Midlands-based veterinary surgeon Richard Hillman, who will become the new President of Society of Practising Veterinary Surgeons on May 25th, has outlined the issues he'll be championing during his term of office:

• On practice standards: “We need to influence the RCVS so that as the Practice Standards scheme evolves it produces genuine improvements in both clinical and non-clinical standards and is not just a bureaucratic box ticking exercise adding to the stress, workload and overheads of practices.”
• On clinical governance and audit: “The SPVS needs to ensure that the establishment of protocols does not impinge on clinical freedom while establishing ‘best practice’ and that they are used as a yardstick to encourage practitioners to engage with CPD and improve, not as an excuse for unnecessary procedures and profiteering.”
• On the Veterinary Surgeons Act: “We need to influence the RCVS in developing the Veterinary Surgeons Act review so that we bring about the best results for all of the stakeholders. We need to recognise that there are shortcomings in the present Act, particularly with regard to the disciplinary process, but we need to be sure of what we want from a review, as well as being confident we will get it, or else we may be opening up Pandora’s Box with our eyes half-closed and end up in a worse position than the current one. We must ensure that any disciplinary process punishes members who do not measure up to our standards in an appropriate way, while not putting an onerous burden on vets who are well-meaning, hard-working and doing a good job.”
• On 24 hour provision: “There is much debate on whether practitioners should lobby for 24-hour provision to become voluntary, especially in view of Working Time Regulations. We need to be careful on how we develop policy on this issue. There has to be a compromise somewhere between the needs and wants of practitioners to earn a reasonable living and have a reasonable work-life balance, and clients to have reasonable access to veterinary services when they need them (though not necessarily when they want them) while ensuring good welfare for our patients.”
• On Prescription charging: “Regulations forcing us to provide free prescriptions end in October and we enter a 12-month period of monitoring to see if we can be trusted not to operate a complex monopoly or over-charge for prescriptions. We need to be careful in how we handle this next 18 months. SPVS will work hard to ensure that vets can charge fairly for the work they are doing but not exploit our privilege to prescribe in the short term and give those who look for a reason to take that privilege off us an excuse to do so.”
• On support: During his year in office Richard also wants to support vets suffering from depression or mental health problems because of the “huge stress” of veterinary practice.

The owner of Hillman Vets, a five-clinic practice based in Walsall, Lichfield, Brownhills and Darlaston, Richard is a successful businessman with numerous achievements under his belt. During the 1990s, he developed the Hillman Vets practice as well as helping to launch the first out-of-hours animal clinic in the country, Northside Emergency Veterinary Clinic in Great Barr, Birmingham, and the Birmingham-based chain of Value Vets clinics, for pet owners wanting basic services.

Passionately committed to the veterinary profession, Richard wanted to be a vet even as a child, and has described his job as “a privilege, and the enduring cornerstone of my life”.

In recent years, Richard has become an activist on issues he feels strongly about, such as the rights of animals. He has called on shoppers to buy British organic or farm assured meat because of poor welfare standards in other countries. He has also backed plans to introduce “ASBOs for dogs” in a bid to reduce the growing number of attacks by dangerous dogs on children in their homes and on members of the public.

During his year as SPVS president, Richard intends to encourage UK veterinary practitioners to play a greater campaigning role on welfare issues. “We are the best placed, most motivated, and appropriately qualified people to ensure animal welfare, the responsible use of pharmaceuticals, and food safety,” he will tell fellow vets.

Richard is excited about his presidential year and says: “This year gives me the opportunity to drive the agenda from the front to make a difference, and to work tirelessly to promote, support and represent our profession.”

IVC Evidensia has reported great success using a more conversational style of online CPD session, following a trend started by VetSurgeon.org earlier this year. 

Rather than offering 'death by Powerpoint', where large numbers of delegates are invited to sit and stare at a Powerpoint screen for an hour, followed by a few questions at the end, IVC and VetSurgeon.org invited a smaller, more intimate group to come and discuss a subject on Zoom, a recording of which was then made available for everyone else to watch later.

In the case of VetSurgeon.org, the first such meeting was 'Let's Talk About Small Animal Surgery' with Alasdair Hotston-Moore: https://www.youtube.com/watch?v=p1rD3zfcUZE

Meanwhile, IVC has based its recent CPD sessions about equine emergencies on a very similar model. During the event, short case studies were presented in a format which allowed for discussion all the way through.

