The RCVS Disciplinary Committee has dismissed a charge against Nicholas Robert William Horniman MRCVS, a veterinary surgeon from Cinderford, Gloucestershire, that alleged he was guilty of pet insurance fraud, along with one of his clients, and of dishonestly altering clinical records.
The charge was that, between December 1 2008 and June 30 2014, in relation to Cassy, a Labrador retriever belonging to Jayne Bowkett, Mr Horniman:
The Committee heard that Cassy, who had previously been diagnosed with hip dysplasia, had been registered with Pets Barn Veterinary Group in Gloucestershire in May 2008 when Mr Horniman was the Principal and owner of the three-practice group. Cassy was treated at the Cinderford branch of the practice where she received regular prescriptions for her condition.
At some point in 2008/2009, Mrs Bowkett had relayed concerns to Mr Horniman that her current pet insurance policy needed to be renewed, that the renewed policy would not cover Cassy's existing hip problems and that she would be unable to pay for any future operations herself. It was alleged that, in response to Mrs Bowkett's concerns, Mr Horniman told her that they could take Cassy off the practice computer and put her back on under a different insurance policy in a different name.
Mrs Bowkett took out a policy with Petplan, beginning on 13 August 2009, using her father's details instead of her own. It was alleged that Mr Horniman then arranged for new practice records to be set up in the name 'Cassy Griffiths'. These new records were first used substantively in May 2010 when Cassy returned to the practice with hip problems, following which two separate records were maintained for the dog under 'Cassy Bowkett' and 'Cassy Griffiths'.
In August 2010 Dariusz Drozdz MRCVS, a vet who had treated Cassy several times, had been told by Mrs Bowkett that the dog had two separate records. He told the Disciplinary Committee that he queried this with Mr Horniman who suggested that it was a mistake and that they 'RIP' the name Cassy Bowkett. Mr Drozdz disagreed on this course of action but was told by Mr Horniman to 'leave it to me' and the records were then changed to say that Cassy Bowkett had died.
Mrs Bowkett alleged that, at some point in 2011, Mr Horniman explained to her that it would no longer be possible to claim for treatment for Cassy's hip dysplasia under the Petplan policy in her father's name. However, the policy remained active, and was transferred into Mrs Bowkett's name upon her father's death.
In July 2011 Cassy Griffiths was seen by Jennifer Jones MRCVS, a part-time locum vet at the Cinderford practice, who told the Committee that she was puzzled about why there were very few clinical records relating to the animal. A receptionist explained to her that there were two sets of records for the same dog and that Mr Horniman had instructed her to mark the original pet as having been euthanased and close its records and create a second new record for the dog. Ms Jones tendered her resignation shortly afterwards citing concerns that a pet had been 'reincarnated to ensure continued income from insurance claims'. In November 2011 Ms Jones submitted a formal complaint to the RCVS.
During the course of the hearing the Committee heard evidence from Mrs Bowkett, Mr Drozdz and Ms Jones, amongst others.
In giving evidence Mrs Bowkett admitted that she had knowingly engaged in fraud but maintained that at all times she had acted with the knowledge and on the advice of Mr Horniman. However, the Committee found that she was unable to remember any relevant material dates and was unclear about the chronology of events. It was suggested on several occasions that she was lying to the Committee, which she denied. However, the Committee believed that she took no responsibility for her own fraudulent actions but merely blamed Mr Horniman and that she had a strong motive to engage in the insurance fraud.
In regards to the evidence given by Mr Drozdz the Committee noted that he did not record his suspicions of possible fraud, that he continued to treat Cassy Griffiths after he raised his concerns, and that he appeared to have accepted Mr Horniman's assurance that he had dealt with the issue.
The Committee found that Ms Jones was correct in her suspicions that there was only one dog. However, it felt she offered no evidence to support her suspicion that this was part of Mr Horniman's 'scheme to maximise income for the practice' as she alleged in her witness statement.
The Committee also heard oral evidence from and on behalf of Mr Horniman who categorically denied suggesting to Mrs Bowkett that she commit insurance fraud and attempting to cover this up through the maintenance of two separate records. He maintained that it was not until Ms Jones voiced her concerns that he realised that Cassy Bowkett and Cassy Griffiths were the same dog.
The Committee voiced a number of concerns about Mr Horniman's actions and behaviour and, at times, found his evidence to be unsatisfactory. For example, the Committee found it difficult to understand why 'alarm bells' did not ring that he was dealing with only one dog when he prescribed medication for two almost identical dogs in May 2010 when only one was presented for examination. It also queried why, when he became aware that the insurance policy for Cassy Griffiths was fraudulent, practice records were not updated and no attempt was made to contact Petplan to inform them of this, as is clearly advised by the RCVS Code of Professional Conduct.
Furthermore, the Committee was concerned that, in his correspondence with the RCVS, he was less than transparent, candid and honest. The Committee considered this to be unacceptable behaviour from a professional in dealings with investigations undertaken by the regulatory body.
In making its judgment, the Committee had to make a decision on whose account it felt to be more reliable in regards to the first element of the charge.
