For the study “Comparative accuracy of two veterinary-calibrated point-of-care glucometres for measurement of blood glucose concentration in dogs” blood was sampled from client and staff-owned dogs above 6 months of age, of various breeds and health status.
The samples were then used to compare the accuracy of both PGBMs against a reference method - the hexokinase reaction method.
The authors say this was the first study to investigate AccuTell and the first published evidence comparing AlphaTrak2 with a reference method.
The study also sought to determine how useful the monitors are in clinical decision making and to assess the effect that packed cell volume (PCV) (known to affect the reliability of blood glucose concentration measurement in dogs) has on blood glucose concentration using the two PBGMs.
AccuTell was found to be more accurate and useful in a clinical setting than AlphaTrak2.
Both PBGMs were inaccurate in comparison with the hexokinase reaction method, and although they have potential for standard clinical use, unexpected blood glucose concentrations need to be checked by the hexokinase reaction method.
In addition, measurement of blood glucose concentration by the AlphaTrak2 was affected by PCV whereas measurement by the AccuTell was not.
Nicola Di Girolamo, Editor of JSAP said: “We oftentimes think that an instrument that is developed specifically for our patients will provide satisfactorily results on most occasions.
"Instead, studies such as the one presented here, are critical to understand whether the ‘numbers’ provided by an instrument are reliable for clinical use.
"The authors provided 95% limits of agreements to their results.
"This value is of great help for clinicians, since it shows the difference expected between the instrument and the reference standard in the majority of occasions.”
The study can be read online here: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jsap.13491
Reference
The book highlights some of the ways that action is being taken in the profession to retain and develop female talent, build women’s economic empowerment, support women into leadership, decision-making and business, and create infrastructure that meets the needs of women.
Profiles include Dr Katrin Jahn, who is paving the way for female veterinary professionals in the Middle East and Dr Jyotika Sangle, who works in regulatory affairs in India, where the veterinary profession is not considered to be a career choice for women, and its importance is not well understood.
Also profiled is Perdi Welsh, who is working to enhance career progression options for veterinary nurses, and Samantha Lympany-Tier, who is advocating for the role of veterinary care assistants and patient emotional welfare in clinical practice.
Veterinary Woman editor, Jenny Langridge, said: “When we’re feeling worn down by work pressures it can be difficult to envisage change for the better, but the veterinary professions are bursting with people driving innovation and development in many different ways.
"I hope that our ‘Champions for Change’ eBook will help vet professionals of all types to find inspiration from the stories of the amazing efforts taking place within the sector to drive new thinking and improvements to wellbeing, career prospects, equality and inclusivity.”
https://www.veterinarywoman.co.uk/2024/03/champions-for-change-e-book
Horiba Medical - UK has launched MLT-Diode Laser Systems, specifically designed for veterinary use, as part of its portfolio of animal healthcare products.
According to the company, the MLT-Diode Lasers are highly versatile and can be used in a variety of veterinary applications including surgery, endoscopy, dentistry and irradiation.
The two models, the MLT-Diode Laser Classic and Premium, both feature touch screen controls and are adaptable to each users individual preferences. Designed with small animal practices in mind, the Classic has a performance out-put of 8 watts whilst the more powerful Premium model is for equine medicine with an output of 15 watts. The system is mounted on a mobile cart with a protection case, allowing the whole system to be moved between treatment rooms and enabling near patient application.
Horiba Medical will be exhibiting the MLT-Diode Laser Systems at the London Vet Show at Olympia, 22nd to 23rd October 2010, on Stand M4.
Intervet/Schering-Plough Animal Health has launched its complimentary blood testing service that allows practitioners to investigate one of the main infectious causes of early embryo loss in sheep flocks.
The annual subsidised Barren EweCheck diagnostic scheme is available from 1st December 2010 until 31st March 2011 for breeding ewe flocks. The service establishes whether Toxoplasma gondii is potentially implicated in any empty or aborting ewes.
According to the company, data from the Barren EweCheck and FlockCheck 2010 schemes showed that 86% of flocks had been exposed to the toxoplasma parasite at some point before blood sampling. As a result, practitioners were able to give clients receiving a positive diagnosis timely advice on disease control and the benefits of a Toxovax vaccination regime.
The company anticipates full availability of Toxovax in 2011 and says its Barren EweCheck blood sample submission pads are available directly from the company's Veterinary Support Group by calling 01908 685685.
Animalcare has been found in breach of Clause 18.2 of the NOAH Code of Practice for offering and supplying infusion pumps/equipment in exchange for veterinary practices entering into written contracts for the purchase of a range of its products, including the POM-V Benazecare.
The value of the equipment offered by Animalcare equated with a discount agreed with the veterinary practice, and was applied as medicinal products were purchased. The equipment was supplied on the signing of a contract. The terms of the contract required a particular quantity of medicinal products to be purchased, and if the veterinary practice failed to meet that requirement, there was a liability to pay a pro-rata element of the equipment purchase price.
