MMI seeks to address mental health and wellbeing issues within the veterinary profession, while the Doctors’ Support Network provides peer support for doctors and medical students with mental health concerns.
&me was launched this time last year at the Palace of Westminster at an event sponsored by Kevan Jones MP (Labour, North Durham,) who has spoken about his own experiences with depression.
Overall eleven &me ambassadors have volunteered their own stories with mental ill-health:
A number of &me ambassadors will be taking part in an ‘&me live’ session at BSAVA Congress, from 5-8 April 2018 in Birmingham, providing a short overview of their story before taking questions from the audience. The session will take place from 8.30 to 10.10am on Saturday 7 April and will be open to all those attending Congress.
Lizzie Lockett, RCVS CEO and Mind Matters Director, said: "The feedback our &me ambassadors have received is truly heartening.
"Steve Carter, for example, had both an ex-student and colleague comment on his story thanking him for all he’s done, while a Facebook post about Rob Pettitt reached nearly 25,000 people.
"The campaign highlights how it is possible to recover from mental ill-health and flourish in your career, with the aim of encouraging those at the start of their mental ill-health experience to seek appropriate help, whether that is something profession-specific, such as Vetlife or DSN, or their GP."
Louise Freeman, Co-Chair of the DSN, added: "Many healthcare professionals face similar pressures that can lead to mental ill-health, including long hours, intense pressure, and the nature of the job which requires practitioners to constantly provide care for others, without necessarily recognising the need for self-care at the same time.
"A recurring theme that we’ve seen from these ambassadors’ stories has been that they drew on support from friends and family, and we really hope that this campaign encourages other professionals to seek help if they feel they are struggling."
The campaign is interested in hearing from not only doctors and veterinary surgeons but also nurses, veterinary nurses, dentists, pharmacists and other healthcare professionals who want to open up about their experiences of mental ill-health.
To participate in the campaign, email Dr Louise Freeman on vicechair@dsn.org.uk.
Further information about the ‘&me’ campaign can be found at www.vetmindmatters.org/&me, and a blog by Louise, 'Me and #AndMe', can be found at www.vetmindmatters.org/me-and-andme/.
Veterinary nursing dominated the event held by the RCVS to celebrate the launch of its new Royal Charter at the House of Commons last week.
Over 200 guests attended the occasion, which was sponsored by the MPs Neil Parish (Conservative), Angela Smith (Labour) and David Heath (Liberal Democrats).
The new Charter, which came into effect on 17 February, sets out the objects of the College and underpins many of its core functions such as the Practice Standards Scheme. However, the main focus of the event was the impact the Charter has had on veterinary nursing. Specifically how it recognises veterinary nursing as a profession and empowers the VN Council to set standards for training and CPD.
Professor Stuart Reid, RCVS President said: “There is one more piece of this jigsaw that is missing. We would like to increase further the confidence of the public in veterinary nurses with formal statutory protection of the title veterinary nurse. It is simply unacceptable that unqualified individuals should be able to use the same title as a well-qualified, properly regulated professional.”
Kathy Kissick, a registered veterinary nurse and Chair of VN Council, commended the hard work it had taken to get a new Charter, adding: “I am so very proud to stand here as a registered veterinary nurse and an associate of the Royal College of Veterinary Surgeons. Registered veterinary nurses should wear their badges with pride.”
Nick Stace, RCVS CEO, closed the event by outlining how the College was fulfilling its strategy to become a first-rate regulator citing the streamlining of the complaints process, the new alternative dispute resolution (ADR) trial and the Mind Matters Initiative as just some of the ways in which the College is making a positive contribution to the welfare of animals, the public and the profession.
Picture shows (Left to right) RCVS President, Professor Stuart Reid, Neil Parish (Conservative MP for Tiverton and Honiton), Angela Smith (Labour MP for Penistone), Kathy Kissick RVN (Chair of VN Council) and RCVS CEO Nick Stace.
The Royal College of Veterinary Surgeons has called for comment on a new draft health protocol which aims to deal compassionately with veterinary surgeons who have health problems, such as alcohol or drug addiction or mental health issues, while continuing to protect the public interest.
According to independent legal advice sought by the College, such an approach is appropriate and necessary in order for the RCVS to fulfil its regulatory responsibilities - similar systems exist within other regulators.
RCVS President Peter Jinman said: "At present, where veterinary surgeons suffer from health problems that affect their fitness to practise, they may be referred to a formal and public Disciplinary Committee inquiry and stopped from practising. But it is recognised that this is not always in the public interest, which could be protected by a more compassionate approach, involving medical help, workplace supervision and continued practice, subject to conditions."
As a result, the draft Protocol has been developed by the RCVS Preliminary Investigation and Advisory Committees. It formalises and builds on steps taken by the Preliminary Investigation Committee in the past to help veterinary surgeons to recover from health problems affecting fitness to practise, without referral to the RCVS Disciplinary Committee. Often those veterinary surgeons are also receiving help from the Veterinary Benevolent Fund's Veterinary Surgeons' Health Support Programme.
The Protocol encourages anyone coming into contact with veterinary surgeons - including other veterinary surgeons, veterinary nurses, members of practice staff, clients and healthcare professionals - who have concerns about a veterinary surgeon's health to report those concerns to the RCVS as soon as is reasonably practicable. Veterinary surgeons and veterinary nurses who are concerned about the health of a veterinary surgeon must also take steps to ensure that animals are not put at risk and that the interests of the public, including those of their colleagues, are protected.
A similar protocol would be introduced for Registered Veterinary Nurses when the equivalent disciplinary system comes into force next year.
The draft protocol, together with recommended changes to the RCVS Guide to Professional Conduct to support the change, is available online (www.rcvs.org.uk/healthprotocol) and comments are requested by 8 October 2010. The comments will be considered by Advisory Committee and then RCVS Council.
Comments should be sent to Simon Wiklund, Advisory Manager, on s.wiklund@rcvs.org.uk. A hard copy of the consultation document is available on request.
The full eligibility criteria, including FAQs and guidance notes, for veterinary surgeons who wish to stand for RCVS Council can be found at: www.rcvs.org.uk/rcvscouncil21. The deadline for nominations is 5pm on Sunday 31 January 2021.
Due to the ongoing postal problems caused by the coronavirus pandemic, RCVS Council has approved a temporary change to the RCVS Election Scheme this year to allow nominations to be submitted electronically, rather than in hard copy. This temporary change is currently before the Privy Council for final approval.
