MMI seeks to address mental health and wellbeing issues within the veterinary profession, while the Doctors’ Support Network provides peer support for doctors and medical students with mental health concerns.
&me was launched this time last year at the Palace of Westminster at an event sponsored by Kevan Jones MP (Labour, North Durham,) who has spoken about his own experiences with depression.
Overall eleven &me ambassadors have volunteered their own stories with mental ill-health:
A number of &me ambassadors will be taking part in an ‘&me live’ session at BSAVA Congress, from 5-8 April 2018 in Birmingham, providing a short overview of their story before taking questions from the audience. The session will take place from 8.30 to 10.10am on Saturday 7 April and will be open to all those attending Congress.
Lizzie Lockett, RCVS CEO and Mind Matters Director, said: "The feedback our &me ambassadors have received is truly heartening.
"Steve Carter, for example, had both an ex-student and colleague comment on his story thanking him for all he’s done, while a Facebook post about Rob Pettitt reached nearly 25,000 people.
"The campaign highlights how it is possible to recover from mental ill-health and flourish in your career, with the aim of encouraging those at the start of their mental ill-health experience to seek appropriate help, whether that is something profession-specific, such as Vetlife or DSN, or their GP."
Louise Freeman, Co-Chair of the DSN, added: "Many healthcare professionals face similar pressures that can lead to mental ill-health, including long hours, intense pressure, and the nature of the job which requires practitioners to constantly provide care for others, without necessarily recognising the need for self-care at the same time.
"A recurring theme that we’ve seen from these ambassadors’ stories has been that they drew on support from friends and family, and we really hope that this campaign encourages other professionals to seek help if they feel they are struggling."
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, and a blog by Louise, 'Me and #AndMe', can be found at www.vetmindmatters.org/me-and-andme/.
The threshold values for diagnosis of the disease currently vary dependent on the season, but Waltham says these new findings suggest that diet should also be considered.1
PPID, formerly termed Equine Cushing’s Disease, results from a change in hormone regulation in the pituitary gland, which is situated just below the brain. In healthy equids, the release of some hormones from this gland is controlled through another; dopamine. However, in those with PPID, there is a reduction in the amount of dopamine released. This, in turn, removes the restriction of the hormones from the pituitary gland. One such hormone under this control is adrenocorticotropic hormone, ACTH.
A simple baseline ACTH test is often used to diagnose PPID, with a result above a certain level deemed as positive. However diagnosis is not clear cut as there is a grey area between the threshold for normal and positive results.
Diagnosis can also be challenging because the circulating concentration of ACTH is seasonal, peaking in the Autumn. It is also known to vary with stress, exercise and nutritional state (fasted or fed). When the results lie in the grey zone (between the maximum normal and the minimum disease level), a modified test can be used. This involves measuring the ACTH level before and after administering thyrotropin-releasing hormone (TRH). TRH stimulates the release of hormones from the pituitary gland for all horses. However, the subsequent increase in the circulating ACTH is much greater for those with PPID, even in the early stages of the disease, than healthy animals.
The research investigated the impact of different factors on ACTH levels. Eight senior horses and eight adult horses were all fed grass hay and a rotation of four complementary feed options over seven weeks. The base diet was a low starch and sugar pellet fortified with vitamins and minerals. Horses were fed either the base feed alone or in reduced amounts with one of three options; feeds rich in sugar, starch or fibre. All diets provided the same amount of total energy. The effect of each of these on the ACTH concentrations at specific time points was measured.
As expected, the ACTH in the blood from the senior horses was higher than for the adults. As with previous studies, the level of ACTH was raised in October (Autumn) compared to March, May and August, regardless of age. However, the results revealed that diet can also influence the ACTH levels in horses. The senior horses had much higher levels of circulating ACTH when fed the starch rich diet compared to the adult group at the same time of the year.
Reference
The campaign comprises a series of short videos featuring equine behaviourist Gemma Pearson MRCVS. The videos demonstrate quick and simple ways of teaching horses to be quiet, relaxed and safe for injections, clipping, worming, examinations and other veterinary procedures.
Equine practices can share the video links with clients here.
According to a paper published in the journal Equine Veterinary Education in January, an equine vet may expect to sustain between seven and eight work-related injuries that impede them from practicing, during a 30-year working life.1
This is far a higher figure than other civilian occupations such as the construction industry, prison service and the fire brigade.
Bruising, fracture and laceration to the leg or the head were the most common injuries reported with the main cause being a kick with a hind limb. Nearly a quarter of these reported injuries required hospital admission and 7% resulted in loss of consciousness.
David Mountford, CEO at BEVA said: "Many accidents reportedly occur when vets are trying to work with horses who have learnt to avoid examination or treatment and where handlers are not in full control. Gemma’s work at the Royal (Dick) School of Veterinary Studies and her amazing videos show how a little preparation can have a big impact on horse, owner and vet safety.”
David Catlow, Blue Cross director of clinical services, said: "These videos are a superb resource to help with behaviour training in horses and to help them remain calm and manageable in all sorts of circumstances. Time spent on behaviour training of horses, using positive reinforcement methods such as these, is time well spent for everyone’s safety. Blue Cross invests a great deal of time in behaviour training on the horses we rehome, and it works."
