The RCVS is inviting nominations from veterinary surgeons and veterinary nurses who are eligible to stand for RCVS Council and Veterinary Nurses (VN) Council, respectively, in next year’s elections.
The College says next year’s elections will not be affected by the current Department for Environment, Food and Rural Affairs (Defra) consultation on the College’s governance arrangements and so, as always, six seats will be contested for RCVS Council, while two places are available on VN Council. Successful candidates are expected to serve four-year terms and will take up their places at RCVS Day in July 2016.
The nomination period for both RCVS and VN Councils runs until 5pm on Sunday 31 January 2016. In order to stand, candidates for either Council will need to complete a nomination form, submit a short biography and personal statement and supply a high resolution digital photo.
Each candidate will also need to have two nominators. For RCVS Council candidates, these should be veterinary surgeons who are on the RCVS Register but are not current RCVS Council members; for VN Council candidates, the nominators must be registered veterinary nurses who are not currently on VN Council.
Gordon Hockey, RCVS Registrar, said: "We are looking for committed and motivated veterinary surgeons and veterinary nurses who are dedicated to their respective professions and who, through the Councils and their various committees and subcommittees, wish to have direct input in decisions relating to how the College sets and advances standards of education and professional conduct. If this sounds like you then please find out more about standing as a candidate."
Liz Cox, Chair of VN Council, added: "I would strongly encourage all those want to have a say and play a leadership role in veterinary nursing to stand up and be counted and put themselves forward as a candidate. It is a very exciting time to join VN Council as the new Royal Charter has formalised the Council’s powers to regulate education and our professional standards, meaning that the decisions you make can have a very real impact on the profession."
The election period will start around mid-March and run until 5pm on Friday 29 April 2016. Ballot papers will be sent to all registered veterinary surgeons and veterinary nurses who are eligible to vote and, during the election period, the College will be sourcing questions from the professions to put to the candidates.
Nomination forms, guidance notes and frequently asked questions for prospective RCVS Council candidates can be found at www.rcvs.org.uk/rcvscouncil16. The equivalent documents for VN Council candidates are available at www.rcvs.org.uk/vncouncil16.
Prospective candidates for either Councils are also invited a ‘Meet the RCVS Day’ at the College’s offices in Belgravia House on Tuesday 15 December 2015, where they will have the opportunity to find out more about the role of the College and RCVS and VN Councils.
RCVS President Dr Bradley Viner and Chair of VN Council Liz Cox will also be on hand to answer questions about the duties and responsibilities of members of the respective Councils. Those interested in attending should contact Emma Lockley, Events Officer, on e.lockley@rcvs.org.uk or 020 7202 0773. Reasonable expenses for travel will be reimbursed.
The awards fall into two categories, those which you need to be nominated for by other people and those which are also open to self-nomination:
Requiring nomination by another person:
Self-nominations allowed:
The deadline for the 2025 awards is Friday, 13 December 2024.
https://www.rcvs.org.uk/how-we-work/rcvs-honours-awards
A Government decision not to embark on a badger cull in England, as reported today, will be the correct one for both badgers and cattle, says the RSPCA.
"This would be the right decision based on compelling evidence, particularly because the most authoritative scientific research ever undertaken on the subject recommended against badger culling as an effective way of controlling TB," said Dr Rob Atkinson, RSPCA Head of Wildlife Science.
"Evidence indicates that the vast majority of badgers are not infected with TB. Our opposition to a badger cull is based on solid science not sentiment. The RSPCA cares as much about cattle welfare as badgers. We are keen to work with farmers and governments to find positive solutions to the challenge of TB in cattle."
Defra has published a final epidemiology report into the Avian Influenza outbreak confirmed in Oxfordshire on 4 June.
The report concludes that at the time of writing (2 July) infection was confined to a single premise, and there is no evidence of infection on any contact or geographically close premises, or evidence of spread of infection to any other premises to date
While it has not been possible to conclusively identify the source of the infection, the two most likely sources of the outbreak are thought to be:
Deputy Chief Veterinary Officer, Alick Simmons, said ''This incident has demonstrated again the potential for avian influenza to be introduced into domestic poultry in the UK. The risk of further incidents, while low, remains. I urge poultry keepers to maintain the highest standards of biosecurity and to report suspicion of disease promptly including where records indicate increased mortality or reduced performance.''
