A number of candidates have already come to the VetSurgeon.org forums to discuss their candidacy and help voters decide whether they're worthy of your vote; their individual discussion threads are linked to below.
The College points out that there is a new voting platform this year, designed to make it easier to vote online.
The new system includes regular personalised email reminders from Electoral Reform Services which include a link to the voting platform and the ability to log in securely straight away, without having to refer to the ballot paper in order to find the security codes. Using the email address provided the College, veterinary surgeons can also ask ERS to reissue the security codes if needs be.
Voting for both of this year’s elections opened on Friday 24 March with an email sent to all those eligible to vote for whom the College holds an email address. Ballot papers have also been despatched to all eligible voters along with booklets containing the candidates’ biographies, contact details and manifestos. Instructions on how to vote online and by post are included with the ballot papers.
There are 16 candidates contesting six places on RCVS Council, including three existing Council members eligible for re-election and 13 candidates not currently on Council. They are:
All votes must be cast, either online or by post, by 5pm on Friday 28 April 2017.
Once again this year the College invited members of both professions to ‘Quiz the candidates’ by putting their questions directly to all those standing for election. Some of the key themes this year included Brexit, complementary/ alternative therapies, the structure of the veterinary industry, out-of-hours work and veterinary nurse remuneration among others.
Each candidate was invited to choose two questions to answer from all those received and produce a video recording of their answers.
These videos, along with biographies and statements for each candidate, are available to view on the RCVS website at www.rcvs.org.uk/vetvote17.
The change has come about following a review of the assurance scheme's standards, when it was decided that all Red Tractor vets should be members of PVS, not just those carrying out Real Welfare assessments, as was previously the case.
Other changes in the review focus on the responsible use of antibiotics and a number of the animal medicine standards have been strengthened.
Red Tractor says the PVS membership requirement is in line with another new standard which will require veterinary surgeons to declare they only prescribe antibiotics for use on Red Tractor pig units in accordance with the PVS Prescribing Principles for Antimicrobials.
Red Tractor technical manager Joanna King said: "Ensuring every Red Tractor registered vet is a PVS member will help keep them abreast of the most recent version of the Prescribing Principles, along with other guidelines and publications."
Assessors undertaking Red Tractor farm assessments can verify whether the retained farm vet is a current PVS member through their membership number which is required on the quarterly veterinary report forms.
Membership numbers can be checked against an online PVS membership checker.
Bought By Many is a company which, until now, has been using technology and data to find the best value insurance cover for pet owners whose needs are not being met. It claims to have helped 265,000 members to get better deals from existing pet insurance providers in this way.
However, in response to 40,000 pieces of customer feedback, it has now launched its own policies.
The company says that common frustrations with existing policies included: premiums that jump after the first year of cover and continue to increase over the life of a pet; customers receiving no benefit from pet insurance if they do not need to claim; and not being able to switch pet insurers and maintain cover for a pre-existing medical condition.
As a result, Bought By Many has launched three new insurance products which it says include features that no other insurer currently offers:
The company also offers 'Value', 'Regular', and 'Complete' conventional pet insurance products. These, it says, also respond to member feedback – for example, by offering the option of a zero excess or dental cover on certain policies.
Bought By Many has also launched a low-cost Liability Only policy for dog owners that starts at £10 a year.
Steven Mendel, Co-founder and CEO of Bought By Many said: "When we started Bought By Many, we wanted to transform the customer experience of insurance, helping people find the right cover for their unique needs. Our social and digital model allowed us to gather a unique set of data that showed consumers see significant gaps in the insurance currently available for cat and dog owners. These insights led to us creating our own pet insurance product range."
Sue, who is President of the European Society of Dermatology and an RCVS Specialist, says in a video interview that antimicrobial resistance (AMR) is making otitis externa cases difficult to resolve and that vets can help overcome the problem by rethinking their first line prescription choices.
In the video, created in conjunction with Elanco Animal Health (maker of Osurnia), Sue said: "It’s a sad thing to say but if everybody did manage cases of otitis externa appropriately first time, I probably wouldn’t have a job at all."
"Many of the cases I see as a referral clinician are longstanding cases with very severe, multiply-resistant infections. If we get these cases right on the first occasion with appropriate prescription of drugs, and we don’t hurt dogs so we can give ongoing treatment, then we’d never ever see pseudomonas infection again."
