The RCVS says this is the first time that two leading organisations in veterinary QI are collaborating to establish a new evidence-based model for QI specific to veterinary care.
The project is being overseen by Jocelyn Toner MRCVS, an experienced veterinary surgeon with a background in shelter medicine and an interest in evidence-based interventions to improve welfare outcomes.
The team will test the model against a prevalent problem in practice and measure the cost of making the changes against the benefit it brings.
They will refine the model based on lessons learned before they make it available to all veterinary practices, to tackle any area a practice wants to improve, regardless of practice type or specialism.
The aim is to help time-poor practitioners implement proven QI methods to improve outcomes and provide a return on investment.
Jocelyn said: “I’m looking forward to working with colleagues from across the sector to develop a model that will make Quality Improvement more accessible, and show that it can have a real economic benefit.
"We know that there is increased demand for veterinary teams to provide more efficient and effective care while maintaining high levels of animal welfare, improving team welfare and client satisfaction.
"Over recent years an increasing number of veterinary teams have embraced QI techniques.
"Now is the time to take this to the next level by creating an evidence-based model for QI, which can be applied systematically in any veterinary setting.
The project will involve bringing together veterinary professionals to co-design the model and test it in practice.
If you are interested in supporting this work, please register your interest at: rcvsknowledge.org.uk/forms/ktp-interest-form/
Dechra Veterinary Products has added a new webinar: 'Otitis Externa - Recent advances in the treatment of ears' to The Dechra Academy, the online training suite from Dechra Veterinary Products.
Presented by Sue Paterson, MA VetMB DVD DipECVD MRCVS RCVS & European Specialist in Veterinary Dermatology, the webinar accounts for 1.5 hours CPD and covers such topics as ear anatomy, cytology and the creation of treatment plans.
Carol Morgan, Dechra Brand Manager said: "We are dedicated to providing educational resources to support the veterinary profession. The otitis webinar is the latest addition to our range of high quality key-opinion-leader-led CPD on The Dechra Academy."
The webinar is now available to view on demand at www.dechra.co.uk/academy.
The Privy Council has dismissed the appeal of a Lincolnshire veterinary surgeon against the RCVS Disciplinary Committee's decision to strike him off the Register in January 2011 for serious professional misconduct.
At a two-week Disciplinary Committee hearing in January, Joseph Lennox Holmes of Waltham Veterinary Clinic, Grimsby, was found to have advised on and undertaken surgical procedures without sufficient clinical grounds or consideration of alternative treatment options; failed to obtain the informed consent of his clients; undertaken procedures outside his area of competence; failed to refer or discuss the option of referral to a specialist; and, failed to provide his patients with adequate pain relief. These findings related to two separate complaints and a total of 31 charges, of which 28 were found to amount to serious professional misconduct.
The Appeal was heard by Baroness Hale, Lord Wilson and Lord Kerr on 1 November 2011, and their judgment was delivered on Tuesday by Lord Wilson.
There were two principal parts to Mr Holmes's appeal: firstly, that RCVS procedures for investigating and determining complaints were biased against him and infringed his human right to a fair hearing by an independent and impartial tribunal; and, secondly, a number of complaints about the DC's findings and conclusions.
According to the RCVS, their Lordships recognised that the College's regulatory framework was constrained by the existing Veterinary Surgeons Act and "support[ed] statutory reform so as to enable members of the disciplinary committees to be chosen from outside the council"; but, they were satisfied that the College had made "strenuous attempts" to ensure its disciplinary procedures were fair and in accordance with human rights legislation.
They also remarked that the College had made "elaborate efforts" to separate the membership and work of the three RCVS Committees that produce guidance, investigate complaints and adjudicate on complaints, respectively. Their Lordships considered that "a fair-minded and informed observer [having considered all the facts] would not conclude there was a real possibility that the DC was biased against Mr Holmes".
Their Lordships also dismissed all of the 'deficiencies' that Mr Holmes had sought to identify in the DC's findings and conclusions. They generally preferred the College's evidence, witness accounts and expert witness testimony, and felt the DC had correctly considered the multiple charges before it.