The aim of the tool is to enhance the confidence of veterinary professionals in deciding when to prescribe and when to withhold antibiotics.
The tool is the next step in the PROTECT ME initiative, the core of which is the BSAVA/SAMSoc Guide to Responsible Use of Antibiotics: PROTECT ME guide in the BSAVA Library and the accompanying ‘Antibiotic use in our practice’ poster.
The current demo version of the tool provides advice on gastrointestinal infections.
Work is underway to cover all areas of the PROTECT ME guide.
Cameron Shuttlewood, Production Editor at BSAVA said: “Responsible use of veterinary medicines is key in supporting One Health and in retaining the right to prescribe antibiotics that are important in human medicine.
“We are pleased that the small animal veterinary community is embracing the importance of antibiotic stewardship, and we want this tool to make it quick and easy to follow existing evidence-based guidance.”
The full PROTECT ME guide, including printable posters and non-prescription forms, is available from www.bsavalibrary.com/PROTECTME.
BSAVA members can request free printed copies of the poster for their practice.
Non-members can purchase copies from www.bsava.com/shop for £5.
bsava.fillout.com/protectme
In the online survey of 392 dog owners, which was conducted Companion Consultancy, 64.5% of owners said their dog has suffered from gastrointestinal upset.
51.8% said they used home cooked chicken and rice to manage their dog's digestive upset.
28.6% sought veterinary advice.
18.8% used a pre and probiotic, despite half of the respondents thinking they would be useful.
Veterinary nurse and sales manager at Vita, Tara Evans, said: “We know that digestive upset is very common in dogs, and almost two thirds of the survey respondents identified that scavenging was the primary cause of upset.
"We want to help support pet owners in knowing how they can best look after their pet in these situations, and provide them with both educational resources and an effective product.
“Education is key in helping owners make the best choices for their dogs.
"Changing their diet in a time of digestive upset isn’t always the best option, so it’s important that we provide owners with up-to-date information."
www.vitaanimalhealth.com
Apparently the commonly reported use of AI technology was for radiography diagnostics and reporting (44%), followed by laboratory diagnostics and reporting (27%), communications with clients (11%) or to assist with administrative work (7%).
Vets were asked about the benefits and risks of using AI technology in their work.
The most common reported benefit was data interpretation (55%), followed by diagnostic testing (49%), saving time more generally (40%) and for routine admin tasks or note taking (38%).
The most commonly reported risks of AI were the possibility that results are interpreted without context (83%) or that AI is used incorrectly, without follow up checks (82%).
The other reported risks were an overreliance on AI undermining human skills (68%) and a lack of data protection (25%).
BVA Junior Vice President Rob Williams said: “It’s fascinating to see how many vet teams are already using AI technology in their daily work.
"The massive boom in the use of these tools represents an exciting opportunity for the profession, particularly around diagnostics and interpreting large data sets.
"But as well as benefits there are clear challenges and risks, so this timely session is a great opportunity to address some of the ethical questions around the use of technology when it comes to treating animals and ensuring their welfare.
"It’s set to be an interesting debate, with the chance for delegates to pose questions to our incredibly knowledgeable panel, and I hope many of you will join us to add your voice to the discussion.”
On the AI discussion panel at BVA Live will be: Nick Jackson, Director, Veterinary Surgeon, Council Member - NGJ Locum Ltd, Ben O'Halloran, Policy Officer - BVA and Nicolò Frisiani, Co-founder and CEO - Lupa Pets.
https://bvalive.vetshow.com/conference-programme
Photo: www.depositphotos.com
The Royal Veterinary College has established the Nestlé Purina RVC Intensive Respiratory Centre to provide advanced critical care for patients with severe respiratory diseases. The Centre will offer small animals the UK’s most advanced level of respiratory care with equipment that is more frequently found in human intensive care units, such as a state-of-the-art mechanical ventilator, a critical care monitor and specially made oxygen units (kennels).
Advances in veterinary care mean that animals are able to undergo more invasive procedures, such as extensive thoracic surgeries including cardiopulmonary bypass operations. These patients require more intensive post-operative care, including mechanical ventilation in some cases. The acquisition of this state-of-the-art equipment, to enable such an advanced level of care, has been made possible through sponsorship from Nestlé Purina.
