Hertfordshire-based Davies Veterinary Specialists reports that the coronavirus pandemic has forced it to implement various procedural changes which it now thinks may make the hospital more efficient in the future. 

One of the most significant changes has been the introduction of video consultations which have allowed clinicians to continue to see patients in need whilst maintaining social distancing.

At the start of lockdown, Davies split many of its service teams into two, which alternate weekly between consulting remotely from home and operating on-site.

The practice says that continual communication between the two teams has enabled the efficient triage of referred cases, whilst the ongoing management of less urgent cases is discussed with clients and referring vets until the patient can be seen on site.

Davies says the new system has been particularly effective for its orthopaedics service, which has seen an increasing demand for video consultations.

Jan Janovec, European Specialist in Small Animal Surgery and Head of orthopaedics said: "Every challenge is an opportunity. The current adverse circumstances are forcing us to re-evaluate the ways we have traditionally worked, and I believe that this “audit” will result in new and better ways of delivering care to our patients.

“Despite lockdown cats continue to explore outdoors and get injured and dogs continue to chase squirrels and birds! Puppies and small dogs continue to get sat on or stepped on by their family members and so they keep us busy mending broken legs, fixing dislocated joints, and so on.”

Once lockdown has ended Jan says that he and his team intend to review what they have learnt and re-evaluate all aspects of the orthopaedic service process to make the clinician, client, patient and referring vet interactions even better.

CVS is launching an app which will allow veterinary locums to see available shifts at its practices, negotiate rates, book shifts, message practices and submit invoices for payment.

The new app has been specifically developed for CVS, is unique to the group, and is owned by the company.

It is powered by LocumBell technology.

When registering on the app, locums can input their work preferences - including their skills, desired travel radius and preferred shift times - so that they are only served up shift advertisements relevant to them.

Users can also set up notifications for upcoming jobs.

The app then allows locums to set minimum shift rates, submit the rate they would like to receive for a shift and negotiate their fees directly with a practice.

Shifts can be then be booked or cancelled on the app at the touch of a button.

All upcoming booked shifts appear on the users’ calendar.

Once a shift has been completed, locums can submit the invoice for their work using the app.

The app allows locums to see every CVS practice invoice and its status, which CVS says will allow queries to be resolved quicker and payments issued faster.

The app is being rolled out to all of CVS's practices from this August.

Amy Hughes, Head of Recruitment at CVS, said: “Locum administration can be time-consuming – as locums first have to identify work, liaise with a practice and our central support team, to negotiate and book a shift, then complete all invoice paperwork.

"We wanted to remove that pain and make it easier for locums to work with us. 

The app is available for Apple devices on the App Store and for Android devices on the Play Store.

For any technical difficulties or assistance, contact: support@locumbell.com or call 0161 556 7685.

Henry Schein Inc., parent company of Henry Schein Animal Health has been named as one of Ethisphere's 2012 World's Most Ethical Companies.

The Ethisphere Institute is an international think-tank dedicated to the creation, advancement and sharing of best practices in business ethics, corporate social responsibility, anti-corruption and sustainability. This is the sixth year that Ethisphere Institute has published the World's Most Ethical Companies list.

Out of more than 5,000 nominations for the World's Most Ethical Companies award this year, Henry Schein was named to the list of 145 companies for raising the bar for ethical standards within the health care industry through exemplary ethical leadership, worldwide business standards and commitment to corporate social responsibility.

Stanley M. Bergman, Chairman and Chief Executive Officer of Henry Schein, Inc. said: A deep commitment to the highest ethical standards and business practices has been a hallmark of Henry Schein since our founding in 1932, and continues to be at the very core of our business model as we have grown to become a Fortune 500 company with operations around the globe and nearly 15,000 Team Schein Members."

Fitzpatrick Referrals has unveiled details of its new joint replacement program, which includes solutions for replacing badly injured and arthritic knees, shoulders, and hocks in addition to the more commonly replaced hip and elbow joints.

According to the practice, this is a dramatic breakthrough which brings new hope to veterinary surgeons and pet owners in otherwise hopeless cases.

Fitpatrick Referrals says the procedures have been developed as a solution for joints with traumatic global joint disruptions involving significant soft tissue damage and for joints with painful end-stage arthritis, with the objective of providing functional, pain free quality of life.  

