The RCVS has launched a consultation about Schedule 3 of the Veterinary Surgeons Act, which defines what acts of veterinary surgery can be performed by veterinary nurses.

For veterinary nurses, Schedule 3 is arguably one of the most important aspects of the Veterinary Surgeons Act, partly defining what it means to be a nurse, and defining what tasks veterinary surgeons can reasonably delegate. 

Thus far, however, Schedule 3 has only been loosely defined, allowing for veterinary nurses to (under the direction of their veterinary surgeon employer) 'give medical treatment or carry out acts of minor surgery, not involving entry into a body cavity'.

There is evidence from the RCVS/BVNA VN Futures project that uncertainty about what this definition actually means in practice has stopped veterinary surgeons from delegating tasks which could both improve practice efficiency and make the role of the veterinary nurse more interesting, varied and rewarding. 

The consultation - and the broader review of Schedule 3 of which it forms a part - aims to create a 'clarified and bolstered VN role via a reformed Schedule 3'.

Liz Cox, Chair of both the Schedule 3 Working Party and VN Council, said: "The future of veterinary nursing is both challenging and exciting, with the convergence of such factors as Brexit, the development of new technologies, and the increasing specialisation of veterinary surgeons, and we would very much like to know how you think the role of veterinary nurse will evolve.

"In light of this we very much encourage all veterinary nurses and veterinary surgeons to complete this consultation. Evidence gathered during the initial stage of the VN Futures project suggested that there is some uncertainty around the interpretation of Schedule 3 in clinical practice. For example, many veterinary nurses do not undertake Schedule 3 work or are uncertain as to whether they do, while some veterinary surgeons are reluctant to delegate Schedule 3 tasks to veterinary nurses.

"With this survey we hope to get a better steer on how Schedule 3 is used and interpreted in practice on a day-to-day basis and gather views on where both veterinary surgeons and veterinary nurses feel the current legislation could be clarified. Furthermore, we also want to know if there are areas of practice that are currently prohibited to nurses under current Schedule 3 arrangements that the professions believe could be opened up to veterinary nurses as a means of bolstering the profession."

Liz Cox and David Catlow MRCVS, Chair of the Standards Committee, will also be presenting a webinar on Thursday 11 May from 1pm to 2pm titled ‘The Art of Delegation – Schedule 3 Consultation’. It will focus on Schedule 3 and the role of the veterinary nurse, and explore possible areas to consider when responding to the consultation. To subscribe to the webinar, please visit The Webinar Vet’s website: www.thewebinarvet.com/webinar/art-delegation-schedule-3-consultation/

All eligible veterinary nurses and veterinary surgeons have been emailed with a link to survey.

Further information about the VN Futures project can be found at www.vetfutures.org.uk/vnfutures

Ceva Animal Health has launched Feliway Friends, a new pheromone to help reduce tensions and conflicts in households with more than one cat.

The company highlights a 2014 survey which found that 44% of cat owning households have more than one cat, with nearly a third of those questioned stating that they had experienced fighting and aggression between pets in the household¹.

Feliway Friends is a synthetic copy of the cat appeasing pheromone (CAP) naturally produced by nursing queens to support their kittens after birth. The company says this pheromone helps cats feel safe and secure, and maintains a harmonious bond between them.

Ceva says Feliway Friends is clinically proven to significantly decrease the intensity and frequency of signs of tension in households with more than one cat. According to another study, 84% of cat owners believed there was a significant improvement in how their cats got on after using the product². 

Feliway Friends and Feliway Classic can be used at the same time if the owner is experiencing conflicts alongside other stress-related behaviour problems such as urine marking, scratch marking and general anxiety.

Available as a 30-day diffuser and refill, Feliway Friends lasts for up to 30 days and covers an area of up to 70m².  

Claire Russell, Feliway product manager at Ceva Animal Health, said: "Inter-cat aggression is a major problem in multi-cat households, with many cats experiencing stress in the home due to sharing resources. Feliway Friends is a great support to encourage harmony in multi-cat homes. By introducing the cat appeasing pheromone and educating owners on resource management and how to create a cat friendly home, we can significantly improve feline relationships in our UK multi-cat homes.’’ 

