Mr Roger faced three charges: that he had failed to provide adequate care, failed to communicate with the owner adequately and failed to keep adequate clinical records for Honey, a Shiih Tzu dog who, it transpired, had hypergycaemia.
At the initial consultation, Mr Roger took a blood sample which showed that there was an elevated blood glucose, an elevated white blood cell count, an elevated ALT and an elevated ALP (which Mr Roger took to be indicative of liver damage secondary to infection).
Mr Roger prescribed a cholagogue (ursodeoxycholic acid), an antibiotic (Synulox) and a diuretic (Frusemide).
In its findings of fact, the Committee found it likely that Mr Roger would have realised that Honey had a potential diabetes mellitus diagnosis with an elevated blood glucose of 28.
However, Mr Roger explained that he had believed the elevated blood glucose was due to the stress Honey had undergone in taking the blood samples.
The Committee therefore accepted that Mr Roger’s actions did not indicate a complete failure by him to notice the elevated blood glucose because he had explained he believed at the time it was due to stress.
Honey’s owner took her back to the veterinary practice that Mr Roger worked at three days later.
A different veterinary surgeon examined Honey and flagged that her blood sugar was high and that her liver was damaged.
She was taken to an alternative veterinary practice for follow-up but died later that day.
Mr Roger admitted failing to ask Honey’s owner if there was a history of diabetes mellitus, failing to take repeat blood glucose tests or carry out urine analysis or carry out additional blood tests, failing to communicate adequately with Honey’s owner about the significance of the hyperglycaemia and the options for investigation/management and failing to keep adequate clinical records in regard to Honey’s blood glucose levels.
The Committee found the admitted facts proved.
The evidence presented to the Committee included the clinical notes taken during Honey’s consultations, emails sent from Honey’s owner to the RCVS outlining the complaint, and evidence from experts in small animal veterinary practice.
Although the Committee found some matters not proved, it did find proved that Mr Roger had failed to recognise and/or pay adequate regard to Honey’s elevated blood glucose levels, had failed to manage Honey’s hyperglycaemia either by treating it or by documenting an appropriate plan to do so and had failed to communicate adequately with Honey’s owner about the significance of her elevated glucose and the reason for it.
Having reached its decision in relation to the facts, the Committee went on to consider whether the facts it had found proved either individually or cumulatively amounted to serious professional misconduct.
Judith Way, Chairing the Committee and speaking on its behalf said: “The Committee found that the charges and particulars it had found proved did not amount to disgraceful conduct in a professional respect either individually or cumulatively.
"In its judgment, the conduct found proved fell short of the standard to be expected of a reasonably competent veterinary surgeon but not far short of the standard which is expected of the reasonably competent veterinary surgeon.”
As a result of the Committee finding that Mr Roger was not guilty of serious professional misconduct on any of the proven charges, either individually or in any combination, the hearing did not proceed further.
A graduate of University College Dublin, Richard started out in first opinion practice after completing an internship at the University of Glasgow.
While studying medicine, Richard researched mast cell tumours in dogs, which led to an MSc in clinical Oncology. He went on to complete a PhD on mast cell tumours at the Royal Veterinary College in 2008.
Richard works with referral oncology patients and clients two days a week at LVS and currently spends the rest of his working week as an oncology consultant for IDEXX Laboratories.
From February, Richard will also be working at Southfield Veterinary Specialists in Laindon, Essex, thereby allowing him to refer oncology patients for radiation therapy at Southfields when necessary.
Richard said: "Having never been comfortable with operating myself, working with a team of this calibre and experience in a welcoming environment within central London was very attractive. It has been a very fulfilling role for me, especially as both our team and the scope of the services we can offer continue to expand.
"Given the high standard of care offered by local vets in the area, the patients referred to LVS are often very challenging. Together with our clients’ high expectations, the service is definitely not run-of-the-mill but all the more rewarding because of that.
"I’m looking forward to bringing my experience in both research and clinical spheres to LVS."
Richard’s main professional interests are mast cell tumours, novel diagnostics and immunotherapeutics, but he is experienced in all aspects of veterinary oncology and can also offer advice about internal medicine cases.
IMV Technologies is a reproduction biotechnology company which has worked in the field of animal artificial insemination and embryo transfer for over 50 years, with operations in more than 130 countries and subsidiaries in the USA, India, China, Italy and the Netherlands.
The newly-formed IMV Imaging now has over 500 employees, which, it says, will make it better placed to deliver the best quality ultrasound, X-ray and three-dimensional veterinary-specific imaging equipment.
The directors and senior management team from BCF and ECM are remaining to lead IMV Imaging.
Alan Picken, CEO of IMV imaging said: "The merger and creation of IMV imaging is a very exciting development for our companies. Building on our strong legacy, it allows us to deliver a wider portfolio of products and services to our customers worldwide and ultimately to deliver improved animal care.”
The company says Dormazolam works in synergy with other induction agents to provide an extended duration of anaesthesia without adversely affecting the quality of recovery 2,3,5.
Benzodiazepines are commonly incorporated into anaesthetic regimens to alleviate issues seen with the administration to ketamine alone2,3,4, including inadequate muscle relaxation2,3,4, anaesthesia not lasting long enough2 and induction failure2.
Despite the issues caused by the sole use of ketamine, it remains the primary anaesthetic induction agent of choice for more than 90% of equine vets2.
Dechra Brand Manager Emma Jennings said: “Using Dormazolam as part of an equine anaesthesia protocol will give optimal general anaesthetic conditions every time, including a rapid onset of action1.