IVC Evidensia Equine Clinical Board Vice Chair, Mark Tabachnik said: "We decided on a reflective, case-based approach rather than the usual monologue, where so much information is thrown at you, you’re lucky to catch a couple of snippets. I wanted something that was a little more relaxed and more collaborative, like a group of colleagues chatting about the cases from their night on call over a drink or two at the pub.”

It's a format which seems to be proving popular. Chessie Greenham of Fyrnwy Vets in Shropshire said: "Interesting cases that reflected on call life, worked through in an approachable style that is easily applied to real life scenarios."

VetCT, the vet-to-specialist consulting service is offering all existing and new subscribers food and drink vouchers so they can have a seasonal staff party together. 

The teleconsulting service, accessed via the VetCT App, offers general practitioners 24hr clinical advice and support from specialists in all disciplines.

Practices who subscribe to the service can apply for £15 per person of food and drink vouchers for up to 20 people, to enjoy together.

VetCT says it will also be hosting a virtual party for locum vet subscribers want to take them up on the offer.

Victoria Johnson, Founder and Co-Director said: “We wanted to encourage people to get together - in person or virtually - to enjoy some festive treats and all-important social time, especially after a challenging year.

"We also appreciate how reducing staffing over the seasonal holiday period can leave teams stretched, and want to reassure our clients that we’re here to support them, 24/7, throughout the festive season.”

A member from the VetCT team will join the start of each practice party, to explain how versatile the teleconsulting service can be in providing reassurance and support, with answers to quick clinical questions, as well as advising on complex, multi-disciplinary case queries.

For more information, contact: info@vet-ct.com using the words ‘Staff Party’ in the subject, or visit www.vet-ct.com for more information.

US-based Life Technologies has launched a new PCR-based test system which, according to the company, allows large numbers of pigs to be screened more quickly and cost-effectively for a range of common pathogens, such as PRRSV, SIV and PCV2.

The system uses samples of oral fluids which can be obtained by leaving a cotton rope in each pen for pigs to chew on. After 20 minutes or so, the rope can be retrieved and the saliva and gingival crevicular fluid squeezed into a sample bag and represents a pooled sample from the group.

Studies have demonstrated that oral fluid samples collected in this way can form the basis of a quick and cost-effective method for screening a range of common viral pathogens. The samples were tested using a commercially available sample preparation and real-time PCR test system which can isolate and identify viral nucleic acid in a matter of hours.

For PRRS, pooled samples of oral fluids were collected from groups of experimentally infected pigs using the rope technique, along with serum samples from each individual pig on the same days. Both serum samples and oral fluids were processed using the same Applied Biosystems preparation system and real- time PCR test, both of which were supplied by Life Technologies. The results showed that PRRSV nucleic acid was detectable in both serum and oral fluid samples from the day of infection through to 40 days after infection.

For PCV2, 24 pigs that were free of PRRSV and SIV were divided into 4 pens in separate rooms, and challenged with two different virus strains (PCV2a and PVC2b) at different times. One pen acted as a (non-challenged) control. Oral fluids were collected regularly up to 140 days after initial challenge and tested using real-time PCR. High titres of PCV2 were detected from day 12 to day 28 post infection and virus was detectable throughout the entire testing period (days 2 to 98).

For SIV, a total of 180 spiked oral fluid samples were tested using real-time PCR, and subtyping reagents were also used to identify haemagglutinin and neuraminidase subtypes. The results showed that SIV nucleic acid was detectable in oral fluid samples spiked with high, medium and low copy numbers of SIV, and all positive samples could be successfully sub-typed.

Christina Boss, European Professional Service Veterinarian for Life Technologies said: "Collecting samples in this way is far less invasive for the pigs and so avoids unnecessary stress. And because all of the pigs will chew on the rope, it provides a very broad sample from the group, which is the key to assessing overall herd health. In addition, if the pooled sample provides a positive result, then the animals in that pen can be tested individually to identify those that are infected.

"These results show that the simplicity of oral fluid sampling, combined with the speed and sensitivity of a PCR-based system, provides a practical and cost- effective way of monitoring large numbers of pigs for common virus pathogens.

"The use of a semi-automated, PCR-based diagnostic system means that nucleic acid purification can be achieved in just 25 minutes and results from the real-time PCR available in 90 minutes. The molecular test is very specific and reliable, so the veterinarian can initiate individual testing as quickly as possible and make confident recommendations to the producer."

