Medivet has announced that it has secured a £10 million funding package from HSBC, to acquire new practices across the UK.

Nick Hicks, HSBC’s Corporate Area Director in Thames Valley, said: "HSBC has enjoyed a highly effective and longstanding business relationship with Medivet, which went from the purchase of a small veterinary practice in Hendon, North London in 1987, to the acquisition of over 140 practices across the UK today. This latest financing package supports the continuing expansion strategy of this successful and acquisitive business."

Dr Arnold Levy (pictured right), Chief Executive Officer at Medivet, said: "This is the second wave of our acquisition strategy which will see us, as a privately owned company, expand our offering of veterinary practices across the country. Following the success of last year’s acquisitions, which were also funded by HSBC, we have continued our expansion across the UK a lot quicker than anticipated. This is significant progress for our business and testament to our strong financial backing."

The British Veterinary Association's Members' Services Group has devised a Vet Helpline sticker as a practical way to promote the help and support available to members of the veterinary profession suffering from anxiety or depression. It will be sent out with the 20th February edition of the Veterinary Record.

The suicide rate within the veterinary profession is around four times higher than in the general population and around twice that of other high risk groups including farmers and medical practitioners. Research has shown that long hours, the risk of professional mistakes and rising client expectation and administrative work lead to high levels of anxiety and depressive symptoms. Ready access to and knowledge of lethal means such as medicines and firearms may also be contributing factors in the increased suicide risk.

The Vet Helpline sticker acts as a constant reminder to veterinary professionals that a confidential helpline, manned by trained volunteers from the veterinary profession, is available around the clock on every day of the year to offer support and direct them to specialist help where appropriate. In addition to the Vet Helpline phone number the sticker also gives the number for the Samaritans and includes the address of the Vetlife website which is a "one stop shop" for all the help available.

BVA President, Professor Bill Reilly, said: "Please remember that if you're feeling depressed, lonely or under pressure, or are perhaps worried about a colleague, you can talk it over in confidence with trained volunteers from the veterinary profession. The Vet Helpline is there for all veterinary surgeons, nurses and students. 

"Ours is a small profession and sadly most of us know someone who has suffered mental ill health or taken their own life. We hope that by reminding colleagues how to get help and continuing to publicise the Vetlife website and the Veterinary Benevolent Fund support services the BVA can play its part in supporting vets in crisis."

Vets4Pets has released the results of a consumer survey which found that more than a quarter of all cat and dog owners do not know their pet can develop cognitive dysfunction syndrome.

Vets4Pets says research has shown that 28% of cats between 11 and 15 years show at least one clinical sign of cognitive dysfunction, with this figure increasing to 50 per cent in cats over 15 years of age¹. 

The prevalence in dogs is also reported to be significant, with some estimates indicating that 28% of 11- to 12-year-old dogs and 68% of 15- to 16-year-old dogs are showing clinical signs of the condition².

A 2010 study, which used data from pet owner questionnaires, also estimated that the prevalence of cognitive dysfunction was 14.2% in dogs over the age of eight years, yet only 1.9% of older dogs were clinically diagnosed with the condition³.

The survey of 2,000 owners, which was conducted for Vets4Pets by market research company OnePoll, found that half would not be confident identifying the early indicators of cognitive dysfunction, namely: confusion, anxiety, restlessness, and a decreased desire to play.

62% said they would put any significant behavioural changes in their pet down to them getting old, and more than three in five admitted they can find it difficult to understand the signs of when they should be taking their pet to visit the vet.

Up to 33% delay taking their pet to the vet as they worry they might get bad news

However, 35% said they have or will increase the number of routine visits to the vets as their pet gets older.  

Dr Huw Stacey, Director of Clinical Services at Vets4Pets said: “It is only natural that many pet owners can have apprehensions about bringing their pet along to the vets, which is just a testament to how much they care.

"But this is also why it’s incredibly important that we as an industry have the expertise and training needed to properly support pet owners with this diagnosis."

“Our ultimate goal is to help educate vets and nurses across the nation and empower them in their decision making when diagnosing elderly pets, as well as helping pet owners to care for their pets so they live a longer, healthier and happier life.”