Respiratory diseases are fairly common in companion animals – however there are limited options for treatment for animals that are severely affected with life-threatening respiratory failure. To date new techniques and treatments that have been developed for human patients with severe respiratory diseases have not been applied to animals. Some of the activities of the centre will involve evaluating the effectiveness and appropriateness of using some of these newly developed techniques on small animals.
“The RVC is perfectly placed to pioneer innovative treatment to improve the lives of animals with severe respiratory problems,” said Daniel Chan, Lecturer in Veterinary Emergency and Critical Care at the Royal Veterinary College.
“We’ve got the expertise of specialists in internal medicine, emergency and critical care, surgery, anaesthesia, diagnostic imaging and clinical nutrition – by combining these skills and with the support of Nestlé Purina, we will be able to deliver a comprehensive programme of care. This co-ordinated approach is unique.”
Specialised training modules and lectures for veterinary students, nurses and practitioners, will also be delivered as part of the Centre’s remit and the Centre is also creating a forum for clinicians and researchers from across the world to share information about advances in this field.
Paragon’s gardens feature bee and insect hotels, bird feeders, bat boxes and robin hides, plants for pollinators and long grass to suit hedgehogs.
The garden at Dalston has a bog garden and pond.
Children from the local primary school visit to plant trees and scatter wildflower seeds.
Paragon’s most ambitious project is at Newbiggin where, with the help of a grant from Forestry England, it is planting a three-hectare native broadleaf woodland, reinstating hedgerows and incorporating a wildflower meadow.
Gardeners’ World’s Frances Tophill presented the framed certificate and trophy at the Britain in Bloom Awards at Old Trafford Stadium, Manchester.
Laura Binnie, small animal vet and sustainability lead at Paragon, said: “When we set out to create wellbeing gardens for our staff to enjoy, and to do it as sustainably as we could, we never thought it would go this far.”
“In the veterinary profession, we’re at that unique intersection where people, planet and animals come together.
“We feel a responsibility to do something for the community, for nature and for our clients and staff, and to lessen our impact on the climate crisis.”
https://www.paragonvet.com
The theme for the symposium this year is ‘Advancing veterinary mental health research: learning from the past, considering the present, and looking to the future’.
The day will consist of a variety of oral presentations and poster presentations, and there will be a number of exhibitors, including charitable organisations and wider animal health and welfare organisations.
The College is inviting all those interested in the field of veterinary mental health to attend the day.
RCVS Council member and Chair of the Mind Matters Initiative, Dr Louise Allum, said: “Our symposium presents a fantastic opportunity for knowledge exchange in the veterinary mental health sphere so that, together, we can continue to foster a compassionate environment and build a solid evidence-base for veterinary mental health research to grow and evolve.
“This is an inclusive event open to all with an interest in veterinary mental health including vets, nurses, students, practice managers, academics, healthcare professionals, policy makers, mental health advocates and everyone in between.”
MMI Lead Rapinder Newton added: “We have come a long way in developing our understanding of mental health in veterinary professionals over the past ten years but still have a way to go.
“Only through continued collaboration with mental health researchers, and learning from other allied professions, can we efficiently work towards our shared goal of enhancing mental health and support within the veterinary professions.
“This is why events such as our symposium are so important.
"Veterinary mental health is a small but growing field. Creating environments for open discussion and networking are key to advancing our understanding of where the challenges lie.
"By extension, this also plays an invaluable role in learning how research can be applied in a practical manner to help improve the lives of veterinary professionals which, ultimately, aids in upholding animal health and welfare too.”
https://www.eventbrite.co.uk/e/mind-matters-initiative-research-symposium-2025-tickets-1247144485729
VetSurgeon.org has been setting new records for the amount of activity recorded on the site.
Membership of the community has grown from 1,832 in April, to 3,524 today. On December 2nd, there were 810 visits to the website, the largest number of visits in a single day. And in the month-to-date, 4,764 visitors have made 11,257 visits, during which they made 83,105 pageviews, an average of 7.4 per visit.
A year ago today, the site recorded 55 visits in a day. Forum posts were by no means an every day event. In fact, it was looking a bit like I'd just blown a very large amount of money on a website which would allow me to sit and talk to, er, myself. Things couldn't be more different now, and I'm over the moon to see how popular the site is becoming. It's especially rewarding to see a friendly, professional, collaborative and very active community becoming established in the forums, as that's at the heart of what I set out to try and achieve.
