At the outset of the hearing, Ms Giles admitted that between 1 August 2012 and 21 June 2016 she had failed to respond to reasonable requests from the RCVS to share her CPD records – these requests amounted to 11 letters, two emails and three telephone calls. Of these attempts to contact Ms Giles, she responded to just one email. This was in May 2016 in which she issued an apology (and an explanation that she had moved address) and offered to provide certificates proving that she had undertaken CPD – despite the fact that no such evidence could in fact be produced.
During the proceedings the RCVS asserted that Ms Giles had failed to comply with several crucial aspects of the Code of Professional Conduct for Veterinary Nurses – namely that all members of the profession are expected to undertake at least 45 hours of CPD over a rolling three-year period in order to keep their professional skills and competences up-to-date, that these CPD records should be provided upon request and that members of the profession must comply with reasonable requests from the RCVS.
In her evidence Ms Giles said that she knew she should have responded to these requests but admitted that she did not originally regard the requests as important and thought that the matter would 'go away' if she did not respond. When it became clear that this was not the case she said she found it difficult to face up to her obligations. She also admitted that her failures to respond were unprofessional and that she now has an appreciation of the importance of undertaking CPD in terms of keeping up with changing practices and advances in veterinary and nursing practice.
Having found the charges against her proved and finding her guilty of disgraceful conduct, the Committee then considered its sanction against Ms Giles. The Committee took into account the seriousness of Ms Giles' failings in that she made repeated decisions not to comply with requests from the RCVS over a protracted period of four years.
Professor Alistair Barr, chairing the Committee and speaking on its behalf, said: "Your failures show, inevitably, a disregard for the regulatory responsibilities of the RCVS to police veterinary nurses' obligations to fulfil their CPD requirements."
He added: "The RCVS can only seek to ensure compliance with those obligations at one step removed, namely by requesting information from its registrants that they have complied with their CPD obligations. They are in this respect, therefore, heavily dependent on the cooperation of registrants to provide full, honest and prompt responses to their reasonable requests for confirmation of their compliance. It is that which has been sorely absent in this case."
The Committee heard mitigating evidence on behalf of Ms Giles including witness statements and letters from current and former colleagues which complimented her communication skills with work colleagues and animal owners and in which it was accepted that she is a "valued member of the veterinary nursing profession."
The Committee also recognised that she had shown insight into her failings, that she had not attempted to excuse the failures to respond to the RCVS and had been making efforts to keep records of her CPD.
However, the Committee decided that a suspension from the Register would be the most appropriate sanction. Professor Barr said: "The mitigation that has been advanced on your behalf has been considered by the Committee and that has served to reduce the period of suspension that a bare account of the facts pertaining to the charge laid against you might suggest is appropriate.
"In the result that mitigation has persuaded us that we would be acting consistently with our public duty by imposing a period of suspension of two months. In imposing that sanction we have noted the evidence as to your professional competence and your other professional qualities. The Committee trusts, therefore, that once you have served your period of suspension you will return to the practice which you say you love."
The Department for Environment, Food and Rural Affairs (Defra) says this is evidence that its strategy to tackle bovine TB, which costs taxpayers £100m a year, is delivering results.
Defra says that gaining OTF status for the low risk area, covering the north and east of England, would boost trade opportunities and mean some herds require less regular TB testing, reducing costs for farmers.
This would be the first time anywhere in England has enjoyed this status and the government says it is a key step in its 25-year plan for the whole of the UK to be TB-free by 2038.
Environment Secretary Andrea Leadsom said: "Gaining global recognition that more than half of England is TB-free will be a significant milestone in our long-term plan to eradicate this devastating disease, and will open up new trading opportunities for farmers.
"We have much still to do in the worst affected parts of the country, but this shows that our strategy - combining practical biosecurity measures, a robust cattle movement and testing regime, and badger control in areas where the disease is rife - is right and is working."
Results published today confirm all ten licensed badger control operations achieved successful outcomes. A consultation opens today on next steps for badger control in areas that have completed the first four years of intensive culling.
Other measures announced today include:
Chief Veterinary Officer Nigel Gibbens said: "This year we have seen that badger control can be delivered successfully on a wider scale. Further expansion in the coming years, alongside our robust cattle movement and testing regime, will allow us to achieve and maintain long term reductions in the level of TB across the South West and Midlands where the disease is currently widespread."
The government says it is taking robust action to make the country TB-free by 2038, with a strategy including stronger cattle testing and movement controls, good biosecurity, badger control in areas where TB is rife and vaccination when possible.
Vaccinating healthy badgers is part of the government’s long-term plan and could play an important role in preventing bovine TB spreading to new areas of the country. Defra plans to resume the Badger Edge Vaccination Scheme, which offers support for private badger vaccination projects in edge area counties, in 2018 when we expect vaccine supplies to be available once more following the current global shortage.
The government is also supporting farmers to take practical action to reduce the risk of infection onto their farm. This includes support for a new CHeCS TB cattle herd accreditation scheme, on-farm biosecurity demonstrations for farmers, and training for veterinary surgeons delivered by APHA jointly with the private sector. Farmers can also access practical guidance on the TB Hub, which brings advice from farming experts, vets and government together in one place.
At the outset of the hearing, Mr Kashiv, from Vets & Pets, Broxbourne, denied all aspects of the charges against him. During the course of the inquiry, some heads of charge were not pursued and some he admitted, leaving the remaining heads of charge to be determined.
