical guidance for veterinary surgeons and nurses about how they can manage chronic cases in line with guidelines issued by the Royal College of Veterinary Surgeons, the British Veterinary Association and the government.
Dechra’s Veterinary Technical Advisor Emily Casey BVM&S MRCVS will present the first webinar tackling Addison’s disease on Thursday April 2 from 1pm to 2pm and again from 7pm to 8pm. It will be available to watch again or download via the Dechra Academy.
It will include advice on how to stabilise patients and administer Zycortal while respecting government guidelines, including prioritisation of blood testing, use of telemedicine and provision of additional owner support. Each webinar represents one hour of CPD.
Dechra’s Technical Services Manager Jamie Walker said: “Since the outbreak of coronavirus began, we have received a large number of calls from practices wanting advice and guidance on how they should be managing chronic cases at this time.
"Our case management webinars will offer practical advice on a number of common small animal issues and aim to provide reassurance and support to veterinary professionals at this challenging time."
Further webinars will be held each Wednesday in April.
To register for the free webinars visit www.dechra.co.uk/events.
Investigation of the relationship between ionised and total calcium in dogs with ionised hypercalcaemia1 was undertaken by Tørnqvist-Johnsen et al. at the Hospital for Small Animals, University of Edinburgh, UK.
Initially, a normal reference interval for ionised calcium, total calcium and albumin, serum and plasma biochemistry was established by analysing samples from 351 healthy adult dogs.
After establishing a reference interval for ionised calcium, the laboratory’s database was searched for adult dogs with ionised hypercalcaemia that had attended the university small animal hospital between 2012 and 2017, a time frame when the same sample handling protocols and instrumentation was in use. The hospital records were searched for patient information and the biochemical parameters statistically analysed.
Of 63 dogs identified with ionised hypercalcaemia, 23 did not have a total hypercalcaemia (37%). 16 of these 23 dogs (70%) had albumin within the reference interval. To summarise the key findings; using total calcium, one third of patients with ionised hypercalcaemia were not identified. There was also no significant relationship between albumin and total calcium in these cases.
Camilla Tørnqvist-Johnsen, lead author of the paper, said: "Hypercalcaemia is a very important clinical abnormality, often revealing severe underlying disease in dogs who do not get idiopathic hypercalcaemia. This study reveals the true importance of doing an ionised calcium measurement when evaluating calcaemic status."
Nick Jeffery, Editor of JSAP said: "This study demonstrates that, if relying on total calcium alone, more than one third of dogs with ionised hypercalcaemia will be classified as normocalcaemic. Furthermore, the study demonstrates that the discordance between ionised and total calcium cannot be routinely explained by a low protein-bound component.
"Whilst reference intervals are key in clinical practice to determine whether a result is an outlier from 95% of a healthy population, it is not inevitable that a patient with an outlying biochemical test result has a clinically relevant disease."
The full article can be found in the April issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13109
Reference
By offering an alternative to face-to-face consultations, VetHelpDirect's online consultation platform provides a means to continue to care for animals while protecting both clients and vet practice staff and still maintaining revenue streams.
The system can be used by clients on most smart phones or tablet devices. Clients can book online or be sent a link by the practice, and payment taken online before the consultation starts.
Transactions on the platform are subject to a 4.8% platform fee and at the end of the 3 month free period, the service costs £20 per month. In addition, to continue using the service, practices need to be registered on the VetHelpDirectory, which costs £38 per month for the first branch and £16 for each additional branch.
For more information, visit: bit.ly/VHD_registration, where you can 'self onboard'. On which note, I will disembark.
The measures agreed by RCVS Council will allow UK-practising members to spread the cost of renewal over three instalments: paying 50% of the full cost by 30th April, 25% by 30th September, and the remaining 25% by 31st December.