They also found that the expertise of the DC in assessing the standards of the profession was "entitled to substantial respect" and agreed that the only sanction appropriate to Mr Holmes' "catalogue of egregious misconduct" was the removal of his name from the Register.
"[This sanction] was the only disposal which could properly reflect the primary need to serve both the interests of animal welfare and the reputation of the veterinary profession," they concluded.
Their Lordships' decision is now subject to approval by the Crown, following which, Mr Holmes would be removed from the Register and no longer entitled to practise as a veterinary surgeon.
Ceva Animal Health has launched Hepaticare, a new liver support supplement for cats and dogs.
The company says Hepaticare contains the same high quality ingredients as Hepatosyl, but is now enhanced with micro-encapsulated SAMe to enhance product stability and patient acceptance.
Hepaticare contains the antioxidants of S-adenosylmethionine (SAMe), vitamin E and silybin to help maintain liver function, and vitamin K to support the normal blood clotting process. Ceva says these ingredients help neutralise damaging free radicals produced by the liver during times of stress, while the SAMe has been micro-encapsulated to enhance stability, reduce any bitter aftertaste and increase patient acceptance.
Hepaticare capsules can be given whole or opened and sprinkled onto, or mixed with, food.
Rob McLintock, companion animal business unit manager at Ceva Animal Health, said: “Following a change in supplier we have taken the opportunity to launch a new liver support supplement, ensuring that the new and improved product, Hepaticare, is as effective and as easy to administer as possible.”
Hepaticare pack sizes and pricing will remain the same as for Ceva’s Hepatosyl. Until the end of September, Hepaticare will be available on a buy one get one free offer.
For further information, contact your local Ceva territory manager or phone 01494 781510.
There are 15 candidates contesting six places in the RCVS Council; 16 if you include the perennial Dr Lonsdale. Three are existing Council members eligible for re-election and the remaining 13 candidates are not currently on Council:
Ballot papers and candidates’ details are due to be posted to all veterinary surgeons eligible to vote during the week commencing 13 March, and all votes must be cast, either online or by post, by 5pm on Friday 28 April 2017.
Once again the College is inviting members of the profession to ‘Quiz the candidates’ by putting their questions directly to all those standing for election. Each candidate will then be invited to choose two questions to answer from all those received, and produce a video recording of their answers. Recordings will be published on the RCVS website on Thursday 16 March.
The biographies and statements for each candidate in the elections can be found at www.rcvs.org.uk/vetvote17.
Eleanor Ferguson, RCVS Registrar, said: "This year we will be publishing the candidate biographies and statements online ahead of the start of the official voting period. This is to allow both veterinary surgeons and veterinary nurses to be better informed about the candidates and their reasons for standing before they put their questions forward.
"We would strongly encourage all members of the professions to review the candidate profiles and pose questions for them to answer. We hope it will spark some interesting debates about how the profession is regulated."
You can email your question (NB only one per person) to vetvote17@rcvs.org.uk, post it on the College’s Facebook page (www.facebook.com/thercvs) or on Twitter using the hashtags #vetvote17, by midday on Monday 27 February.
The programme starts at 9:00am on the 1st April with a keynote address by Professor Iain Chapple, Head of the Birmingham Dental School, and then spits into two streams, one for beginners, the other for advanced practitioners.
The beginners stream includes: 'Clinical examination and charting - a logical approach' and 'Malocclusions and Surgical extraction technique and complications', whilst the advanced stream includes: 'Canine Chronic Ulcerative Stomatitis', 'What are the Hidden Dangers in your Dental Unit?' and 'Case based Periodontal/ Gingival Histopathology'.
The BVDA Scientific Programme costs £140, and you can register here: https://www.bvda.co.uk/bvda/registersm
However, as BVDA President Paul Cooper MRCVS (pictured right) was keen to point out: "It does work out cheaper to join the BVDA and then get the member discount for the Scientific Programme!"
On the 2nd April, the association will also be running two drylab practical sessions (using models, not cadavers).
The first, with Tom Williams BVSc MANZCVS (Small Animal Dentistry and Oral Surgery) MRCVS and Megan Clark BDS (Hons) Bsc (Hons) AKC offers a practical overview of root canal treatment.
