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.
Kirsty won the BVNA Impact Award for going above and beyond to support and teach others in practice.
Aneesa won the VNJ Writer of the Year Award for articles which have encouraged discussions, or positive change, or improved clinical standards in practice.
Sarah won the Inspiring Environmental Change Award for being a green champion for the veterinary profession, inside and out of practice.
Flick won the #Supportmesupportyou Award for promoting mental health support & equality within the profession.
BVNA President, Jo Oakden said: "What an awards ceremony we had at the BVNA Dinner Dance 2021.
"It was incredible to share some of the finalists videos - they were full of passion and inspiration. Congratulations to all of our nominees for the BVNA Awards, it really was truly a demonstration of veterinary nurses championing veterinary nurses, but an even bigger congratulations to our Awards Winners, for the BVNA Awards, but also the Hills Awards and the Blue Cross Vet Nurse of the year award.
"Be proud, I really am - to be part of such an amazing profession that has an amazing supportive community. Well done all!’
Tails.com, a UK pet nutrition company run by a team of people with backgrounds working for well known names as innocent, lovefilm.com and graze, has launched an innovative service delivering dog food optimised for each individual animal, direct to your door.
The concept behind tails.com was born when the company’s co-founder and head vet saw the impact of different diets on the pets in his surgery and realised that the best way to deliver effective health benefits through nutrition was to create unique diets for each animal.
Using research which included analysis of detailed pet growth curves and nutritional requirements based on a wide variety of physical and lifestyle variants, tails.com developed a system which it says offers an optimised feeding plan for each individual dog.
Visitors to tails.com are invited to complete a questionnaire which is then used to calculate their dog's individual feeding plan and the price. After that, the food is delivered to your door in packaging which displays the name of the dog it's for. Nice touch.
Another nice touch in these times of spiralling pet obesity is the inclusion of a free, vet-designed Perfect Portion Scoop, together with an individual feeding plan to help customers feed the correct amount of food in each meal.
The team’s lead nutritionist is Dr Samantha Ware MSc BSc (Hons), a pet nutritionist with over 15 years of experience in the pet food industry. She said: “Tails.com can create a bespoke diet and feeding plan to fulfil the unique nutritional needs and specific feeding preferences of your dog, for life. As a pet nutritionist, the most common question I face is ‘what is the best food that I can feed my pet?’ Despite the plethora of brands and products available in the market it can often be quite a challenge to find and select that perfect product to fit that specific pet, let alone within the budget of the owner. Bespoke diets are the ideal solution. With the ‘Tailored Nutrition’ proposition Tails.com has challenged the status quo, and has fully embraced and acknowledged that each pet is an individual and has its own unique nutritional needs.”
Any UK-based veterinary nurse that would like to try tails.com free for 2 weeks (with a one-off £1 delivery charge), visit the site and enter the code VETNURSE, valid from now till 28th September 2015.
The company says the product is highly effective against common bacteria including Staphylococci, Clostridia, Corynebacteria and Streptococci, and gram-negative bacteria including Bacteroides spp, Pasteurellae, and Proteus spp.
Clavubactin is available in a range of dose strengths to treat all sizes of patient. It is presented as a doubly divisible tablet for accurate and flexible dosing and to help avoid the development of antibiotic resistance associated with under dosing. The tablets come in blister packs of 10, designed to help reduce unnecessary exposure when dispensing in practice.
Dechra Brand Manager Carol Morgan said: "The introduction of Clavubactin to our antibiotic portfolio will give veterinary professionals even more choice of effective and targeted treatments in their day-to-day practice."
Defra has rejected the RCVS petition to protect the VN title, saying that criminalising the use of the term 'veterinary nurse' by other animal carers in a veterinary setting would be unduly harsh.
In rejecting the petition, which had gained nearly 22,000 signatures, Defra made the point that the term is often used colloquially, without intention to deceive or mislead, without undertaking unqualified practice, and without risk of harm to animals.
Noting the existing legal framework which exists to make sure that animals in veterinary care are only treated by trained and qualified individuals, Defra said it would not be in the public interest to prosecute individuals for colloquial use of the term.
BVNA President Sam Morgan said: "The BVNA are very disappointed to read the Government’s response. We feel that they have overlooked the emotions of the British public towards animal welfare and maintenance of trust within the veterinary profession. With no restriction on the use of the title it is confusing for the general public and for the veterinary profession. We hope that this response increases public awareness of the issues faced. As the representative body for Veterinary Nurses, BVNA will continue to work alongside the RCVS and BVA to raise awareness of this campaign and to encourage anyone who is interested to sign the petition."
The RCVS said that whilst the response was disappointing, it was heartened to be asked to work with the Defra to find new ways of bolstering the veterinary nursing profession.
A significant part of this work will be a review of Schedule 3 of the Veterinary Surgeons Act 1966, which allows certain minor acts of veterinary surgery to be delegated to veterinary nurses. The RCVS says it hopes that Schedule 3 can be simplified to give VNs more clarity and confidence over what tasks they can undertake, and augmented to strengthen the role of VNs in areas such as anaesthesia.
