The Animal Medicines Distributors Association (AHDA) and the Animal Medicines Training Regulatory Authority (AMTRA) have both come out against the BVA's call for all anthelmintic medicines to be reclassified as POM-V, which would prevent them being prescribed by Suitably Qualified Persons (SQP).
Ian Scott, Secretary General of AHDA, said that instead of launching an attack on SQPs, the BVA should be working with them and animal owners to tackle anthelmintic resistance: "The BVA has written to the VMD to ask that all anthemintics be classified to POM-V only. This will monopolise the supply and distribution of anthelmintics for vets only. It effectively places the blame for anthelmintic resistance squarely on SQPs.
"An attempt by BVA to create a division between vets and SQPs demonstrates that the BVA is out of touch with its members.
"Both prescribing channels must work together to tackle the problem and AHDA has been working hard with vets at national and local level to ensure customers receive consistent, high quality, up-to-date and relevant advice from both channels.
"What is worrying is that the BVA attack also infers that farmer producers and equine owners are incapable of making decisions that not only affect their livelihood but cast doubt on their ability to care for their animals' welfare."
Meanwhile, Stephen Dawson, Secretary General of AMTRA said: "The large majority of SQPs deal with parasite control on a daily basis, having trained and been examined to a syllabus developed with BVA input. SQPs have to undertake compulsory continuing professional development, the majority of which includes good practice in parasite control. Therefore AMTRA has every confidence that qualified SQPs have excellent knowledge of parasitology to advise their clients on the correct choice and use of anthelmintics.
"It is important to recognise the hard work, knowledge and dedication of thousands of SQPs throughout the UK. The implication of what BVA say is that they are laying a proportion of the blame for resistance to these medicines at the door of SQPs. But the evidence isn't there: countries in Europe and elsewhere with different prescription systems, mainly though vet-only channels, still have major resistance problems. Prescription of antimicrobials by veterinary surgeons hasn't prevented concerns about prescribing practices and developing resistance. The key point is good advice from the prescriber and how they are then used in practice, rather than who prescribes them. The challenge for us all is not just to seek excellence in prescribing but also in usage on farm, something SQPs are ideally placed to do with their frequent farmer contact.
"I would urge all parties to work in partnership to ensure that best practice in prescription and use is followed by all prescribers and users. It is up to all prescribers to act responsibly, but to single out one group over another is unjustified. A pseudo-monopoly by vets on supply would do nothing to help farmers in difficult times."
Mr Dawson also expressed doubts about permanent POM-V status for new livestock anthelmintics: "While we fully support VMD's and VPC's need to be sure that the risk associated with wider availability of a new product is low, AMTRA considers that the current division in distribution classes and consequent low uptake of the newer products means that the much bigger risk is that widespread reliance on the three aging classes may be followed by reliance on just the two new classes when the older classes become unusable. Much better to have responsible prescription of all five classes now, by appropriately trained SQPs, vets and pharmacists, to ensure that there is a prospect of long term availability of effective parasite control."
AMTRA says it has recorded the 500th staff member in a veterinary practice to qualify as an SQP, reflecting a growing trend.
According to Stephen Dawson, the organisations's Secretary General, the number of SQPs working at veterinary practices is on the rise, with about two-thirds of these working as veterinary nurses, and the remainder as other members of staff. He said: “Having an SQP in your veterinary practice allows you to offer a wider service to veterinary clients and non-clients alike.
“Vets may see this as an opportunity to get people in through the door to buy medicines and get advice. These customers may be non-clients who at a later stage will seek a veterinary consultation.”
Nicola Ackerman who is Senior Medical Nurse and an SQP at the Veterinary Hospital Group, in Plymouth, and who sits on the Veterinary Products Committee, said the role of vet nurseshas been evolving over a number of years: "More nurses are taking on consulting roles in practice, and the SQP qualification has aided these changes.
“As a nurse who regularly consults, the added SQP qualification allows me to prescribe medications to the patients that I see without the requirement of seeing a veterinary surgeon.
“Many clients seek advice on preventative medicines, and are not always aware that nurses provide these services for clients. Having SQPs in our practice has allowed our nurses to take a more proactive role inpreventative medicines, and has given them a full understanding of the underpinning knowledge required for running a dispensary as many qualified prior to the new VMD regulations occurring.”
For more information about the SQP qualification, visit: http://www.amtra.org.uk/