The Society of Practising Veterinary Surgeons (SPVS) reports that its annual Congress, held jointly with theVeterinary Practice Managers Association (VPMA) at the Celtic Manor Resort in Newport last week, was a sell out.
Over 470 delegates attended, of which 40% were practice owners, 40% were vets, 30% were practice managers and 10% were nurses.
Held over two days, the line-up of speakers included TV presenter, expedition leader, leadership trainer and ex-Royal Marine, Monty Halls who opened Congress with a talk on the importance of pushing your own personal boundaries. Psychiatrist, broadcaster and journalist, Dr Max Pemberton presented a guide to mental health problems for vets and managers. Celtic Manor’s head of 5 Star Service Delivery, Michael Pagnotta, explained how they ensure all their staff operate to the same consistently high level of service provision and Ian McKelvie, CEO of US consultancy, Becauz, presented a number of leadership and management sessions.
VetNurse.co.uk visited the commercial exhibition and ask a random selection of exhibitors: "What's New?"
This is what they said:
Virbac has launched Prinovox, a new prescription-only spot-on ectoparasiticide for dogs and cats.
The company says the new product contains the same combination of Moxidectin and Imidacloprid as the market leader, but is offered with a unique and innovative pet owner engagement programme to help practices build loyalty, increase compliance and to encourage repeat purchase.
In dogs Prinovox is licensed for the treatment and prevention of lungworm; for the treatment and prevention of fleas and also for lice, mites, heartworm and roundworms. In cats, the licence covers fleas, mites, roundworm and heart worm. It can also be used for fleas and heartworm in ferrets.
Prinovox is available in six presentations to suit all weight ranges and in packs of four pipettes. The packaging uses the Blippar platform which owners can use to 'blip' interactive icons on the product's packaging with their smartphone to get more information on Prinovox, including a video on how to use it, a reminder system and a game.
In addition, the Prinovox support package includes:
Virbac's Head of Marketing Companion Animal, Simon Boulton MRCVS said: "We see the launch of Prinovox as a gamechanger. The ectoparasiticide market is one of the largest and most competitive in our industry and we are the first company to offer a product with the same efficacy as the market leader for all indications.
"We've gone one step further by increasing the value of the product to practices by developing a comprehensive parasite protection support package which harnesses the latest technology and consumer preferences for receiving information. We believe the efficacy of Prinovox, combined with the innovative support package we're offering, will make it a highly attractive product for practices and owners and we've been delighted at the feedback we've received so far."
The Copper Development Association (CDA) reports that a Harare veterinary practice has become the first in Zimbabwe to add copper touch surfaces to its suite of infection prevention measures.
24 Hour Veterinary Practice opted to replace frequently-touched surfaces including table tops, drawer handles, light and electrical switches, chair arms, desk tops and even mice with solid copper equivalents.
The CDA says copper is a powerful antimicrobial with rapid, broad-spectrum efficacy against bacteria and viruses, including MRSA, E.coli and norovirus (references). It shares this benefit with a range of copper alloys - including brasses and bronzes - forming a family of materials collectively called 'antimicrobial copper'.
Touch surfaces made from solid antimicrobial copper are used by healthcare facilities around the world to reduce the spread of infections such as norovirus and MRSA, supporting key infection control measures such as good hand hygiene and frequent surface cleaning and disinfection.
Dr Vinay Ramlaul, who runs the practice, said: 'We're very pleased with the copper touch surfaces. They're easy to clean and present a bright, sterile image to our clients. We feel secure knowing that copper is continuously killing microbes being transmitted to the surfaces by both our clients and patients.'
24 Hour Veterinary Practice joins a number of other veterinary facilities in South Africa already using antimicrobial copper surfaces to enhance hygiene. The CDA says it is not aware of any UK practices that have yet installed the surfaces, although it is being used in a number of human healthcare hospitals and clinics in the UK.
For more information, including a list of antimicrobial copper products and suppliers, visit www.antimicrobialcopper.org.
The veterinary recruitment company Gardner Llewelyn has announced that it is to hold Thank A Vet Nurse Day on 28th May 2015.
As the name suggests the company is urging everyone to join them and make a point of thanking a veterinary nurse on the day for all their dedication and hard work.
In the run up, the company is also asking everyone to think about nominating a veterinary nurse who has gone the extra mile for an award. Two winners will each be given an iPad mini.
You can nominate a nurse here: http://www.glvets.com/competition-entry.asp
Bayer Animal Health has launched Remend Wound Spray Gel for cats, dogs and horses.
