VETNAPP offers a replacement to paper records and allows entry of drugs administered, physiological parameters (for example heart rate, respiratory rate and blood pressure) and complications occurring during an anaesthetic. The final anaesthetic chart can be converted to a PDF and attached to patient records.
Alastair said: "My motivation for creating the app was born of my frustration while working in Australia about how many handwritten anaesthetic records were incomplete and poorly filled in.
"I developed the app in partnership with an IT graduate at the University of Sydney. It is a replacement for paper records, with features such as you cannot move on to the next page until all data fields are complete. It also allows storage of thousands of records, therefore, allows easy retrieval of records, and prevents lost records which is common with paper records.
"I also would like to eventually have a cloud-based storage of data to allow anaesthesia studies such as drugs used, morbidity/mortality studies, to be carried out on a large scale basis, rather than single centre studies."
VETNAPP has been designed to meet the needs of both general practitioner veterinary surgeons and veterinary specialists in anaesthesia and analgesia.
At present, VETNAPP is only available for the iPad, priced at £59.99.
To download VETNAPP, go to: https://itunes.apple.com/gb/app/vetnapp/id980918731?mt=8.
The Canadian company highlights research which showed that the biggest challenge UK veterinary clinics face is the volume of pets (57%), followed by being overbooked (50%) and unable to take on new patients1.
In addition, earlier research has shown that 37%2 of vets are “actively” thinking about quitting, with 80%3 of the UK profession leaving to get a better work-life balance.
Hence the company offers a service through which UK practices can divert non-urgent calls to Vetster, to relieve some of the pressure.
Vetster says the most common cases treated by its veterinary surgeons are dermatology, gastrointestinal, respiratory, urinary tract, ophthalmology and musculoskeletal issues.
By diverting these cases to UK-licensed vets online, Vetster says it aims to relieve the pressure on clinics so that they can better serve pets in need of surgery, immunisations, bloodwork and other clinical treatments.
Mark Bordo, CEO and coFounder of Vetster said: “We are experiencing a global crisis in pet care exacerbated by the pandemic.
“Veterinarians are facing tremendous pressure to provide services to millions of pet owners.
"Vetster’s virtual care platform connects pet owners with licensed UK veterinarians to provide support when their clinic is closed, to answer a non-urgent question, and to improve the health outcomes of their pet and help ensure owners can care for their animals.”
Veterinary surgeons in search of a better work life balance can also join Vetster to create a virtual care practice that provides teletriage and addresses non-urgent issues.
Mark added: “Veterinarians are able to incorporate a new modality of practice to improve their work-life-balance, serve pet owners outside of a clinic environment, and hopefully practice for longer avoiding burnout and stress associated with this much-needed profession.”
Vetster is not available as a white label service at this time, and VetSurgeon.org understands that when it is clear an online consultation requires hands-on care, the owner is referred to the local practice on the platform, which may or may not be their normal practice.
Vets interested in offering consultations through Vetster can visit: https://vetster.com/en-gb/for-vets
Veterinary practices that are interested in having Vetster provide OOH support to clients, can visit: https://vetster.com/en-ca/for-vet-clinics
References
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.
Pets At Home Vet Group and Dick White Referrals have announced a strategic partnership in order to develop Pets at Home's strategy for providing specialist care.
Pets at Home says it is creating a new divisional structure comprised of the existing First Opinion Division (Vets4Pets and Companion Care joint venture practices) and the new Specialist Division, which comprises Dick White Referrals, Northwest Surgeons, Anderson Moores, and Eye Vet Referrals.
Dick White has been appointed Clinical Director of the new Specialist Division.
Dick will remain as a shareholder in Dick White Referrals. He and three of the Specialist clinicians - Giunio Bruto Cherubini, Federico Corletto and Rob Foale - will retain 24% of the practice.
Sally Hopson, CEO of Pets at Home Vet Group said: "We are delighted to have attracted a colleague of Dick White’s pedigree to join us, not only to help drive the future growth of Dick White Referrals, but also to play a key role in developing our Specialist Division. Professor White is a key figure in the development of the Specialist Veterinary segment; he has trained many of the leading Specialist veterinary practitioners. This is a tremendous step forward for the Vet Group. I’m also very pleased that Professor White and his colleagues have chosen to remain as equity partners in Dick White Referrals."
