RCVS Knowledge has launched a new initiative to support the veterinary sector in delivering contextualised care.

The initiative seeks to understand the barriers and enablers to delivering contextualised care in companion animal practices, and to set out what contextualised care looks like when done well.

As part of the initiative, RCVS Knowledge is gathering perspectives from across the veterinary community and from pet owners to design a roadmap for the profession.

The work started last week at the National Forum for Contextualised Care in London, which brought together more than 60 people from across the veterinary sector, including leaders from veterinary associations, veterinary educators, students, practice staff, veterinary charities and rescues, pet insurers, regulators, representatives from corporate and independent practices and animal owners.

RCVS Knowledge will now be working with an independent research partner to conduct focus groups, surveys and interviews to gather a representative range of views from across the sector and pet owners.

The work will culminate in a summit in the summer that will use the findings of the research to design recommendations on:

• How veterinary professionals’ and pet owners’ perspectives and circumstances can be better brought together in reaching decisions about the most appropriate care for the individual animal.
• The barriers and enablers to implementing contextualised care in practice. 
• What needs to be done, and by whom, to support veterinary teams to deliver contextualised care and shared decision-making as part of good-quality veterinary care.

Sally Everitt, Clinical Lead – Evidence at RCVS Knowledge said: “Contextualised care is the way of delivering veterinary care that acknowledges that there are different ways to approach the diagnosis and treatment of an animal, depending on the circumstances of the individual animal and their caregivers and the context in which the care is delivered.

"The term has been used increasingly over the past year, and is now the subject of much debate, alongside other aligned terms such as ‘spectrum of care’ and ‘pragmatic medicine’.

"However, we need to better understand what constitutes good-quality contextualised care, and the barriers and enablers to its delivery in practice.”

Katie Mantell, Chief Executive of RCVS Knowledge, said: “As an independent charity with a mission to advance the quality of veterinary care, we believe RCVS Knowledge is well-placed to bring together all parts of the veterinary community to seek consensus on what good-quality contextualised care looks like and how it can be delivered in practice.

"Our aim is to take a collaborative, robust approach to co-producing a roadmap for contextualised care that will support its widespread delivery for the benefit of animals, the veterinary professions and animal owners.”

To be updated about the progress of this work, and to hear about opportunities to take part in the focus groups, interviews and surveys to follow, sign up to receive RCVS Knowledge’s monthly email newsletter intheKNOW.

Virbac has produced a support pack to help practices promote National Microchipping Month in June.

The company says that this year, its focus is on communicating the benefits of microchipping cats, which can roam significant distances from the home. The support pack, which reflects this focus, contains resources that can be used both in the practice waiting room and online.

In addition, the company is running a competition exclusively for cat owners: any that get their animal microchipped with the 8mm BackHome MiniChip in June can enter a prize draw to win a GPS tracker for their collar to help them find out just how far their cat can roam.

Dr Sarah Dixon MRCVS, BackHome Product Manager, said: "There is no legal requirement for cats to be microchipped but the benefits are clear. We looked at a recent study which showed that, in a 24 hour period, cats ranged on average 2 hectares with an average maximum of 7 hectares – or about 10 football pitches.¹ One cat roamed nearly 34 hectares! The competition should reinforce the message about why microchipping is beneficial to all pets.

"Whilst compulsory microchipping for dogs has been in place for a year, practices must continue to highlight to owners the advantages of getting their pets microchipped. To enable practices to engage with their clients, and to reward the hard work done by staff in practices to make these campaigns a success, we are hosting a competition for the best displays. Prizes include a 32-inch TV for waiting rooms to the winner and luxury chocolates to the runners up."

Reference

1. Thomas, R.L., Baker, P.J. & Fellowes, M.D.E. (2014). Ranging characteristics of the domestic cat (Felis catus) in an urban environment, Urban Ecosystem, 17, p911-921.

Public Health England has released figures showing that the number of people testing positive for Lyme disease was up over 30% in the period July to September 2015, from 300 lab confirmed cases to 421.

The figures are being highlighted by MSD Animal Health, organisers of the Bravecto 'Big Tick Project', a campaign to raise awareness of tick-borne disease amongst vets and pet owners.

The TV presenter and naturalist Chris Packham said: "The rise in the number of confirmed cases of Lyme disease in the UK reported by Public Health England suggests the need for greater awareness of this damaging illness. Vets have a huge part to play in educating pet owners.

"As well as highlighting the risks that ticks present to both human and companion animal health we need to be more alert to the signs and symptoms of tick-borne disease and the sensible steps we can all take to protect ourselves and our animals.”