The second, with Alix Freeman BVSc MRCVS and Andrew Perry BVSc DipEVDC MRCVS offers an introduction to composites and non-invasive jaw fracture repair.
Each drylab costs £100, and registration is via the BSAVA Congress registration page: www.bsavaevents.com.
The first course will be overseen by Jodie Hughes, an RCVS and European specialist in anaesthesia and analgesia. The hospital’s inaugural resident will be Luisa Oliveira (pictured right), who earlier completed a rotating internship at North West Veterinary Specialists in Cheshire, and, more recently, an anaesthesia-specific one at NDSR.
Jodie said: “Luisa’s residency will comprise mainly the provision of anaesthesia to multiple animal species, ranging from the ‘simpler’ procedures to the most critical and complex, which we frequently encounter in our interventional cardiac procedures and emergency work.
“A significant component of the training will involve the management of pain, both in the acute setting (in the peri-operative period) and in the chronic setting, whilst dealing with our pain clinic patients.
“Luisa will also be trained in the management of emergency and critical care patients and will undergo rotations in other services to better grasp their requirements.
“As we work exclusively with dogs and cats, we will work in close collaboration with several other hospitals in the UK and continental Europe, to complement Luisa’s training with other species.
“As part of this, Luisa will be exposed to multiple advanced techniques, including ultrasound-guided regional nerve blocks and interventional procedures in our pain clinic.
Luisa said: “This is a fantastic opportunity for me to work alongside an incredibly experienced and skilled team at NDSR.
The training programme has been developed by Rui Pinelas, RCVS and European specialist in anaesthesia and analgesia at NDSR, who is optimistic there will be further training opportunities in the near future.
Rui said: “This was something NDSR has been keen to implement for some time and we had been having ongoing discussions to choose the perfect time.
“In terms of logistics, it took around three months for us to set up this anaesthesia residency, which was largely spent organising our partnerships with the other training facilities and undergoing an evaluation as to whether our facilities and case load would meet the specialist board’s strict requirements, which we are delighted they did.”
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.
BraveBites contains protein, fish oil (rich in omega-3) and prebiotics.
The snack, which was developed with a veterinary nutritionist, has a soft texture and high palatability.
Camille, who worked for a year at Fitzpatrick Referrals, said: “In dogs undergoing cancer treatment, decreased appetite and weight loss are common.
"They negatively affect both prognosis and quality of life.
“Owners were constantly asking what they could still give their dog when food refusal started.”
Camille says that in a field test across 40 veterinary clinics in Belgium and the Netherlands, over 95% of oncology patients accepted the snack well, with a reported improvement in appetite and quality of life
BraveBites is available direct to vets, with educational material, client brochures, and quality-of-life monitoring tools.
http://www.bravebitespetfood.com
The Land Rover Burghley Horse Trials has announced a £15,000 bursary to the Animal Health Trust. The bursary will be used to help fund the development of a rapid result blood test to identify horses infected with Strangles.
The AHT has already developed a test that can detect the disease, however the result is not known for 48 hours. The aim of the new research is to develop the test to produce a result within 10 minutes. The test, which is being developed in conjunction with Forsite Diagnostics Ltd, will be a useful tool for disease screening at sales and competitions.
"As an independent charity we receive no government funding and this bursary is extremely important to us and we are delighted to be working in partnership with The Land Rover Burghley Horse Trials on this specific project," said Dr Richard Newton of the AHT who is carrying out the research in partnership with Professor Andrew Waller. "Without this vital funding to carry out the painstaking work that will give us the confidence to launch the test, it will remain no more than a theoretical possibility."
The Bursary will be presented at this year's Land Rover Burghley Horse Trials (1- 4 September 2011) - in recognition of the 50th Anniversary of the event.
"With increasing horse movement, not only world-wide but closer to home between competitions and livery yards, preventing the spread of disease is an increasingly important challenge facing the horse world," said Elizabeth Inman Director of the Trials. "We are delighted to be able to play a part in this challenge and hope that this anniversary bursary will help to fast-track this new test out of the laboratory and into the field and thereby help reduce the spread of what is a horrible disease for horses and owners."