Dick said: "Forming this strategic partnership provides great opportunities for us to continue to develop Dick White Referrals as a world class referrals centre with a team of leading Veterinary Specialists. I am delighted to be working with a partner that shares our vision for Dick White Referrals and is committed to supporting its future development. Joining the Board of the Specialist Division will allow me to provide clinical leadership and governance across the division, input into the formulation of strategy and support M&A activity and veterinary recruitment."
Vets Now has announced that it is accepting applications for it's Nursing Edge Programme, starting in August.
The eight week training programme, which was set up by Vets Now’s Head of Clinical Nursing, Rachael Marshall, provides a full induction leading to a permanent full time position with Vets Now. It combines two weeks of lectures and interactive sessions in the company's support office with six weeks practical training. Vets Now says the course content has been designed to give nurses the confidence and skills for emergency work, providing valuable training and a salary from day one.
Vets Now says it has already welcomed 17 new nurses on board, with the potential to place many more into its small animal out of hours’ clinics across the England, Wales and Scotland.
All successful applicants are supported in practice by an experienced RVN as their mentor throughout their six weeks on the job training in the clinic of their choice.
In addition, nurses are supported with a directed training plan in their first year; incorporating a mix of online and practical courses.
Rachel Plunkett, a nurse who participated in the Nursing Edge Programme, said: “Doing this course has meant I feel well equipped to tackle all kinds of exciting clinical cases despite being newly qualified. The in-house support is incredible and if at any point I was unsure about any little thing, someone was there to help and answer my questions. Taking the Nursing Edge course is the best decision I've ever made."
Veterinary Nurses currently in their final year of study, or those new to emergency work, who wish to secure a place on the August programme or April 2017, should send their CV and a covering letter to laura.collings@vets-now.com
The service, which has been set up by ex-Olympian Lisbet Stuer-Lauridsen (badminton for Denmark, since you ask), is designed to complement the end-of-life care already offered by practices.
Lisbet says that veterinary surgeons already working with Cloud 9 told her they found it difficult to offer the compassionate care pet owners need during a 15 minute consult in a busy practice.
The new service is structured so they have time to spend with the grieving owner to help support them at this sensitive time.
Pet owners make their booking with a dedicated Care Coordinator trained to handle the situation with dignity and respect.
Because the care is then provided at home, the pet doesn’t have to experience the potential anxiety involved in transport to the practice and the owner doesn’t have to worry about trying to hide their grief from other clients in the waiting room, or driving home in a distressed state.
Veterinary surgeons who apply to join the service are given specific training in euthanasia and counselling for all members of the family. The average visit time is expected to be around 1.5 hours to allow the procedure to be carried out with sensitivity and care.
Cloud 9 says the new service offers vets, locum vets and practices a flexible additional revenue stream. Vets can select the days or hours they want to work, to fit around family or other work commitments, and Cloud 9 says it will handle all the paperwork, including payments.
Cloud 9 Vets also offers additional services such as a memory wall and pet cremation.
Lisbet is now inviting vets throughout the country to sign up with Cloud 9’s mobile service. She said: "We want to offer the service in as many locations as possible and welcome the opportunity to work with locums, mobile vets and practices."
For more information, visit: https://cloud9vets.co.uk/join-the-team/
In the past, few employers in the veterinary profession have chosen to advertise salary details, perhaps because they don't want to open a negotiation with their cards on the table, or perhaps they've been fearful of their existing employees finding out what they're prepared to offer a new candidate.
However, all the indications are that job advertisements which include salary details generate more, better qualified responses. Reed carried out a survey of 1000 jobseekers in 2016, 2/3rds of whom said they would be more likely to apply when a salary is displayed on the advert. Another company, Smart Recruit Online, found back in 2013 that job adverts which included a salary generated 30% more responses that those that didn't.
In the VetNurse forums, many veterinary nurses have expressed their frustration at the lack of transparency, and the wasted time and effort when they attend an interview to find that the 'competitive salary' on offer was anything but.
There are also indications that in the future, Google may start to prioritise jobs advertised with salary information in its search results.