The seven practical videos cover how clients can train and prepare their horse for:
David Mountford added: "These videos make interesting viewing for vets as well as horse owners and build on Gemma’s eBEVA webinar "Practical Equine Behaviour" and the Guidance on Managing Equine Risks that BEVA has produced.”
You can watch the videos here.
Photo: Equine vets Malcolm Morley and Gemma Pearson
The Investigating Committee and the Disciplinary Committee are responsible for conducting desk-top investigations and disciplinary hearings in response to complaints, disclosures and notifications that may amount to serious professional misconduct by Registered Farriers.
As the Royal College of Veterinary Surgeons did in 2015, the FRC is splitting off its disciplinary functions from that of its Council, meaning it now needs to recruit new members to perform the role.
More information is available in VetSurgeon Jobs, here.
The YuMOVE ADVANCE 360 range contains a new combination of ActivEase Green Lipped Mussel extract and purified fish oil to provide a concentrated, sustainable source of Omega 3 EFA’s and higher levels of essential fatty acids, ETA, EPA and DHA.
Lintbells says that these ingredients, together with other additions to the formula, aid the body's own natural anti-inflammatory process to soothe stiff joints. The company says the new product is clinically proven to work within six weeks.1
Lintbells Product Marketing Executive Gemma Cunningham said: "It’s important that the company keeps innovating. This new launch reflects Lintbells commitment to take quality to the highest level and to invest in research and development to constantly improve the products available to practices."
YuMOVE ADVANCE 360 is available as a palatable tablet for dogs that is accepted like a treat by 86% of dogs.2. The cat product is well accepted by 86% of cats3 and is presented in a capsule that is broken to allow the contents to be sprinkled on food.
Lintbells Veterinary Director, James Howie, says YuMOVE ADVANCE 360 can be recommended with confidence as part of a multimodal approach to joint management: "We want to provide practices with the best and most advanced formulations with proven outcomes.
"YuMOVE ADVANCE 360 is highly bioavailable, benefits from full traceability and purity assessments and is made with real expertise using the highest quality ingredients. It makes sense to make it veterinary exclusive and put it into the hands of professionals who can recommend it to the animals that will benefit most."
YuMOVE ADVANCE 360 Dog and YuMOVE ADVANCE 360 Cat are expected to be available to order from veterinary wholesalers on 5th February 2018. For further information practices should contact their Lintbells Veterinary Business Executive or call 01462 790886.
References
iRecall Consent Management falls into two parts: an initial three staged campaign to gain clients' consent before the 25th May deadline, then ongoing maintenance of the database, managing existing clients' communication preferences and gaining consent for new clients.
Thereafter, iRecall will cross reference consent and communication preferences for any iRecall-powered outbound marketing communication for a practice.
Practice-branded client consent requests are created in real time using live practice data and are personalised for each individual client and their pets.
Consent Management uses the company's SMARTdelivery technology to maximise response rates: first selecting the best delivery method (SMS, email or letter) for each client, based on current information in the practice management system. If a message fails to send because of an invalid number or email address, Consent Management automatically selects the next delivery method.
iRecall says Consent Management already interfaces with the six leading practice management systems, and can interface with any system on request.
Jamie Crittall, Director of Virtual Recall and himself a practice owner said: "Practices need to stop thinking that GDPR is a burden but see it as opportunity to forge stronger relationships with their clients and helping them to keep their pets healthy. Practices who treat their clients’ personal data with the same care that they show their pets will be rewarded with greater trust and loyalty, ensuring the future success of their business. Furthermore, it’s the perfect opportunity for practices to re-engage with previously lapsed clients to make them active and loyal once more - a massive value add."
For more information, visit: http://www.virtualrecall.com/
The 18,000 sq ft centre's facilities include a £1 million imaging suite with state-of-the-art MRI and CT scanners, five operating theatres and extensive kennelling facilities and cat wards. It is also equipped with fluoroscopy equipment with additional mobile C-arm, mobile digital radiography, a Phaco machine and Mindray WATO anaesthetic equipment.
A total of up to 80 staff will be employed at Paragon, including up to 18 referral veterinary surgeons and 32 nurses. Treatment will include ophthalmology, orthopaedics, soft tissue surgery, cardiology, neurology, medicine, oncology and dermatology.
The centre, which is part of Dewsbury-based Calder Vets, which has 12 practices across Yorkshire, is being led by managing director Ian Monteith and clinical director Adam Bell.
Adam said: "The opening of Paragon is the culmination of an 18-month project to bring the very best quality referral veterinary centre here to Wakefield.
"We’re delighted to open our doors and the team here at Paragon Veterinary Referrals are totally committed to, and looking forward to, providing excellent care for patients using the latest veterinary techniques."
For more information about the services Paragon will be offering, and for details of the vacancies on offer at the vet centre, as well as Continuing Professional Development (CPD) opportunities, visit www.paragonreferrals.co.uk.
The first is Design Hub, a self-service marketing portal which allows practices to choose from a variety of designs for posters, social media posts and other collateral and brand them with the practice logo. The portal includes a planner which details noteworthy dates, veterinary campaigns and events that practices might want to include in their marketing plans.