"Anaesthetic co-induction with ketamine and midazolam has been shown to provide a superior quality of anaesthesia compared to ketamine alone3 and midazolam is equally as effective as diazepam when used as a co-induction agent alongside ketamine4. It also cuts down on the number of ketamine ‘top-up’ doses required compared to using ketamine3 alone.
"Additional benefits include no clinically significant differences in cardiopulmonary function1 or recovery times1 between midazolam and diazepam and it can be mixed in the same syringe as ketamine for ease of use4.”
Emma added: “The introduction of Dormazolam provides an exciting new option for equine vets. It delivers enhanced anaesthetic and surgical conditions by improving anaesthetic induction quality2,3,4 and giving better surgical relaxation scores2,3,4. It also reduces involuntary movements because, as a co-induction agent, midazolam only causes minimal cardiovascular and pulmonary depression2,4.”
Dormazolam is available in a 20 ml vial. It has a shelf life of four years and a broached shelf life of 28 days.
For more information, visit: www.dechra.co.uk/therapy-areas/equine/anaesthesia/analgesia.
References:
I had hoped that the increasing absurdity of the reasons given for the rise might have tipped everyone off to the fact that the story was a spoof.
The idea that the College would ask its members to fund some glitzy, showy, award-winning designer headquarters along the lines of London’s City Hall? C’mon. London City Hall employs 1000 staff, whilst the Royal College employs less than 100. And let's face it, the RCVS has no record of having showy offices. On the contrary, it has managed to operate out of a sardine can now for a great many years. Have you ever been in the lift at Horseferry Road? You need to breathe in.
Or that the College had set aside £6M to recruit and pay 20 veterinary surgeons as short term contracted OVs to help in the event of a no-deal Brexit. Let’s say a flight from Delhi to London costs £500, give or take. Twenty vets. That’s £10,000 to get them here. Let's say they’re here for 6 months. That’s £299,500 per vet. You really think the College is going to ask you to pay more than a quarter of a million pounds to fly in a single vet for 6 months? Or that 20 recruits would solve the predicted OV shortage?
Lastly, the quote, supposedly from an Indian vet, but one with a name that doesn’t really sound like a name (still less an Indian one), but does sound strangely like it may be an anagram of April Fool.
There have been a small number of reports of people being really upset by this story. I guess they must have skim read, or only read the headline.
To them I want to say sorry, I genuinely didn’t mean to upset anyone.
In fact, I thought it might cause some reflection on what good value the RCVS really offers. It maintains the register and thereby your ability to practice, it runs the disciplinary process (an essential component of maintaining public trust), it oversees and sets educational standards, it awards Fellowships, Diplomas and Certificates, it runs the Practice Standards Scheme.
All that, and more for £340 per annum?
Honestly? I think it would be cheap at half the price.
Photo: Truth is that the RCVS has operated out of a sardine can for years.By Rl - Own work, CC BY-SA 3.0, Link
Henry Schein, Inc. has announced the acquisition of Veterinary Instrumentation, the supplier of surgical instruments and implants to veterinary surgeons in the United Kingdom.
Stanley M. Bergman, Chairman and Chief Executive Officer of Henry Schein said: "We are delighted to welcome this highly regarded company to the Henry Schein family, and very pleased that founder John Lapish and Managing Director Steve Fletcher will continue to drive the business forward.
"The success of Veterinary Instrumentation closely parallels the cornerstones of Henry Schein, including a deep understanding of customer needs, innovative solutions, superior product quality and customer service, and a trusted advisory relationship with our customers. Reinforcing our existing animal health business in the U.K., we look forward to strengthening our relationship with veterinary customers in this region, and bringing the Veterinary Instrumentation product portfolio of high-quality surgical specialties to a growing number of veterinarians across Europe, the United States and Australasia."
Veterinary Instrumentation was founded by John Lapish in 1986 in Sheffield, England, where the business and distribution operations are currently conducted from a single facility. Working as a small animal orthopaedic surgeon in the late 1970s, Mr. Lapish began designing and developing a range of instruments specifically for veterinary surgery, initially for his own use. As requests for these products increased, the market need became clear and Veterinary Instrumentation was formed, in particular to meet the needs of orthopaedic surgeons focused on small animals.
Mr Lapish said: "We look forward to contributing to the continued growth and success of a leading supplier of companion animal health products and services in the United Kingdom and to becoming part of a global leader in the distribution of health care products and services.
"The expertise that we bring in the area of veterinary surgical instruments will complement Henry Schein's broad offering, and our customers will benefit greatly from the global resources of a company that has quickly become an animal health care product and service leader on three continents."
With approximately 60 percent of sales in the U.K., and the balance split fairly evenly between Europe and the rest of the world, Veterinary Instrumentation has 20 employees, including a team of eight Veterinary Technicians who advise customers on the most appropriate procedures and instrumentation.
Veterinary Instrumentation sales for the 12 months ended September 30, 2011 were approximately £6.7 million ($10.8 million). Financial terms of the transaction were not disclosed.
The company says that the Phillips tuberculin gun is easier to use, clean and maintain than the most commonly used device, and it also offers practices doing government TB testing work the opportunity to make substantial savings on the cost of consumables.
Dave Gilbert MRCVS, director with Dairy Insight said: "There is no official requirement to use a single make of gun for TB testing work, so with tightening margins for work in this arena it makes sense for practices to explore valid cost-saving options.