According to Life Technologies, screening for PRRS using samples of oral fluids has been gaining popularity over recent years because large numbers of pigs can be tested without increased cost or labour. The new research is due to be presented as a poster at the ESPHM meeting in Bruges in April.

The RCVS has brought out a new publication to help members of the veterinary and veterinary nursing professions understand their legal and professional obligations regarding controlled drugs.

Controlled Drugs Guidance is a consolidation of existing advice and guidance on controlled drugs from a number of organisations including the RCVS itself, the Veterinary Medicines Directorate (VMD), the British Small Animal Veterinary Association (BSAVA) and the Home Office. The guide also gives details of the existing legislation concerning controlled drugs, namely the Misuse of Drugs Act and associated regulations.

The guidance provides advice on a variety of topics to reflect the common queries the RCVS Advice Team receives, such as storage, destruction and disposal; keys and keyholders for controlled drugs cabinets; controlled drugs in vehicles; and veterinary nurses administering controlled drugs.

The publication also deals with specific controlled drugs such as ketamine which, on 30 November 2015, was rescheduled to a Schedule 2 controlled drug, meaning that it is now subject to the same strict storage, prescription, dispending, destruction and record-keeping requirements as other medicines in this Schedule.

Laura McClintock, Standards and Advisory Manager at the RCVS, said: “We hope that this publication will help members of the profession navigate the often complex legislative and professional requirements regarding controlled drugs, as well as imparting best practice advice on how they should be stored and disposed and so on.

"This publication has also been endorsed by our colleagues in the Home Office, VMD and BSAVA and, because this is an area that is subject to regular change, we will make sure to keep it up-to-date as and when the regulations change."

The publication is available to download from the RCVS website at www.rcvs.org.uk/publications

A study carried out by 24 independent XLVets practices has revealed evidence of fluke infection much later in the year than had been expected, suggesting a more targeted flukicide strategy could be effective. 

The collaborative study, which was sponsored by Norbrook, involved each practice blood testing a cohort of six lambs on 25 individual farms from 16 weeks of age, to look for evidence of antibodies to liver fluke. 

Only 11 farms had positive results in the period from June, up to December, with most only showing one or two lambs out of the six sero-converting later in the year. Even farms located reasonably close by showed positive cases months apart. 

Mark Thompson of Craven Farm Vets in Yorkshire said, “I did not expect to see positive results as late in the year. I expected a positive result earlier (September/October) as the farm is a very wet farm with a long-standing issue with fluke. Also, the weather in the area has been ideal for the intermediate host and fluke development on the pasture.”

Emily Baxter of Drove Farm Vets in Wiltshire said she thinks there is scope to use the results to improve the timing of dosing with flukicides and more responsible use: “We will use the results from this year’s testing to re-evaluate the farm’s fluke control protocol which will help reduce the level of use of flukicides earlier in the season for years with similar weather patterns and assist in planning of strategic grazing.

"We’re looking forward to continuing our work this year, no two years are ever the same, that’s why monitoring is so important. It will allow both ourselves and our clients to build up a picture over time of what’s happening not only on their individual farms, but potentially down to field level! This will allow us to provide more conclusive recommendations. For now, it’s clear that testing has great promise as a means to provide tailored advice to farms on how to control fluke and use the flukicides available to us responsibly.”

Emily says it’s important that farmers do not stop using flukicides based on the results of this study nor assume that there is less risk: “We all know how significant the losses from acute and chronic fascioliasis can be. We therefore encourage farmers to talk to their vet before they change their flukicide treatment protocols and discuss the possibility of using serology as an adjunct to determine how and when they treat.”

Veterinary professionals can find out more about the fluke sentinel project at https://xlvets-farm.co.uk/fluke-sentinel or the XLVets community at https://www.xlvets.co.uk/the-boss/. 

Centaur Services has launched a range of health supplement soft chews for cats and dogs which can be ordered in custom, practice-branded packaging.

Centaur says the practice branding is designed to reinforce client relationships by encouraging clients to buy vet-recommended products direct from the practice, thereby reducing the loss of sales to the high street or online stores.

The chews consist of a flavoured base with a crumbly texture, into which various health supplements are blended. Centaur says they are particularly popular with owners who find it difficult to encourage their pets to consume supplements within harder carriers, as the soft chews are more akin to food and easier for the animals to consume.  

Colm McGinn, Sales and Marketing Director of Centaur Services, said: "We're always looking for ways to innovate the offer we provide to our customers and make their businesses more successful. Not only are the chews a high quality product with excellent health benefits for pets, they also offer practices a new way of engaging with their clients by providing own-labelled products that come not only with the recommendation of their vet but also the trusted brand of the practice."