As part of its campaign, Vets4Pets has sponsored a free CPD webinar in which Dr Sarah Heath, RCVS and European Veterinary Specialist in Behavioural Medicine (pictured right), considers ways in which the veterinary profession can improve the detection of this condition, enabling them to offer practical advice and support for senior pets and their owners.

The recording consists of a 45-minute webinar and a 15-minute Q&A session which will be available for anyone to watch for a year. 

To watch the webinar, visit: https://vimeo.com/684610594/3d9d258bcb.

References

1. Gunn-Moore DA, Moffat K, Christie L-A, Head E. Cognitive dysfunction and the neurobiology of aging in cats. JSAP. 2007;48:546-553
2. Neilson JC, Hart BL, Cliff KD, Ruehl WW. Prevalence of behavioural changes associated with age-related cognitive impairment in dogs. JAVMA 2001;218(11):1787-1791
3. Salvin H E, McGreevy P D, Sachdev P S and Valenzuela M J (20120) Under diagnosis of canine cognitive dysfunction: a cross-sectional survey of older companion dogs Vet Journal 184 (3): 277-81

The Government has been forced to scrap plans for compulsory dog insurance less than a two weeks since they were revealed in leaked Defra documents.

Environment Secretary Hilary Benn has now ruled out the idea.

Apparently, the climbdown followed protests that compulsory insurance was no more than a 'dog tax' which would do nothing to curb the problem of dangerous dogs.

There's a certain irony in the way the story was reported in The Sun newspaper, with the headline: 'Labour forced to ditch pet plan'.

Indeed!

Heath Vets, a Cardiff-based veterinary group, has announced that is has become the first veterinary group in Wales to appoint designated customer care personnel, enabling it to take on and beat the corporates at customer service. 

Leanne Kiddie was appointed Customer Care Manager, tasked with ensuring the group delivers excellent customer service across its four sites, after the veterinary group identified customer service as their key driver to retaining customers, attracting new customers and sustaining growth. 

Gavin Hill-John (pictured right with Leanne), Operations Director at Heath Vets said: "We want to put our customers at the forefront of our service. The traditional veterinary practice model was based around territory; you had one vet practice in an area and local people used it. They weren’t challenged on customer service as we are today. Having Leanne as our dedicated Customer Care Manager will help us set Heath Vets apart from other practices. Whilst we may not be able to compete with the buying power of some national chains, we can certainly beat them at customer service."

Heath Vets says it is now developing its engagement with customers regarding future plans; using their comments and feedback to shape the practice.

Gavin added: "We are aiming to deliver a level of engagement with our customers that no other vet practice has seen before. We’re hosting cheese and wine functions where customers can come in, enjoy our festive hospitality, and speak with the staff about their pet’s issues. We not only want to work with our customers, but we want to get to know them."

Gavin says he believes Heath Vets can challenge all competitors when it comes to customer service: "My vision for the role is that across all four sites we should be delivering outstanding customer service, consistently. To achieve that aim, everybody needs to be highly skilled, trained, motivated and engaged. For us, it’s about recognising that we have a hugely impressive team that are focussed on delivering high quality customer service. National chains have investors and shareholders to please; we have our customers."

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?"

Boehringer Ingelheim, manufacturer of Bovikalc and Bovikalc Dry, has launched its National Milk Fever (hypocalcaemia) Survey and is asking vets to encourage their farm clients to take part and improve the quality of data available on clinical and subclinical milk fever.

Survey forms are available from Boehringer Ingelheim Territory Managers or the survey can be completed online at https://bovikalc.typeform.com/to/jVGllV.

There will be a prize draw amongst the completed entries for 20 Bovikalc metal applicators, outers or gilets.

The survey will try and assess the scale of the hypocalcaemia problem on dairy and beef farms as well as look at the impact it has on the farm and productivity.

Boehringer says milk fever is currently thought to affect between 4-9% of the UK’s dairy cows, with the subclinical form affecting up to 39%.^1,2

The survey will provide another up-to-date figure to compare with existing data and look at any regional trends that might exist.

Farmers are being encouraged to complete the survey regardless of whether they believe milk fever is an issue on their farm or not.