Noreen Burrows, chairing the Committee and speaking on its behalf, said: "In coming to its conclusion ... the Committee is faced with conflicting evidence from Mrs Bowkett, who is an admitted fraudster, admits to acting dishonestly and to lying to Petplan. This is in contrast to the evidence from the Respondent, who is of good character, had an unblemished personal record over 23 years and is supported by impressive character references."
The Committee found the evidence of Mrs Bowkett to be "vague, lacking in clarity and inconsistent with the facts" and therefore rejected her evidence concerning the first element of the charge. In regards to the second element of the charge, the Committee was not satisfied that Mr Horniman had arranged for or allowed the records to be changed as was alleged. In regards to the third element it found that, since it had already rejected the charge that Mr Horniman suggested to Mrs Bowkett that she embark upon insurance fraud, it was unlikely that Mr Horniman would have acted dishonestly in the manner alleged.
Noreen Burrows added: "In the light of the above findings, all charges against the Respondent are dismissed."
Elanco Animal Health has announced the launch of a Milbemax television advertising campaign to educate pet owners about the importance and ease of worming.
The 30-second advertisement will appear as pre-roll to video content on a number of websites from the end of August, and will broadcast on mainstream TV channels including ITV1, Channel 4, Channel Five, Sky, ITV2, ITV3, E4, More4, Film4, UKTV and Five Digital in mid-September to reach an estimated nine million people – of which nearly three million will be identified/targeted pet owners.
Elanco says the advert is designed to target female pet owners between the ages of 25 and 49 and drive them to seek further information and buy pet wormers from their local veterinary surgeon with the call to action: ‘Make an appointment with your vet to find out how easy worming your pet can be.’
Viewers watching the online advertisement will be able to click through to campaign specific pages on Elanco’s WormPatrol website - www.wormpatrol.co.uk/easyworming - where they can use 'Find a Vet', a worm risk checker and worming reminders to connect them with veterinary practices. The advertisement will also be available to view on the WormPatrol website.
The campaign is supported by a range of educational marketing materials and initiatives which are available to Milbemax customers from the vet section of the WormPatrol website or from their local Elanco companion animal territory manager.
The materials include a video to embed in practice websites and to use on social media, a subtitled version of the video for waiting rooms, a range of pet owner worm education materials, social media resources and SMS text message broadcasts.
Matthew Rowe, marketing manager at Elanco Animal Health, said: “Elanco is committed to encouraging responsible pet ownership; the new Milbemax advertising campaign will educate pet owners about the importance and ease of regular worming while driving them to veterinary practices for further information and to purchase pet wormers.”
For further information please contact your local Elanco Animal Health territory manager or email elancoCAH.uk@elanco.com.
Founder Professor Noel Fitzpatrick said: "It is a real joy to see the VET Festival growing and growing, not just in physical size, but from the immense goodwill that radiates from it. The weather didn’t get in the way of the wellness and there was nothing rainy about the atmosphere at VET Festival - in fact I think that the rain brought us closer together.
"I set out to build a community of compassion for our profession and I genuinely felt that there was a tangible sense of togetherness. There were loads of great conversations with each other and with the exhibitors. The educational content really was world class and the tents were packed. I hoped that VET Festival would be a breath of fresh air, where having an education event outdoors - combined with a focus on wellness of body and mind for all of us - could help vet professionals to be the very best that they could be - and so serve our patients better.
"Everyone there was part of something innovative and refreshing I felt – the delegates, the exhibitors, the team who have worked year-round to create the event, and the fantastic speakers. I’m very grateful to all of them and I sincerely hope that this feeling remains strong for each and every one all year round.
"The resonant theme this year was ‘kindness’ – to ourselves, to each other, to the families of animals and the animals we are lucky enough to take care of. Nobody is a nobody at VET Festival, and never will be. In that field, we’re all equal, no matter what we do in the vet profession - we all matter - we all want the same thing, which is wellness for each other and the animals we serve - and importantly, we’re all in it together for the greater good, rain or shine."
Cranial cruciate ligament insufficiency (CCLI) affects 3% to 5% of dogs1.
Past research has demonstrated satisfactory short (6-12 weeks)2 and medium (mean 16 months)3 term outcomes for lame dogs treated with TTA.
However, Steve says there is limited research on longer (>16 months) follow-up periods.
It has also been speculated that dogs with tibial plateau angles (TPA) of greater than 30⁰ are not well suited for a TTA4.
For the study5, the researchers reviewed patient records for a total of 149 TTA-Rapid procedures carried out in 120 dogs over an 80 month period.
They also reviewed owner questionnaires that evaluated the outcome of at least six months after surgery, using a validated clinical metrology instrument, Liverpool Osteoarthritis in Dogs (LOAD).
Follow-up questionnaires were received from owners of 64 of the 120 dogs (53.3%), with a median follow-up time of 37.5 months.
This cohort included a wide range of breeds, aged between 2&12 years and with bodyweights ranging from 6.3 to 41.8kg.
The dogs included 37 females and 27 males, and of the 79 limbs treated in these dogs, 41 were left and 38 were right.
The researchers found 26 of the dogs (40.6%) had a TTA performed with a TPA less than 30◦ and 38 (59.4%) with a TPA of 30◦ or more.