The chews are launching in five varieties. For dogs, there's joint support and a heart-shaped multi-vitamin. For cats, there's joint support, bladder support and hairball relief. Additional varieties are in development.

For more information call Centaur Services on 01963 350005 to arrange a visit, or for existing customers, contact your Territory Manager.

Improve International has announced the launch of a new master's degree designed to enable veterinary surgeons in general practice to achieve a higher qualification without taking excessive time out of their practice.

The Master's Degree in Advanced Veterinary Practice Sciences is the result of a collaboration between Improve International, which delivers the taught clinical modules, the European School of Veterinary Postgraduate Studies (ESVPS), which acts as the assessment partner and Harper Adams University, which offers guidance on the research-based modules and provides validation and academic regulation under the QAA Framework. 

Candidates for the new qualification can select modules from a wide range of species and discipline subjects based around their areas of special interest. They must complete at least two clinical programmes from a range of ten subjects and undertake a research module based on their clinical work.

David Babington, MRCVS and Managing Director of Improve International, said: "The launch of this new Masters is a big step forward for the concept of lifelong learning in our profession. Candidates can spend five or even ten years working towards this higher qualification with achievable 'stepping stones' along the way.  

"Their studies will equip them with new skills, give them the latest veterinary knowledge and help enhance their ability to provide a superb clinical service to their clients. During the journey they have the opportunity to achieve a respected, valuable and recognised PgC (60 academic credits); a PgD (120 academic credits) and, finally, a full Masters Degree (180 academic credits)."

Dr Erica Martin, Senior Lecturer in Veterinary Nursing at Harper Adams, said: "We are delighted to be collaborating with Improve International and ESVPS on this innovative new qualification. We welcome the opportunity to help the profession increase  'evidence-based'  veterinary practice through clinical development and the advancement of research skills in a way that is both accessible to vets in practice and that leads to a qualification that recognises the commitment and work involved. These postgraduate qualifications join the MSc in Veterinary Physiotherapy, the MSc in Veterinary Pharmacy and the MSc in Veterinary Nursing which are delivered by Harper Adams University."

David added: "Candidates can spread the cost of the Masters across the training period and recoup the investment easily by implementing new services they learn within the practice.  The initial response to this unique qualification has been very positive with our first candidates embarking on their studies during November 2013."

For further information or to register, email enquiries@improve-international.com; visit www.improvecpd.com or call 01793 759159.

A new publication into the benefits of spironolactone (Prilactone - CEVA Animal Health) has supported its use as part of first-line therapy for the treatment of dogs with congestive heart failure caused by mitral heart disease, according to CEVA.

The double-blind placebo-controlled study¹ involved 212 dogs on either spironolactone or a placebo, in addition to conventional therapy including an ACE inhibitor and furosemide.  It revealed that over a 15 month period 25.5% of dogs either died, were euthanased or severely worsened in the placebo group compared to 10.8% in the spironolactone group. This represents a 55% reduction in the risk of cardiac morbidity-mortality and a 69% reduction in the risk of cardiac-related death or euthanasia.

Further research² has also revealed that aldosterone antagonists, such as spironolactone, help to prevent myocardial fibrosis, a pathogenic process involved in the progression of heart failure.

For more information, 'Start Conversation' with Fraser Broadfoot MRCVS at CEVA Animal Health, or ring 01494 781510.

1 Efficacy of spironolactone on survival in dogs with naturally-occurring mitral regurgitation caused by myxomatous mitral value disease. Bernay F, Bland JM, Häggstrőm J, Baduel L, Combes B, Lopez A, Kaltsatos, V. (2010). Journal of Veterinary Internal Medicine.
2 Aldosterone receptor antagonists - how cardiovascular actions may explain their beneficial effects in heart failure. Ovaert P, Elliot J, Bernay F, Guillot E, Bardon T. (2010). Journal of Veterinary Pharmacology and Therapeutics.

Bayer Animal Health, the maker of Veraflox, has produced a new animation which explains the considerations veterinary surgeons should take into account when choosing which antibiotic to prescribe. 

The animation outlines the key steps that should be taken when faced with a suspected bacterial infection and includes factors such as culture and sensitivity testing, resistance and the mutant prevention concentration.

The company says it produced the animation in response to research it carried out last year in which nearly 500 veterinary professionals (465 practising vets and 45 students) participated.