Eleanor Ferguson, RCVS Registrar and Returning Officer for the elections, said: "For prospective RCVS and VN Councils election candidates this will mean that, rather than having to send us hard copies of your nomination documents in the post, these can simply be emailed to the College along with the relevant digital photographs and electronic signatures."
The College has also updated its information and guidance for prospective candidates, including an informal ‘job description’, to help them better understand what it means to be members of RCVS Council, their responsibilities, commitments and how they help the College meet its strategic goals, as well as the principles and rules governing their conduct.
Prospective candidates for RCVS Council can also contact RCVS President Dr Mandisa Greene for an informal conversation on what it means to be a Council member on president@rcvs.org.uk.
Mandisa said: “As I have often said publicly, when I decided to stand for RCVS Council it was out of a mixture of fear and curiosity, the RCVS seemed liked some distant organisation that was often talked about, but not entirely understood, and that made me want to find out more. It is fair to say that, since joining RCVS Council, I have learned and experienced a great deal, have got to know people in our profession that I would otherwise never have had the opportunity to meet, and have been at the forefront of key discussions about how our profession is regulated and its future.
"Throughout my time on Council I have also been a working mother of two young children and so, for those who are concerned about how being a Council member can fit around personal and professional life, I can assure you that there is flexibility that allows you to carry out your Council work around other commitments.
"I do hope that, if you are interested in the future of our professions and having a say in our professional and educational standards and how we are governed, then please take the time to consider becoming a member of RCVS Council and don’t hesitate to get in touch with me if you want to know anything more."
There is one more Council meeting before the nomination period ends. It will take place online on Thursday 21st January 2021 and prospective candidates who would like to get a feel for it are welcome to attend as observers: contact Dawn Wiggins, RCVS Council Secretary, on d.wiggins@rcvs.org.uk.
The RCVS has published a revised complaints procedure on RCVSonline.
The procedure represents the culmination of 12 months of work from the College's Preliminary Investigations Committee, with the aim of making the decision-making processes more transparent.
There are four information packs about the complaints procedure, all of which are available on RCVSonline. These are for complainants, veterinary surgeons who are complained about, those involved in decision-making at the RCVS and additional guidance for Lay Observers who provide independent, lay input to the process.
View an introduction to the RCVS complaints procedure and download the protocols by clicking here
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The RCVS Charitable Trust is offering up to 10 grants worth around £500 each, to support UK veterinary surgeons looking to pursue themes of clinical or non-clinical research involving short-term visits to veterinary or medical centres, or research institutes, outside the UK.
The Travel Awards are open to registered members of the RCVS, as well as to candidates registered for a PhD at a UK veterinary school. The awards are available for up to 12 months from the award date, and awards cannot be made for projects taking place before 31 October 2011.
The successful candidates will be asked to submit an article to the veterinary press and provide the Trust with a diary record including photographs, and/or short video.
All applications must be received by 5pm on Monday 31 October 2011.
Further information including full application criteria, is available from www.rcvstrust.org.uk/grants/
Alternative, contact grants@rcvstrust.org.uk or call 0207 202 0741.
The new guidance replaces Chapter 25 of the Supporting Guidance to the Code of Professional Conduct.
Routine Veterinary Practice describes the procedures and techniques performed on animals by veterinary surgeons (or veterinary nurses under their direction) in the course of their professional duties, which ensure the health and welfare of animals committed to their care.
CVR is when routine procedures are undertaken for the benefit of the animal/s, with the concurrent intention to generate new knowledge that benefits animals, such as developing new procedures, improving a diagnosis, changing a routine procedure, or comparing existing procedures.
While the idea of CVR is not new, this is the first time that the RCVS has provided specific guidance on it.
The guidance also introduces an obligation, which comes into effect on 1st September, to obtain ethics review for all studies where one would be expected to obtain permission from the owner/keeper of an animal prior to being enrolled, or when consent is needed for use of previously collected samples or the use of data from an animal.
The newly drafted Chapter 25 gives extra guidance on the following areas:
Chair of the Standards Committee and incoming RCVS President, Dr Melissa Donald (pictured right), said: “We hope that the guidance will inspire confidence in our veterinary colleagues at all levels to undertake treatment routes which develop veterinary knowledge as a whole, while still being for the benefit of the animal being treated.”
For further information or advice on whether a proposed procedure would be covered by the guidance, contact the Standards and Advice team via advice@rcvs.org.uk.
The new guidance will be found on the RCVS website from the 1st July: www.rcvs.org.uk/recognised
For further information in relation to ethics review of proposed veterinary clinical research studies, contact the Secretary to the RCVS Ethics Review Panel via ethics@rcvs.org.uk or visit www.rcvs.org.uk/ethics
The RCVS Disciplinary Committee has restored Joseph Lennox Holmes to the Register of Veterinary Surgeons, two years after he was originally struck off.
Mr Holmes was removed from the Register in February 2012 after the Disciplinary Committee found him guilty of multiple charges of serious professional conduct. Mr Holmes lodged an appeal against the decision, which was heard and dismissed by the Privy Council.
The original charges related to two separate complaints; the first involved numerous charges in respect of Mr Holmes' treatment of a King Charles Spaniel between October 2007 and March 2008; the second, several charges in relation to his treatment of three cats in 2008.
The Committee found that the majority of the charges amounted to serious professional misconduct. In removing Mr Holmes from the Register, the Committee found that "aggravating factors in both... cases included actual injuries to the animals... and a serious breach of the trust which Mr Holmes' clients had placed in him to make the welfare of the animals his primary consideration according to the standards to be expected of the profession". In addition, the Committee cited 10 further aggravating factors including lack of reference to continuing professional development (CPD) in clinical policies and practices; lack of reference to accepted practice; lack of appreciation of the importance of adequate pain relief when performing painful surgical procedures; reluctance to consider referral as an option; and lack of understanding about what information is required by a client to enable fully informed consent to be given.
Following the dismissal of Mr Holmes' appeal by the Privy Council, his first application for restoration was heard by the Disciplinary Committee in February 2013. The Committee was not satisfied that he was fit to be restored to the Register, citing the fact that his application was "premature" and that he had failed to truly appreciate the seriousness of the findings against him. The Committee was also unimpressed with the efforts he had made to keep up-to-date with skills and developments in practice and with his CPD, noting in particular that he had made very limited attempts to observe the function and experience the culture of a modern first opinion practice.
However, in this week's two-day hearing, the Committee was satisfied that Mr Holmes was now fit to be restored to the Register. It heard that Mr Holmes had made a concerted effort to engage in CPD and bring his skills and knowledge up-to-date. During a period of observation at a veterinary practice, he had gained insight into modern practice and the need for veterinary general practitioners to be aware of the advantages in referring patients to specialists.