"Having trialled this NJ Phillips gun over the last 12 months in our own farm practice we’ve been very pleased with it, particularly when it comes to changing needles. I’ve always found this process fiddly, especially when you have cold hands. We’ve also made substantial savings on consumables, which are over 70p per needle cheaper for the V-Grip."
The V-Grip is precision engineered for optimum dosing accuracy and comes with a visible chamber, to help ensure correct administration of tuberculin.
For more information, contact Dairy Insight at: info@dairyinsight.co.uk
Meantime, the school was given a “conditional accreditation” for its degree, as it had met only 27 of the 77 RCVS accreditation standards.
The visitation was conducted by an accreditation panel comprising representatives from veterinary academia and clinical practice, as well as student and international representatives.
As part of the accreditation process, the panel considered documents and records, discussions and interviews with students and faculty members, a tour of the teaching facilities, and meetings with other stakeholders.
Based on the evidence, the panel agreed 55 recommendations for improvement which were then discussed, alongside the formal response from the Department, by the RCVS Primary Qualifications Subcommittee (PQSC), the body responsible for considering accreditation reports and making recommendations to Education Committee.
By contrast, the accreditation visit to the University of Bristol this year generated just one recommendation, likewise the visit to the University of Surrey last year.
Due to the unusually high number of recommendations and concerns about the delivery of the Cambridge degree, PQSC recommended that the programme receive conditional accreditation for 10 months, which was then agreed by Education Committee.
An RCVS spokesperson said: “Following careful review of the evidence, during the Committee’s detailed discussions, it was unanimously agreed that the number of standards not currently being met, which extended across all domains, meant that the Committee made the difficult decision to grant conditional accreditation.
“In reaching a decision and timeframe, given the problems identified, and the impact these will have on student learning and experience, Education Committee members firmly agreed on the need to help the vet school support both existing students on, and future applicants to, the Cambridge veterinary programme.”
“At the next visitation in September 2025, a panel will consider the evidence submitted and then a decision will be made on the future status of the degree.”
"In the meantime, we recognise that both students and staff might have concerns about this outcome, so we remain able and very willing to work closely with the Department in the coming weeks to ensure it has appropriate support plans in place.”
The full list of recommendations, suggestions and commendations for Cambridge can be found at: www.rcvs.org.uk/visitations.
Hannah, who graduated from the RVC in 2015, was nominated for her dedication to excelling in first-opinion practice through her farm, small animal and equine work as a mixed animal vet in Aberystwyth.
She was selected from a field of more than 100 entrants by the award judges BVA President Malcolm Morley, President of the Royal College of Veterinary Surgeons (RCVS) Melissa Donald, Professor the Lord Trees, Zoetis National Veterinary Manager Jonny Lambert and last year’s winner of the award, Alex Davies.
Hannah said: “This is fantastic! I’m so pleased to accept this award.
"I want to say a huge thanks to my practice for giving me the freedom to explore my passions and enabling me to work with a wide of range of species.
"I want to particularly mention my mentors Dafydd, Phil and Kate, who inspired me to focus on what I love.”
BVA President Malcolm Morley said: “Hannah’s incredible enthusiasm and passion for her work as a mixed-practice vet really made her stand-out to us.
"She is excelling in her work across species, which is challenging enough, but she’s also doing it at a high level.
"It is great to recognise the contribution that Hannah and other first-opinion vets make to our profession."
The RCVS Disciplinary Committee has dismissed a case against a Southampton veterinary surgeon after finding him not guilty of serious professional misconduct, saying at all times that he acted in the best interests of a dog under his care.
At the start of the five-day hearing, the charges against Edward Gillams MRCVS were that, whilst in practice at Vets Now in Southampton in 2011, he discharged a dog that he knew or ought to have known was in no fit state to be discharged, and, at the same time, failed to provide adequate advice and information to the dog's owners, particularly with regard to an alternative plan to discharge and treatment options.
The dog, an Italian Spinone called Zola, had first been taken to the Vets4Pets veterinary clinic in Southampton at 4.30pm on 2 November 2011, where gastric torsion was diagnosed. During a subsequent gastrotomy, 3kg of sausages and plastic wrappings were removed. Zola was discharged three days later, with a guarded prognosis from the operating veterinary surgeon. Zola's condition deteriorated that same evening, so his owners called the Vets4Pets practice and were referred to their out-of-hours provider, Vets Now, where Mr Gillams was on duty. On admitting Zola, the only information available to Mr Gillams was what the dog's owners were able to tell him.
The Committee heard differing witness accounts from the dog's owners and from Mr Gillams regarding what tests and examinations were to be performed, and what advice and options were suggested. Ultimately, Zola was hospitalised overnight (despite some reluctance for this from one of his owners), given pain relief and antibiotics and placed on a drip; he was then to be collected by his owners first thing for transfer back to Vets4Pets. The next morning, Zola was described as 'sternally recumbent but responsive', holding his head up but not moving and not making any attempt to get up. Mr Gillams carried Zola to his owner's car for transport back to the Vets4Pets practice. He considered that he had discharged his duty to provide advice, as this was given the night before and in the circumstances prevailing in the morning there was no obligation to repeat this. Zola died on the journey between the two practices.
Before reaching a decision, the Committee considered, in detail, the expert evidence of witnesses for both the College and Mr Gillams, which provided some conflicting views on Mr Gillams' actions. It also referred to the RCVS guidance available to Mr Gillams at the time through the RCVS Guide to Professional Conduct 2010.