BVA President Sean Wensley said: “Veterinary Nurses are an essential part of the veterinary team and deserve full recognition for their roles. The VN Title campaign has received strong support from across the sector and with MPs, so it is disappointing that Defra has decided not to recommend that Parliament give legal protection to the hard-earned title.
"Given the current Government’s deregulatory agenda, this response does not come as a surprise yet nor does it signal the end of the campaign. Defra have stated that if this petition reaches 100,000 signatures, the Petitions Committee will consider it for a debate. We therefore ask anyone who supports the campaign but has not yet signed the online petition to do so now.
"In the meantime BVA and BVNA will continue to work with RCVS on the VN Futures project, taking a long-term view on the role of veterinary nurses and seeking to prepare for their future within the profession."
The work done by vetnurse.co.uk and vetsurgeon.org attempted to identify the sorts of unpleasant behaviour that veterinary surgeons and and nurses found themselves on the receiving end of, and the impact that it had on them. It was not, however, able to quantify the prevalence of these types of behaviour other than to the extent that there were 677 reports.
The new survey of over 650 vet nurses and student vet nurses found that not only did 96% agree or strongly agree that bullying and incivility is a serious problem in the profession, but 70% of respondents had personally experienced a mental health concern as a result.
Other findings from the survey were:
The full findings of the survey will be revealed at the MMI Student Veterinary Nurse Wellbeing Discussion Forum, taking place on Wednesday 3rd November.
Attendees will have the opportunity to discuss the challenges highlighted in the survey and how they can be addressed. The results will also be published at a session led by Jill McDonald, VN Futures Project Coordinator at BVNA Congress, taking place Saturday 2nd – Monday 4th October.
Lisa Quigley, Mind Matters Initiative Manager, said: “A number of our survey findings are extremely concerning, particularly the high levels of bullying, incivility and discrimination reported by participants. We conducted the survey with the intention of finding out more about what systemic issues across workplace practices were impacting on the profession’s mental health.
"We want to thank everyone who took part and shared their experiences with us. There were some upsetting accounts shared with us about experiences of bullying and discrimination – no one should go through this at any point in their life, let alone at their place of work.
"Decisive action needs to be taken to tackle this and we will be using the findings of the survey to help form our 2022-2027 strategy and decide what resources and training we create for the profession. Supporting the wellbeing of veterinary nurses and student veterinary nurses is one of our key priorities, and will be part of all future MMI activities.”
“I would encourage as many veterinary nurses and student veterinary nurses as possible to attend the upcoming Student Veterinary Nurse Wellbeing Discussion Forum and our session at BVNA to have your voice heard about what steps need to be taken to improve the mental wellbeing of the profession.
"We recognise that these results may bring some difficult emotions to the fore for many people, and we would encourage anyone who has experienced bullying or discrimination to seek help from an organisation such as Vetlife or the National Bullying Helpline.
"I would urge anyone who witnesses bullying or discrimination in the workplace to speak out, wherever it is safe to do so. This takes immense courage, but it is only by calling out this behaviour that it can begin to be addressed. We will be launching Active Bystander training in early 2022, to equip people with the confidence to call out unacceptable behaviour, and the skills to proactively support colleagues who have been targeted.”
Matthew Rendle, Chair of the RCVS Veterinary Nurses Council, added: “As a veterinary nurse some of these results were a difficult read and I would like to thank those student vet nurses and newly qualified vet nurses who came forward with great honesty and bravery with their views and experiences, as it couldn’t have been easy.
“We take these matters very seriously and opening up the conversation is an important first step. I hope that, following these results, we can take look at things such as strengthening reporting mechanisms for bullying and discrimination and encouraging better workplace practices to mitigate against these incidents.
“While it’s easy to focus on the negatives, I do think that these survey results have given us positive steps to build on, not least that people know how to access mental health support so they’re not suffering in silence and the role that our amazing clinical coaches are playing in supporting people with their mental health, and how we can better give them the tools for this support.”
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.
According to the Pet Food Manufacturers Association, there are an estimated 1M pet rabbits in the UK. They are commonly presented for treatment in practice and clients are beginning to expect complex workups and high levels of veterinary care.
Ivan, who qualified from the RVC in 1999, has been taking on first and second opinion rabbit cases for over 12 years and was instrumental in developing the v-gel anaesthetic device for rabbits and other species (www.docsinnovent.com). Jo has worked in first opinion practice since 2007 and was the Blue Cross Veterinary Nurse of the Year in 2014. Asides from her nursing experience, Jo has been teaching rabbit husbandry and nursing to owners and nurses directly and also via the Rabbit Welfare Association since 2012. Jo and Ivan have also taught rabbit anaesthesia at the Western Veterinary Conference in the USA for the last 3 years as well as lecturing for the Rabbit Welfare Association in the UK.
Ivan said: "We’re trying to get rabbit medicine to be seen as an important CPD subject for vets and nurses. We’re going to be offering day courses and conferences with an enjoyable and challenging mix of small group teaching, problem solving, practical teaching and conventional lectures - making sure that all our courses offer a really enjoyable day out as well as being first class CPD. Our first course is on the 13th October in Berkshire and we’ll be offering many more courses and conferences in the future!"