Veterinary nurse Beverley Burnett has launched North East CPD, a new CPD provider in the North East of England.
Beverley said: "It's not always time- or cost-effective to have to travel far and wide for courses, sometimes overnight, leaving surgeries short-staffed, and what with increasing travel costs, I decided to provide courses further North.
"Courses for both veterinary surgeons and veterinary nurses start in October. Our lecturers are all very experienced professionals, qualified to the highest standard within their chosen speciality, giving you the opportunity to receive only interesting and up-to-date courses.
"Our aim is to help you develop your knowledge and skills, whilst enjoying a relaxed and friendly environment, at an affordable rate."
To find out more about current and future courses, and how to book, visit http://www.ne-cpd.co.uk/ or email: info@ne-cpd.co.uk
North East CPD is curently offering a 10% discount on your first booking!
They include the launch of the RCVS Academy, reforms to the RCVS concerns investigation process, the publication of the Workforce Action Plan and guidance for universities on supporting Black, Asian and Minority Ethnic veterinary students, ongoing work on new under care guidance, the development of new sustainability standards for the Practice Standards Scheme, and the purchase of the future headquarters for the RCVS.
The report also contains an update from the College’s charity partner RCVS Knowledge, details of RCVS financial management policies, and an independent auditor’s report on the College.
The Annual Report and Financial Statements will be formally adopted by RCVS Council at its Annual General Meeting on Friday 7th July at One Great George Street.
Veterinary surgeons and veterinary nurses are able to submit questions about the Annual Report.
The College says that subject to time, submitted questions will be answered by the College on the day, or followed up in writing after the event.
Questions should be emailed to Deborah Rowlanes, RCVS Events Manager, on d.rowlanes@rcvs.org.uk no later than 5pm on Tuesday 4th July.
If you want to attend, register at: www.rcvs.org.uk/events.
Developed in conjunction with Fiona Lovatt BVSc PhD FHEA DSHP DipECSRHM FRCVS, past president of the Sheep Veterinary Society and RCVS-recognised specialist in sheep health and production, NoBACZ Navel disinfects and dries the navel in a couple of hours and seals with a colourful, natural resin that forms a long-lasting waterproof barrier to protect against bacterial ingress from the environment.
It can also be used on the area around ear tags in lambs and calves.
Nobacz Navel can be applied by dipping or spraying and contains a bitter agent to deter ewe or cow interference.
Fiona said: “Attention to detail is an essential component in the care of neonatal lambs.
"To reduce the risks of joint ill, shepherds need to do whatever they can to protect lambs from bacteria infecting either the navel or the ears at the point of tagging.
"This product has been carefully designed to both desiccate the area and to form a barrier to protect these vulnerable sites.
"I’ve seen it used successfully in a number of flocks now – both in late lambers from last year and early lambers from this.”
https://nobacz.com
The Disciplinary Committee of the Royal College of Veterinary Surgeons has suspended a veterinary surgeon for a period of three months for practising veterinary surgery while not registered with the College.
At a hearing which concluded on 9 September, Silke Birgitt Lindridge, of the Consett Veterinary Centre, Medomsley Road, Consett, County Durham, was found guilty of disgraceful conduct in a professional respect for practising when she ought to have known that her name had been removed from the RCVS Register for non-payment of fees.
The Committee heard that Mrs Lindridge, who qualified as a veterinary surgeon at the University of Berlin in 1997, had returned to Germany whilst on maternity leave in September 2006 but had continued to be the sole principal of two practices, the Consett Veterinary Centre, and the Winlaton Veterinary Centre in Tyne and Wear. She had continued to run the practices whilst in Germany, and had returned to the UK on several occasions during 2007, when she practised veterinary surgery on small animals and horses. She had not been registered with the College for the period between 5 June 2006 and 2 April 2008.
To practise veterinary surgery when unregistered is a criminal offence. However, after consultation with the Crown Prosecution Service, a decision was taken that it was not in the public interest to prosecute Mrs Lindridge and that the matter should be left with the RCVS Disciplinary Committee.