The charges concerned the treatment of a Scottish Terrier, called Tanzy, whose owner, Mrs Greenhill, brought her in to see Mr Kashiv on 5 March 2015. Mrs Greenhill was concerned about blood in Tanzy’s urine and swellings in her mammary glands. After carrying out a cytopathology test, Mr Kashiv advised Mrs Greenhill that Tanzy would require surgery to remove the mammary glands. There were no further tests conducted, and no alternatives to surgery suggested.
On 13 March another veterinary surgeon at Vets & Pets therefore undertook a right-side mammary strip on Tanzy, discharging her the following day. On 17 March Mrs Greenhill brought Tanzy back in for a post-operative check and was seen by a locum veterinary surgeon, who found her to be in good condition.
On 20 March Mrs Greenhill then became concerned about Tanzy’s deteriorating condition and returned her to see Mr Kashiv. He admitted Tanzy for observation over the weekend but did not conduct any further tests at that stage, apart from radiography on 22 March. The hospitalisation records were of poor quality and substantially incomplete.
On 23 March Mr Kashiv then informed Mrs Greenhill that Tanzy could be discharged, although he recommended an MRI scan to assist in the diagnosis; this was declined on cost grounds. He did not however explain clearly to Mrs Greenhill that Tanzy’s prognosis was bleak, and did not give adequate home care instructions.
Tanzy continued to deteriorate, and on 24 March Mrs Greenhill took Tanzy to the RSPCA Harmsworth Hospital where a veterinary surgeon conducted tests which showed that Tanzy was in renal failure. The veterinary surgeon then called Mrs Greenhill and recommended that Tanzy was put to sleep, which was then performed in Mrs Greenhill’s presence.
The Committee found that Mr Kashiv had failed to conduct the necessary investigations when Tanzy was admitted from 20 to 23 March 2015, being satisfied that, by the time Tanzy had been hospitalised for a period of three days, it was mandatory for a blood test to have been performed, given her marked deterioration.
The Committee also found while Mr Kashiv did express his opinion that Tanzy’s prognosis was poor, he did not give the full explanation required in the circumstances of this case to enable Mrs Greenhill to understand fully the prognosis. The Committee also considered that Tanzy was not in a fit state to be discharged on 23 March 2015, and that he had failed to keep sufficiently clear and/or detailed and/or accurate records.
After full consideration, the Committee found that Mr Kashiv’s actions amounted to serious professional misconduct, and was satisfied that his actions fell far short of the conduct to be expected of a reasonably competent veterinary surgeon in respect of heads of charge 1, 2 and 3 but not 4.
Although it was concerned "about the culture of care in the practice, in particular not having in place proper protocols and procedures and without necessary support from properly trained staff", in deciding on appropriate sanction, the Committee was satisfied that there were "a number of serious misjudgements by Mr Kashiv in this case".
The Committee decided to postpone judgement for a period of two years, whilst recommending that Mr Kashiv agree to undertake a structured programme to benefit his clinical practice including a Personal Development Plan, mentoring, practice visits, additional CPD and regular reports to the Disciplinary Committee.
Non-compliance with these undertakings may result in the hearing being resumed at a date earlier than the two-year period.
Stuart Drummond, Chairing the Disciplinary Committee and speaking on its behalf, said: "The Committee considers that Mr Kashiv is a dedicated veterinary surgeon, as evidenced by the large number of testimonials, and that he provides a valuable service to the community, particularly with rescue animals.
"Nevertheless, the Committee considers that there were a number of fundamental failings in Mr Kashiv’s clinical competence which are required to be addressed during the period of postponement. For the reasons set out above the Committee considers that Mr Kashiv’s clinical practice will benefit from a structured programme over the period of postponement, whilst protecting the welfare of animals, maintaining public confidence in the profession and declaring and upholding proper standards of conduct."
For the full charges, findings and decisions, see: http://www.rcvs.org.uk/concerns/disciplinary-hearings/
The company says it is a further step forward in its plans to expand into Europe and follows the launch of its online pharmacy business, Animed Direct, into France during 2016. It adds that further acquisitions are expected in Europe during 2017, in addition to continued growth in the UK.
The two Dutch practices joining CVS are the Kliniek voor Gezelschaps Dieren, a three site small animal practice based in the central Netherlands, and a single site small animal practice, Dierenziekenhuis Drachten, based in the north of the country. Both practices cited the business support and staff development opportunities offered by CVS, combined with the clinical freedom and practice autonomy it allows, as the reasons for choosing to join the company.
Simon Innes, CEO at CVS, said: "We see many parallels between small animal practice in the Netherlands and the UK and have been talking to practices in the country about the benefits of joining us for some time. The level of interest has been encouraging and we are delighted to announce the acquisition of these two practices and welcome their teams to the CVS family.
"During 2017, we will continue to explore opportunities to extend our activities into Europe, particularly in the Netherlands and in Ireland."
Homeopathy is widely used in livestock, especially to replace or reduce the use of antibiotics in the treatment of infectious diseases, although its use is often seen as controversial. For organic agriculture, homeopathy is even promoted.
In the review, Dr Caroline Doehring and Professor Albert Sundrum from the University of Kassel, Germany, assessed peer-reviewed studies on the efficacy of homeopathy in cattle, pigs and poultry published between 1981 and 2014.
They analysed a total of 52 clinical trials, 34 with cattle, 12 with pigs and six with poultry. They were published in 48 publications.
Of these, 28 concluded that the homeopathic remedy administered was effective, 22 showed no efficacy and 2 were inconclusive.
Only 10 trials provided information on cure rates for the treatments. These varied to a high degree, while the remedy used did not seem to make a big difference.
Trials on pigs were frequently efficacious, while studies with cattle or poultry had a similar distribution of efficacious and non-efficacious treatment.