Noel Fitzpatrick said: "As we understand and try to deal with the problem of painful osteoarthritis in our pet animals it seems likely that there will be a larger role for joint replacement.  Already hip replacement is used to great benefit in the majority of patients that receive it. Other damaged joints could be treated in the same way - but until now the technology to replace knee, hock, shoulder and elbow joints with custom designed prostheses to exactly fit each and every patient did not exist. At Fitzpatrick Referrals this is now a reality for both cats and dogs."

He added: "Joint replacement is particularly useful when a multi-modal approach is used to try and manage osteoarthritis through-out the life of the animal, an area where The Fitzpatrick Group has an increased interest and a variety of publications in peer-reviewed journals. It also offers a realistic alternative to either fusion or amputation in traumatically injured joints." 

The International Society of Feline Medicine (ISFM) has launched a new guide on feline stress and health to help veterinary professionals better understand, prevent and manage stress and distress in cats.

Feline Stress and Health: Managing Negative Emotions to Improve Feline Health and Wellbeing is the result of a collaboration between a number of leading authors in feline behaviour, veterinary medicine and welfare, and has been supported by Ceva.

Aimed at veterinary surgeons, veterinary nurses and veterinary students, the purpose of the guide is to help understand why cats can become stressed and distressed in the many environments where veterinary care is provided, including the veterinary surgery and the welfare environment.

The 160-page guide has been broken down into twelve chapters, covering what stress and distress are, why cats become stressed and/or distressed and how stress impacts on the behaviour and health of the cat.

The guide looks at the causes of stress and distress in different environments, including the veterinary clinic, homing centres, at home and in multi-cat households, and how it can be prevented and managed. The guide also offers some basic ideas, principles and tips which can be implemented by all veterinary professionals, which the ISFM says will make a huge difference to the cats in their care.

Sarah Ellis, co-editor of the guide and Feline Behaviour Specialist at International Cat Care said: "Most of us are well aware that cats can be negatively affected by the veterinary clinic and other confined environments. But how can we really tell what a cat is experiencing and what can we do to improve the situation? This guide offers a great deal of insight into negative emotions underlying the causes of stress and distress in cats and offers practical solutions on how to prevent and manage them."

The guide is available from International Cat Care’s shop (http://icatcare.org/shop), priced at £20.00.  

Somerset-based Arturas Zukauskas MRCVS has been reprimanded by the RCVS Disciplinary Committee for failing to respond to repeated requests from the College for his continuing  professional development (CPD) records.

The first part of the charge was that, between 3 November 2014 and 10 December 2016 he did not provide CPD records to the RCVS requested in four separate letters dated November 2014, September 2015, November 2015 and November 2016. The second part of the charge was that, between 11 December 2016 and 26 July 2017, he did not provide the RCVS with his CPD records despite requests.

Dr Zukauskas admitted to the charge against him at the outset of the hearing. 

The Committee considered whether Mr Zukauskas’ failure to respond to requests for his CPD records constituted serious professional misconduct.

The Committee found that he had breached the RCVS Code of Professional Conduct for Veterinary Surgeons by not responding to the repeated requests for information from the College, although the Committee noted that there had not been total silence. Mr Zukauskas had made email contact on at least two occasions in response to RCVS letters and gave evidence that he had attempted to phone the authors of the letters. The Committee also noted that in early February 2017 Mr Zukauskas had made repeated attempts to give the RCVS access to his online CPD account, which he had been updating to reflect CPD work that he had undertaken.

Mr Zukauskas’ explanation for his failure was that he had not fully appreciated the importance of the letters, that his English was poor, and that he failed to obtain appropriate advice about the content of the letters until recently. It was only in a witness statement dated 27 July 2017 that he finally disclosed his full CPD records.

The Committee noted Mr Zukauskas' admission in his evidence that his English was not good, particularly in light of the obligation, brought into the Code in February 2016, for veterinary surgeons to be able to communicate effectively in written and spoken English.

Chitra Karve, chairing the Committee and speaking on its behalf, said: "From that date, if not earlier, the respondent should have been concerned to understand English sufficiently well to address the correspondence from the College. Whilst the Committee did not consider that his conduct in this respect amounted to disrespect, it did consider that he had shown a disregard of his obligations.

"At all times he could and should have made appropriate efforts to respond to the correspondence from the College and obtain appropriate advice. In effect he put off dealing with these matters and put his head in the sand."