The Code of Practice Committee was of the view that a piece of equipment was neither 'price' nor 'product' within the meaning of Clause 18.2 of the Code of Practice; and as such amounted to a gift being offered in relation to the sale; or purchase; or prescription of animal medicine. The Committee took into account that Guidance Note 4, paragraph 7, states that the word "gift" includes any pecuniary advantage being offered, with the exception of price or product itself.
To comply with Code of Practice Clause 18.2, the offer or inducement based on price had to be one of cash as rebated discount. If then there were facilities to enable the veterinary practice to use that rebated discount to purchase the equipment from the supplier, that might be acceptable, but there was a necessity for cash as rebated discount to be provided in the first instance.
Full details of the Committee's rulings are available on the NOAH website at www.noah.co.uk/code.
The University of Bristol's Langford Veterinary Services (LVS) has announced the completion of its new clinical facilities.
The first phase of the £13 million development includes a new small animal surgery building, comprising five theatres, an ICU, a dedicated anaesthesia induction and recovery and an imaging suite.
The imaging suite comprises a 16-slice CT scanner, for small animals and horses, conventional digital radiography with a DR system, a high-resolution fluoroscopy, diagnostic ultrasound, echocardiography, scintigraphy and a high resolution 1.5 tesla MRI scanner available seven days a week.
Lynne Hill, Chief Executive of LVS, said: "The new facility provides state-of-the art diagnostic imaging facilities at all times, to help the animals under our care."
LVS highlights the case of Gainsborough, an eight-year-old Irish draught gelding, to illustrate the benefits of its new facilities. The horse, used for jumping and endurance, was initially presented to the Equine Hospital in October 2010, with clinical signs including nasal airflow obstruction and discharge, which was limiting his athletic capabilities.
Using videoendoscopy and radiography, a space-occupying mass was diagnosed in the paranasal sinuses impinging into the nasal cavity. With the horse conscious, but sedated, using regional local anaesthetic nerve blocks, the bulk of the mass was removed and he returned to work. However, the owner reported a recurrence of the clinical signs and he was returned to the clinic for reassessment.
The new imaging suite, only one of a few such units in the UK, has been adapted to enable the imaging of a horse's head while conscious using a frictionless air plinth. The adaptation allows detailed imaging of both bone and soft tissue structures within a horse's head, without requiring a general anaesthetic.
Using the new imaging suite, Gainsborough's CT examination revealed a portion of the mass, which had been inaccessible to the previous keyhole surgery, had expanded into the nasal cavity. The detail of the images enabled careful planning of a second operation that facilitated removal of the large remnant of the mass, which appeared to be benign, with minimal collateral trauma.
In addition to imaging the heads of conscious horses, dogs and cats are able to undergo complete body scans using the same unit while anaesthetised. As well as enabling detection and diagnosis of lesions without invasive or painful tests at an earlier stage, the unit will facilitate operative planning and add to the body of knowledge of disease pathogenesis.
For more information about LVS, visit: http://www.langfordvets.co.uk/
Vygon Vet has launched two new 'procedure packs' containing disposable essentials for unblocking a tomcat or performing a spay or minor surgery.
The KatKath Urinary Catheter Insertion Pack contains a catheter, a drape towel, polypropylene suture, lubricating gel, a Luer-slip syringe and a clear tray. The complete set costs £10.99.
Vygon Vet General Manager Chris Kenyon, said: "Not only does our KatKath pack ensure everything that's needed is in one place and sterile, it can also save vets up to 50% compared with prices if they buy similar products separately. It's a win-win situation."
The Spay Tray and Minor Operations Set (pictured right) includes a selection of forceps, a Mayo Hagar needle holder, a scalpel, a pair of dissecting scissors, a hand towel, drapes, a tray and five radiopaque swabs.
Chris said: "Our Spay Tray and Minor Ops Sets are produced to the highest standards using top quality materials. Having the required items in one pack eradicates the need to go through the expensive process of washing, re-packing and re-sterilisation, and from an admin point of view invoicing is easy with one single code covering all the different pack parts."
The Spay Tray and Minor Ops Sets are available for an introductory price of £12.50 for a limited period.
In the blurb, Vygon Vet says the benefits of its procedure packs include:
The company is also offering a retrieval service through which the instruments from up to ten packs can be disposed for £14.50.
For more information, visit www.vygonvet.co.uk, telephone: 01793 748900 or visit Vygon Vet at the forthcoming BSAVA Scottish Congress (29-31st August at the Edinburgh Conference Centre).
Virbac has announced the launch of what it describes as an affordable ciclosporin for the treatment of canine atopic dermatitis.
Called Cyclavance, the new product will make its debut at the London Vet Show (Nov 20th/21st at London Olympia).
Cyclavance is presented in a liquid formulation for precise dosing, in a container with a new 'AdaptaCap' designed to ensure leak proof dispensing and give the product a 6 month shelf life after being broached. Cyclavance is offered in four size presentations - 5 ml, 15 ml, 30 ml and 50 ml - to give practices maximum flexibility in its use.