Sue believes part of the problem is that veterinary surgeons are incorrectly saving some of their best first-line treatments for difficult cases. This is perpetuating the antimicrobial resistance problem as cases are being inadvertently mismanaged.
She said: "Florfenicol, which is the active antibiotic in Osurnia, has excellent gram positive activity which makes it an ideal first line choice. However, there’s a misconception that florfenicol is a fluoroquinolone - which it isn’t - so vets are incorrectly ‘saving it’ rather than using it on the first occasion."
Sue also highlights that poor compliance, resulting from the patient’s behavioural problems associated with ear phobia, also has a long-term impact:
"We’ve seen many 'well behaved' dogs that have bitten their owners as a result of fear aggression; we’ve had dogs that have pinned their owners against the wall. I would argue very strongly that if you use long-acting products in dogs on the first occasion then you avoid creating that problem and these dogs don’t become difficult to medicate on a long-term basis."
Sue summarised two factors that vets need to consider when deciding on the appropriate treatment: the right active ingredients to target common first-line pathogens; and the method of application. She urged vets to consider using a long-acting product applied within the practice, removing the need for home treatment to reduce stress for both owner and the dog, improve long-term compliance and maximise clinical outcomes.
To hear Sue’s tips on how to treat cases of otitis, watch the video here – www.osurnia.co.uk
The Queen's Medal is the highest honour the College can bestow upon a veterinary surgeon.
Dr Johnson is the Chairman of World Horse Welfare, travelling internationally and lecturing on behalf of the charity with a particular involvement in fundraising, profile-enhancing and education. He is also the Chairman of the World Horse Welfare International Committee, and a regional representative for the Veterinary Benevolent Fund as well as being Deputy Lord Lieutenant for Lancashire.
After graduating from the University of Liverpool in 1969 he established an equine and farm animal practice in 1974 on the Fylde Coast. He then quickly became involved in many other lines of work, lecturing at the Myerscough College for thirty years, acting on the Agricultural Training Board, and serving as RCVS President from 1993-1994. He was also an RCVS Council Member for 28 years (1986-1998; 2000-2016) and served on many RCVS Committees.
Barry said: "This is an enormous honour for a practitioner from Lancashire. I have always enjoyed being a veterinary surgeon and am grateful to my colleagues and clients for making my career so fulfilling rewarding and fun."
He was nominated by fellow veterinary surgeon, Dr Peter Jinman, a current member of RCVS Council. In his nomination Dr Jinman said: "There are few members who have contributed so much of their personal time for the benefit of the veterinary profession both locally and nationally… That this has been done often without the knowledge of the public or the rest of the profession and at no little personal expense, demands recognition… Barry represents the very best of what a veterinary practitioner can achieve both in terms of his profession and in wider society."
The College has also announced that Kathy Kissick has won this year's Golden Jubilee Award, the highest honour that can be bestowed on a veterinary nurse.
Kathy is a trustee of the Alderney Animal Welfare Society and has previously acted as the Head of School for Veterinary Nursing and Farriery Science at Mysercough College in Lancashire. She qualified as a veterinary nurse in 1983 and, since then, has acted as an external examiner and adviser for a number of veterinary nursing course providers over the years and is currently on the editorial board for The Veterinary Nurse.
She has also been very active within the RCVS, initially as a nursing examiner and then as both a Member and then Chair of the RCVS Veterinary Nurses Council.
Kathy said: "I am delighted, honoured and humbled to accept the Golden Jubilee award and hope that I can continue to inspire veterinary nurses, throughout their careers, to always do the very best for their patients, clients and colleagues but not to forget to follow their dreams."
The winners will receive their accolade at this year’s RCVS Day, which takes place on Friday 7 July at the Royal Institute of British Architects.
Last year's event generated an impressive amount of media coverage about ticks on Radio Four's Today programme, BBC Radio 1, 2 and 5, BBC TV Breakfast, BBC TV News, Good Morning Britain, ITV News and Channel 5 news, amongst others, providing an opportunity for practices to convert heightened public awareness into more protected pets.
Amanda Melvin, Small Animal Marketing Manager at MSD Animal Health said: "Last year’s Tick Awareness Month was a great success thanks to the high involvement of veterinary practices. We would like to give as many practices as possible the chance to get involved this year so are urging surgeries to get in touch early and we will ensure you get a pack of support resources for this nationwide event."