Double-blind randomised controlled trials reported efficacy of the homeopathic treatment almost as often as they reported lack of it.
Meanwhile, single-blind and non-blind randomised controlled trials, and observational trials were more likely to present evidence of efficacy, suggesting that positive outcomes may be due to bias.
Other study limitations, such as potential conflict of interests, low sample size, risk for selective reporting and bias, were found in the majority of trials.
While some clinical trials showed effectiveness, the authors of the review question the reliability of the evidence, because all studies had a range of limitations. For example, all clinical trials were conducted under very specific conditions and none were repeated under comparable conditions.
Therefore, the authors say the findings cannot be be used to recommend homeopathy: "The current evidence of studies providing evidence in favour of homeopathy lacks reproducibility and therefore cannot claim to have sufficient prognostic validity."
"Due to a lack of prognostic validity, replacing or reducing antibiotics with homeopathy currently cannot be recommended unless evidence of efficacy is reproduced by RCTs and proven in various farm practice conditions."
Corona Detect is a first-line screening tool for detecting exposure to feline coronavirus (FCoV). It can be coupled with the Idexx FIP Virus RealPCR to follow up coronavirus-positive cats exhibiting clinical signs suspected to be FIP. The Idexx FIP Virus RealPCR evaluates for mutations of feline coronavirus to the pathogenic FIPV biotype.
Idexx says that this new two-tier diagnostic approach will help veterinary surgeons rule out or positively diagnose FIP, a condition which has hitherto been extremely difficult and frustrating to diagnose.
Simon Wootton, Idexx’s Companion Animal Group’s Northern European Marketing Manager said: "FIP is a terrible disease, so being able to screen and either confirm or rule out exposure to FCoV is an important additional step in the diagnosis options available to vets. With the ability to screen in minutes, practitioners will be able to decide whether to perform confirmatory and potentially invasive tests for the specific FIPV mutations. This obviously brings benefits to aid pet owners."
Further information is available on the company’s website – www.idexx.eu
Until the arrival of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), radiographs were the only feasible option. More recently, the availability of bigger, wider and more adaptable scanners has allowed horses to be examined in a standing position, significantly improving diagnostic and treatment strategies and avoiding the need for general anaesthetic.
Against this background the collection considers the advantages of cutting-edge modalities and draws comparisons with more readily available tools such as radiography.
Given the increase in use of CT in horses and the contamination hazards faced particularly by horse handlers, two practical articles in the collection describe the role of equine head CT, how to set up standing equine CT and the radiation exposure risks.1,2
The most revolutionary recent advance in diagnostic imaging for dental disease in horses is CT. However, a study of horses with diseased mandibular cheek teeth found that while CT is useful to identify defects in the bone and tooth it is far less useful for the identification of inflammation and tissue destruction which is far better served by MRI.3
The structure of the equine head is complex and subject to great variation so several articles focus on practical anatomy and interpretation of radiographs of this region.4.5 Advanced diagnostic techniques are helping with clinical and surgical approaches to problems with the equine head. The sphenopalatine sinus is challenging to assess radiographically because of its tricky position but CT can help overcome this obstacle. One of the studies describes how CT can help unravel the pathology of various equine sinonasal tumours. Other articles cover less common pathological conditions including the historical, clinical, diagnostic imaging findings and outcomes of five horses with pneumocephalus. 6,7,8
Practitioners recognise MRI as the gold standard for neurologic imaging because of the excellent soft tissue detail but the size of horses and the size of scanners makes it a challenge to use. An additional constraint is the longer acquisition time compared to CT. Notwithstanding these limitations three studies in the collection display the various benefits of using MRI for the spine and neck, including the evaluation of 84 equine head disorders, the diagnosis of cervical stenotic myelopathy, and the assessment of two foals with closed head trauma.9,10,11,12
Despite the significant advances in imaging, the horse’s back is still defying conventional systems, primarily because of its size, concludes a spinal evaluation article. New technologies such as robotic fluoroscopy and cone-beam CT, may provide a cross-sectional method to evaluate the equine spine, but for now radiographs are still better to help evaluate findings of spinous process impingement seen on scintigraphy. The take home message here is that the wide variety of abnormalities seen on scintigraphy and radiography in horses with and without back pain makes a diagnosis more likely to be achieved by physical examination rather than the imaging findings.13
Anthony Pease, associate editor of the EVJ said: "Advanced imaging is still in its infancy with sequences still being developed to help optimise the time and detail needed for diagnosing complex musculoskeletal and neurologic disorders. Continued research in a controlled environment and comparing to histopathology will allow clinicians to further their knowledge and understanding of the CT and MRI findings in the equine patients."
References
The company says it has been working hard to ensure improved supply on a number of brands including Apoquel, Palladia and now Trocoxil, with animal welfare being the key consideration at all times throughout this process.
Ned Flaxman, business unit director for companion animal, equine and innovation at Zoetis said: “It was a really difficult decision to stop production of Trocoxil in favour of Apoquel and Palladia but we felt that it was the right thing to do on animal welfare grounds. As soon as we had full stocks of these products we resumed the manufacture of Trocoxil and I am delighted to say that it will be back in stock in December.
"I would like to thank our veterinary clients for their patience and reassure them that we brought the product back to market as quickly as we could and do not anticipate any further stock issues."
Trocoxil chewable tablets are used for the treatment of pain and inflammation associated with degenerative joint disease in dogs aged 12 months or over.
For more information, contact your Zoetis account manager.
Zoetis Business Consulting has released figures showing that Profit Solver, its financial analysis tool, has delivered an average EBITDA (earnings before interest, taxes, depreciation and amortization) growth of 36% for the 28 UK practices that have used the new service since its launch.