Mrs Lindridge claimed not to be aware that she was unregistered, stating that a fee notice and reminder, as well as a telephone call and correspondence from the College about her registration status, had not been brought to her attention by her practice administrators. The Committee accepted that she had not known, but decided that, as registration was a professional obligation, Mrs Lindridge should have known that her name had been removed from the Register, a charge that Mrs Lindridge accepted. The Committee felt that: "The failure of Mrs Lindridge to put in place proper systems for the administration of her practice, including the payment of her annual retention fee... was lamentable." The way in which the practice had paid its bills during her absence demonstrated an "utterly careless attitude to the administration of the practice".
Taking account of the fact that Mrs Lindridge had not knowingly practised while unregistered, and the positive support of her clients, the Committee decided that a three-month period of suspension from the Register was appropriate.
Beverley Cottrell, chairing the Committee, commented: "The Committee would like to make it clear that it is the personal responsibility of every practising veterinary surgeon to ensure that the annual retention fee is paid and that their names are on the Register. It is in the public interest that clients should be assured that the practitioner is a regulated person, who is capable of providing valid certificates."
She continued: "The record of Mrs Lindridge's practice during 2007 discloses that she was providing certificates for horses and small animals whilst she was unregistered. Those certificates are invalid. She was also prescribing prescription-only drugs when she was not entitled to do so. The Committee considers that a short period of suspension is proportionate to the nature and the extent of the charge, the public interest and the interests of Mrs Lindridge."
A survey carried out by Intervet/Schering-Plough Animal Health to launch Plerion, a chewable, flavoured wormer for dogs, has shown that most UK dog owners turn to their vet rather than a pet shop for advice on worming.
Over 83% of owners who took part in the survey said they follow their vet's advice on worming whilst fewer than 8% would follow the advice of their local pet shop. 63% choose to buy wormers from their vet against 35% buying wormers from a pet shop or online pharmacy.
Survey participants understood the importance of carrying out a regular worming programme with almost 80% stating that a dog should be wormed every three to four months. However, some owners cited forgetfulness as a reason for not worming their pet regularly and expressed a need for a reminder from their local vet practice.
Almost 85% of those who took part in the survey believed that not all wormers provide the same level of protection and almost 75% said that vet recommendation is the reason they purchase a specific brand of wormer. 94% of owners are aware that worms can affect people as well as dogs.
The survey revealed that 1 in 5 owners experienced difficulty in administering a complete dose due to their dog spitting out part or the entire tablet.
Intervet/Schering Plough says that Plerion should help reduce compliance issues; its innovative and tasty soft chew formulation meaning that most dogs will take it right out of the hand.
Sarah-Jane Minter, marketing manager at Intervet/Schering-Plough said: "When developing Plerion we knew it was essential to launch a product that made life easier for dog owners by being easy, and even fun, to administer as this would increase the likelihood of owners sticking to a regular worming programme. We are delighted by the feedback we are receiving from owners who report their once fussy dogs are taking the flavoured, chewable Plerion tablets as though they were treats."
Plerion is available in two tablet sizes that provide a combination of Pyrantel, Praziquantel and Oxantel which, the company says, gives effective treatment for the major endoparasites in a single dose including tapeworm Echinococcus multilocularis, as required by the Pets Travel Scheme (PETS).
For further information, please contact your local Intervet/Schering-Plough Veterinary Business Manager or phone the company's Veterinary Support Group on 01908 685685.
International Cat Care (formerly the Feline Advisory Bureau) is once again raising the issue of cats accidentally poisoned by dog flea products containing permethrin.
The charity is undertaking a campaign to warn owners of the dangers of using dog flea products on their cats because cats are still dying unnecessarily. While the incidents outlined here occurred in the UK, previous reports have shown that this is the most common cause of poisoning of cats in many countries because products are widely and easily available.
Gary Rutland RVN DipAVN(Surgical), Head Nurse and Cat Advocate at the Cat Friendly Millennium Veterinary Practice in Essex was moved to get in contact with International Cat Care after the death of a nine-week-old kitten treated with a permethrin-containing dog spot-on bought at a local pet store. Understandably, both the owners and the practice staff were greatly distressed. The owner used it on her dog and, because it was cheap, assumed it would 'not be strong' and would be fine to use on the kitten. A video of the kitten on the ICC website (www.icatcare.org/permethrin/cat-deaths) shows the resulting seizures.