The Committee noted that both experts agreed that Mr Gillams could not have known Zola was about to die when he discharged him and that it was a difficult decision for Mr Gillams to make, but expressed differing views about the fitness of the dog to be discharged and whether it was in its best interests to be discharged. The Committee rejected the contention that Mr Gillams ought to have known that Zola was not fit to be discharged, and instead considered appropriate his decision to discharge him into the care of his original veterinary surgeon. It felt that continuity of care would actually be better maintained in this manner, rather than a third veterinary surgeon taking over the case.
Regarding provision of adequate advice, the Committee accepted Mr Gillams' evidence that he was frustrated that the owners refused him permission to undertake the diagnostic work necessary to treat Zola effectively, and that he had no other clinical information to work with.
Chairing and speaking on behalf of the Disciplinary Committee, its Vice-Chairman, Ms Judith Webb, said: "The Committee expresses its sincere condolences to [the owners] for the loss of their much loved family pet Zola and recognises that this loss caused the family great distress."
Ms Webb added: "The Committee accepts that [Mr Gillams] discharged his obligations to Zola and to [his owners] in a manner wholly consistent with the standards of a competent veterinary surgeon in difficult circumstances. He leaves with no stain on his character or professional ability."
The full detail of the Committee's decision is available on the RCVS website (www.rcvs.org.uk/disciplinary).
Mr Gove ministerial statement followed the brouhaha last week when MP's voted against transferring the EU protocol on animal sentience into UK law.
However, Conservative MP Zac Goldsmith said in a tweet that the vote had not been about whether or not MPs recognise animals as sentient, but about the best legal framework within which to deliver high standards of animal welfare. Rachel Maclean, MP for Redditch also weighed in, saying that the idea that MPs had voted against animals as sentient beings was 'fake news'.
Mr Gove's ministerial statement reads as follows:
"This Government is committed to the very highest standards of animal welfare. As the Prime Minister has set out, we will make the United Kingdom a world leader in the care and protection of animals.
It has been suggested that the vote last week on New Clause 30 of the EU Withdrawal Bill somehow signalled a weakening in the protection of animals - that is wrong. Voting against the amendment was not a vote against the idea that animals are sentient and feel pain - that is a misconception.
Ministers explained on the floor of the house that this Government’s policies on animal welfare are driven by our recognition that animals are indeed sentient beings and we are acting energetically to reduce the risk of harm to animals – whether on farms or in the wild. The vote against New Clause 30 was the rejection of a faulty amendment, which would not have achieved its stated aims of providing appropriate protection for animals.
The Prime Minister has made clear that we will strengthen our animal welfare rules. This government will ensure that any necessary changes required to UK law are made in a rigorous and comprehensive way to ensure animal sentience is recognised after we leave the EU. The Withdrawal Bill is not the right place to address this, however we are considering the right legislative vehicle.
We are already proposing primary legislation to increase maximum sentences for animal cruelty from six months to five years, and the creation of a new statutory, independent body to uphold environmental standards.
The current EU instrument – Article 13 – has not delivered the progress we want to see. It does not have direct effect in law – in practice its effect is very unclear and it has failed to prevent practices across the EU which are cruel and painful to animals.
In contrast, here in the UK, we are improving animal welfare standards without EU input and beyond the scope of Article 13. We are making CCTV mandatory in all slaughterhouses – a requirement which goes above and beyond any EU rule. We will consult on draft legislation to jail animal abusers for up to five years – more than almost every other European nation. We propose combatting elephant poaching with a ban on the ivory trade which is more comprehensive than anywhere else in Europe. Our ban on microbeads which harm marine animals has been welcomed by Greenpeace as “the strongest in the world”, and is certainly the strongest in Europe.
Once we have left the EU there is even more we could do. EU rules prevent us from restricting or banning the live export of animals for slaughter. EU rules also restrict us from cracking down on puppy smuggling or banning the import of puppies under 6 months. Article 13 has not stopped any of these practices – but leaving the EU gives us the chance to do much better. We hope to say more in these areas next year.
This government will continue to promote and enhance animal welfare, both now and after we have left the EU."
Photo: Curious cattle on farmland in Cornwall UK. Shzphoto/Shutterstock
Duncan makes three requests of the UK Government:
The first is to make changes to encourage more overseas vets, and specifically the return of EU vets.
The second is to increase funding for UK universities to provide veterinary courses.
The final request is to update the regulatory framework to enable veterinary nurses to expand their role.
Full article: https://ivcevidensia.co.uk/News/duncan-phillips-time-to-overhaul-vet-support
Finding and settling into that first job is a particularly challenging time for a veterinary surgeon. Not only do you need to adapt to the practice environment and fit in with colleagues, but also gain a fast understanding of what's expected clinically, professionally, ethically and academically.
Recently retired after a 40-year career in practice, Clare is very well placed to give new grads useful advice. She's had six year's experience in mixed practice and 34 in small animal practice, both as an employee and an employer. She co-owned a small animal practice in Yorkshire which she developed with her veterinary partner from one surgery to a small animal hospital with four surrounding branch practices employing many vets and nurses over the years. She also spent 8 years on RCVS Council, giving her a deeper insight to the complexities of the wider profession.
What is perhaps a tad more unusual is that she writes from the perspective of someone who feels she has nothing to lose by being completely open and candid about her experiences.
Clare said: "I've really enjoyed my career and been fortunate enough to be able to balance it with family life, practice ownership and time on Council. But it hasn't always been easy. There are things I think I could have done better, and like everyone I've made some mistakes. I hope that by being open about these things, I might prevent others falling into the same traps.
