The webinars will be given by RCVS Specialists from Virtual Veterinary Specialists and recorded so that you and your team can watch them at your convenience, either from your practice or at home.
The first webinar in the series ‘Is Cancer an Emergency’ by Dr Clare Knottenbelt, RCVS Specialist in Small Animal Medicine and VVS Oncology Consultant.
Nuala Summerfield, Founder and Director of VVS said: "We are really excited about this first webinar and anticipate that it will be a very popular topic!"
The webinar can be viewed here https://www.thewebinarvet.com/webinar/veterinary-care-in-the-face-of-covid-19-is-cancer-an-emergency
Email: admin@vvs.vet or visit https://vvs.vet/covid-19/ to register interest in the series or see VVS's other free coronavirus resources.
Ian graduated from the University of Liverpool and gained his PhD from the University of Glasgow. He gained both the UK and European Diplomas in Small Animal Medicine at the University of Cambridge and is a Royal College of Veterinary Surgeons and European Recognised Specialist in Small Animal Medicine. He returned to Glasgow University in 1998 and has been the Professor of Small Animal Medicine since 2009.
Ian has published in the fields of infectious diseases, endocrinology and neurology but is interested in all aspects of small animal medicine. In 2015 he was awarded the BSAVA Woodrow Award for his contribution to small animal medicine. In 2016 he became of Fellow of the RCVS, thereby becoming a jolly good fellow Fellow of the RCVS, or JGFFRCVS for short.
Professor Ramsey has served BSAVA as a regional secretary, member of several committees and chair of Petsavers and Scientific. He is probably best known as the editor of four editions of the BSAVA Small Animal Formulary.
The Presidential handover usually takes place at BSAVA Congress but was delayed this year given the cancellation of the April event due to coronavirus.
Ian says that during his Presidency, he intends to promote and enhance the digital offering of the Association to BSAVA members coping with the pandemic. He will also oversee changes to BSAVA congress with a more interactive approach to training; shortened, more focussed lectures and greater integration between the exhibition, the scientific content, and the social events.
Ian said: “At this time of great uncertainty in the profession, my focus will be on providing BSAVA members with the scientific information and clinical training that they need, in a suitable form. Clinical skills and science lie at the heart of being a good vet and BSAVA members get access to a huge range of cheap or free resources in these areas to help them in their careers. Congress 2021 will be evolving as a vital part of this effort and I am looking forward to welcoming everyone to Manchester during the last week of March 2021."
Laxatract is indicated for the treatment of constipation and symptomatic treatment of diseases which require facilitated defecation such as partial obstructions.
The recommended dosage is 400 mg lactulose per kg bodyweight per day, which corresponds to 0.6 ml veterinary medicinal product per kg body weight per day. Approximately two to three days of treatment may be necessary before a treatment effect occurs (preferably divided into 2-3 doses over the day).
Laxatract is available in a 50 ml bottle complete with a 5 ml syringe for easy administration. It can be mixed with food or given directly into the mouth.
Dechra Brand Manager Carol Morgan said: "Cats and dogs may need to be treated for constipation for a number of reasons including intestinal atony after surgery, hairballs, or massive intestinal contents and Laxatract provides a safe and effective solution to facilitate that.
"Laxatract can also be used when facilitated defecation is required such as partial obstructions due to tumours and fractures, rectal diverticulum, proctitis and poisoning."
For more information visit: https://www.dechra.co.uk/new-from-dechra.
The VetSurgeon Expert Forums were originally designed to overcome the weaknesses inherent in other social media platforms like Facebook, such as the lack of accountability, transparency and provenance for the clinical information and opinions being shared.
However it is hoped that the new resource will prove to be especially helpful to general practitioners who find themselves working in isolation because of the coronavirus pandemic.
For them, advice from some of the leading experts in the country could prove a real lifeline.
To use the new Expert Help forums, login and visit VetSurgeon.org/experts (under ‘Forums’ in the main navigation). Alternatively, navigate to the relevant area under ‘Interests’ and go from there.
Type your question in brief, then add any further detail in the box beneath.
Your question is then emailed to a number of experts in the relevant field, who’ll reply when they are able.
All questions are added to a knowledgebank which other members of the profession can read and refer to, but only you, the question author and the experts can reply.
This means you can be assured of a friendly, helpful and knowledgeable reply and it won’t get drowned in a sea of ‘me too’ posts.