The second incident concerned two 7-year-old cats treated accidentally after Donna, their owner, bought a dog spot-on containing permethrin from a local shop without wearing her glasses. Someone had placed a dog treatment among the cat treatments and she picked it up. No advice was given to Donna in the shop. She said that the flea treatments were on the shelves, 'just like selling smarties in a children's candy store'.
Although both products had a warning on the packaging, this was either not seen or not taken seriously enough because such products are so freely available and nobody thinks that a drop of a dog product could kill their cat.
International Cat Care is demanding that dog spot-on flea products containing permethrin should not be available without verbal advice at the point of sale. Currently these products are categorised by the Veterinary Medicines Directorate (VMD) in the UK as AVM-GSL, which means that they can be bought directly off the shop shelf without the need for advice. The charity says they should be recategorised as NFA-VPS so that they can only be purchased if there is someone in the shop who is suitably qualified to speak to and advise the buyer. The shop should advise that they are only for use on dogs, and ask if there are any cats in the home which could come into contact with a recently-treated dog. The owners can then be warned to keep the dog and cat apart, or advised to use a different product. Advice must be given with some other current non-permethrin containing spot-on products sold through pet shops under the NFA-VPS authorisation and many of these products have a much safer profile if used accidentally on cats, than those containing permethrin.
Dr Andy Sparkes, Veterinary Director for International Cat Care, said: 'Many practices see permethrin poisoning in cats several times a year but do not contact the VMD because the product is not a POM or they feel that the Directorate already knows about the problem. We feel strongly that the problem is greatly under-reported. Nothing will be done unless the full extent of the problem is realised by the VMD, so please report each one by going on the website at https://www.vmd.defra.gov.uk/adversereactionreporting/. These cat deaths are totally preventable - you can sign our petition at www.icatcare.org/permethrin/petition to change the categorisation.'
The charity is also asking the pet trade to voluntarily class these dog spot-on products containing permethrin as NFA-VPS and to provide advice to their customers accordingly. Pets at Home is working with International Cat Care and the company will be adding a till prompt so that the product cannot be sold without customers being asked whether they have a cat and given appropriate advice.
Maeve Moorcroft, Head of Pets at Pets at Home which earlier this year launched its Flea Fight Force said: 'We take the risk of permethrin poisoning in cats very seriously. We are introducing prompts at our tills so that customers are asked during the checkout process if they are aware of the risk to cats in the home when purchasing a permethrin based spot-on dog flea treatment, and also advised to wait at least 72 hours after treating the dog before the dog and cat can come into close contact.'
International Cat Care is urging veterinary practices to ensure that if concentrated permethrin-containing spot-on products are prescribed and dispensed for use on dogs, adequate warnings are given, including when owners come in for repeat prescriptions. Asking if there is a cat in the house each time a product is dispensed is critical in case a cat has recently been added to the home.
Information on the veterinary treatment of permethrin poisoning cases can be found on the ICC website at www.icatcare.org/permethrin/vet-info
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).
The RCVS Disciplinary Committee has dismissed an application to be restored to the Register of Veterinary Surgeons from a former Kent-based veterinary surgeon, Warwick Seymour-Hamilton.
Mr Seymour-Hamilton was originally removed from the Register in June 1994 for failing to maintain his equipment and facilities such that it evidenced a total disregard of basic hygiene and care for animals, thereby bringing the profession into disrepute.
The restoration hearing on Friday 18 March was Mr Seymour-Hamilton’s fourth application for restoration, with previous applications being submitted but refused in July 1995, June 2010 and January 2015. However, as the Committee made its decision on the merits of the case before it, those previous applications were not admitted as relevant to its decision.
Mr Seymour-Hamilton told the Committee that he currently works as a herbalist and naturopath for humans and wished to be restored to the Register so he could include animals in his research. He had completed a course in herbal and naturopathic medicine at the College of Naturopathic Medicine in Dublin in 2010, and told the Committee that he believed that being restored to the Register would lend credence to his endeavours to secure funding and other support. He stated that he did not intend to work again in a veterinary practice.