Of the 79 procedures, meniscal injury was noted in 27 (34.2%), surgery to stabilise the patella was required in 11 (13.9%), there was one surgical site infection (treated successfully with a short course of antibiotics), one dog sustained a fracture of the tibial seven days after surgery, and one sustained a late meniscal tear 12 months after initial surgery (treated successfully by partial meniscectomy).
The outcome was judged to be satisfactory, based on frequency of lameness, in 63 (98.4%), while satisfactory outcomes were achieved in 61 (95.3%) based on severity of lameness and in 50 (78.1%) based on mobility score.
Statistical analysis showed that age, bodyweight, tibial plateau angle (TPA), meniscal injury, and concurrent patellar surgery did not influence the outcome, but time to follow-up positively correlated with mobility score (suggesting mobility declined with time from surgery).
The researchers concluded that the long-term (median of 37.5 months) outcome for dogs undergoing TTA-Rapid for cranial cruciate ligament disease is satisfactory, with no risk factors associated with poorer outcomes identified.
The study also revealed no evidence to support the suggestion that dogs with TPAs of greater than 30◦ may be inappropriate candidates for TTA - after testing several parameters to judge outcome including frequency of lameness, severity of lameness, distance walked daily and mobility score.
Steve said: “This research is important in trying to ensure that decisions on whether to use this treatment modality, are based on sound clinical evidence.
"The only factor identified that influenced the outcome measure was that of time since surgery.
"All other factors, including TPA, had no effect on the outcome.”
References
Woodley Equipment has become the UK distributor for the full portfolio of SpotChem products from Japanese manufacturer, Arkray.
The range of products includes:
For more information about the new SpotChem analysers, visit: www.woodleyequipment.com/, email: sales@woodleyequipment.com or call on +44(0)1204 669033.
Vets that took part in the Vet Charity Challenge 2013 have raised a total of £50,000 which was presented to three animal charities at the London Vet Show.
The Vet Charity Challenge took place in September, when 53 teams of four spent the day walking, running, cycling, kayaking and orienteering, along with a variety of mental tasks. The money it raised has been distributed between Hearing Dogs for Deaf People, SPANA and Animals Asia
Jason Rogers, BCF Technology Marketing Manager and one of the organisers said: "The response we got for the Challenge this year has been remarkable with double the number of teams we had in 2012. It was quite a sight to see over 200 people at the briefing at the start of the day. Everyone seemed to really enjoy themselves and get into the spirit of the event. The amount raised this year is truly amazing."
One of the participants, Kerry Lambert from Ashworth Veterinary Group, Hampshire said: "The day was both exhilarating and exhausting. It was very well organised and friendly."
Caitrina Harrison from Vétoquinol added: "As one of the sponsors for this year's Vet Charity Challenge, Vétoquinol had three of the 53 teams entered. The amazing team spirit, fun atmosphere and inter-company rivalry all contributed to a fantastic event. The day was well organised and certainly our three teams, had a fantastic time. We'll be back again next year!"
Speaking for the three charities that benefited from the donations, Deborah Bourne, Corporate Fundraiser from Hearing Dogs for Deaf People said: "We would like to say a huge thank you to all the sponsors and competitors who got involved with this year's inspirational Vet Charity Challenge! Thanks to the determination, team spirit and generosity of everyone who took part, the money raised from this fantastic event will enable us to train more life changing hearing dogs to support deaf adults and children across the UK."
CVS Group has announced that European internal medicine specialist Caroline Kisielewicz MVB CertSAM DipECVIM-CA is joining ChesterGates Veterinary Specialists with effect from 1 October 2014.
Caroline Kisielewicz graduated from University College, Dublin in 2006 and, after working in first opinion small animal practice for two years, completed an ECVIM-residency training programme at the Small Animal Hospital at the University of Glasgow in February 2013.
Most recently she has been working at the Queen Mother Hospital for Animals at the Royal Veterinary College. She is interested in all aspects of small animal internal medicine, particularly emergency medicine, transfusion medicine, immune-mediated diseases and endocrine diseases.
CVS Referral Director, Professor John Innes said: "We are delighted to welcome Caroline to our specialist team at ChesterGates. She is a rising star in internal medicine and I believe it is a measure of CVS' growing reputation for offering a diverse range of career options that we are attracting some of the strongest talent from the specialist vet pool.
"Caroline joins Ellie Mardell and Chris Saul here at ChesterGates to help us to offer an even more comprehensive and user-friendly internal medicine service."
Caroline said: "I was keen to join this excellent multi-disciplinary specialist referral hospital with its dynamic, friendly and close-knit team. Working at ChesterGates gives me the opportunity to provide the highest standard and quality of care and treatment for my patients, clients and their referring vets."
The symposium will be launched by Dr Leah Quinlivan (pictured right), a research fellow and chartered psychologist at the University of Manchester.
Her talk ‘Evidence-based care for people who have self-harmed: risk prediction, psychosocial assessments, and aftercare’, will outline the importance of improving mental health services for patients who have harmed themselves, via discussion of evidence, policy, and practice for risk prediction, psychosocial assessment, and aftercare.
Leah's talk will be followed by presentations delivered by veterinary mental health researchers from across the UK and Europe.
Topics will include post-Covid wellbeing amongst veterinary professionals, the impact of companion animal euthanasia, workplace stressors and how they change with career stage, and the quality of mental health support received by veterinary nurses.