Importantly, you can see the provenance for all advice given in the Expert Forums: click the name of the expert to read their full professional profile and qualifications.
There’s also a red ‘Claim CPD’ button at the top of the thread. Use that to claim your question as CPD, or just to keep a record of your questions and the answers (which you can later review in your profile).
Once you have had your answer(s), you must click ‘Verify Answer’ under any that you feel have answered your question. This adds the referral practitioner’s logo and gives them points on a leaderboard of most active and helpful experts. So it’s a nice way to say 'thank you' for their time and effort.
The expert forums are being rolled out, discipline by discipline, over the coming weeks.
Anaesthesia and Pain Management is now live, with experts like Jo Murrell from Highcroft Referrals, Dan Holden from County Vet Clinic, Gwen Covey-Crump, and Carl Bradbrook from Anderson Moores answering questions.
In Cardiology, we have the ever-helpful Dave Dickson from HeartVets and Roger Wilkinson joined by Chris Linney from Willows, Mike Holgate, Mark Patteson from HeartVets, and Nuala Summerfield from Virtual Veterinary Specialists.
In Dentistry, we have Peter Southerden from Eastcott, Norman Johnston from DentalVets, Evelyn Barbour-Hill, Bob Partridge from VetDentist and Rob Davis from Moreton Hall all there to lend a hand.
You'd be hard-pushed to find a more helpful, friendly or more knowledgable bunch of people, so do make the most of this new resource. Remember, there is no such thing as a stupid question, and posting it here adds it to a knowledgebank for everyone else and allows both you and the expert to claim CPD time.
Post your question here!
If you are an expert in one of the veterinary disciplines on VetSurgeon and would like to contribute to an expert forum, please first watch this explanatory video for referral practitioners and then contact: support@vetsurgeon.org.
Eight veterinary surgeons have put themselves forward to compete for the three available places. They are:
The RCVS has uploaded each of the candidates’ biographies and election statements on to its website, at: www.rcvs.org.uk/vetvote20.
The elections will start from Monday 16th March when the ballot papers and candidates’ manifestos will be posted and emailed to all members of the profession who are eligible to vote.
All votes, whether postal or online, must then be cast by 5pm on Friday 24 April 2020.
As with previous years, the RCVS is also inviting members of the profession to get a better idea of why each candidate is standing by taking part in 'Quiz the candidates' and submitting a question which will then be put directly to the candidates.
Each candidate for both elections will be invited to choose two questions to answer from all those received, and produce a video recording of their answers.
Recordings will be published on the RCVS website and YouTube channel (www.youtube.com/rcvsvideos) on the week the election starts.
The College says only question per person is allowed, and any which it deems offensive, inappropriate, misleading, libellous or otherwise unlawful will not be distributed to the candidates.
Vets should email their question to vetvote20@rcvs.org.uk or send it to the College’s Twitter account @theRCVS using the hashtag #vetvote20 by midday on Friday 28 February 2020.
COMMENT
With the veterinary profession facing two of the biggest regulatory changes seen in most people's lifetimes, namely changes to the rules over remote prescribing without performing a physical examination and a possible change to the standard of proof used in disciplinaries, there has never been a more important time to make sure that practising veterinary surgeons are properly represented on Council. Nor has there been a time I can remember when a protest vote would represent such a shocking waste. Don't forget, you don't need to use all your votes. Use them wisely.
The award was due to be presented at the association's annual shindig in March, which was cancelled due to the coronavirus pandemic.
VMA Awards chair, Claire Edmunds, said: “This years’ winners will still get their moment of glory on stage next March at the rescheduled event. We can also announce that the event is likely to include some additional categories to recognise campaigns and initiatives undertaken during the COVID-19 pandemic.”
Carlos Michelsen, managing director of award sponsor, CM Research, added: "Thanks to the continued success of Cytopoint, Zoetis achieved highly commended status. But it was Elanco that came in as award winners, with their novel veterinary pharmaceutical product Galliprant taking the crown. Congratulations to Elanco!"
Rebecca Bryant, Elanco’s marketing manager for Pet Health Therapeutics (pictured right), said “Elanco is delighted to be recognised by the veterinary community with this prestigious award for Galliprant. The UK team is proud to be part of the launch of this innovative, first-in-class product which has already enriched the lives of thousands of pet owners and their dogs living with osteoarthritis. It’s fantastic to hear from vets that managing OA with Galliprant has already made a positive impact on their practices.”