To try and strike a balance between some employers' reluctance to display what they might be prepared to pay and the need for greater transparency, advertisers can now display a 'Minimum Offer' on VetNurse Jobs, described to the potential applicant as: "The minimum this employer is prepared to offer someone with the skills and experience needed to fulfil the job requirements. They may or may not be prepared to offer more. They may also be prepared to accept someone with a lower level of qualification or experience for an amount less than displayed."
Alternatively, employers can advertise a 'Pay Range', described to potential applicants as: "The employer expects to pay something within the displayed range, depending on their assessment of the value of the applicant's skills and experience to the practice."
In addition, employers can also display other benefits which are likely to be of more or less value to individual applicants, such as a RCVS fees, association subscriptions, health insurance and CPD allowances.
VetNurse.co.uk Editor Arlo Guthrie said: "This is entirely optional, but I do hope as many employers as possible will make good use of this new feature, because all the research and anecdotal evidence suggests it’s what candidates want to hear, and it should lead to a better response. Not to mention how time-saving it is for two people to come to the table with realistic expectations."
This pilot was originally launched in February 2017 to trial proposed changes to CPD, which would concentrate less on hours logged and more on interactive, reflective learning and measuring the impact that CPD has on the individual’s practice and patient health outcomes.
Some 115 veterinary surgeons and veterinary nurses volunteered, with 60 attending an induction days at the College’s office last year.
The College says the response to its proposals was largely positive, and at its meeting on 2 November 2017 RCVS Council agreed to an extension of the pilot for a further six-to-nine months, in order to increase the breadth of views on the changes and gather further evidence on its impact.
The proposed model for CPD has four key components: planning, doing, recording and reflecting. While an overall majority of the 3,357 people who responded to the College’s 2016 consultation agreed with the proposed changes to the CPD requirement, certain elements received less support than others.
The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
Shona McIntyre MRCVS, a teaching fellow in small animal medicine at the University of Surrey and the practitioner representative on the CPD Pilot Working Group, said: "As a general practitioner involved in the initial phase of the CPD pilot I was thrilled that we had so many from the profession engage with the consultation, and later with the pilot.
"By extending the pilot further we are looking to get an even wider range of views on board and fine-tune how we will be asking members of the profession to engage with the reflection element of the proposals. We are looking for a mix of those who support the proposals and those who have a ‘healthy scepticism’ about them and I can only encourage those not yet involved to consider signing up for the extended pilot and make their voice heard."
If you are interested in volunteering, contact Naila Hassanali, RCVS CPD Officer, via cpd@rcvs.org.uk or 020 7202 0701.
Volunteers will be supported by RCVS staff throughout the trial.
Further information, including the CPD Policy Working Party’s response to the consultation, is available on the College website: www.rcvs.org.uk/cpdconsultation/.
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.
Louise had achieved great things in her all-too-short life. Born in February 1974, she qualified as a veterinary nurse in 1999. She gained the DipAVN (Surgical) in 2004 and the DipAVN (Medical) in 2007. She then qualified as a Veterinary Technician Specialist (Emergency and Critical Care) in 2011 and as a Veterinary Technician Specialist (Anesthesia) in 2014.
Along the way, she was widely published, contributing to over 35 publications and lectures worldwide on all aspects of anaesthesia, emergency and critical care, surgery and infection control.
In 2016 Louise received the inaugural Bruce Vivash Jones Veterinary Nurse Award, presented by the BSAVA as the primary recognition for outstanding contributions to the advancement of small animal veterinary nursing. It is the highest award the Association can bestow on a veterinary nurse. That year, she also received the The Veterinary Nursing Golden Jubilee Award for her leadership role in the profession as a clinical director for a veterinary group, her advocacy on behalf on the profession and her research work into antimicrobial resistance.
At the time of her death, Louise was the Clinical Support Manager at Vets Now.
We all live on in the hearts and minds of the people we knew in life and from the moving tributes that have appeared in such large numbers online, it is clear that Louise was one of those rare individuals whose ripples will keep spreading for years to come:
Along with many many others i feel absolutely shell shocked to hear the news that Louise O'Dwyer is no longer with us. I've had the privilege of working with her and only ever in her shadow. The world will not be the same without her. A terrible loss to the profession. If there was anything she would have wanted it would be that the Veterinary Nurses in this world could realise their potential. I am sure that no-one will disappoint her. Good night beautiful lady - you were not a star but a supernova. Georgie Hollis.