Lisa Quigley, Mind Matters Initiative project manager, said: “This year, the event promises once more to be a supportive and thought-provoking event, where we can gather to share findings, information and best practice for the good of the professions.
“The recent publication of MMI’s five-year strategy has outlined our recognition that we need to expand the conversation beyond mental health awareness and into looking at more systemic and cultural issues, as well as exploring how the insights gained from research might be implemented in practice.
"These ambitious aims are reflected in the breadth of the talks and presentations at the symposium and so I look forward to hearing more from those who share our values and aims, and to continuing the conversation about how and where we can do more.
“The symposium is very much open to all members of the veterinary team including vets, vet nurses, practice managers and academics."
Tickets cost £45 per person although the event is free for students, people with lived experience of mental health problems, and people who are unwaged, who would not otherwise be able to attend.
www.vetmindmatters.org/events
The Blue Cross is calling for nominations from veterinary practices across the country for its Veterinary Nurse of the Year Award 2008.
The annual award is presented at the British Veterinary Nursing Association (BVNA) Annual Congress. It recognises the contribution of veterinary nurses in educating the public about responsible pet ownership and the welfare of pets in the community.
This year's Congress will take place on 10-12 October at the Kettering Conference Centre, Northamptonshire.
Last year's award was won by Anna Hatchett for her outstanding contribution to animal welfare, both within her veterinary practice and among the local community in Whitby, North Yorkshire.
Anna Hatchett was nominated by two vets, Edward Gillams and Kate Loomes, who previously worked with her at The Beck Veterinary Practice in Whitby. Ms Loomes commented: "Anna is an exceptionally dedicated and talented nurse. She has an amazing memory for clients and takes time to enquire as to how their individual pets are. She doesn't hesitate to take in and care for stray and lost animals and works well over her working hours when animals are in need of help."
Nominations for this year's award can be made by completing the nomination form on The Blue Cross website at: www.bluecross.org.uk/BVNA2008or by contacting Sally Leathem on 01993 82557. The deadline for nominations is Friday 15 August 2008.
Intervet/Schering-Plough Animal Health has launched a new consumer campaign to support the company's joint care supplement, Cosequin.
The campaign centres around a series of paw-tapping internet videos which showcase the perfectly poised paws of dog and cat dance duo, Fred and Ginger, highlighting the importance of good joint health. The videos are available to view at http://www.cosequin-dance.co.uk/
Pet owners are encouraged to purchase Cosequin from vet practices to enter a prize draw to win a photography day with leading animal photographer, Sam Lunt, or one of ten tickets to an upcoming live dancing tour. Posters and in-practice leaflets are also available for vet practices to help drive awareness and encourage uptake.
Sarah-Jane Minter, Marketing Manager for Intervet/Schering-Plough, commented; "We wanted to create a campaign which would support vets in practice and attract the attention of pet owners, especially those who may not have previously thought about the joint health of their pet. With these lighthearted new videos of Fred and Ginger demonstrating everything from the jive to the rumba and an eye-catching print campaign, we certainly expect to grab pet owners' attention!"
ISPAH says that by supporting joint condition and maintaining not only healthy cartilage, but also healthy joint structures, Cosequin is suitable for all dogs and cats that need some joint support, especially highly active or older animals. It adds that the joint care supplement contains 100% pure chondroitin sulphate and the unique formulation has been proven in over 50 clinical trials.
For further information, please contact your local Intervet/Schering-Plough Veterinary Business Manager or phone the company's Veterinary Support Group on 01908 685685.
BVA members who join the Webinar Vet before the end of this month will receive a USB headset and microphone worth £40
Webinar Vet founder Anthony Chadwick MRCVS said: "The idea is to help new members get equipped and ready to listen and ask questions during the regular Thursday evening member webinars."
"BVA members already benefit from half price gold membership to the Webinar Vet and many have already taken advantage and are enjoying the many benefits of online CPD."
Gold membership includes invitations to weekly members' live CPD events, full access to the library of over 150 hours of categorised pre-recorded webinars, and a monthly CD of one of the presentations to listen to in the car.
All BVA members who sign up before March 31st will also qualify for the free headset. For more information visit www.bva.co.uk/webinar.
Ceva Animal Health has launched a new initiative to help young vets attend a variety of educational opportunities to further their knowledge of cattle reproduction.
The reprodAction Young Vet Initiative was introduced this month and three young vets have already taken part in the scheme.
The new initiative is open to recently qualified vets who are keen to improve their knowledge of cattle reproduction and who work for practices that are interested in growing their business by improving cattle reproduction on farms. The scheme includes Ceva-sponsored cattle fertility courses and dissertation programmes.
Emily Denton from Shropshire Farm Vets (pictured right), Annelyse Desbois From Meadows Farm Vets and Alun Beckett from Larkmead Veterinary Group were chosen to attend a CPD day 'A Practical Approach to the Non-Pregnant Cow', organised by Nottingham University.
Carol Atkinson, Ceva's reprodAction range marketing manager, said: "The purpose of this project is to give new graduates working in practice the opportunity to participate in quality CPD. The aim is to help them build their expertise and enthusiasm for cattle reproduction work via practical sponsorship."