The New Vet's Handbook covers employment options, interviews, mentoring, working with clients, patients and colleagues, consulting advice, dealing with euthanasia, record-keeping, veterinary standards, training and CPD, career options, professional skills and avoiding common pitfalls.
Clare added: "Although the purpose of the book is to help new grads settle in, especially those in smaller practices where a mentor may not always be readily available, I hope people will find it a funny, enjoyable read too."
The New Vet’s Handbook is available from 5m, priced at £24.95: http://www.5mbooks.com/the-new-vet-s-handbook-information-and-advice-for-veterinary-graduates.html
Salmoporc gives protection against Salmonella Typhimurium and its monophasic variants. It is administered orally to piglets and through subcutaneous injection in sows.
According to the company, Salmoporc is the only live, attenuated salmonella vaccine licensed for pigs in the UK and Ireland.
Ceva says salmonella in UK and Irish herds is the highest in the EU, with a prevalence of 19.5% and 17.5% respectively. It is particularly difficult to control in outdoor herds since the bacteria can survive in soil for a year, even longer in dried dung and has been detected in fields two years after being vacated by pigs.
Outdoor bred, or reared, pigmeat accounts for 12% of retail sales and the majority of this is processed.
Dr Rike Schmelz from Ceva said: "Salmonella is an increasing problem on pig farms and the bacteria are transmitted through breeding pyramids which eventually supply finishing pigs. Clinical cases of diarrhoea often occur after weaning and tend to be treated with antibiotics."
Rike added: "The monophasic variant of S. Typhimurium is already multi-drug resistant and vaccinating pigs can help farmers to substantially reduce their use of expensive antibiotics. In addition, with the removal of zinc oxide at therapeutic levels from the feed in mid-2022, salmonella and other enteric diseases are likely to become more apparent."
Ceva says that by immunising their pigs against S. Typhimurium, farmers will gain an economic benefit from lowered mortality and improved daily liveweight gain (DLWG) among their pigs.
In independent trials at the University of Ghent in Belgium, between three and 29 weeks, vaccinated piglets from three herds gained between 30g and 39g, significantly more per day than unvaccinated controls.
Trials in Germany have shown that, with vaccination of sows and gilts at the top of the breeding pyramid, combined with a competent hygiene programme, it is possible to eliminate salmonella from the supply chain.
The scheme will allow regular referrers to gift free treatment worth up to £5000 to clients in need of financial assistance
Hospital Director Nicola Bromley said: “We recognise the challenge it is for families who may need specialist care for their animal friend but are unable to find the necessary funds.
"We highly value the relationship we have with our referring vets in providing options to their clients, and we hope this scheme will empower them to give hope to those who need it most.
"We are committed to supporting our referring primary care vets through collaboration, to make the whole sector as good as it can be for every animal.”
The new scheme will be activated immediately and apply to referrals made from January 2024, meaning practices and primary care vets who already refer to Fitzpatrick Referrals can refer pro bono cases immediately.
https://www.fitzpatrickreferrals.co.uk
DISCUSSION
Pawz Ltd, a UK company founded by Diwaker Singh, Radu Georgescu and Francesco Cardoletti has launched PawSquad, a new on-demand veterinary video consultation service for pet owners.
The service offers pet owners a 15 minute online consultation with a veterinary surgeon for £15, any time from 6:00am to midnight, seven days a week.
PawSquad points out that the service cannot offer a diagnosis - apart from the fact that it would be contrary to the CoPC, it's obviously not possible without a physical exam - so the service is designed to offer more general health advice concerning such things as behaviour, nutrition and the management of long-term, non-emergency conditions.
Andrew Francis BVSc CertVC, DipECVIM-CA MRCVS ex-Head of Cardiology at Anderson Moores Veterinary Referrals is the company's Chief Veterinary Officer, sitting alongside Andrew Ash MRCVS (the BSAVA Past Pres). Andrew #1 said: "Currently, pet owners have only two options when they need advice about their pets' health and welfare. They either take time out of busy schedules to visit the vet or, when a visit to the vet is not possible they search the Internet for non professional and frequently unreliable information."
Francesco Cardoletti said: "It’s important to understand that PawSquad is a supplementary service – it’s not replacing traditional veterinary services.There are limits to the services you can digitally provide. If an animal is seriously ill, it needs to get to a bricks and mortar veterinary clinic and be examined by a vet."
Eleanor Ferguson, Head of Professional Conduct at the RCVS said: "We have had a discussion with Pawsquad and understand that the aim of its service is to increase accessibility to veterinary advice, which can only be a good thing as a large percentage of animal owners are not registered with a veterinary surgeon.
“We understand that the veterinary surgeons involved will not be giving detailed clinical advice but will be limited to offering general advice on areas such as puppy care, nutrition, allergies and pet passports.
“We also recommended to Pawsquad that their veterinary surgeons should take care to point out the limitations of their advice, given no physical examination has taken place, and suggest that owners takes their pets to a veterinary practice where that is appropriate.
“The issue of telemedicine has come up often during the joint RCVS/BVA Vet Futures project and is a topic that the Standards Committee, which looks after the Code of Professional Conduct and its supporting guidance, is currently considering in more depth, with an evidence-gathering process due next year.”
I tried out the new service with a question about my dog's slightly worrying habit of growling at one of my children. It was a question which we had not thus far raised with our normal vet because it hadn't been enough of a concern at the last consultation. But it seems to be getting slightly worse, and my wife and I had recently talked about getting advice. It seemed like just the sort of situation where an informal chat with a vet could be helpful.