The new gel contains Remend's structurally modified hyaluronic acid (HA). Bayer says it provides a matrix for cellular events that occur during the proliferative phase of the healing process, which has been shown to enhance healing1, and can promote rapid wound closure
Georgie Hollis BSc from www.vetwoundlibrary.com said: "Managing wounds can be challenging in veterinary practice; the progression of wound healing can be influenced by many factors, and selecting an appropriate product to apply should be based on the needs of the individual wound. A product that provides a moist healing environment and support of the proliferative phase ensures that cellular activity is optimised, helping to improve healing times and minimise scar tissue."
Bayer says Remend Wound Spray Gel is designed for use as part of the overall management of wounds; additional measures such as lavage, debridement and control of infection are equally important, as is giving consideration to any secondary factors that may delay healing if not addressed. The product aims to achieve greater compliance amongst owners by providing an effective management option that is easy to apply. A single application may be sufficient to enhance wound closure in fresh uncomplicated wounds; however more complex wounds may require multiple applications in order to accelerate closure.
For more information, visit: www.vetcentre.bayer.co.uk
References
The RCVS has announced that Dot Creighton has been given its Veterinary Nursing Golden Jubilee Award for her pioneering work to raise awareness of the role that nurses play.
Dot, who was President of the BVNA from 2003 to 2004, devised the concept of VN Awareness Day as a way of making animal owners and local communities more aware of veterinary nurses and what they do. This subsequently developed into an awareness week and now National VN Awareness Month, which takes place every May. This legacy was one of the main reasons Dot, who was also a member of VN Council from 2004 to 2011, was chosen to win the Award.
Kathy Kissick, Chair of VN Council, said: “Dot has worked tirelessly to raise awareness of the veterinary nurse both within the profession and with the general public. She has always supported the student veterinary nurse in training and leads by example at all times inspiring nurses to stay in or return to practice even when life changes their circumstances.
“Dot is an inspiration to many, many nurses and always commits 100% to the welfare of the animals in her care and to her clients. I congratulate her on achieving this award.”
The VN Golden Jubilee Award was launched in 2011 to celebrate the 50th anniversary of the first RCVS veterinary nurse training scheme and nominees can be veterinary nurses, veterinary surgeons or lay people who have made an outstanding contribution to the profession.
Dot was nominated for the Award by fellow veterinary nurse Lindsey Raven-Emrich who praised her “enthusiasm and input” to the profession, adding that she really “couldn’t think of a better member of the nursing community to receive this award.”
Dot, who is currently working in practice in Essex, said she was delighted to win the Award at such a crucial time for the profession. She said: “It couldn’t be a more exciting time to train to be a veterinary nurse – we have a robust training scheme, we are pushing and advancing the boundaries of veterinary nursing practice, we are seeing veterinary nurses branch out into different fields of clinical practice and, most importantly, the new Royal Charter officially recognises veterinary nursing as a regulated profession.”
The Award will be given to Dot at this year’s RCVS Day – the College’s Annual General Meeting and Awards Day – which takes place on Friday 10 July at One Great George Street in Westminster.
Dog owners who allow their dog to attack people or assistance dogs will face tougher prison sentences from today.
Changes to the Dangerous Dogs Act will also mean dog owners can now face prosecution if their dog attacks a person in their home or on any private property, except if they attack a trespasser.
The maximum sentences for allowing a dog to attack someone in England or Wales have also been increased as follows:
Animal Welfare Minister Lord de Mauley said: "Dog attacks can have horrific consequences for victims and families and it is only right those responsible should face tough punishments.
"Irresponsible dog owners will not only face longer prison sentences, but will also be liable for prosecution regardless of where an attack takes place, even in their own home. This will give protection to those who provide vital services in the community - postal workers, nurses, utility workers - as well as people visiting family and friends."
For the first time, the Dangerous Dogs Act also includes a specific offence to protect assistance dogs from attacks.
Guide Dogs Chief Executive Richard Leaman said: "An attack on a guide dog can be devastating. It can rob someone with sight loss of their independence and freedom, leaving them virtually housebound. We're delighted that irresponsible owners can now be given tougher sentences if their dog attacks an assistance dog.
"With an average of 10 guide dogs being attacked every month, we're looking to the police to fully use their new powers to protect vulnerable people from these sometimes life-changing attacks."
The changes will also see new preventative powers for the police and local authorities so they can act early to stop dog attacks before they occur. These measures include steps the dog owner can take to address their own or their dog's behaviour, for example:
Attending dog training classes.Repairing fencing to their property to prevent the dog escaping.Requiring their dog to be muzzled in public.