Zoetis product manager, Allison Henry said: “We are very proud to come such close second in this award category as it is a true testament to the lasting innovation Cytopoint has brought to our industry, customers and pets. At Zoetis, we always strive to develop innovative new medicines for the veterinary industry and we are thrilled to see how Cytopoint has done just that.”
Researchers from Nottingham Trent University and the Royal Veterinary College found that exertion or exercise – which could include dogs walking, playing or running with their owners – was responsible for three quarters (74%) of heat stroke cases. Many of these cases were in the summer months.
For the study, the researchers analysed the clinical records of more than 900,000 UK dogs. They found that 1,222 had received veterinary care for heatstroke at some point during their lives, almost 400 affected in a single year. 14.2% of them died as a result of their heatstroke.
Hot weather alone was responsible for 13% of cases, while travelling or being left in hot vehicles accounted for 5% of cases. Other triggers for heat stroke included undergoing treatment at a veterinary surgery or a dog grooming parlour, being restricted to hot buildings or trapped under blankets.
Male dogs and younger dogs were more likely to develop heatstroke triggered by exercise, with breeds including the Chow Chow, Bulldog, French Bulldog, Greyhound, English Springer Spaniel, Cavalier King Charles Spaniel and Staffordshire Bull Terrier at increased risk.
Older dogs and brachycephalic breeds, such as bulldogs and pugs, were at increased risk of getting heatstroke just by sitting outside in hot weather. Brachycephalics were particularly at risk of developing heat stroke if left in hot cars.
Emily Hall, a researcher and veterinary surgeon in Nottingham Trent University’s School of Animal, Rural and Environmental Sciences said: "It appears that people are hearing the message about the dangers of hot vehicles, but campaigns to raise public awareness about heat-related illness in dogs need to highlight that dogs don’t just die in hot cars. Taking a dog for a walk or a run in hot weather can be just as deadly so consider skipping walks altogether during heatwaves, or be sure to take dogs out early in the morning whilst it’s still cool.
Dr Dan O’Neill, co-author and senior lecturer in companion animal epidemiology at The Royal Veterinary College, said: “The UK is currently in the midst of an ill-fated love affair with flat-faced dogs. Demand for breeds such as the French Bulldog, Pug and British Bulldog has soared during the Covid19 lockdown. I appeal to owners to put the needs of the dog ahead of their own desire to possess something that looks cute."
Reference
The new Vetscan Imagyst AI dermatology application analyses impression smears and ear and skin swabs to identify yeast, inflammatory cells and bacteria.
It provides results in about ten minutes, depending on your upload speeds, which VetSurgeon understands is probably how long a dermatologist would take to perform the task (compared to a GP, who might take twice as long, depending on skills, available equipment, volume of tests, etc).
In terms of accuracy, Zoetis says the application is comparable to that of a clinical pathology expert.
In addition, it fires out a report, including images, which can be shared with the client, adding more value to the consultation.
According to a 2006 study, something like 72% of vets' derm diagnosis and treatment recommendations are based on presenting clinical signs and physical examination alone1.
Vetscan Imagyst list price is just shy of £18,000, but there are a variety of commercial deals that can be discussed with your Zoetis Account Manager. Each AI analysis costs in the order of a tenner.
So the question is whether the new system is worth the investment - for the 72% in terms of a more accurate diagnosis over an educated guess, and for the 28% in terms of the time-savings over a manual analysis.
Sophie Duguid, Diagnostics National Veterinary Manager at Zoetis UK said: “The ability to accurately and reliably identify inflammatory cells, bacteria and yeast, at the time of visit can make a huge difference for busy clinics, ensuring better outcomes and happier patients and owners.
"Performing cytology is a critical component of the dermatology work-up, however this can often be challenging for veterinary healthcare teams to deliver given the considerable time pressures in clinical practice.
"Vetscan Imagyst AI dermatology allows clinicians to rapidly detect the presence or absence of skin infection in canine and feline dermatology cases which allows for clinically informed decision making."
55 veterinary surgeons took part in the survey, which also found that only 37% of clinicians use FNA and cytology when investigating a suspected lipoma.
According to the survey, the biggest barriers to further investigations of lumps and bumps were cost (50%), short consult time (23%) and confidence in results (20%).