Kit Sturgess, Treasurer, said: “We recognise that most veterinary businesses will be seeing a downtown during the coronavirus (COVID-19) lockdown, especially as veterinary practices reduce their workloads to emergency-only procedures or those that can be classed as urgent. Furthermore, we understand that many individual veterinary surgeons will no longer be working, and that this will cause financial difficulties for many vets and their families.
"We appreciate that this is a very difficult time for the profession, and as part of our compassionate approach to regulation we wanted to do our bit to help people manage the difficult financial consequences of the coronavirus crisis, and to help them to return to work as soon as Government advice allows. While fees for veterinary nurses are not due until the end of the year, we will keep the impact of the coronavirus pandemic under review on an ongoing basis.”
Any UK-practising member wishing to switch to the payment-by-instalments system should cancel their existing Direct Debits immediately (the College has already temporarily deferred these direct debits for around 10-14 days to allow time for them to be cancelled).
The College says that any member who does not pay the first instalment of 50% of the total fee by the end of April will need to pay the full amount in one instalment by the end of May. Should they then fail to make this payment, the College would then have to remove their name from the Register.
Those who pay the initial 50% instalment but fail to pay one or both of the subsequent 25% instalments will be moved to the non-practising Register for up to one year. This would mean that they could transfer back to the UK-practising Register without incurring a restoration fee. However, they would no longer legally be entitled to practise as a veterinary surgeon while on the non-practising Register until they had paid the retention fee in full and been transferred back to the UK-practising Register.
RCVS Council also agreed that the higher fee that usually applies for late payments, ie those made between 1 May and 30 May, will not be applied to any category of membership this year.
Members can opt to move to the new arrangements or continue with full payment. Details of how to pay under the new arrangements will be sent to members shortly. Any member who has already paid their fee in full and would like to switch to the payment-by-instalments mechanism should contact the College on refunds@rcvs.org.uk.
Further details about the scheme are available in a detailed Frequently Asked Questions guide via www.rcvs.org.uk/coronavirus.
COMMENTIt has been argued that at a time when many veterinary surgeons have lost a significant part of their livelihood, the College should have gone further and reduced the renewal fees, at least for the period of time that vets' earning ability is compromised. I'm not qualified to judge whether the College could have afforded that, and a spokesman would only say: "...we have to work within the framework of the legislation and the statutory instrument and, given this, the measures that RCVS Council has put in place is a reasonable outcome and will assist veterinary surgeons who may be struggling during these very tough times."
Normally only accessible by ISFM members, the channel has been opened up as a free resource to help vets keep on top of CPD and includes over 40 webinars presented by internationally recognised veterinary specialists.
Topics include: anaesthesia and analgesia, behaviour, emergency and critical care, feline medicine and neurology. Each webinar is worth 1 hour of CPD and you get a certificate.
The channel includes a new webinar: ‘COVID-19 – helping cats cope’ which looks at how you can advise owners to help their cats deal with changes at home.
ISFM’s Feline Medicine Consultant, Sam Taylor said: "ISFM is committed to educating veterinary professionals on all things feline, so we are delighted to be able to bring some of our normally member-only benefits to a wider audience during this challenging time."
To register for the ISFM webinar channel, visit: https://icatcare.org/event/isfm-vet-webinars/
The annual minimum requirement for vets will be reduced from 35 to 26 hours of CPD, while that of veterinary nurses will be reduced from 15 to 11 hours. The reduction comes into force immediately.
A similar 25% reduction will also be introduced for veterinary surgeons holding Advanced Practitioner or RCVS Specialist status.
The decision to reduce the hours was made by the new RCVS Council COVID-19 Taskforce, chaired by RCVS President Dr Niall Connell, which was set up in order to make temporary policy decisions related to the pandemic in a quicker and more agile way. The proposal had previously been considered and supported by the RCVS Education Committee, VN Council and CPD Policy Working Group.
Niall said: “A number of veterinary surgeons and veterinary nurses expressed concern that it may be difficult to undertake CPD at present and so, in order to give the professions some breathing space, we decided we would reduce the minimum hours required for 2020. We also recognise that some practices are having to make the difficult decision to reduce their CPD budgets this year in response to falling footfall.