Ceva Animal Health has launched a range of marketing materials to support the launch of the new product, including an eight-page pet owner leaflet and poster. Practices can also request an online toolkit which includes: images, website content, social media assets and articles to help educate clients facing aggression between household cats. 

For information on FELIWAY visit www.feliway.com/uk. 

References

1. Feliway brand equity research, Burke 2014
2. De Porter et al. (2014) Evaluation of the efficacy of a new pheromone product versus placebo in the management of feline aggression in multi-cat households. Proceedings of the ACVB/AVSAB Veterinary Behavior Symposium pp17-18

Vets4Pets has launched Project Listen, a survey to find out what challenges, motivations and experiences veterinary surgeons face every day, and what the company might to do lead positive change in the sector. 

The findings will be published in a freely-available and independently-authored report.

Jane Balmain, Chief Operating Officer at Vets4Pets (pictured right), said: “The last 18 months have been indescribably tough for everyone, not least the veterinary practice teams. Soaring levels of pet ownership coupled with recruitment challenges have meant that an already-stretched profession has been almost brought to its knees.

"As a profession, you’ve always put pets first. But now it’s time to also concentrate on you - the vets, nurses and support teams that make up our beloved sector. We want to hear how you’re feeling and give you the power to help us make change.

“By launching this sector-wide survey, we’re kick-starting a vital conversation to protect the wellbeing of vet teams and the future of the profession. We believe that, by sharing experiences openly and honestly from all corners of the sector, we can come together to bring about the much-needed changes to ensure it remains an attractive, long-term career option.”

The survey, which runs until 16th November 2021, can be completed at www.projectlisten.co.uk. Respondents will remain anonymous and no data will be collected via the survey.

The RCVS Disciplinary Committee has directed that the name of a veterinary surgeon who formerly practised in Norwich should be removed from the Register, having found him unfit to practise veterinary surgery following his Crown Court conviction for fraud.

During the one-day hearing, the Disciplinary Committee heard how Francisco da Cruz had abused his position whilst practising as a veterinary surgeon at Hellesdon Vets, his then workplace in Norwich, by defrauding a insurance companies of around £10,000 with fictitious claims for veterinary treatment on non-existent pets.

Following an investigation by the City of London Police's Insurance Fraud Enforcement Department (IFED), Mr da Cruz was convicted on five counts of fraud by false representation on 21 February 2013 at the Old Bailey in London, and later sentenced to eight months' imprisonment (suspended for two years) and 200 hours of unpaid community work; he was also ordered to pay just over £10,000 in compensation and costs.

Although Mr da Cruz had left the UK for Brazil shortly after his sentencing and was therefore not present at the hearing, the Committee was satisfied that he was deliberately evading the disciplinary proceedings, rather than being genuinely unable to participate in them, and so the hearing proceeded in his absence.

First accepting the copy certificate of conviction against Mr da Cruz as true, the Committee then had no hesitation in concluding that these convictions rendered him unfit to practise as a member of the veterinary profession. It found that the five counts of fraud were deliberate crimes of dishonesty, committed over a significant period of time and for significant financial gain. He had abused his position as a veterinary surgeon and abused the trust which the insurers placed in him as a professional.

Chairing and speaking on behalf of the Committee, Professor Peter Lees, said: "The Committee has no real confidence that there is no significant risk of repeat behaviour from the Respondent. His conduct subsequent to the criminal proceedings gives it no confidence that he has reformed himself to the extent that he will in the foreseeable future be fit to return to practice. So far from satisfactorily completing his criminal sentence, it appears that the Respondent has deliberately gone abroad to avoid doing so."

Bearing in mind that the purpose of any sanction it imposed was not to punish Mr da Cruz, but to maintain public confidence in the profession and uphold proper standards of conduct within it, the Committee concluded that the convictions were too serious to allow any sanction other than removal from the Register.

The full details of the Committee's decisions are available on the RCVS website (www.rcvs.org.uk/disciplinary).

Docsinnovent Ltd has launched what it says is the first ever commercial range of veterinary-species-specific, supraglottic airway devices.