Crime Prevention Minister Norman Baker said: "The coalition government is already making real progress in defending the public from out of control dogs and their irresponsible owners. Today's measures will protect individuals and also assistance dogs, which bring security, confidence and independence to their handlers.
Caroline Kisko, Kennel Club Secretary said: "The Kennel Club sees these amendments as being extremely positive overall for the welfare of millions of dogs in this country, as well as helping to protect the public and the UK's responsible dog owners. For too long, irresponsible owners who consistently allow, or even encourage, their dogs to act aggressively or behave dangerously have essentially been protected by regulations which tend to penalise the dogs rather than their irresponsible owners. This updated legislation makes it absolutely clear that this is not acceptable and owners must take responsibility for adequately training their dogs.
"We have been very careful during our work with Government to ensure that there are adequate defences for those otherwise responsible dog owners who find themselves in unforeseen circumstances. This includes scenarios such as dogs protecting their homes from intruders or responding to provocation.
"Disappointingly however, the issue of breed specific legislation still remains unaddressed, with the government failing to use the opportunity whilst amending the Dangerous Dogs Act to repeal this ineffective element of the law.
"The Kennel Club believes in the principle of 'deed not breed' and that genetics plays only a small part in the temperament of a dog, with breeding, socialisation and environment having a far greater effect. The majority of dog bite incidents are a result of the irresponsible actions of owners who have either not taken the time and trouble to train their dog correctly, or have in fact trained them to behave aggressively. Consequently any legislation based on genetics that ignores the influence of the dog's keeper on its behaviour is highly likely to be ineffective, as has been proven with the Dangerous Dogs Act."
Dechra Veterinary Products has launched a new 50 ml bottle of its rapid acting dissociative anaesthetic licensed for cats, dogs and horses, Anesketin.
Anesketin solution for injection, containing Ketamine 100 mg/ml, is indicated for induction of anaesthesia.
Dechra Brand Manager Craig Sankey said: "Anesketin has proved to be a very popular product in our range due to its versatility. It can be used in combination with appropriate sedatives and analgesics in cats, dogs and horses for induction of anaesthesia.
"As it does not require any special temperature storage conditions it makes it a very portable product for vets on the move."
He added: "We are very pleased to be able to add the larger Anesketin product to our wide range of analgesics and sedatives. This demonstrates our commitment to offering high quality products that support vets in small animal and equine practice."
Dechra says the product can also be used as a sole agent for restraint and minor surgical procedures where muscle relaxation is not required in cats.
Anesketin is also available in 10 ml vials. For further information, visit www.dechra.co.uk
Ceva Animal Health has launched a new broad-spectrum, flavoured endoparasiticide tablet, Milbactor for dogs.
Milbactor contains milbemycin oxime and praziquantel, which offer protection against the common nematodes seen in the UK and the main species of tapeworm.
Milbemycin oxime treats Toxocara canis and Toxascaris leonina, Angiostrongylus vasorum and Crenosoma vulpis, the hookworm Ancylostoma caninum, the whipworm Trichuris vulpis and the eyeworm, Thelazia callipaeda. Milbactor also prevents heartworm disease caused by Dirofilaria immitis.
Praziquantel protects against Echinococcus spp., Dipylidium caninum,Taenia spp. and Mesocestoides spp.
Puppies weighing more than 0.5 kg can be treated with Milbactor from two weeks of age. Milbactor comes in two tablet sizes for dogs and puppies, and the tablets are flavoured for easy administration.
Ceva has also launched The Ceva Protection System for dogs, a two-step solution featuring Vectra 3D and Milbactor to provide ectoparasite and endoparasite protection for dogs with one monthly topical treatment and one flavoured tablet. The Ceva Protection System uses Vectra Felis for flea protection for cats and Acclaim for the treatment of the pet's home environment.
Rob McLintock MRCVS, companion animal business unit manager at Ceva Animal Health, said: "The launch of Milbactor and The Ceva Protection System will enable veterinary surgeons to offer their clients a simple regime featuring Vectra 3D and Milbactor for comprehensive parasite control in dogs. Offering protection both inside and out and with no bite required to kill fleas, the regime offers a simple, effective combination to treat and prevent fleas, ticks, biting flies, roundworms, tapeworms, lungworms and to prevent heartworm.
For further information on The Ceva Protection System, Milbactor, Vectra 3D or Vectra Felis, contact your local Ceva territory manager or call 01494 781510.
MSD Animal Health has announced the launch of The Big Tick Project, both to investigate whether ticks are carrying more pathogens and to raise awareness amongst the public.