For more information about LagoLearn and its rabbit CPD, visit: http://www.lagolearn.com
The RCVS is focussing its efforts on the campaign to protect the title ‘veterinary nurse’ at BVNA Congress 2015.
Ahead of the Congress, which takes place at the Telford International Centre from 9 to 11 October, the College has produced badges which veterinary nurses can wear in support of the campaign. The campaign started in May and, this August, the College launched a petition on the official UK Government and Parliament e-petition website calling for the title ‘veterinary nurse’ to be protected in law, so that only those who are qualified and registered can call themselves a veterinary nurse.
Lizzie Lockett, Director of Communications at the College, said: “The response to our campaign so far has been excellent – for example, more than 10,000 people have signed our petition in just a few weeks.
“We now want to get the word out to the wider public about this campaign and hope that if veterinary nurses wear the badge it will act as the starting point for a conversation with clients, family and friends about what they do, what it means to be a veterinary nurse and why the title needs to be protected.”
The badges will be available to collect from stand B7, where delegates can also sign the petition and pick up a template letter asking local Members of Parliament to support the campaign.
Visitors to the stand can also take part in a ‘Shape your future’ game in which they will be challenged to complete a shape puzzle as quickly as possible, with the fastest person receiving a Kindle Fire. The game is based around the joint RCVS and BVA Vet Futures project which aims to help the veterinary professions prepare for and shape their future.
At 11.45am on Saturday 10 October, Liz Cox RVN, the Chair of VN Council, will be leading a session for any veterinary nurses who wish to make the professional declaration that all new nurses make upon registration. Following this, Liz will be joined by Julie Dugmore, Head of Veterinary Nursing at the RCVS, Fiona Andrew, President of the BVNA, and Samantha Morgan, Vice-President of the BVNA, for a question and answer session with Congress delegates.
To coincide with BVNA Congress, VN Council will also be holding its first ever meeting outside of London on Thursday 8 October at the Holiday Inn Telford, between 11am and 1.30pm. The meeting is open to members of the public and the veterinary nursing profession, but they must give the RCVS at least one week’s notice. Please contact Emma Lockley, RCVS Events Officer, on e.lockley@rcvs.org.uk if you wish to attend.
More details about the protection of title campaign can be found at www.rcvs.org.uk/vntitle.
Further information about Vet Futures, including the latest research and blogs about the future of the veterinary profession, can be found at www.vetfutures.org.uk
Cat Henstridge, a small animal vet from South Yorkshire, has started a Facebook page to add the veterinary profession's voice to the campaign against the practice of puppy farming.
Cat said: "I write a blog on my website and recently touched on the subject of puppy farming. I was contacted by members of the 'PupAid' organisation and was shocked to learn that the veterinary community has no real public opinions on the subject. I found it really surprising that none of our professional bodies had spoken out, especially as we are supposed to be the bastions of animal welfare and see the consequences of poorly bred puppies all the time in our clinics."
"I am hoping the Facebook page will just be the start of a movement within the profession. Not only can we add our very powerful opinions to the discussion but this will be a way of driving the general public into our clinics to ask our advice, before they purchase a poor quality, sickly puppy and find themselves in trouble.
"Please join the page, add your stories about these dogs (we all have one!). At the risk of sounding cheesy, by coming together, we can really make a difference!"
The RCVS Disciplinary Committee has suspended two veterinary surgeons from the Register after finding them guilty of lying to clients and the College about the circumstances of a castration procedure which led to the death of a dog.
The Committee suspended Mr Mpho Donald Lesolle and Mr Georgi Cheshmedzhiev from the Register for four and two months respectively, following surgery undertaken on Benson, a two-year-old male Labradoodle belonging to Mr and Mrs Grayson.
During the proceedings, the Committee heard that, on 6 August 2013, Mr and Mrs Grayson brought Benson to the Swinfen Veterinary Centre in Stafford, where Mr Lesolle is the practice principal and Mr Cheshmedzhiev was his assistant, for the operation which was undertaken by Mr Cheshmedzhiev. Mr Lesolle did not directly supervise the procedure telling the Committee that he was confident that his colleague could carry out the castration, having permitted him to do so on previous occasions.
The Committee heard that, after the operation, a nursing assistant, Ms Bell, had noticed that there was blood on the bedding and that Benson had a swollen scrotum. Mr Lesolle then performed a scrotal ablation on Benson, who was discharged later that day.
However, on the morning of 8 August 2013, Mrs Grayson discovered that Benson had died during the night. An independent post-mortem concluded that he had probably died of intra-abdominal bleeding which caused circulatory collapse. Mr and Mrs Grayson raised a concern with the RCVS in September 2013.
The charge against Mr Lesolle relates to his actions following the operations and during the investigation. The four parts of the charge were that he failed to be sufficiently open with Mr and Mrs Grayson on the circumstances of Benson’s surgery; that, in September 2013, he wrote to the College indicating that he had in fact performed the castration and failing to state that there had been two operations; that, on 23 January 2014, he informed Pam Mosedale, a Veterinary Investigator employed by the College, that he had carried out both procedures; and that, on the same day, he also encouraged his veterinary nursing assistant Ms Bell to be dishonest with the College’s investigators.
