An online quiz by the RCVS has shown that veterinary surgeons generally have good understanding of the Guide to Professional Conduct, but that misconceptions about the role of the college are rife.

Around 850 people completed the quiz since it was launched in November 2009, with veterinary surgeons accounting for 70% of those that took part. The average score was 20 out of 25

Despite the high average score, there were several questions which a very significant number of people got wrong. The worst related to the role of the RCVS: 76% of people wrongly thought that the College's remit included negligence, whilst 66% believed that the RCVS could not consider criminal convictions (it can).

Nearly half of those taking part were not aware that the standard of proof to which the RCVS Disciplinary Committee must be satisfied is 'so as to be sure' - the same as for a criminal court.

Other questions poorly answered related to 24-hour cover, delegation to paraprofessionals, consent and ownership of records. The RCVS Communications Board will consider how to improve communications in these areas.

In terms of age, the highest scoring age-band was 51-60, achieving an average of 20.5 right answers; the lowest was '30 or under', at 18.7.  However, this is not backed up by distribution of complaints to the RCVS, where only 27% of complaints relate to those who have less than ten years' post-qualification experience, although this group makes up 43% of registrations.

The results indicate that there is no significant difference between the genders in terms of Guide knowledge, at 19.54 right answers for men and 19.46 for women. Meanwhile, only 34% of complaints to the RCVS are made about women, while they account for 51% of the Register. However, as women tend to dominate the younger end of the profession, this statistic may be linked to the fact that a greater percentage of complaints relate to older individuals, more likely to be men.

Lizzie Lockett, RCVS Head of Communications said: "We hoped the quiz would offer a light-hearted way for vets - and others - to review their knowledge of the Guide, which can be a dry read, and have been pleased with the response.

There's a free webinar tomorrow at 12:30pm which could help you prevent incidents of bullying at your practice.

Culture Change In Healthcare is presented by Simon Fleming, a trauma and orthopaedic registrar who has a special interest in combating bullying, undermining and harassment in human healthcare, and Sally Everitt MRCVS, the ex Head of Scientific Policy at BSAVA.

Simon will discuss the problem of bullying, the fallout from serious cases, and how you can work to eliminate bullying in your practice.

Sally will present the results of a survey carried out by VetSurgeon.org and VetNurse.co.uk in 2017, to investigate the incidence and impact of unpleasant behaviour in veterinary practice.

The webinar is hosted by The Webinar Vet and sponsored by RCVS Mind Matters. It counts as 1hr towards your annual CPD requirement.

Whether or not you think there is any bullying going on at your practice, I strongly urge you to watch this webinar. There can be few things as harmful to an effective practice team as bullying. Everyone needs to be able to spot it and stamp on it quickly. 

Register for the webinar here: https://www.thewebinarvet.com/pages/culture-change-healthcare-2/

Vetoquinol  has announced the launch of Chrysanphyton, the latest addition to its range of Equistro feeding stuffs for horses.

Vetoquinol says Chrysanphyton is recommended for horses where support of a normal blood flow to the hoof is important. It contains Chrysantellum americanum, blackcurrant and hazelnut extracts which, according to the company, provide a rich source of nutrient bioflavanoids and vitamins.

The recommended administration of Chrysanphyton is 10ml twice a day in horses (500kg) and 5ml twice a day in ponies with the 1000ml pack lasting 50 or 100 days respectively.

A product information sheet is available on the Equistro website www.equistro.co.uk

For further information contact your local Vétoquinol Territory Manager.

The Journal of Small Animal Practice (JSAP) has published a new study which aimed to determine whether the application of vapocoolant spray before intravenous catheterisation resulted in reduced reaction and placement success.

The study was a randomised controlled trial of client-owned dogs and cats presenting as emergencies and requiring intravenous catheterisation.

Patient signalment and mentation score were recorded.

Patients were randomly allocated to either a swab saturated with vapocoolant spray or a swab saturated with saline applied to the clipped area before intravenous catheterisation.

Indirect application of vapocoolant spray via a swab before catheterisation was not found to significantly reduce the reaction of dogs and cats, nor to improve placement success rates.

