Compassion Understood, a new company set up to provide veterinary staff with training in how to help clients deal with pet loss, and provide owners with a new information resource on the subject, launched at BSAVA this week.

The new service has been set up partly in response to a survey which showed a disparity between what veterinary professionals think clients need in relation to euthanasia and what they actually want.

The research¹ showed that 60% of owners felt their vet handled the euthanasia of their pet very well, leaving 40% who had a clear desire for veterinary staff to understand more, to help prepare them better for their loss, and to signpost where they can access more support if required.

Compassion Understood Managing Director Douglas Muir said: "Our research showed that 70% of veterinary professionals felt that further training in supporting clients through pet loss would be beneficial, and only 35% of vets felt well-equipped to answer questions from pet owners about the right time to say goodbye.

"This, coupled with a very clear need for more support expressed by the owners in our surveys, led me to see that there was a double need: more training was needed in end-of-life for the practice team, on communication as well as clinical aspects of end-of-life; also some kind of resource was needed for pet owners, so they could access clear and helpful information.

"There are some very good support sites out there, but the information is quite fragmented and not easy to find. We wanted to pull everything together in one place and from there we could signpost them to where to get further help if needed. And so Compassion Understood was born, to help veterinary practices, and pet owners."

The new Compassion Understood Pet Loss Support Training programme has been put together with the help of end-of-life and hospice vet Dr Susan Gregersen. She said: "Speaking to colleagues in the many practices we collaborate with, I’ve learned just how many feel inadequately prepared. They’re unhappy that they’re short of time – and sometimes skills – to do a good job when an often-distraught client needs them most. But if a client is left with bad memories at the end of life, they may not return to the same practice with another pet; as we know, about 1 in 5 do not¹."

The programme includes modules covering the clinical aspects of assessing quality of life, decision-making around end-of-life, pre-euthanasia preparation, and palliative and animal hospice care. Other aspects covered are the emotional and psychological aspects of losing a pet, as well as how to protect the practice team from compassion fatigue or emotional depletion.

The training programme is fully online, and can be completed at the learner’s own pace. The learning approaches and delivery have been overseen by educational expert, Dr Jenny Moffett previously of the University of Surrey, herself a veterinarian with a keen interest in communication and pet loss support.

Susan said: "Vet school training on end of life and euthanasia is still sparse, as many vets will agree. I see the online course as being about learning to care rather than to cure, giving vets the confidence and skill to show real compassion while remaining professional."

Reference

1. Pet Loss Survey, 2015. Compassion Understood. Data on file.

Ceva Animal Health has launched Feliway Friends, a new pheromone to help reduce tensions and conflicts in households with more than one cat.

The company highlights a 2014 survey which found that 44% of cat owning households have more than one cat, with nearly a third of those questioned stating that they had experienced fighting and aggression between pets in the household¹.

Feliway Friends is a synthetic copy of the cat appeasing pheromone (CAP) naturally produced by nursing queens to support their kittens after birth. The company says this pheromone helps cats feel safe and secure, and maintains a harmonious bond between them.

Ceva says Feliway Friends is clinically proven to significantly decrease the intensity and frequency of signs of tension in households with more than one cat. According to another study, 84% of cat owners believed there was a significant improvement in how their cats got on after using the product². 

Feliway Friends and Feliway Classic can be used at the same time if the owner is experiencing conflicts alongside other stress-related behaviour problems such as urine marking, scratch marking and general anxiety.

Available as a 30-day diffuser and refill, Feliway Friends lasts for up to 30 days and covers an area of up to 70m².  

Claire Russell, Feliway product manager at Ceva Animal Health, said: "Inter-cat aggression is a major problem in multi-cat households, with many cats experiencing stress in the home due to sharing resources. Feliway Friends is a great support to encourage harmony in multi-cat homes. By introducing the cat appeasing pheromone and educating owners on resource management and how to create a cat friendly home, we can significantly improve feline relationships in our UK multi-cat homes.’’ 

Ceva Animal Health has launched a range of marketing materials to support the launch of the new product, including an eight-page pet owner leaflet and poster. Practices can also request an online toolkit which includes: images, website content, social media assets and articles to help educate clients facing aggression between household cats. 

For information on FELIWAY visit www.feliway.com/uk. 

References

1. Feliway brand equity research, Burke 2014
2. De Porter et al. (2014) Evaluation of the efficacy of a new pheromone product versus placebo in the management of feline aggression in multi-cat households. Proceedings of the ACVB/AVSAB Veterinary Behavior Symposium pp17-18

Royal Canin has announced that it will be launching Multifunction, a new range of veterinary diets designed for cats and dogs experiencing - or at risk of - multiple health conditions.