HT Vista, which earlier this year launched a cancer screening device for dogs which uses heat diffusion technology and AI to differentiate between benign skin masses and other tumours, is urging more practising vets to use an accurate screening process for early detection of malignant masses.
Dr. Gillian Dank, Board Certified Oncologist and Chief Veterinary Officer at HTVet, said: “There is no way to know that a mass is a lipoma based on palpation alone.
"The fact that a mass is subcutaneous, soft and circumscribed is not exclusive to lipoma and it could be a number of things including a mast cell tumour or sarcoma.
"On average a veterinary practice sees over 500 dermal and subcutaneous masses each year.
"We know anecdotally, and surveys like this confirm, that not every mass is aspirated – and that is why there is need for the HT Vista screening device.
"Every mass that comes in should be properly examined.”
“It’s interesting to see that the more experienced a clinician is, the less confident they are in diagnosing from palpation and this shows us that with experience we understand that our hands are not enough.”
Liron Levy-Hirsch, Managing Director of HT Vista, said: “The survey showed that vets are conscious of the cost to clients, and also feel pressured due to time.
"We have developed the HT Vista to complement FNA and cytology, and hope clinicians find it a useful tool.
"Firstly, it is quick and affordable to scan, and for those masses that are benign it removes the need for unnecessary FNA’s.
"Secondly, vets are often wary of cost, however if a mass is scanned and the results indicate that further investigation is needed, there is more rationale to spend the extra money to get the cytology results.
"Finally, the device can offer complete confidence that malignancies are not being missed, and if a mass is malignant a prompt treatment plan can be initiated.”
https://www.vetreport.net/wp-content/uploads/2023/08/Lump-and-Bump-Survey-2023FINAL.pdf
https://ht-vista.uk
The mandatory regulation of veterinary practices, including statutory powers of entry and inspection, is one of the main parts of the College's proposals for new primary legislation that would replace the current Veterinary Surgeons Act 1966.
The working group, which is expected to present the details of a Mandatory Practice Regulation system to Council by the end of 2024, will be chaired by RCVS President Sue Paterson FRCVS.
It will include Standards Committee Chair Linda Belton MRCVS and Practice Standards Group Chair Belinda Andrews-Jones RVN, alongside veterinary, veterinary nursing, lay and external representatives.
Sue said: “With over 70% of practice premises currently under its ambit, our Practice Standards Scheme (PSS) has shown how keen practices are to maintain high standards.
"However, it is a voluntary scheme and, as a result, there is no mechanism to ensure standards across all practices, or to ensure change in those rare situations where it is needed.
“At present, the RCVS only regulates individual veterinary surgeons and nurses, and the veterinary sector does not have an equivalent to the Care Quality Commission, which considers human healthcare premises.
"This means that the onus for maintaining standards within the workplace falls on regulated individuals rather than the business structure.
"We will consider what a scheme that puts more statutory responsibility on business owners to maintain standards should look like.
“I look forward to working with colleagues in RCVS Council, VN Council and other veterinary organisations via this group to really flesh out what this regulatory system might look like in the future, to make sure it is appropriate, robust, proportionate and enforceable.
"Establishing these details will also prove invaluable in our lobbying work with government, ministers and MPs.”
Once a month, a new discussion will be posted by the site editor titled: "WHAT WOULD YOU DO (in xxx clinical situation)?"
In addition, VetSurgeon members are strongly encouraged to start your own "WHAT WOULD YOU DO?" discussion at any time.
All members are then invited to share what they would do for the case described, and we also use the opportunity to question which approach offers the best value for pet and owner, and brainstorm new ways of approaching the problem.
Importantly, criticising (as opposed to questioning) anyone's approach is strictly forbidden.
The aim is to share what most vets are doing, question whether there are better ways of doing things and brainstorm fresh ideas, something which is always a beneficial but perhaps especially so in a cost-of-living crisis when, for a variety of reasons, veterinary fees have escalated above and beyond inflation.
As a result, it has become increasingly important to question, for example, the value of certain diagnostics and whether a different approach could offer clients more value.
By way of example, the first discussion was: "WHAT WOULD YOU DO: cat over-grooming central abdomen?", which you can read and take part in here: https://www.vetsurgeon.org/f/clinical-questions/30842/what-would-you-do-cat-over-grooming-ventral-abdomen
The second discussion is now live, and asks: "WHAT WOULD YOU DO: Young dog presented having had its first single or cluster of seizures?