Member practices using the new portal during February also have the chance to enter a competition to win £500 Love2shop vouchers.
The second resource is a pets portal which the company says will make it easier to access live information about pets enrolled on its health plans, make administrative changes, process refunds or cancellations and soon, add new pets.
From July the pets portal will compatible with tablets and other mobile devices, so practice staff can move out from behind the desk and have conversations with pet owners in the waiting or consulting rooms.
Paul Bates, Practice Development Specialist, said: "We had already identified that practices wanted to be able to register plans and change details online. It was important for us to also ensure that the tool we developed had the desired functionality and was robust enough to handle large volumes of data being entered simultaneously across the country.
"We also wanted it to be fit for purpose so that if we want to develop more advanced features going forwards, we don’t have to recreate the wheel and can build on what we have already. The portal will be really useful in its own right and gives us a great launching pad for future development."
To access the new portals, email: pethealthplanscomms@denplan.co.uk, or contact your Simplyhealth Professionals Practice Support Advisor or Business Development Consultant.
For more information about Simplyhealth Professionals visit http://www.pethealthplans.co.uk/vets.
Equine glandular gastric disease is a complex syndrome that is distinct from gastric ulceration. A number of studies now indicate that it is an inflammatory gastritis, predominantly at the gastric outflow, which has different causes and risk factors from gastric ulcers. As such, medication effective in treating gastric ulceration may be less effective for this specific condition.
The clinical signs of EGGD are diverse and non-specific and may be mild or recurrent. They may include changes in temperament, changes in rideability, unexplained weight loss, reduced appetite or cutaneous sensitivity manifesting as biting of the flanks or resentment of girthing, grooming, leg aids or rugging. Recommendations for reducing the prevalence of disease, based on putative risk factors, include providing rest days from work, maximising turn-out, minimising management changes and other potential stress factors and minimising changes in equine companions and human carers.
The new guidelines have been published by a group of equine medicine specialists, based on a review of published and unpublished evidence. The intention is to provide veterinary practitioners with up-to-date guidance on risk factors, diagnosis, treatment, dietary management and prevention of EGGD.
David Rendle, an internal medicine specialist at Rainbow Equine Hospital in North Yorkshire who chaired the group and is a consultant editor of UK Vet: Equine said: "Our findings challenge long-standing dogma on EGGD, a condition about which there is currently very little advice available to vets and horse owners. It is becoming increasingly clear that the distinction between disease of the squamous and glandular mucosa is important clinically and the group felt that updated guidance may help to improve management of EGGD in practice."
Provision of evidence based clinical guidelines should enable practitioners to adopt more standardised and logical approaches and base EGGD management decisions on the most current data.
Professor Josh Slater, Professor of Equine Clinical Studies at the Royal Veterinary College said: "Clinical guidelines are commonly used in human health care and have been shown to improve clinical outcomes by condensing data from large numbers of research publications and promoting rapid adoption into clinical practice. These new guidelines represent a step forward in the management of this complex condition by combining a consensus of expert opinion with the best available current clinical research and evidence."
Mark Bowen, Professor of veterinary internal medicine at the University of Nottingham who is based at Oakham Veterinary Hospital said: "Whilst the panel hasn’t come up with miracle cures there was universal agreement that new treatment options have to be integrated in a logical and responsible manner."
"Our understanding of this condition is in its infancy but we hope that the summary document, which also highlights the gaps in our knowledge, will provide a useful framework for vets to follow and will be a stimulus for future research."
The guidelines can be found here: https://www.magonlinelibrary.com/doi/full/10.12968/ukve.2018.2.S1.3
Photo: Marked multi-focal depressed haemorrhagic and fibrinosuppurative lesions
Interested parties are invited to share their views by the 2nd May 2018.
The ban is being explored by the government as part of a package of reforms designed to drive up animal welfare standards.
A number of other measures to tighten up the regulation of puppy breeders are also being laid before Parliament today, to come into force later in the year:
Banning licensed sellers from dealing in puppies and kittens under the age of eight weeks;
Ensuring that licensed dog breeders show puppies alongside their mother before a sale is made;
Tackling the sale of weak underage puppies and the breeding of unhealthy dogs and dogs with severe genetic disorders;
Introducing compulsory licensing for anyone in the business of breeding and selling dogs;
Requiring puppy sales to be completed in the presence of the new owner, preventing online sales where prospective buyers have not seen the animal first;
Insisting licensed dog breeders can only sell puppies
Environment Secretary Michael Gove said: "We need to do everything we can to make sure the nation’s much loved pets get the right start in life. From banning the sale of underage puppies to tackling the breeding of dogs with severe genetic disorders, we are cracking down on sellers who have a total disregard for their dogs’ welfare.
"This is a further step to raise the bar on animal welfare standards. We are also introducing mandatory CCTV in all slaughterhouses and increasing maximum prison sentences tenfold for animal abusers."
BVA President John Fishwick said: "As vets, we see first-hand the tragic consequences that can result from poorly bred puppies so it’s encouraging to see the Government announce this raft of measures to improve dog welfare.