Professor Noreen Burrows, who chaired and spoke on behalf of the Disciplinary Committee, said: "The Committee has concluded that, in the course of genuine efforts to do what was necessary to address the deficiencies identified during the original Inquiry and at the last restoration hearing, the Applicant has at last understood the seriousness of his previous misconduct and has learned new skills and, most importantly, to recognise his limitations from the extensive course of study, reflection, and other training that he has undertaken."
Furthermore, the Committee was satisfied that Mr Holmes had gained a proper understanding of the importance of securing the informed consent of his clients and building a relationship of trust with them and, in addition, recognising the importance of maintaining close relations with fellow professionals and engaging with CPD opportunities.
Additional factors considered when making the decision included: that he had been off the Register for two years; that, through self-improvement, he had equipped himself to treat animals appropriately; the impact that being removed from the Register had in both personal and financial terms; his conduct since being removed from the Register; and, a number of positive testimonials from previous clients and professional colleagues.
The Committee's full findings and decision are available on the RCVS website (www.rcvs.org.uk/disciplinary).
For veterinary nurses, Schedule 3 is arguably one of the most important aspects of the Veterinary Surgeons Act, partly defining what it means to be a nurse, and defining what tasks veterinary surgeons can reasonably delegate.
Thus far, however, Schedule 3 has only been loosely defined, allowing for veterinary nurses to (under the direction of their veterinary surgeon employer) 'give medical treatment or carry out acts of minor surgery, not involving entry into a body cavity'.
There is evidence from the RCVS/BVNA VN Futures project that uncertainty about what this definition actually means in practice has stopped veterinary surgeons from delegating tasks which could both improve practice efficiency and make the role of the veterinary nurse more interesting, varied and rewarding.
The consultation - and the broader review of Schedule 3 of which it forms a part - aims to create a 'clarified and bolstered VN role via a reformed Schedule 3'.
Liz Cox, Chair of both the Schedule 3 Working Party and VN Council, said: "The future of veterinary nursing is both challenging and exciting, with the convergence of such factors as Brexit, the development of new technologies, and the increasing specialisation of veterinary surgeons, and we would very much like to know how you think the role of veterinary nurse will evolve.
"In light of this we very much encourage all veterinary nurses and veterinary surgeons to complete this consultation. Evidence gathered during the initial stage of the VN Futures project suggested that there is some uncertainty around the interpretation of Schedule 3 in clinical practice. For example, many veterinary nurses do not undertake Schedule 3 work or are uncertain as to whether they do, while some veterinary surgeons are reluctant to delegate Schedule 3 tasks to veterinary nurses.
"With this survey we hope to get a better steer on how Schedule 3 is used and interpreted in practice on a day-to-day basis and gather views on where both veterinary surgeons and veterinary nurses feel the current legislation could be clarified. Furthermore, we also want to know if there are areas of practice that are currently prohibited to nurses under current Schedule 3 arrangements that the professions believe could be opened up to veterinary nurses as a means of bolstering the profession."
Liz Cox and David Catlow MRCVS, Chair of the Standards Committee, will also be presenting a webinar on Thursday 11 May from 1pm to 2pm titled ‘The Art of Delegation – Schedule 3 Consultation’. It will focus on Schedule 3 and the role of the veterinary nurse, and explore possible areas to consider when responding to the consultation. To subscribe to the webinar, please visit The Webinar Vet’s website: www.thewebinarvet.com/webinar/art-delegation-schedule-3-consultation/
All eligible veterinary nurses and veterinary surgeons have been emailed with a link to survey.
Further information about the VN Futures project can be found at www.vetfutures.org.uk/vnfutures
A report published by the Environmental, Food and Rural Affairs committee this week has concluded that The Veterinary Surgeons Act 1966 is in need of updating. However, lack of available budget in the current Comprehensive Spending Review period means that further work on a White Paper won't happen till 2011 at the earliest. In particular, the report found consensus within the profession that the disciplinary procedure is in urgent need of updating. However, the Royal College of Veterinary Surgeons does not have majority support for its proposals on compulsory practice standards and compulsory continuing professional development. The report crticised the RCVS for not having done enough to provide a clear picture of its proposals for a new statutory framework for the regulation of the profession. However, an RCVS spokesman said: "In fact, we have invested considerable time and resources in the development of proposals, led by a working party that included stakeholders. However, we have been awaiting further input from Defra before taking matters further." Chairman of the Committee the Rt Hon Michael Jack said: "We urge the profession to coalesce round some specific proposals to amend the disciplinary process for veterinary professionals. We believe that a working party should be set up between Defra, the Royal College of Veterinary Surgeons and the British Veterinary Association to produce a new Bill for introduction in 2009." Responding to the publication of the report, BVA President Nick Blayney said: "While we will certainly consider EFRACom’s proposal that BVA work with Defra and RCVS to produce a draft bill, the BVA is a voluntary association and our focus is the benefit of our members. Given that we are not even persuaded of the need for a new Act, it is likely that our contribution will be advisory and not financial." Click here for the full report
Alexander McKinstry and Andrew Rutherford were both charged with writing letters indicating that Rebecca Inman had undertaken an assessment when in fact they had done the assessments themselves, the former without Ms Inman's knowledge, the latter with.
The charges were that all three, who worked at the same practice group in North-West, had been dishonest, misleading and risked undermining procedures designed to promote animal welfare.
At the outset of the hearing, all three admitted the charges against them and the Committee found serious professional misconduct in the case of all admitted charges.
The Committee then considered the sanctions for all three of the respondents.
In the cases against Mr McKinstry and Mr Rutherford, the Committee considered that the conduct was premeditated, that they had an increased position of trust and responsibility as practice directors at the time of the misconduct and that it was a breach of trust for the farm clients.
Additionally, Mr McKinstry had put Dr Inman’s professional reputation in jeopardy by not informing her of his conduct.
In mitigation, the Committee considered that there was no harm or risk of harm to animals, the conduct was not done for personal financial gain, that both had been open and frank in their dealings with the RCVS and had shown insight into their behaviour, and their previous good character and unblemished careers.
Regarding Dr Inman, the aggravating factors were the abuse of her position of trust as a registered mobility scorer and the breach of trust with the farm clients.
In mitigation the Committee considered that it had been an isolated incident involving, from Dr Inman’s point of view, a single telephone call.
It also considered that there was no risk of harm, no personal financial gain, her open and frank admissions in dealings with the RCVS, demonstration of insight, previously unblemished record, and efforts to avoid repeats and remediate past misconduct.
Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee carefully weighed the demands of the public interest, as well as the previously stated mitigating and aggravating factors and all the particular circumstances before it.
"The Committee concluded that a period of suspension was sufficient and proportionate in this case to meet the need to maintain public confidence in the profession and uphold proper standards.
"It had a sufficient deterrent effect upon others in the profession and was sufficient to mark that the disgraceful conduct was unacceptable.
“The Committee considered all of the factors before it, and decided that given the personal mitigation in this case, as set out above, a period of one month was appropriate and proportionate in all the circumstances."
The full findings of the Disciplinary Committee regarding this case can be found at: www.rcvs.org.uk/disciplinary
First prize went to the University of Edinburgh’s Molly Vasanthakumar (pictured right) for her Knowledge Summary comparing the ecological impact of woven versus disposable drapes. Molly found that there is not enough evidence that disposable synthetics reduce the risk of surgical site infections when compared to reusable woven drapes, based on her assessment of the available literature.
Molly said: “The Veterinary Evidence student competition gave me an opportunity to identify a specific issue, find and appraise the evidence and then apply it to a practical setting.
"Winning the competition has given me a chance to further my skills in evidence-based veterinary medicine [EBVM] and also raise awareness of an incredibly important and topical issue."
Molly received her prize at RCVS Day, and her published paper can now be read in Veterinary Evidence: http://bit.ly/MollyVasanthakumar
Second prize went to Honoria Brown of the University of Cambridge, whose paper asked: "Can hoof wall temperature and digital pulse pressure be used as sensitive non-invasive diagnostic indicators of acute laminitis onset?"
Honoria said: "Writing this Knowledge Summary was the perfect chance, not only to develop my ability to navigate and analyse databases, but also to present my findings for the benefit of other clinicians who face these issues.
"I feel that these skills will be very useful to me later in my career, and I am grateful to Veterinary Evidence for providing me with the opportunity."
Jacqueline Oi Ping Tong from the University of Edinburgh won third prize for her critical appraisal of the evidence for whether a daily probiotic improved clinical outcomes in dogs with idiopathic diarrhoea. She said: "This experience makes me recognise the importance of evidence-based veterinary medicine to the veterinary community; it connects scientific research to everyday practice.
"It was a great opportunity to engage in EBVM early in my veterinary career, and start learning how to critically appraise the current evidence."
Jacqueline and Honoria’s Knowledge Summaries have been accepted for future publication in Veterinary Evidence.
All submissions were subjected to the same standards and peer-review process as normal journal submissions.
RCVS Knowledge’s Executive Director, Chris Gush, said: "EBVM and its application into practice starts as part of the undergraduate degree, and we are delighted to encourage and champion student involvement.
"This new initiative from our journal taps into the student body’s potential to help grow the evidence base, whilst preparing the next generation of veterinary professionals for when they graduate."
The Veterinary Evidence Student Awards are running again for 2020 and are open for submissions.
The awards are open to all undergraduates studying veterinary medicine, veterinary nursing or bioveterinary science (and equivalent). More information can be found here: http://bit.ly/VEstudentawards
The Disciplinary Committee considered a number of charges against Javier Salas Navarro MRCVS and Roman Kristin over 35 days.
The charges against Dr Navarro concerned his treatment of a kitten named Marnie. They included:
In August 2016, failing to read the anaesthesia consent form in relation to a surgical spay he performed;
When Marnie was readmitted for surgery, failing to read the anaesthesia consent form, failing to undertake adequate assessment of Marnie’s condition; performing surgery without adequately considering her condition; subjecting Marnie to anaesthesia without recognising the seriousness of her illness; failing to obtain informed consent from the owners; administering medication which was contra-indicated; and failure to make an adequate record of his involvement in Marnie’s care.
The charges against Dr Kristin also related to his treatment of Marnie. They included:
In August 2016, failing to undertake an adequate assessment of her condition; failure to recognise and record the fact that Marnie could not pass urine; failure to refer or offer her for specialist treatment; and failure to ensure Marnie received care and treatment overnight.
When admitting Marnie for surgery, that he made a number of clinical mistakes including failure to gain informed consent; and failure to recognise the seriousness of her illness;
that there were a number of failings in relation to Marnie’s care, including failure to arrange adequate overnight care, failure to monitor and record her condition, and failure to gain informed consent for the overnight care.
that he failed to advise Marnie’s owners that he suspected her uterers had been ligated during the spay, failed to advise Marnie’s owners that she required specialist veterinary treatment; and advised that Marnie undergo further surgery at the practice in spite of this meaning her having to undergo further anaesthesia in a week and with poor chances of survival;
that the above conduct was misleading and dishonest.
The Disciplinary Committee found a number of the facts in the charges against both Dr Navarro and Dr Kristin proven (the full details can be found in the documentation at www.rcvs.org.uk/disciplinary).
The Committee found that Dr Navarro breached a number of aspects of the Code of Professional Conduct for Veterinary Surgeons including: making animal health and welfare the first consideration when attending to animals; the provision of appropriate and adequate veterinary care; responsible prescription, supply and administration of medicines; communication with professional colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; effective communication with clients; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee found that his initial failure to read Marnie’s anaesthesia consent form on 5 August did not amount to disgraceful conduct in a professional respect, but that the repetition of this failure on 9 August did amount to disgraceful conduct. It also found that Dr Navarro’s failure to undertake adequate assessment and perform surgery without this assessment amounted to serious professional misconduct. Furthermore, the Committee found that subjecting Marnie to anaesthesia in spite of her being unwell, failure to obtain informed consent and failure to keep adequate records also amounted to serious professional misconduct.
For Dr Kristin, in summary, the Committee found not proven the allegation that he had failed to respond on 5 August 2016 to concerns from Marnie’s owners about her condition while she was recovering from a surgical spay and also all the allegations relating to Dr Kristin’s admission of Marnie to the practice on 9 August on the basis that it was not satisfied so as to be sure that Dr Kristin had been the veterinary surgeon who admitted Marnie on that day.
The Committee found proven the remaining charges and found he breached the following parts of the Code of Professional Conduct for Veterinary Surgeons: making animal health and welfare the first consideration when attending to animals; keeping within area of competence and referring responsibly; providing appropriate and adequate veterinary care; responsible prescribing, supply and administration of medicines; communication with colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; communicating effectively with clients and obtaining informed consent; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee determined that his failure to adequately assess Marnie’s health, to obtain a clinical history, to undertake blood tests and recognise that she was seriously ill, amounted to disgraceful conduct in a professional respect and led to “Marnie’s underlying condition going undetected and undoubtedly contributed to her eventual death two days later”.