For further information, contact your MSD Animal Health representative or visit: www.bigtickproject.co.uk.
The proposed withdrawal is vigorously opposed by the National Pig Association, which argues that zinc oxide is effective at controlling E.coli infections and can result in lower use of antimicrobials. Furthermore, the ban was proposed by France and the Netherlands, neither of which use zinc oxide.
The Veterinary Medicines Directorate has submitted evidence to support a proposal for a 10 year transition period if medicines containing zinc oxide are to be withdrawn. This will allow for changes in pig farming practices to avoid increases in the occurrence of diarrhoea at weaning, to ensure animal welfare and prevent increases in the use of antibiotics.
The European Commission will now make a final decision on zinc oxide products - taking into account the CVMP’s recommendation and evidence submitted by Member States - which is expected to be announced some time after June this year.
"We would like to reassure vets, and through them dog owners, that we are constantly reviewing adverse event report data to ensure that the benefits of each UK licenced veterinary medicine product outweighs the risk posed by their potential side-effects.
There are a number of vaccines authorised in the UK containing either two (L2) or four (L4) strains of Leptospira. Based on the most recent periodic safety update report data received for each product, the incidence of adverse animal reactions for all L2 vaccine products combined is 0.015%; for L4 vaccine products this figure is 0.069%.
In other words, the VMD has received fewer than 2 adverse reactions for L2, and fewer than 7 for L4, for every 10,000 doses sold. This includes every suspected adverse event reported, even cases that were considered unclassifiable or were later found to be unrelated to the vaccine.
The overall incidence of suspected adverse reactions for both L2 and L4 vaccine products is therefore considered to be rare."
The trial is the result of a six-week consultation held by the College in June 2016, asking for the profession’s views on a proposed new system of CPD - one that concentrates less on hours logged and more on interactive, reflective learning and measuring the impact that CPD has on the individual’s practice and patient health outcomes.
The College says that while an overall majority of the 3,357 people who responded to the College’s consultation agreed with the proposed changes to the CPD requirement, certain elements received less support than others. The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
The RCVS Education Committee and VN Council therefore agreed that a pilot of a new outcomes-based approach should be held during 2017 before making a recommendation to RCVS Council. The RCVS Council approved this proposal at its meeting on 10 November 2016, after which 117 volunteers were recruited, 60 of whom were able to attend the training days.
A veterinary surgeon who signed up for the pilot and works in veterinary industry, Gina Dungworth, said: "I really appreciate the acknowledgement of non-clinical CPD practices, and while I was originally sceptical of the proposed system the pilot day has so far been clear and helpful."
A veterinary nurse volunteer, Lindsey Raven Emrich, said: "CPD is such a varied part of a veterinary professional’s career, and it very much depends on the person how easy it is to do. I find myself doing a lot of reflection as a natural part of reading articles, and I’m hoping this new system will expand that way of thinking into other areas of CPD."
The volunteers will now pilot the new proposed system and report to Education Committee, VN Council and RCVS Council.
MSD says the campaign will help veterinary nurses and front-of-house staff start the conversation about parasite control by asking clients about their pets' favourite hiding places, where parasites are often found. The supporting campaign tools and materials are designed to help practice staff then uncover pet owner needs to ensure they get the best recommendation.
Amanda Melvin, Marketing Manager at MSD Animal Health said: "Vet nurses and front-of-house staff are usually the first contact pet owners have with the practice. Yet the potential they have to add value to the whole consultation process is often underestimated.
"Our ‘No Hiding’ campaign has been designed to make use of this expertise by helping them find a way of sharing their knowledge. When it comes to pet owners this is usually best achieved by sharing those conversations about the unusual quirks and habits of their pets. That way they can uncover their hiding places and give them the best advice on parasite control."
The ‘No Hiding’ campaign offers a range of resources for practices including in-practice training, social media support, and interactive waiting room resources - demonstrating the practice’s expertise and allowing pet owners to share in the unique hiding habits of their pets.
For further information, contact your MSD Animal Health account manager.
Following last year's campaign, Merial commissioned a survey to learn more about how horse owners seek and receive information about the wider aspects of preventative healthcare, and in particular about the relationship with their veterinary practice.
In the survey of 455 horse owners, which was carried out by CMI Research, 78% said their veterinary surgeon was the most important source of information. The next most important influencers were yard managers/grooms at just 22%.
