The new service is being headed by Dr Katia Marioni-Henry.
Katia graduated from the University of Parma in 1995 and went on to do a PhD in Clinical Electrodiagnostic at the University of Turin and Scott-Ritchey Research Center in Auburn, Alabama.
Her early career was spent at various American universities, where she became a Diplomate of the American College of Veterinary Internal Medicine, with a subspecialty in Neurology and finally an Assistant Professor of Neurology and Neurosurgery at the University of Tennessee.
Katia came to the UK to work as a consultant in neurology and neurosurgery for a number of large referral practices, before moving to the University of Edinburgh in 2013, where she started the neurology/neurosurgery service, building it from scratch to a nine-strong team.
Katia said: “This is absolutely the best place to be brought in an emergency, but previously we’d have to refer some cases elsewhere for conditions affecting the brain, peripheral nerves or the spine.
“Now some of these debilitating neurological conditions can be diagnosed and treated rapidly here without having to transport the animal.”
“With our CT scanner, for example, we can diagnose slipped discs quickly, especially in small breeds, and treat them surgically.
“And we can use it for brain scans if there is trauma or if we suspect a tumour or severe inflammation in the brain.
“We can do a lumbar tap to rule out inflammation of the central nervous system either on infectious or immune-mediated basis.”
16 clinics are affected by the investigation, namely Penrose Veterinary Group Limited, Kevin Castle (Pet Care) Ltd, Swayne & Partners Ltd, Treforest Veterinary Clinic Ltd, Mercer & Hughes Limited, Swaffham Veterinary Centre Limited, Anglesey Pet Clinic Ltd, Chiltern Equine Clinic.
It's not the first time, of course, that the CMA has intervened in the veterinary profession.
Earlier this year, it investigated the acquisition of Quality Pet Care (trading as The Vet) by CVS, and then Vet Partners' acquisition of Goddards, which led to CVS selling The Vet and Vet Partners selling eight of the 47 Goddards sites to Linnaeus.
An IVC spokesperson said: “IVC Evidensia is working closely with the CMA and engaging constructively with this review."
The study “Approach to initial management of canine generalised epileptic seizures in primary-care veterinary practices in the United Kingdom” used the Small Animal Veterinary Surveillance Network to review electronic health records equating to 3,150,713 consultations (917,373 dogs) from 224 veterinary practices2.
Five hundred and seventeen cases were included. Dogs older than 6 years were excluded.
Of 321 dogs presented for a single seizure, seven (2.1%) were prescribed AEDs, which is in accordance with International Veterinary Epilepsy Task Force recommendations.
20% of the dogs in this group which had at least a 6-month follow-up, 20% did not have subsequent seizures recorded.
However, of 86 dogs which had suffered a seizure cluster at first presentation, only 38 (44%) were prescribe an AED, despite the task force recommendation that long term treatment in dogs with idiopathic epilepsy should be started immediately in the case of 2 or more seizures within 6 months, status epilepticus or a seizure cluster, severe post-ictal signs, or a deteriorating epileptic presentation.
Imepitoin was frequently selected in the treatment of cluster seizures despite no authorisation for this purpose.
Nicola Di Girolamo, Editor of JSAP said: “Studies like this one are instrumental to understand how primary care clinicians comply with current recommendations.
"Additional efforts may be required to fully adhere to the International Veterinary Epilepsy Task Force recommendations; being aware of these gaps is the first step towards improvement.”
References
Each OraStripdx comprises a dry porous pad, pre-treated with a mixture containing a thiol detection reagent, attached to a plastic backing.
The strip is gently swiped along the maxillary gingival margins, whereupon it changes colour from off-white to various intensities of yellow, representing the concentration of thiols present.
Animalcare says this visual result can support vets and veterinary nurses in explaining to owners the often-invisible early signs of periodontal disease, without the need to examine the animal under anaesthetic
Apparently, the WSAVA Global Dental Guidelines say that test strips have been shown to improve client compliance with dental recommendations.
Dr Colin Capner, Senior Technical Vet at Animalcare, said: “OraStripdx helps to prompt, and raise the profile of veterinary oral health conversations in practice, employing an easy to use, evidence based diagnostic test for periodontal disease that does not require a general anaesthetic.