Sarah Walker MRCVS, Product Manager, said: "Atopic dogs present at practices across the country on a daily basis. It is a challenging condition which can be hard to treat successfully because owner compliance is so important. By offering Cyclavance at a great price to give greater appeal, allowing a wider scope of use, and with innovative features, such as the unique AdaptaCap, we aim to help practices achieve better outcomes for their patients and increase the number of clients it is available to.
The ESVE has become aware through its Endocrine Quality Assurance (EQA) Scheme that there will be a permanent change in the antibody used for the cortisol test for the Siemens Immulite 2000.
The change affects the antibody pool from kit Lot 550 onwards, meaning that it has already affected some laboratories and others will be affected in the next few weeks to months. At present, the new antibody lots are not being released to the USA market. Other analysers are unaffected.
The ESVE has been working with the laboratories in its EQA scheme to quantify the impact on results and reference limits. The Society says an initial review by the ESVE-EQA based on >400 canine serum and >40 urine results suggests that canine serum cortisol results are lower (average bias -23% in canine serum) than diagnostic laboratories and clinicians have been used to in the past. The effect is more marked in canine urine cortisol (average bias -70%).
Since being alerted by the ESVE-EQA, the manufacturer has derived mathematical adjustment factors that laboratories can incorporate into their systems to mitigate the impact on results. If the manufacturer adjustment is used, then the results will be around 8% lower on average in serum and around 60% lower in urine. Cut-offs to diagnose hyperadrenocorticism and rule out hypoadrenocorticism may need to be validated again with the new assay. There is not yet sufficient data in the ESVE-EQA collaboration to assess the impact on feline and equine samples.
Professor Ian Ramsey, President of the BSAVA and one of the founders of ESVE, said: “Individual laboratories may have different ways of dealing with this change and therefore it is important to keep in touch with your laboratory provider concerning their approach. Some may choose to make the mathematical adjustments to results so that common and historic cut-off values can continue to be used. Others may report their results directly but change their guidance on interpretative cut-off values."
Dr Peter Graham, ESVE-EQA Co-ordinator, concluded: “ESVE advises that all cortisol results from Siemens Immulite 2000 assays that are close to a threshold are interpreted cautiously. ESVE also advises that all endocrine results should be interpreted in the light of clinical findings and would like to remind clinicians that spurious results may occur in any assay, though this is rare.”
The BSAVA and ESVE encourage laboratories to tell clinicians which analyser they are using. Suitable wording regarding the interpretation of any values of cortisol based on Siemens Immulite 2000 results should be provided by laboratories for the foreseeable future.
Photo: A dog with hyperadrenocortism, courtesy Professor Ian Ramsey
Open to all veterinary professionals looking to enhance their knowledge and skills in emergency and critical care, this year's Congress has a lineup of over 30 internationally-renowned speakers and leading clinicians and offers up to 70 hours of CPD.
This year’s keynote speaker is specialist transplant nurse and chair of the UK One Health Coordination Group, Helen Ballantyne, and organisers will also be welcoming veterinary nurse Ken Yagi, formerly program director of the CPR simulation lab at Cornell University, who’ll deliver an update on the new RECOVER (CPR) guidelines being released this year.
Simon Hagley, ECC Specialist and Clinical Director at Vets Now hospital in Manchester said: “We are confident our 2024 programme offers something for everyone, no matter what stage of your ECC career you are at, from students through to specialists and everything in between.
"We listened to delegate feedback from last year’s event, and we have brought back some firm favourites including our ’Controversies’ and ‘Joined Up Thinking sessions’, but we have introduced exciting new streams including 'Catastrophic case conversations'.
“We’ve also we’ve extended the popular nursing streams from last year to span two entire days and lunchtime case presentations from interns across the country are also on the programme.”
https://www.vets-now.com/congress
Bicester Vets in North Oxfordshire has become the first to install Improvet, a touch-screen unit through which the practice can gather client feedback.
Improvet is one of a range of services offered by Pfizer as part of Vet Support+. It's designed to help small animal practices gather information, interpret client feedback and ultimately provide targets to drive business improvements. Located in the practice's reception area, the pre-programmed survey takes a few minutes of a pet owner's time to complete and is apparently proving a hit with clients.
The survey covers all aspects of the service the client has received, from booking through to the consultation, payment and administration of their appointment. Client comments are collected into a report assessing the standards of customer service delivered across the practice team.
Jason Williams, veterinary surgeon at Bicester Vets, said: "We have felt for a long time that we needed to make some changes at the practice in order to move forward and be well placed for future challenges and opportunities. With this in mind we undertook a review of our practice with the help of a Pfizer Business Consultant and during this process our staff identified that client communication and gauging client experience was something we were struggling with.
"When our Pfizer Business Consultant explained Improvet it seemed a logical next step. The completely paperless, anonymous nature and automatic report generation means it's taken the hassle out of surveying our pet-owning clients so that now instead of simply talking about the need for a client survey, we actually have one underway. We will use this information to get a clear picture of how we are performing and communicating as a practice before and after improvements are made."
Improvet gives practices a way of surveying clients completely independently of staff. Armed with this data about what clients truly think, a practice can:
Practices that think they would benefit from having an Improvet unit in their reception area should contact their Pfizer Account Manager or call 0845 519 4977.