Louise Radford MRCVS from Merial said: "We wanted to learn more about client education and the opportunities for practices to get more from their client relationships, including vaccination and booster uptake. However we hadn’t estimated just how much horse owners rely on their vet for information!"
"However there appears to be a significant gap between vets as a source of information, and their client’s purchasing habits. Health plans are a great example of the potential for improved compliance, with benefits to the horse, client and practice. Yard health plans present an opportunity to increase booster uptake and also to include animals that might not otherwise be vaccinated.
"Of those horse owners and grooms surveyed who did not vaccinate some or all of their horses, their reasons included horses that never leave the yard, or are old, young, or do not interact with other horses. Yet we know that horses that don’t travel are still at risk of equine flu, as virus can travel up to a mile as an aerosol on the wind, in addition to being carried on objects such as buckets and tack.
"So as the key influencers on preventative healthcare, there is much that practices can do to further engage with clients to increase uptake of products and services, improve client loyalty, and ultimately boost the practice business."
For more information on Equine Flu Awareness Month- 2017, including client materials and video content, visit www.equinefluawareness.com
Brand Manager Dr Amy Scott said: "Because pain is often very difficult for owners to spot, the website highlights some of the common signs that indicate their cat or dog is suffering.
"We have also included a range of additional measures that owners can take to improve the quality of life and maintain the joint health of their pet once Metacam has been prescribed. These include weight management, regular and gentle exercise and alternative therapies such as hydrotherapy or the use of joint supplements such as Seraquin."
The website highlights common painful conditions such as arthritis, as well as more acute scenarios such as post injury or surgery. It also describes the changes in behaviour owners should be aware of that could indicate their pet is in pain, for example reluctance to exercise, change in appetite, displays of aggression or depression.
Amy added: "The correct use of NSAIDs is also an important consideration for effective pain management. To help with this, the website contains a section on Metacam administration for owners, featuring a short video on accurate dosing and treatment."
The recategorisation means that pharmacists and Suitably Qualified Persons (SQPs) will be able to prescribe Zolvix.
The VMD says that making the anthelmintic more widely available will increase its usage as part of strategic worm control programmes on farms, which could in turn result in long term health benefits for sheep, for example by reducing the development and spread of anthelmintic resistance, thereby prolonging the effective use of anthelmintics.
The VMD adds that SQPs will now have additional training to ensure they are sufficiently familiar with Zolvix and how to prescribe it effectively and responsibly so that it is used appropriately. A new compulsory training module will be implemented by The Animal Medicines Training Regulatory Authority (AMTRA) to augment the skills of all AMTRA-registered SQPs permitted to prescribe farm animal products. New SQPs will be required to undertake a revised and extended module before gaining their farm animal registration with AMTRA.
Pharmacists and SQPs will be able to prescribe Zolvix from 1st July 2017.
UPDATE 16th March:
BVA President Gudrun Ravetz has issued a statement expressing concern over the recategorisation of Zolvix:
"We know that resistance to anthelmintics is increasing in grazing animals and needs to be addressed if the livestock industry is to avoid a potentially disastrous situation of being unable to tackle parasites. The reclassification of Zolvix from POM-V to POM-VPS is in direct opposition to the trend in Europe, where we are seeing increased control over dispensing of anthelmintics in species where resistance is a serious threat to animal welfare and profitable production; we're extremely concerned that we might start seeing resistance develop in group 4 as a result.
"BVA believes that prescribing of anthelmintics requires a level of control best provided by a veterinary surgeon who has the animals under his/her care, and is based on a sound clinical diagnosis, in order to protect animal welfare and safeguard the efficacy of these products for the future."
Further information on BVA's policy on anthelmintics can be found on BVA’s website: www.bva.co.uk/news-campaigns-and-policy/policy/medicines/anthelmintics.
Biogal’s CEO, Mr Amos Gershony said: "We placed a large effort behind creating these videos, so that our customers could visualize how simple it is to receive a PCR result in 1 hour."
The videos are:
The guide reviews the definition and classification of pyoderma, history-taking and clinical examination, and diagnostic testing techniques. It also reviews current thinking on therapy options. Bayer says it hopes the practical and evidence-based guide will be an invaluable resource in veterinary practices.