"We support the principle that puppies should not be sold by third parties, but this is a complex area that must consider advertising, internet sales and pet owners’ buying habits to ensure illegal puppy sales won’t be driven underground.
"Effective legislation must be backed by enforcement, so it’s essential that local authorities are equipped with adequate resources to help guarantee the welfare of millions of dogs across the UK.
The consultation can be found here: https://www.gov.uk/government/consultations/banning-third-party-sales-of-pets-in-england-call-for-evidence
In addition, less than half of those surveyed knew the correct temperature for vaccine storage, showing there is a lack of knowledge surrounding standard procedures.
Paul Williams, MSD Animal Health UK technical manager for ruminants said: "Failing to maintain the correct fridge storage temperature compromises vaccine effectiveness and consequently animal health.
"In a significant number of farm fridges monitored, the temperature was elevated to 80C for long periods of time, with the maximum fridge temperature recorded being 240C.
"In the worst cases, over 60% of fridges had been at 0 0C or below 0 0C long enough for vital contents to freeze. When the temperature is too high, vaccines become ineffective. If frozen, the vaccine is destroyed.
"This research shows we have work to do in educating customers about how to store vaccines and I encourage all farmers to check their farm fridge temperatures.
"To promote better practice, we’ve launched an awareness campaign called Fridge Check to educate farmers on the importance of storing vaccines correctly.
"The campaign is being promoted by Disease? Not On My Farm!, an initiative helping farmers take a more proactive approach to preventing disease on farm."
To find out more, visit the Disease? Not On My Farm! Facebook and Twitter pages or follow the hashtag #FridgeCheck for more information about how to store vaccines correctly.
There is a need to raise farmers’ awareness of correct vaccine storage temperatures. Williams P. (MSD Animal Health), Paixao G. (University of Bristol).
The Ruminant Wellbeing Achievement Award will be offered to a practising veterinary surgeon or a researcher in veterinary science, animal science or related disciplines to recognise his/her achievements in advancing the well-being of ruminants.
The Ruminant Wellbeing Research Award will be offered to a recent PhD graduate in veterinary science, animal science or related disciplines that made an exceptional contribution to the scientific knowledge on ruminant well-being.
The winners will be awarded with a €10,000 cash prize. Travel expenses to attend the meeting and awards ceremony (which coincides with the World Buiatrics meeting) will also be covered.
Scott Deakin, Metacam brand manager at Boehringer said: "Farm animal wellbeing is at the heart of efficient and effective production and Boehringer is delighted to have led the way in raising the importance of this over the last 10 years and is committed to doing so for the next 10 years and beyond.
"By linking with the World Buiatrics Association for the first time and offering two awards at the Wellbeing Forum, we believe the company is offering an exciting and valuable opportunity for vets and we look forward to receiving a large number of interesting applications."
Veterinary surgeons can apply directly or nominate a colleague at: www.farmanimalwellbeing.com.
An independent jury will decide on the winner.
The deadline for applications is 28th February 2018.
Fiproclear Combo, which contains fipronil and S-methoprene, is licensed for use on cats and dogs and can also be used to treat and prevent fleas and ticks on ferrets.
Norbrook says the new product provides effective protection from new flea infestations for up to eight weeks on dogs and four weeks on cats, while protecting against certain ticks for up to four weeks on dogs, and two weeks on cats.
Monica Whistler, Norbrook Marketing Product Manager, said: "With its triple-action approach, Fiproclear Combo kills adult fleas, ticks and biting lice. The addition of S-methoprene to the already-trusted ingredient fipronil, breaks the flea life cycle in the home by ensuring that any eggs laid by the fleas, which have come into contact with the product are infertile, and by preventing development of flea larvae within a pet’s surroundings.
"Adult fleas on pets are killed within 24 hours whilst newly arrived ticks are killed within 48 hours of attachment – before the main risk period of disease transfer. Ticks rank second only to mosquitoes as insects that spread infectious diseases to both pets and people1; the most common of which is Lyme disease."
Norbrook highlights research which showed almost a third of cats suffered from ectoparasites2, while around one in every three dogs are affected by ticks3, and that many traditional treatments do not help break the flea life cycle in the home.
Monica added: "Typically, by the time an owner notices a flea problem, an infestation has already been present for up to two months. At that point the visible adult fleas on the pet are only part of the problem, with 95% of the parasites already living in the home itself as eggs, larvae and pupae."
Positive lists are evidence-based regulations that permit the sale and keeping of only those species that are suitable to keep in the home, and that do not pose a disproportionate risk to people or the environment. All other species are prohibited from keeping or may only be kept with a special permit (by those who can demonstrate that they have specialist facilities or expertise).
The results of the poll were 512 in favour, and, er, one against.
The APA says it was delighted at the enthusiastic response from the veterinary community. APA Director, Elaine Toland said: "We are grateful to all those delegates who took part in the poll and offered their valuable insight. Throughout the two days, exotic animal vets and nurses in particular aired their frustrations about the poor state of animals that frequently present at their clinics, where even the most basic husbandry standards are not met. Some described the positive list proposition as a no-brainer".
The Animal Protection Agency is working as part of Eurogroup for Animals alongside Animal Advocacy and Protection (AAP) in the Netherlands and OneKind in Scotland to develop and galvanise support for positive lists as a means of reducing the large-scale animal suffering that is currently part and parcel of the exotic pet industry.