The study did demonstrate a significantly greater adverse response to vapocoolant spray application to the skin via a swab when compared with the saline control in canine patients; feline patients demonstrated adverse responses to both vapocoolant spray and saline swabs.

It is unclear if the technique of application used in this study provided sufficient cooling effect to provide the required cryoanaesthesia to influence patient reaction.

The authors say future studies should be used to determine optimal vapocoolant spray application technique in dogs and cats, as well as examine its application in other populations and procedures.

Nicola Di Girolamo, Editor of JSAP concluded: “Pragmatic, adequately-powered, randomised controlled trials like the one presented here are essential to evaluate whether an intervention is not only efficacious in a controlled environment, but also effective during clinical practice.”

Full article: https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13504 

Reference

Trinder, R, Humm, K, Phillips, S, and Cole, L (2022) The efficacy of vapocoolant spray for the improved tolerance of catheter pain in emergency patients in dogs Journal of Small Animal Practice, Available at: https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13504 

The BSAVA reports the highest ever attendance at Congress this year: 6,178 veterinary surgeons, nurses, practice managers and students, 6% cent higher than in 2011 (the last time the BSAVA hosted its own Congress).

According to the association, a significant number of international delegates attended this year with almost 60 countries represented - notably Scandinavia (186 delegates), Germany (56), the Netherlands (40) and the USA (31).

Other highlights included:

• Vets and vet nurses jointly acquired more than 100,000 CPD hours in a scientific programme which included subjects such as orthopaedics, neurology, anaesthesia and analgesia, dermatology, oncology and pain management.
• Nearly 300 exhibitors filled the National Indoor Arena.
• The top five most popular titles at the BSAVA Publications stand were: Feline Practice, Neurology, the Pocketbook for Nurses, the Pocketbook for Vets, and Practice Management.
• According to the Birmingham Convention Bureau,  BSAVA Congress brings in an estimated £15m to the regional economy. This includes accommodation, meals, events, entertainment, and travel around the cosmopolitan destination.

Outgoing BSAVA president Mark Johnston said the event was the highlight of his presidential year: "Last year we showed the world how well the BSAVA can organise a major veterinary congress. But what is pleasing is that the momentum we gained from hosting the World and European meetings has continued into this year.

"We had more delegates in 2013 than in the last purely BSAVA Congress two years ago and to accomplish that in these difficult financial times is a remarkable achievement."

Newly inducted BSAVA president Michael Day (top right) said he was looking forward to extending the international aspect of BSAVA. The Australian-born Professor who has lived in the UK for well over two decades said: "BSAVA has made huge contributions to veterinary practice in the UK, and already has a global reputation for Congress and publications - I believe we have such a wealth of resources and so I am convinced we have so much more to offer the world".

Virbac has announced that it is to support the work of Glasgow student vets buy supplying their homeless project with vaccines and parasiticides.

'Trusty Paws' was set up last year by fourth year veterinary student Ruby Shorrock and a group of her fellow students to provide basic veterinary care to dogs belonging to homeless people in Glasgow.

Working with organisations which help the homeless, the students provide monthly clinics during which they give free vaccinations and flea/worm treatments to animals owned by the homeless. They also microchip them and give out bedding, food and clothing for the dogs and their owners.

Virbac is providing its Canigen DHPPi and Lepto vaccines to Trusty Paws, as well as its recently launched Milpro wormer and its Effipro spot-on flea treatment.

Royal Canin is also supplying marketing assistance to help Trusty Paws spread its good pet-care message and encourage those in need to visit the clinic. They will also provide clinical diets to those pets in need of specialised nutrition.

Ruby Shorrock: " Glasgow is in desperate need of this service as there is very little in place to help homeless people with animals - not even a dog-friendly hostel. We provide preventative care for their dogs in a friendly environment where they can also have a warm drink, a sandwich and a chat. We rely on fundraising and donations to keep the clinics running and also fundraise to help any dogs with major health problems so that they can made more comfortable for their hard life on the city's streets.