I feel greatly honoured to be able to call Louise my head nurse and then my Clinical Director, but most importantly a friend. She was an inspiration to nurses up and down the country. It has been said what Louise didn’t know wasn’t worth knowing. Nick Shackleton RVN.
Louise had a natural ability to inspire and foster talent in others; her passion and dedication to emergency and critical nursing led her to become a leading veterinary nurse, mentor, author and teacher respected throughout the international ECC community. We were privileged to be able to call Louise a colleague as well as a much loved friend and she will be sorely missed, not just by the Vets Now team, but by everyone across the veterinary profession. Amanda Boag MRCVS
I feel honoured to have known her and share the deep sadness, expressed by hundreds of her friends and colleagues at her untimely passing. Sue Paterson MRCVS
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.
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
505 people took part in the survey in August 2019, of which 85% were receptionists. The remainder were RVNs, VCAs or practice managers with some front desk responsibility.
The survey found that 45% were paid between £8 and £9 per hour, with 9% more falling into this salary bracket than in 2018. 5.32% were paid £8 or less per hour.
The Real Living Wage is a figure calculated from the costs of a basket of household goods and services by the Living Wage Foundation, and voluntarily paid by its 6000-odd member companies in the UK. The Living Wage Foundation argues it is a better measure of what people need to get by on than the Minimum Wage (£7.70 for those aged between 21 and 25) or the National Living Wage (£8.21 for those over 25).
63% of veterinary receptionists said they were unsatisfied with their pay. However, it was not the biggest cause of dissatisfaction uncovered by the survey. 67% were dissatisfied with the recognition of the value of their role, and 69% with the career progression options open to them.
70% of respondents said they would like to do more CPD and that the main benefit would be to clients and patients. However, 43% of receptionists said there is no time allowance set aside for them to complete CPD.
Co-founder of BVRA and Honorary Associate Professor In Veterinary Business, Nottingham University, Brian Faulkner (pictured right) said: "A large part of the client experience is centred around the waiting room and receptionist area and our members work hard to ensure that experience is positive.
"We have an increasing number looking to upskill and the appetite for CPD is clearly there. If we can envisage a scenario where the minimum wage is set at £10.50 an hour, that would mean that around 65% of veterinary receptionists would need a pay increase.
"I don't think any of us believe that veterinary receptionists are currently doing an unskilled job and a key mission of BVRA is to achieve greater recognition of the value they bring to practices, both as colleagues and commercially."
The researchers say that urinary incontinence affects around three per cent of bitches in the UK, and whilst the link between urinary incontinence and neutering in bitches has been suspected, this study provides new evidence on the extent of the relationship.
The research was carried out by the RVC’s VetCompass programme, supported by BSAVA Petsavers. Apparently, it was the largest cohort study on incontinence in bitches carried out worldwide to date, using the anonymised veterinary clinical records of 72,971 bitches.
The research indicated that bitches of certain breeds including Irish setters, Dalmatians, Hungarian vizslas, Dobermans and Weimaraners are more prone to early-onset urinary incontinence than other breeds. Special care therefore needs to be taken when deciding whether to neuter these breeds.
The results identified an increased risk of 2.12 times of urinary incontinence in neutered bitches compared with entire bitches. However it also identified an increased risk of 1.82 of urinary incontinence within the first two years of being neutered, in bitches neutered before 6 months of age compared with those neutered from 6 to 12 months.
Other findings included:
The average age at diagnosis of UI was 2.9 years.
The average time from neuter to UI was 1.9 years.
Bitches weighing over 30kg had 2.62 times the risk of UI compared with bitches weighing under 10 kg.
Increasing body weight was also associated with an increased risk of early-onset urinary incontinence.
Camilla Pegram, VetCompass epidemiologist and lead researcher on the study (pictured right), said: "Neutering is something that every owner will need to consider at some stage but there has been limited information on the risks of urinary incontinence following surgery up until now. The decision to neuter a bitch is complicated but the results of this study suggest that early-age neuter should be carefully considered, particularly in high-risk breeds and bitches with larger bodyweights, unless there are major other reasons for performing it."
Reference:
As a result of the new partnership, customers of Bought By Many will have access to free video consultations with UK-registered veterinary surgeons via the FirstVet app.