Mr Lesolle, who was present at the hearing, admitted all parts of the charge against him. He told the Committee that he decided to take responsibility for Mr Cheshmedzhiev’s operation out of a desire to protect his colleague whom he regarded as vulnerable and lacking in self-confidence. He also accepted that he had encouraged Ms Bell to lie during her interview. He told the Committee that he had persisted with the deceit until 15 January 2015, when he gave a full account of what had occurred.
The three parts of the charge against Mr Cheshmedzhiev, who was not in attendance or represented at the hearing, were that in a letter to the College sent in September 2013, he indicated that he had not undertaken the castration procedure on Benson; that on 23 January 2014 he had denied carrying out the operation while being interviewed by Pam Mosedale; and that, on 19 June 2014, while being interviewed by a solicitor instructed by the College, he said that Mr Lesolle had carried out both procedures.
The Committee found the charge against Mr Lesolle amounted to serious professional misconduct, falling far short of what is expected of a professional. The Committee highlighted the protracted nature of his deceit and the fact that he encouraged another member of staff to participate in it. However, it did accept that his motivation was to protect Mr Cheshmedzhiev.
In deciding on the sanction for Mr Lesolle, the Committee considered the aggravating and mitigating factors. Ian Green, chairing the Committee and speaking on its behalf, said: “Having taken the calculated decision to deceive the College as to what had occurred, he abused his position of responsibility to obtain support for his deceit by involving a junior employee, without any proper consideration of the effect of that decision upon her. Instead he continued with the deceit until he was presented with incontrovertible evidence that he had not carried out both procedures on the dog. In the Committee’s view he showed a wilful disregard for the College’s investigatory process.”
However, in mitigation, it also accepted that he was protecting a colleague and that there was no financial gain. It also considered his personal circumstances, the fact that he is sole principal of a small mixed practice which provides his sole source of income and that the rented accommodation also provides a home for his wife and two children. Taking all factors into account, the Committee imposed a sanction upon Mr Lesolle of four months’ suspension from the Register.
In regards to Mr Cheshmedzhiev, the Committee did not find the part of his charge relating to the letter sent in September 2013 to be proven but, in respect of the other two parts of his charge, found that his conduct fell far short of what is expected of a professional. It highlighted his willing participation in the deceit over a protracted period and his failure to take responsibility for his own involvement in the operation on Benson.
In deciding the sanction, the Committee said that the fact that Mr Cheshmedzhiev had lied to the College’s investigators on two occasions and did not admit that he had carried out the castration and apologise for his actions until February 2015, after he had returned to his native Bulgaria, was an aggravating factor.
Ian Green added: “The Committee accepts that he allowed himself to be persuaded by Mr Lesolle to provide a dishonest account of what had taken place to the College’s investigator Mrs Mosedale, and solicitor, Mr Hudson. It also accepts that he has been described by Mr Lesolle as a vulnerable person, lacking in self-confidence in his ability to practise as a veterinary surgeon in the United Kingdom.
“Nevertheless, Mr Cheshmedzhiev accepted the obligations contained in the Code of Professional Conduct when he registered as an MRCVS, which included an obligation to cooperate honestly with the College’s investigatory process. It has also noted that he has expressed a present intention not to work in or visit the United Kingdom again.”
Taking into account all factors, the Committee decided the appropriate sanction was to suspend him from the Register for two months.
The RCVS has asked more than 800 registered veterinary nurses to submit their continuing professional development (CPD) records in order to monitor compliance with their professional obligation to undertake CPD.
Under the Code of Professional Conduct for Veterinary Nurses, members of the VN profession are expected to undertake at least 45 hours of CPD over a rolling three-year period in order to demonstrate that they are keeping their skills up-to-date and engaging in learning and development.
Every year since 2010, the RCVS has conducted a CPD audit with registered veterinary nurses to gauge compliance and see what type of CPD the profession is engaging in.
This year the College contacted a random sample of 468 registered veterinary nurses from across all postcode areas (representing around 8% of the profession) asking them to share their records. It also wrote to 107 RVNs who took part in last year’s audit but were short of meeting the requirement, 80 RVNs who failed to respond to requests to submit their records in last year’s audit and 150 RVNs who confirmed they were not compliant with the CPD requirement when renewing their registration last year.
Those veterinary nurses who were previously on the List and who were moved to the Register when the new RCVS Royal Charter came into effect in February 2015, have not been asked to take part in the audit. Previously listed veterinary nurses were not expected to undertake CPD and so the RCVS is allowing a ‘bedding in’ period of three years (until 2018) for them to fulfil the requirement.
Further details on how the new Charter affects previously listed veterinary nurses can be found at www.rcvs.org.uk/registration/about-the-vn-register/royal-charter-faq/
Veterinary nurses taking part in the audit need to submit their CPD records to the College no later than Friday 14 August. Records can be submitted by allowing the RCVS access to the online Professional Development Record (www.vnpdr.org.uk), by emailing a scanned copy of the CPD record card or posting a photocopy of the card.