The company highlights research which shows that nationally, tick distribution has expanded by 17% in the last 10 years and tick numbers have also increased in 73% of locations surveyed.1 In addition, the company says there is evidence that ticks are feeding earlier in the year and feeding for longer2, thus increasing their potential to pass on significant disease to both animals and humans. Lyme disease in particular can be serious health issue for both humans and animals, being increasingly recognised and recorded in the UK recent years3.
So, as part of the project, practices are being invited to collect ticks and send them to the University of Bristol for analysis. In addition, there'll be a national PR and marketing campaign fronted by the naturalist Chris Packham (pictured right).
Practices taking part in the project will receive a tick collection kit and marketing support pack including access to dedicated PR services, postcards and posters to raise awareness of ticks within their clinic and local community. The collection kit includes instructions, collection equipment and Freepost packaging to allow ticks removed from dogs to be sent to the university quickly and easily.
Professor Richard Wall from University of Bristol said: "For accurate results we need as many ticks as possible and I really encourage vet practices up and down the country to get involved. We need data from all types of practices ranging from urban to rural locations to help vets and human health professionals make more effective recommendations and help prevent tick-related disease."
To take part in The Big Tick Project, email a contact name and your practice details to: info@bigtickproject.co.uk.
Batches 060K80412C1A-UK1-2 and 060K80412A1C-UK1-2 (expiry 12/06/2019) have been recalled due to incorrect storage requirements during shipment.
For further information, contact Jerome Martineau at: jerome.martineau@filavie.com, or telephone: +33 2 41 754616
Ziapam is licensed for the short-term control of convulsive disorders and muscle spasms of central and peripheral origin, and for use as part of a sedation or pre-anaesthetic protocol. It is presented in packs containing 6 x 2ml vials.
Simon Boulton MRCVS, marketing manager at TVM said: "As a scheduled intravenous drug it is important that we have batch traceability and the proper monitoring of any side effects of such drugs to make sure current guidelines for use in the SPC are correct. Ziapam is kept at the same concentration of the previously used human generics on the cascade for ease of transition."
Simon added: "Furthermore, we’ve purposefully priced Ziapam such that it is only costs a few pence per dose more than the human generic."
TVM UK has also produced a dosing guide for practices which illustrates the different indications and associated treatment guidelines.
For a copy of the dosing guide or for more information, contact your local Territory Manager, email: help@tvm-uk.com, or call: 01737 781 416.
The Adaptil Diffuser has been renamed the Adaptil Calm Home Diffuser, the Adaptil Collar has been renamed Adaptil Calm On-the-Go Collar, Adaptil Spray is now called Adaptil Transport and Adaptil Tablets are now called Adaptil Express.
The new products are split into three colour-coded groups. In blue packaging, Adaptil Calm Home Diffuser is designed to help dogs stay calm in recurring situations at home, including staying alone, loud noises and visitors. It comes as a 30-day starter kit containing a diffuser and refill, and lasts for 30 days.
Adaptil Calm On-the-go Collar is for use when dogs face fearful situations outdoors. It is available in two collar sizes (small to fit necks up to 37.5cm and large to fit necks up to 62.5cm) and it lasts for four weeks.
Adaptil Transport comes in yellow packaging and is designed to make travel and visits to the vet less stressful. It is available in 60ml and 20ml bottles.
Adaptil Calm Home Diffuser, Adaptil Calm On-the-Go Collar and Adaptil Transport all contain dog appeasing pheremones to help dogs feel calm and relaxed.
The last product in the new range is Adaptil Express, which comes in green packaging. Adaptil Express is an oral supplement which Ceva says provides a fast, calming effect for dogs faced with occasional challenging events such as thunderstorms and fireworks. The non-pheromone tablets, which come in packs of 10 or 40 tablets, combine GABA and amino acids and can be given with or without food.
Abigail King, product manager for Adaptil, said: "80% of pet owners state that their dog gets stressed during challenging situations both inside and outside the home and during specific occasions such as travelling, fireworks and thunderstorms1. Adaptil’s new product range caters for all these eventualities and the eye-catching branding and packaging clearly indicates which product should be used for each challenging occasion to aid owner compliance and help dogs feel calm and relaxed at all times."
For further information, visit www.adaptil.com/uk.
Reference
Daniella, a small animal and exotics vet who works at Parkvets in Kent and also chairs the BVA Ethics and Welfare Advisory Panel, phoned in to Nigel Farage's LBC radio show to point out, amongst other things, a predicted 300% shortfall in veterinary surgeons when we leave the EU.
A video of the skirmish went viral on Twitter, viewed 438,000 times at the time of writing. You can see the full video of the discussion below (starts at 1:22.08)
All members of the practice team are invited to nominate their receptionist, as are members of the public. Nominations should highlight the dedication and effort the nominee demonstrates, and entries need to be in by the 31st January 2019.