According to the company, 35% of cats and dogs meet this description¹ and it can be difficult for veterinary surgeons and nurses to recommend a diet which meets all their needs when one diet can't address multiple nutritional priorities.

Officially being launched at BSAVA, Multifunction diets are designed to provide an option for the nutritional management of cats and dogs with more than one condition, thereby eliminating the need to decide which of two conditions take precedence when developing a nutritional assessment for patients.

The company says that the new diets have been developed by combining existing Veterinary Diet formulae. The range includes:

• GFR-AFR which combines the benefits of the Renal and Hypoallergenic diets
• S/O-AFR for the nutritional management of cats and dogs with lower urinary tract disease and adverse food reactions
• S/O-KCAL Control for overweight pets with lower urinary tract issues
• For cats: S/O Biopeptide, designed to help patients by means of urine dilution, emotional balance, struvite dissolution and reduced calorie content. 
• For dogs: C2P+-KCAL Control for overweight dogs with joint issues.  

Marianne Lomberg, Veterinary Marketing Manager said: "As a company, one of the things we are proud of is looking at the pet as a whole, rather than just a clinical condition on legs. For this reason we combine the features of our standard veterinary diets to provide support for other issues that a pet may develop. For example, our Urinary Moderate Calorie diet is lower in calories than standard diets in order to help prevent weight gain in animals predisposed to obesity as a result of living indoors or being neutered. However, until now, we have not been able to provide vets with a diet for a pet that has already been diagnosed with two equally serious concurrent conditions, such as lower urinary tract disease and obesity. Our new Multifunction diets do just this.

"Pets suffering from more than one condition also generally require more regular veterinary care, too, and a unique new ordering system for these diets helps facilitate ongoing contact between the pet owner and their veterinary practice every time they order a new bag of food. More information about the diets and the ordering system will be available on the ROYAL CANIN, stand: 611."

Multifunction will only be available through veterinary practices and all bags will be personalised, including the practice logo and patient name. Further information on how to sign up to the product programme will be available at the show stand.

For more information, visit: http://new.vetportal.royalcanin.co.uk/products/multifunction-2/ 

Reference

1. Survey conducted with practising vets in France, UK and US (n=370) for Royal Canin in 2013. Data for UK (n=120) and France (n=122) averaged to represent Europe.

The BVA is calling for urgent reassurance from the government concerning farm animal welfare.

The association says the government decision to revoke farm animal welfare codes risks undermining public confidence in animal welfare standards.

When Defra consulted in 2013 on proposals to move away from statutory codes to non-statutory, industry-led guidance BVA broadly supported more flexibility to allow for guidance to be updated more regularly and in light of new welfare science, but raised a number of questions regarding enforcement and, critically, around the definition of 'industry'.

BVA emphasised that veterinary surgeons, farmers, animal welfare scientists with species-specific knowledge, industry bodies and other groups must all be involved and consulted.

BVA also warned Defra of implications in relation to the message conveyed to stakeholders by such a change and the value attached to the welfare codes by the government.

BVA President Sean Wensley, said: "It is essential that any changes to the welfare codes do not undermine public confidence in the high animal welfare standards set for English farms. Although BVA broadly supported the idea of moving to a more flexible system that could take account of new animal welfare science, we maintained that a range of expertise must be used to draw up new guidance.

"We are pleased that there will be no changes to the legislation that underpins animal welfare but it is unclear where the checks and balances now lie. It is vital that Defra puts measures in place urgently to provide that reassurance. 

"The Secondary Legislation Scrutiny Committee has suggested that it would be possible for the fundamental principles to be laid down in statutory codes which are subject to parliamentary scrutiny with operational details being set out in guidance. This idea may be worth further exploration to allow both the flexibility required to reflect new animal welfare science and the public confidence that the statutory welfare codes currently provide."

Dechra Veterinary Products has announced that it will be launching Zycortal, a new medication for the treatment of canine hypoadrenocorticism at the BSAVA Congress in April.

Zycortal is a prolonged-release suspension used as replacement therapy for mineralocorticoid deficiency in dogs with Addison’s disease. Dechra says it has proved highly effective in clinical trials with more than 80% of dogs responding positively to treatment¹.

Zycortal contains desoxycortone pivalate (DOCP) which Dechra says controls serum electrolytes more effectively than fludrocortisone² (the human treatment currently prescribed for dogs with Addison’s disease) and is considered the preferential drug for mineralocorticoid supplementation.