Those with any queries about the audit should contact the Veterinary Nursing Department on 020 7202 0701 or email vnpdr@rcvs.org.uk
The BVA and the RCVS are inviting applications from veterinary surgeons to join the new Vet Futures Action Group, set up to drive forward the ambitions identified in the Vet Futures report launched at BVA Congress at the London Vet Show on 20 November.
The Vet Futures report, Taking charge of our future: A vision for the veterinary profession for 2030, was the culmination of a year-long joint project by BVA and RCVS designed to help the veterinary profession prepare for, and shape, its own future. The Action Group is a vital next step in the Vet Futures project, ensuring the delivery of the report’s six ambitions and 34 recommendations.
BVA and RCVS are seeking seven veterinary surgeons and one veterinary nurse to join the Action Group to ensure there is buy-in from across the professions and to drive forward workstreams of activity. The group will be co-chaired by the BVA and RCVS Presidents, and both Junior Vice-Presidents will sit on the group. Action Group members will be independent and will not represent, or be required to report back to, any particular organisation.
Veterinary surgeons or nurses keen to apply for an Action Group role should have experience of working as an active member of a group or committee and the ability to deliver, engage and inspire others. The veterinary surgeon members should have specific expertise, knowledge and experience in relation to at least one of the Vet Futures ambitions or the cross-cutting issue of veterinary education. The ambitions cover:
Successful applicants must be able to attend three all-day meetings in London (9 February, 17 March and 12 May) and an all-day Vet Futures Summit (20 June), with a time commitment totalling approximately seven days between February and June 2016. The group will be supported by BVA and RCVS staff. For the full Vet Futures Action Group role profile and terms of reference, please visit: www.vetfutures.org.uk.
The deadline for applications is 12 noon, 31 December 2015.
The campaign was officially launched at an event at the Palace of Westminster sponsored by Kevan Jones MP (Labour, North Durham) who has spoken about his own experiences with depression, and featured first-hand testimonials from senior veterinary surgeons and doctors who have experienced mental ill-health.
‘&me’ is a collaboration between the RCVS Mind Matters Initiative, which seeks to address mental health and wellbeing issues within the veterinary profession, and the Doctors’ Support Network, which provides peer support for doctors and medical students with mental health concerns.
Introducing the campaign, Mr Jones said: "The key message I have today in regards to mental health is talking about it and trying to get it out of the dark corners rather than it being something you are ashamed to talk about. That is how we get people to help themselves with their own condition and to seek help. The other key thing is not to write people off if they have a mental illness."
The floor was then opened to personal stories from those who have lived experience of mental ill-health. Dr Louise Freeman is Vice-Chair of the Doctors’ Support Network and was diagnosed with depression in 2009 as a result of the way in which her return to work was handled after having time off work as an emergency medicine consultant following a bereavement.
She said: "This experience made me think that doctors with mental health problems were in a small minority and that it was probably our own fault anyway. Both impressions are completely wrong. The incidence of mental health problems is one in four people in any one year and is actually higher for doctors, who are often slower to seek help than non-medics. The good news is that well supported doctors have excellent treatment outcomes.
"During my own return to work, I was told by my clinical lead that they had 'always thought that I was a mental health problem waiting to happen.' I think this says more about them than it did about me! On reflection, yes that was true, but only inasmuch as this applies to all of us during our lives.
"I hope that the ‘&me’ campaign can start to address this by encouraging senior healthcare professionals, who are currently well, but have experienced mental health problems, to disclose that they have 'been there themselves'. I think that this will help to normalise mental ill health for healthcare professionals and therefore remove some of the barriers to unwell professionals seeking help at an earlier stage. Overall this would be better for healthcare professionals, their colleagues and their patients."
David Bartram, Director of Outcomes Research for the international operations of the largest global animal health company and a member of the Royal College of Veterinary Surgeons' governing Council, spoke next. He gave his perspective on coming to terms with a mental health condition in a profession that has some stigma attached to it.
A number of years ago David attempted suicide following the breakup of his marriage and explains what happened from there: "I just thought I was stressed – after all, who wouldn’t be in those circumstances? But in fact I was becoming progressively more unwell. What started as worry, early waking and palpitations – which I recognised – led to patterns of thinking which I did not recognise as being disordered. I felt trapped and worthless – suicide was the only escape. From a medical perspective, my biological, social and psychological risk factors had converged and tipped me into major depression.
"That was the first of multiple suicide attempts and several prolonged stays in hospital. Over a three-year period I spent 12 months as a psychiatric inpatient. I was treated with antidepressants, antipsychotics, mood stabilisers, talking therapies and electroconvulsive therapy.
"But now thankfully I am well – and I have been for 14 years…. To what do I attribute my recovery? A mixture of medical treatment, psychological therapies, supportive friends and family, rest and time – they all contributed, probably in similar measure."
He added that while his episode of mental ill-health does not define him it has changed him in a positive way and that no one is immune from it.