Nicki Glen, Marketing Manager at Docsinnovent said: "v-gel is a truly unique, supraglottic airway management device that represents the culmination of years of extensive research and development. It has exceptional provenance from the human equivalent "i gel" having been used in hospitals around the world for the past 5 years.

"Made from a medical grade elastomer material, the v-gel has been designed to create an anatomical high quality pressure seal around the laryngeal structures whilst avoiding compression trauma."

Initially for rabbits and cats, and subsequently for dogs and horses, each species will have six colour coded sizes supplied in a protective cradle that also helps manage the sterilisation process.

According to the company, the benefits of the v-gel system are:

• The v-gel offers the anaesthetist a new method of airway management which reduces the potential of upper airway trauma and improves patient comfort post operatively.
• The unique, soft gel like material and anatomically mirrored design aids easy insertion and provides a high quality pressure seal whilst reducing trauma risk.
• The design minimises rotation and allows the v-gel to self position during insertion, over the airway.
• Each individual unit facilitates high quality autoclave sterilisation to ensure that there is no risk of cross infection.
• The device has a larger than normal airway channel to reduce airway resistance when compared with endotracheal tubes.

For more information, visit stand 609 at BSAVA Congress or, from 12th April, www.docsinnovent.com.

In addition, there is a clinical research abstract being presented at BSAVA Congress:

Title: Use of a novel Supraglottic airway device to maintain gaseous anaesthesia in rabbits (Oryctolagus cuniculus). Presented and researched by Kevin Eatwell BVSc (Hons) DZooMed (Reptilian) Dip ECZM               (Herp) MRCVS
Venue: In the Crompton Room, Austin Court under the EXOTICS stream
Time: Thursday 12th April at 12:20pm

The British Equine Veterinary Association has announced the launch of a coaching scheme which will pair new grads with experienced equine vet coaches for career support.

As part of the programme, BEVA is giving the coaches workshops, discussion forums and online toolkits to develop their mentoring skills. Having been trained by a specialist mentoring professional, the coaches are then paired with recent graduates to give them guidance and support during the foundation years of their careers.

The project, called 'Leg Up', has been driven by BEVA President Renate Weller, and is being trialled over the next 12 months before being rolled out more widely.

Renate said: "All professionals, but especially new graduates need support in navigating their journey through their chosen career.

"With the veterinary industry’s rapidly changing landscape and rising concern around wellbeing, consistent support and guidance have never been more relevant."

Coaching is open to BEVA concessionary members who have graduated within the past three years. They will be able to self-select a preferred coach on a first come, first served basis from the Leg Up section of the BEVA website.

Renated added: "To date access to targeted careers support has most often depended on where you work and who you know. We hope the scheme will encourage and support those entering the profession, giving them the opportunity to discuss their training, development, career progression and self-care with trained professionals who were once in their shoes."

To find out more and to sign up for the Leg Up programme visit https://www.beva.org.uk/Careers/Leg-Up

Louise Clark, Head of Anaesthesia at Davies Veterinary Specialists has put together seven top anaesthesia tips for colleagues in general practice.

Louise is an RCVS and EBVS European Specialist in Veterinary Anaesthesia and Analgesia, and a Past President of the Pain Medicine Section Council at the Royal Society of Medicine. She has also been an invited examiner on the European Diploma examination and a Treasurer of the Association of Veterinary Anaesthetists. She has headed the anaesthesia team at Davies since 2007.

Her tips are:

• Be aware of the multiple mechanisms that contribute to chronic pain – this is key to understanding the likely benefit of any pharmacological approach. 
• With ongoing chronic pain, it is unusual for a single medication to result in satisfactory pain relief in a unimodal, stand-alone fashion. 
• Combination pharmacologic treatment is an important aspect of multimodal chronic pain management. 
• A key component of treating pain with medications is finding the balance between effective treatment and acceptable side effects. “Effective treatment” is difficult to define because it will almost never mean a complete remission of pain. 
• Human chronic pain trials suggest that a reduction of pain by 30% is clinically meaningful, because it is at this this level that patient ratings demonstrate “much improved” pain. This returns us as veterinary surgeons to the complex issue of pain assessment. 
• A rational approach is to consider the mechanisms and assess potential targets that might respond to available analgesics; in the periphery, at the level of the spinal cord and within the brain/descending inhibitory pathways.  
• Appreciate the “type” of pain you are treating, the wrong " fire extinguisher" will expose the patient to the potential drug side effects without necessarily positively impacting the patient`s pain.