Regarding his failure to respond to requests between December 2016 and July 2017, Ms Karve added: "This caused the College a considerable amount of concern and extra work. Had he done so much earlier, much of this matter would have been avoided. The respondent was once again in breach of his obligations."

Having found Mr Zukauskas guilty of serious professional misconduct in relation to both parts of the charge the Committee then considered its sanction against Mr Zukauskas, taking into account the fact that the Veterinary Nurse Disciplinary Committee had recently suspended a veterinary nurse from the Register for a period of two months having found her guilty of similar charges.

In mitigation the Committee considered a number of testimonials from colleagues and clients, his hitherto long and unblemished career in the United Kingdom, and his open and frank admissions and subsequent efforts to avoid repetition of his behaviour. Language problems were also considered as an explanation for why the situation had occurred. However, it also considered the aggravating factor that the misconduct was sustained over a period of time and that there was unacceptable disregard for the obligations he had to the College as a veterinary surgeon.

In summing up Ms Karve said: "The Committee has determined to impose a reprimand. In doing so it acknowledged that the respondent has shown considerable insight into his behaviour. He had acknowledged that he has needed help in communicating with the College. It noted that he is a good and proficient veterinary surgeon in the work which he undertakes. He expressed remorse for his behaviour. He has carried out sufficient CPD and since December 2016 has been communicating with the College. The Committee considers it unlikely that he will transgress again.

"The Committee has decided that it is appropriate in this case to add a warning to the decision to impose a reprimand. It is mindful of the fact that other veterinary surgeons registered with the College have a duty to discharge their CPD obligations and they honour those obligations. Moreover, the conduct of the respondent has involved a considerable amount of work and expense for the College."

The warning was that in future Mr Zukauskas must respond in a timely and appropriate manner to any communications from the RCVS.

The World Small Animal Veterinary Association (WSAVA) has launched the first set of global guidelines for veterinary dentistry, to support veterinary surgeons around the world in improving recognition of dental disease and in providing a higher standard of dental care to patients.

In addition to enhancing current standards of veterinary dentistry, the WSAVA says it hopes that the guidelines will help to bridge what it perceives as a significant gap in veterinary education globally and to encourage a greater emphasis on dentistry in the veterinary curriculum.

The WSAVA’s Global Dental Guidelines include information and images of oral anatomy and common pathology, as well as best practice recommendations for oral examinations and an easily implementable dental health scoring system.

Evidence-based guidance on periodontal therapy, radiology and dental extractions is also included, together with details of minimum equipment recommendations. 

A key theme is the WSAVA’s rejection of anesthesia-free dentistry (AFD), which it describes as ineffective and a cause of unnecessary stress and suffering to patients.

The guidelines have been developed by the WSAVA’s Global Dental Guidelines Committee (DGC) whose members include veterinary dentists from five continents, together with representatives from the WSAVA’s Global Pain Council, Global Nutrition and Animal Wellness and Welfare Committees.  They are based on the WSAVA’s three-tier continuing education system to ensure that they are relevant for all veterinary surgeons, whether they are working in an advanced hospital setting or in a clinic in a country in which companion animal practice is still developing.

Dr Brook Niemiec, a Board-Certified Specialist in Veterinary Dentistry of the American and European Veterinary Dental Colleges and a Fellow of the Academy of Veterinary Dentistry, is Co-chair of the WSAVA DGC.

He said: "Dental, oral and maxillofacial diseases are, by far, the most common medical conditions in small animal veterinary medicine. They cause significant pain, as well as localized and potentially systemic infection but, because pets rarely show outward signs of disease, treatment is often delayed or not performed with a corresponding impact on the welfare of the patient. In developing the Global Dental Guidelines, we felt that the lack of perception of patient pain was a key issue.

"Our Committee members were also unanimous in their opposition to AFD.  We believe that anesthesia is essential for the execution of any useful dental procedure and this is a central recommendation of the Guidelines.  To support it, we have provided a detailed analysis of anesthesia and pain management approaches."

He added: "Our patients are not well served by the current variation in standards of care, level of equipment and procedural knowledge of dentistry. Misinformation which clouds the sector is a further hindrance.  As clinicians, we cannot allow a fear of the unknown, the discomfort of client pushback or ignorance of current techniques to keep us from doing our best to relieve pain and suffering in our patients.