However, the Committee rejected his application on a number of grounds, including the impact on animal welfare should Mr Seymour-Hamilton be restored to the Register; the length of time he had been off the Register and the fact that he was therefore not up-to-date with contemporary veterinary practice and professional conduct; and that his efforts to keep up-to-date in terms of knowledge, skills and developments in practice were insufficient.
Judith Webb, chairing the Committee and speaking on its behalf, said: "The Committee is concerned about the length of time that has passed since he last practised and the paucity of the evidence he has provided to establish that, if permitted to return to practice, he would be able to attain the professional standards required of a modern veterinary practitioner, either as regards surgical capabilities/competence or as regards his knowledge of currently available veterinary medicines."
She added: "This Committee’s obligations and duties are to see that the interests of animal welfare are properly protected by ensuring that only those who are properly trained, knowledgeable and experienced are permitted to treat animals and that public confidence in the standards of the profession are maintained. The risks attendant on a restoration of this applicant to the Register are, in the judgement of this Committee, plain and obvious. Accordingly, this application is refused."
Locum vets Cristiana and Marco Tudini have had the holiday of a lifetime after winning a competition run by the recruitment consultants, Recruit4vets.
The couple, who came to the UK in 2006, were amongst 1000 people who entered the draw last year, when Cristiana was working for Companion Care in Folkestone.
Kelly Worrall from Recruit4vets said: "Our team called Cristiana on a typical day in the practice to deliver the news. She was obviously thrilled to get the call. Not only did we help find Cristiana her dream job, we sent her on a dream holiday too!"
Cristiana said: "My husband and I went to New York at the beginning of December. New York was full of festivities and was magical to go around Christmas time, we even visited Rockefeller Centre and watched the lights and singers. My husband and I are vegan, so we were delighted to find NYC filled with vegan restaurants and fast food outlets, we didn’t stop eating the whole trip!
"New York City was absolutely amazing, this really was a dream come true!"
Sue, who is President of the European Society of Dermatology and an RCVS Specialist, says in a video interview that antimicrobial resistance (AMR) is making otitis externa cases difficult to resolve and that vets can help overcome the problem by rethinking their first line prescription choices.
In the video, created in conjunction with Elanco Animal Health (maker of Osurnia), Sue said: "It’s a sad thing to say but if everybody did manage cases of otitis externa appropriately first time, I probably wouldn’t have a job at all."
"Many of the cases I see as a referral clinician are longstanding cases with very severe, multiply-resistant infections. If we get these cases right on the first occasion with appropriate prescription of drugs, and we don’t hurt dogs so we can give ongoing treatment, then we’d never ever see pseudomonas infection again."
Sue believes part of the problem is that veterinary surgeons are incorrectly saving some of their best first-line treatments for difficult cases. This is perpetuating the antimicrobial resistance problem as cases are being inadvertently mismanaged.
She said: "Florfenicol, which is the active antibiotic in Osurnia, has excellent gram positive activity which makes it an ideal first line choice. However, there’s a misconception that florfenicol is a fluoroquinolone - which it isn’t - so vets are incorrectly ‘saving it’ rather than using it on the first occasion."
Sue also highlights that poor compliance, resulting from the patient’s behavioural problems associated with ear phobia, also has a long-term impact:
"We’ve seen many 'well behaved' dogs that have bitten their owners as a result of fear aggression; we’ve had dogs that have pinned their owners against the wall. I would argue very strongly that if you use long-acting products in dogs on the first occasion then you avoid creating that problem and these dogs don’t become difficult to medicate on a long-term basis."
Sue summarised two factors that vets need to consider when deciding on the appropriate treatment: the right active ingredients to target common first-line pathogens; and the method of application. She urged vets to consider using a long-acting product applied within the practice, removing the need for home treatment to reduce stress for both owner and the dog, improve long-term compliance and maximise clinical outcomes.
To hear Sue’s tips on how to treat cases of otitis, watch the video here – www.osurnia.co.uk
The VetCT teleconsulting service, which can be accessed via the web and an app-based platform, provides advice from a specialist team.