Bayer Animal Health has announced the launch of Ceffect (cefquinome), for the treatment of bacterial infections in cattle and pigs caused by Gram-positive and Gram-negative micro-organisms sensitive to cefquinome.

Ceffect is available as a 25mg/ml suspension for injection of cattle and pigs, and as Ceffect LC, a 75mg intramammary ointment for lactating cows.

In cattle, Ceffect 25mg/ml suspension for injection is licensed for the treatment of respiratory disease caused by Pasteurella multocida and Mannheimia haemolytica, and also for the treatment of digital dermatitis, infectious bulbar necrosis, acute interdigital necrobacillosis, and acute E.coli mastitis with signs of systemic involvement.

In calves, Ceffect 25mg/ml suspension for injection is licensed for the treatment of E.coli septicaemia

In pigs, Ceffect 25mg/ml suspension for injection targets cefquinome-sensitive organisms including Pasteurella multocida, Haemophilus parasuis, Actinobacillus pleuropneumoniae  and Streptococcus suis which can cause bacterial infections of the lungs and respiratory tract. It is also licensed for the treatment of Mastitis-Metritis-Agalactia syndrome (MMA) with involvement of E.coli, Staphylococcus spp., Streptococcus spp. and other cefquinome-sensitive organisms.

In piglets, Ceffect 25mg/ml suspension is licensed for the reduction of mortality in cases of meningitis caused by Streptococcus suis. For the treatment of arthritis caused by Streptococcus spp., E. coli and other cefquinome-sensitive organisms, and epidermitis (mild or moderate lesions) caused by Staphylococcus hyicus.

Ceffect LC, 75mg intramammary ointment for lactating cows also contains cefquinome and comes in individual 8g prefilled syringes for treatment of clinical mastitis caused by Streptococcus uberis, Streptococcus dysgalactiae, Staphylococcus aureus and E. coli, in lactating dairy cows.

For further product information, visit www.noahcompendium.co.uk or contact your local Bayer territory manager.

Rabbit Awareness Week (RAW) has published a three-part webinar series to give veterinary surgeons and nurses the latest advice on diet, neutering, sudden death and infectious diseases in rabbits.

Burgess Pet Care, which organises the event, is encouraging vets and nurses to watch the webinars to ensure they’re aware of the key information concerning this year’s Rabbit Awareness Week, Protect and Prevent campaign, taking place from the 1st to the 9th June.

The webinars are hosted by Dr Richard Saunders BSc (Hons) BVSc FRSB CBiol DZooMed (Mammalian) DipECZM(ZHM) MRCVS, veterinary adviser to the Rabbit Welfare Association & Fund (RWAF).

Richard said: "These webinars provide information across all of the key areas relating to preventative healthcare in rabbits. There is a large number of health issues facing rabbits but thankfully many of these can be prevented. Vets play an incredibly important role in ensuring rabbit owners have all the information they need to correctly care for their pets but unfortunately there is still a lack of awareness and understanding around many basic needs such as diet, husbandry and the importance of vaccinations to protect against dangerous diseases.

"The webinars have been designed to be accessible and engaging to all vets and nurses, regardless of their experience level. We’re urging vets and nurses to watch all three seminars so they’re able to provide the best possible advice to rabbit owners seeking advice on their pets in advance of Rabbit Awareness Week."

To watch the webinars and learn more about this year’s Rabbit Awareness Week campaign, visit: www.rabbitawarenessweek.co.uk, where you can also request a free vet pack to help promote any activity you're planning for RAW. 

The RCVS has launched Mind Matters, a new initiative to help address mental health and wellbeing issues within the veterinary profession.