Come and share your thoughts here: https://www.vetsurgeon.org/f/clinical-questions/30875/what-would-you-do-young-dog-presented-having-had-its-first-single-or-cluster-of-seizures
Full rules here: https://www.vetsurgeon.org/f/clinical-questions/30841/what-would-you-do-discussions-rules-and-objectives
For the research, the medical histories of 188 Basset Hounds and 270 Dachshunds presenting to CVS’ Dovecote Veterinary Hospital and Chestergates Veterinary Specialists, and the University of Ghent were retrospectively assessed.
Information included signalment, whether the dog had received a diagnosis of TL-IVDE, the duration of clinical signs, affected discs and anatomical region and the neurological grading at presentation and discharge.
Basset Hounds and Dachshunds are both chondrodystrophic breeds which are predisposed to IVDE.
However, the study found 77.4% of Dachshunds had presented with IVDE, compared to only 36.2% of Basset Hounds.
Dachshunds also presented earlier (66.5 months) compared to Basset Hounds (median 87.5 months).
Dachshunds had a lower proportion of midlumbar IVDE and were more frequently non-ambulatory at discharge than Basset Hounds.
In addition, Dachshunds were more likely to be paraplegic without sensation at presentation than Basset Hounds (16/154 Dachshunds compared to just one Basset).
The Basset Hound is the largest chondrodystrophic breed and the physical characteristics of this larger body conformation may have benefits, with previous studies suggesting the protective effects of being a larger dog2.
One hypothesis is whether breed conformation and anatomy – the relative height/weight ratio - influences the severity and occurrence of IVD and points to a link between the size of the patient and the space in the vertebral canal.
A smaller spinal cord versus vertebral canal ratio in the Basset Hound may indicate a less compressive lesion.
Sergio Gomes, Head of Neurology and specialist in veterinary neurology at Dovecote Veterinary Hospital, who led the study, said: “This is the first time that IVDE data for Basset Hounds has been directly compared with that for Dachshunds.
“We now need to look closely at the conformation and anatomy of the Basset Hound to see what learnings we can take.
"This could have positive future implications for Dachshund breeding programmes, so that longer term we can try to minimise this painful and common canine condition.”
References
Each candidate will produce a written reply to two questions of their choice, which will be included on their candidate profile webpage ahead of the start of the election.
The 14 candidates who are standing in this year’s election for the three available elected places on RCVS Council are:
The biographies and election statements for each candidate are available to read at www.rcvs.org.uk/vetvote24.
The three candidates with the most votes will join Council for their four-year terms at the College’s AGM in July.
The College says it will only accept one question per person and questions must be decent.
Offensive, defamatory and inaccurate questions will not be passed on to candidates.
You can email your question to: vetvote24@rcvs.org.uk
The company points to research which showed that 42% of cats and 28% of dogs have lesions which are only detectable on x-ray1.
Failing to identify teeth with root lesions can have a significant impact on patient welfare, causing ongoing pain and eventual tooth loss.
The first priority for the CVS clinical improvement project was to review how effective its first opinion small animal practices were at using radiography in dental examinations.
In July 2021, only 16.2% of dental cases had radiography performed and clinicians were mostly using visual examination to guide decision making.
The project then identified the barriers to using dental radiography as: a lack of dental radiography equipment in a practice, a lack of clinician confidence in taking and interpreting the radiographs and a belief that pet owners would not want to pay for it.
To address the first issue, CVS installed new dental radiography machines at over 104 sites, at a cost of £615,000 over the course of the year.
The company then upskilled its vets and nurses in dental radiography - looking specifically at getting good quality radiographs and interpretation.
Finally, the company conducted an audit of each participating practice’s dental radiology data, updating it each month and sharing the results with the practices..
One year on, CVS says the data shows that 43% of dental cases in project practices are now using dental radiography as part of their consultation.
In the best cases, some practices have been using radiography in 100% of cases.
Hub Clinical Lead Deborah Komianos said: “When you open a patient’s mouth and look inside, seemingly normal teeth are oftentimes not normal.
"So vets and nurses can risk missing periodontal disease.
“Dental radiology has historically been underutilised but we believe it adds valuable information to dental consultations and is an important decision-making tool.
“We’re thrilled with the early results in our practices.
"It shows there’s been a real change of mind-set and behaviour towards using X-rays in dentistry – as well as increased confidence in execution."