"In demonstrating the presence of periodontal disease in dogs and cats to clients through a test strip colourimetric change, it bridges the gap between oral examination and the requirement for clinical veterinary intervention.
"Early detection of otherwise invisible periodontal disease will help to maintain good pet oral health and welfare, and facilitate awareness of the potential need for planned clinical treatments.”
On 30 November 2022, Animalcare is hosting a free webinar which demonstrates how OraStripdx can help drive positive oral health conversations.
You can sign up to the webinar at www.animalcare.co.uk/dentalwebinars.
The company has also created a range of dental care educational resources for veterinary healthcare team members and pet owners which are available for download at www.dental.pet.
With this new system, you gain points by achieving different ISVPS qualifications.
In 2023, mini modular programmes will also be released to help delegates accumulate more points.
Once enough points have been reached, delegates are awarded the ultimate qualification: an ISVPS Lead Veterinary Nurse Practitioner.
Improve says My Veterinary Career has been launched to tackle the growing problem of career dissatisfaction amongst veterinary professionals.
A 2019 survey of the veterinary profession by the ies reported that 55.2% of vets said they did not feel rewarded/valued in the profession1.
Additionally, the FVE Survey of the veterinary profession in Europe claimed that in the UK, 40% of vets and nurses wished to leave the industry.
In other countries Improve Veterinary Education operates in, 51% in Portugal, 32% in Spain, 27% in Denmark, 25% in Germany and 17% in France also felt the same2.
Improve says that with My Veterinary Career, vet nurses will now have a clearer pathway to advance their careers and they will be able to develop a bespoke learning journey.
This, the company hopes, will help with the recruitment and retention of veterinary professionals across both corporate and private practice and boost practice productivity and revenue.
https://www.improveinternational.com/uk/myveterinarycareer-vets
Human Factors is the application of human psychological and physiological principles and limitations to the design of processes and systems to reduce human error, increase productivity and enhance safety.
Trainetics has operated in various sectors such as aviation, ergonomics and human healthcare for many years.
As part of its move into the veterinary sector, it is working with a team of team of well-known figures in the profession: Bradley Viner, Holger Volk, Vicky Lipscombe, Tom Cardy and Andy Fiske-Jackson.
Tom said: “The potential impact of human factors on the veterinary industry is huge. What we are able to offer delegates is a unique experience to improve their situational awareness and decision-making.
“It is something which I believe delegates will find incredibly insightful as part of their career progression and it can improve how we treat our patients every day.
“Within the veterinary profession, human factors is still relatively new, however, its true scope within the industry lies in understanding and applying systems-thinking methodology to our complex, adaptive profession.”
Holger said: “When I first had the chance to become consciously incompetent in a flight simulator at BA with Trainetics, it was a fantastic opportunity to learn about my own limitations and how to better overcome them.
“Part of the immersive experience is learning about human factors, situational awareness, decision-making, workload management, system performance and health and wellbeing.
“We can learn so much from the aviation industry and vice-versa, and these unique courses can provide real opportunities to better ourselves as a profession and as individuals.
www.trainetics.co.uk
Nominations will remain open until 5pm on Tuesday 31 January 2023 and the elections will take place in March and April 2023.
VN Council and its members are responsible for all matters concerning veterinary nurse training, post-qualification awards and the registration of qualified veterinary nurses, as well as the joint RCVS and British Veterinary Nursing Association (BVNA) VN Futures project.
Matthew Rendle, Chair of VN Council and an elected member since 2016, said: “As the stature of veterinary nurses has grown over the years, so too has VN Council and the VN Education Committee, with members taking decisions on the accreditation of veterinary nursing education providers, new qualifications, matters relating to the registration of veterinary nurses, as well as having strategic oversight of the VN Futures project and its mission to ensure that veterinary nursing is a vibrant, rewarding and sustainable profession.
“As a member of VN Council you will have a great opportunity to travel around the UK meeting your fellow nurses and getting fresh perspectives on what it means to be a VN, with a particular highlight being welcoming new veterinary nurses to the profession through our many registration and graduation ceremonies.”
The full eligibility criteria, info and FAQs for vets who want to stand can be found at: www.rcvs.org.uk/vncouncil23
Prospective candidates for VN Council can contact Matthew Rendle for an informal conversation on what it means to be an RCVS Council member on: vncchair@rcvs.org.uk
There is also an agenda of previous VN Council meetings at www.rcvs.org.uk/who-we-are/vn-council/vn-council-meetings/ for those who want to see examples of the kind of business it conducts.