Ross said: "With pyoderma cases appearing almost daily in veterinary consultations, it is vitally important that vets are well versed in treating cases appropriately and efficiently, particularly to ensure the responsible use of antimicrobials. Canine pyoderma commonly poses diagnostic challenges, due to its varied clinical presentation and tendency to be super-imposed on other skin diseases. We envisage that the article will provide readily accessible, clear and practical advice on diagnosing and treating the condition."
Bayer has also launched a new Veraflox website, where the first and second guides in the Education Now, Safeguarding Antimicrobials series (written by Simon Tappin, Head of Medicine at Dick White referrals, Matt Jones, Head of Microbiology at IDEXX, and Ross Bond), are also available for download in the Vet Training Centre section.
The website also offers a number of other resources in the Vet Training Centre, including webinars, case studies and videos.
Hannah Watts, Group Product Manager at Bayer, said: "The new Veraflox website has been built with the practical needs of vets in mind. We hope this will become a frequent resource for helping them overcome daily challenges in diagnosing and treating cases with an appropriate antimicrobial product."
In addition to being available for download at www.veraflox.co.uk, Focus on Pyoderma is also available in print by contacting your Bayer Territory Manager.
Dechra says phenobarbital is effective as a monotherapy in 60 to 80 per cent of dogs with idiopathic epilepsy, but that in 40% of dogs, seizures cannot be controlled with phenobarbital alone. In these cases the company's potassium bromide treatment Libromide, is licensed to be used alongside Soliphen as a concurrent therapy.
According to the company, the combination of phenobarbital and potassium bromide has been shown to reduce seizure number and severity in dogs with refractory idiopathic epilepsy; in tests, the combination treatment reduced the mean seizure rate from 27.4 seizures per month to 2.2 seizures.
Dechra Veterinary Products Brand Manager Craig Sankey said: "Epilepsy is the most common chronic canine neurological disorder, affecting around 0.62 per cent of dogs.
"It can be a distressing condition for both the animal and its owner so we are launching a therapy that can reduce the number of seizures in even the most challenging cases.
"We have also produced new guidelines for prescribing vets, detailing step by step how the treatments can act alone or concurrently. We believe using Soliphen as a sole therapy or in conjunction with Libromide will make a positive contribution to veterinary professionals in their ongoing treatment and management of dogs with epilepsy."
For more information, visit www.dechra.co.uk
The company, which until now has only offered loans to practice clients for veterinary treatment, is now offering practice staff loans of £1,000-£25,000 for periods ranging from 1-5 years at an APR from 7.9%, with joint applications acceptable.
Stewart Halperin, BVMS, MRCVS, founder and CEO of CarefreeCredit (pictured right), said: "I first started the company to enable other vets to provide interest-free loans to clients facing large bills for uninsured pets.
"Since then, I’ve been thinking of other ways to help practice staff in our profession and realised a quick and simple low-cost loan facility would be a great way to go beyond helping their clients to helping the staff themselves in their daily lives.
"Now, with just a simple phone call taking just 5 minutes, veterinary staff can easily access the finance they want for whatever purpose they need."
For further information call 0345 313 0177.
Underlying the plan are three 'Brexit Principles', devised by the College and formally adopted by RCVS Council, which will guide the College’s relationship with the Government during the forthcoming Brexit negotiations.
The College says each Principle is supported by a number of specific policies that the College will lobby for in the coming months, all designed to positively engage with the post-referendum reality and with government policy.
The Principles are:
RCVS Chief Executive Nick Stace said: "It is crucially important for the College and the profession as a whole to think boldly about the post-Brexit future; we cannot expect government to give us all of the answers, instead we must work to find solutions ourselves so as to shape the future of the profession from within."
The College has also asked the Institute for Employment Studies (IES) to undertake research into the attitudes and intentions of all EU-graduated veterinary surgeons and veterinary nurses currently working in the UK. They will all have receive a personalised email from IES with a link to this online survey, and their answers will help inform the College’s approach to Brexit. This research will help the College to understand better the impact that Brexit may already be having, how it can support EU veterinary professionals working in the UK, and build an evidence base regarding the potential impact that Brexit may have on the veterinary workforce.
For more information on the College’s Brexit activities, visit: www.rcvs.org.uk/brexit
During the race, which runs between Johannesburg and Durban in April 2017, Jason and Paul will cover 900km (559 miles) on their velocipedes.