Dr Jonathan Richardson is Group Medical Director for Community Services at the Northumberland, Tyne and Wear NHS Foundation Trust who had a mental health condition when he was a medical student and spoke about how it is possible to flourish in your career with a mental health diagnosis.
"I was unwell as a teenager with a physical illness and later as a medical student with a mental illness… these two experiences crystallised my drive to become a doctor and my own approach to healthcare. I wanted to be able to deliver the care that I was fortunate to receive. I wanted to be as patient-centred and compassionate with the patients I would serve, in the same way as the teams who delivered my care. I was lucky to have support when I was unwell from very good friends, some from school and some from university; and a very close family. I have been able to recover.
"It is 24 years since my mental illness. I now work in Northumberland, Tyne and Wear NHS Foundation Trust, one of the largest mental and learning disability health trusts in England – and one of only two to be rated outstanding by the Care Quality Commission…. I do not feel that my illnesses have stopped me."
Dr Angelika Luehrs is the chair of the Doctors’ Support Network and a consultant psychiatrist who was diagnosed with bipolar affective disorder while she was a trainee psychiatrist. She said: “When I asked for advice about how to access help one of the answer I got was one of ‘whatever you do, make sure that you don't have any mental illness in your medical records otherwise you will never go anywhere in your medical career. However, getting the diagnosis and help from a Consultant Psychiatrist was the best thing that ever happened.”
She added: "The reality is that my diagnosis has not stopped me – I have been a consultant psychiatrist since 2010 with the Avon and Wiltshire Mental Health Partnership NHS Trust, last year I was appointed as medical lead for West Wiltshire including early intervention, intensive services and primary care liaison services. I have a special interest in supporting doctors with mental illness and I am delighted to be appointed by the newly launched GP Health Service as a special advisor for complex mental health cases."
The last speaker was veterinary surgeon Neil Smith who chairs the RCVS Mind Matters Initiative and outlined how to participate in the campaign. He said: "This event is just the start… the real challenge is to start to get this message out to the wider professions. Stigma is a difficult thing to tackle, but the good news is that changing our minds is within the power of every individual to do."
Following the launch the ‘&me’ campaign is now encouraging other senior health professionals to step forward and talk about their own experiences with mental ill-health, especially as both medical doctors and veterinary surgeons have higher suicide rates than the general population but often have more reluctance to seek help because of the impact it may have on their career.
The campaign is interested in hearing from not only doctors and veterinary surgeons but also nurses, veterinary nurses, dentists, pharmacists and other healthcare professionals who want to open up about their experiences of mental ill-health. To participate in the campaign email Dr Louise Freeman on vicechair@dsn.org.uk.
Further information about the ‘&me’ campaign can be found at www.vetmindmatters.org/&me
Pet-gp.co.uk offers a 12 month subscription for £4.50 per month, or owners can seek one-off advice from its team of veterinary nurses (not veterinary surgeons as the name implies) for £12.50.
The company implies says on its website that the average vet bill is £300, and that 2 out of 3 visits are unnecessary anyway, so a quick call to them first could represent a considerable saving.
However, VetNurse.co.uk sees a number of flaws in this logic:
BVA President Gudrun Ravetz said: "Although triage phone lines have been used in the NHS for several years, for pets these can be more problematic as animals are unable to speak themselves, and many symptoms may be subtle signs that will only be picked up in an examination by a vet."
The paper, ‘Mortality Related to General Anaesthesia and Sedation in Dogs under UK Primary Veterinary Care’, published in Veterinary Anaesthesia and Analgesia1, used data from more than 150,000 dogs attending first opinion veterinary practices around the UK.
The study examined the overall risk of death for each dog which had at least one sedation and/or anaesthesia procedure over a set period of time.
The study also looked at anaesthesia related to neutering (spaying and castration) in dogs because these procedures are so common in the UK and anaesthetic risk can be a significant worry for owners.
The findings showed that currently there are 14 deaths in 10,000 dogs within two weeks of sedation/anaesthesia procedures carried out for any reason, of which 10 deaths per 10,000 are within 48 hours of these procedures.
For neutering surgeries in dogs, the risk is even smaller, with one death in 10,000 neuter procedures related to sedation and/or anaesthesia.
No association was seen between the age of puppies at the time of neutering and risk of death.
Factors associated with increased risk of sedation and anaesthetic-related death in this study included:
Certain breeds, such as Cocker Spaniels, were found to be at lower risk compared with mixed breeds.
The team also investigated whether flat-faced ‘brachycephalic’ breeds were associated with higher risk.
Surprisingly, longer-nosed ‘dolichocephalic’ breeds showed four times the odds of sedative/anaesthetic-related death compared with medium-length nose dogs, whereas no additional risk was seen in flat-faced breeds.
The authors of the paper say that overall, these results should provide some reassurance for the veterinary and dog-owning communities regarding the safety of neutering for young puppies, as well as the relative safety of sedatives and anaesthetics for more complex procedures.
For older dogs, those with poorer health or undergoing planned complex surgeries, the results emphasise the value of careful planning to manage the anaesthetic risks.
Urgent procedures, regardless of complexity, were shown to carry greater risk and therefore should be approached with high vigilance and caution.