Tom, pictured on the right with Managing Director, Toby Gemill, first joined Willows in 2011 as a member of its medicine and high-dependency RVN team.
He subsequently established the role of patient flow manager at Willows, before working as deputy nurse manager and then moving to head of clinical support services in 2019, during which time he also led the hospital’s efficiency group.
Tom moved from Willows in 2021 to take up the referral nursing manager position with Linnaeus, which entailed overseeing nursing across Linnaeus’s 17 UK referral sites.
Tom said: “I am really pleased and privileged to be returning to Willows to work alongside the amazing hospital team.
"The opportunity to undertake this role highlights Linnaeus’ commitment and progressive outlook to veterinary nursing as a profession.”
Improve Veterinary Education will maintain its core mission and quality promise: to deliver all postgraduate training and education programmes for vets and vet nurses through face to face, online learning, blended learning and short course options.
Improve Veterinary Practice offers an online knowledge hub so veterinary professionals can access the latest advice, news and information across all specialties.
Membership also offers ways to keep track of and meet your annual CPD targets.
ISVPS assesses our training programmes and awards globally recognised postgraduate veterinary qualifications to both vets and vet nurses in a range of clinical subjects.
Katie Hungerford, Director of Marketing at Improve International Group, said: “We have modernised all aspects of the Improve International Group to reflect our movement towards providing more online and blended learning choices.
"The experience for veterinary professionals will now feel coherent with simplified graphics and information, no matter which part of the business they need to use.”
Mark Bordo, CEO and CoFounder, Vetster.com, said: “Our new mobile app is one more way we can provide veterinary professionals with a flexible platform to connect with pet parents in between appointments, traveling between clients, or from the comfort of home. With just a few taps on their mobile phone, veterinarians connect with pet parents with great video quality, and easy-to-use scheduling and follow-up features.”
So now, at long last, vets can diagnose disease in animals on an even smaller screen than ever before.
What a breakthrough.
The mobile app also means vets can diagnose whilst on the move.
So, no need for anyone to waste any more time reading a book on the 14:25 from Paddington to Bath Spa, instead vets could be consulting pet owners and examining their animal on their two inch mobile phone screens from the comfort of their train seats.
Client confidentiality could be a problem on the 14:25, but if they wear headphones and whisper into the phone, things should be alright.
Tunnels might also cause a bit of a problem, but hey, the pet owner can always call back when the train comes out the other side.
To register to practice on Vetster, visit vetster.com.
Once registered and approved, you can then download and use the app.
The Equine Veterinary Journal has published a special early view article reviewing the science behind enhanced equine influenza vaccination schedules, in particular the replacement of annual boosters with a mandatory bi-annual vaccination programme.The article argues that as the equine influenza (EI) vaccine supply returns to normal, there is sound scientific evidence why bi-annual vaccination schedules should be re-implemented promptly.
Whilst the scale and number of outbreaks has been relatively small since the introduction of mandatory EI vaccination by most competitive equestrian disciplines in the 1980s, disease events such as those experienced in the UK in 1989, 2003 and most recently in 2019 have demonstrated EI’s epidemic potential, even in vaccinated horse populations.
In their article 'Equine influenza bi-annual boosters: what does the evidence tell us?' Victoria Colgate and Richard Newton discuss what has been learnt from previous outbreaks and explain the evidence from mathematical models to show why bi-annual boosters are beneficial.
The authors say that epidemiological data from previous natural EI outbreaks have repeatedly demonstrated the impermanent nature of the protection provided by vaccination and observational field studies have repeatedly highlighted the potential for 12-monthly boosters to leave a vulnerable immunity gap at both the individual animal and population level.
Mathematical models of EI transmission confirm that six-monthly rather than annual EI booster vaccinations are preferable to establish and maintain effective population level immunity to EI.
Ideally vaccine strains should be updated in a timely manner to ensure inclusion of the most epidemiologically-relevant strains, however, this is a slow and expensive process for equine vaccine manufacturers.