Founder Jade Statt said: "As StreetVet grows, we are being contacted to help clients outwith our current active StreetVet locations, of which there are now 13. For this reason and to help us continue to expand, we would like to put out a call to the profession to ask any practices that are happy to work with us to get in touch and help us set up a StreetVet Directory of Supporting Practices."
If you'd like to know more about partnering with StreetVet, email: StreetVet.practices@gmail.com
You'll be sent detailed information about the options for working with StreetVet and offered a fundraising pack. If you go ahead, you'll also have your practice logo added to a directory on the StreetVet website.
Petsavers, the charitable division of the BSAVA, is calling for entries to its 2012 digital photography competition, this year themed 'Best Buddies'.
The competition is open to entries from pet owners and veterinary professionals alike. The judges will be looking for qualities like humour and character in the photos, as well as photographic skill.
If you need a little inspiration, you can see the winning images from previous years on the BSAVA website.
The competition has two categories: Adult (16 and over) and Junior (under 16). First prize in each category is £200 in photography vouchers, second prize is £100 in photography vouchers and third prize is £50 in photography vouchers. The closing date is Thursday 26 January 2012. To enter the competition, email your photographs to info@petsavers.org.uk. An application form must also be submitted; this can be emailed with your photograph or alternatively you can print and fax the form to BSAVA at 01452 726701.
Petsavers is also encouraging practices to help promote the competition by displaying leaflets in practice, and telling clients about it.
More information is available by emailing: info@petsavers.org.uk or visiting www.petsavers.org.uk/.
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.
The programme is for vets who are more than five years qualified, and thus not eligible for BEVA’s Leg Up coaching.
It has been developed in response to numerous BEVA members reporting periods of feeling lost or adrift in their career as life progresses after graduation, particularly following a career break.
The programme is led by a team of individuals who have experienced the challenges of working in equine practice and have all undergone extensive coaching training.
It takes the form of group sessions where participants can discuss, learn and share knowledge in a workshop style environment.
Lucy Grieve, Veterinary Projects Officer at BEVA said: “Back in the Saddle provides a safe, supportive and encouraging environment to help individuals understand what it is they want from their career, following a break, for example for parental leave or injury.
"By reflecting on their career achievements, learnt skills and professional needs, in the context of their life as it is now, it enables them to prioritise appropriately, create achievable goals, and find their place in the profession again.
“Our coaches are professionally trained, friendly and empathetic, and the nature of group coaching means peer support opens up to all involved.
"This helps counter feelings of isolation and self-doubt and enables a sense of purpose and confidence to return and develop further.”
The first Back in the Saddle programme starts on 11 June 2024 – applications are now open and will close on 17 May 2024.
https://form.asana.com/?k=5BoRR89NDXQ_CAsWZ-g-HQ&d=11947487954206
Bayer Animal Health has launched Back to Basics, a new guide to antibiotic use which focuses on the concerns raised by vets and vet students about antibiotics in a survey carried out by the company.
465 vets and 40 students took part in the survey in March 2014. Of these:
27% of vets admitted that they struggle to know which antibiotic is the most appropriate for a specific condition. This uncertainty was particularly the case if the patient is un-responsive to the vet's first choice antibiotic, or the condition develops to require a new or additional antibiotic choice. Bayer says it is also clear that many vets may not be aware that pradofloxacin is the least likely of the veterinary fluoroquinolones to select for antibiotic resistance,2 as 23% of vet students and 9% of vets said they believe that all antibiotics carry the same risk of selecting for resistance.
The company says Back to Basics is designed to fill the gaps in knowledge identified by the survey. It presents each of the major classes of veterinary antibiotic and details how they work. It also includes an antibiotics 'jargon buster' to help vets and vet students better understand the commonly used measures of antibiotic activity and make more informed decisions about the use of antibiotics in practice.
Bayer has also developed an online self-assessment quiz that allows vets and students to check their knowledge. The quiz and the guide are both available at www.veraflox.co.uk
References
The elections will again be held completely online this year.
Veterinary surgeons have until 5pm on Monday 31st January 2022 to put themselves forward as candidates for the elections which will take place in March and April 2022.
The full eligibility criteria can be found at: www.rcvs.org.uk/rcvscouncil22, where prospective candidates will also find further information about the role of the RCVS, RCVS Council and RCVS Council members, guidance notes, and frequently asked questions about standing as a candidate.
Eleanor Ferguson, RCVS Registrar and Returning Officer for the elections, said: “We look forward to hearing from prospective candidates and are happy to give further information about what being an RCVS Council member means and what the role entails to those who may be considering standing for office.”
Prospective candidates for RCVS Council can also contact RCVS President Dr Kate Richards for an informal conversation on what it means to be an RCVS Council member on president@rcvs.org.uk
Kate said: “I’m on Council for my second term and can reassure any prospective candidates that it is a wonderful experience, both personally and professionally.
"You will learn new things not only about the College, but also the professions, policy and government; you will have fascinating discussions and debates with colleagues on issues of great importance and consequence; and you will make those important professional 'connections that count' with colleagues across the veterinary world and beyond. It is a career highlight.”