In order to raise awareness and encourage discussion within the veterinary profession about positive lists, APA is organising a seminar for veterinary surgeons and nurses: Positively shaping the future of pet-keeping, taking place in London during 2018 (date and venue to be confirmed).
To register interest in the seminar or to join the mailing list for more information and updates, email: info@apa.org.uk with PostiveList4Pets in the subject line.
The seminar will count as 5 CPD hours and certificates of attendance will be issued.
The practice was formed earlier this year by Jade Statt and Sam Joseph, two veterinary surgeons who, quite separately, had been inspired by the bond between homeless people and their dogs and decided to do what they could to help. Each hit the streets, Jade in Westminster and Sam in North London, offering healthchecks and basic flea and worm treatment to the homeless. Unbeknownst to each other, they worked under the same name of Streetvet.
Their paths crossed earlier this year, whereupon they decided to join forces and create a proper framework through which to deliver not just preventative care for the majority of animals that are well cared for and healthy, but treatment for those that need it. So Streetvet was born.
Since then, the practice has grown to a 65-strong team of volunteer veterinary surgeons and nurses providing a free, first opinion veterinary service across London, supported by drug companies, veterinary practices, animal welfare charities, social non-profit organisations and local councils.
Jade said: "We have vets out in the community at least 4 days a week and everything that can be done in a consultation room, we can perform on the street. This includes medicating, vaccinating, blood sampling, urine analysis, lump sampling, microchipping and more.
"When we meet a dog that needs more advanced treatment we are able to take them to one of the practices that we work at to perform procedures including neutering, dental work, surgery, diagnostic imaging and even hydrotherapy.
"Being vets, we love animals, but much of our day-to-day work involves caring for their owners as well. Many of the owners that we meet are vulnerable people and one of the main benefits of having vets out on the streets is that we get to know the owners and their dogs and gain their trust.”
Streetvet will be launching in Brighton on Sunday 26th November and in Bristol on 2nd December.
if you are in the Brighton or Bristol area and want to volunteer, offer practice support or get involved with fundraising, email: info@streetvet.co.uk.
Veterinary professionals across the UK are also encouraged to email their interest in volunteering, to help StreetVet build its database and in time set up StreetVet UK-wide.
The survey was promoted to the profession via the websites, by Veterinary Times and through the RCVS Mind Matters newsletter. The data was then anonymised, analysed and reported on by Sally Everitt MRCVS, ex Head of Scientific Policy at BSAVA.
677 participants reported being on the receiving end - within the last year - of at least one of 15 types of unpleasant behaviour which ranged from being physically intimidated through to being on the receiving end of sly glances. However, on average, each respondent experienced no less than five different types of unpleasant behaviour.
Of these, 390 were veterinary nurses, 252 were veterinary surgeons and 13 were practice managers.
The most frequently reported behaviours were: 'being belittled in front of other staff' (73%), 'being criticised minutely, repeatedly and seemingly unfairly' (65%), 'being aware of management or senior staff talking negatively about you behind your back' (51%), and '‘having your authority undermined to others in the practice, for example by having your instructions countermanded commonly and without consultation' (50%).
Seen in isolation, some might question whether these sorts of behaviour amount to bullying. It is important therefore to stress both that they typically formed part of a pattern of behaviour (the five different behaviour types reported, on average, by each respondent), and that the survey specifically asked only for reports where the behaviour was repeated.
Separately, 344 people also said they were currently on the receiving end of sustained patterns of behaviour, usually from one person, which seemed designed to make their life unpleasant.
Respondents were also invited to describe in more detail how they felt they had been mistreated at their practice.
Sally said: "Reading the responses, four main themes stood out: not feeling part of the team, lack of respect, lack of support and issues around management including not being listened to and perceptions of being treated unfairly."
Participants in the survey were then asked to describe what impact the behaviour had on their working life.
Sally said: "The answers to this question often demonstrated that the respondents had been very upset by the behaviours. Of the 560 replies to this question, 220 described an impact on their mental health, from anxiety to breakdowns and suicidal thoughts. 120 respondents talked specifically about the impact on their lack or loss of confidence, and 207 talked about leaving their job or the profession entirely."
Survey participants were then asked what they planned to do about it. Out of 680 replies, 195 talked about moving practice as soon as they can, 164 said they would take it up with the practice manager (however, of the 55 who reported this in the free text answer, 30 said it led to no change or made things worse), and 109 said they had no choice but to suffer in silence. 45 said they had or would leave the profession and only 35 said they would take it up with the perpetrator themselves.
As regards who is bullying who, more or less the same number of people reported being bullied by a veterinary surgeon as a veterinary nurse. What was interesting, and important for those in positions of leadership to note, is that veterinary nurses were much more likely to be bullied by other nurses and vets by other vets.
Finally, respondents were asked a series of questions about whether there was a zero tolerance of bullying or conflict resolution policy in force and enforced at their practice. Only 24 and 28% of respondents respectively were aware of such policies being in place. What was also clear was that having such policies and enforcing them correlated with lower levels of being on the receiving end of sustained patterns of unpleasant behaviour at the practice.