The National Office of Animal Health has launched http://www.pethealthinfo.org.uk/, a new website that bills itself as: "A 'one stop shop' featuring a wealth of animal health information and advice to help owners and potential owners to make decisions about their pets' healthcare."
I must say, full marks to NOAH and the web designers 9xb for a really polished website that presents information in a very easy-to-navigate format. First class job.
In general, the site content seems very good too. There's help for owners deciding what pet to buy, health guides for various common conditions for each species, first aid advice, and much more.
Personally, I think it would have been a nice tweak to offer something a tad more interactive in the section about picking a pet - something that actually made suggestions depending on your answers to the questions the site poses.
I also wonder how useful the Vet FAQs are likely to be. There are so many possible questions a pet owner might have, that a slightly random list seems to me to be of limited use.
But these are small points in the grand scheme of things. Overall, an excellent production, and one you may want to link your practice website to.
The Farm Animal Welfare Council (FAWC) has launched its "Report on the implications of castration and tail docking for the welfare of lambs".
The report considers the implications of castration and tail docking for the welfare of lambs and reiterates FAWC's earlier view that castration and tail docking of lambs are mutilations which should not be undertaken without strong justification.
Professor Wathes, Chairman of FAWC, said: "FAWC believes that scientifically based advice can now be given that will minimise the suffering arising from castration and tail docking."
He continued "If castration is warranted, some methods cause more suffering than others and pain relief should be given once practical methods of delivering local anaesthetics and analgesics have been developed."
The full report is available for download at: http://www.fawc.org.uk/
A rural social scientist has argued in this week's Veterinary Record that the dwindling influence of vets in the public health arena threatens food safety in the UK. Philip Lowe, from the Centre for Rural Economy at the University of Newcastle, argues that a shift in practice from treating animals used for food on farms to looking after pets in urban communities, is largely to blame. The proportion of time vets in private practice spent treating animals used for food halved between 1998 and 2006. Most vets run their own businesses, and pet owners have proved a more sustainable and lucrative source of income than farmers. Professor Lowe sympathises with the need to make money, but laments this drift towards the profession turning into "another private sector service industry." He says this fails to make use of vets' considerable and wide ranging expertise, adding: "I would argue that it also diminishes the public standing of the whole profession. I certainly couldn't imagine the medical establishment in this country accepting a role that marginalised public health, even if the NHS did not exist. More seriously for all of us, I believe that not involving vets in this important area also puts food safety in the UK at risk. "At the same time we live in an age when there is real and widespread public concern about welfare standards for farm animals, threats from animal diseases old and new (such as blue tongue, bird flu and swine flu), and food safety." Professor Lowe says that in the past, the veterinary arm of government traditionally provided leadership for the profession that was embodied by the Chief Veterinary Officer and was underpinned by the proportion of vets' income derived from public funding. But this is no longer the case, and is further undermined by the percentage of vets employed by government having shrunk from 11% to 4% over the past 40 years. Professor Lowe argues that the profession needs to rethink its role and the direction in which it is travelling. He says there needs to be more specialist support and training for student vets and novice practitioners so that they are not put off from farm practice before they have had a chance to develop their skills and confidence in this area. However, he cautions against returning to the stereotype popularised by the fictional James Herriot vet, who was depicted as a mainstay of the rural community: "The farm vet's position and respect for their expertise needs to be restored, but not in the old Herriot mould. He or she has to take on the much greater challenge of risk and welfare regulation and management across the whole food system".
Presented by The Webinar Vet and Vet Dynamics, the Vet Trust Awards celebrate notable contributions to veterinary advancement.
Claire Towers, General Manager of Hill’s Pet Nutrition UK and Ireland said: “Our recognition as the most trusted pet food brand is a testament to the unwavering dedication of the Hill’s team, ensuring vets remain integral to our mission.”
Vetoquinol is introducing new flip-off plastic caps on its injectable range to make the products more user-friendly.
Marbocyl 10% is the first product to benefit. The new caps mean it is no longer necessary to have the aluminium caps which were used to protect the rubber bung and were not always easy to remove. Other products in the injectable range will be adapted throughout 2008.