"However, it is worth reiterating that CPD need not be expensive or require physical attendance at lectures, congresses or other events. There are many online providers of CPD and other resources such as articles and webinars, some of which may be free. The key is that the CPD is relevant to you and enhances your professional practice and so we would still encourage all our members to undertake CPD as and when they can."
The policy will be under regular review and may be extended further if the circumstances demand. Those with any questions on the policy change should contact the RCVS Education Department on cpd@rcvs.org.uk
A full range of FAQs on the COVID-19 pandemic and the impact on the veterinary profession are available to view at www.rcvs.org.uk/coronavirus
The VetSurgeon Expert Forums were originally designed to overcome the weaknesses inherent in other social media platforms like Facebook, such as the lack of accountability, transparency and provenance for the clinical information and opinions being shared.
However it is hoped that the new resource will prove to be especially helpful to general practitioners who find themselves working in isolation because of the coronavirus pandemic.
For them, advice from some of the leading experts in the country could prove a real lifeline.
To use the new Expert Help forums, login and visit VetSurgeon.org/experts (under ‘Forums’ in the main navigation). Alternatively, navigate to the relevant area under ‘Interests’ and go from there.
Type your question in brief, then add any further detail in the box beneath.
Your question is then emailed to a number of experts in the relevant field, who’ll reply when they are able.
All questions are added to a knowledgebank which other members of the profession can read and refer to, but only you, the question author and the experts can reply.
This means you can be assured of a friendly, helpful and knowledgeable reply and it won’t get drowned in a sea of ‘me too’ posts.
Importantly, you can see the provenance for all advice given in the Expert Forums: click the name of the expert to read their full professional profile and qualifications.
There’s also a red ‘Claim CPD’ button at the top of the thread. Use that to claim your question as CPD, or just to keep a record of your questions and the answers (which you can later review in your profile).
Once you have had your answer(s), you must click ‘Verify Answer’ under any that you feel have answered your question. This adds the referral practitioner’s logo and gives them points on a leaderboard of most active and helpful experts. So it’s a nice way to say 'thank you' for their time and effort.
The expert forums are being rolled out, discipline by discipline, over the coming weeks.
Anaesthesia and Pain Management is now live, with experts like Jo Murrell from Highcroft Referrals, Dan Holden from County Vet Clinic, Gwen Covey-Crump, and Carl Bradbrook from Anderson Moores answering questions.
In Cardiology, we have the ever-helpful Dave Dickson from HeartVets and Roger Wilkinson joined by Chris Linney from Willows, Mike Holgate, Mark Patteson from HeartVets, and Nuala Summerfield from Virtual Veterinary Specialists.
In Dentistry, we have Peter Southerden from Eastcott, Norman Johnston from DentalVets, Evelyn Barbour-Hill, Bob Partridge from VetDentist and Rob Davis from Moreton Hall all there to lend a hand.
You'd be hard-pushed to find a more helpful, friendly or more knowledgable bunch of people, so do make the most of this new resource. Remember, there is no such thing as a stupid question, and posting it here adds it to a knowledgebank for everyone else and allows both you and the expert to claim CPD time.
Post your question here!
If you are an expert in one of the veterinary disciplines on VetSurgeon and would like to contribute to an expert forum, please first watch this explanatory video for referral practitioners and then contact: support@vetsurgeon.org.
RSPCA Chief Veterinary Officer, Caroline Allen, today praised the vets and nurses who are providing essential care to animals through the crisis.
She said: “This is an incredibly challenging time for the RSPCA, trying to advise the public and keeping emergency services going with fewer staff, strained resources and in line with Government advice.
"I know this is equally stressful and challenging for vet staff too and I wanted to say a huge thank you from everyone at the RSPCA for your hard work, dedication and support you are giving the RSPCA.