Arlo Guthrie, Editor of VetSurgeon.org and VetNurse.co.uk said: “Above all else, I want to thank everyone who shared their experience so that others can draw comfort in knowing they are by no means alone in this. I also want you to know that you’ve been heard.
"Given the survey design, it is not possible to draw any conclusions concerning the prevalence of bullying in the veterinary profession. What we can say for sure is that there have been 680 reports. If, as the data indicates, these are from different practices, then it is something that goes on in a significant proportion of veterinary practices."
"The million dollar question is what needs to be done next. It seems to me that the first and most important thing is that the profession needs to talk about behaviour and its impact openly and candidly, mirroring the great strides forward in the area of mental health."
In addition, the survey report proposes further discussion - at both a practice and professional organisation level - about things which:
As one veterinary nurse commented: "Pay is obviously important when you have a mortgage and bills, but not dreading going into work every day, it’s priceless!"
To download the report in full, click the link below:
PDF
The letter called on the UK government to ensure there is a duty on the state to have due regard for animal welfare in the development and implementation of policy, as Article 13 of the Lisbon Treaty sets out. Under the UK’s Animal Welfare Acts, accountability for the treatment of an animal focuses on the animal keeper, but not on the state.
The coordinated letter from the veterinary professions follows widespread media attention after a House of Commons debate, wherein MPs voted down an amendment tabled by Green MP Caroline Lucas to include the principles set out in Article 13, which also states animals are sentient, in the EU (Withdrawal) Bill. Since Article 13 has its origins in a treaty rather than a regulation, it did not qualify to automatically transfer into UK law as part of the EU (Withdrawal) Bill.
The signatories of the Daily Telegraph letter span all areas of veterinary work including small and large animal practice, research, government and academia as well as including former UK Deputy Chief Veterinary Officers, Officers of BVA specialist divisions and the Chief Veterinary Officer of SSPCA, amongst others.
BVA Senior Vice President Gudrun Ravetz has been leading BVA’s lobbying on this issue while BVA President John Fishwick recovers from a back operation. Gudrun said: "The public and professional response to the Article 13 vote was astonishing, but there was much misunderstanding borne from sensationalist headlines that suggested the MPs who voted the amendment down do not believe in animal sentience. The real crux of the debate got lost in this noise.
"BVA supports the principle of Article 13, since it not only recognises that animals are sentient, but importantly puts a duty on the state to have due regard for animal welfare in the development and implementation of policy."
The company's charity of the year is chosen by employees at its annual conference in October. Fundraising then begins the following January.
This year, fundraising activities included cake sales, 'wearing blue days' and dog shows. Others took a more energetic approach: a team from Tone Veterinary Centre in Taunton cycled the equivalent of Land’s End to John O’Groats on exercise bikes over a fortnight, raising £525, while groomer Ceri James from Petherton Vets in Cardiff climbed Ben Nevis.
Simon Innes, CVS Chief Executive said: "Each year, thousands of cats, dogs, small animals and horses rely on the hospitals, clinics and rehoming services run by Blue Cross so it was a very natural charity for us to support and the overwhelming winner of last year’s vote.
"Yet again, our teams have surpassed themselves by really getting behind our fundraising efforts and showing great creativity and dedication to the task. Judging by some of the photos, they also seem to have had a great deal of fun. We held a group-wide charity day during July in which all parts of the business participated. It was a fantastic event and really showed the power of collective fundraising."
Matt Cull, Deputy Director of Fundraising at Blue Cross, said: "The dedication from CVS to fundraise for our pets through many different activities is so inspiring. We are very grateful to all the teams for helping Blue Cross as the money raised will assist us in helping thousands of pets in need and support our other charitable activities, such as our education programmes and bereavement support service. Pets change lives and with this generous help, we can change theirs."
Photo: Simon Innes CVS Group Chief Executive; Diane James, Blue Cross; Piers Gibbon, CVS Conference compere
95% of the vets surveyed by the company reported success treating cats with Thyronorm Oral Solution for Cats, while 89% expected the liquid solution to improve compliance in the management of hyperthyroidism.
93% also said they found Thyronorm gave them an easier way to offer cats a low dose, or an 'in-between' dose, as it can be titrated 'to effect' – meaning the dose of treatment can be varied more easily to suit the individual animal.
Feline hyperthyroid specialist Dr Sarah Caney said she is unsurprised by the survey results: "Treatment is complex for cats needing a low dose, or an ‘in between’ dose, as standard anti-thyroid tablets are only available in a small number of dose sizes and are not designed to be split, halved or quartered. Also, if a cat is on alternating doses, it can be difficult for carers to remember which dose is due today."
Rachel Crowe, Norbrook’s Companion Animal Senior Product Manager, said: "We are delighted that overall 99% of the 200 veterinary surgeons surveyed would recommend Thyronorm in the management of hyperthyroidism, compared to other medical options."
Thyronorm contains 5mg/ml of thiamazole (methimazole). The initial starting dose is 5mg active ingredient per day, split into two doses.
Available in 30ml and 100ml bottles, with an in-use shelf life of six months, Thyronorm is available to order from all UK veterinary wholesalers.