Completing the preconsultation details was a breeze, slowed only by the need to shove the dog on a set of scales (I didn't know what she weighs, and it's needed for the consultation). Thereafter, only one hiccup when it transpired that Safari, the browser I was using, is incompatible. I switched to Chrome, which is.
The consultation itself was excellent. Within a few seconds, the very charming Angie Henderson MRCVS appeared on my screen. It transpired I was her very first consultation since the service was launched yesterday! We discussed the problem. She reassured me that one of the things I was doing (getting the child to feed the dog under supervision) was a good idea, and we discussed a number of other positive reinforcement strategies to try and improve our dog's behaviour. She explained that she wasn't one for certain types of negative reinforcement, but that using a spray bottle of water when the dog behaved inappropriately could help. She explained that we would need to do these things several times a day for them to have an effect, and even then it may take some considerable time, and may need the services of a behaviourist. She also reassured me that the dog would be unlikely to do anything worse than nip, whilst stressing that even a nip is very upsetting for a child, so it does need to be dealt with.
All in all, I came away reassured, with some very useful suggestions and a clear idea of what we need to do. £15 very well spent. I gather that I should also have received a written post-consultation report by email, which didn't arrive because of some technical glitch. But that's slightly by-the-by; the icing on the cake.
I can also see the service would be very useful as a sort of out-of-hours triage, in other words offering me the ability to have a "my-dog-has-just-eaten-three-kilos-of-Green-and-Blacks-what-next-consultation?" at 11:00pm at night.
If the service proves popular amongst pet owners, the question remains whether it will reduce the number of people seeking and paying for traditional consultations. I suspect not. Perhaps the reverse will happen as pet owners use the system to corroborate their feeling that the dog might need a physical exam. As part of the service and with your permission, PawSquad forwards a copy of the consultation report to your normal vet.
Again if the service proves popular, it seems to offer the potential for a nice additional income stream for veterinary surgeons, especially locums, which can be earned in the hours you specify, from the comfort of your home. PawSquad says it pays vets between £12-£32 per hour; equivalent to £60K per annum. Whilst the company doesn't directly employ vets, it will provide liability insurance provided by the VDS.
PawSquad says it also plans to recruit veterinary nurses later in the year, to offer advice to new pet owners on nutrition, behaviour and the environment.
Unlike a normal 2D X-ray system, Adaptix's system fires very low-flux X-rays from many different positions in a sequence.
This allows the system to reconstruct a stack of slices through the patient which can be reviewed like the coronal slices from a CT scan, with only marginally more of a dose than a single 2D X-ray.
Adaptix says this means each side of the jaw can then be seen separately and clearly, in a much easier workflow than taking multiple intraoral 2D X-ray images.
Dr Conrad Dirckx, Director of Product Management at Adaptix said: "The system is both lightweight and simple to install in an existing radiology or treatment room, and it is also very useful for orthopaedic imaging.
"It reduces the workflow time for dental imaging from about 12-20 minutes to less than three.
"On top of that, it offers veterinary surgeons access to advanced 3D imaging for most complex orthopaedic cases without having to buy a CT scanner and sacrifice a treatment room, or refer the patient away."
The system is also being offered with an innovative pay-per-study pricing model, through which Adaptix installs the system with no capital outlay, and charges on a 'per-study' basis which also covers maintenance.
The system is available from Clark Dental Veterinary: www.clarkdentalveterinary.co.uk.
For more information, visit: adaptix.com
The team at the centre will be led by Dr Ryk Botes (pictured right), a Medivet Branch Partner with a special interest in orthopaedics and, in particular, replacement surgery.
The company says it is investing in specialist equipment to help the team refine current surgical techniques, including a gait analysis walkway which will be used to help diagnose the cause of lameness and be a means to measure improvement in surgical cases objectively. The data it provides will also enable the team to publish its results in peer-reviewed papers.
Ryk, who qualified in South Africa and joined Medivet in 2013, said: "The volume of elbow, hip and knee replacements we undertake is growing rapidly and the creation of this new centre of excellence at Medivet Faversham will enable us to provide an even higher standard of service to our clients and to help develop and refine orthopaedic techniques for use by the wider veterinary community.
"Data from the gait analysis walkway will be particularly useful in sharing our findings in scientific papers. We will also use the data to support an ongoing research project in elbow replacement surgery in partnership with one of the leaders in implant technology based in Zurich, Switzerland.
Eurovet Animal Health has launched Vomend, a new veterinary licensed metoclopramide that can be used to treat vomiting and reduced gastro-intestinal motility in both dogs and cats.
Eurovet says that for years, vets have often had little choice but to use metoclopramide preparations designed for human use - therefore effectively off-licence. This new preparation will allow vets to use a medication they know is of great benefit in treating dogs and cats, without taking all the additional precautions required for off-licence use, such as having clients sign consent forms.
The product can also be used in puppies and kittens. Severe vomiting in young puppies particularly can quickly lead to dehydration and depression, so it is vital to control the clinical signs and prevent fluid loss. Vomend will, according to the company, be particularly useful in this regard. As well as being an anti-emetic Vomend is also a pro-kinetic upper GI tract stimulant, so it is indicated for use in chronic nephritis, pyloric spasm and drug induced digestive intolerance.
Vomend will be available in 20 ml and 10 ml vials, providing greater flexibility over usage and stock control.
For further information on Vomend contact Eurovet on 01223 257933 or order direct from your wholesaler from early February.
Ed's note: The name. Is it just me? Wouldn't 'Tummyeaze' or something (anything) have been better?