Prospective candidates for RCVS Council are welcome to attend the next Council meeting online, on Thursday 20th January 2022.
Contact Dawn Wiggins, RCVS Council Secretary, if you would like to attend: d.wiggins@rcvs.org.uk.
The full BEVA Congress programme is now live and super early bird tickets are available from 4th March, saving member delegates up to £200.
The one medicine thread will run through the medicine and orthopaedics and sports medicine streams as well as feature in the Peter Rossdale Plenary Lecture.
BEVA President Roger Smith said “There is much to learn from the human side as well as from what we do as vets.
"We have invited five human medical experts to make some comparative links with human medicine in their presentations.
"Bringing a different angle in this way will help predict what the future holds and advance what we do in the equine veterinary sphere.”
The full programme includes more than 90 hours of live and on-demand CPD covering almost every aspect of equine medicine, surgery and practice.
The first day will commence with an opening address from Olympic gold medallist Sally Gunnell during which she will share her thoughts on maximising performance.
Other highlights include:
Individual super early bird BEVA members prices are £524 for vets and £144 for vet nurses for all three days (with concessionary available for those in their first three years of graduation or earning less than £25,000).
Day tickets and practice passes are also available.
Super early bird ends on Wednesday 29 May 2024.
www.bevacongress.org
The Alliance to Save Our Antibiotics is urging the Prime Minister to make the announcement on antimicrobial resistance he promised the House of Commons during Prime Minister's Questions on Wednesday 7th May 2014.
In a reply to a question from Zac Goldsmith MP, David Cameron acknowledged that the problem of antibiotic resistance could have 'unbelievably bad consequences' leading to quite minor ailments not being properly treatable by antibiotics. The Alliance is urging the government to take urgent action to reduce antibiotic use in both medicine and farming.
The issue was further highlighted at this year's World Health Assembly (WHA) Conference when attendees confirmed that a catastrophic post-antibiotic age - in which minor, common infections could again become killers - is a real possibility unless urgent action is taken.
At the conference, the Netherlands' Minister of Health, Edith Schippers said: "People are getting seriously ill and are dying as a result of skin infections and diarrhoea. Common surgeries like knee replacement will become potential killers because of secondary infections that are untreatable. This is a global problem on a par with, if not more serious than, nuclear security, international terrorism and climate change."'
In a letter to David Cameron on 13th May 2014, the Alliance to Save Our Antibiotics said: "It simply does not make sense to be feeding nearly half of all the antibiotics used in this country to farm animals, just so that they can be kept in high numbers indoors, often in conditions which carry with them the risk of high levels of disease."
The Alliance says the measures the Prime Minister is due to announce must include the urgent phase-out of the routine preventative use of antibiotics in farming.
Alison Craig, Campaign Manager for the Alliance to Save Our Antibiotics said: "Our near European neighbour the Netherlands has phased out routine preventative use of antibiotics in farming by government taking strong and decisive action and industry taking voluntary measures - so why can't we do the same in the UK?"
In 2007 the Netherlands was one of the world's heaviest users of antibiotics in food animals. In 2009 the government decided to decrease farm use of antibiotics by 50%. This was achieved by 2013.
Alison continued: "It is alarming that, in this country, we don't even yet know how many people are already dying due to antimicrobial resistance. By contrast, in the Netherlands they know that there are 2 million hospitalisations per year due to resistance.
"If the Prime Minister knows that there will be 'unbelievably bad consequences' for families, why is his government being so slow about getting a grip on the problem?"
The campaign was officially launched at an event at the Palace of Westminster sponsored by Kevan Jones MP (Labour, North Durham) who has spoken about his own experiences with depression, and featured first-hand testimonials from senior veterinary surgeons and doctors who have experienced mental ill-health.
‘&me’ is a collaboration between the RCVS Mind Matters Initiative, which seeks to address mental health and wellbeing issues within the veterinary profession, and the Doctors’ Support Network, which provides peer support for doctors and medical students with mental health concerns.
Introducing the campaign, Mr Jones said: "The key message I have today in regards to mental health is talking about it and trying to get it out of the dark corners rather than it being something you are ashamed to talk about. That is how we get people to help themselves with their own condition and to seek help. The other key thing is not to write people off if they have a mental illness."
The floor was then opened to personal stories from those who have lived experience of mental ill-health. Dr Louise Freeman is Vice-Chair of the Doctors’ Support Network and was diagnosed with depression in 2009 as a result of the way in which her return to work was handled after having time off work as an emergency medicine consultant following a bereavement.
She said: "This experience made me think that doctors with mental health problems were in a small minority and that it was probably our own fault anyway. Both impressions are completely wrong. The incidence of mental health problems is one in four people in any one year and is actually higher for doctors, who are often slower to seek help than non-medics. The good news is that well supported doctors have excellent treatment outcomes.
"During my own return to work, I was told by my clinical lead that they had 'always thought that I was a mental health problem waiting to happen.' I think this says more about them than it did about me! On reflection, yes that was true, but only inasmuch as this applies to all of us during our lives.