Neil Smith, RCVS Vice-President and Chair of the Mind Matters Initiative said: "Mental Health is a significant issue for the veterinary profession. Most of us have experience of colleagues or ourselves having problems. The Mind Matters Initiative is a pan-profession project, and I am very pleased that there is active engagement from across the various veterinary associations and stakeholders."

"The RCVS already contributes through our Health Protocol and support of the Veterinary Benevolent Fund. The Mind Matters Initiative seeks to work more proactively by increasing the accessibility and acceptance of support, encouraging a culture that is better equipped to talk and deal with stress and related mental health issues, and, ultimately, by helping to reduce such triggers within the profession."

The first Mind Matters Initiative action is providing funding to ensure that callers to Vet Helpline, a completely confidential support service which is part of the Veterinary Benevolent Fund and run by volunteers, are put directly through to a person, rather than having to leave a message.

Rosie Allister, Chair of Vet Helpline said: "We are able to offer confidential, non-judgemental support to many vets, VNs, vet students and members of their families who call us in distress, but we know there are more who are put off by the prospect of leaving a message.

"It takes real courage to reach out for help when you're struggling, and we know it can be especially tough for vets. Although we respond to calls quickly, callers need to speak to someone immediately, and not a message system, when they are in crisis. Through the Mind Matters Initiative funding we are able to put in place a service that connects a caller directly to a human being, which could make a real difference for people who call."

The new Vet Helpline system will be in place on 22 December, in time for Christmas, which can be a difficult time for many people. The Vet Helpline number is 07659 811 118 and there is also a confidential email service, accessible viawww.vetlife.org.uk. 

The Mind Matters Initiative will be sustained over an initial three-year period, and will include five streams of activity:

• Learning and understanding best practice - research within the veterinary profession, for example, into occupational stress factors; and among other related professions and private and public sector organisations that have successfully tackled similar issues
• Changing the culture - a programme of communications activities to help generate a positive environment for discussion, reduce stigma, increase awareness and the ability to identify risks, and encourage help-seeking behaviour
• Intervention: personal level - financial and other support for existing services, such as Vet Helpline and Veterinary Surgeons Health Support Programme, together with an investigation into what more may be required to support those in need
• Intervention: supporting the supporters - training and guidance for those who may be working or living with someone who needs assistance, in order to help supporters spot and understand signs of stress and mental illness, and help the person seek expert help
• Making changes - working closely with the joint RCVS/British Veterinary Association Vet Futures project (www.vetfutures.org.uk) to help identify aspects of how the profession is structured and run (from student to retirement) that exacerbate stress and mental health problems - and consider how they may be addressed

The Mind Matters Initiative is supported by a group comprising the Veterinary Benevolent Fund, the British Veterinary Association, the British Veterinary Nursing Association, the Veterinary Practice Management Association, the Veterinary Schools Council, the Veterinary Defence Society and the Association of Veterinary Students.

Zoetis has been granted a Wholesale Dealer Import Certificate (WDIC) to supply practices with an alternative rotavirus vaccine after being hit by manufacturing delays with this year’s season of Equip Rotavirus.

Practices which want to buy the alternative imported vaccine will need to apply to the VMD for a Special Import Certificate (SIC).

Wholesalers have agreed to stock the alternative vaccine.

Zoetis says it acknowledges the concern and frustration this causes its customers and wants to reassure the equine community that it is working hard to resume Equip Rotavirus supply as soon as possible.

For further information, contact your Zoetis account manager or ring Zoetis HQ on 0345 300 8034.

New research from the RVC has revealed that young, male, crossbred cats are at greater risk of being hit by a car, begging the question as to why they tried to cross the road in the first place.

The study, which was carried out by the VetCompass programme at the RVC, in partnership with Vets Now, also found that cats are most likely to be involved in a traffic accident in the autumn. 

1,407 cat road traffic accident cases that attended Vets Now clinics across the UK between December 2011 and February 2014 were analysed, with researchers finding: 

• Younger cats, aged six months to six years, are at the greatest risk of road traffic accidents.

• Male cats are 1.3 times more at risk of road traffic accidents than female cats. 