In their blurb, the companies say that: "Many common pet health issues can be treated in the comfort of their own home, meaning owners only need to take their pet to the vet when absolutely necessary. Bought By Many customers can save time, money and potential stress to their pet by using the free FirstVet service. When a referral to a local vet is needed, FirstVet provides detailed notes of the initial consultation to both the owner and the vet."
David Prien, FirstVet’s CEO & co-founder, said: "FirstVet couldn't be more excited to offer our veterinary video consultation service together with Bought By Many in the UK.
"From our first meeting with the Bought By Many team, we knew that our values were aligned. We both share a mission to bring the best that technology has to offer both to pet owners and to the veterinary care process.
"Offering pet owners the chance to speak face-to-face with an experienced veterinarian via a video call is a great way to make sure that all pets are getting the right treatment, as fast as possible, in the right location."
For more information on Bought by Many, visit boughtbymany.com/pet-insurance.
The survey of 812 veterinary receptionists, which was carried out in the autumn, found that only 50% of veterinary receptionists are paid more than the UK minimum/National Living Wage.
33% said they worked longer than their contracted hours and 37% said they didn’t receive overtime pay.
As a result, 64% of those questioned felt they were not paid fairly for the responsibilities they carry, which include ensuring practice protocols, handling veterinary medicines, promoting ‘sales’ eg of healthcare plans and dealing with often challenging clients.
Discontent with salary levels was exacerbated during the COVID-19 pandemic. 49% of respondents were furloughed and 91% of them received no top-up pay from their practice in addition to the government’s 80% contribution.
The BVRA says it recommends that Registered Veterinary Receptionists (RVRs) are paid at least £10 per hour, irrespective of their age.
A lack of access to CPD was also an issue. 56% of respondents wanted to update and increase their knowledge but the same percentage claimed a lack of time was a barrier. With 80% of practices not allocating time for receptionists to undertake CPD and 44% receiving no budget for it, one respondent from a corporate practice confirmed that they could only undertake CPD in their own time, even that required by the company, such as training on health and safety and compliance.
While participants expressed a high level of satisfaction with their relationships with vets (71% were satisfied or very satisfied) and nurses (74% were satisfied or very satisfied), the same cannot be said for their relationships with practice managers. Fewer than half (46%) were satisfied or very satisfied with their relationship with their practice manager and 51% were satisfied or very satisfied with their relationship with the Clinical Director or Partner.
Only 26% were satisfied with their working relationship with head office (if part of a corporate group). Relationships were further strained during the COVID-19 pandemic with 71% of those furloughed saying communication with their practice boss had been average or poor.
As a final question, participants were asked to express their satisfaction with aspects of their role:
The BVRA and VMG are joining forces to host a free webinar to discuss the issues raised by the survey and potential solutions. Called 'Tackling Receptionist Morale Together', it will take place from 2.00pm-4.00 pm on Wednesday 25 November. For more information, visit: http://www.bvra.co.uk/event/bvra-vmg-tackling-receptionist-morale-together/
Brian Faulkner BSc (Hons), BVM&S, CertGP(SAM), CertGP(BPS), MBA, MSc(Psych), FRCVS, founder of the BRVA (pictured right), said: “BVRA is always working to improve the recognition, respect and job satisfaction of its members. We are delighted to team up with VMG as another way of doing this, alongside developing the status of a Registered Veterinary Receptionist.
Rich Casey is President of the Veterinary Management Group (VMG) said: “This report is sobering reading as it concerns the careers and wellbeing of a group of people who are essential to the success of any veterinary practice. The VMG is particularly interested in this research as a significant proportion of our members are practice managers and likely to be line managers of the reception team.
Leadership is about recognising when things aren’t working and putting them right. We commend the BVRA for highlighting these issues and we ask all veterinary leaders and managers to join our webinar as we discuss what can be done to resolve this crisis now, as well as the longer-term steps that are needed.”
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."
The wellbeing room is designed to offer staff a comfortable space to relax during breaks, or before or after shifts. It has comfortable seating and a small library of books covering topics such as personal development, mindfulness and stress reduction.
There are also two 'jars of joy' staff can dip into which feature top tips for emotional, mental and physical wellbeing. Employees are also being invited to put forward their own top tips on wellbeing to share with colleagues.
It is hoped that the room will also provide employees with a sanctuary from social media, emails and telephones.
