ICAWC 2011: Ray Butcher - From Herriot to the Present - the Challenges for Vets
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ICAWC 2011: Ray Butcher - From Herriot to the Present - the Challenges for Vets






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    ICAWC 2011: Ray Butcher - From Herriot to the Present - the Challenges for Vets ICAWC 2011: Ray Butcher - From Herriot to the Present - the Challenges for Vets Presentation Transcript

    • Challenges for private companion animal vets (and incidentally also welfare groups)Ray Butcher ICAWC, RIGA 2011
    •  Reflects my own experiences – largely UK based Old enough to remember the “old days” Unique position – have been a high profile vet “politician” / involved in welfare charities / a private practitioner all at the same time
    •  Evolution of companion animal vet practice in UK and worldwide Changing situation in welfare charities Parallel evolution but prejudices perhaps rooted in the past (esp at local level) Stress the need for collaboration Pointers for the future
    • Thames flood 1953
    •  Intensive agriculture
    •  Development of companion animal practice Vet nurse training Changing client demands and expectations
    •  Massive investment in terms of money and facilities Change in attitudes of vets and staff – women, work/life balance Employment and Health and Safety legislation Competition Facing the reality that practice is a business
    •  Emphasis on positive health care and prevention rather than treating disease In UK – much of this done by nurses
    •  Trend to specialisation ◦ Species ◦ Disciplines
    •  Evolution of Nursing Profession Working with other animal health professionals – physios, behaviourists etc. Still barriers in some countries
    •  Continued change in client expectations (not related to costs only) Reduced standing of “professions” Economic crisis > impact on own business as well as clients
    •  Not to illicit sympathy! Stress practice is a business This is what we do to feed our families Making a profit is desirable – indeed essential!! Difficult decisions What is best for welfare?
    •  Private registered Hospital 50 staff Image important as a “service provider”
    •  Internet Meetings networking
    •  Accidents and disease Positive animal health Family health Community Health
    •  Well-meaning but lacking overall plan Dealing with crises but doing nothing to change anything long term Care about animals more than people Often felt abandoned by society
    •  Thought they could solve the problem themselves Unwilling to work with others Own welfare standards in own facilities often substandard
    •  Many examples Become professional > successful as businesses Staff make up - range of professionals -not necessarily “animal people” Alliances > cooperation > bigger political clout Educational programmes essential component
    •  Re-homing – not just numbers but matching the right dog to the family CNR – community involvement, stressing aftercare Every intervention is an education opportunity
    •  Also important Caring but professional “Playing the system”
    •  Internet Meetings networking
    • VET LocalPractice Charities 1950 - 1985: Identifying new challenges Economic pressures Rapidly changing societal needs 1985 – 2011: Reality check: Business plans Re-focusing aims and objectives Professionalism
    •  Aims and objectives much in common Challenges much in common Much greater cooperation at international / national level May still be “in-built prejudices (esp at local level) ◦ Vets - “Only interested in money”, “Do not care about animals” ◦ Charities - un-realistic expectations, “mad”, Poor standards of welfare
    •  Promotion of humanity – concern for all living things (including people) Professional Recognise the importance of considering and working with other stakeholders (including locals) “One medicine” philosophy
    •  Important concept – control of whole population not “strays” Consider “free roaming” not stray Image – “stray” > unwanted/expendable
    • Free RoamingOwned dogs LostOwned dogsabandonedOwned dogs wanderingCommunity Dogs Feral Dogs
    • TOTAL DOG POPULATION Confined / Controlled Free Roaming LOST Owned dogs Returned LostDogs in breeding / commercial Owned dogs Abandonment abandoned supply chain Owned Re-homing Owned dogs Dogs wandering Culture Community Education??? Dogs Feral Dogs
    •  Direct physical injury to humans, their pets or livestock, and wildlife. Indirect injury as a result of road traffic accidents Reservoir of disease to humans and their pets Pollution from faeces, urine etc General nuisance - noise
    •  Loss of human and animal life Fear of the disease Cost / availability of vaccination Cost / availability of post exposure therapy (PET)
    •  ICAM Framework
    •  Initial data collection and identification of major stakeholders Interpretation of the data and identification of local priorities Consideration of potential components of strategy Agreement of overall plan, setting aims and objectives and delegation of tasks Implementation, monitoring and evaluation
    • Human NGOs Animals Animal HealthGeneral Health Ministry EducatorsPublic Vets Ministry Municipality
    •  “….. I promise above all that I will pursue the work of my profession with uprightness of conduct and that my constant endeavour will be to ensure the welfare of the animals committed to my care”.
    •  Ensuring animal welfare is a key element of our role Have we risen to the challenge?
    •  Moral obligation EU – Treaty of Amsterdam > Legal obligation
    •  Can we argue that this is an area that will help to build the business?
    • 55,000 human deaths inAfrica and Asia every year –especially children100 deaths in children everyday
    •  May include owned animals that are allowed to wander Clients or potential clients
    •  Important concept from “James Herriot” era.
    •  Direct involvement Linked to compulsory vaccination Linked to neutering
    •  May be compulsory visit to vet Marketing opportunity
    •  Pet dogs potentially most productive Requires vet involvement Cost implications Needs compromise?
    •  Responsible Pet Ownership Opportunity to market clinic
    •  Moral obligation – care of living things and promoting humanity Professional obligation – “animal advocate” Professional obligation to community – have expertise to improve public health
    •  Professional obligation to clients – have expertise to protect health of pets Enhanced image as “carer” will impact on view of community to clinic Potential opportunity to market clinic with increase workload and client base
    •  Goodwill Image Community responsibility Potential increase in client base Developing surgical skills? Financial gain?
    •  More satisfied owner Healthier dog Better educated owner > better potential to take up vet services
    •  Vets and welfare charities have joint role as part of “community health care team”
    •  The need to change the way people behave Educated public better for animal welfare and better for vets so “win / win”
    •  Rabies / zoonoses Bites
    •  Owners - “My dog doesn’t bite” Sponsors &Vets – not keen on negative image 68
    •  Problem of communicating a “FEAR message”Witte K. 1996; Cho & Witte, 2005; Gore & Bracken, 2005 69
    •  Improved welfare involves educating people to change their attitudes and behaviour Can only be successful if multiple stakeholders in the community work to an agreed strategy Each stakeholder group will have their own agenda Maybe historical “baggage” – concentrate on points of common interest / agreement May need compromises Must be perceived advantages to get “buy-in”
    • Human NGOs Animals Animal HealthGeneral Health Ministry EducatorsPublic Vets Ministry Municipality