BVRA founder Brian Faulkner MRCVS said: "Veterinary receptionists are as crucial to the success of a veterinary practice as any other role. They are first and last impression a client has of a veterinary practice and the association is keen to recognise and reward their unique contribution to the industry.
We’ve been astounded by how popular the BVRA has been since its launch one year ago with receptionists at every level of experience, reporting appreciation as well as the benefits of Accredited Veterinary Receptionist Award. It’s entirely appropriate that BVRA champions ‘best practice’ and therefore the BVRA’s Veterinary Receptionist of the Year Award will recognise their hard work."
Brian added: "We’re so grateful to all of our corporate sponsors in helping us get BVRA off the ground and grow. We are especially grateful to Feliway and Adaptil, sponsors of The Veterinary Receptionist of the Year Award. A motivated and inspired veterinary receptionist can be the difference between whether a client registers with your practice or not. So why not log onto the www.bvra.co.uk right now and nominate that receptionist who deserves to be acknowledged and celebrated?"
Three finalists will be chosen and invited to attend BVRA’s 2nd Annual congress on 16th March 2019 in Sutton Coldfield, where the winner will be announced.
To nominate your receptionist, visit: https://www.bvra.co.uk/Home/CPD.
The practice makes ecobricks by packing all sorts of plastic waste tightly into plastic bottles which can then be joined together using tyres, silicone, cob or cement and used for a wide range of purposes in gardens, play parks and for making all types of structures with.
The ecobrick initiative was launched by the Global Ecobrick Alliance, which describes itself as an Earth Enterprise focused on solving plastic pollution through the dissemination of the low-tech, educational, open source ecobrick technology. It also operates a website which lists a wide range of organisations throughout the world where newly-made ecobricks can be delivered to.
White Cross Vets operates 19 practices, with four in the local area in Gateacre, West Derby, St Helens and Widnes, and is now exploring how it can roll out the scheme across the group. Other green initiatives White Cross Vets is pioneering include rolling out energy efficient LED lighting across its practices and heavily promoting the Cycle to Work scheme.
Helen Morris, from White Cross Vets, said: "In our industry almost everything comes packed in unrecyclable plastics, from small syringe packets through to large delivery bags and the plastic on the backs of patient labels, which we print hundreds of every day.
"As a result, we decided to look at how we might be able to put it to good use, rather than simply putting it in the bin and came across ecobricks. By taking the time to fill the bottles with plastic, we can significantly reduce the waste we send to landfill, and cut the amount of plastic that ends up littering the planet and ultimately finds its way into the sea. We are now making them every week and the whole team gets involved, which is rewarding for everyone involved."
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 veterinary nurses 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 hold the title of RVN, 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 £67 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
Leishmaniosis is caused by the parasite Leishmania infantum, which is endemic in some areas of Europe, but not in the UK. The patient in this case had not travelled outside the UK.
In endemic areas, the infection is carried by female sand-flies and spread through sand-fly bites. Transmission has also been reported via dog bites from an infected dog and infected blood transfusions, although the RVC says these routes have not been reported in the UK before.
Dogs with Leishmaniosis display a range of signs that can take months to years to develop after initial infection. Typical signs include:
Weight loss
Lack of energy or enthusiasm
Increased thirst and increased urination
Changes to the skin (particularly around the eyes, ears and feet)
Vomiting or diarrhoea
Lameness due to joint pain
Sudden nose bleeds
Soreness around the eyes
Treatment is available for dogs with leishmaniosis, but infection is difficult to clear and long-term medication is therefore frequently needed. Leishmaniosis can be zoonotic - meaning it can be passed to people in rare situations.
Apparently there is another leishmaniosis case reported in the Veterinary Record this week, this time where the dog was suspected of contracting the disease via sand-flies unintentionally brought back in its owners' luggage following a trip to Spain.
Myles McKenna said: "It is important to take note of this first reported case of likely dog-to-dog transmission of Leishmania infantum in the UK. Historically we had considered this to be a condition affecting dogs with a travel history to areas where Leishmania infantum is endemic. Dog-to-dog transmission in non-endemic areas has previously been reported, for example in the USA, but this case serves as a reminder to UK veterinary surgeons that we must be vigilant for conditions such as Leishmania in non-travelled dogs and that alternative transmission mechanisms do exist."
Photo: Bone marrow cytology showing macrophages with numerous intracellular organisms consistent with Leishmania species amastigotes. Credit Charalampos Attipa
Having listened to the recording, it strikes me that the Veterinary Record has misinterpreted Mr Innes, and the danger is that his perfectly valid point will now get drowned in a sea of outrage.