In the absence of updated vaccine strains, bi-annual vaccination is strongly recommended to help compensate for antigenic drift between vaccine and circulating EI viral strains
Professor Celia Marr, Editor of the EVJ said: “Although the recent EI vaccine shortage has necessitated a temporary relaxation of competition vaccine schedules, we must now renew the message that six-monthly boosters are optimal and necessary.”
The Editorial can be found at https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13898 and is free to view.
Two related articles can be found here: https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13874 and here: https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13885
Whilst you're there, the company will doubtless use the opportunity to bend your ear about how its technology can save time, drive revenue, and strengthen patient care.
Still, all in a good cause, and the company says it expects to be making a significant donation towards supporting members of the veterinary community who are experiencing financial and mental health challenges.
ezyVet Chief Growth Officer Pete Brown said: ““As innovators in the veterinary software space, we’re passionate about bettering the lives of veterinary professionals and we recognise the critical work Vetlife is doing to support the hard-working veterinary community.
"We’re going to be donating £1 to Vetlife for every person that visits the ezyVet booth at the London Vet Show, so we encourage everyone to come down and help us support this very worthwhile cause.”
The new brand has a couple of display stands that practices can use to show off the range of memory boxes, paw print kits, paw moulds, fur/hair bottles, plant markers and forget-me-not seeds, and hanging/seasonal decorations.
Oh So Precious is the brainchild of Helen Davies, founder of The Lovely Gift Group (pictured right).
She said: “Having lost pets myself and sold many keepsakes, I know how much emotion and passion we put into our relationships with them.
“When my daughter asked for a keepsake for her best friend I realised their was a gap in the market.
“We also identified a need for good quality, pet related items through our existing gift customers.
"We learn a lot from them and they continually highlight requirements for themselves and as thoughtful gifts for friends who have lost pets.
"The unity among pet owners – that need to convey an understanding and appreciation for those suffering the pain of pet loss - is very real.”
Helen says that as well as providing a new revenue stream, the range will help practices meet client needs and provide new ways to be empathetic to clients in times of distress.
There will be a special show offer for orders taken at The London Vet Show, and in 2023 the team is planning to launch personalised pet keepsakes via links from vet practice websites.
www.ohsoprecious.co.uk
Certified B Corps are companies that meet exceptionally high standards of social and environmental performance, transparency and accountability.
The process examines a company’s full range of processes, from supply chain to charitable giving and employee benefits.
Other well-known names that have achieved B Corp status include Patagonia, The Body Shop, BrewDog, TOMS, Ben and Jerry’s and Innocent Drinks.
Dr Caroline Collins, from Pennard Vets, said: “We’re extremely proud to achieve B Corp status and there’s no doubt that it will be transformational for the business, in the same way that becoming an employment ownership trust has been.
"Being employee owned and socially minded is a huge draw for vets and nurses seeking a change in their career, who want to be part of an organisation where they can have a real say in the running of the practice and make a tangible difference to the environment.
“It also means that we can now make very long-term decisions, that could even take several decades to pay off, which would be very difficult to do in a traditional shareholder business, and that gives our team the authority to always do the right thing.”
The RNMs, Gemma Mogridge, Neil Smith, Leanne Walker and Kerry Jackson have been hired to promote career progression and to help make sure that nurses are fully used in their roles and able to access more development opportunities.
Claire Roberts, Field Nursing Manager at Linnaeus, said: “Our RNM roles will provide operational leadership to our nurses in primary care practices and provide a nursing voice at a senior level across the group.
"They will focus on every aspect of nursing to help increase job satisfaction and progression opportunities for all our teams.”
RNM Leanne Walker said: “In my region we are focusing on nurse and Patient Care Assistant utilisation by introducing more nurse consults, encouraging nurse involvement in schedule 3 procedures and offering opportunities for leadership and progression.
"We are also training PCAs to the highest standard so they can effectively assist with essential tasks such as running blood samples, setting up clinical areas and maintaining hygiene around the practice.
“I look forward to helping the nursing teams realise their full potential in an area that they are passionate about – or help them realise their interest in an area they haven’t considered before”
The webinar will look at what VNs can do to minimise and, in some cases, prevent surgical site infections and antibiotic resistance.
The lecture, which is presented by RVNs Rosina Lilywhite and Rosie Heath, will include discussion and top tip-sharing time.
It will also consolidate the role of the theatre nurse and provide updates on biosecurity, instrument care and how to run a theatre.