They're raising money for a charity called Chipembere Rhino Foundation, a charity which works to monitor rhino and curb poaching. According to the charity, there are 20,000 African white rhino and 4,800 African black rhino remaining, which classifies them as ‘near-threatened’ and ‘critically endangered’ respectively. Against that background, poaching levels have reached crisis point, with 2,700 rhinos killed between 2000 and 2013, and a further 1215 in 2014 alone.
The importance of the charity's work was further highlighted today after news that poachers have shot an African white Rhino for its horn at Thoiry Zoo outside Paris.
Jason said: "We are living in a world where our natural resources, from water and minerals to animals and plants, are becoming increasingly rare and as a result they are highly prized and valuable. Habitat destruction and poaching are two of the greatest risks facing the world's wildlife. Rhinos are being killed for their horns, elephants for their tusks, pangolins for their scales and now even donkeys are being killed for their skins. We only have one planet and we all need to do what we can to protect it."
If you’d like to support Jason and Paul in their efforts, you can do so at http://www.justgiving.com/teams/rhinocycle
ISFM points to an editorial published ten years ago in The Lancet (Hypertension: uncontrolled and conquering the world), which presented alarming facts about hypertension in people: the risk of becoming hypertensive during a lifetime exceeds 90% for people in developed countries, with over 1.5 billion adults expected to have hypertension by 2025. It also said: 'screening is not done systematically, and the diagnosis is often made at a late stage when target organ damage has already happened'.
The Society says there are broadly similar concerns in our feline companions. Hypertension is a well-recognised condition in older cats, yet probably remains significantly underdiagnosed. The consequences can be severe, with target organ damage typically affecting the eyes, heart, brain and kidneys. Some damage, such as blindness resulting from complete retinal detachment, is irreversible. Other damage, however, is more amenable to antihypertensive treatment, highlighting the importance of early diagnosis and intervention. However, this presents challenges, particularly as routine blood pressure monitoring is generally performed infrequently in cats. Furthermore, cats are notoriously susceptible to stress in the veterinary clinic, which can lead to 'white coat hypertension' and hamper interpretation of results.
The new ISFM consensus guidelines are published in its Journal of Feline Medicine and Surgery1. The recommendations are those of an expert panel of veterinary clinicians and academics gathered from the UK, Australia, New Zealand, Spain, France and the USA, and cover several key areas. They include: how often to monitor blood pressure for cats of different ages and health status; when antihypertensive therapy is justified based on different systolic blood pressure readings and evidence of target organ damage; and what an investigation of hypertensive cats should include.
Samantha Taylor, a specialist in feline medicine and one of the co-chairs of the guidelines panel, said: "Well-illustrated and easy to read, it is hoped that these guidelines will encourage more widespread monitoring of blood pressure in veterinary clinics to increase the early identification of this treatable condition, and prevent the severe clinical consequences of untreated hypertension."
Accompanying the guidelines, which are endorsed by the American Association of Feline Practitioners, are further resources to assist veterinarians with the diagnosis of hypertension. A blood pressure evaluation form can be downloaded from the supplementary material; in addition, a series of short videos produced by the ISFM on measuring blood pressure in cats is available in various languages at https://www.youtube.com/user/iCatCare/playlists.
Reference
The Veterinary Hospital and Surgery acquired the Magdalen Arms in late 2014 and started work on the conversion of the listed building in March 2015, with particular care needed to preserve original features including its Dutch gables and the falcon logo of local brewery Lacon’s, which is incorporated into the brick work.
The new hospital was officially opened at the end of February, with the Mayor of Great Yarmouth, Malcolm Bird, and local 2012 Paralympic gold medallist Jessica-Jane Applegate unveiling the plaque. More than 1,000 local people came to have a look round, many bringing their canine friends.
Clinical Director Elissa Norman said: "In recent years we had outgrown our original surgery and it started to become difficult to offer the level of service we wanted to within the space we had.
"We knew that the Magdalen Arms, in addition to being a well-known local landmark, offered all the space we needed, a central location and plenty of parking. The structure of the building made the conversion quite complex but the final result is beyond our expectations and we can’t wait to see the reaction of our clients when they bring their pets to us for the first time."
"We now have staff on site with patients 24 hours a day, 365 days of the year, plenty of parking and we can offer full access for disabled clients all of which were a priority for us. The reception area is spacious and inviting, the consult rooms are well equipped and the new cat ward will create a less stressful environment for our feline patients.
