As part of the redevelopment, kennel capacity will increase from 107 to 197, there'll be a new emergency and critical care hub, sixteen new consult rooms and a new imaging suite with MRI and CT scanners, two ultrasounds and two X-ray machines.
There will also be a 66-seat seminar room.
Work is expected to be completed early next year, and the practice will be recruiting for around 75 new team members to service the expanded centre.
Simon Tappin, clinical director at DWR, said: “This long-awaited expansion will transform our practice, offering even more space and capacity for referrals, brand-new equipment and a seamless experience for our clients.
“It will also bolster our reputation as a training practice, with the expansion of our intern and residency programmes adding to our already-impressive provision in this area."
The practice is also implementing case management changes, with a single point of contact for every client and individual case managers in every discipline.
The traditional reception area is being replaced with a concierge greeting service for clients, with staff on hand to book them in on iPads.
Client care team manager Deborah Bell said: “This is a USP for us and we think it’s an industry first. The idea came from how medical secretaries work in human health.
“When a referring vet calls us, our client care team takes the basic details and passes them on to the case manager for that discipline. They will contact the client, make appointments and meet the client in person on arrival.
“We have 12 case managers for our disciplines at the moment, with the potential to expand. As well as providing a personalised service for our clients, it provides great career progression opportunities for our client care team.”
www.dickwhitereferrals.com
James says he is sticking his neck out after seeing a significant increase in cases where dogs with diabetes are referred too late to save their sight.
He said: “If we are given the chance to assess a dog with diabetes as soon as cataracts develop then it is usually pretty straightforward to restore vision with a specialist operation.
“Often, diabetic dogs are referred to us too late because vets unwittingly delay referral while they enhance control of the diabetes.
“Unfortunately, this can mean it can become too late to perform sight-saving surgery and the dog may even have to have their eyes removed on welfare grounds.
“When cataract surgery wasn’t commonplace and as successful, maybe 20 years ago, there was more of a justification to delay surgery. But that isn’t necessary now with advances in veterinary care.
“It’s why it’s so important to improve education about this issue and raise more awareness of what can be done to both vets and dog owners alike.”
Simon, who has worked at DWR for 15 years, graduated from the University of Cambridge in 2002 before completing his residency in small animal medicine and intensive care at the University of Bristol.
He gained his European diploma at Bristol before moving to DWR in October 2007, where he has since been widely published and lectures at home and abroad on infectious disease, acute medicine and interventional radiology.
Simon is also a veterinary advisor to the Pet Blood Bank charity and was awarded fellowship of the RCVS through meritorious contribution to clinical practice in 2018.
Simon said: “It’s a huge privilege for me to take up the position of clinical director at Dick White Referrals, having worked here and helped the practice grow over the last 15 years.
“I’m really looking forward to leading the move into our new building, which offers state-of-the-art facilities for pets, owners and the team.”
Simon said one of his ambitions as clinical director was to foster DWR’s residency and intern programmes to be “the very best place to come and learn from some of the most talented vets and nurses in the profession”.
He added: “We have very successful and well-established rotating internship and residency programmes in many areas and this year we add emergency and critical care to that list.”
Anne is originally from New York City and obtained her veterinary degree from Purdue University in 2011.
She completed her rotating internship at Louisiana State University, followed by two research fellowships at Michigan State University and Nihon University.
She then completed her residency at the RVC, before achieving diplomate status of the American College of Veterinary Internal Medicine (Cardiology) in 2017.
Anne's interests include treatment and management of congestive heart failure, feline cardiomyopathy and cardiac interventions.
She said: “I’m delighted to be joining the cardiology team at DWR at a very exciting time, supporting the recently-launched open-heart surgery service.
“We’re one of very few hospitals in the world to be able to offer this treatment, so being a part of this is a great challenge, both personally and professionally.”
For more information visit www.dickwhitereferrals.com
The referral centre has invested in a new heart and lung machine, and an oxygen cage, and is expected to take its first patients in the autumn.
The service will be established and led by head of cardiac surgery Poppy Bristow (pictured right) and head of cardiology Anne Kurosawa, who have already performed this kind of surgery on more than 100 dogs to date.
DWR is also setting up its own blood transfusion service to collect blood from staff and clients’ pets to support the service.
The blood collected will also be used to support the practice’s emergency and critical care service and its planned dialysis programme.
Poppy said: “There are hardly any other centres in the world offering this type of surgery, especially with this level of expertise that comes from the collective team we have gathered at DWR.
“Mitral valve disease is the most common heart condition in dogs and sadly, many dogs die every year as there are very few options for treatment. To be able to offer surgery to more dogs and their owners is really exciting.
“DWR is the perfect environment for this pioneering programme, due to the state-of-the-art equipment and depth of expertise on hand to support this life-saving initiative.”
Rob Foale, clinical director at Dick White Referrals, added: “It’s a hugely significant step for us to be launching this service, drawing on Poppy’s expertise in this field.
“We’re also starting our own blood transfusion service to complement the launch, as the pandemic has led to a huge drop in pet blood donations.
“Any excess blood we collect will be donated to the national Pet Blood Bank charity, which supplies blood to veterinary practices across the UK and does a fantastic job.”
For more information, visit www.dickwhitereferrals.com.
Outcome of temporary tracheostomy tube-placement following surgery for brachycephalic obstructive airway syndrome in 42 dogs1 was undertaken at Dick White Referrals, UK. A retrospective case series of dogs that had a temporary tracheostomy tube placed in the post-operative period following surgery for BOAS was obtained from the referral hospital.
Of the 42 dogs, 11 had a tracheotomy tube placed electively and 31 had one placed as an emergency. The overall postoperative complication rate in the study was 95%. The minor complication rate – defined as resulting in no observable compromise of the clinical status and/or self-limiting, such as a cough - was 71%. The major complication rate – defined as resulting in discernible harm to the patient, such as cyanosis and dyspnoea - was 83%. 41/42 dogs were classified as having successful tracheostomy tube management.
Marius Stordalen, lead author of the paper said: "Contrary to what had been previously thought, this manuscript shows that in an appropriate clinical setting, temporary tracheostomy tube placement following multi-level airway surgery for brachycephalic obstructive airway syndrome carries a good prognosis for the majority of patients."
Nick Jeffery, editor of JSAP added: "Whilst overall mortality rate was low following placement of a tracheostomy tube in the postoperative period, there was a high overall complication rate. This finding demonstrates the need for continuous monitoring and intensive care for patients following placement of tracheostomy tube.”
The full article can be found in the May issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13127