"Our call centre team and officer are working hard to maintain a frontline animal welfare service, but we know there may be occasions where we are unable to attend and this may impact demand on the local vet practice."
Current guidance from the BVA defines emergency and urgent treatment as:
Caroline continued: "There are some circumstances particular to the RSPCA, such as animals that have been subject to abuse or severe neglect, or injured/unwell unowned animals, that may not initially appear to be such an “emergency” in the traditional sense, but our officers will only be collecting them if there is considered to be ‘significant impact on health/welfare and likely to deteriorate if left unmanaged’ as covered by the BVA emergency criteria. We would greatly appreciate your support in ensuring we can protect the welfare of these animals.
"Our National Control Centre will also be following the guidance from the BVA and will be limiting, wherever possible, sending members of the public to vets. However, on occasions where there is a welfare need that would justify an essential journey, we will always ask members of the public to call practices first and follow their social distancing protocols.
"For vets who provide care for our shelters and private boarders we understand the support available will be limited, we will be producing further advice for our teams around options, including remote support.
"We do understand and appreciate the current restrictions being put in place by the BVA and we do understand the very serious strain on practices and teams at this time and we hope that we can continue to work together during this unprecedented time."
The company says the initiative, which is targeted at veterinary professionals and farmers, will be supported by an extensive social media, advertising and PR campaign.
The social media campaign will take the form of social media content, newsletter articles and images for veterinary practices to use on their social media channels and will include information on the cost of dairy cow lameness and tips to manage lameness.
Rose Jackson BVSc DBR CertVBM MRCVS is the farm clinical director at Scarsdale Vets which has already trialled the new materials. She said: “The ‘Wave Goodbye to Pain’ social media content has ensured that we are able to post eye-catching and thought-provoking content to continue to engage with our clients and raise awareness of the ‘triple works’ approach to lameness in cows, which includes using a NSAID such as Ketofen, alongside a trim and block for a more complete recovery from lameness than trimming alone.”
The ‘Wave Goodbye to Pain’ campaign was launched following a study by Nottingham University which revealed that NSAIDs have a synergistic effect when given alongside effective hoof trimming and blocking to treat lameness1.
The study looked at claw horn disease of the hind foot and found that trimming alone resulted in a 69% rate of return to mobility without lameness in 35 days. Adding a block into an effective trimming protocol raised the success rate to 72%; trimming and administering a NSAID raised it to 76%. Interestingly, using all three techniques together - trimming, applying a block and administering an NSAID - resulted in 85% of cases being successfully resolved (Mobility score or 0 or 1).
Gemma Robinson BVM BVS MRCVS, ruminant veterinary adviser at Ceva Animal Health, said: “The study highlights that effective and prompt pain relief with NSAIDs can quickly help restore animals back to full productivity. Attitudes on the use of pain relief have changed significantly over the last 10 years and dairy farmers can have a positive influence by ensuring they recognise the value of NSAIDs and prioritise their use on-farm. It is important that vets discuss NSAIDs with their clients, both to manage illness and for routine procedures, and our ‘Wave Goodbye to Pain’ campaign will help encourage farmers to think about their current pain management plan, take action and seek help from their vet.
“Some concerns have been raised that the issues associated with antimicrobial resistance and antibiotic administration are causing farmers to avoid the use of all injectable treatments. We need to be clear that NSAIDs are anti-inflammatories, not antibiotics, and it is important they are used for pain management, fever and the clinical signs associated with many common conditions. With zero milk-withhold NSAIDs available - there really is no reason to hesitate when it comes to administering pain relief in otherwise healthy cattle.”
For more information on the ‘Wave Goodbye to Pain’ campaign visit the website designed for farmers (www.wavegoodbyetopain.co.uk), contact your local Ceva territory manager or call 01494 781510.
To request a copy of the ‘Wave Goodbye to Pain’ social media pack (including pre-developed posts and images which you can send out to your own clients), speak to your Ceva territory manager or email: cevauk@ceva.com with your name, practice name and address details.
References