"For many homeless people, their dogs are a treasured companion. Protecting them from disease and parasites is the most important thing we can do to help them continue to benefit from this companionship.

Simon Boulton MRCVS, Head of Marketing (Companion Animal Business Unit) at Virbac, said: "In setting up Trusty Paws, Ruby and her colleagues are providing a vital service to animals in dire need of basic veterinary care.  They are also extending the hand of friendship and support to homeless people in Glasgow, who already face a difficult life and value the unconditional love they get from their pet so highly.  We were inspired by the fantastic work they are doing and are delighted to support them by donating our vaccines and parasite control products to them."

A study published in Veterinary Record has found that lower-income UK pet owners are less likely to have insurance, with cost being the main reason given for not taking out cover¹.

The study, led by Svenja Springer from the Department of Interdisciplinary Life Sciences, Messerli Research Institute, University of Veterinary Medicine Vienna, used an online questionnaire in March 2022 to investigate dog and cat owners in Austria, Denmark and the UK, with a final sample of 2,117 owners.

The survey found that differences in insurance uptake across income groups were seen only in the UK, where 65.6% of owners in the high-income group (more than £44,800 a year) had insurance compared with only 35.1% in the low-income group (less than £22,400 a year).

Overall, 51.5% of UK households in the sample had insurance and 48.5% did not.

Among owners without insurance, UK respondents were much more likely to say policies were too expensive (48.9%) compared with 28.1% in Denmark and 29.9% in Austria.

However, when it comes to how much owners are prepared to spend on veterinary treatment, the paper concludes that emotional attachment to a pet was the most important factor, over and above income or insurance status.

Nevertheless, only around 20% of UK dog owners said they would spend over £3000 of their own money — that is, over and above any insured sum — on treatment.

Some 24.8% of the owners of uninsured dogs and 34.7% of the owners of insured dogs said they would spend £101 to £1000 of their own money.

Around 11% said they would spend £1001 - £3000 and 19.8% of insured vs 27.1% of uninsured said they didn't know.

Reference

1. Springer S, Lund TB, Sandøe P, Corr SA. Investigating dog and cat owners’ uptake of pet health insurance and spending on veterinary treatment. Vet Rec. 2026;e1–e16. https://doi.org/10.1002/vetr.70621 

VetIT is launching a new suite of practice management software this month, which it claims will wipe out IT support worries while also giving vets secure access to their records wherever there's an internet connection.

Designed for practice-based and mobile vets, its developer says the near-universal access of the system will make VetIT ideal for the progressive and forward-thinking veterinary practice, particularly those with multiple locations.  Early clients are already seeing the benefits of the system, which has been four years in development.

VetIT's Tony Houghton said: "The software offers practices a host of new features, all of them designed to increase usability, enhance revenue, reduce running costs and eliminate IT concerns. And because the new system has been developed in partnership with a well-established veterinary practice, VetIT sees and does things from a vet's perspective.

"During the development phase, our practice partner told us that existing packages were unwieldy - whether in their day-to-day operation, the ability to see and share data, or the 'back office' administration required. So we designed VetIT from scratch, to work in the most user-friendly manner."

According to Mr Houghton, the most significant difference is in how the software works - and in recognising that most practices expect IT systems to 'happen' in the background, rather than devouring precious time.  "Existing packages are physically located in your practice - usually on a dedicated server, requiring daily back-ups and maintenance.

"VetIT, conversely, is a 'web-hosted solution' - like Sage Online or for that matter, Facebook - which means it's accessible to users wherever there's a browser and an internet connection: main or branch practice, home or out in the field.  Log in from anywhere and you'll always see the same data.

 "Practice data is held securely at a remote location and, with automatic back-up systems, some of the biggest worries about onsite IT systems - theft, fire, flooding and protection from computer viruses - are removed immediately.

"In the event of system maintenance or issues, customers talk to a friendly, UK-based support and development team, who can access and modify the system in real time; practices won't have to wait for an engineer to attend.  In fact, we have a very content practice in Oman now running the system; the installation and set-up has all been carried out from a distance."

By removing the 'IT headache', Mr Houghton says practices choosing VetIT will be able to run their businesses more effectively, while developing closer, more valuable relationships with customers.