Zycortal is the only European licensed treatment for canine hypoadrenocorticism and adds to Dechra’s existing endocrinology range.

Visitors to the BSAVA Congress will be able to find out more about Zycortal at the Dechra stand (500). Delegates are also invited to attend a presentation by Professor Ian Ramsey BVSc PhD DSAM DipECVIM-CA FHEA MRCVS on Saturday, April 9, at 11.10am.

The presentation, New developments in the diagnosis and management of Addison’s disease aims to give delegates an insight into the condition.

Dechra Brand Manager Craig Sankey said: "We are very excited to be able to bring Zycortal to veterinary professionals in the UK. Addison’s disease can be very hard to diagnose as it mimics so many other illnesses.

"Each injection of Zycortal lasts approximately one month, providing long-term control of primary Addison’s disease. The prognosis for dogs with Addison’s disease is excellent provided that treatment is maintained for life. Our team will be on hand at the BSAVA Congress to explain and discuss the benefits that Zycortal can bring to their day to day practice in the fight against this illness."

References

1. CVMP Assessment report for Zycortal (EMEA/V/C/003782/0000) 2015 pg. 19
2. Baumstark, M.E. et al (2014) Use of plasma renin activity to monitor mineralocorticoid treatment in dogs with primary hypoadrenocorticism: desoxycorticosterone versus fludrocortisone. Journal of Veterinary Internal Medicine 28(5): 1471-8

The RCVS Disciplinary Committee has dismissed an application to be restored to the Register of Veterinary Surgeons from a former Kent-based veterinary surgeon, Warwick Seymour-Hamilton.

Mr Seymour-Hamilton was originally removed from the Register in June 1994 for failing to maintain his equipment and facilities such that it evidenced a total disregard of basic hygiene and care for animals, thereby bringing the profession into disrepute.

The restoration hearing on Friday 18 March was Mr Seymour-Hamilton’s fourth application for restoration, with previous applications being submitted but refused in July 1995, June 2010 and January 2015. However, as the Committee made its decision on the merits of the case before it, those previous applications were not admitted as relevant to its decision.

Mr Seymour-Hamilton told the Committee that he currently works as a herbalist and naturopath for humans and wished to be restored to the Register so he could include animals in his research. He had completed a course in herbal and naturopathic medicine at the College of Naturopathic Medicine in Dublin in 2010, and told the Committee that he believed that being restored to the Register would lend credence to his endeavours to secure funding and other support. He stated that he did not intend to work again in a veterinary practice.

However, the Committee rejected his application on a number of grounds, including the impact on animal welfare should Mr Seymour-Hamilton be restored to the Register; the length of time he had been off the Register and the fact that he was therefore not up-to-date with contemporary veterinary practice and professional conduct; and that his efforts to keep up-to-date in terms of knowledge, skills and developments in practice were insufficient.

Judith Webb, chairing the Committee and speaking on its behalf, said: "The Committee is concerned about the length of time that has passed since he last practised and the paucity of the evidence he has provided to establish that, if permitted to return to practice, he would be able to attain the professional standards required of a modern veterinary practitioner, either as regards surgical capabilities/competence or as regards his knowledge of currently available veterinary medicines."

She added: "This Committee’s obligations and duties are to see that the interests of animal welfare are properly protected by ensuring that only those who are properly trained, knowledgeable and experienced are permitted to treat animals and that public confidence in the standards of the profession are maintained. The risks attendant on a restoration of this applicant to the Register are, in the judgement of this Committee, plain and obvious. Accordingly, this application is refused."

Goddards, the Greater London-based 46-branch, 3 hospital veterinary group has announced the move of its HQ to a new premises in a former police station in Woodford Green, Essex.

Twenty staff from the practice, including senior managers, the accounts and IT teams and the ProActive Pets Wellness Club, are now based at the new premises.

PC Philip Goddard of Woodford Green said: "After 60 years working within our hospital in Wanstead, our support teams had outgrown the office space available. The move provides a greatly enhanced working environment for them and has also freed up space in the hospital that will be used to improve facilities for staff there, including a new lecture room for our Nursing College and Training Department."

The new address is: Claygate House, Manor Road, Woodford Green, Essex IG8 8BX. Telephone: 020 8506 0703.

CM Research has announced the results of a survey conducted this month in which veterinary surgeons named Osurnia as the best new product of 2015.

290 companion animal veterinary surgeons took part in the survey, which is designed to provide veterinary surgeons with their peers’ unbiased judgement on which new veterinary products, services or devices have made the biggest impact on the industry.