Profit Solver was first launched in the USA, where the company says more than 300 practices have now benefited from the service.
Zoetis says that traditionally, veterinary practices have set their prices by simply adding a set mark-up, without knowing which services make a profit or loss and without understanding exactly how overall practice profit is being generated.
Profit Solver instead uses the practice’s own data to calculate the exact cost for the 130 most commonly performed veterinary services, representing 90% of the revenue generated by the practice. It then combines labour, inventory and equipment costs with time-and-motion studies for each service, and assesses the variance between cost and price to reveal profit or loss.
By using a collection of cost data, which staff perform which part of the procedure, how long the procedure takes and what equipment and materials are used, Profit Solver calculates the correct pricing to both cover costs and deliver a pre-determined profit margin.
Implementing Profit Solver is done with a Zoetis business consultant who guides the practice through the process, from data collection to examining the time-and-motion studies. They discuss the level of profitability the practice needs to deliver and help analyse prices to achieve this goal whilst preserving the price-point of highly competitive services and covering all the practice’s costs.
Ian Camm, Group Director of B&W Equine Vets in Gloucestershire heard about Profit Solver from a vet in a neighbouring practice who was impressed with how it had helped his business. Ian discussed Profit Solver with his Zoetis account manager and booked an appointment with Zoetis Business Consultant Anthea Pike who has helped him implement the software across B&W Equine Group.
He said: "Initially I was concerned that Profit Solver would suggest we put prices up where we felt that we would not be able to - people shop around for their veterinary services these days and many services are very price sensitive. The first stage in the process addressed this by looking at our figures, calculating the cost price for each procedure and then, by comparing with our fees charged, identified where we were losing money. The big question was whether we would be comfortable to increase our fees on loss-making procedures. The beauty of the system was that by looking at a large number of procedures which were done frequently, very small increases in fee would total to a significant improvement in the bottom line.
"The software has made us recognise where the real costs are and how to address these areas accordingly, for example we have identified that current stud packages are not profitable. One of the problems in arriving at true costs is the difficulty in accurately allocating time to various procedures when several different vets are involved or an expensive scanner is used, which can have a significant impact on the results. It’s early days, but I can already see the difference that Profit Solver could make to our bottom line and wouldn’t hesitate to recommend it providing the practice is prepared to make changes in light of the results. We are looking at improving our bottom line by a six figure sum over a 12 month period with what we hope, will be hardly noticeable price rises.”
For further information visit www.zoetis.co.uk/businessconsulting.
Government Chief Veterinary Officer Nigel Gibbens has declared a Prevention Zone introducing enhanced biosecurity requirements for poultry and captive birds, in order to help protect them from a strain of avian flu circulating in mainland Europe.
The zone covers England and will remain in place until 6th January 2017. Declarations have also been made by the Scottish Government and Welsh Government.
Keepers of poultry and other captive birds are now required to keep their birds indoors, or take appropriate steps to keep them separate from wild birds.
Outbreaks of Highly Pathogenic Avian Influenza (H5N8) have been confirmed in poultry and wild birds in several countries across Europe. No cases of H5N8 have been found in the UK and this order is a precautionary measure to help prevent potential infection from wild birds.
Public Health England (PHE) advises that the threat to human health remains very low.
Defra is continuing to monitor the situation closely and has increased its surveillance activity, while keepers are being urged to reinforce biosecurity measures on their premises.
Nigel Gibbens said: "While no cases of H5N8 avian flu have been found in the UK, and PHE advises the public health threat is low, we are closely monitoring the situation across Europe and have scaled up surveillance in response to the heightened risk.
"As a precaution, and to allow time for poultry and captive bird keepers to put in place appropriate biosecurity measures, we have declared a 30-day Prevention Zone to reduce the risk of infection from wild birds.
"Even when birds are housed a risk of infection remains so this must be coupled with good biosecurity - for example disinfecting clothing and equipment, reducing poultry movement and minimising contact between poultry and wild birds."
More information available at: https://www.gov.uk/government/news/new-measures-to-protect-poultry-against-avian-flu
Published by CABI and sponsored by Mars Petcare UK, Companion Animal Economics was developed by Daniel Mills, Professor of Veterinary Behavioural Medicine at the University of Lincoln, and Dr Sandra McCune, Human-Animal Interaction expert at Mars Petcare’s WALTHAM Centre for Pet Nutrition. It documents and examines available evidence on the direct and indirect benefits and costs of companion animals to society, including their influence on human mental and physical health, illness prevention and well-being.
Other authors include Dr Sophie Hall from the University of Lincoln’s School of Life Sciences, Professor Ted Fuller and Luke Dolling from the Lincoln International Business School, and Katie Bristow-Wade of Dogs for Good.
Professor Mills said: "Vets are well aware how important companion animals are to their owners, but it is important that they appreciate the positive impact that they can have on the physical, mental and social health of both individuals and society more widely. This book should help raise awareness of this and their economic importance in times of economic uncertainty."
Dr McCune said: "Almost half of households in the UK share their homes with animals cared for as companions – a relationship we consider to be valuable and enriching. At Mars Petcare, we’re committed to creating A BETTER WORLD FOR PETS™. That’s because we know that pets make our world better. This important report provides a modern day update on the impact of companion animals on the UK economy and society, without reducing the discussion to a simplistic cost-benefits ratio. Critically, it aims to raise awareness of the need for research to evaluate the complex routes by which pets make an economic impact on UK society."