The guidelines, launched during WSAVA World Congress 2018 in Singapore, aim to bridge differing perceptions of welfare around the world and help veterinary surgeons and nurses tackle the ethical questions and moral issues which impact welfare.
They also offer guidance to ensure that, in addition to providing physical health advice and therapy to their patients, veterinary surgeons and nurses can advocate for their psychological, social and environmental wellbeing.
Dr Shane Ryan, incoming President of the WSAVA and former Chair of the WSAVA Animal Wellness and Welfare Committee, said: "As veterinarians, our responsibility extends far beyond the physical health of our patients. Animal welfare as a science is a new and rapidly developing discipline and veterinarians need current, evidence-based invformation to enable them to maintain the highest welfare standards and to provide knowledgeable, accurate advice for pet owners and communities.
"Our new Guidelines provide recommendations, checklists and other tools to promote optimal levels of welfare throughout the veterinary visit. They also offer guidance on increasing welfare beyond the doors of the clinic through outreach activities.
"As levels of pet ownership increase in many regions of the world, including Asia, it is essential that veterinarians champion animal welfare and the WSAVA hopes that these new Guidelines will encourage our members to adopt best practice and set the highest standards.
"I would like to thank the members of the Animal Welfare Guidelines team, who worked so hard to create them and, of course, our sponsor, Waltham, whose constant support was instrumental in enabling us to deliver them."
The Animal Welfare Global Guidelines for Companion Animal Practitioners and the Veterinary Team are available for free download at: https://bit.ly/2D3RAoc.
The website has been redesigned to help pet owners improve their understanding of the disease and support their commitment to treating their pet, thus improving the survival rates of diabetic pets.
The site includes videos which show how to give insulin injections to dogs and cats. There are also links to the Pet Diabetes Tracker App, which helps owners of diabetic pets monitor and record their pets’ progress. There are also tools to help pet owners build glucose curves they can share with their veterinary practice, and FAQs that will answer their main concerns.
The company is also offering additional support to help veterinary practices raise awareness of pet diabetes in the form of staff training and a Pet Diabetes Month Resource Pack.
Caroline Darouj, Senior Product Manager at MSD Animal Health said: "Pet diabetes continues to rise in the UK1,2 due to the growing prevalance of obesity in our pets. Research has shown that up to 20% of diabetic pets die, or are euthanised, within a year of diagnosis3. Many of these early deaths however, are avoidable and effective management can result in good outcomes in most pets. A diabetes diagnosis should not be a life sentence for our pets.
"This campaign and new website will make a big difference, giving practices the tools to engage pet owners, provide treatments plans and explain effective disease management. Diabetes is a disease with many elements that can feel overwhelming for pet owners so it’s vital that all veterinary practice team members have the right resources to be able to advise and support them so their pets can lead long and happy lives."
To sign up for a pack practices should go to www.msd-animal-health-hub.co.uk/PDM
References
Mr Adams was convicted at Gorey District Court, County Wexford, Republic of Ireland in March 2015 for:
Nine offences of prescribing animal remedies to animals not under his care;
Five offences of forging entries in official animal remedies records owned by farmers to suggest he had made visits to farms when he had not;
Seven offences of dispensing a prescription-only animal remedy but not preparing a veterinary prescription containing the details of the animals;
Two offences of failing to affix labels in the required form to prescription-only items when selling or supplying animal remedies;
Six offences of failing to annotate the dispensed prescriptions with the word ‘dispensed’ and failing to sign and date them;
Three offences of failing to keep a record or purchases and sales (including quantities administered) in respect of each incoming and outgoing transaction; and
Two offences of selling animal remedies on a wholesale basis without an animal wholesaler’s licence.
The charges related to treatment of animals not under his care throughout 2012 and 2013 which were investigated by the Department of Agriculture, Food and Marine in the Republic of Ireland.
In relation to these convictions Mr Adams received a 12-month prison sentence, suspended for two years, was fined a total of €40,000 and ordered to pay costs of €16,400.
Following his conviction his conduct was considered by the Veterinary Council of Ireland’s (VCI) Fitness to Practice Committee and, in September 2017, the VCI a sanction of 12 months’ suspension from its Register. This sanction was upheld by the High Court in the Republic of Ireland in November 2017.
As well as being a registered veterinary surgeon in the Republic of Ireland, Mr Adams was also on the UK-practising Register with the RCVS, so his convictions were considered under the College’s own complaints and disciplinary process.
At the outset of the hearing, Mr Adams admitted the charges and accepted his convictions rendered him unfit to practise. The College also asserted that Mr Adams' convictions rendered him unfit to practise, noting a number of aggravating factors including the risk of injury to animals, dishonesty, premeditation, financial gain and misconduct sustained and repeated over time.
In considering the College’s case and Mr Adams’ own admissions, the Disciplinary Committee agreed that his conduct rendered him unfit to practise veterinary surgery.
Professor Alistair Barr, chairing the Committee and speaking on its behalf, said: "The Committee found the conduct to be at the serious end of the spectrum for such misconduct, it being systematic, prolonged and illegal conduct relating to the supply of animal remedies which posed a significant risk to human and animal health.
"Accordingly, the Committee found that the convictions which led to these charges cumulatively render Mr Adams unfit to practise."
In considering the sanction, the Disciplinary Committee took into account a number of mitigating factors including that he had been practising since 1993 and had no previous disciplinary findings, had made open and frank admissions at all stages to the College and had practised between April 2013, when the matters first came to light, and February 2018, when he was suspended by the Veterinary Council of Ireland, without incident.