Rosina said: “We will be taking it back to basics and looking at where improvements can be made, often in areas that are so routine that we forget about their importance.
"It’s a great opportunity to see inside Liphook Equine Hospital, which is one of the largest equine hospitals in the UK and discover how to make your own set-up more gold standard.”
The course is free to BEVA Nurse members.
To register, visit https://www.beva.org.uk/Education/CPD/Event-Details/eventDateId/1707
If you are not a BEVA VN member you can join this CPD session and get a one-year BEVA membership for £49.
Photo: Safia Barakzai, Equine Surgeon
The Action Plan presents what the College is doing to tackle the issue and explains how collaboration, culture change, career development and leadership, among other things, could help with workforce shortages by improving retention of current members of the professions, encouraging more people to join, and making it easier for those who have left the professions to return.
The report lists seven main areas to be addressed:
The full list of actions, with context about what has fed into ambitions, can be found in the Action Plan which is downloadable at www.rcvs.org.uk/publications.
Dr Sue Paterson FRCVS, Junior Vice-President and Chair of the RCVS Advancement of the Professions Committee, said: “This is a very complex, broad and multi-faceted area of concern so the Action Plan has been a long time in the making to ensure that we adequately capture what needs doing and how, in order to enable us to work collaboratively with all veterinary organisations going forward.
"This is not a finished list, but gives all within the veterinary sector the ability to look at the key areas of work that need to be done and prioritise the ones that most suit their organisational needs."
The new resource, which is sponsored by ManyPets pet insurance, is a complete secondary school lesson in a box.
It is designed in-line with National Curriculum key stage 3 Science, where students will participate in ‘real-life’ veterinary scenarios, performing diagnostic tests similar to those used to diagnose real animals and interpreting scientific evidence.
The project aims to demystify the veterinary professions and some of the perceived barriers to joining it for both young people and their advisors.
The box includes a range of content, from science, critical thinking, communication, mathematics, analytics to problem-solving skills and teamwork.
Aimed at pupils in Years 7, 8 and 9, schools will be able to “book the box” via project collaborators Loughborough University (producers of HE Unboxed) and have it delivered to them for free.
The box is available to all schools, however schools which have a high number of pupils from diverse backgrounds will get booking priority and additional support.
The box will be showcased at the London Vet Show on 17th/18th November at ExCel London and then available to schools from late November.
https://www.lboro.ac.uk/study/he-unboxed/success-box/vet-team-in-a-box/
'Managing Veterinary Medicines' teaches safe and responsible use of veterinary medicines and medicine regulations.
RCVS Knowledge says it will also show you how to put systems in place that will reduce errors, improve patient outcomes and improve practice systems.
It's worth six hours of CPD.
The course has been produced in collaboration between RCVS Knowledge and the Veterinary Medicines Directorate (VMD), and includes a range of webinars, podcasts and articles.
Executive Director at RCVS Knowledge, Chris Gush said: “In England alone, more than 1,700 people die yearly because of medication errors.
"While we don't know the true figures in veterinary medicine, we do know that 30% of errors reported to the VDS's VetSafe system are due to medication errors.
“That's why we think it's vital to have good robust systems in place in the practice dispensary and to use QI tools like guidelines, protocols, and checklists.
CEO of the VMD, Abi Seager said: “Managing Veterinary Medicines will help teams comply with legislation as well as keep patients, team members and clients safe when prescribing and dispensing medicine.”
The course will also prepare practices for a VMD inspection or an RCVS Practice Standards Scheme assessment.
https://learn.rcvsknowledge.org
The company says its new brand has also been designed to communicate choice more clearly, thereby making vets' busy lives a little easier.
Malcolm Dickinson, Category Manager at NVS, said: “As a familiar and trusted brand, we’re always listening to our customers and designing products that closely meet their needs.
"We understand the challenges vets are facing, including rising costs and supply chain issues.
"That’s why we’re always looking to help relieve the impact on the day-to-day burden of the profession with the right products that help deliver the very best animal care.”
The new brand will be on display at Stand P20 at the London Vet Show.
One Health – the symbiotic relationship between human, animal and environmental health – is becoming increasingly important, encompassing things like sustainability, the increase in antimicrobial resistance and the link between human and animal obesity.