The 12-month surgical guarantee covers professional fees, including consultations, anaesthesia and surgery, involved in rectifying a complication as long as the patient is in good health and the post-surgery instructions have been followed appropriately.
Clinical Director, Andy Moores, an RCVS-Recognised Specialist in Small Animal Orthopaedics, said: “We can never promise that surgery will be free of complications, but we are confident in our low complication rate.
"We are offering a surgical guarantee to demonstrate this confidence and to provide our clients with the reassurance that we will help them get through any post-surgical complications.”
Andy added: “Along with our highly competitive fixed-price fees we hope this guarantee will give owners financial peace-of-mind when their pet needs orthopaedic treatment at this difficult time.
"We do not know of any other specialist orthopaedic centre in the southeast that offers better value care.”
www.mooresortho.com
For free case advice, email: advice@mooresortho.com
Presented by Andy Moores and Alex Belch, 'Plates and Screws - An Introduction' is aimed at surgeons with no prior experience of applying plates and screws, and offers seven hours of CPD.
Andy said: "If you've ever wondered if orthopaedics is for you, or you just need an introductory course to get you started, this could be the perfect opportunity.
"The course should be particularly useful for junior colleagues: the tutors are very friendly and it's great value thanks to sponsorship from Veterinary Instrumentation and the BVOA.
Tickets cost £200 (plus £40 for non-members): https://bvoa.co.uk/wp-content/uploads/2023/07/Plating-registration-form.pdf
The BVOA 60th Anniversary Conference follows from 12th-14th October at the same venue.
Titled "Back to the Future, the conference features talks by Mike Farrell, Antonio Pozzi, Stuart Carmichael and others, covering subjects such as fracture repair, joint pathology, imaging techniques and osteoarthritis.
There'll also be a chance to look round HMS Belfast, and a gala black tie dinner.
Tickets start at £250 for a single day, up to £795 for the full conference package.
In a statement given to the Veterinary Record earlier this year, the College said:
"In 2017, our commitment to equality for our LGBTQ+ employees, members of the professions and other stakeholders, was cemented when we became a Stonewall Diversity Champion, with the aim of ensuring that all people in the community are accepted, without exception, within the veterinary professions.
In subsequent years this commitment has been demonstrated by the establishment of our Diversity & Inclusion Group, for which LGBTQ+ representation is a key component and has been incorporated into both our internal and external diversity and inclusion strategies.
Focusing on our internal diversity and inclusion strategy, the insight from Stonewall and our internal LGBTQ+ group, has aimed to make the RCVS a safe space for people from the LGBTQ+ community by creating a fully inclusive workplace.
These insights have also fed into the profession-facing work of the Diversity & Inclusion Group and its strategy.
After six years as a Stonewall Diversity Champion, we have decided this year not to renew our contract with the organisation, on the basis that we feel we no longer need to work with an external organisation to continue to deliver on our commitment to equality, diversity and inclusion.
The RCVS will continue to demonstrate allyship and be a safe space for all groups within the LGBTQ+ community, as demonstrated by the fact we are creating a staff network representing RCVS colleagues from marginalised communities.
We may in future decide to work with another accredited organisation, but until the staff network is in place, no decisions have been made. For example, we have recently brought in a staff policy regarding how best to support RCVS employees who are going through the process of gender reassignment, reiterating the current legal position, how to report experiencing or witnessing transphobic discrimination, as well as advice for colleagues supporting those undergoing gender reassignment and those who have family members going through the process. We are grateful for Stonewall for working with us over the past six years and helping us, through its Workplace Equality Index, to finesse our policies and procedures in relation to LGBTQ+ rights and issues and drive forward our agenda to be a diverse and inclusive workplace and regulator."
CVS says the use of ear cytology in OE is beneficial, both as a diagnostic and to evaluate the response to therapy.
However, in 2019 the company looked at 26,269 of its patients and found that ear cytology was only being used in 19.2% of cases, in line with the rest of the profession.
Only 11% of cases were being provided with in-house point-of-care cytology, whilst 8.2% had it performed externally.
80.8% of patients with OE were being prescribed antibiotics without cytological support, with 5% of these the highest priority critically important antibiotics (HPCIAs).
This low level of cytology use in primary care was suspected to be a major contributory factor to the significant use of unnecessary antibiotics.