The interactive checklist is designed to help practitioner and farmer to work closely together to draw up a workable action plan to improve youngstock health.
MSD Animal Health ruminant veterinary adviser Kat Baxter said: "This new checklist-based tool explores, records and scores calf health performance across five core areas to identify the strengths and weaknesses of any rearing unit’s environment and processes.
"Working through a series of 10 questions within each core area – designed to tease out where a rearing unit is in terms of accepted best management practice – allows vet and farmer to quickly pinpoint any areas needing attention. What’s more, repeating the checklist every six or 12 months is a great way to keep things on track, allowing both parties to monitor progress against agreed targets. Vets can also use the scores to benchmark their clients’ farms against each other."
Vets interested in using the new checklist-based tool on farm should contact their local MSD Animal Health account manager for further information.
The practice has also strengthened its surgery services with the appointment of Dr Delphine Holopherne-Doran, European Specialist in Veterinary Anaesthesia and Analgesia.
Ivan graduated from Bristol University in 1997. He worked in Hertfordshire before completing a surgical residency under the tutelage of Professor Peter Holt at Bristol University. Ivan has worked in referral centres in the UK and France. He is an RCVS Diplomate in Small Animal Soft Tissue Surgery and a Recognised Specialist in Small Animal Soft Tissue Surgery. Before joining Highcroft, he spent six years working as a senior staff surgeon at Bristol University.
Ed graduated from the Royal Veterinary College (RVC) in 1996. He worked in a mixed practice in Buckinghamshire before undertaking training positions at the RVC, University of Liverpool and the University of Cambridge. He passed the specialist Diploma examinations of the European College of Veterinary Surgeons in 2003. He has previously been a senior surgeon and member of academic staff at the University of Bristol and has worked in private referral practice.
Delphine graduated from Maisons-Alfort (Paris) Vet School in 1998. After working as an equine vet, where she developed an interest in veterinary anaesthesia and analgesia, she returned to vet school in Nantes where she ran the Anaesthesia department for 11 years. During this time, she gained a Master’s degree and a PhD in cardiovascular pharmacology and completed a residency, gaining European board certification in anaesthesia and analgesia, which led her to visit and train in universities around the world.
Highcroft Hospital Director Mr Chris Mayers said: “Ivan and Ed bring a wealth of experience in urinary tract surgery and, in particular, in urinary incontinence to Highcroft. The most common presentations are juvenile animals with ectopic ureters or urethral sphincter mechanism incompetence (post-spay incontinence). Ivan and Ed offer an innovative, minimally-invasive procedure using cystoscopically-guided laser ablation for patients with intramural ectopic ureters. Interventional radiology techniques are also a major interest for the team providing new, minimally-invasive solutions for intrahepatic shunts. The two surgeons have firmly adopted Subcutaneous Ureteral Bypass Systems (SUBS) in treating cats with ureteral obstruction, typically caused by calculi.
"Delphine adds world-class expertise in anaesthesia and analgesia and is already making a huge contribution to our hospital. With a high degree of skill in managing cardiovascular physiology and pharmacology cases, Delphine boosts our ability to support highly challenging and complex patients. Her knowledge of the use of local and region blocks for treating highly challenging pain cases and the anaesthesia of complex cardiovascular patients provides outstanding care for patients and promotes the highest standard in analgesia."
Highcroft Veterinary Group is based at 615 Wells Road, Whitchurch, Bristol and can be contacted on 01275 832410.
Sylvie, a four-month-old Maine Coon, was referred to NDSR with a loud heart murmur. Scans revealed she was suffering from a severe obstruction on the right side of her heart which was steadily becoming worse.
Her condition, double chambered right ventricle, is very rare and, until now, could only be corrected by open heart surgery. However, NDSR specialist cardiologist João Loureiro believed this would be too much of a risk for frail Sylvie, so he opted for a cutting balloon angioplasty which had never been applied to cats before because their hearts are so small.
He and fellow cardiology specialist Joel Silva carried out the procedure, which involved inserting two balloons on a wire into a vein in Sylvie’s neck and on to her heart. The first had four cutting blades, which were manipulated to score the obstruction before the second was gently inflated in order to relieve it. After the wire and balloons had been removed, the incision in Sylvie’s neck required just two stitches and within 48 hours she was well enough to return home.
A subsequent scan showed the level of obstruction had been reduced from severe to mild and her owner, Dr Bob Baxter, described her as “much more lively”.
João, who has a special interest in the treatment of congenital heart disease in small animals, said the decision to perform the interventional ballooning was made because of the risks of open heart surgery and the recent development of veterinary applications of the cutting balloon technique.
João said: "As Sylvie’s condition was so rare, wider application of the technique is limited in terms of the number of cats which could benefit from it. However, it is extremely relevant to those individuals who are affected and could be of use in the treatment of other, more common, conditions."
Joel said: "Cutting balloon angioplasty is routinely used in human medicine for treating narrowed and stiffened blood vessels and has recently been adapted to treat a heart condition in dogs but we believe this may be the first time it has been used to treat this condition in a cat."