48% said they felt that not enough is being done to educate veterinary professionals on the responsible use of antibiotics and how to avoid exacerbating the urgent issue of antimicrobial resistance.

Vicky McAlister, Group Product Manager at Bayer said: "In response to this research Bayer is developing a suite of educational resources to arm vets with practical and applicable tools that help them look beyond the 'tip of the iceberg' of bacterial infections, educating about not just the clinical cure, but bacteriological cure, too." 

The animation is part of a wider awareness programme entitled ‘What Lies Beneath‘ in which Bayer says it aims to better understand the challenges the veterinary industry faces when prescribing antibiotics, so that additional tools can be developed to help vets confidently use antibiotics responsibly. 

The programme will also include a series of webinars led by experts in various fields including veterinary medicine, laboratory diagnostics experts, behavioural psychologists and microbiologists. The webinars are due to be released later in the year, and will present a different perspective on common issues such as compliance, how to make appropriate antimicrobial choices and the approach to and interpretation of relevant diagnostic tests.  

Dechra Veterinary Products has unveiled Understanding Exotics from A-Z a new online information resource designed to support veterinary practices treating exotic species.

The new resource includes a selection of leaflets to download or order, including frequently asked questions containing expert information to aid diagnosis and treatment, and pet care leaflets for owners.

There are also a number of questions and answers concerning real life cases posed by veterinary practices and answered by the exotics team at the Royal (Dick) School of Veterinary Studies, University of Edinburgh. 

Understanding Exotics from A-Z covers small mammals such as rabbits and reptiles and the company says it will be frequently updated and reviewed. 

Brand Manager Carol Morgan said: “There are more than 3 million small mammals kept as pets in the UK and 1,150,000 reptiles so there is an increasing demand for information on issues affecting exotic pets.

“The aim of Understanding Exotics from A to Z is to provide a single hub of information for veterinary professionals and owners that can complement the pharmaceutical expertise Dechra can offer.

“The new tools on the website cover a comprehensive range of animals and subjects that have been written by experts and contain recommendations for suitable treatments within our range, making it an easy way to research a particular topic and find a treatment."

For more information, visit www.dechra.co.uk/exotics.

The Animal Welfare Foundation (AWF) has produced a leaflet which guides pet owners through the euthanasia decision making process.

The leaflet 'Saying goodbye - the ultimate kindness' explains why euthanasia may be the most caring option, the choices owners have, the different ways euthanasia may be performed and what happens next. It also addresses the emotions owners may go through when deciding to put their pet down.

AWF Chairman Tiffany Hemming said: "As vets we often see pet owners struggle with letting their pet go. Guilt may be the strongest emotion owners feel when deciding to put their pet down. We wanted to guide owners through this difficult time in a sensitive way and encourage them to ask questions and work with the vet to help them come to terms with the end of their pet's life.

"While the leaflet is aimed at pet owners we hope vets find it a useful communication tool during this distressing time for their clients."

To see all AWF leaflets including 'Pre- and post-operative care', 'Pet travel', 'Pets and poisons', and 'What makes my pet happy' visit http://www.bva-awf.org.uk/pet-care-advice.

Practices can order batches of the leaflets for clients in return for a donation to AWF by contacting bva-awf@bva.co.uk. 

The Bella Moss Foundation (BMF) is to launch the Human to Animal MRSA Advice Service at the offices of the British Veterinary Association on Friday 22nd October.

The charity says this new online service has been created to provide information and advice on resistant bacteria and their effects on animal health to veterinary professionals, pet owners and carers. 

BMF clinical advisor David Lloyd, professor of veterinary dermatology at the Royal Veterinary College, said: "There has been a worrying increase in the numbers of pets reported with MRSA Infections. The causes for this seem to be complex, and research to understand this emerging infection in animals and people is continuing. The Bella Moss Foundation has been very helpful explaining to pet owners the complexity of these issues, and the new Animal MRSA Advice Service will be an educational tool for lay people and veterinarians to learn more about resistant bacterial infections in animals." 

For pet owners and carers the Animal MRSA Advice Service will provide education on bacteria, the risk factors for transmission between humans and animals, keeping pets healthy, finding a vet, and the importance of hand hygiene in protecting pets and people from unwanted infection.

For veterinary professionals and practice staff the service will also provide academic reports and international research, as well as information on CPD seminars.

If you would like to attend the launch of this new service, please contact info@thebellamossfoundation.com, or call Jill Moss on 07581 736774.