Bovikalc Brand Manager, Mathieu Maignan said: "We are really keen to find out about the real-life experience of milk fever and what really matters to farmers so that we can use this knowledge to improve the approach to managing the condition."

Kath Aplin, Veterinary Adviser at Boehringer Ingelheim (pictured right), is hoping to find out more about the recognition of the signs of subclinical milk fever in particular. She said: "Milk fever is not always well recognised by farmers as a predisposing factor in a number of conditions associated around transition, in particular. It will be really interesting to see if they feel there is a connection between those conditions and low calcium levels and how this affects which animals they target with calcium supplementation and other interventions."

The survey will run until 31^st August 2019. The results will be shared with the farming and veterinary community alongside any insights gained into ways to improve the approach to milk fever.

References

1. Husband (2005) In Practice 27, 88-92
2. Sampson et al (2009) Veterinary Therapeutics 10 (3) 131 - 139

Dechra Academy has launched "Purrfect Partner", a free online CPD series to update and refresh vets on the importance of managing unintended weight loss in feline patients.

The series comprises of six half-hour modules presented by leading European Specialists, starting with ‘Feline anorexia in clinical practice’ by Tommaso Furlanello Dr Med Vet, PhD, EBVS European Specialist in Veterinary Clinical Pathology and clinical director at San Marco Veterinary Clinic and Laboratory in Veggiano, Italy.

In the subsequent five sessions, participants will be able to work through a variety of real-life, interactive patient case studies presenting with complex underlying conditions, include sessions on  chronic kidney failure (CKD) and cancer. 

Completing the first two modules unlocks the remaining four modules needed to gain ‘Purrfect Partner’ accreditation.

The series counts for three hour's CPD.

www.dechra.co.uk/academy

Following last week's news from Defra that sales of antibiotics for food-producing animals in the UK have dropped by 27%, comfortably beating the government target of 50mg/kg which was set following the 2016 O’Neill Review on Antimicrobial Resistance, targets for further reducing antibiotic use across the key livestock sectors have been announced by Responsible Use of Medicines in Agriculture (RUMA) Alliance 'Targets Task Force'.

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.

Oh So Precious, a new trade-only range of memorials and keepsakes to commemorate the lives of pets, is to launch at the London Vet Show (stand F14).

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

Success in Veterinary Practice by Dr. Bradley Viner DProf BVetMed MSc(VetGP) MRCVS is now available from Wiley Blackwell at £28.99. Teeside general practitioner Rob Reid BVM&S MRCVS has reviewed the book for members of VetSurgeon.org:

There are many self-help books available in a variety of fields, covering topics which range from stress management and emotional control through to furthering one's career and professional development. Until now, there has been no such publication that has covered these issues in the veterinary context, and it is here that Bradley Viner has identified a niche in the market with his new book Success in Veterinary Practice.

The aim of book is to help veterinary practitioners of all levels to develop and nurture their professional skills, both on a personal and at a practice level. The book will be of interest to vets in all fields and contains a lot of information that will be particularly relevant to vets who are embarking on the Professional Key Skills Module of the RCVS CertAVP. It may also be of interest to other members of the veterinary practice team and is also marketed at individuals who are considering a career in the veterinary field.

The book is organised into nine chapters, with the first eight providing content matter on areas such as personal development, communication techniques, improving clinical performance and developing leadership skills, with the final chapter summarising the information presented. The first eight chapters are structured in such as way that information is presented in a digestible format. The material is detailed enough to provide understanding without being overburdening and the summary and exercise sections presented at the end of each chapter help the reader to review what they have read and pick out the key ideas.

There were many areas of the book I found interesting and I liked the way that the author has looked at the psychological and sociological aspects of one's actions, both in relation to colleagues in the workplace and in relation to dealing with clients. From a personal point of view, I also liked the section on communication skills - an area which probably doesn't receive enough coverage in both undergraduate and postgraduate education.

On the negative side, there are some minor typographical errors and I feel some of the diagrams could have been better produced. The pure academics among us may also be somewhat critical about the author's stance towards the relevance of some aspects of clinical research. And of course some people may be put off by the price, with the truly cynical among us possibly seeing the close relevance of the content to the syllabus of the CertAVP 'A' module as a cunning marketing ploy!