"Watching this much-loved building take shape as a brand-new hospital with all the facilities we need for our patients, their owners and our staff has been special and I’m looking forward to helping it take on a different role within the community. While the building work is now finished, we have lots of plans to develop the service we offer further over the next few months."
"We are grateful to the Mayor Malcolm Bird and to Jessica-Jane for helping us celebrate the opening of the hospital and it was great to welcome so many local people and show them around as they have been so supportive during the conversion. It is clear that the building holds a strong place in many of their memories but that they are as excited as we are to see the amazing transformation that has taken place. We look forward to serving them and caring for their pets in the years ahead."
The College says it has become increasingly recognisant of how a blame culture can lead to a fear of making mistakes, something which can have a negative impact on both the mental health and wellbeing of members of the profession and, ultimately, animal health and welfare.
The anonymous online survey, which is being conducted by the Open Minds Alliance, is described by the College as a major step towards moving to a learning culture which has a greater focus on openness, reflective practice, learning and personal development.
Nick Stace, RCVS Chief Executive Officer, said: "Moving towards a learning culture is one of the key aims of our Strategic Plan 2017-19 and we have already started to make some progress in this area with our Mind Matters Initiative, for example. This survey will help establish a baseline against which we can measure any improvements over the course of the next three years.
"As a regulator this is part of our attempt to be much clearer about the kind of culture we would like to see in the professions; one that encourages members of the veterinary team to learn from each other, and from their mistakes, and to be more open about when things do go wrong in order to better manage public and professional expectations.
"By moving towards a learning culture we can also hopefully reduce levels of stress and mental ill-health within the profession, as practitioners will feel they can be more open about their mistakes and take steps to improve their practice – rather than feeling like they cannot talk about what goes wrong, which can lead to fear and anxiety.
"This is no easy task – particularly when public expectations of what veterinary surgeons and veterinary nurses can and should do is increasing – but we hope that by being brave and open about this new ambition we can galvanise veterinary associations, educators, practices and individual veterinary surgeons and veterinary nurses and make a real difference."
The survey will also be asking to what extent members of the profession feel that the College, as the regulator, contributes to any blame culture and where improvements could be made to the concerns investigation and disciplinary process to help combat it.
Eleanor Ferguson, RCVS Registrar and Director of Legal Services, added: "It is a common misconception that if you make a mistake then this will be investigated by the College and you will end up in front of a Disciplinary Committee.
"However, we recognise that mistakes can and will happen and that expecting 100% perfection is unrealistic. The real professional conduct issues arise when members of the profession try to cover up their mistakes, whether that is to professional colleagues or clients, which often does far more damage than if the person was open and honest about what had gone wrong.
"We do also accept that there is always room for improvement in our own processes and if there are positive steps we can take to make the investigation and disciplinary process less onerous for members of the professions then we would like to hear your suggestions."
Click here to take part in the survey.
The practice says that because thiamine deficiency in cats is generally rare, the number of recent cases seen in the UK has been a cause for concern amongst veterinary surgeons.
Symptoms may include severe weight loss or anorexia, vomiting, impaired vision, dilated pupils, tremors and seizures. Prompt treatment is needed, usually in the form of thiamine injections, an oral supplement and an immediate change of food as a precaution.
Laurent Garosi RCVS & European Veterinary Specialist in Neurology at Davies Veterinary Specialists said: "In 20 years I have only seen a handful of cases. My concern is that there may be many more cats out there in need of a diagnosis which is why we are building awareness and supporting our referring vets in the diagnosis of this condition."
To that end, Laurent posted on the subject on Facebook, which immediately went viral, with more than 1.1 million people reached and 9000+ shares.
Davies Veterinary Specialists has followed Laurent's post with support and advice for pet owners, explaining the symptoms to look out for and the emergency measures to take. The practice has also sent more detailed information direct to its referring practices:
What are the signs of thiamine deficiency in cats? Initially most cats will show anorexia and some degree of vomiting preceding neurological signs which include fairly rapid onset of impaired vision, dilated pupils, ataxia, vestibular signs, tremors and seizures.
How do you diagnose thiamine deficiency? It is based on a combination of factors: clinical presentation, MRI findings, which are fairly typical (although not pathognomonic) and response to thiamine supplementation. Absolute confirmation is technically difficult and not widely available: direct measurement of thiamine in the blood may not reflect deficiency, as this is not a good reflection of tissue concentration of Thiamine. Indirect methods are functional tests looking at effects of thiamine or lack of it: demonstration of reduced transketolase activity in red blood cells which is not readily available for most veterinary practices, or other indirect methods such measuring abnormal metabolites such as organic acids in the urine.