The author says relatively little information on the economic impact of pets has been published since the 1988 seminal Council for Science and Society (CSS) report on Companion Animals in Society, which inspired Companion Animal Economics. Since then, trends in pet ownership and associated industries, have changed a great deal. The report’s methodology sought to capture this new context, including issues like pet tourism, pet obesity, and expanding veterinary services, identifying clear gaps where further high-quality data and additional research are needed.
When evaluating the contribution of companion animals to the UK economy, both positive and negative aspects were considered. The cost of NHS treatment for bites and strikes from dogs is estimated at £3 million per year. At the same time, the report also estimates that pet ownership in the UK may reduce use of the UK health service by up to £2.45 billion per year. This conservative conclusion is drawn through examining healthcare savings through reduced number of doctor visits.
Given the scale of the potential impact, the report concludes that research into companion animals and their economic impact on society needs further investigation and should be supported by government. While UK data were used in the report, many of the points raised relate to other industrialised nations, demonstrating the global nature of this issue.
The survey, believed to be the first of its type, is being conducted by MRes student Mark Turner MRCVS (pictured above right), under the direction of Martin Whiting and Elizabeth Armitage-Chan. It's based on a tool used in the human health care sector to monitor care quality in hospitals and G.P surgeries.
All veterinary surgeons, veterinary nurses and practice managers in small animal practice are invited to complete the survey, which is confidential and has received research ethics approval from the RVC.
Mark said: "We believe this survey could represent a significant milestone in the profession's understanding of patient safety. This topic is still in its infancy in our industry, but there is already evidence to suggest we lag some way behind the NHS in our application of important safety principles such as openness and 'learning'.
Without this sort of safety culture, the profession risks missing important opportunities to improve quality and safety for the animals in it's care. One of the questions we would like to answer is: 'When mistakes occur in practice, are lessons routinely being learnt to prevent the same thing from happening again?'
He added: "In the NHS this subject has received a lot of media coverage after stories like the Bristol heart scandal and the enquiry into Mid Staffs Hospital. And our health system now understands that patient safety relies on a whole organisation effort to maintain standards. What we don't know however is how well we are doing in this regard."
Please do take take some time to complete the survey, and SHARE this story with your colleagues (buttons below). It's an important piece of work that should really benefit the profession. You can also discuss the project with Mark here.
https://www.surveymonkey.co.uk/r/VetPatientSafety
This year’s Horse Health Week, which ran at the end of September, focused on the small things that can be done to help keep Britain’s horses happy and healthy. Equine practices were encouraged to get involved and engage with their clients throughout the week with the support of a toolkit that offered both off and online communication materials.
The toolkit included a social media campaign for practices to run called #BonVoyageBuzz. Horse owners were invited to send 'Buzz' around the (virtual) world by sharing and tagging on Facebook. By the last count, he'd reached Denmark, the U.S., Canada and Saudi Arabia. The final part of Horse Health Week was a survey that gave the views of horse owners on preventative healthcare.
MSD says the week was welcomed and supported by a number of equine vet practices which reported that the campaign generated high levels of engagement from horse owners.
Peter Young, Equine Business Manager said: "Horse Health Week was created to help practices promote their businesses and educate and promote the benefits of preventative healthcare, so we are delighted that we’ve had such a good uptake of the resources we provided this year. A number of equine practices uploaded the daily animations we created to help encourage maximimum engagement. Some also reported the animations and posters being mentioned at yard appointments so, together with equine vet practices, we’ve successfully helped raise awareness and are eduating horse owners."
If you would like to provide feedback speak to your MSD Animal Health Equine Account Manager. For further details, visit: www.healthyhorses.co.uk/horse-week.
Feel Good Colic Rectals is a 20-minute online guide that uses state-of-the-art 3D modelling technology to allow you to visualise an examination of the normal equine abdomen, and to demonstrate how to differentiate abdominal abnormalities during a rectal examination.
The video features leading colic experts Professor Debra Archer BVMS PhD CertES (Soft Tissue) DipECVS MRCVS, head of equine surgery at the University of Liverpool, and Rachael Conwell BVetMed CertEM(IntMed) DECEIM MRCVS, European specialist in equine internal medicine.
To be in with a chance of winning one of 30 rectal tops, watch Feel Good Colic Rectals at www.boehringer-academy.co.uk, then answer two multiple choice questions.
Chris will also be donating any money he raises throughout the course of his Presidency to those same charities.
His chosen charities are: Vetlife, Riding for the Disabled Association (RDA), the People’s Dispensary for Sick Animals (PDSA), Hearing Dogs, and The Gambia Horse and Donkey Trust (GHDT).
Chris said: "I chose the charities because I'm dedicated to charities that have a wide effect. The GHDT and the PDSA, by improving the health and welfare of animals, directly benefit the health and wellbeing of the communities in which they work. The GHDT dramatically improves peoples’ lives economically by increasing the working lives of their animals, almost all of which are transport animals, while the PDSA enhances the lives of the less well off by allowing them to keep animals and afford their veterinary care.
"Riding for the Disabled Association and Hearing Dogs for the Deaf then both use animals to help people, strengthening this vital human animal bond that runs through all of these charities. You have to witness the interaction between deaf or disabled people with the dogs and ponies respectively to fully appreciate how much this means to them. Unlike single interventions, these charities provide assistance that keeps on giving.
"Finally, none of this is possible without a healthy veterinary community and Vetlife plays a significant part in ensuring this. Good mental health and wellbeing is essential to the delivery of a good service, and it's important that we do everything we can to ensure that any veterinary professionals that suffer get the assistance they need.”
The charities have already been in touch to thank Chris and the College, and to detail how it will help their activities.