“We are delighted to launch the WSAVA’s Global Dental Guidelines, which are free to download at http://www.wsava.org/guidelines/global-dental-guidelines. We are equally delighted to announce that 22 of our member associations have already endorsed them.  It is our firm intent that they will be the first step in changing the way that dental disease is perceived in the veterinary profession and in improving dental treatment in companion animals worldwide. We are grateful to our sponsors, Addison Biological Laboratory, Boehringer Ingelheim, Hill’s Pet Nutrition, KRUUSE and Virbac for supporting this important project."

A survey carried out by CEVA Animal Health, manufacturer of the pheromonatherapy products D.A.P.^®  and Feliway^®, has revealed that 94 per cent of veterinary professionals believe that owners' lifestyles are the major cause of behavioural problems in pets¹.

Over three-quarters of those questioned believed that owners should spend more time with their pets to prevent these issues, while 89 per cent thought that owners were too busy to deal with their pets if they developed behavioural problems.

According to CEVA, the fast pace of owners' lifestyles is significantly affecting the stress felt by both dogs and cats and this is further exacerbated in cats by the social demands that pet owners put on them.  Cats are solitary survivors that cope better with short, frequent interactions and like their own company.  While they are popular for their independence, owners often like to have their pets' full attention when they return from work which is at odds with their cats' preferred behaviour patterns.

Behavioural issues can also result from changes in a pet's environment and new experiences such as moving house, building work, the introduction of a new pet to the household, going to a kennel or cattery, travelling in a car, visiting the vets and stressful events such as Bonfire Night and Christmas.  To help combat stress, nearly 65 per cent of dog owners avoid putting their pets in stressful situations, while 19 per cent choose to ignore their stressed dog².

Lucy Brett, product manager at CEVA Animal Health said: "Our modern lifestyles are leading to stressed pets which, in the long-term, will exacerbate behavioural and medical problems. It's important that veterinary professionals educate their clients on the implications of canine and feline stress to help prevent these issues from developing."

For further information about D.A.P.^® and Feliway^®, please contact your CEVA Animal Health representative or call CEVA Animal Health on 01494 781510.

Boehringer Ingelheim VetMedica has published its equine endocrine webinars online for veterinary professionals to view on demand at www.prascend.co.uk/webinars.

The webinars, which cover 'Diagnostic challenges in equine endocrine disease', presented by equine internal medicine specialist  Andy Durham from the Liphook Equine Hospital, and 'A problem-based approach to equine laminitis', presented by equine internal medicine specialist Dr Catherine McGowan from the University of Liverpool, are each one hour long.

Participants will each receive CPD certificates for participation.

Animalcare has announced the launch of Thiafeline (Thiamazole 2.5mg and 5mg) for the management of hyperthyroidism in cats.

An estimated 12% of UK cats over the age of nine suffer from hyperthyroidism², which could equate to almost 350,000 cats³. In one study, 92% of cats diagnosed with hyperthyroidism were stable after four weeks treatment (on the twice daily 2.5mg dosing) with thiamazole¹

Thiafeline is presented as a blister pack, which Animalcare says offers the benefits of easy dispensing, improved stock control and no nurse exposure during dispensing for increased safety in practice. This format also allows pet owners to monitor the dosage and quantities easily, for an uninterrupted course of medication.

Animalcare says that whilst many of the clinical signs for hyperthyroidism are easily recognised, it understands that diagnosis is not always straightforward. For this reason, the company has produced support materials for Thiafeline users including diagnosis best practice charts for use within practice and a pet owner awareness package for use in waiting rooms.

Beverley Hammond, Product Manager for Thiafeline said: "While initial signs associated with hyerperthyroidism can appear quite mild it is important for pet owners to understand that if left untreated the condition can lead to serious secondary complications. It's easy for owners to assume that the signs they are seeing are simply related to old age so our campaign will aim to increase the amount of owners bringing their cats for senior pet checks and also ensure that vets are following the best practice procedures to reach a definitive diagnosis."

References

1. Trepanier et al Efficacy and safety of once daily versus twice daily administration of methimazole in cats with hyperthyroidism. JAVMA Vol222 pp954-958
2. Dr Sarah Caney, Caring for a cat with Hyperthyroidism, Vet Professionals Ltd, 2013
3. Sample data of 1.5million cats registered on Anibase Pet Database.