The Committee also found that Dr Kristin’s decision to hospitalise Marnie without adequate overnight care, place her on IV fluids without monitoring the treatment or her condition, and failure to obtain adequate informed consent – among other things – amounted disgraceful conduct in a professional respect.
Stuart Drummond, chairing the Committee and speaking on its behalf, said: "As a direct result of Dr Kristin’s acts and omissions, Marnie was left alone overnight on fluids when those fluids had nowhere to go. Had he done his job properly he would have known that and Marnie could have avoided the prolonged suffering caused by the chosen course of treatment that did not address the underlying condition. Every element of Dr Kristin’s behaviour was catastrophic for Marnie, and yet he took no personal responsibility for her welfare and just went home.”
Following its findings on disgraceful conduct in a professional respect, the Committee then went on to consider its sanction for both Dr Navarro and Dr Kristin.
In respect of Dr Navarro, the Committee considered the mitigating factors including previous good character, admissions to some of the facts of the case from the outset; genuine insight and remorse into the seriousness of the actions; his youth and inexperience; and relevant and good-quality testimonials from colleagues. The Committee noted that the testimonials were universally positive and demonstrated that Dr Navarro had reflected on his conduct, had become more mature and confident in his practice and made efforts to rectify the areas in which he had fallen below standards.
Stuart Drummond said: “Although the consequences for Marnie and her owners were clearly devastating, the Committee considered that Dr Navarro’s part in her demise has to be seen in the context of all the evidence. In light of the extensive mitigation, including significant evidence of insight and remediation, the Committee was able to conclude that Dr Navarro did not represent a future risk to animals or the public. In such circumstances, the Committee considered that it was not necessary to restrict Dr Navarro’s registration and that a reprimand was the appropriate and proportionate sanction in his case.”
In relation to Dr Kristin, the Committee took into account positive character evidence from Mr Karel Daniel, a semi-retired veterinary surgeon and Vice-President of the Czech Republic Veterinary Chamber, a similar body to the RCVS in that country, as well as other testimonials on his behalf. In mitigation, the Committee considered Dr Kristin’s previously unblemished career, the fact that it was a single case involving a single animal; some development of insight into his conduct; no evidence of repetition; expressions of remorse; the impact of a family bereavement during the course of proceedings; and his financial position.
However, the Committee also took into account aggravating factors including a lack of candour from Dr Kristin when he was giving evidence, demonstrated by a tendency to blame others rather than take responsibility, as well as his recklessness in suggesting a third operation on Marnie that was not in her interests, rather than referring her into specialist care.
The final decision of the Committee on the sanction for Dr Kristin was that, given the seriousness of the misconduct, it was satisfied that this warranted a six-month suspension period. However, given the mitigating factors, the Committee decided that four months was appropriate and proportionate.
Commenting on the sanction Stuart Drummond said: “The Committee determined that it was important a clear message be sent that this sort of behaviour is wholly inappropriate and not to be tolerated. It brings discredit upon the respondent and discredit upon the profession and, most importantly, caused harm to Marnie and great distress to her owners.
"The Committee did consider whether to remove Dr Kristin from the Register. However, in light of the mitigation in this case, the fact that this was a single case in an otherwise unblemished career, together with the unlikelihood he would repeat his disgraceful conduct, the Committee decided that, in all the circumstances, to remove him from the Register would be disproportionate.
"The Committee therefore decided to order that the Registrar suspend Dr Kristin’s registration…. The Committee was satisfied that a period of four months was appropriate and proportionate in all the circumstances."
The full facts and findings from the case can be found at www.rcvs.org.uk/disciplinary
If they become law, the changes proposed by the working party will have a profound effect on all practising veterinary surgeons and nurses, so it could not be more important that you express your opinion, whether that is in support of the changes or against them.
The proposals fall under five main headings below, each of which is linked to a discussion thread on the subject. Of particular note is the 'fitness to practise' section which includes proposals for radical changes to the disciplinary process:
Do come and join in the discussions. Which of these things do you think will improve the veterinary care of animals? Could any of them have consequences that haven't been thought of? Do you think some of them show the College overreaching itself? Or do they not go far enough?
Come and tell us what you think. Hopefully the discussions will help you form your response to the RCVS survey.
The RCVS survey closes at 5pm on 23rd April 2021.
The proposals put to Council by the Education Committee included six key recommendations for changes to CPD policy:
To change the CPD requirement – as stated in the Codes of Professional Conduct – to 35 hours per calendar year for veterinary surgeons and 15 hours in the same period for veterinary nurses, from the start of 2020. This replaces the previous requirement of 105 hours and 45 hours of CPD over a rolling three-year period for veterinary surgeons and veterinary nurses respectively.
Making the use of the new CPD platform (currently in development) for recording learning and development mandatory from 2022.
Giving veterinary surgeons and veterinary nurses who, upon renewing their registration, have confirmed their compliance with the requirement, the opportunity to download a certificate demonstrating this.
The introduction of an administration fee (which is currently yet to- be determined) that will be charged to any veterinary surgeons or veterinary nurses who continually (defined as two or more years in a row) fail to confirm their compliance with the requirement and/or fail to respond to requests from the College for their CPD records.
Changing the words of the Codes of Professional Conduct to include the fact that CPD should be ‘regular’ and ‘relevant’.
The continuation of the RCVS CPD Referral Group, which meets to consider what further steps should be taken in cases of veterinary surgeons and veterinary nurses who continually fail to comply with CPD requirements and/or respond to requests.
RCVS Council agreed, by a majority vote, to approve the above recommendations.
RCVS Council member Dr Sue Paterson (pictured right), who introduced the paper and is the incoming Chair of the Education Committee, said: "While the majority of both veterinary surgeons and veterinary nurses do recognise the importance of continuous learning and development for their professional practice, their clients and, ultimately, animal health and welfare, it’s clear that there has been a cohort of people in both professions who take a more lax view of undertaking CPD.
"The changes to our CPD policy are intended to tighten up our processes and are targeted at those who, when challenged about why they have not undertaken sufficient CPD, say that they will meet the requirement one or two years down the line as part of the rolling three-year system. The administration fee also recognises the amount of time and effort spent by staff in the College in contacting and chasing up those people who aren’t compliant.
"However, we also recognise the fact that some members of the profession may have personal circumstances that means they are unable to meet their CPD requirement in a given year – whether that’s because of parental leave or other caring responsibilities, or long-term sick leave. So we will be retaining flexibility within the system and will be considerate and compassionate when taking into account individual circumstances when considering non-compliance.