What Mr Innes actually said was: "I think it is time to start creating a more fulfilling, more rewarding career for our nurses, and I think that the Americans are showing us the way. They have vet techs and I think that we can do that; I think that isn't the, necessarily the answer, but one it will create a much more rewarding career for veterinary nurses and also some of the reason that vets leave is because they don't like the mundane stuff, so let's give the mundane stuff to nurses.
Considering the overall context of what he said, it is glaringly obvious Mr Innes champions the idea of giving nurses a more rewarding role. So the idea that he was saying: 'Let's give the shit jobs to nurses' is frankly ludicrous.
It is obvious that what he actually meant was 'Let's give some of the stuff that vets find mundane to nurses.' He just didn't express it as well as he might have done.
Mundanity is subjective. What is mundane for a vet is not necessarily mundane for a veterinary nurse, particularly one who has been relegated to sweeping floors for any length of time.
Mr Innes has come in for quite a lot of flack for some of his comments recently. I'm not sure about the other stuff, but on this, he is clearly not guilty.
You can agree or disagree with his view that nurses could be given greater responsibility and vets could delegate some of the tasks they find mundane.
But it would be a great shame if his point got drowned in a sea of outrage over semantics.
What do you think? Come and discuss the issue in the VetNurse Forums ...
In its statement, the company blamed the situation on the poor performance of 24 practices it bought in the Netherlands, and its new farm and equine divisions.
CVS says that another important factor has been employment costs, in particular the increase in market rates for locum veterinary surgeons and nurses on which it remains heavily reliant.
The company also blames its financial performance on the poor support of pharmaceutical companies, which it says it is continuing to push for transparent and 'appropriate' pricing.
Aside from trying to drive down the costs of drugs, the company says it has introduced 'additional procedures' designed to reduce the cost of employing locums, although it didn't specify what these are.
The group is also reevaluating its pipeline of acquisitions, in particular the multiples it is prepared to pay.
At the time of writing, the CVS share price had dropped over 28% to 465p overnight and 70% since the share price peaked at 1477p in November 2017.
In the game of acquisitions musical chairs, did the music just stop?
Full trading statement.
Furthermore, the research found that among female dogs that had problems giving birth, French bulldog bitches are then 2.4 times more likely to undergo invasive caesarean sections than crossbred dogs.
This compared to brachycephalic bitches in general, which the RVC researchers found are 1.54 times more likely to need a caesarean compared with their longer-nosed pure breed or crossbred counterparts.
As part of the research, academics studied 20,000 bitches that required emergency treatment at 50 Vets Now veterinary clinics between 2012 and 2014.
Their findings, published in two papers in The Veterinary Record, highlight the substantial risks that bitches and their puppies face during the birthing process.
According to the first paper1, 3.7% of female dogs suffer from dystocia. Alongside French bulldogs, other pure breeds such as Boston terriers, chihuahuas and pugs, are also particularly at risk of birthing problems. Compared to crossbred bitches, Boston terriers are 12.9 times more likely to face birthing issues, pugs 11.3 times more likely and chihuahuas 10.4 times more likely.
The second paper2, which is available open access, examines the effects of difficult births more closely. It found that on average, 25% of puppies and 1.7% of the bitches do not survive problem births. Apart from the risk of death, problem births also mean that many bitches have to undergo painful and invasive surgery, with 48.6% of problem births needing caesarean surgery.
Bulldogs (also known as British Bulldogs), border terriers and golden retrievers were the top three breeds at risk of caesarean section once they have difficulty giving birth. Bulldogs are 7.6 times more likely, border terriers are 4.9 times more likely and golden retrievers are 4.1 times more likely to need the procedure compared with crossbreeds.
RVC veterinary epidemiologist and VetCompass researcher Dr Dan O’Neill said: "This new research is another piece of evidence suggesting that mankind may have gone too far in modifying dog breed shapes towards extreme conformation that can interfere with basic biological functions. We all need to fall back in love with dog-shaped dogs and move away from the current fascination with extreme-shaped dogs."
O’Neill, DG., O’Sullivan, AM., Manson, EA., Church, DB., McGreevy, PD., Boag, AK., Brodbelt, DC.(2019) Canine dystocia in 50 UK first-opinion emergency care veterinary practices: clinical management and outcomes Veterinary Record Published Online First:04 February 2019. doi: 10.1136/vr.104944.
It’s very significant because it’s the first time the College has produced material for practices that highlights the responsibilities of pet owners, as well as those of veterinary surgeons and nurses.