“Vetoquinol is continuously looking at ways to improve its products,” explains Vetoquinol’s Alvin Cerely. “The phasing out of aluminium caps and the introduction of flip-off lids is a definite improvement in the use of our injectable antibiotics.”
Royal Canin has announced a new Approved Weight Management Centre programme for vet practices across the UK.
As part of the programme, a number of practices across the UK will receive ‘Centre of Excellence’ status for managing overweight or obese cats and dogs educating clients on prevention.
To gain approved centre status, practices are required to establish a formal Weight Management Clinic and work as a team to refer clients with overweight pets through the clinic. The chosen practices will receive bespoke training from a member of the Weight Management Team, to provide them with the skills and protocols to discuss obesity with clients and encouraging vets, nurses and receptionists to work together to raise awareness of obesity.
Shelley Holden from the Weight Management Team said: "This is a unique platform for practices across the UK to take advantage of and really excel in addressing weight management issues in practice and tackling prevention. We are excited to currently work with an elite group of practices, all committed to raising awareness of obesity in cats and dogs."
Royal Canin has so far given nine clinics 'Centre of Excellence' status. They all now discuss body condition scoring with patients to identify whether the pet is in ideal condition. If overweight or obese, they are then referred for further advice and support to their weight clinic. The weight clinic is a complimentary 30 minute appointment with a weight management nurse, followed by ongoing monitoring, personalised advice and telephone support. Approved clinics also educate owners about prevention during puppy parties, puppy and kitten vaccinations, and at neutering to ensure owners are aware of the health risks of weight gain from the outset.
Jo Hammett BVSc MRCVS, Owner of The Stocks Vets (pictured right), said: "We have received bespoke training from Royal Canin to achieve centre status, giving our team the confidence to discuss the sensitive issues surrounding weight with clients, in addition to tackling education. This has really helped break down barriers in approaching the topic with clients about their pets’ weight and we are finding they are now much more open with the team during consultations, which is a major achievement in itself."
For more information about the Approved Weight Management Centre programme, contact your veterinary business manager or visit www.royalcanin.co.uk.
The Kennel Club has launched the Genetics Centre at the Animal Health Trust (AHT) to accelerate research into inherited canine disease.
It aims to create further diagnostic tests which, together with breeding advice, will improve the health and welfare of generations of dogs.
Because of the small gene pool in purebred dogs, inherited diseases resulting from single gene mutations are more likely to occur than in their cross bred cousins. This can lead to significant welfare issues. There are more than five million purebred dogs in the UK alone and many of these will benefit from the findings of the Genetics Centre.
Over the next five years, the centre aims to investigate 25 inherited diseases. It will develop, where possible, screening tests to determine affected and carrier dogs that can be performed with simple mouth swabs. In deciding which diseases to investigate, the joint Kennel Club and AHT team will look at their impact on the health and welfare of dogs, but also on the support of breeders and access to data and samples.
Dr Peter Webbon, Chief Executive of the AHT, said: "We're delighted to work in partnership with the Kennel Club on this important welfare issue. Our level of skill and expertise within this field is unparalleled and the new centre enables us to extend our current range of DNA tests.
"We hope, in time, this will equip breeders with essential information so they can plan successful breeding strategies to avoid the birth of affected dogs, and ultimately, to eliminate disease from breeds at risk."
Dr. Cathryn Mellersh and Dr. Sarah Blott, two of the AHT's genetics experts, will lead the Centre. Both have been fundamental in identifying defective genes and developing screening tests which identify a dog's genetic status and minimise the risk of producing affected puppies.
The Centre will also introduce new approaches in dog breeding. One major advance will be estimated breeding values (EBVs). These will enable whole dog populations to be evaluated for inherited disease - even if individuals haven't been scanned or DNA tested themselves.
Caroline Kisko, Kennel Club spokesperson, said: "The Kennel Club is pleased to support research which improves the health and happiness of dogs. Working in partnership with the Animal Health Trust means we can start to tackle the problem of inherited disease much quicker.
"We have already made significant investment in this area, and are now delighted to step up the scope of this research. It is a very real possibility that through this Centre we will be able to eradicate certain inherited diseases in some dogs."
Dr Ed Hall, President of BSAVA, said: "Inherited disease is one part of a complex issue involved with breeding pedigree dogs.
"I personally welcome any efforts to improve our current understanding of the area and trust that the Kennel Club Genetics Centre will make massive progress in the next five years in order to enable owners to make informed breeding decisions and, in time, to reduce the effect of inherited disease."