"Furthermore, in light of the fact that the majority of vets and vet nurses do meet the requirement but also often go above-and-beyond it, we also thought it would be a good idea to introduce a downloadable compliance certificate in recognition of their achievement. This could be displayed, for example, in the practice and would be particularly useful for Practice Standard Scheme assessments.
"Over the coming months we will be fine-tuning the details of these policies and will be making further decisions about how they will work in practice in due course."
Veterinary surgeons and nurses who feel they will struggle to complete their CPD requirement within a 12-month period due to personal circumstances can contact RCVS confidentially at any time to discuss their difficulties on cpd@rcvs.org.uk
For full details about the decision, you can download the RCVS Council paper at: www.rcvs.org.uk/document-library/rcvs-council-papers-13-june-2019/
The RCVS is inviting nominations from veterinary surgeons and veterinary nurses who are eligible to stand for RCVS Council and Veterinary Nurses (VN) Council, respectively, in next year’s elections.
The College says next year’s elections will not be affected by the current Department for Environment, Food and Rural Affairs (Defra) consultation on the College’s governance arrangements and so, as always, six seats will be contested for RCVS Council, while two places are available on VN Council. Successful candidates are expected to serve four-year terms and will take up their places at RCVS Day in July 2016.
The nomination period for both RCVS and VN Councils runs until 5pm on Sunday 31 January 2016. In order to stand, candidates for either Council will need to complete a nomination form, submit a short biography and personal statement and supply a high resolution digital photo.
Each candidate will also need to have two nominators. For RCVS Council candidates, these should be veterinary surgeons who are on the RCVS Register but are not current RCVS Council members; for VN Council candidates, the nominators must be registered veterinary nurses who are not currently on VN Council.
Gordon Hockey, RCVS Registrar, said: "We are looking for committed and motivated veterinary surgeons and veterinary nurses who are dedicated to their respective professions and who, through the Councils and their various committees and subcommittees, wish to have direct input in decisions relating to how the College sets and advances standards of education and professional conduct. If this sounds like you then please find out more about standing as a candidate."
Liz Cox, Chair of VN Council, added: "I would strongly encourage all those want to have a say and play a leadership role in veterinary nursing to stand up and be counted and put themselves forward as a candidate. It is a very exciting time to join VN Council as the new Royal Charter has formalised the Council’s powers to regulate education and our professional standards, meaning that the decisions you make can have a very real impact on the profession."
The election period will start around mid-March and run until 5pm on Friday 29 April 2016. Ballot papers will be sent to all registered veterinary surgeons and veterinary nurses who are eligible to vote and, during the election period, the College will be sourcing questions from the professions to put to the candidates.
Nomination forms, guidance notes and frequently asked questions for prospective RCVS Council candidates can be found at www.rcvs.org.uk/rcvscouncil16. The equivalent documents for VN Council candidates are available at www.rcvs.org.uk/vncouncil16.
Prospective candidates for either Councils are also invited a ‘Meet the RCVS Day’ at the College’s offices in Belgravia House on Tuesday 15 December 2015, where they will have the opportunity to find out more about the role of the College and RCVS and VN Councils.
RCVS President Dr Bradley Viner and Chair of VN Council Liz Cox will also be on hand to answer questions about the duties and responsibilities of members of the respective Councils. Those interested in attending should contact Emma Lockley, Events Officer, on e.lockley@rcvs.org.uk or 020 7202 0773. Reasonable expenses for travel will be reimbursed.
Mr Seymour-Hamilton was originally removed from the Register following an inspection of his Kent practice in 1993 which found that his operating theatre “showed a total disregard of basic hygiene and care for animals and was such as to bring the profession into disrepute”.
Since being removed from the Register, Mr Seymour-Hamilton has made applications for restoration in 1995, 2010, 2015, 2016, 2017, 2018 and 2019. Each was rejected.
In his latest application, Mr Seymour-Hamilton said that he did not want to re-join the Register in order to practise but to facilitate his research in the area of herbal medicine.
The Committee found that while Mr Seymour-Hamilton had accepted some of the findings of the original case, he disagreed with important facts, such as whether or not his surgery was open at the time of the inspection, and showed ‘minimal insight’ into the seriousness of the findings.
The Committee also voiced concerns over public protection and animal welfare should he be restored, saying that he had demonstrated little or no understanding of the purpose of regulation. The Committee also noted that he had, by his own admission, spayed two cats at a practice in Calais in recent years despite his long absence from the Register and unregistered status as a veterinary surgeon in the UK or France.
In considering his conduct since leaving the Register, the Committee found that Mr Seymour-Hamilton had admitted to a number of instances of conduct which it found ‘reprehensible’. This included carrying out spays; not self-isolating after testing positively for coronavirus and, in fact, travelling through France and Spain in breach of the lockdown put in place due to the pandemic; deliberately trying to re-infect himself with coronavirus and then visiting a vulnerable person without maintaining social distancing; treating his own animals with untested herbal remedies; and using his own remedies to treat people, which, in one case, included a nine-year-old boy in Greece.
In summing up Judith Way, who was chairing the Committee and speaking on its behalf, said: “The Committee has concluded that he has not satisfied it that he is fit to be restored to the Register. He has exhibited a disregard for regulation and compliance with the law. He lacks an understanding as to why he has not been restored in the past. He has not set about addressing any of his shortcomings. He relies wholeheartedly on his research, yet he does not support that research with any real peer-reviewed publications and he fails to acknowledge the consequences of being out-of-practice for so long. He has misplaced confidence in his own abilities and does not recognise that his approach and/or actions can represent a danger to animals and to the public. The Committee has therefore reached the conclusion that the applicant is not a fit person to be restored to the Register.”
The full findings of the restoration hearing for Mr Seymour-Hamilton can be found at: www.rcvs.org.uk/disciplinary
The RCVS Charitable Trust has made two 'Blue Sky' grants of £20,000 each for research into feline rotavirus and equine gut bacteria.
One award has been made to Allison German and Kenton Morgan at the University of Liverpool as a Richard Daubney Research Fellowship. This will enable research to be undertaken into the molecular epidemiology and zoonotic potential of feline rotavirus in UK cats.
Allison said: "Feline rotaviruses have been identified in diarrhoeic children in Japan, Italy, Israel and America, but because of limited funding options, there has been no systematic study of rotaviruses in cats, so the prevalence, risk factors and zoonotic potential are unknown. I am pleased that the Trust has recognised the importance of emerging infectious diseases in companion animals and their potential role in animal and human health."