As such, it should be a really useful tool to support the advice given by veterinary surgeons and nurses in practice.
In other words, don’t just stick it on the wall in some hidden part of the waiting room. Display it prominently by the reception desk, and point to it when explaining why owners need to make their own arrangements to bring the animal into the practice in emergency, for example. Or why you can’t prescribe drugs when you haven’t seen the animal for 8 years.
The idea for the poster was first mooted by Jonathan Wray MRCVS in the forum on VetSurgeon.org, after he’d seen a similar thing produced by the French regulator for veterinary practices in France.
VetSurgeon.org decided to produce an English version with input from vets as to what they would like a UK version of the poster to say.
On reflection, however, it was always something which would carry so much more clout if it came from the regulator, so we turned the idea over to the RCVS.
To its great credit, the College ran with the idea and had the poster designed and put through its Standards Committee. The result has now been posted to all practices in the UK, with a pdf version available to download from www.rcvs.org.uk/poster.
The RCVS is now inviting feedback about the poster at communications@rcvs.org.uk.
If you like the poster, I really do urge you drop the College a quick line at that email address and say so. Better still - and I will probably be put on the naughty step for saying this - cc L.Lockett@rcvs.org.uk and i.holloway@rcvs.org.uk. It was they who took the idea forward and made it happen. I think they deserve a round of applause.
In total Mr Hendrie Smith had faced eight charges against him, all of which related to him undertaking the euthanasia of a German Shepherd named Bouncer during a home visit in January 2017.
The charges alleged that when John Hendrie Smith undertook the euthanasia of Bouncer he had:
1. failed to ensure he was sufficiently prepared for the euthanasia in that he failed to attend the visit with a muzzle and failed to attend with any sedative and the means of administering sedative;
2. failed to delay the euthanasia until he was in possession of the above items;
3. undertook the euthanasia by means of an injection without first sedating Bouncer;
4. failed to provide Bouncer’s owner with an adequate explanation of the procedure. Including:
a. failing to explain that the procedure involved an attempt at injection directly into the heart;
b. failing to explain that an injection into the heart without sedation is (except in extreme circumstances) not an accepted means of euthanasia;
c. wrongly stated that Bouncer would not feel the injection;
d. failed to provide an explanation of the risks;
e. failed to explain the risks and signs of narcotic excitement;
f. failed to explain the risks of injection into the heart without sedation;
5. failed to obtain Bouncer’s owner’s informed consent for the procedure;
6. failed to make any clinical records in respect of the procedure;
7. provided inadequate veterinary care to Bouncer and caused him unnecessary suffering; and
8. failed to communicate with Bouncer’s owner.
Having considered evidence about the case from Bouncer’s owner, his owner’s former partner, two expert witnesses and Mr Hendrie Smith, the Committee found all of the charges against Mr Hendrie Smith proven, with the exception of charge 4(e) on the grounds that there was insufficient evidence against him on this particular charge.
In considering whether the charges that were found proven amounted to serious professional misconduct, the Committee heard further evidence from the College’s two expert witnesses, and submissions from both the College and Mr Hendrie Smith. Having considered the evidence and submissions, the Committee concluded that in relation to each of the charges found proven, Mr Hendrie Smith’s conduct had fallen far below that which was to be expected from a veterinary surgeon and was therefore serious professional misconduct.
The Committee went on to consider what sanction was appropriate following its earlier findings against Mr Hendrie Smith. The Committee took into account a number of mitigating and aggravating factors. In mitigation the Committee considered that this was a single, isolated incident and that Mr Hendrie Smith had been a practising veterinary surgeon for 65 years and had an otherwise unblemished career with no adverse professional findings against him. It also took into account testimonials from professional colleagues, clients and his local community.
However, the Committee also considered the aggravating factors which included actual injury and unnecessary suffering to an animal, a blatant disregard of the systems that regulate the veterinary profession including the RCVS Code of Professional Conduct and its supporting guidance relating to euthanasia, informed consent, preventing unnecessary suffering and working within one’s area of competence.
In explaining its decision to direct his removal from the Register of Veterinary Surgeons, the Committee noted Mr Hendrie Smith’s lack of insight into his behaviour, which included denying that he was at fault, challenging several of the Committee’s findings and disputing that an intracardiac injection into the heart of a dog without administering sedation or anaesthesia was wholly unacceptable, despite expert opinion to the contrary.
Chitra Karve, chairing the Committee and speaking on its behalf, said: "The respondent, in his oral evidence, admitted that he was not really a small animal vet, and had not been dealing regularly with small animals for a significant period of time. His specialisation in recent years was with large farm animals. The Committee considered that the respondent had, and still has, no concept of the difficulties now recognised as inherent in the procedure he performed, or the risks of pain and suffering it posed to the animal."