Emily Denton has been an intern at Shropshire Farm Vets for the past year. She was chosen for the initiative having recently completed the XL vets farm new graduate programme. She said: "It was an exciting opportunity to build on the skills I have developed in practice and to discuss cases with my peers and with other, more experienced clinicians. The course was excellent - my take home message was that as cow genetics change it affects their cycle. Our ability to manipulate this is dependent on having a good, accurate knowledge of the physiological changes taking place."
For more information about taking part in the reprodAction Young Vet Initiative, contact your Ceva Territory Manager.
CM Research, the veterinary market research company, has released the results of a survey which suggests that staffing and HR issues are becoming an increasing challenge for the profession.
629 veterinary surgeons picked from 12 answers to the following question: "What would you say are the biggest challenges facing your vet practice at the moment?"
The biggest challenge, voted for by 42% of respondents, was 'Clients unable to pay their bills'. However, only marginally behind in second place (up significantly from fifth place the previous year), was 'Managing and retaining staff' (41%).
The full results were:
Coincidentally, VetSurgeon.org also carried out some research recently which explored what candidates look for in an ideal job - one of the keys to staff retention and good employer / employee relationships. You can download the report here.
When vets were asked to predict what they thought the future held for the profession, key themes included more corporatisation, more specialisation and the Internet having a still greater impact on business, both in terms of competition and clients consulting Dr Google:
VetTeamAMR includes a learning platform with information about responsible prescribing practises for the whole practice team, and an audit tool designed to support continuous improvements in national antimicrobial stewardship efforts.
The new companion animal materials complement the equine and farm animal resources which were launched earlier this month and in 2021 respectively.
RCVS Knowledge is launching VetTeamAMR for veterinary teams who treat companion animals at a free online event on Tuesday 20 June 2023 at 7:00 pm (BST).
The event is open to all to attend, and will include talks from:
Chris Gush, Executive Director at RCVS Knowledge said, “AMR is a hugely important issue for us at RCVS Knowledge and we are pleased to be able to provide veterinary teams with free tools and resources to support the responsible use of antimicrobials.
“Antibiotics remain the primary treatment for potentially fatal bacterial infections.
"Yet inappropriate use of antibiotics has led to resistance that has created a global animal and human health emergency.”.
“With busy veterinary practices in mind, we have worked alongside veterinary experts to create accessible and user-friendly VetTeamAMR tools and resources and we encourage all UK veterinary practices to get involved.”
To register for the online launch: https://knowledge.rcvs.org.uk/news-and-events/events/vetteamamr-companion-animal-launch-event/
Captains Nicola Housby-Skeggs and Claire Budge, the first two members of the Royal Army Veterinary Corps (RAVC) to achieve the RCVS Certificate in Advanced Veterinary Practice (CertAVP), have been presented with their certificates at Belgravia House.
The two Captains were visiting the RCVS as part of a 'Meet the RCVS Day' organised for a group of Officers from the RAVC. The Captains were presented with their Certificates by Vice-President Peter Jinman.
Capt Nicola Housby-Skeggs had completed a mixture of small animal and equine modules in order to achieve her Certificate, and was positive about the modular approach. She said: "It's reassuring to know you can have a break if you need to. The compulsory module on professional key skills was also more useful than I had anticipated, as it focused on aspects that you don't really have time for at vet school, such as management, and health and safety."
Meanwhile, Captain Claire Budge appreciated the fact that many of her modules could be completed via distance learning. She said: "It was great that I could continue with my studies even when serving in Afghanistan. My only regret is that when I started the Certificate back in 2008, there wasn't the range of modules available that there is now. For example, I would like to have done one of the new Animal Welfare, Ethics and Law modules. However, there is no reason why I can't just take this as continuing professional development - that's the benefit of the modular approach."
More information about the CertAVP can be found at www.rcvs.org.uk/modcerts.
'Meet the RCVS Days' give members of the veterinary team the opportunity to visit the College and find out what goes on behind the scenes. If you would like to join a future event, please let Fiona Harcourt know, on f.harcourt@rcvs.org.uk. Reasonable travel expenses are paid.
Dairy nutrition consultant Hefin Richards of Profeed Nutrition Consultancy is warning vets to be on the lookout for an upsurge in over-conditioned cows as winter progresses through spring.
He says his prediction is based on a number of factors that have come together over the last year to greatly increased the risk of cows being over-conditioned at calving, not only potentially affecting productivity but predisposing to a number of clinical conditions.
A high body condition score at calving significantly increases the risk of subclinical ketosis in early lactation, depressing the immune response and increasing the risk of conditions such as retained foetal membranes, metritis and left displaced abomasum.1,2 Conversely, these obese cows go on to suffer excessive body condition loss due to decreased voluntary feed intake and poor energy metabolism.
The ketosis risk has been increased in part because national milk yields were low last summer and autumn as a result of poor weather conditions, low milk prices, high feed costs and the spread of Schmallenberg virus (SBV).3
Hefin said: "SBV and bad summer weather with associated poor forage quality may have delayed rebreeding, leading to more extended lactations and longer dry periods. These two factors can lead to excessively fat cows at calving."