By assessing faecal samples from cats within Cats Protection Adoption Centres in the UK, the study aims to discover the prevalence of rotavirus in this cat population and broadly identify the strains of feline rotavirus that are circulating, including looking for any with identity to human strains. The study will also determine whether the molecular epidemiology of rotavirus in the cat population enables understanding of the diversification and evolution of rotaviruses in people.
A second Blue Sky award of £20,000 has been made to Chris Proudman and Alistair Darby, also at the University of Liverpool, to research the role of gut bacteria in horse health and disease. Called Metagenomic Analytical Utilities for Equines (MANURE), the project will sequence DNA from microbes taken from horse intestines, and analyse the diversity, composition and abundance of the microbial populations. This is expected to improve veterinary understanding of the role of equine gut bacteria, and benefit horses and their owners. Tools being developed to characterise and investigate equine gut microbiota, and findings expected, such as the discovery of novel bacteria, should also be useful to other research.
RCVS Trust Director Cherry Bushell said: "As usual, the standard of applications was very good, although we do continue to receive a relatively high number of applications for projects that the assessors judge to be more 'surveys' than genuine blue sky research.
"In deciding which research to fund, a number of factors are taken into account, such as the quality and strength of the research team, the likelihood of success, and whether a genuine gap in knowledge has been identified. For example, the feline rotavirus research could have important findings in the longer term if it is found that there is genuine risk to human health, and also shows clear potential for further study. Similarly, the equine gut bacteria study is likely to increase considerably knowledge over the longer term and to attract funding from elsewhere for further research."
With regard to all types of complementary and alternative medicine, the statement says that the College expects MsRCVS to offer treatments that "are underpinned by a recognised evidence base or sound scientific principles."
The new position statement states very clearly that homeopathy falls below this benchmark: "Homeopathy exists without a recognised body of evidence for its use. Furthermore, it is not based on sound scientific principles."
The full statement reads:
RCVS POSITION ON COMPLEMENTARY AND ALTERNATIVE MEDICINES"We have recently been asked questions about complementary and alternative medicines and treatments in general and homeopathy in particular.
"We would like to highlight our commitment to promoting the advancement of veterinary medicine upon sound scientific principles and to re-iterate the fundamental obligation upon our members as practitioners within a science-based profession which is to make animal welfare their first consideration.
"In fulfilling this obligation, we expect that treatments offered by veterinary surgeons are underpinned by a recognised evidence base or sound scientific principles. Veterinary surgeons should not make unproven claims about any treatments, including prophylactic treatments.
"Homeopathy exists without a recognised body of evidence for its use. Furthermore, it is not based on sound scientific principles. In order to protect animal welfare, we regard such treatments as being complementary rather than alternative to treatments for which there is a recognised evidence base or which are based in sound scientific principles. It is vital to protect the welfare of animals committed to the care of the veterinary profession and the public’s confidence in the profession that any treatments not underpinned by a recognised evidence base or sound scientific principles do not delay or replace those that do."
RCVS President Professor Stephen May said: "It is fair to say that debates on either side of this issue have been passionate and this too has been reflected in the debates that we have had amongst Council members as to how to best articulate the College’s position on complementary and alternative medicines.
"What we have is a statement that reinforces the evidence-based and sound scientific foundations of our profession and our commitment to put animal health and welfare at the forefront of all we do.
"I am very pleased that the overwhelming majority of Council members agreed with this statement and that the College has a firm and clear position on this important topic."
The RCVS Veterinary Nurses Council has decided that the College should cease being an awarding body next year, which means it will no longer offer the vocational Level 3 Diploma in Veterinary Nursing.
The College says it will ensure that the Diploma continues to be available by transferring the intellectual property associated with the qualification, such as the question banks and systems, to another larger awarding body, in a move which is likely to take effect for the beginning of the 2012 academic year.
According to the College, this decision reflects recent changes in the regulatory Conditions of Approval for awarding bodies, which it would have been hard for the College to meet while continuing to offer the Diploma cost-effectively. The changes mainly relate to potential conflicts of interest between the College's primary role, as professional regulator that safeguards standards within the veterinary professions, and its role as an awarding body. The standards-setting role includes the regulation of education and training leading to the veterinary and VN registers, and it was felt that the College could no longer exercise this role effectively if it was also an awarding organisation, as it might be suspected of treating its internal qualifications more favourably, or of obstructing competitors.
Although the College says this has not been a problem in the past, the rules are now more stringent, and the costs of setting up a fully independent awarding body would be prohibitive.
The market for the Diploma is also likely to fragment in the future, with three other awarding bodies expressing an interest in offering a Level 3 Diploma. Any reduction in the number of students taking the RCVS Level 3 Diploma would further push up the costs, potentially making the RCVS Awarding Body unviable. A larger awarding body can take advantage of economies of scale across a range of awards in a way that the RCVS cannot.
Colonel Neil Smith, Chairman of the RCVS Awarding Body Board said: "The RCVS has been offering vocational qualifications since 1998 and the decision to cease being an awarding body has not been taken lightly.
"We have taken this decision in order to focus on our core responsibilities of professional regulation and standard setting. However, we remain committed to maintaining the Diploma, which has been carefully developed by the RCVS and the profession. This move ensures that it will stay in safe hands."
The name of the awarding body to which the qualification will be transferred has not yet been announced because the process is not complete. However, the College says it felt it was important to give those involved with the delivery of training as much notice as possible of the change. More information, and the change-over plan, will be released in due course.
Libby Earle, RCVS Head of Veterinary Nursing said: "Our priority will be effecting a smooth transfer for students, Colleges and training practices, and we are confident that the impact of the change will be minimal. Furthermore, it will be a condition of the transfer that the veterinary profession continues to have a say in the future development of the qualification."
Those students still in the process of completing the old NVQ qualifications, the accreditation of which is due to run out in 2013, will continue to be serviced by the RCVS.
As the professional regulator, the College will continue to issue RCVS certificates and badges to those who have successfully completed a registerable qualification - such as an approved vocational qualification run by another awarding body, or an RCVS-recognised veterinary nursing degree.
The Advanced Diploma in Veterinary Nursing will be unaffected by the change as the qualification is awarded by the College under its Royal Charter powers.
The College has confirmed that it has now received an official complaint about the matter and it is now investigating under its normal 'concerns' investigation process.
Professor Argyle made a private statement about the allegations to RCVS Council at its meeting today, having already answered written questions from a number of Council members in the preceding days.
The Council did not ask Professor Argyle to step aside, but acknowledged that this was his choice, made for personal reasons.