Dr Dan O’Neill, Associate Professor in Companion Animal Epidemiology at the RVC and co-author of the paper, said:
“This new VetCompass study can help owners deal with these fears by understanding the real anaesthetic risk is not that high: 14 deaths in every 10,000 dogs. Decision-making based on the known can now replace fear of the unknown.”
Full paper: https://doi.org/10.1016/j.vaa.2022.03.006 / https://www.sciencedirect.com/science/article/pii/S1467298722001015
Reference
The Department for Environment, Food and Rural Affairs (Defra) says this is evidence that its strategy to tackle bovine TB, which costs taxpayers £100m a year, is delivering results.
Defra says that gaining OTF status for the low risk area, covering the north and east of England, would boost trade opportunities and mean some herds require less regular TB testing, reducing costs for farmers.
This would be the first time anywhere in England has enjoyed this status and the government says it is a key step in its 25-year plan for the whole of the UK to be TB-free by 2038.
Environment Secretary Andrea Leadsom said: "Gaining global recognition that more than half of England is TB-free will be a significant milestone in our long-term plan to eradicate this devastating disease, and will open up new trading opportunities for farmers.
"We have much still to do in the worst affected parts of the country, but this shows that our strategy - combining practical biosecurity measures, a robust cattle movement and testing regime, and badger control in areas where the disease is rife - is right and is working."
Results published today confirm all ten licensed badger control operations achieved successful outcomes. A consultation opens today on next steps for badger control in areas that have completed the first four years of intensive culling.
Other measures announced today include:
Chief Veterinary Officer Nigel Gibbens said: "This year we have seen that badger control can be delivered successfully on a wider scale. Further expansion in the coming years, alongside our robust cattle movement and testing regime, will allow us to achieve and maintain long term reductions in the level of TB across the South West and Midlands where the disease is currently widespread."
The government says it is taking robust action to make the country TB-free by 2038, with a strategy including stronger cattle testing and movement controls, good biosecurity, badger control in areas where TB is rife and vaccination when possible.
Vaccinating healthy badgers is part of the government’s long-term plan and could play an important role in preventing bovine TB spreading to new areas of the country. Defra plans to resume the Badger Edge Vaccination Scheme, which offers support for private badger vaccination projects in edge area counties, in 2018 when we expect vaccine supplies to be available once more following the current global shortage.
The government is also supporting farmers to take practical action to reduce the risk of infection onto their farm. This includes support for a new CHeCS TB cattle herd accreditation scheme, on-farm biosecurity demonstrations for farmers, and training for veterinary surgeons delivered by APHA jointly with the private sector. Farmers can also access practical guidance on the TB Hub, which brings advice from farming experts, vets and government together in one place.
The charity says that the survey is the largest, most comprehensive insight into pet wellbeing in the UK; an opportunity for veterinary professionals to share their views on the issues affecting the health and welfare of UK pets today.
Vicki Betton, PDSA Policy and Campaigns manager, said: "For the last five years, the PAW Report has provided valuable insight into the reality of pet health and wellbeing in the UK.
"It delivers a robust evidence base for our education programmes, campaigns and collaborative work, and enables us to track our impact on the pet wellbeing issues which are of most concern to the veterinary profession. It also provides an excellent opportunity for everyone to voice their opinions and have their say.
"In 2015, two of the main concerns identified were lack of public understanding of the cost of pet ownership, and a lack of pre-purchase education relating to suitable pet choice. This was reinforced in our survey of pet owners, in which over 95% of pet owners incorrectly estimated the lifetime costs for their pet. As a result, we launched our #PawsFirst campaign to engage pet owners about how to choose the right pet for their lifestyle, while raising awareness of the lifetime costs of different species."
The current survey closes on 4 July. Vicki added: "It only takes 15 minutes, so please help us maintain an accurate picture of the biggest welfare issues facing pets in the UK today."
Take the survey at www.yougov.com/PDSA and help spread the word by sharing on social media - #PAWreport
The WSAVA has announced that its Animal Wellness and Welfare Committee (AWWC) has launched two new online training modules designed to provide veterinary professionals with a solid grounding in contemporary animal welfare issues.
Developed as a resource for everyday clinical use, they are intended to enable veterinary professionals around the world to expand their role as advocates for animals.
The two one-hour modules are based on materials developed by WSAVA partner, World Animal Protection in its Advanced Concepts in Animal Welfare educational resource.
The first module addresses contemporary animal welfare science and ethics and the understandings and definitions of animal welfare.
The second has a more clinical focus, covering aspects of animal welfare in practice, including behavioral and end of life issues. Both modules are now available for free download at http://tinyurl.com/hfs6s3s.
Dr Shane Ryan, co-chair of the AWWC, said: "We acknowledge the vital support of World Animal Protection and AWWC sponsor WALTHAM, as well as the WSAVA’s Friends of Animal Welfare donors for their generous support of this important work."
A survey published today by the veterinary recruitment agency recruit4vets has found the majority of RVNs are paid between £16K and £20K, with a further 38% on £21-25K and 12% being paid less than £15K.