Through the winter many herds were running average milk yields some way below usual winter levels and currently mid and late lactation cows are substantially under target yields.4 This lower yield means that feed intake is very likely to be in excess of actual energy demands, with subsequent fat deposition.
Increasing awareness of this potential issue gives vets the opportunity to reinforce the need to monitor body condition, adjust feeding, review milk yields and consider drying cows off early, using controlled energy feeding.
Hefin suggests that vets ensure that their clients' dry cow nutrition and management is geared towards maximising feed intake in early lactation to help prevent animals falling into a state of negative energy balance. Ketosis is often missed on farm because the signs are not apparent. Consider routinely monitoring herds for ketosis using either blood monitoring or Elanco's Keto-Test cow-side milk test to identify both at-risk cows and herds. Forming a team involving vets, nutritionists and herd managers and harnessing the different skill sets and knowledge allows strategies to be developed that can improve herd performance.
VetSurgeon Profiles offer the same sort of features you find on external social networks like Linkedin and Facebook, but in a professional format designed specially for the veterinary profession.
They've been developed to help veterinary job seekers, locums, referral practitioners and forum contributors in particular:
VETERINARY JOB SEEKERSVetSurgeon Profiles have been designed to help you create what is essentially a polished CV. You can include details of where you qualified, which postgraduate qualifications you hold, your clinical interests, and your work experience.
Importantly, VetSurgeon Profiles have also been integrated within VetSurgeon Jobs. So now, when you respond to a job advert by clicking the email address given in the contact details, your email program will open a new message containing a link to your VetSurgeon Profile, ready to send to the advertiser (you must be logged in for this to work).
VETERINARY LOCUMSVetSurgeon Profiles are also integrated within the VetSurgeon Locum Map, making them a great way to advertise your skillset to hiring practices.
REFERRAL PRACTITIONERSVetSurgeon Profiles allow you to display just about every letter of the alphabet after your name, but in a way that is designed to be 'matter of fact' rather than 'showy'. Combined with the ability to display your work experience and interests, they’re a great way to show why you’re the person to refer that tricky case to. And you can now display your telephone number too.
VETSURGEON FORUM CONTRIBUTORSHaving a good profile displayed really helps build a sense of connection with other members. Perhaps more importantly, though, they help give your words context. When reading a post, it's so helpful to know when the author qualified, where, and what makes them tick.
Ultimately, though, VetSurgeon Profiles are for anyone and everyone who wants to be better connected with others in the profession, and the plan is to develop more and more features which help do precisely that.
To create your VetSurgeon Profile, visit the site, click ‘My Account’, then ‘View My Profile’ and add your details to the page. Here's one I prepared earlier.
VetSurgeon Profiles are only visible to logged in members of VetSurgeon.org.
Dr Henry faced one charge, that in January 2020 she wrote and/or signed an undated letter confirming that a ewe had died in transit to the surgery due to dystocia and peri-parturient stress, when in fact she had euthanised the animal at the veterinary practice the day before. The letter, which was addressed 'To whom it may concern’, was on practice letterheaded paper and signed "Louise Henry MRCVS".
The second part of the charge outlined that her conduct concerning the letter was dishonest.
The Committee heard that the ewe was lambing and brought to the practice by a client. Dr Henry was on-call at the time and advised a Caesarean section. The client agreed and Dr Henry delivered two live lambs and one dead lamb.
Dr Henry was concerned about the welfare of the ewe post-surgery because of the risk of peritonitis and advised that the ewe should be euthanised.
The client agreed to the ewe being euthanised and then asked Dr Henry to write a letter in which it was stated that the ewe had died in transit on route to the practice. Dr Henry agreed to write the letter in which she falsely certified that the ewe had died in transit.
The letter came to light when the practice director found it in an insurance file. The practice arranged an investigatory meeting with Dr Henry where she admitted that writing the letter was an error of judgement. When asked about her conduct, Dr Henry explained that the client had subsequently been dissatisfied with the letter she had written and asked her to change it. She refused to amend the letter and told him that it was wrong of her to have written it in the first place and that she regretted having done so.
Dr Henry told the Committee that she valued integrity very highly and that she was deeply ashamed that she had been prepared to write the dishonest letter.
The Committee heard several testimonials from people who had worked with or studied alongside Dr Henry, who all attested to her skill as a veterinary surgeon and that they had no concerns about her integrity and honesty. She self-reported her actions from January to the RCVS and from the outset admitted the facts of the charge. During the hearing, Dr Henry submitted that her action of dishonest false certification amounted to disgraceful conduct in a professional respect.
Dr Martin Whiting, chairing the Committee, and speaking on its behalf, said: “The Committee considered that, in this case, the aggravating features were limited and the mitigating factors extensive. There was no premeditated dishonesty or financial gain involved, there was no actual harm or risk of harm to an animal or human and this was a single incident in an otherwise unblemished 13-year career. The Committee found that the shame and remorse expressed by Dr Henry were entirely genuine. Her conduct on this occasion was entirely untypical of her practise.
“After careful consideration, the Committee concluded that the substantial mitigating features permitted it to take the somewhat unusual course of issuing a reprimand in a case involving dishonesty. In taking this course, the Committee attached significant weight not only to the isolated nature of the event but also to the genuine insight shown by Dr Henry and the lasting impact this event has had upon her. In the Committee’s assessment, a reasonable and fully informed member of the public would, in this particular case, regard a reprimand as a sanction which protected the public interest in the profession and upheld its standards.”