It also considered the conditions that were imposed upon Mr Adams by the VCI in terms of notification that he was intending to return to practice, auditing of his practice, his continuing professional development (CPD) and having to undertake personal and professional support programmes and arrangements for professional mentorship for one year after his return to practice.
In view of the sanctions already imposed by the court in Ireland, and his suspension by the VCI, the Disciplinary Committee decided that a period of two years’ suspension from the UK Register of Veterinary Surgeons was the appropriate sanction.
Professor Barr said: "Whilst Mr Adams would be able to practise in the Republic of Ireland before he was able to practise in the United Kingdom again, the Committee considered that the conditions attached to his supervision in Ireland meant that he would be subject to close supervision before he was allowed to practise again in the United Kingdom and that only a longer period of suspension would allow this to happen.
"The Committee therefore decided that only a suspension of two years would maintain public confidence in the profession and declare and uphold proper standards of conduct for the serious nature of these charges."
Mr Adams has 28 days from being informed about the Disciplinary Committee’s decision to make an appeal to the Privy Council.
MWI Animal Health, a part of AmerisourceBergen, has announced the acquisition of St. Francis Group, the UK’s largest animal health buying group.
The acquisition of St. Francis Group highlights AmerisourceBergen and MWI’s continued global expansion in the animal health sector, while also positioning MWI to better support the viability of independent veterinary practices internationally.
St. Francis Group, which represents more than 460 member practices throughout the UK and Northern Ireland, has steadily grown its member base and service offerings. The company aims to save its members time and money on veterinary products by providing information, technology and support that simplifies their processes, maximises purchasing benefits and reduces administration so members can focus on clinical care.
James F. Cleary, Jr., Executive Vice President and President, MWI Animal Health said: "At MWI, we’re focused on providing independent veterinary practices with the tools and resources they need to thrive in a competitive animal health marketplace. St. Francis Group is dedicated to this same mission and we believe that adding the resources of AmerisourceBergen to their existing expertise and tools will further strengthen the impact they’re able to create for their members."
Alan White, Managing Director, St. Francis Group, said: "We’re proud of the work we’ve done to encourage the health and viability of our member practices. We look forward to working with MWI and AmerisourceBergen to further expand our capabilities with the goal of providing even greater value to current and future members of St. Francis Group."
AmerisourceBergen completed its acquisition of MWI Veterinary Supply, Inc. in February of 2015. MWI completed the acquisition of Vetswest Limited, a leading veterinary support services provider in the UK in August of 2015.
MWI says that through the acquisition, St. Francis Group will continue to negotiate with manufacturers based their ability to best meet member needs and purchase products from preferred wholesaler partners.
For more information about MWI Animal Health, visit www.mwianimalhealth.com.
If, as is predicted, social distancing methods need to be employed to reduce the spread of the virus, or clients find themselves having to self-isolate, video consultations may offer a way in which veterinary practices can continue to serve their clients, maintain animal welfare and, importantly, revenue.
VetHelpDirect's video consultation system, which was announced earlier this year, is still in the Beta testing phase, and the plan had been to roll out the full service in May.
Under the circumstances, however, the company has decided to offer the service to all practices immediately, free of charge for the next three months.
To use the video consultation service, you do need to subscribe to use VetHelpDirect, a service through which you can manage client reviews of your practice. That costs £38 per month, per practice and a further £16 for branch practices.
Susie Samuel, CEO of VetHelpDirect said: “The Coronavirus presents a very real business risk to veterinary practices and a health risk to staff.
"As cases increase, animal owners in quarantine will not be able to visit the vet when their animals become unwell. In these cases, veterinary practitioners will not be able to discuss an animal’s symptoms with their owner in person and could end up relying solely on telephone consultations which would most likely be conducted free of charge.
"Our video platform allows vets to collect payment for a consultation as usual, hold the consultation with the animal’s owner and if a pet needs to be seen, the owner could, in theory, drop it off at the surgery without making personal contact with the vet clinic staff."
VetHelpDirect has not yet decided precisely what the video consultation service will cost after the free period, but it is likely to be around the £20 per month mark. In addition, there is a 4.8% transaction fee.
For more information, contact Susie Samuel susie@vethelpdirect.com
COMMENTDespite the emergence of a number of online-only, limited-service veterinary video consultation providers, it seems like very few, if any independent practices are yet offering this service. There is a danger that unless they do so very soon, they will find themselves at a real disadvantage to the first movers. But there is still time; according to VetHelpDirect's research, 38% of people say they would use video consultations with their own vet but only 7% with a vet they don't know..
It strikes me that now is a very good moment to start offering clients this kind of service, because regardless of government advice, there will doubtless be some who will want to avoid a trip to the vets whilst the outbreak persists.
Established over 100 years ago, Alfreton Park Veterinary Hospital is based in a purpose-built clinic; one of four International Society of Feline Medicine (ISFM) recognised Cat Friendly Practices in Derbyshire.
Dr Nick Pine MA VetMB MRCVS has been at Alfreton Park since 1999 and has become a Medivet Branch Partner following the acquisition, together with his colleague Dr Matt Ingram CertSAS MRCVS. He said: "We are excited about joining the Medivet Partnership. It will help us to continue to develop what is an already successful, trusted and highly respected local practice and enable us to offer even more opportunities for our people."
Medivet Chief Executive Officer Dr Arnold Levy, said: "Alfreton Park is an impressive practice with a great team and we are delighted to welcome them to Medivet. Our model is focused on adding value to every practice that joins our partnership, and we look forward to working with Nick and Matt to build an even brighter future for the practice, its clients and patients."