He said: "The web-based system allows vets' customers to log-in to 'their' VetIT, where they can check records, pay bills, or place orders. Practices can also maintain and build a relationship with customers via e-mail and SMS reminders of appointments, check-ups, treatments due and so on."

As for running costs and pricing, Mr Houghton cites pre-launch studies showing the potential for productivity gains in practices deploying VetIT, while the system's clear pricing - from low-cost start-up practices to corporate licensing for multi-site operations - gives peace of mind with smooth, predictable costs through the system's life.  "You don't have to buy expensive computer hardware like servers and back-up systems, and pay-as-you-go pricing eliminates up-front software licensing costs."

Mr Houghton says users in so-called 'notspots' - areas of the country where broadband connections run at less than 2Mbps or are non-existent - need not feel left out, either.  "We've designed the system to be as fast as possible, with no heavy data-transfer requirements.  In fact, data transfer within the system is so well optimised that it will even work with a dial-up connection or mobile broadband."

More information about VetIT is at http://www.vetit.co.uk/, or contact Nick Cole.

The University of Bristol's Langford Veterinary Services (LVS) has announced the completion of its new clinical facilities.

The first phase of the £13 million development includes a new small animal surgery building, comprising five theatres, an ICU, a dedicated anaesthesia induction and recovery and an imaging suite.

The imaging suite comprises a 16-slice CT scanner, for small animals and horses, conventional digital radiography with a DR system, a high-resolution fluoroscopy, diagnostic ultrasound, echocardiography, scintigraphy and a high resolution 1.5 tesla MRI scanner available seven days a week.

Lynne Hill, Chief Executive of LVS, said: "The new facility provides state-of-the art diagnostic imaging facilities at all times, to help the animals under our care."

LVS highlights the case of Gainsborough, an eight-year-old Irish draught gelding, to illustrate the benefits of its new facilities. The horse, used for jumping and endurance, was initially presented to the Equine Hospital in October 2010, with clinical signs including nasal airflow obstruction and discharge, which was limiting his athletic capabilities.

Using videoendoscopy and radiography, a space-occupying mass was diagnosed in the paranasal sinuses impinging into the nasal cavity. With the horse conscious, but sedated, using regional local anaesthetic nerve blocks, the bulk of the mass was removed and he returned to work. However, the owner reported a recurrence of the clinical signs and he was returned to the clinic for reassessment.

The new imaging suite, only one of a few such units in the UK, has been adapted to enable the imaging of a horse's head while conscious using a frictionless air plinth. The adaptation allows detailed imaging of both bone and soft tissue structures within a horse's head, without requiring a general anaesthetic.

Using the new imaging suite, Gainsborough's CT examination revealed a portion of the mass, which had been inaccessible to the previous keyhole surgery, had expanded into the nasal cavity. The detail of the images enabled careful planning of a second operation that facilitated removal of the large remnant of the mass, which appeared to be benign, with minimal collateral trauma.

In addition to imaging the heads of conscious horses, dogs and cats are able to undergo complete body scans using the same unit while anaesthetised. As well as enabling detection and diagnosis of lesions without invasive or painful tests at an earlier stage, the unit will facilitate operative planning and add to the body of knowledge of disease pathogenesis.

For more information about LVS, visit: http://www.langfordvets.co.uk/

Christine Middlemiss has taken up her post as UK Chief Veterinary Officer (CVO), taking over from Nigel Gibbens who has stepped down after 10 years in the role.

Before joining Defra, Christine served as the CVO for New South Wales, Australia, a position she'd held since August 2016. During her tenure there, she led the implementation of new outcome-focused and risk-based biosecurity legislation, online animal certification processes and improved evidence- and risk-based disease control approaches.

Christine comes from a farming family in the south of Scotland, with a background in beef cattle and sheep.

Prior to moving to Australia, she worked for a number of years in private practice in Scotland and the north of England with specific interest in research, meat processing and livestock genetics. She then joined the Animal Health agency (now part of the Animal and Plant Health Agency) in 2008 as a Divisional Veterinary Manager in Scotland. She also led Defra’s Animal Traceability and Public Health policy team, detecting and responding to new and emerging diseases such as Schmallenberg and Porcine Epidemic Diarrhoea.