The new law, which replaces the Data Protection Directive, come into effect from 25th May 2018. All businesses will be affected, including the veterinary profession, and failure to comply could result in heavy financial penalties. It is important, therefore, that all practices start to prepare for them and ensure that they will be compliant when the new legislation comes into play next year.
Renay Rickard, president of the VPMA said: "These new regulations concern how we will manage personal data, both that of our clients and our staff, and it’s imperative that we understand them and act on them. We arranged this webinar to inform our members, and were very lucky to have such a tailored presentation directly from the regulator – helped by the fact that Helen, the speaker, comes from a veterinary practice background. It was so useful, we felt that the wider veterinary community would benefit from listening to it, so we’re pleased to open it up to non-members."
The webinar content guides listeners through the key changes ahead and the steps that practices will need to take to ensure they are compliant with the new legal requirements. This includes the impact the changes will have on marketing strategies and practice positioning on sending client reminders (e.g. vaccination, appointment); sharing case histories; passing on data regarding 'bad-debtors', as well as how to approach 'tagging' clients records (for example, re debt) in compliance with the GDPR.
The webinar also provides useful information on where to turn if practices need help and advice, as well as what to do if a data breach is detected. Finally, a detailed questions and answers session covers the day-to-day scenarios in practice that involve handling or sharing client data.
The recording can be accessed on request by emailing the VPMA Secretariat, secretariat@vpma.co.uk.
Photo: GDPR - General Data Protection Regulation. data 25 may 2018. Map EU and flag. Shutterstock/a_Jarm
Christine will take over from Nigel Gibbens who is stepping down at the end of February 2018 after 10 years in the post.
Christine, who comes from a farming family in the south of Scotland, is an experienced veterinary surgeon who worked for a number of years in private practice in Scotland and the north of England, prior to joining the Animal Health agency (now part of the Animal and Plant Health Agency) in 2008 as a Divisional Veterinary Manager in Scotland.
Since 2016, she has been working as the CVO in New South Wales, Australia, where she has led major improvements to biosecurity across many farming sectors.
Christine said: "I am delighted to have been appointed and it will be a privilege to lead my veterinary colleagues to support our farming and food industry in this hugely important role.
"I am very much looking forward to working again with the team at Defra, its agencies, the devolved administrations and all the individuals and groups which will contribute to meet future challenges across animal health and welfare.
"The UK Government has made no secret it wants to cement its place as a world-leader on animal welfare as they leave the European Union, and I’m delighted to have an opportunity to play a part in that."
Nigel said: "I would like to congratulate Christine on her success against a strong field of candidates and I am certain she will be a great addition to the department.
"Her breadth of experience from work within Government and in the private sector will enable her to provide excellent veterinary leadership to the Defra group to deliver government’s ongoing commitment to maintaining our high animal health and welfare standards and to represent the interests of the whole of the UK internationally."
Animal Welfare Minister Lord Gardiner added: "I warmly welcome Christine to her important role. She brings to it a wealth of experience and enthusiasm.
"This Government is embarking on an ambitious programme of animal welfare reform, including plans to increase the maximum sentence for animal cruelty to five years in prison and introducing mandatory CCTV in all abattoirs. Christine will be invaluable in helping us in achieving world leading standards.
"I thank Nigel Gibbens for his outstanding contribution as CVO over the past ten years. Leaving the department at the end of February, he is hugely respected across the veterinary community and beyond – leading on responses to disease outbreaks including avian influenza and advising government on issues from antimicrobial resistance to animal welfare."
British Veterinary Association President John Fishwick said: "We’d like to congratulate Christine Middlemiss on her appointment as the UK’s next CVO and welcome her return to Defra - as well as to the UK, following her 16 months as CVO in New South Wales, Australia.
"As Christine notes, she will take up her role amidst EU Exit negotiations when the vital role veterinary surgeons play in so many areas of political and public life must be championed and considered more than ever.
"The work of all vets in government is indispensable in protecting and promoting animal health and welfare and public health, and current UK CVO Nigel Gibbens CBE has been crucial in steering this with calm direction and sage insight from the heart of government.
"We hope to continue our effective working relationship with the new UK CVO, and really look forward the opportunity to work with Christine moving forwards."
Christine will take up her new role as CVO for the UK on the 1 March 2018.
Redonyl Ultra contains essential fatty acids, Palmitoylethanolamide (PEA) and Biotin.
PEA is a naturally-occurring bio modulator which Dechra says has scientifically proven activity against the mechanisms that contribute to inflammation and pain, while Biotin is important for synthesis of fatty acids and support of optimal skin condition.
Dechra Brand Manager Claire Morgan said: "Redonyl Ultra is a great addition to Dechra’s extensive Dermatology range that allows an holistic approach to treatment, control and maintenance of dermatological conditions.
"Allergic skin conditions are among the most common causes of skin and ear disease in cats and dogs, and it is estimated that up to 15 per cent of dogs are affected by atopy. In situations where an allergen cannot be avoided, multi-modal therapy is useful to control the clinical signs."
Redonyl Ultra comes in a convenient bottle size of 60 skittle capsules, in two strengths for different sized animals. The capsules can be opened and given with food or ingested directly, or swallowed whole for flexible administration.
For more information, visit http://bit.ly/2iNa2Ik