The Big Pain Survey is designed to identifying opportunities to help veterinary professionals improve their patient pain management and take a zero tolerance approach to pain in their patients.
Last year's survey revealed that only 18% of veterinary professionals use pain scoring for chronic pain, 78% of practices don't offer pain clinics, only 23% of vets always prescribe analgesia for acute otitis externa, 70% of vets don't do epidural anaesthesia at their practice, and most veterinary professionals agreed that clients' understanding of pain is low.
The organisers say that last year's survey results also suggest that awareness around educational information such as the WSAVA pain management guidelines needs further promotion, particularly when it comes to the use of local anaesthesia.
For example, 39% of practices don’t use local anaesthesia during bitch spays.
Lack of experience was commonly cited as the reason that local anaesthetic was not used for a variety of procedures that would benefit from it, including dental extractions.
For those vets that do use local anaesthesia more regularly, many said they feel they still need further education about it.
Survey: https://forms.gle/prMypCrs5NB32yXZ7
The awards are to recognise outstanding veterinary practices that have demonstrated exceptional performance and innovation in areas crucial to the future success of the profession.
There are three categories: Leadership and Management Skills, Team and Self-Development, and Veterinary Start-Ups.
The three category winners will each win day and evening tickets to SPVS Congress 2025 on Thursday 30th January for three team members, plus overnight accommodation at the Hilton Birmingham Metropole.
Shortlisted practices will each win a book of their choice.
The deadline for submissions is Friday 18th October 2024.
https://spvs.org.uk/business-excellence-awards/
The maps provide vets with a visual representation of targeted diagnostic tests conducted in France, Germany, Ireland, Italy, Spain, and the UK, using data sourced from Idexx.
They show the percentage of positive test results for a range of parasites and parasite-associated infections in dogs and cats, including Giardia, roundworm, and whipworm, and Lyme (Borrelia burgdorferi), Ehrlichia spp., Anaplasma spp., Babesia spp., and Leishmania in dogs.
Data can be filtered by country, region, animal species, parasite type, and time period.
ESCCAP highlights that the data reflects the percentage of positive tests in screened animals, not the overall prevalence of infection.
https://www.esccap.org/parasite-infection-map/
Lincolnshire veterinary surgeon David Bull MRCVS has won a Vet Futures ‘Headlines of tomorrow’ competition with his entry: ‘Vets and medics collaborate to prevent human and animal obesity’.
The competition was held at BSAVA Congress in April where Vet Futures-themed fortune cookies contained a message asking those attending ‘What future headline do you want to see?’ and providing a weblink to enter the competition.
David, a joint partner at Vets4Pets in Lincoln South and an Advanced Practitioner in General Small Animal Surgery, said: "The headline was inspired by topical issues, having ‘One Health’ in mind and the issue of obesity in our patients, as well as the general human population. I feel that these are some of the big issues of our time, especially that of obesity which has been linked to so many other diseases and is essentially a self-induced problem.
“We see so many overweight cats, dogs and rabbits on a daily basis. It seems to be becoming a more common problem, as well as seemingly more accepted in society. This is to the extent that we have some clients that come in worried because they have been told that their dog is too thin, when in actual fact they are in an ideal body condition and are being compared to overweight pets which have become perceived as normal.”
Some of the other topics raised in the competition include the veterinary profession taking the lead in tackling ‘superbugs’, veterinary surgeons topping job satisfaction and wellbeing polls and the profession taking a leading role in One Health and medical advancements.
Clark Dental has launched the new Nomad Handheld X-Ray machine from Aribex™.
According to the company, Nomad already has a superb track record as a practical, effective and recognised state-of-the-art device. It boasts a multitude of benefits and features and is suitable for many different environments. Two rechargeable batteries provide 150 exposures each, and it’s compatible with both digital sensors and traditional X-ray film.
The operator is protected by a patented internal radiation shield as well as an external backscatter shield, which the company says provides excellent protection: one operator would have to expose over 10,000 E-speed films per year in order to approach the lowest measurable dose on a monitoring badge. With a direct digital sensor, the scatter dose is even less.
For further information, please contact the exclusive UK supplier, Clark Dental, on Tel: 01270 613750 or email maria@clarkdental.co.uk