Sounds like a great idea to me, although the library titles look a bit uninspiring for my taste. My ideal wellbeing room would have a few John Grishams on the shelves, limitless music, a Sony playstation, oh, and a minibar.
The gilets, which normally cost $170, have three heating zones: one around the neck, one across the back of the shoulders and one which heats the pockets, all powered by a small battery.
VetNurse.co.uk Editor Arlo Guthrie (pictured right) said: "As some members will know, I have a sideline reviewing gadgets and consumer tech on YouTube. Having reviewed the Ororo gilet, I bought a number of them for myself and my family, but thanks to a mix up by Amazon, I ended up with a spare men's XL size gilet (45-48 inch chest, 40-43 inch waist and 46-49 inch hip) .
"I'd like it to go to a good home, and I thought maybe a veterinary nurse or surgeon who now has to attend to clients in a frosty car park might be very glad of it.
"Of course, there are more women than men in the profession, so I'm going to offer one of the women's vests too."
To win one of the gilets, watch the review here: https://www.youtube.com/watch?v=l84lRgEN1s4, then email: support@vetnurse.co.uk with the answer to the following question:
On the medium heat setting, how long does the Ororo heated gilet stay warm?
First two correct answers out of the hat from those received by close of play next Wednesday (13th January) will get the gilets.
Arlo added: "Good luck, and a very happy New Year to you all. Let's hope we all get the vaccine soon.
"Oh, and if you enjoy the review, do subscribe on YouTube!"
The deal is expected to complete by the middle of 2020.
According to the terms of the deal, Vetoquinol will acquire the Profender and Drontal product families, the intellectual property, registrations and other rights currently owned by Bayer AG’s animal health business.
Jeff Simmons, president and CEO of Elanco said: "We’re pleased with the continued progress on a number of fronts to move the acquisition of Bayer AG’s animal health business toward completion.
Matthieu Frechin, CEO of Vetoquinol, said: "We are very pleased to acquire the Profender and Drontal product lines that are highly valued by veterinarians and pet owners. The acquisition of these two strong brands is at the heart of our strategy. On the one hand, they will significantly increase the size of our business and our visibility in the parasiticide segment, one of our strategic therapeutic areas. On the other hand, they will strengthen our portfolio of Essentials, the engine of our growth."
From now on, accredited General Practices will need to employ at least one Registered Veterinary Nurse (RVN), whilst at Veterinary Hospitals all patients should now have a nursing plan in place, and an RVN will need to be on duty at all times.
Other changes to the PSS requirements include:
The full list of changes to the Practice Standards Scheme, together with the new module and award documents, can be found at: www.rcvs.org.uk/PSSreview.
David Ashcroft leads the team of PSS Assessors responsible for undertaking practice visits and assessing if they meet the required standards. He said: “The changes will come into force later in the year, at the same time as we are planning to return to in-person assessments, and so timings will be subject to government guidance on coronavirus and the easing of lockdown restrictions.
“As the PSS returns to in-person assessments, practices will have the usual three-month period between booking the assessment and the assessment taking place with which to familiarise themselves with the changes and the modules documents relevant to their accreditation.
“If anyone has any questions about the changes then please make sure to contact the Practice Standards Team on pss@rcvs.org.uk and we will be happy to help in any way we can.”
Concern has been expressed in the profession about environmental contamination from products used in companion animal treatment for ectoparasites, such as fleas and ticks.
In recent years there has been a widely documented fall in the abundance of many terrestrial invertebrate populations1.
While the decline has been mostly linked to agricultural chemicals, there is a concern that companion animal ectoparasiticides could also be a contributing factor, with a recent study2 confirming the presence of common compounds used in flea-treatment3 in UK waterways.
However, the association with companion animal ectoparasiticides is currently poorly understood, with a significant knowledge gap and little robust research available to assess the true importance and environmental consequences.
The funded project ‘Assessing the Environmental Risk from Ectoparasite Treatments in Companion Animals’ will be led by Professor Richard Wall, Professor of Zoology and Dr Emily Bell, Senior Lecturer at University of Bristol in collaboration with Dr Imogen Schofield, Veterinary Statistician and Epidemiologist at CVS, and Lizzie McLennan-Green, Small Animal Veterinary Director at CVS.