Graham Dick, Vetlife’s Honorary Treasurer, said: “Vetlife is currently expanding its vital support services to meet the changing needs of the veterinary community so we are sincerely grateful that Chris Tufnell has chosen our charity to benefit from his fundraising activities during his year as President. It is heartening that all the major veterinary organisations are so supportive of Vetlife and eager to work together to address the issues that many people in the veterinary community are struggling with."
Heather Armstrong, the Director of the GHDT, said: "We would like to give our very sincere thanks to Chris Tufnell, President of the RCVS for choosing us as one of his charities. Over the years we have relied on volunteer vets from UK to provide training to our staff and to Gambian livestock workers. This is helping to increase Gambian veterinary capacity and we hope is also giving British vets a small insight into global veterinary problems. The British veterinary profession should be very proud, it has enabled us to achieve so much in the last 14 years and we are immensely grateful to each and every vet who has been out to help including Chris, who has kindly helped us in the past with training."
Rosie Gibbons, Challenge & Community Events Fundraiser UK at the PDSA, said: "The donations received through the RCVS’ President’s Fund to PDSA will ensure that someone’s much loved pet will receive the treatment and healthy life they deserve. It will also ensure that our veterinary teams can continue to educate people about responsible pet ownership and issue preventative treatments, making the lives of so many animals much more bearable in the future."
Sal Atkinson, Fundraising Manager for the RDA, said: "We are thrilled that Chris has chosen RDA as one of this year’s RCVS President’s Fund charities. RDA relies on voluntary donations such as this to enable us to provide life changing therapy through horses to disabled adults and children in the UK. We currently have over 3,000 horses and ponies who work with our riders, carriage drivers, volunteers and equine advisors and this support will really help us to offer more opportunities to disabled people in the community."
The President’s Christmas Box donation is made every year in lieu of sending out RCVS Christmas cards. Previous recipients have included Worldwide Veterinary Service, Mind, Canine Partners, Hounds for Heroes, and the Veterinary Benevolent Fund.
According to the calculator, the most expensive animal is - by virtue of its longevity - the tortoise (£27,787 over 75 years), followed by a small dog (£19,224 over 15 years), a large dog (£17,234 over 11.5 years) and a medium-sized dog (£16,828 over 11.5 years). A cat comes in at £12,322 over 16 years. A chicken will set you back £4,701 (it's not clear whether they've offset the money you'll save in eggs). The cheapest is a fish, at £914.
The 45-minute webinar: Debt Management: Prevention Is Better Than Cure is presented by Mike Brooks from veterinary-specialist debt recovery agency, dsl.
VPMA President Renay Rickard (pictured right) said: "Debt can affect any business, but, because of the role vets play as care-giver in an emotionally-based animal-owner relationship, we are particularly vulnerable. This is something that is commonly brought up by members at our regional meetings and events, and it’s a real dilemma for them how to juggle being strict with payment policies against owner expectations and misperceptions of the cost of veterinary medicine.
"This has been a very popular topic in both our regional meetings and with our webinar and we wanted to open it up to more people to help them tackle this topic in their practices. The feedback on this webinar has been very positive. Mike gives clear guidance on how to set up payment protocols that will minimise debt in such a way that maintains the client-practice relationship. There’s also information on how to recover existing debts. It makes sense to prioritise tackling this issue as if we’re not paid, then we can’t deliver the service that we are expected to, and that our patients need.
"We’re pleased to open this webinar up to all practices as a Christmas gift, and hope it will also highlight the support that is available through VPMA membership."
The webinar can be accessed through a link on the home page of the VPMA website www.vpma.co.uk.
The voluntary scheme, which has been welcomed by Farming Minister George Eustice and Welsh Government Cabinet Secretary for Environment and Rural Affairs Lesley Griffiths, improves a herd’s ‘score’ every year it is free from a bTB breakdown, awarding a status of 0-10.
This new bTB scheme will require the herd vet and cattle owner to work together on following a number of biosecurity measures already successfully implemented in five other cattle disease control programmes.
As well as reducing risk of infection, the country-wide programme could present informed purchasing opportunities. In particular, it could benefit farmers selling cattle from regions with a high risk of the disease or who wish to minimise exposure from bought-in animals. It could also give recognition for a farmer’s efforts to complement Government and industry strategies to control infection.
Farming Minister George Eustice (pictured left above, with BCVA President Andrew Cobner) said: "Dealing with Bovine TB is costing us £100 million a year and causing devastation and distress for farmers and rural communities across the country. 33,000 cattle were slaughtered because of the disease last year alone and many farms are subject to movement restrictions which can affect their trade.
"But we know some 40% of herds in the high-risk area in England have never had a breakdown, and the CHeCS scheme will help them to communicate this so they can carry out risk-based trading to support their businesses.
"The scheme will also recognise those practicing good biosecurity, which is a core part of our long-term plan to tackle bovine TB."
The scheme complements the Government’s 25-year plan to eradicate Bovine TB in England, and will provide another tool for farmers who want to show they are following best practice. It follows the launch of the TB Hub (www.tbhub.co.uk), which offers practical advice and guidance as well as background into the disease.
The Cabinet Secretary, Mrs Griffiths, said: "The Welsh Government has been supportive of this initiative from the start. By focusing on individual herds, the scheme complements our proposed regional approach, for example those herds in the high TB areas which have not recently had TB will be able to demonstrate they are a lower risk.
"This industry-led initiative aimed at reducing TB is to be welcomed and fits in with our principles of working in partnership and promoting the benefits of disease prevention. I urge Welsh farmers to engage with the scheme and reduce the risk of disease being introduced into their herd."
Across Great Britain, CHeCS has over 14,000 member herds, representing around 14% of cattle holdings in some form of monitoring, control and eradication of disease.