She added: "The Committee has found that the respondent’s conduct in attempting an intracardiac injection without prior sedation or anaesthesia caused appalling pain and suffering to Bouncer, as evidenced by his screaming, and was wholly unnecessary. The respondent accepted that he had a sedative in his car, but chose not to postpone attempted euthanasia so that he could sedate his patient first.
"The respondent explained in his oral evidence that he had, in the past, euthanased over 200 dogs by intracardiac injection without sedation or anaesthesia. The Committee concludes that this was the respondent’s customary method of euthanasia, and he did not understand why it was wholly unacceptable for a reasonably competent veterinary surgeon to carry out euthanasia in this way. Given his lack of insight, the Committee considers that there is a risk that, if the respondent were to be asked to euthanase a dog in the future, he would be likely to use his customary method, and thereby cause injury and suffering to another animal."
In determining the sanction the Committee decided that, because there had been a serious departure from the professional standards set out in the Code, serious harm was caused and there was a serious risk of harm to animals in the future, that removing Mr Hendrie Smith from the Register was the only means of protecting animals and the wider public interest.
Mr Hendrie Smith has 28 days from being informed of the Committee’s decision to make an appeal to the Privy Council.
The practice's dentistry and oral surgery team, led by Peter Southerden, has now carried out its first two successful reconstructions using the technique, following oral tumour resection.
Use of patient-specific implants (PSI) for jaw reconstruction is a new technique, which provides an alternative to bone regenerative techniques. Both techniques can be used in cases which have had significant jaw resection or need reconstructive surgery after a trauma.
Peter said: "To my knowledge, using this technique to create patient-specific implants for rostral mandibular reconstruction following a bilateral rostral mandibulectomy has not been reported in dogs before.
"The reconstructive surgery involves taking pre and post-operative CT scans of the affected area and sending them to a specialist human medical PSI design company, which then uses 3D titanium printing technology to recreate the missing bone.
"In our first two cases, both dogs are doing really well. The feedback we’ve received from owners suggests their dogs have gained significant benefit from the jaw reconstruction process."
Peter is one of three dentistry and oral surgery clinicians at Eastcott alongside Andrew Perry and resident Ingrid Tundo, with a second resident due to join in 2019.
The team caters for dentistry cases including periodontology, endodontics, orthodontics and restorative dentistry, to complex cases including oral tumours, traumatic injuries and congenital issues such as cleft palates.
Peter added: "There aren’t many people with specialist qualifications in this field, possibly only six in the UK and we are the only team working with the backup of a multi-disciplinary referral hospital.
"Having a team of three, soon to be four, is unusual and means we have a big caseload and see a wide range of different cases. We are very keen on developing new techniques such the ones we have already introduced."
For more information about Eastcott Referrals, visit www.eastcottreferrals.co.uk.
In 2020, BSAVA Congress will have been held at the ICC Birmingham for thirty years. However, recent years have seen ever greater competition from the London Vet Show, so the plan to revitalise the event further north at an award-winning new venue with such good transport links seems to make a lot of sense.
Manchester Central's size also means that unlike in Birmingham, the commercial exhibition, lectures and demonstrations will all take place under one roof, maximising the use of delegates' time.
Angharad Belcher, Head of BSAVA Congress said: "We’ve had a first-class experience in Birmingham, and we could not have asked for more from the venue. We know that 2019 and 2020 will continue to be popular, however, it’s time to move BSAVA Congress forward and revitalise the offering to our delegates and exhibitors by bringing everything into one building. The move to Manchester enables us to invest even more in speakers and delegate experiences, to make BSAVA’s education programme truly unsurpassable."
BSAVA President Philip Lhermette said: "It’s very much a new city for a new Congress and celebrations will be in order. Manchester lends itself perfectly to a timely transformation for Congress. We will be completely re-branding the event, modernising the CPD programme and making the best possible use of every minute of every delegate’s time over the full four days. We have been working closely with the city and venue in practical terms to offer a whole suite of options to delegates and exhibitors, from irresistible new socials and extensive accommodation choices, to easy transport routes."
Shaun Hinds, CEO of Manchester Central said: "After getting to know the association and their vision, it was clear that they wanted to transform the experience of their delegates. The ambition of the association matches that of the city and Manchester has the perfect blend of venue and vibrancy to develop the BSAVA Congress of the future. We’re delighted to be welcoming them in 2021 and we’ll work hard with the organisers to create a unique and remarkable experience for their delegates, exhibitors, partners and all visitors."