Krista Arnold, Honorary Secretary of BSAVA said: "The complicated relationship between human and animal health has been the subject of scientific investigation since the 19th century.
"Important discoveries and the recognition of disease connections have helped to develop strategies for disease prevention in humans and animals alike.
"This collection in the BSAVA Library will contribute to further understanding and knowledge of this important topic."
The collection can be accessed via the BSAVA Library here: https://www.bsavalibrary.com/content/one-health
It is freely available until the end of December 2022; after this time access is £16.25 for BSAVA members and £25 for non-members.
The project, which has been supported by Zoetis, came about after 45 vets from 35 CVS practices identified osteoarthritis (OA) as the main clinical area their practice team wanted to develop over the next 18 months.
As a result, the VOA and CVS came together and signed a Memorandum of Understanding under which the VOA will support CVS with training, resources and research.
The goal is to improve the care of OA patients by engaging the whole practice team and clients in their pets’ care.
Professor Stuart Carmichael, VOA Director said: “VOA’s aim is to provide access to the latest research, evidence and technologies and facilitate a multi-professional collaboration supporting practices wishing to improve their management of osteoarthritis.
CVS practices participating in this project will become eligible for accreditation by the VOA in recognition of the training they've undergone.
As the project develops, CVS says it will assess the results of the initiative, learning more about strategies that can improve and enhance management of OA.
This should translate into the development of better long-term approaches for the management of OA that can be used across the profession.
Meantime, the Veterinary Osteoarthritis Alliance (VOA) has a practice accreditation scheme which is available to any practice which is looking to improve its management of OA.
Further information is available at: vet-oa.com
MSD says the new chip is compliant with ISO standards, has proven temperature accuracy1 and as yet is the only microchip on the market that combines identification and temperature monitoring.
The HomeAgain Thermochip has been designed to work for the lifetime of the pet, and it's being launched alongside the HomeAgain Pet Recovery Database, which is free of charge.
Michael Morrow BSc BVSc MRCVS, Director of St Vincents Veterinary Surgery in Wokingham, has been involved in trials of the new chip. He said: ''The launch of HomeAgain Thermochip is a real game-changer in the market.
“We have been trialling the Thermochip for some time and it’s now our default option to measure temperature.
"It’s incredibly useful in everyday practice, particularly when it comes to fractious cats or extremely nervous dogs, and it improves efficiency in consultations.
"We also use the Thermochip extensively during anaesthetic and post operative monitoring – with minimal handling.
“Reassuringly, we’ve never had any issues with the microchip reader or with the chip migrating to other parts of an animal’s body so it’s very reliable.”
In addition to the benefit of being able to measure temperature in a non-invasive way, MSD points to recent studies which suggest that a pet’s ‘normal’ temperature is not a specific number, rather a range of values that depend on numerous factors such as the time of day, the site of measurement, sex, breed, size, age, activity and stress levels2.
The HomeAgain Thermochip makes it easier to take multiple temperature readings easily over time, thereby establishing a pet’s individual temperature range.
For animal identification, the microchip works in much the same way as other microchips.
Once the owner registers their pet’s microchip with a recovery database, their animal – in theory – can be traced if lost.
The reality is often different, because owners' contact details are frequently out of date, making it difficult to reunite pets.
MSD says it aims to have the most comprehensive reunification platform, with a database which:
For more information, visit: homeagain.co.uk
Reference
The online risk checker, which is available at www.parassess.co.uk, asks pet owners a series of questions to assess their dog's risk from fleas, ticks, lungworm roundworm and tapeworm.
The test, which has been developed with parasitologists, takes a few minutes and appears to produce sensible results (not every test produces a "Danger, high risk, emergency, get to your vet NOW" result, as you might expect if this had been entirely produced bv the marketing department).
The subsequent report can then be shared with the vet to review it and make a treatment decision.
Being online, the test can be taken on a smartphone whilst in the practice waiting room, or on tablet or computer at home.
It might be worth sharing the test with your clients by email or social media, inviting them to book an appointment if their results suggest it is necessary.
To that end, Boehringer Ingelheim has produced a range of communication materials, such as waiting room displays and digital content for web, email, SMS, and social media.
For more information, contact your local Boehringer Ingelheim territory manager or phone 01344 746957 (UK) or 01 291 3985 (Ireland).