"I hope that the ‘&me’ campaign can start to address this by encouraging senior healthcare professionals, who are currently well, but have experienced mental health problems, to disclose that they have 'been there themselves'. I think that this will help to normalise mental ill health for healthcare professionals and therefore remove some of the barriers to unwell professionals seeking help at an earlier stage. Overall this would be better for healthcare professionals, their colleagues and their patients."
David Bartram, Director of Outcomes Research for the international operations of the largest global animal health company and a member of the Royal College of Veterinary Surgeons' governing Council, spoke next. He gave his perspective on coming to terms with a mental health condition in a profession that has some stigma attached to it.
A number of years ago David attempted suicide following the breakup of his marriage and explains what happened from there: "I just thought I was stressed – after all, who wouldn’t be in those circumstances? But in fact I was becoming progressively more unwell. What started as worry, early waking and palpitations – which I recognised – led to patterns of thinking which I did not recognise as being disordered. I felt trapped and worthless – suicide was the only escape. From a medical perspective, my biological, social and psychological risk factors had converged and tipped me into major depression.
"That was the first of multiple suicide attempts and several prolonged stays in hospital. Over a three-year period I spent 12 months as a psychiatric inpatient. I was treated with antidepressants, antipsychotics, mood stabilisers, talking therapies and electroconvulsive therapy.
"But now thankfully I am well – and I have been for 14 years…. To what do I attribute my recovery? A mixture of medical treatment, psychological therapies, supportive friends and family, rest and time – they all contributed, probably in similar measure."
He added that while his episode of mental ill-health does not define him it has changed him in a positive way and that no one is immune from it.
Dr Jonathan Richardson is Group Medical Director for Community Services at the Northumberland, Tyne and Wear NHS Foundation Trust who had a mental health condition when he was a medical student and spoke about how it is possible to flourish in your career with a mental health diagnosis.
"I was unwell as a teenager with a physical illness and later as a medical student with a mental illness… these two experiences crystallised my drive to become a doctor and my own approach to healthcare. I wanted to be able to deliver the care that I was fortunate to receive. I wanted to be as patient-centred and compassionate with the patients I would serve, in the same way as the teams who delivered my care. I was lucky to have support when I was unwell from very good friends, some from school and some from university; and a very close family. I have been able to recover.
"It is 24 years since my mental illness. I now work in Northumberland, Tyne and Wear NHS Foundation Trust, one of the largest mental and learning disability health trusts in England – and one of only two to be rated outstanding by the Care Quality Commission…. I do not feel that my illnesses have stopped me."
Dr Angelika Luehrs is the chair of the Doctors’ Support Network and a consultant psychiatrist who was diagnosed with bipolar affective disorder while she was a trainee psychiatrist. She said: “When I asked for advice about how to access help one of the answer I got was one of ‘whatever you do, make sure that you don't have any mental illness in your medical records otherwise you will never go anywhere in your medical career. However, getting the diagnosis and help from a Consultant Psychiatrist was the best thing that ever happened.”
She added: "The reality is that my diagnosis has not stopped me – I have been a consultant psychiatrist since 2010 with the Avon and Wiltshire Mental Health Partnership NHS Trust, last year I was appointed as medical lead for West Wiltshire including early intervention, intensive services and primary care liaison services. I have a special interest in supporting doctors with mental illness and I am delighted to be appointed by the newly launched GP Health Service as a special advisor for complex mental health cases."
The last speaker was veterinary surgeon Neil Smith who chairs the RCVS Mind Matters Initiative and outlined how to participate in the campaign. He said: "This event is just the start… the real challenge is to start to get this message out to the wider professions. Stigma is a difficult thing to tackle, but the good news is that changing our minds is within the power of every individual to do."
Following the launch the ‘&me’ campaign is now encouraging other senior health professionals to step forward and talk about their own experiences with mental ill-health, especially as both medical doctors and veterinary surgeons have higher suicide rates than the general population but often have more reluctance to seek help because of the impact it may have on their career.
The campaign is interested in hearing from not only doctors and veterinary surgeons but also nurses, veterinary nurses, dentists, pharmacists and other healthcare professionals who want to open up about their experiences of mental ill-health. To participate in the campaign email Dr Louise Freeman on vicechair@dsn.org.uk.
Further information about the ‘&me’ campaign can be found at www.vetmindmatters.org/&me
Richard Hepburn MRCVS has launched what is thought to be the world's first equine gastric ulcer study, designed to improve understanding and knowledge of ulceration in performance horses.
Mr Hepburn is conducting the InnerVision study of performance horses, which is being championed by the University of Liverpool, as part of his PhD.
21 appointed practices across the UK are participating in the study, and with each practice scoping between 10 and 20 animals, it will include well over 200 performance horses. Mr Hepburn said: "Gastric ulceration in sports horses is poorly understood, especially compared with racehorses. But what we do know is that it's a very important factor in the performance and well-being of many horses in training and competition."