• Crossbred cats are 1.9 times more at risk of road traffic accidents compared to purebred cats.

• Cats are more likely to be involved in a road traffic accident in the autumn. However, they are less at risk in winter as compared to spring.

• Those cats that present with abdominal or spinal injuries are more likely to die, as are those that present with an increasing count of injuries.

• The 1,407 cats that were admitted after being hit by a car represented 4.2% of all cats treated at emergency veterinary clinics (n=22,586) during the period. 

RVC veterinary epidemiologist and VetCompass researcher Dr Dan O’Neill said: "One of the scariest times for any cat-owner is when they first start to let their cat go outside unattended. Owners of younger, and especially male, cats need to be especially vigilant. These results help owners to understand the true risks and therefore assist these owners to make the best decisions about if and how they let their cats go outside."

Dr Amanda Boag, Clinical Director of Vets Now, said: "We are very proud to have worked with VetCompass to ensure this important information about risks to our pet cats is made available to vets and the public. Working with our partners such as the RVC, we are committed to ensuring our large clinical database is used to help advance veterinary knowledge and understanding of emergency and critical care practice."

The full paper entitled 'Epidemiology of Road Traffic Accidents in Cats attending emergency-care practices in the UK' is published in the Journal of Small Animal Practice.

The British Equine Veterinary Association has published the results of a survey it commissioned which found that horse vets in the UK are probably at greater risk of injury than any other civilian profession, including the prison service.

For the study, which was conducted by the Institute of Health and Wellbeing and the School of Veterinary Medicine at the University of Glasgow, 620 equine vets completed a work-related injuries questionnaire. The results of the study indicated that an equine vet could expect to sustain between seven and eight work-related injuries that impeded them from practicing, during a 30-year working life. 

If the 620 respondents were representative of the rest of the profession, the injuries they reported would equate to 26,452 per 100,000 equine vets in employment per year. That compares with 10,760 for people working in the prison service, 8,700 for policemen below the rank of sergeant, 6,980 for welders, metal formers and related trades, and 4,760 for construction workers.

Participants were asked to describe their worst-ever injury. Most were described as bruising, fracture and laceration, with the most common site of injury being the leg (29%), followed by the head (23%). The main cause of injury was a kick with a hind limb (49%), followed by strike with a fore limb (11%), followed by crush injury (5%). Nearly a quarter of these reported injuries required hospital admission and notably, 7% resulted in loss of consciousness. The most common reason for the examination during which the injury occurred was foot lameness, followed by dental and female reproductive. 

BEVA Past-President Keith Chandler said: “We were shocked to discover the extent of the injuries sustained. Of greatest concern is the number of vets who suffered head injuries and unconsciousness. These injuries appeared to be more common when certain procedures were being performed, such as endoscopy of the upper respiratory tract, when vets are often only partly sighted while using examination equipment, or during wound management and bandage-changes, where vets are often crouched-down for long periods, next to the patient.” 

38% of the ‘worst’ injuries occurred when the vet was working with a ‘pleasure’ horse and most frequently (48% of all responses) the horse handler was the owner or the client at the time of the injury. Whilst the number of laypersons or handlers injured at the same time was low, Tim Parkin, vet and lead researcher, pointed out: “This work should act as a wake up call to all involved in the training, employment and engagement of equine vets. The risks associated with handling and working with horses should be the primary consideration for equine vets and horses owners alike, every time a horse is examined or treated. In addition, the experience of the horse handler should be considered when undertaking riskier procedures.”

David Mountford, Chief Executive of BEVA said: “The results are very concerning and justify a careful prospective scientific quantification of the risks.  In the short term, knowledge of these risks allows us to better inform all vets who work with horses.  In turn vets will be able to inform horse owners, horse-keepers and trainers of the risks, and this may provide justification for having trained assistance on-hand or the more extensive use of sedative drugs in practice, potentially reducing the risk of injury.

"The British Equine Veterinary Association will now look to work with the Health and Safety Executive, Veterinary Schools, large employers of vets in the UK and our members to help develop policies to mitigate the risk of serious injury for vets working with horses.” 

Photograph courtesy Towcester Veterinary Centre