Professor Richard Wall who has led Bristol University’s Big Tick Project team said: "Given the reported increase in cases of Lyme disease, the results of the Big Tick Project study will help us to understand these changes both in terms of the longer seasonal activity of ticks and their increasingly widespread geographic location and could have important implications for both human and animal health by quantifying the diversity and prevalence of the pathogens they may be carrying."

According to the NHS around 2,000 to 3,000 people in the UK are affected by Lyme Disease each year but charities campaigning for greater awareness of the disease suggest this could be as many as 15,000.

Growing concern over the rise in the tick-borne infection has prompted Government ministers to set up a network of regional experts to help diagnose and treat the problem.

Last autumn, Health Minister Lord Prior told a House of Lords debate: "Some patients suffer debilitating illness with symptoms that persist after treatment for several months or longer."

Lord Prior revealed that the Department of Health is to set up a network of experts around the country to support GPs and hospital staff, most of whom have never seen cases of the disease. The increase in the disease is being blamed on rising numbers of tick populations which are active for longer due to climate change, a rise in numbers of wild mammals such as deer that host them.

The clinical signs of Lyme disease in dogs include recurrent lameness due to inflammation of the joints. Sometimes the lameness lasts for only three to four days either in the same leg or in other legs and the joints may be swollen, warm, and painful. In some cases, kidney failure may occur and the dog may exhibit such signs as vomiting, diarrhoea, lack of appetite, weight loss, increased urination and thirst.

Hill's has launched 'Lose 60 Tonnes in 6 months', a campaign to help clients get their pet to a healthy weight. 

Sixty tonnes is equivalent to the weight of twelve elephants, which is a huge target. Hill's says that if every practice makes a small contribution, it can be achieved.

Hill's support includes a public relations pack which the company says contains everything veterinary surgeons and nurses need to help raise awareness and encourage pet owners to bring their pets in for a weight assessment. The pack includes proforma press releases and guidance on how to cultivate a mutually beneficial relationship with local media. There is also a 'Lose 60 tonnes in 6 months' point of sale kit that includes a poster, stickers and a noticeboard kit for clinics, to drive awareness while clients wait for consults.

As part of the campaign, Hill's is also hosting a series of nurse webinars on weight management and offering additional support material such as consult room posters, weight clinic packs and pet tape measures, an item often requested by nurses. There are also promotional offers available through Hill's Territory Managers, subject to stock availability.

Hill's Customer Marketing Manager, Sara Locke MRCVS said: "We feel it is important to support practices at the grass-roots level and to develop a campaign that will have real meaning within the local community. I hope practices will get behind it, engage with pet owners and as a result, gain new clients. They are also helping thousands of pets live longer and happier lives."

Further information is available from local Hill's Territory Managers or by calling Hill's on 0800 242438 or in ROI 1 800 626002.

Hill's Pet Nutrition has announced that Canine i/d™ is now available again from wholesalers.

The company says that Canine i/d has been reformulated to improve texture quality, while still retaining the nutritional profile that makes i/d ideal for dogs with digestive problems and as a post-surgery recovery diet.

Hill’s Prescription Diet Canine i/d Recovery Packs are back early March; Hill's recommends use of regular i/d in the interim.

For more information, speak to your Territory Manager, or ring Hill’s Customer Services on: 0800 282438 (UK), or: 1 800 626002 (IRL)

Zoetis has announced a further delay in the supply of Equip Artervac in the UK, due to a manufacturing issue.

The company now expects the vaccine will not be available until June 2025.

The company apologised for the  disruption and inconvenience and says it will provide more information as soon as it becomes available.

For further information contact your Zoetis Account Manager or call Head Office on 0345 300 8034.

The Royal Veterinary College celebrated its 225^th birthday last weekend.

The RVC is the oldest veterinary school in the English-speaking world, and the creation of the College in 1791 marked the establishment of the veterinary profession in Britain.

To mark its 225 years and celebrate the heritage of veterinary and scientific education, the RVC invited alumni back to attend a programme of events, including a gala dinner on Saturday and an Open Day and Campus Tour on Sunday.  

Sunday’s activities included displays focusing on the history of the RVC, talks, a film screening and an ethical debate. The ethical debate related to the balance between business and welfare in all aspects of veterinary work. There were events for staff at both the Camden and Hertfordshire campuses on the Friday to mark the College’s birthday. 