What are the causes of thiamine deficiency in dogs and cats? There are three main causes: 1) inability to absorb thiamine due to gastro-intestinal disease, 2) inability to process thiamine due to liver disease and 3) decreased level of thiamine in food. The latter can be caused by the heating process used for food preparation (thiamine is destroyed by heat), addition of sulphur dioxide or sulphite preservatives to meat which inactivate thiamine and feeding food rich in thiaminase activity such as some raw fish. Therefore all-raw fish diet in cats can be a cause of thiamine deficiency.
What to do if you suspect you have a cat with thiamine deficiency and whose diet consists of a product being recalled? Unless the cat is showing neurological signs, the first step is to stop the diet and switch to another diet not listed in the recall. Thiamine supplementation (intramuscular injection) is advised in the first instance in a case with compatible neurological signs. Other causes for the neurological signs must be considered in the case of failing to respond to Thiamine injections within 24-48 hours.
DVS says it is working closely with their referring vets to raise awareness and diagnose any affected animals.
For more information, visit: www.vetspecialists.co.uk and www.facebook.com/DVSvets/
The plan is designed to help mimic the way cats eat in the wild and so provide them with both physical and mental stimulation. It also encourages cats to hunt, explore, climb and play – activities which boost cats’ positive behaviour and wellbeing.
Developed by feline behaviour specialist Dr. Sarah Ellis and Dr. Lizzie Rowe at International Cat Care, the plan is also designed to help to prevent overeating and promote a balance between energy intake and energy output, in order to avoid weight gain, as well as encouraging weight loss in overweight cats.
It is estimated that there are 10 million pet cats in the UK1 and the charity points to data which suggests that 39 – 52% of them are overweight or obese2,3, something which is a major health and welfare issue4-9, and can ultimately lead to early death10.
The charity says research shows that current feeding practices are contributing to this obesity epidemic, with a number of factors associated with a cat’s modern lifestyle leading to overeating. For example, most cats need little or no exertion to obtain their food, making it more likely that the calories they take in through eating will outweigh the calories they use up through exercise (leading to weight gain). Furthermore, the way we feed our cats generally does not match the lifestyle they were designed for, resulting in a lack of mental stimulation and reduced opportunity to express natural, instinctive hunting behaviours. This can lead to boredom, apathy, anxiety, frustration and stress in cats, resulting in reduced wellbeing and potentially the development of problem behaviours.
Sarah said: "By making a few simple changes to the way we feed our cats, we can help them to live longer, healthier and happier lives."
The plan recommends:
A detailed version of the feeding plan, along with the full report behind the development of the plan, can be found on International Cat Care’s website:
https://icatcare.org/advice/general-care/keeping-your-cat-healthy/feeding-your-cat-or-kitten
A short version of the feeding plan can also be found there.
References
Further investigation revealed that the products in question: AVA Mature Cat Chicken 2kg, AVA Mature Cat Chicken 4kg, AVA Senior Cat Chicken 2kg and AVA Adult Cat Neutered Indoor 1.5kg, all had insufficient levels of thiamine (vitamin B1), which caused the cats to exhibit symptoms of sudden collapse, fitting, widespread twitching and general unsteadiness.
Talking to the BBC, Pets at Home spokesperson Brian Hudspith said it was important to alert veterinary surgeons as well as customers because thiamine deficient cats would usually present with quite different symptoms, including stiff limbs and the head falling onto the sternum.
He said: "Rather than the more typical cervical ventroflexion (head falling onto the chest) associated with thiamine deficiency, in the three cases we saw the predominant clinical signs included sudden collapse, fitting, widespread twitching and general unsteadiness on their legs, which began suddenly after 4-6 weeks of being on the diet."
Pet owners who have bought the products are being advised by the company to dispose of the contents and return the packaging to any Pets at Home store for a full refund. Owners who think their cat is demonstrating any of the symptoms are being advised to seek immediate veterinary advice, and to contact the company's customer advisors on 0800 328 4204.
IMPORTANT UPDATEDavies Veterinary Specialists has published advice and support for veterinary professionals and pet owners concerning the diagnosis and treatment of thiamine deficiency in cats, here.