The questions were unprompted to ensure that the respondents were not influenced by pre-set survey options. CM Research points to the fact that many of the products that featured in its rankings were launched before 2015, including 2nd and 3rd placed Apoquel and Bravecto, as evidence of this freedom.

The full list of products named more than once in this year's survey was:

The Royal Veterinary College has carried out the first ever open-heart surgery to treat a stenotic tricuspid valve in a dog.

The three-year-old Labrador, Mabel, suffered from congenital tricuspid dysplasia. She was referred to cardiology specialists at RVC Small Animal Referrals where her tricuspid valve was found to be completely fused in the middle, with just two very small openings for her blood to flow through. 

In a procedure that took a little over an hour, the RVC team examined and worked on the valve. The College reports that Mabel’s surgery was a success and her stenosis was relieved.

Mabel was subsequently found to have a moderate amount of regurgitation into the right atrial chamber, but after a few more days of additional monitoring at the RVC she was able to return home. 

The surgery was carried out by Professor of Small Animal Surgery Dan Brockman at the Queen Mother Hospital for Animals. He was assisted by a team of RVC specialists to provide pre and post-operative care, including a perfusionist, a team of three anaesthetists, two surgery nurses, three surgeons and a cardiology veterinary specialist-in-training. In addition, Professor of Veterinary Cardiology Virginia Luis Fuentes and veterinary specialist-in-training Dr Rosie Payne were members of the Cardiology Service’s investigation into Mabel’s condition.

RVC students were also involved in the Mabel’s initial examinations at the hospital, providing them with an insight into the procedure. The examinations included cardiac ultrasound using the newest generation of cardiac ultrasound equipment, which is able to capture 3D and 4D images. The new ultrasound scanner was funded in part by the RVC’s charity, the Animal Care Trust. 

After the surgery, the emergency and critical care (ECC) team and the Cardiology Service took over Mabel’s care, with Professor Brockman remaining involved. This saw up to four senior ECC clinicians, a number of veterinary specialists-in-training and half a dozen highly trained ECC technicians working in shifts around the clock to care for Mabel and ensure a good recovery.  

According to the RVC, there have been previous attempts by veterinary surgeons to open stenotic valves with balloon valvuloplasty. However, because it is very difficult to tear the stenotic valve, this approach has not proved very successful. There is also a high risk when putting canines onto bypass. Canines have fragile blood vessels, and cannulae need to be inserted into several of these vessels, creating a danger that a major vessel tears. 

Commenting on why the RVC team decided to perform this procedure at this point, and on Mabel, Dan said: "Lots of things fed into this decision. First and foremost, we had a patient whose pathology made surgery the best solution. I explained to the owner and was very honest that this procedure would be really breaking new ground. Based on what the human paediatric cardiac surgeons will do, and our limited experience of balloon-valvuloplasty suggests this is the best approach for these dogs

"The operation itself is risky, much worse than most other operations. In our hands, for this type of disease, we have about an 80% chance of getting them through the procedure. The owner has to gamble what life the dog has left against the promise of a more normal quality of life and life-span following the operation."

In relation to Mabel’s prognosis if the surgery had not been undertaken, Professor Luis Fuentes said: "It is likely that the signs of right-sided heart failure would have been more difficult to control. Her ability to exercise would have become less and less, and she would have also been at risk of having abnormal heart rhythms associated with the enlargement of the right atrium. Generally we expect them to develop more and more signs as the disease progresses. These are difficult cases to manage on a long-term basis with drugs. Her life expectancy would have been substantially reduced.

"I thought Mabel was almost a perfect candidate to have the procedure here as Dan has a lot of experience replacing tricuspid valves in dogs with tricuspid dysplasia. In those cases there is usually leaking, but Mabel’s case was unusual in that she has minimal leaking and she was most affected by the stenosis. That means you may not have to implant any additional valve structure."

Speaking two weeks after the operation, owner Annabelle Meek, from Melton Mowbray, said: "Mabel has just come back in from wandering around the perimeter of my garden for the first time since before the operation. It’s more than half an acre and she has been ambling around happily following a scent.

"I would like to thank absolutely everybody. It’s been an enormous team effort on all sides. Every single person I met at the RVC, from the man on the gate to all the hospital staff, was so friendly. After she came home Dan Brockman phoned me every day to see how she was doing. The RVC should be very proud of what they have done for Mabel."

The RCVS is now accepting applications from veterinary surgeons and veterinary nurses who wish to serve as members of the RCVS Ethics Review Panel (ERP).