RVC Principal Stuart Reid said: "It is a great honour to lead the RVC, which has achieved so much over the centuries, within this era of so many exciting breakthroughs. The College has always looked beyond the horizon to make advancements in science and practice, for the benefit of patients and communities globally, yet it is crucial to also recognise the essential contributions of those who have gone before. The early pioneers and those who followed them played essential roles in the evolution of both veterinary and human medicine and the advancement of science.

"As we celebrate 225 years as a world-leading institution, we honour all who have worked and studied here through the centuries. Our current advances in knowledge are built on the efforts of all who have been part of the RVC through the centuries. By acknowledging this heritage, we also reflect on how efforts being made today by researchers, practitioners and students have long-term implications for animal health and welfare globally."

The organisers of the Vet Charity Challenge have announced that the 2015 fundraising and teambuilding event for the profession will take place on Saturday 26th September at Cannock Chase in Staffordshire.

The event consists of teams of four walking/running, cycling and kayaking as well as some orienteering and mental and physical tasks. The day is designed for every level of fitness and to reward those that work the best together as a team.

So far the Vet Charity Challenge has raised over £100,000 for animal based charities. In 2015 the charities being supported are Canine Partners, SPANA and International Cat Care.

Registration for the event opens online at the start of April. Organisers say that spaces are limited and last year filled up very fast, so to avoid disappointment it is highly recommended to book early.

This year there will be discounted entry fees for students teams.

Gavin Mitchell from BCF Technology said: “We were delighted at the success of the Vet Charity Challenge so far. Last year we had 50 teams taking part and raised a serious amount of cash for three very deserving charities. We hope to top this in 2015, making the event even bigger and better than last year.” 

Dechra Veterinary Products has joined the challenge as a new sponsor this year. Larry King, Dechra Marketing Manager said: “Having entered a team into the Vet Charity Challenge in previous years, we are delighted to become sponsors of the challenge in 2015. The Vet Charity Challenge helps raise a significant amount of money for worthwhile causes at home and abroad and we look forward to being part of such a well organised event. This year we will be entering teams into the challenge again and we hope that colleagues from across the veterinary industry join us for what is sure to be a fun-packed weekend. We are proud to be 2015 sponsors.”

In addition to BCF and Dechra, the event is also sponsored by Kruuse, the VPMA, Mojo Consultancy and Veterinary Practice magazine.

For more information visit www.vetcharitychallenge.co.uk or: https://www.facebook.com/vetcharitychallenge.

New research published in Epidemiology and Infection (Cambridge University Press) reveals that direct contact between badgers and cattle is rare, suggesting that it may be rare for bovine tuberculosis (TB) to be passed on through the two species meeting each other on pasture.

For the research, which was conducted by the Royal Veterinary College and the Food and Environment Research Agency, researchers investigated direct and indirect interactions between badgers and cattle by fitting automated high-tech proximity loggers to animals and placing base stations at badger latrines located on pasture, in an area of south-west England with a high-density badger population, over a period of 12-months.

Direct interactions (within 1.4 metres) between badgers and cows at pasture were very rare, with only four out of over 500,000 animal-to-animal contacts recorded between the two species.

Indirect interactions (visits to badger latrines) were far more frequent than direct contacts, with 400 visits by badgers and 1700 visits by cattle recorded. This suggests that indirect contacts might be more important than direct in terms of disease transmission at pasture.

During the study half of the badgers tested positive for TB, however the infection status of individual badgers did not affect the frequency or duration of their visits to latrines located on pasture grazed by cattle.

Bovine tuberculosis  caused by infection with Mycobacterium bovis is endemic in cattle in parts of England and Wales and its control is hindered by the presence of infection in the European badger. While M. bovis is clearly transmitted between cattle and badgers, it is has not previously been known where, when or how often transmission occurs.

Dr Julian Drewe from the Royal Veterinary College who led the study, said: "Our findings reveal that direct contacts between badgers and cattle at pasture are surprisingly rare, despite ample opportunity for interactions to occur, suggesting that the two species may be ignoring or even actively avoiding one another. The study was conducted in an area with a high badger population, so it is likely that such direct contact will be even less frequent in areas of the country where there are fewer badgers.

"Indirect visits by both species to badger latrines were significantly more common than direct contacts between badgers and cattle, which suggests that these represent the more typical nature of interspecies contact. Future research aiming to quantify TB risk to cattle from badgers might be best to focus on indirect contacts occurring at latrines and on contacts occurring away from pasture, for example in farm buildings.

"This clearly has disease management implications, and more work is now needed in this area to look at how such contact can be limited, to reduce the number of cases of bovine TB in the future."