The Royal College of Veterinary Surgeons is calling for members to nominate veterinary surgeons and non-veterinary surgeons who merit the award of Honorary Associateship or Honorary Fellowship.

Honorary Associateships are awarded annually to people, not necessarily veterinary surgeons, by reason of their special eminence in, or special service to, the veterinary profession. Council has agreed that these should only be people ineligible for election as Honorary Fellows.

Honorary Fellowships can be awarded to up to three veterinary surgeons in any one year for their service to, or special eminence in, the cause of veterinary science.

Nominees for Honorary Fellowships must be members of the RCVS and have been a member, or held a registrable qualification, for at least 20 years.

All nominations need to include the particular reasons why the honour/award should be conferred, along with supporting statements from two referees, at least one of whom must not be a working colleague of the person nominated.

Nominations must be received by the President, Dr Jerry Davies, by Friday, 2 September 2011.

Members may download the nomination form, or request it from the RCVS Executive Office (0207 202 0761 or executiveoffice@rcvs.org.uk).

The Royal College of Veterinary Surgeons has announced that RCVS President-elect Niall Connell, Linda Belton and Jo Dyer have been re-elected to Council after what is believed to have been a record turn out this century.

A total of 8,234 votes were cast in this year’s election, a turnout of 25.5%. The College says the previous highest turnout recorded this century was 22.8%, and it thinks this year's result may even be an all-time record.

It is unclear how much the results were influenced by VetSurgeon.org's reporting of the candidates standing for election, but in another first, Niall Connell was later seen sporting a t-shirt displaying the story: "Arlo said I'm 'by all accounts, something of a national treasure'. Had to do it. Got the T Shirt."

You're welcome, Niall. And huge congratulations to Jo Dyer, who is such a passionate advocate for coal face vets, and to Linda Belton too. 

At the other end of the results, isn't it staggering that there are as many as 422 MsRCVS who are prepared to vote for a single non-issue candidate based the other side of the world. Who are you? Why do you do it? I mean, one can understand a few people voting for the Monster Raving Loony Party out of the general population numbering millions. But 5% of a small, highly educated and qualified profession? What on earth is that about?

The full results, in order of number of votes, are:

• Niall Connell – 3,766 votes (re-elected)

• Linda Belton – 3,581 votes (elected)

• Jo Dyer – 3,146 votes (re-elected)

• John Innes – 2,716 votes

• Kate Richards – 2,283 votes

• Tim Greet – 2,280 votes 

• Peter Robinson – 1,791 votes

• John Davies – 507 votes

• Tom Lonsdale – 422 votes

Eleanor Ferguson, RCVS Registrar and Returning Officer for the election, said: "Congratulations to Niall and Jo for being re-elected to Council and congratulations also to Linda who we look forward to welcoming to Council at this year’s Royal College Day on Friday 12 July. I would also like to thank Kate, Tim and Peter for their contributions during their time on Council and give my commiserations to them and the other candidates who were unsuccessful this year. 

"I was delighted to see that, this year, we had over a quarter of those eligible to vote doing so which means both a record number of votes and a record turnout – it seems this was assisted by our email reminders which, each time they were sent out, lead to a significant boost in uptake.

"However, we will not rest on our laurels and will continue to think about how we can further improve engagement in the election process and turnout for subsequent years."

The results of the election will be declared formally at this year’s Royal College Day – the College’s Annual General Meeting and awards ceremony – which takes place at the Royal Institute of British Architects on Friday 12 July 2019 where the successful candidates will also start their new four-year terms.

No election to Veterinary Nursing Council was held this year due to the fact that there were only two candidates – Liz Cox and Jane Davidson – standing for the two elected places. Both Liz and Jane will take up their three-year terms at Royal College Day.

Hill's Pet Nutrition is offering veterinary surgeons, vet students and nurses in the UK an opportunity to look round its Pet Nutrition Centre in Topeka, Kansas, via a live webcast to be delivered at 7pm on Tuesday 11^th January 2011.

To join the webcast, which will last around 1.5 hours, go to http://www.fc-tv.com/webcast/keystone/hills/jan-11-11 and enter the password pnctour. This event is specifically for veterinary surgeons, veterinary students and veterinary nurses only. 

Tim Dobbins, Associate Veterinary Affairs Manager said: "We look forward to our colleagues joining us for this special live webcast and hearing some of the latest thinking that explains the science behind some of our most exciting products."