To support its practices, CVS first looked at the barriers to performing ear cytology interventions, which were identified as a lack of confidence in using the microscope (particularly focusing on x100 and identification of pathological events), a perceived lack of time, insufficient or poorly working equipment, a lack of access to equipment, and the perception that cytology does not change the treatment choice or outcome.
As a second step, a minimal list of cytology equipment was developed to ensure that all sites had the right kit.
New equipment was then supplied to a practice if it did not meet minimum standards.
The company then produced education and resource materials, including new guidelines, imagery and video guides, to upskill both its vets and nurses.
The training focused on: equipment maintenance, cleaning and troubleshooting, how to use the microscope – including x100 magnification and the slide oil immersion technique, how to identify pathological changes, and time management to get a consultation done – including swabbing, microscope analysis, diagnosis and client consultation.
Each site was then provided with its own data, so that it could monitor progress.
Elizabeth McLennan Green, CVS Clinical Director for the North, said: “One of our goals with this project was to minimise the number of antibiotics prescribed without associated diagnostics, and to use ear cytology to guide therapy and response to treatment for the benefit of our patients and clients.”
“We know that low ear cytology interventions are an issue across the profession. We wanted to do better. So ear cytology has been our first and longest running clinical improvement project.
"We’re thrilled with the brilliant results our colleagues are now achieving.”
There's a video presentation about the project here: https://vimeo.com/875515008/bdc3ee5920
Photo: Emily Spencer, Head Vet at Castle Vets
Felpreva is the first spot-on parasiticide for cats that covers tapeworms in addition to other endoparasites including gastrointestinal roundworms and lungworms, and ectoparasites (fleas, ticks and mites) for up to three months with a single dose.
It is licensed for treatment of cats with, or at risk from, mixed parasitic infestations/infections, including:
Matthieu Frechin, Vetoquinol CEO, said: “Marketing authorisation is a pivotal achievement for both Vetoquinol and Felpreva.
"It is a breakthrough treatment with convenience and simplicity of use combined with long-lasting efficacy.
"We believe that Felpreva will be a real game changer for this area of veterinary medicine, demonstrating our commitment to the parasiticide market.”
It is anticipated that Felpreva will be available in Europe early in 2022.
The company hired Onswitch to call 700 veterinary practices and ask about kennel cough. 43% of callers were told it was up to them whether their dog had a vaccine for CIRD, with no clear recommendation in over 50% of calls.
MSD says that there was very little detailed information given about CIRD or kennel cough or vaccinations, with nothing at all mentioned in 18% of calls.
Whilst 18% of calls mentioned that dogs can contract kennel cough mixing with other dogs, 9% were told that their dog would only need the vaccination if it was going into kennels!
According to the company, vaccination for Bordetella bronchiseptica and canine parainfluenza virus has declined dramatically during lockdown, with over 350,000 less doses being bought in 2020 vs 2019 April - December1, however the risks are still prevalent, because dogs are still mixing.
Michelle Townley, Veterinary Advisor for the Companion Animal team at MSD Animal Health said: "CIRD, more commonly known as kennel cough, is often mistakenly believed to be only a disease of kennels. The reality is that respiratory pathogens are most commonly transmitted between dogs that mix or share the same air space. This results in risk anywhere where dogs are being social, including parks, groomers and vet practices. Due to this confusion, we recommend referring to the disease with pet owners as contagious canine cough."
She added: "This data reveals a significant amount of confusion in the advice veterinary practices give to dog owners in relation to protection against CIRD,or contagious canine cough. Practice team members have often received no formal training on what to tell dog owners and how to discuss CIRD, so messages vary widely and are not always correct. This data reveals that there is a great opportunity for practices to proactively discuss contagious canine cough as a standard component of the annual vaccination programme and ensure more dogs that socialise with other dogs and are at risk get the protection they need."
For more information on the Nobivac vaccine range, vaccine protocols and product and team training, contact your MSD Account Manager or visit www.nobivacrespirabb.co.uk.
The new facility will have 9 consultation rooms and 4 theatres, and is expected to open in early 2022.
It will be Animal Trust’s 10th veterinary hospital – with existing locations in Wrexham, Yorkshire and North England.
Animal Trust now employs more than 300 vets and veterinary care staff.
A further 15 jobs will be created in Rhyl when the new hospital opens.
Owen said: “Our ethos has always been that every animal deserves access to experienced and professional veterinary care as soon as they become ill.