Typically advice is provided as a written report within 24 hours, with options for text chat or telephone conversations when vets may want to discuss the case with a specialist.
The service can be accessed on a pay-per-case or subscription basis.
Until now, follow-up advice had been capped at two weeks.
Internal medicine specialist and Head of Teleconsulting at VetCT, Kate Murphy, said: “We are delighted to be extending our support for cases that require ongoing management, such as endocrine disorders or complex wound management.
"Our clients have fed back how valuable it will be to partner with us longer term for these patients, to provide guidance and reassurance that care is being optimised and help to keep owners engaged and happy.”
welcome.vet-ct.com/sales
MI:RNA says that current testing practices for Johne’s disease mean that identification of the disease is difficult, with current sensitivities of around 10-40% and little to no ability to diagnose early stages of infection.
The loss of productivity due to Johne’s to the UK agricultural economy is estimated to be in excess of £10 million annually.
MI:RNA says it is the first diagnostic testing company to use microRNA assay technology.
MicroRNAs are newly discovered biomarkers that manage the immune system and immune responses and act as regulators for disease progression or resolution.
This, says the company, makes them excellent biomarkers of disease, and when combined AI, can significantly improve identification of Johne’s and other complex conditions, and predict disease outcomes.
MI:RNA says this development will allow veterinary surgeons, farmers and pet owners to test for a variety of conditions, not just Johne’s.
Target areas include heart and kidney disease, osteoarthritis and bovine tuberculosis, along with effective general wellness and preoperative screening.
Eve Hanks, founder and CEO of MI:RNA, said: “Increasing market and global pressures on bovine protein production means that animal health has never been more important.
"This is a key area of research and development for MI:RNA and biomarker science combined with our unique AI-powered modelling, means that we can significantly improve animal health and reduce greenhouse gas output.
“The breakthrough that we’ve already achieved in Johne’s testing is unparalleled, and has provided an opportunity for MI:RNA to pitch our business concept in the USA to the The Kansas City Animal Health Summit.
"Following our presentation, we have now progressed through to the final selection stage for European Innovation Council funding for our work on Johne’s disease.
“In terms of future applications, microRNAs can assist with vital drug discovery, progressing future diagnostic testing and understanding disease pathways more effectively.
"We’ve already made remarkable progress and we know that with the continued backing of our tech, AI and health experts and with the correct funding, that we can do so much more.”
The company points to data from the Animal Poison Control Center in the US which showed that in 2022, recreational drugs, including marijuana-based drugs, hallucinogenic mushrooms and cocaine made the list of top ten reasons for animals needing its help, knocking gardening products into 11th place.
In addition, the APCC reports a nearly 300% increase in calls about potential marijuana ingestion over the past five years
With this in mind, TVM has developed guidelines to support vets with these cases, both in terms of treatment options and tips on how to discuss the issue with clients and glean the information needed to help with the diagnosis and treat the animal.
TVM has also launched its new ‘Seasonal Suspects’ board kits to help vets educate pet owners on the common Christmas hazards commonly found around the house at this time of year.
The eye-catching waiting room display, which shows veterinary staff as seasonal superheroes, covers the dangers posed by items such as alcohol, batteries, plants and nuts, and advises pet owners on the necessary action needed should their pet digest any toxic substance.
TVM will also be sharing ‘Seasonal Suspects’ posts on its Facebook page for veterinary staff to share with their followers over Christmas.
For more information, email help@tvm-uk.com, call 0800 0385868 or contact your local Territory Manager.
To coincide with National Microchipping Month in June this year, Avid will update the details of any pet with an Avid microchip registered on the UK 24hr PETtrac microchip database free of charge, saving their owner £6 for a change of address and £12 for a change of ownership.
In addition, anyone who contacts the company via its website during June will also be entered into a prize draw to win one year's worth of free pet insurance.
To update registration details free of charge, visit www.petchipupdate.com (the update service activates in June), or call 0800 652 8977.
Any microchipper who would like a Pet Chip Update Campaign pack can send a request via www.petchipupdate.com or call the AVID MicroChip sales line on 0800 652 7 977.