124 RVNs in full-time permanent employment took part in the survey, and the largest number of respondents overall (37%) worked in the south east and London.
The survey also looked at RVN locum charge-out rates, and found the majority charge £12-£15 per hour, with a further 25.42% getting £15-£16 per hour, 10.15% getting more than £16 and 6% getting less than £11.
52% of the permanent nurses who took part in the survey said their salary had increased in the last 12 months.
65% of the overall respondents said that the demands on them within the practice had increased in the last 12 months.
Recruit4vets has produced a couple of video presentations about the results, locum pay covered here and permanent pay covered here.
Visit VetNurse.co.uk Jobs for the largest selection of classified jobs for veterinary nurses.
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
Hosted by Jo Hinde RVN (pictured right) and Ivan Crotaz MRCVS, the discussion makes use of the 'Claim CPD' feature on VetNurse.co.uk, through which you can claim time spent participating in or reading qualifying forum discussions on the site towards your annual CPD requirement.
Any forum discussion from which you learn something relevant to your job can be logged on the system, regardless of whether you contribute to the discussion or not, though obviously you can claim more time and have a better record if you join in. Just press the 'Claim CPD' button at the top right of the forum discussion thread. And if you come back to the same discussion and spend more time on it later, you can add more time to the record.
VetNurse Editor Arlo Guthrie said: "I hope you'll all get stuck in and make the most of this opportunity to throw your questions at Jo. She's been teaching rabbit husbandry and nursing to owners and nurses directly and also via the Rabbit Welfare Association since 2012, so she's a mine of information!"
Join the discussion, and claim your CPD here.
Somerset vet Stewart Halperin MRCVS has launched CarefreeCredit, a service designed to help pet owners pay for unforeseen veterinary bills, and take the burden of unpaid bills away from veterinary surgeons.
The new service is very simple. First, participating practices need to apply to CarefreeCredit and register with the Financial Conduct Authority (FCA). CarefreeCredit will hold your hand through the FCA registration process, which is currently taking about three weeks.
Thereafter, you can then offer CarefreeCredit to any client who is faced with an unexpected bill which they can't pay immediately. They'll need to make an online application which can be done at any time of day, 365 days a year - crucial for out-of-hours emergencies. The application takes 4 minutes and decisions are instant.
Loans repaid over 12 months are interest-free for the pet owner. Loans repaid over 24 months attract interest at 7.9% APR.
Once the loan is approved, confirmation is sent to the veterinary practice, which can then drawdown the funds into the practice bank account via the CarefreeCredit online dashboard. The practice gets paid within 5 days of requesting a drawdown.
The cost to the practice of all this is 7% of the bill. Offered strategically to the right clients, that seems like a small price to pay. According to CarefreeCredit, practice revenue increases by 22% and debtors decrease by 58% in practices where finance facilities are offered. But that is, of course, only half the story. This also offers a professional and businesslike 'way out' when vets are at the receiving end of emotional blackmail (or worse) from clients who find they don't have the money to pay for their much-loved pet to get the medical care it needs.
Stewart, himself the owner of a six-practice business, said: "The only way a credit facility like this works is that if it is so simple to use that front office staff see it as a help rather than a hindrance - a tool to make their lives easier rather than just another piece of admin to do. In order to get to this point, we have been through discussions with a number of consumer credit institutions as well as major retail banks. The system we can now provide is the market leader by a long way. The great thing is, vets love it as they can do gold standard work, get paid properly for it and receive the funds straight away. Owners love it as they can spread the cost at no or very low cost to themselves - and of course, the pets get treated immediately!"
For more information, visit: www.carefreecredit.co.uk
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."
Henry Schein Inc. has announced an agreement to acquire RxWorks Inc., the veterinary practice management software provider.
Founded in 1988 and with headquarters in Brisbane, Queensland, Australia, RxWorks has 68 team members and an installed base of more than 1,500 veterinary clinics in 19 countries worldwide (primarily Australia, New Zealand, the UK and the Netherlands).
Henry Schein says RxWorks will become part of it's Global Animal Health Practice Solutions business, led by its current management team.
Stanley M. Bergman, Chairman of the Board and Chief Executive Officer, Henry Schein, Inc. said: "RxWorks has an excellent reputation for helping veterinarians increase practice efficiency and improve quality health care through its innovative practice management software solutions.
"The addition of RxWorks further strengthens our growing practice management software solutions business, which helps deepen relationships in the regions served by RxWorks with our animal health customers, including large corporate customers. The addition of RxWorks will nicely complement our expanding animal health technology businesses. We look forward to welcoming our new colleagues from RxWorks to Henry Schein."
Nathan Basha, Chairman of RxWorks said: "RxWorks software is designed to facilitate consistency of patient care, enable practice growth, achieve enhanced profitability and optimize professional time, all the while improving the quality of life for patients. Aligning with Henry Schein, a global company committed to serving animal health professionals and bringing innovation to the marketplace, allows RxWorks to provide even further value to customers while expanding industry reach."
Henry Schein says it expects the acquisition to close in the second half of January 2016. Financial details and terms of the transaction were not disclosed.