Christine said: "I am delighted to have been appointed. It is a privilege to take over from Nigel and lead my veterinary colleagues to support our farming and food industry on the UK reputation for high health and welfare of our animals.

"I am very much looking forward to working again with the team at Defra, its agencies, the devolved administrations and all the individuals and groups who will contribute to meet future challenges.

"Our Secretary of State has confirmed he wants to cement the UK’s place as a world-leader on animal health and welfare as the UK leaves the European Union, and I’m delighted to have an opportunity to play a part in that."

The Disciplinary Committee of the Royal College of Veterinary Surgeons has suspended a veterinary surgeon from the Register for nine months for convictions regarding docking puppies' tails and driving offences, and for failing to obtain a client's consent to treatment or explore other treatment options.

At the conclusion of the four-day hearing, Dr Adetunji Ayinla Jolaosho, formerly principal veterinary surgeon at City Vet Clinic in Syston, near Leicester, was found unfit to practise following two convictions for tail docking plus 17 driving and related offences, which also brought the profession into disrepute. 

They further found that he failed to obtain consent to remove tissue from Jemma, a Staffordshire Bull Terrier owned by Mrs Hill, and to discuss a reasonable range of treatment options with her, and that this also amounted to serious professional misconduct.

In December 2008, Mrs Hill brought Jemma to Dr Jolaosho to have a lump on her flank drained.  Mrs Hill said she made it clear that she had limited finances and nothing other than this treatment should be done without her consent.  Dr Jolaosho undertook a biopsy and removed tissue. He told the Committee that he asked his practice manager to contact Mrs Hill and obtain her consent, however, this was not consistent either with the clinical records or a letter sent to Mrs Hill in December 2008. 

Caroline Freedman, Chairman of the Disciplinary Committee said: "The Committee is satisfied that Dr Jolaosho did not seek to obtain consent from Mrs Hill before he decided to carry out exploratory surgery. It does not consider that there was any attempt to explore treatment options with Mrs Hill before the surgery other than draining the mass."

On 16 June 2009, Dr Jolaosho pleaded guilty at Market Harborough Magistrates Court to two offences of docking the tails of Rottweiler and Doberman puppies.  He was fined £10,000 and ordered to pay court costs of over £3,000.  During 2003 to 2008, he was also convicted of 15 driving and related offences and twice of obstructing a police officer.

At the outset of the hearing, Dr Jolaosho admitted his criminal convictions, telling the Committee of his difficulties following the death of his wife in October 2002 and subsequent sole responsibility for his three teenage children.  He also said that the tail docking resulted as an oversight on his part and that as the puppies were docked within five days of birth, there were no welfare issues.  He emphasised that he had not carried out tail docking since being visited by the RSPCA in July 2008.  He also drew to the Committee's attention the fact that, until 2003, he had been of good character.

The Committee accepted that for at least part of the period in question he was suffering from emotional problems following his wife's death, and his continuing financial responsibility for two of his children.

It was however, concerned, that having received a custodial sentence for driving whilst disqualified, he committed further driving offences on release. Nor did they accept that the tail docking was an oversight: in 2006 the RCVS advised Dr Jolaosho to comply with the RCVS Guide to Professional Conduct and not dock dog's tails unless for "truly therapeutic or prophylactic reasons." In view of the seriousness of the charges admitted and proved, the Committee concluded that a  period of nine months suspension from the Register would be a proportionate penalty.

Mrs Freedman said: "The primary purpose of the sanctions is not to punish but to protect the welfare of animals, maintain public confidence in the profession, and declare and uphold proper standards of conduct." 

She added: "Bearing in mind the financial consequences of the suspension of Mr Jolaosho, the Committee does not consider that any useful purpose would be served by imposing a longer period of suspension. However, Mr Jolaosho should be aware that any further convictions or failure to observe the College's Guidelines are likely to lead to the removal of his name from the Register."