The full documentation for the hearing can be found at www.rcvs.org.uk/disciplinary
Boehringer Ingelheim Vetmedica has launched a series of information sheets written by veterinary surgeons, nutritionists and leading riders to support its muscle building supplement for horses, Equitop Myoplast Power Pearls.
Available to download as PDFs from its website - http://www.equitop-myoplast.co.uk - this resource for horse owners covers a range of feeding topics including training the young showjumper and feeding the performance horse, older horses and horses during periods of rest and recuperation.
New video and written testimonials from performance riders and veterinary surgeons are now on the website, which also offers owners advice on healthy lean muscle growth and the benefits of Equitop Myoplast. Olympic dressage rider, Emile Faurie, international showjumpers, Ellen Whitaker and Scott Brash, and show horse producer, Katie Jerram, all endorse the product.
A client leaflet has also been launched featuring the testimonials and providing owners with information on Equitop Myoplast and an online offer of £15 off their first purchase of the supplement by downloading a voucher from the website.
Boehringer says Equitop Myoplast is packed with 18 key amino acids and is scientifically designed to support lean muscle growth, not bulk. The company says the supplement is great for optimising performance in horses in intensive training and competition, as well as bringing on young, breeding and injured animals, and for older horses which lose condition easily.
For further information, please contact your Boehringer Ingelheim Vetmedica territory manager or call 01344 746959.
The Royal Veterinary College has carried out the first ever open-heart surgery to treat a stenotic tricuspid valve in a dog.
The three-year-old Labrador, Mabel, suffered from congenital tricuspid dysplasia. She was referred to cardiology specialists at RVC Small Animal Referrals where her tricuspid valve was found to be completely fused in the middle, with just two very small openings for her blood to flow through.
In a procedure that took a little over an hour, the RVC team examined and worked on the valve. The College reports that Mabel’s surgery was a success and her stenosis was relieved.
Mabel was subsequently found to have a moderate amount of regurgitation into the right atrial chamber, but after a few more days of additional monitoring at the RVC she was able to return home.
The surgery was carried out by Professor of Small Animal Surgery Dan Brockman at the Queen Mother Hospital for Animals. He was assisted by a team of RVC specialists to provide pre and post-operative care, including a perfusionist, a team of three anaesthetists, two surgery nurses, three surgeons and a cardiology veterinary specialist-in-training. In addition, Professor of Veterinary Cardiology Virginia Luis Fuentes and veterinary specialist-in-training Dr Rosie Payne were members of the Cardiology Service’s investigation into Mabel’s condition.
RVC students were also involved in the Mabel’s initial examinations at the hospital, providing them with an insight into the procedure. The examinations included cardiac ultrasound using the newest generation of cardiac ultrasound equipment, which is able to capture 3D and 4D images. The new ultrasound scanner was funded in part by the RVC’s charity, the Animal Care Trust.
After the surgery, the emergency and critical care (ECC) team and the Cardiology Service took over Mabel’s care, with Professor Brockman remaining involved. This saw up to four senior ECC clinicians, a number of veterinary specialists-in-training and half a dozen highly trained ECC technicians working in shifts around the clock to care for Mabel and ensure a good recovery.
According to the RVC, there have been previous attempts by veterinary surgeons to open stenotic valves with balloon valvuloplasty. However, because it is very difficult to tear the stenotic valve, this approach has not proved very successful. There is also a high risk when putting canines onto bypass. Canines have fragile blood vessels, and cannulae need to be inserted into several of these vessels, creating a danger that a major vessel tears.
Commenting on why the RVC team decided to perform this procedure at this point, and on Mabel, Dan said: "Lots of things fed into this decision. First and foremost, we had a patient whose pathology made surgery the best solution. I explained to the owner and was very honest that this procedure would be really breaking new ground. Based on what the human paediatric cardiac surgeons will do, and our limited experience of balloon-valvuloplasty suggests this is the best approach for these dogs
"The operation itself is risky, much worse than most other operations. In our hands, for this type of disease, we have about an 80% chance of getting them through the procedure. The owner has to gamble what life the dog has left against the promise of a more normal quality of life and life-span following the operation."
In relation to Mabel’s prognosis if the surgery had not been undertaken, Professor Luis Fuentes said: "It is likely that the signs of right-sided heart failure would have been more difficult to control. Her ability to exercise would have become less and less, and she would have also been at risk of having abnormal heart rhythms associated with the enlargement of the right atrium. Generally we expect them to develop more and more signs as the disease progresses. These are difficult cases to manage on a long-term basis with drugs. Her life expectancy would have been substantially reduced.
"I thought Mabel was almost a perfect candidate to have the procedure here as Dan has a lot of experience replacing tricuspid valves in dogs with tricuspid dysplasia. In those cases there is usually leaking, but Mabel’s case was unusual in that she has minimal leaking and she was most affected by the stenosis. That means you may not have to implant any additional valve structure."
Speaking two weeks after the operation, owner Annabelle Meek, from Melton Mowbray, said: "Mabel has just come back in from wandering around the perimeter of my garden for the first time since before the operation. It’s more than half an acre and she has been ambling around happily following a scent.