2012 Paralympic Gold medallist Deb Criddle MBE also attended the launch event. She explained the difference that regular gastroscopy and ulcer management of Paralympic team horses had made to her success. Speaking about her Beijing ride, Pavaroti, she said: "If it weren't for the diagnosis and treatment of Pavaroti's ulcers I don't know what we'd have done. I would probably have had to withdraw him from training, so it made the difference between our partnership continuing or not".
Mr Hepburn expects a prevalence of approximately 60% and, keen to increase understanding of glandular ulceration, participants are being tasked to scope all areas of the stomach, pylorus and duodenum to ensure that every incidence of ulceration is diagnosed and recorded.
He says he is particularly eager to find out more about glandular disease, which hitherto has had little research: "Glandular disease appears to have a very different aetiology to squamous ulceration, and often presents with different signs. We also believe that prevalence of glandular ulceration is most common in sports horses."
"We hope that publication of this study will help all equine vets in their work with performance horses and the quest to prevent and manage equine ulcers," he added.
Merial is supporting the study with management assistance.
Dechra Veterinary Products has launched Vitamin K1 tablets for dogs, which help reverse the effects of exposure to anticoagulant rodenticides.
The launch of the NFA-VPS licensed 50mg tablets means that veterinary professionals can have a ready supply of Vitamin K when treating animals which have been exposed or may have been exposed to serious poisoning. Previously, the tablets where only available as a special import certificate product following Dechra's acquisition of Eurovet.
Dechra Veterinary Products Brand Manager, Carol Morgan, said: "Vitamin K1 is an absolutely key therapy in the treatment of potential and accidental exposures to anticoagulant poisoning in animals, mainly in pet dogs. It helps to assist with blood clotting, and the treatment protocol advises continued oral therapy following an initial injectable preparation of Vitamin K.
"The Veterinary Poisons Information Service has received more than 6,000 calls so far this year to its helpline regarding suspected or confirmed poisoning of all types of animals, whether accidental or deliberate exposure.
"We had been able to offer the Vitamin K1 injection and tablets via a SIC, when previously sometimes only preparations for human use were available. Therefore, we are delighted to now launch a licensed tablet which will ensure a ready supply and speed of therapy for animals affected by anticoagulant rodenticides."
Carol added: "Anticoagulant poisoning queries are already the second most common type received by the Veterinary Poisons Information Service, and with the launch of these tablets, veterinary professions will be able to have a ready supply of vitamin K to hand. We would recommend that all practices consider stocking this product."
Vitamin K1 50mg tablets, for the treatment of anticoagulant poisoning following parenteral treatment, are available in boxes of 14 tablets, in blister packs of seven tablets.
For more information, please visit www.dechra.co.uk
The new Improve Veterinary Academy Series is comprised of five month-long semesters, each of which will focus on a different clinical topic.
Each semester will consist of videoed lectures, discussion forums, journal clubs, as well as the ability to access the university’s latest evidence-based research in these areas.
The clinical topics to be explored are:
Each semester counts towards your annual CPD requirement.
Professor James Wood, Head of the Department of Veterinary Medicine at University of Cambridge, said: “This new partnership will allow veterinary surgeons to get the latest evidence-based knowledge directly from our top specialists.
"They will also learn to apply valuable skills in their everyday practice life and engage with others on Improve International’s global, interactive online platform.
Charlotte French, Head of Curriculum & Quality at Improve International, said: “We are thrilled to be working with University of Cambridge Department of Veterinary Medicine as another innovative way to help the veterinary community take their careers to the next level.”
Professor Mike Herrtage, Trustee of the University of Cambridge Veterinary School Trust and former Dean of the Cambridge Veterinary School, said: “The new joint agreement brings together Improve International, with its outstanding record of high-quality and innovative CPD provision and the staff of the Department of Veterinary Medicine with their excellent specialist clinical knowledge and experience, as well as their recognised quality in small group teaching to stage the Improve International Academy Series.
"This will provide a new milestone in CPD course delivery.”
The new brand has a couple of display stands that practices can use to show off the range of memory boxes, paw print kits, paw moulds, fur/hair bottles, plant markers and forget-me-not seeds, and hanging/seasonal decorations.
Oh So Precious is the brainchild of Helen Davies, founder of The Lovely Gift Group (pictured right).
She said: “Having lost pets myself and sold many keepsakes, I know how much emotion and passion we put into our relationships with them.
“When my daughter asked for a keepsake for her best friend I realised their was a gap in the market.
“We also identified a need for good quality, pet related items through our existing gift customers.
"We learn a lot from them and they continually highlight requirements for themselves and as thoughtful gifts for friends who have lost pets.
"The unity among pet owners – that need to convey an understanding and appreciation for those suffering the pain of pet loss - is very real.”
Helen says that as well as providing a new revenue stream, the range will help practices meet client needs and provide new ways to be empathetic to clients in times of distress.
There will be a special show offer for orders taken at The London Vet Show, and in 2023 the team is planning to launch personalised pet keepsakes via links from vet practice websites.
www.ohsoprecious.co.uk
The Targets Task Force comprises a leading veterinary surgeon and farmer from each of the beef, dairy, egg, fish, gamebird, pig, poultry meat and sheep sectors, who have been consulting with key organisations in their respective industries. The group also includes observers from regulators Food Standards Agency and Veterinary Medicines Directorate (VMD).