"That’s why we offer free consultations for sick and injured animals brought to our surgeries.
"Our clients are from all walks of life and they come to us because of what we stand for and in some cases, for the prices we offer.
“As a CIC, we try and make sure that a comprehensive veterinary service is within reach of as many pet owners as possible.
"We build large veterinary hospitals that will serve the needs of the local pet-owning community and make a positive impact on their lives.
"Our new surgery will allow us to extend our services to the residents of the North Wales coastline, many of whom currently have to travel to one of our other existing surgeries.”
Funding for Animal Trust was provided by the £500 million Wales Flexible Investment Fund.
The internet has brought major changes to the way that people behave towards and communicate with veterinary professionals (and indeed, each other).
The growth in freely available medical information online has, to some degree, devalued the qualification, because it has made every Tom, Dick or Harry think they an expert in everything.
The change towards communicating more via the (often hastily) written word than speech has also brought many challenges.
The written word, devoid of human expression, is often stark and uncompromising. It leaves everything to the reader's imagination. It polarises. It inflames.
Combine all this with the ability now for anyone to vent their spleen in front of a big audience on Facebook, and you have a recipe for an increasingly unhealthy relationship between owners and their vets, one in which many vets report living with a grumbling fear of being ripped apart online, and as a result practice increasingly defensive medicine.
VETS FOR VETS has been set up so that veterinary surgeons can have a safe place away from other social media to give each other comfort and practical advice when faced with these kinds of difficult situations.
Alasdair Hotston Moore, Clinical Editor of VetSurgeon.org, said: "I'm so pleased we've come up with this group.
"I've seen the effect destructive criticism has on vets, regardless of their age or experience level.
"We can help each other with this problem in several ways. Sometimes simply sharing a problem is enough, but we can also exchange experiences, provide factual information to counter misinformation and gather around to ensure colleagues are not alone."
VetSurgeon.org will also be adding further support to help veterinary surgeons navigate the challenges thrown up by societal changes, including further research into the subject and work to promote greater understanding of vets by the public.
The new group is only open to practising and recently retired veterinary surgeons (many of whom will have seen it all before, and have useful advice to share).
To join the group, visit: https://www.vetsurgeon.org/associations/vets-for-vets/.
The new ingredients include pomegranate, which Virbac says helps clean and control dental plaque1,2,3, Inulin to balance intestinal microflora and reduce foul smelling intestinal gas emissions4,5, and Erythritol to freshen breath with a cooling and anti-plaque effect6,7.
Dan Johnson, Product Manager at Virbac, said: "Bad breath is a common complaint by pet owners8, but some pets do not accept any brushing, especially cats, so Vet Aquadent FR3SH is an easy way to help control bad breath and plaque at home
"The benefit of water additives as part of passive homecare is already recognised by the WSAVA Dental Guidelines, meaning Vet Aquadent FR3SH plays a trusted and proven role in any proactive dental care routine".
For information, contact your Virbac Territory Manager.
The webinar, which takes place on Thursday 30th June at 7.30pm, is being presented by Debbie Boone, billed as one of America’s most prominent and experienced veterinary communications consultants.
Gerrard Harkins, Premier Vet Alliance’s Commercial Director said: “Many people struggle with managing challenging behaviour and confrontation in the workplace and Debbie will be focusing on providing delegates with pragmatic advice and skills to put into practice.
"She is one of the veterinary industry’s most prominent and successful communicators so we’re extremely fortunate to be able to access her advice.
“We’re also looking forward to gaining a US perspective on this important subject.”
To register for the webinar, visit: https://tinyl.io/5aIk
Policyholders will get unlimited access to Joii Pet Care’s video consultations with UK veterinary surgeons, which usually cost £24 per call.
Pet owners with Asda Money pet insurance will also be able to access Joii Pet Care’s symptom checker, which is designed to help pet owners pinpoint issues from their home.
Paul Hallett, co-founder of Vet-AI, said: “We’re delighted to announce this major partnership, which completely opens up access to professional vet care for thousands of pet parents who will benefit hugely from accessing regular, preventative veterinary care from the comfort of their homes.
“Many pet owners are now facing high vet bills and difficulties accessing in-practice veterinary care.
"Both Markerstudy Broking and Asda Money share our commitment to put animal welfare first, and collectively we’ll ensure more owners have easily accessible choice to receive the very best care for their pets.”