"I would like to thank absolutely everybody. It’s been an enormous team effort on all sides. Every single person I met at the RVC, from the man on the gate to all the hospital staff, was so friendly. After she came home Dan Brockman phoned me every day to see how she was doing. The RVC should be very proud of what they have done for Mabel."
European veterinary practitioners are to receive guidance on the appropriate use of the fluoroquinolone group of antibiotics in treating a wide range of common diseases in companion animals.
The advice has been drawn up by the REQUEST team, a multinational and multidisciplinary group of experts which met for the third time last November. Their recommendations have been designed to help ensure the continued availability of this class of antibiotics in both veterinary and human medicine.
The REQUEST initiative aims to achieve a consensus on when and how to prescribe fluoroquinolones, based on a detailed assessment of published scientific data by its panel of nine acknowledged international experts. Following earlier meetings in Lyon and Vienna they have reached a stage in this ongoing project in which they can offer specific guidance on the use of fluoroquinolones in treating three important conditions in dogs: pyoderma, bacterial diseases of the upper respiratory tract and lower urinary tract infections. They will also be offering guidance on the appropriate use of this class of antibiotics in cats to avoid the development of retinal toxicities, which may occasionally result from treatment with one particular fluoroquinolone drug, enrofloxacin.
The guidance will be presented in papers to be submitted to those scientific journals which will be easily accessible to veterinary practitioners throughout Europe. Further papers will be produced and translated into the main European languages giving guidance on fluoroquinolones use in other important bacterial conditions in dogs and cats.
In the later stages of the project, the team will be highlighting priorities for future research and will use its influence to encourage collaborative studies involving the animal health industry, practitioners, veterinary schools and other research institutions, which will validate and redefine the current recommendations. They will also advise on studies which may provide the information needed in those clinical areas where there is currently insufficient published data on which to base any practical advice, such as the use of fluoroquinolones in minor companion animal species.
The REQUEST initiative is supported by Vetoquinol, a global supplier of fluoroquinolone medicines to the veterinary community. Further support is provided by the healthcare consultancy StratAdviser Ltd, which gives assistance on methodology and other scientific matters and also guarantees the independence of the expert group.
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.
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."
Novartis Animal Health has launched Helping Hearts, a competition in which veterinary surgeons have the chance to brush up on their cardiology whilst at the same time triggering a donation to Hounds for Heroes and entering the running to win one of 10 Red Letter Day experiences.
To enter the competition, visit www.notjustoneheart.com.
Each entry triggers a donation of £1 to Hounds for Heroes, a charity which provides specially trained assistance dogs to injured and disabled men and women of both the UK Armed Forces and Civilian Emergency Services.
Hounds for Heroes was set up by Allen Parton, who was himself injured in service. Allen freely admits that he owes his life to Endal - a Labrador that developed skills beyond his initial basic training and who proved so inspiring to everyone who met him and that he was awarded the accolade 'Dog of the Millennium'. With three squadrons of puppies currently in basic training, there are hopefully a few more canine heroes like Endal waiting in the wings.
Senior Category Manager Cardiology/Nephrology Brock Abreu said: "Here at Novartis Animal Health, we are absolutely thrilled to be supporting such a life-changing and life-enhancing cause. I know this is a charity that many vets feel they can relate to and we are encouraging as many of them as possible to take part. I'd be delighted if we were inundated with entries and could make an impressive donation to Hounds for Heroes on behalf of vets across the country."
The competition is open till 31st December 2013.
Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession includes contributions from a range of organisations including the RCVS, Mars Veterinary Health and Investors in the Environment (iiE).
The report covers upcoming changes to the RCVS Practice Standards Scheme, the value of external accreditation to support sustainability, and how to approach behaviour change within your team.
Two further articles highlight how changes in clinical practice can combat antimicrobial resistance and reduce levels of surgical waste.
The report also features the personal experiences of practice sustainability leads, who discuss how they have worked with others to improve their sites.
Ellie West, Environmental Sustainability Lead at Linnaeus said: “Changing how we work day-to-day, when we are all so busy as a profession, can be a lot to juggle but sustainability brings a huge range of benefits.
"As well as helping the environment, it can promote the wellbeing of our patients and colleagues while also improving our performance as a business.
“It is important, however, to avoid dictating what sustainable change should be made because it will vary greatly between different teams and locations.
"This report shares ideas from contributors with a variety of roles and responsibilities, who have taken different approaches to supporting the environment but are all united in their commitment to delivering excellent clinical care.”
Sue Paterson, RCVS Junior Vice-President and RCVS Council lead for Environment & Sustainability, said: “Contributing to this report highlights the importance of working together as a profession to understand the environmental challenges we face and adopt solutions that will benefit our planet and the animals we care for.
"Upcoming changes to the RCVS Practice Standards Scheme will cover sustainability across a range of areas and we are committed to ensuring the veterinary profession can fully realise the benefits of this new guidance.”
April Sotomayor, Principal Consultant at iiE, added: “This report offers a range of perspectives that highlight how the veterinary profession can become a leader in sustainability and a shining example to other sectors.”
Download Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession here.