While the targets each sector has set vary according to the availability of data and scope in their sector, the targets as a whole have been described as 'positive and proactive' by the VMD.
The headline targets for the eight sectors include a reduction in use of antibiotics in pigs by over 60% between 2015 and 2020, with minimal use of highest priority Critically Important Antibiotics (CIAs). RUMA reports that good progress has already been made in this sector, with usage falling by around 35% between 2015 and 2016.
Targets Task Force member and president of the Pig Veterinary Society Mark White said: "It's encouraging to see the response in the sector to the challenge laid down, which bodes well for achieving our ambitious 2020 goal. It is evident that the sector – steered mainly by the members of the Pig Veterinary Society, AHDB Pork and the National Pig Association – has the will and the capability to fully engage with the issue."
Next steps, he said, were to focus on eliminating routine preventative treatment where it is still happening, mainly due to lack of resource or expertise. "We can also work to improve water delivery systems so that more targeted treatment in the water can be used instead of in-feed medication."
The dairy cattle sector has committed to a 20% reduction by 2020, with a particular focus on halving use of the highest priority CIAs. The work to achieve this will be led by a newly-created Dairy Antimicrobial Stewardship Group (DASG) which includes all key organisations in the sector.
Some of the strategies to achieve these goals in dairy farming include reducing the use of antibiotic dry cow therapy and injectable products, and cutting back on group treatments such as antibiotic footbaths for lameness which remain largely unproven, instead using topical and targeted treatments.
Di Wastenage, dairy farmer from Devon, Task Force member and chair of the DASG, said the sector needed to be ambitious about what it could achieve. “While use is lower than in some sectors, there are clear areas to tackle where use can be habitual, or common disease problems go unchallenged.
"For example, eliminating BVD and Persistently Infected animals from the herd is one of the obvious places to start, as well as talking to your vet to calculate the usage levels you have at the moment. Calf rearing can produce a 'hot spot' of treatment, as can digital dermatitis. Everyone has the potential to use antibiotics more responsibly somewhere."
The gamebird sector, having undergone a comprehensive awareness-raising initiative among game rearers in 2017 to cut back on reducing the need for medicines, aims to reduce use by a quarter this year, with a further 25% reduction between 2018 and 2020.
Three sectors – poultry meat, laying hen and fish – are either already low users of medicines or have made significant reductions over the past five years. These sectors will be focusing on maintaining use at the minimal level needed to ensure good health and welfare among their livestock, while tackling emerging challenges should they arise.
The poultry meat sector, previously described as a 'pathfinder' for the rest of the farming industry, has already reduced use by 71% between 2012, when its stewardship scheme was introduced, and 2016.
In doing this, the poultry meat sector has also ceased all preventative treatment and use of the highest priority CIAs. It will now maintain current levels in chickens and look for further reductions in turkeys. This sector will use clinical governance to ensure CIA antibiotics are only prescribed when absolutely needed and with sign off from veterinary specialists and management.
The laying hen and fish sectors have similarly committed to continuing low use, with the laying hen sector eliminating all use of highest priority CIAs in the past two years. The development of a vaccine in the salmon sector several years ago successfully controlled one of its most challenging bacterial diseases, so the focus has turned to the health of the ‘cleaner fish’ used to provide natural control of sea lice.
The trout farming sector, with its greater number of small producers, is concentrating on reducing the need for antibiotics and improving data capture.
The beef and sheep sectors are already low users of antibiotics, but have acknowledged they each need better data, and will also commit to addressing 'hotspots' of use. Both have committed to a 10% reduction in antibiotic use by 2020, subject to securing better data.
For the beef sector, reduction in use centres around calves and youngstock, particularly in the areas of respiratory disease. There is also an emphasis on calves from dairy herds, where mixing animals from different sources can create a peak in disease pressure similar to children going to school for the first time.
In sheep, the focus areas are to reduce routine preventative antibiotic usage against abortion (miscarriage), lameness and neonatal lamb diseases such as watery mouth and joint ill.
With initiatives proving that routine preventative use is largely avoidable through a combination of vaccination, good hygiene, quality nutrition and careful shepherding, Dr Fiona Lovatt of the Targets Task Force is optimistic about the opportunities to reduce overall use.
"In the sheep sector, we’re not high users of antibiotics. But we want to ensure that any use is totally targeted so we are challenging all inappropriate or routine preventative use.
"Convincing farmers to change practices is tricky, and none of us want to see an increase in levels of disease, but those who have had the courage to work with their vets to change what they do are now seeing what is possible. The answer is to take a holistic approach and work closely with a keen sheep vet."
Gwyn Jones, chair of both RUMA and the Targets Task Force, said he has been overwhelmed by the positivity of the group and its willingness to be ambitious. "The members have worked very hard and have shown incredible leadership and persistence. They have also provided unprecedented support and inspiration to each other.
"I am delighted they have agreed that the group should continue to meet twice-yearly to review progress and discuss issues."
The full report with all targets for each sector can be downloaded from the RUMA website www.ruma.org.uk.