Coronavirus advice for farm and ambulatory equine vets

Veterinary professionals have worked tirelessly and in line with the UK government's advice to look after the health and welfare of the nation’s animals, and to try and keep their teams, clients and themselves safe. As farm animal vets, you have had the added task of maintaining the food supply chain. We applaud the work that you and Official Veterinarians (OVs) have done in maintaining the continuity and safety of the food supply chain whilst upholding standards of animal health and welfare, even when lockdown was at its tightest.

As the UK begins to ease lockdown restrictions, veterinary professionals and practices are transitioning to providing as full a range of services as possible, whilst working safely. This does not mean a return to a pre-Covid ‘business as usual’ way of working and all veterinary services must be provided in a manner that supports social/physical distancing and good hygiene and biosecurity.

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Updated guidance on working safely during Covid-19

We've developed a guide for vets in clinical practice to help you and your team to work safely during Covid-19. This replaces previous guidance on assessing essential veterinary care and supports practices to start transitioning to providing as full a range of services as possible, whilst working safely and within government guidelines.

Please note: This advice is intended as guidance only. Veterinary practices will vary in their approach due to individual circumstances. Veterinary professionals must also continue to exercise their own clinical judgement in risk assessing cases.

Farm and yard work are varied and present different challenges

We appreciate that the varied nature of farm and ambulatory large animal work means that what might be appropriate for one situation, is not for another. We have tried to provide some general pointers for farm vets, equine vets and Official Veterinarians (OVs) as well as sign posting to some useful resources from our specialist species colleagues.

Using your skills and expertise to judge each scenario and making sure that you are maintaining social distancing measures will go a long way in upholding standards of animal health and welfare on farm but also making safe decisions for yourself and your clients.

It is important in reading this guidance to consider (alongside safety measures to try and curb spread of Covid-19) that all of your usual risk assessments about biosecurity and working safely with farm animals should continue as normal. Any decisions made regarding human health protection with regards to Covid-19 should be in addition to, and not jeopardise any of these judgements.

Veterinary teams must insist on strict social distancing measures at all times but it is also important to remember that there will be occasions when social distancing and/or isolation is not achievable. In these cases, it is essential that a risk assessment is undertaken and a plan put in place to work as safely as possible.

Risk assess and plan ahead for farm and yard visits

  • Maintain safe working practices around large animals and consider taking a second member of practice staff to assist
  • If two members of staff must travel to a site, consider travelling in separate vehicles or fixed pairings
  • Use a consistent pairing or team system
  • Clarify the client’s medical status with regard to Covid-19 before booking appointments
  • Make sure your client understands the social distancing measures you will be putting in place and knows how you intend to work
  • In cases where clients are self isolating or confirmed to have Covid-19, they should not be involved in the visit at all
  • Where possible, examine animals outside in the open air, rather than in an enclosed airspace
  • Maintain a physical distance of 2m from other people as much as possible
  • Make sure you follow your usual biosecurity practices, including wearing clean protective clothing and disinfecting between clients
  • Consider sedating animals needing treatment or investigation where appropriate, especially if this helps maintain the 2m physical distance from the handler
  • Minimise contact with the client, and where face-to-face interaction is required, this should only be with one person per visit
  • Do not enter the farmhouse or any other residential area for any reason and do not accept any drinks or food
  • Make sure no one else has contact with or enters your vehicle during the visit (for example to collect equipment) and, where possible, park away from the area of main activity.
  • Read our specific guidance on vehicle sharing (below)
  • Use a cloth face mask or covering and consider asking the client to do the same
  • Use technology to triage and consult whenever possible and appropriate
  • Read our guidance on working safely during Covid-19 in full

Minimise the risks of vehicle sharing

Avoid multiple occupancy vehicles if possible. If more than one person needs to travel to a client, the following should be encouraged:

  • Use a fixed pairing system – journeys should be with the same individuals and limited in the number of people travelling per vehicle.
  • Maximise space between occupants, for example sitting in diagonally opposite seats. Maintain good ventilation, for example, by keeping windows open and passengers facing away from one another to reduce risk of transmission.
  • Vehicles should be regularly cleaned using standard cleaning products, with emphasis on handles and other areas where passengers may touch surfaces. Wash hands before getting into the vehicle and on arrival at the visit. Keep hand sanitiser/wipes within vehicles to clean hands after each visit.

Options for remote prescribing

During this challenging period, we know that the farm vet community has progressed its approach to remote consultation and has been championing this way of working when required.

The RCVS Council’s temporary departure from the Code of Professional Conduct for Veterinary Surgeons prohibiting prescription of veterinary medicines (POM-Vs) without a physical examination of the animal(s), will continue to be reviewed on an ongoing basis. We recommend continuing to take advantage of the opportunities this provides where necessary.  Read the RCVS announcement for full details.

Call ahead

Always call your client ahead of any appointment or meeting to make sure that they understand the order of procedures and social distancing measures that you will be putting in place.

Further information

Read our Updated guidance for UK veterinary practices on working safely during Covid-19

For further advice and guidance see also the ‘Covid-19 Secure’ guidelines on working outdoors (applicability is England only but the generic advice may be useful across the UK)

Guidance for Farmers: 

TB Testing

We were pleased to have succeeded in lobbying to get young stock exempt from routine testing. OVs can continue testing herds under TB restrictions and routine testing across Great Britain for now, if it can be carried out safely under public health guidance relating to the Covid-19 pandemic.

All vets must still consider if social distancing can be maintained. APHA released a bTB testing briefing note covering England and Wales and Scotland. In Northern Ireland the default position is that bTB testing visits should no longer be carried out. Under exceptional circumstances, tests may continue if they can be done safely in accordance with the Public Health Agency guidance.

Follow the most up to date government advice regarding statutory surveillance and bovine TB testing from APHA covering Great Britain and DAERA in Northern Ireland:

APHA OV briefing Note

For further information, please visit TB Hub

Cattle: BCVA guidance

Goats: Goat Vet Soc guidance 

Equine: BEVA guidance 

Sheep: Sheep Vet Soc website, National Sheep Association news

Poultry: BVPA updates or via email

Pigs: Pig Vet Soc website and NPA Covid-19 message

Bees: The British Bee Keepers Association guidance

Deer: If (farm) vets would appreciate some advice about farmed deer from the Vet Deer Society then they are welcome to contact the VDS committee via email.

APHA guidance for government working animals                     

 

This resource has been produced in conjunction with a number of our veterinary specialist divisions. A thank you to:

British Cattle Veterinary Association (BCVA)

Goat Veterinary Society (GVS)

Sheep Veterinary Society (SVS)

Pig Veterinary Society (PVS)

British Veterinary Poultry Association (BVPA)

Vet Deer Society (VDR)

Veterinary Public Health Association (VPHA)

Association of Government Vets (AGV)