Keith Cutler, CHeCS board member and partner in the Endell Veterinary Group, said: "CHeCS so far has focused on control of non-statutory diseases – Johne’s Disease, IBR, BVD, Leptospirosis and Neospora. Participating health schemes have been monitoring the health status of participating herds for some years.
"With this programme, we will be working with Government to receive official TB test data with the agreement of the farmer. It’s an exciting development for CHeCS, but there is a natural fit because of the expertise CHeCS-accredited health schemes already have with monitoring biosecurity measures on their members’ farms."
Andrew Cobner, president of the British Cattle Veterinary Association, who has been technical lead on the project since the start, said: "All too often we are confronted with the view that there is little or nothing that we can do to control TB. We wouldn’t accept this attitude with any other infectious disease so it’s time farmers and vets fought back. We have a government that is willing to embrace all of the measures necessary and we have a 25 year plan in place. Part of this will involve increasing biosecurity and risk-based trading, and CHeCS is leading the way."
The CHeCS bTb Herd Accreditation scores run from 0 (following all CHeCS measures but had a herd breakdown within the past 12 months), to 1 (following CHeCS measures and one year since the last herd breakdown) all the way though to 10 (following CHeCS measures and 10 years or more since the last herd breakdown).
Veterinary surgeons who think their clients might want to know more can point them in the direction of: www.checs.co.uk to read the technical standard, programme handbook and Q&A. If it sounds advantageous to their farm, they should discuss joining with you, then contact one of the participating CHeCS-accredited health schemes listed on the website. The application form includes a privacy agreement to allow the Animal and Plant Health Agency (APHA) to send test data automatically to the health scheme, and a declaration from the herd vet. After the form is sent back, a starting score will be awarded.
More information on bTB is also available at www.tbhub.co.uk.
The Smart Home Monitoring Kit for pets includes an indoor camera which comes with an in-built temperature sensor and night vision, a door sensor and a Smart Plug which can be remotely activated to turn on a radio, lamp, portable heater or fan to help keep animals content.
Although designed primarily for pet owners, Petplan says the kit is also being used by some veterinary practices to help provide additional security and monitoring capabilities within the practice.
The kit also contains an SD card allowing clients to share footage of their pet in the home with their veterinary surgeon when explaining behavioural symptoms. Likewise the practice will be able to record and share footage with their staff or clients.
Isabella Von Mesterhazy, Head of Marketing at Petplan, said: "For Petplan, keeping pets healthy always has been and always will be our priority. Spending time away from your pet can be hard, so the new pet Monitoring Kit addresses this problem by providing welcome peace of mind that they are safe and well. We are delighted to be able to offer Petplan veterinary practices and their staff the chance to get their hands on a Monitoring Kit at an exclusive price."
To find out more about the exclusive offer available for Petplan veterinary practices and staff until 9th December, visit petplanvet.co.uk.
John Alborough presented the awards at the event. Liz Rawlings from Dechra said: "It was certainly a whirlwind at this year’s LVS and we are delighted to have scooped such a prestigious award." Zoe Appleyard-Ley, Co-Founder and Managing Director at Rockster Superfood for Dogs said: "We were so excited by the response Rockster had at the London Vet Show, and thrilled to have been given the award by VetSurgeon.org."
All Schedule 2 controlled drugs (with the exception of quinalbarbitone) and certain Schedule 3 controlled drugs are legally required to be stored in a locked container which is compliant with the Misuse of Drugs (Safe Custody) Regulations 1973; however, the College considers it advisable for all Schedule 3 controlled drugs to be stored in the controlled drug cabinet.
Controlled drug cabinets must only be accessed by a veterinary surgeon, or another nominated responsible person at the practice. In the case of a nominated person who is not a veterinary surgeon removing controlled drugs from the cabinet, the legal and professional responsibility remains with the veterinary surgeon whose direction they are under.
The College’s full guidance, including advice on use, location, and design and construction of cabinets, can be found in the Controlled Drugs Guidance and the Practice Standards Scheme Manual. Many police forces in the UK also have Controlled Drugs Liaison Officers who offer advice on various matters, including safe storage.
To download the Controlled Drugs Guidance, which includes further guidance on areas such as storage and destruction of controlled drugs, please visit the College’s website: http://www.rcvs.org.uk/publications/controlled-drugs-guidance/
To access the PSS Manual, visit the College’s website: http://www.rcvs.org.uk/practice-standards-scheme/
Contact details for Controlled Drugs Liaison Officers by area can be obtained from the Association of Police Controlled Drugs Liaison Officers: http://www.apcdlo.org.uk/contact.html.
According to the company, gum disease is five times more common in dogs than humans, as dogs have a more alkaline mouth, promoting plaque formation. The company also says that studies have shown 80% of dogs suffer some form of gum disease before they are three years old.
The survey found most owners associate bad breath, tooth loss and inflamed gums (76%, 67% and 65% respectively) with poor oral hygiene.
However, many dog owners were unaware it could lead to more serious consequences with only 11% identifying heart disease as a potential cost of poor oral hygiene and only 7% understanding the liver can be affected.
The company has produced a YouTube video with Marc Abraham MRCVS and behaviourist Carolyn Menteith about canine oral care and Pettura Oral Health - a gel applied directly to dogs' teeth and gums to help maintain oral hygiene.
This third biennial offering from GB’s Cattle Health and Welfare Group also contains a summary of progress on endemic disease control with advances in eradicating Bovine Viral Diarrhoea (BVD) in each country highlighted.