It will be conducted via a PhD studentship at the University of Bristol as part of the CVS Clinical Research Awards.
The research will include a longitudinal ‘citizen science’ study with pet owners to develop a greater understanding of owner use and attitudes towards ectoparasiticides.
It will also include laboratory assessments of ectoparasiticide residues collected from companion animals to provide evidence-based information on the potential environmental impact of the treatments when applied to companion animals.
It is hoped the study will help the wider veterinary profession develop the most appropriate approaches to prescribing and use of ectoparasiticides in the future, and inform educational strategies to support owners with ‘responsible use’. The study is also set to benefit companion animals, as the research will inform strategies to ensure the most appropriate control of parasitic burden to pets.
The project starts in January 2023 and will run for three-years as a full time PhD.
CVS is providing £95,000 to fund the research.
At the beginning of the hearing legal applications were made to rule that the whole proceedings should be stopped as an abuse of process on various grounds including the delay that had occurred in the matters being referred to the RCVS, and that there had been flaws in the original investigatory process.
There was also application that the evidence of one of the College’s witnesses should be excluded on the grounds that the witness had been convicted of bribery.
The Committee decided that the proceedings should continue but ruled that the statement and evidence of one witness should be excluded from the hearing based upon their conviction.
Mr Gracey faced five charges, all of which he was found guilty of. They were:
Three other charges were found not proven and one allegation was withdrawn by the RCVS.
The Committee then considered if the proven charges amounted to serious professional misconduct.
In doing so it made reference to the Code of Professional Conduct and its supporting guidance, particularly in relation to the 10 Principles of Certification.
Dr Hazel Bentall MRCVS, chairing the Committee and speaking on its behalf, said: “The Committee considered individually and cumulatively all matters it had found proved.
"It concluded that the public relies on veterinary surgeons to be honest and transparent when completing and signing forms.
"There is a public interest in being able to trust the profession to uphold high standards of probity because veterinary surgeons are trusted to play an important role in the promotion of animal health and welfare and associated human health.
"The Committee therefore concluded that cumulatively Charges 1, 2, 3 and 4 amounted to serious professional misconduct because the respondent had failed to meet the necessary high standards of honesty and transparency.
"In particular the fact that there were four separate events relating to animal welfare and public health was significant when considering what sanction to impose.”
“The Committee is satisfied that such conduct, when taken together, would be considered deplorable by other members of the profession.
"The respondent’s conduct on four occasions in respect of four animals and three conflicts of interest called into question his competence in relation to completing such forms.”
In considering the appropriate sanction for Mr Gracey, the Committee took into account both mitigating and aggravating circumstances, as well as a number of character witnesses for the respondent who highlighted his positive personal and professional qualities.
In mitigation, the Committee considered that Mr Gracey has hitherto been of good character with no previous disciplinary findings, that he had admitted some parts of the charges against him at the outset of the hearing, that he had made efforts to avoid repeating the misconduct and remediate it – this included making alternative certification arrangements for his father’s farm and taking more appropriate care with record keeping.
The Committee also acknowledged the significant lapse of time between the date of the misconduct and the hearing and the stress that had caused to Mr Gracey, as well as the insight he had shown into his misconduct.
Taking into account all the factors, the Committee decided that imposing a period of six months suspension from the Register of Veterinary Surgeons was the appropriate sanction for Mr Gracey.
Dr Bentall added: “The Committee concluded that suspension of the respondent’s registration for a period of six months was proportionate.
"The Committee considered whether a shorter period was appropriate bearing in mind the mitigating factors it had found applied in this case.
"It decided that a period of six months was proportionate and the minimum length necessary to meet the public interest balancing the seriousness of the misconduct and the mitigation.
"It decided that a shorter period of suspension would be insufficient to uphold proper standards within the profession, or to have a deterrent effect.
“The Committee was satisfied that the respondent had shown sufficient insight and efforts to remediate his misconduct and it concluded that at the end of this period of suspension he would not pose a further risk to animal welfare or public health.
"The Committee considered that the respondent was a valued veterinary surgeon with extensive farm animal experience and that a more severe sanction such as removal from the RCVS Register would not properly reflect the Committee’s findings on the scale of dishonesty and would not take account of the respondent’s mitigation.”
www.rcvs.org.uk/disciplinary
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.