The ERP has been established by the RCVS in order to facilitate access to ethical review for those wishing to undertake practice-based research outside of a university or industry context. The ERP will begin considering research proposals from veterinary surgeons and veterinary nurses from 1 August 2016 and the trial will run for a period of one year. The process will be limited to considering research projects involving cats and/or dogs during the trial period, with the possibility of expanding to other species if the trial is extended or made permanent.

The trial came about following a joint working party established by the RCVS and British Veterinary Association which reported on ethical review and found that an increasing amount of clinical research was being conducted by vets based in private practice. One of the key recommendations of the report was that the RCVS should consider establishing a committee for ethical review of practice-based research.

Ahead of the launch of the ERP, the RCVS is currently looking to recruit four veterinary surgeon members and a veterinary nurse member to the Panel to join a lay member and ethicist Chair. 

More details about the roles, the function of the ERP and how to apply can be found at www.rcvs.org.uk/workforus and www.rcvs.org.uk/ethics. Those who are interested in applying can also email ethics@rcvs.org.uk for an informal discussion. The closing date for applications is 15 April 2016.

Virbac has announced the launch of the Compulsory Chipping Support Pack, designed to help veterinary practices raise awareness of the importance of microchipping and the new legislation coming to England, Scotland and Wales in April.

The pack contains a range of promotional and educational items including: 

• A customisable poster to include practice logos and a promotional offering.
• A large BackHome display for the window, the doors - wherever it can best promote microchipping to the public.  
• Further material to help customise displays.
• Colour-coordinated bunting and balloons for creativity in decorating the practice.
• A range of 'wobblers' for shelves or reception desks to remind clients to chat to your reception and book their microchipping appointment.

Sarah Walker MRCVS, BackHome Product Manager, said: "Compulsory microchipping comes in this April and awareness needs to be raised among the general public – numerous reports in the media still show a significant proportion of dogs are not yet microchipped.  The new BackHome Mini Chip has a 34% smaller needle than our standard needles and is ‘one size fits all animals’, making it easier than stocking different chips for different size pets.

"The resources in our Compulsory Microchipping Support Pack are great for practices to use. We want to help practices and the teams working within them to engage with the public in their vicinity and help to drive practice footfall."

The RCVS Council has announced its agreement with wholesale reform of the College’s governance arrangements to improve the efficiency and accountability of its decision-making processes.

The changes agreed by Council included almost halving the number of Council members and formalising lay and veterinary membership.

Under the proposals approved by Council it would be reduced to 24 members – comprising 13 elected veterinary surgeons (constituting a majority of Council), six appointed laypeople, three members appointed on behalf of the UK veterinary schools and two veterinary nurses. There would also be the option to appoint an additional member on behalf of any allied professions that RCVS Council may choose to regulate as associates of the College.

Professor Stuart Reid, Senior Vice-President of the RCVS and Chair of the Governance Panel that developed the recommendations, said:  "I am delighted that Council so fully supported our proposals for a new structure. The new composition will ensure that both veterinary nurses and laypeople have a guaranteed place at the Council table, as well as maintaining a majority of elected veterinary surgeons and important input from the veterinary schools.

"The proposal recognises the unique nature of the RCVS and will allow us to expedite our decision-making process, making us more fleet of foot and better able to respond to the needs of the profession and the public. It has also been constructed to allow Council to evolve its position, ensuring it remains relevant into the future. If all goes well we hope that the changes could come into force as soon as March 2017."

Liz Cox, the Chair of VN Council, particularly welcomed the changes in respect of veterinary nursing representation on RCVS Council, adding: "It is an historic decision for veterinary nurses and one that has been long awaited. It is only right that those who work so closely alongside veterinary surgeons in practice should have a direct input into regulation that affects us all."

Council’s approval of the recommendations was the culmination of two years of debate and consultation with the profession and other stakeholders. This included a formal consultation by the Department for Environment, Food and Rural Affairs (Defra) last year which garnered 52 responses – including from the British Veterinary Association - most of which were supportive. Different options for reform had, in turn, been developed by a Governance Panel, chaired by Professor Reid, which was set up by Council in March 2015 to consider various options.

Defra will now run a short informal consultation to provide those who responded to the initial consultation the opportunity to comment on the proposed reforms. If no issues are raised Defra officials will seek approval from the Government to proceed with a legislative reform order (LRO) to make the necessary changes to the Veterinary Surgeons Act.

This LRO will be scrutinised by parliamentary committee and voted on in both the House of Commons and House of Lords. Once this has been passed there will be a three-year transitional period, agreed by Council members, during which Council’s numbers would be gradually reduced.