As a general practitioner, however, I found the book to be informative and thought-provoking. I have found it has encouraged me to take a look at certain aspects of my work which I have almost done instinctively in the past, analyse my reasons for doing them and then look at how I can improve on these in the future, for the good of patients, my clients, the rest of the working team and of course for myself. It is certainly an interesting read, and I would recommend it to be of value to any vet who sees the term 'professional development' to mean far more than a simple sharpening of one's clinical skills.

Vétoquinol has launched Flexadin, a new range of joint support products for cats and dogs with osteoarthritis (OA)

Robert Simpson, Flexadin Product Manager said: "This new range is made up of two products: Flexadin Plus and Flexadin Advanced, both are dietetic complementary feeds which are members of a small group of joint support products which contain Omega-3 fatty acids and Vitamin E. These ingredients are proven to aid the support of the metabolism of joints in the case of OA. Although many different joint support aids are available, not all of them contain these extra ingredients."

Vétoquinol says that in addition to Omega-3 fatty acids and Vitamin E, Flexadin Plus contains the traditional ingredients: glucosamine, chondroitin and devil's claw. Flexadin Advanced contains the novel ingredient, UCII - a type of undenatured type II collagen which has been manufactured using a patented process. 

Flexadin Plus comes in two formulations, the first is specifically designed for cats/small dogs and the other is for medium/large dogs. Flexadin Advanced is specifically for dogs.  

Robert added: "Flexadin Advanced has a specific property which means that the administration rate is only one chew per day whatever the weight of the dog. This has an important impact on the price per day for medium and large dogs which may require more than one tablet of traditional joint support products. This property also makes Flexadin Advanced a convenient option for owners. In addition to this benefit, UCII is becoming more and more popular due to the results of scientific studies in dogs, horses and even humans.

"We are all very excited about the advances this range can bring to veterinary practices."

Both Flexadin Plus and Advanced are presented as palatable, shaped, soft chews which come in zip-lock packs to keep the soft chews fresh and tasty. Flexadin Plus comes in packs of 90 chews whilst Flexadin Advanced comes in packs of 30 chews.

For further information about Flexadin, contact Vétoquinol on: 01280 825424.  

Jinx, a 9 month old black Labrador, has become the first patient at Peterborough's recently-opened NuVet practice to undergo pioneering 'single port' keyhole surgery for a retained testicle

The operation was performed by Marwan Tarazi, owner of the NuVet practice, using Biovision SurgAssist laproscopic equipment.

Marwan said: "When we opened the NuVet practice in May, we wanted to offer our clients the option for less invasive surgical techniques wherever possible. Jinx's condition made him a good candidate for keyhole surgery, and the 'single port' approach we use reduces the risk of post-operative infection and speeds up recovery time. His owner nursed another dog through serious complications following more traditional cryptorchid surgery twenty years ago, so she was very keen to try a less invasive approach. This time the procedure went without a hitch and Jinx was very quickly back to his old self, helped by plenty of love and attention from all our staff". 

Jinx's owner is delighted with the results. She said: "I had heard that NuVet were doing procedures through keyhole surgery and so I took Jinx along to the practice in Bretton. All the staff were very welcoming and helpful, and the vet explained the procedure thoroughly beforehand, showing me both the theatre and the equipment he would use, which helped to reassure me. When I went to pick Jinx up after the surgery, he came out wagging his tail, and two days later he was back to his normal self - running around and jumping over impossibly high fences!

"20 years ago I had a German Shepherd with the same condition. Then the vet had to open him up with a large incision, and it was very stressful and uncomfortable for the dog. The recovery time for him was 10-14 days, compared to Jinx's of around 2 days. The difference was amazing."

Marwan is one of a very small number of vets in the UK to use the 'single port' technique. He has invested tens of thousands of pounds in training and equipment to allow the NuVet practice to offer this specialised service to the pets of Peterborough and beyond.

If you want to know more about this procedure and the equipment being used, click here to talk to Marwan!

See also: www.nuvet.co.uk