Research carried out by the Kennel Club to coincide with the start of Open for Dogs Week has found that 40% of British people think dogs are a happy alternative to having children.

One reason for this is perhaps because 25% of respondents said that a dog would fit more easily with their lifestyle than a child. Or maybe it's partly because 25% said that whilst their children always come first, they prefer to do things with their dog.

In addition, 80% said their dog is attentive and loving when out and about, compared to only 50% who said the same is true of their other half.

However, despite the central place that dogs hold in their owners' hearts, the Kennel Club says many people experience difficulty taking their dogs out and about, particularly to restaurants. In the survey, 40% said that they have problems finding a place where their dog is welcome while they eat, and almost 50% said that they'd like to see a wider variety of restaurants open their doors to dogs.

Caroline Kisko, Kennel Club Secretary, said: "This research proves what a well loved member of the family a dog is. Given how much we love spending time with our dogs, it is surprising that there are still so many businesses that refuse to allow dogs in their premises, but there is a real appetite for this to change.

"The Kennel Club's Open for Dogs website lists more than 26,000 places throughout the UK and Europe that allow dogs inside, which makes it easier for dog owners to plan days out and holidays without having to leave their dogs behind.

"During Open for Dogs Week we are asking businesses, whether it is a restaurant, hotel, pub, shop or office, to trial a dog friendly policy. There are more than eight million dogs in the UK, so those that get involved will be appealing to a massive customer base, which can only be a good thing in tough economic times."

The Kennel Club's Open for Dogs Week runs from 20-26 August 2012 and businesses and public places are encouraged to adopt a dog friendly policy for well behaved dogs.

To nominate your favourite dog friendly venue or town for the Kennel Club's Open for Dogs Awards, visit www.openfordogs.org.uk. The deadline for nominations is 31^st August.

International Cat Care has launched the Cat Behavioural Health Programme, an online behaviour course to help veterinary professionals champion cat wellbeing.

Written by 16 internationally renowned cat welfare experts and endorsed by the European Society of Veterinary Clinical Ethology (ESVCE), the programme is the start of a journey to becoming an iCatCare Behavioural Health Practitioner and replaces the Advanced Feline Behaviour for Veterinary and Cat Professionals courses.

The modular course is designed to fit into a busy schedule and includes up-to-date cat welfare science (including areas of behaviour, cognition, emotions, human-animal interactions and genetics)

On completing each module, participants will earn certificates which build up to the Level 1 Cat Behavioural Health Practitioner, which comprises four learning modules and a final project module.

Planning is currently underway for Level 2, which will build on the skills acquired in Level 1 with a focus on people-centric skills, such as communication, professionalism and ethics, and will include practical case studies.  

International Cat Care says the programme will also help those interested in becoming an ABTC Animal Behaviour Technician, because it covers some of the knowledge and understanding requirements.  

Sarah Ellis, Head of Cat Mental Wellbeing and Behaviour at iCatCare and course director said: "Across the world are cats that are misunderstood due to a lack of caregiver understanding of their behaviour.

"Sadly, this can lead to inappropriate husbandry and interactions, which can, in turn, lead to problem behaviours.

"Preventative advice and early recognition of problem behaviours are both key to improving cat welfare.

"This programme allows anyone who works with cats, either directly or in a remote advisory role, to gain the knowledge and understanding required to help promote cat behavioural health.’   

https://go.icatcare.org/catbehealth 

Dechra has launched new Specific Heart & Kidney Support Hydrolysed dry diets and updated its Specific Heart & Kidney Support wet and dry diets, giving veterinary teams another diet option for dogs and cats with kidney disease.

The new hydrolysed diet contains hydrolysed proteins, AuraGuard, fibres and Zeolite.

Dechra says the new formula featured in both diets offers superior palatability and works in a multi-action way with support of the gut-kidney axis to help optimise protein absorption and maintenance of muscle mass, gut barrier integrity and a healthy microbiome, while lowering uremic toxins in the blood.

The company says both diets control levels of protein, phosphorus and sodium and offer high levels of the Omega-3 fatty acids EPA and DHA.

Becky Morris, marketing manager at Dechra, said: "Chronic kidney disease is a lifelong progressive disease in dogs and cats, and nutrition is an important part of management to help slow disease progression, improve quality of life and reduce the risk of secondary complications.

"Our new and updated highly palatable Specific Heart & Kidney Support diets will help keep dogs and cats in good condition, prolonging the progression of the disease and the lifespan of the pet."

https://www.specific-diets.co.uk