The Chief Veterinary Officers of UK, Scotland and Wales have welcomed the publication of the report saying that as the possible impacts of the referendum on leaving the EU are considered, the importance of a GB focus on disease control is as important as ever.
In their joint forward, Nigel Gibbens, Sheila Voas and Christianne Glossop said: "The healthier our animals, the more attractive our products. The better our animal welfare, the greater the confidence of consumers in our production systems.
"With the UK Government placing AMR at the top of its risk register alongside terrorism and pandemic ’flu, it is heartening to see that CHAWG, in common with other livestock sectors, has grasped the nettle in looking first at how the cattle sector can better capture data on use of antimicrobials."
They go on to say that addressing AMR helps address other imperatives as an emphasis on sound animal husbandry and healthy animals kept to high welfare standards will help minimise routine reliance on antimicrobials: "Success in controlling endemic disease is one area of considerable importance, and here we can highlight CHAWG’s pivotal role in the development and promotion of national disease control programmes. These include the launch of the BVDFree scheme in England earlier this year, ongoing progress with BVD eradication in Scotland, the development of a Wales BVD scheme, and the Action Johne’s initiative."
In the report’s conclusion, RSPCA’s head of farm animals Marc Cooper points out that it is clear many positive initiatives are being pursued within the industry. He said: "Notable amongst these are those associated with dairy cow genetics, eliminating BVD, the national dairy cow welfare strategy and the development of a data hub for the collation of information relating to antimicrobial use.
"Indeed, some of these are starting to realise improvements in key areas, for example, dairy cow longevity is beginning to increase, and cow fertility figures and somatic cell counts appear to be moving in the right direction.
"However, there are still ongoing concerns relating to some important health and welfare issues. For example, despite the evidence suggesting the annual prevalence levels of cattle lameness are beginning to fall, there still appears to be no centralised database for recording it."
Chairman of CHAWG Tim Brigstocke says the contributed comments are encouraging and provide positive direction for future CHAWG activities. He also reassures that while this report sees a number of advances in highly topical areas, ‘core’ activities are not being ignored. He said: "Effective farm health planning remains the bedrock of good practice. And while we tend to focus on areas which need improvement, it’s worth mentioning that a delegation from the Food & Veterinary Office (FVO) of the European Commission recently visited and were impressed by the coordinated approach taken in this country."
The report can be downloaded from www.chawg.org.uk.
The article, which is available open-access, comprises a literature search of both medical and veterinary medical journals for evidence of the effectiveness of input-based and outcomes-based CPD.
Its conclusion is that outcomes-based CPD, which concentrates less on hours logged and more on interactive and reflective learning, is the most effective at improving practice and patient health outcomes.
The paper was originally presented to the RCVS CPD Policy Working Group on 4 December 2015 to inform its discussions. A six-week consultation with the profession was held over the summer asking for their views on the resulting proposals for an outcomes-based approach to CPD.
The proposed model for CPD has four key components: planning, doing, recording and reflecting. While an overall majority of the 3,357 people who responded to the College’s consultation agreed with the proposed changes, certain elements received less support than others. The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
With this in mind the RCVS Education Committee and VN Council decided that a pilot of a new outcomes-based approach should be held during 2017 with a group of volunteers, and made this recommendation to RCVS Council. RCVS Council approved this pilot at its meeting on 10 November.
The pilot is expected to be launched in February next year and the College is now looking for volunteers who both support the proposals and those who have a ‘healthy scepticism’ about them. Volunteers will receive help and support throughout the trial and will also be invited to attend an introductory CPD meeting at the College’s offices on 28 February.
If you are interested in volunteering, contact Jenny Soreskog-Turp, RCVS CPD Officer, on cpd@rcvs.org.uk.
To access the article for free, visit the Veterinary Record: http://veterinaryrecord.bmj.com/content/179/20/515.full?keytype=ref&ijkey=bwDIVYMY8Vwd0su.
Further information, including the CPD Policy Working Party’s response to the consultation, is available at www.rcvs.org.uk/CPDpilot.
Dechra Veterinary Products has published a new series of video presentations about the diagnosis and treatment of canine hypoadrenocorticism to help veterinary surgeons who are prescribing Zycortal for the condition.
The six videos, which were recorded by Dechra's technical team, range in length from 10 minutes to 37 minutes.
Episode one describes the pathophysiology of Addison’s disease, different types of Addison’s disease and helps veterinary surgeons recognise the common clinical presentations of chronic hypoadrenocorticism.
Episode two examines the similarities in clinical presentation between hypoadrenocorticism and other disease processes.
The third episode looks at the changes commonly seen in the haematology, biochemistry and urinalysis of Addison’s patients. This section also covers how to perform and interpret hormone testing with the knowledge of the common causes of false positive results.
The fourth looks at a clinical presentation of an acute Addisonian crisis and best practice for emergency treatment of these patients, as well as the transfer of an acute patient onto maintenance treatment with Zycortal.
The final two films explore the treatment and monitoring of a patient on Zycortal and how to switch existing Addisonian patients from fludrocortisone acetate to Zycortal. It also documents the help which is available for those more complex cases.
Dechra Brand Manager Craig Sankey said: "These short films are an important support tool for any veterinary professional who is treating patients with hypoadrenocorticism or who may be presented with cases in their practice.
"Addison’s disease can be very hard to diagnose as it mimics so many other illnesses and we hope these presentations will give insights into a complex disease. The introduction of Zycortal has been a vital development in the treatment of the disease and we hope the new resources will be beneficial to veterinary professionals."
The presentations complement resources that Dechra has already produced for dog owners, including a website -www.myaddisonsdog.co.uk - which provides information and resources to help dog owners understand the condition and monitor their pet's progress.