The College said that in line with its normal protocols, and to ensure fairness for all parties, it will not make any further public comment about the investigation for the time being. However, it wanted to stress that it remains firmly committed to following due and proper process in all its regulatory activities.
The RCVS Trust is offering vets, veterinary nurses and their friends chance to win a stylish small car - and support this small charity - for a mere £2.00.
On offer in this better-than-the-average raffle is a Fiat 500, the 2008 European Car of the Year winner - and described by Jeremy Clarkson as "practical without being boring".
You can buy tickets online at http://www.everyclick.com/rcvstrust until 21 August, or ask Sarah Briggs at the Trust (020 7202 0743 or s.briggs@rcvstrust.org.uk) for a book to sell to colleagues, friends and family.
Tickets will then be entered into the Small Charity Car Draw, organised by the Foundation for Social Improvement, with the Trust receiving over 95% of the ticket price. The draw will take place on 1 October 2009.
The group is being set up to ensure that the College meets its objective of working in the public interest, initially as a 12-month pilot.
Louise Allum, RCVS Council Member and Chair of the Public Advisory Group, said: “Animal owners and keepers play an essential role in supporting animal welfare, and it is therefore not only right, but necessary, that we actively seek to inform the public of our activities and take their opinion into account when making wide-reaching decisions.
“With the profession's help, we are inviting animal owners and keepers from all backgrounds - from companion animal, to equine and farm – to be a part of our Public Advisory Group to help us actively engage with members of the public and to ensure that the veterinary profession continues to meet the needs of clients and animals alike.
"We also hope that, by involving animal owners and keepers in our work, we can improve the ways in which we communicate our messages to veterinary service users."
Lizzie Lockett, RCVS CEO, added: “Through the Public Advisory Group, we hope to gain greater insight into the experiences and opinions of animal owners and keepers to determine how we can work together to achieve what is essentially, a joint goal.
"We all care deeply about animal health and welfare and should therefore be united in our mission to uphold high standards.
“We are looking for a pool of around 30 individuals, including, but not limited to, owners and keepers of companion animals, and equine and production animals, to join our group.
"We are asking veterinary professionals to help us recruit animal owners and keepers from all walks of life, by kindly sharing information about this initiative with anyone they feel would be an appropriate, enthusiastic and engaged member of the Group.”
For more information on the Public Advisory Group, including terms of reference and how to apply, visit www.rcvs.org.uk/pag or email Lisa Moffatt on l.moffatt@rcvs.org.uk.
The deadline for applications is 7 June 2023.
The Disciplinary Committee of the Royal College of Veterinary Surgeons has dismissed a case against a veterinary surgeon from Kent having found him not guilty of serious professional misconduct.
Mr Francois-Guillame Saulnier-Troff - formerly an employee of North Kent Referrals in Blue Bell Hill near Aylesford - was charged with concealing from his clients that a fragment of metal had been left in their dog's body following surgery, and omitting any reference to that in the clinical records or notes.
At the hearing, the Committee heard that, during spinal surgery on Pippin, a Jack Russell terrier belonging to Mr and Mrs Bowers, a small metal fragment broke off a palpator and became lodged in the bony material. Mr Saulnier-Troff was unable to retrieve it.
However, Mr Saulnier-Troff did not inform Pippin's owners of this occurrence, either during the telephone conversation on the 15th of January immediately following the operation, or when he met with them for Pippin's post-operative check on the 2nd of February. He said that he had intended to discuss the fact with the owners when the dog was discharged and had requested that he be contacted when the owners came into the surgery. He had not been contacted, though, and on attending the practice two days later, found that Pippin had already been returned to his owners.
It was accepted by the Committee that Mr Saulnier-Troff had not considered the fragment of clinical significance, and that telling Mr and Mrs Bowers about it was not at the front of his mind at their subsequent meeting.
The Committee heard there was no reference to the fragment included in the clinical notes, discharge summary or referral report, but accepted that the discharge summary had not been prepared by Mr Saulnier-Troff and that the referral report had been drawn up and sent out without Mr Saulnier-Troff's approval or personal signature.
In their findings, the Committee made no criticism of Mr Saulnier-Troff for the breakage or non-retrieval of the fragment, concluding that he came across as a skilled and conscientious veterinary surgeon and that he was fundamentally honest. The Committee also described as "honest and straightforwards throughout," the accounts given by Mr and Mrs Bowers of their recollections of events. The Committee noted that Mr Saulnier-Troff had admitted that he ought to have told Mr and Mrs Bowers about the fragment and that he ought to have included details in the clinical notes.
Disciplinary Committee Chairman Mrs Alison Bruce said that they were "highly critical of the fact that Mr Saulner-Troff did not inform Mr and Mrs Bowers at any time of what had occurred or check that the clinical records had been completed either post-operatively or at the follow-up examination."
"The matters, which Mr Saulnier-Troff has admitted, flow from a failure on his part to speak to Mr and Mrs Bowers after the discharge had taken place and to check that he had completed a full clinical record which included reference to part of the palpator being left in Pippin's body,"
Mrs Bruce continued, adding that this was "indeed conduct which falls short of the standard to be expected. However, in the opinion of this Committee his conduct does not fall so far short that it amounts to disgraceful conduct in a professional respect."
Mrs Bruce concluded: "In these circumstances, the charge is dismissed."
Nebojsa Petrovic faced eight charges, although charge four was withdrawn at the start of the hearing.
At the outset of the hearing, Dr Petrovic admitted a number of allegations, including:
Charge 1 - that in November 2021, he falsely represented to the Animal and Plant Health Agency (APHA) that blood samples he submitted in respect of four horses were from the same horses as the samples he submitted on 1 November 2021.
Charge 2 – that in November 2021, he told APHA’s Veterinary Head of Border Control that he had checked the microchips and/or passports of the four horses when he hadn’t done so;
Charge 3 – that in November 2021, he signed Export Health Certificates for the four horses, in which it was stated that blood samples taken from these horses on October 2021 had been submitted to the Veterinary Laboratories Agency laboratory, Weybridge, with a negative result for Leptospirosis when in fact those samples had tested positive;
Charge 5 – that he failed to send the APHA’s Centre for International Trade, within seven days of signing, certified copies of the export health certificates;
Charge 7 – that in January 2022, he told an APHA officer that he was satisfied that he had properly identified the horses for which you had submitted the two samples when he had not done so;
Charge 8c – that he risked undermining government procedures designed to promote animal health and international relations in relation to the charges he admitted; and
Charge 9 – that in February 2022, he failed to have in place any or any adequate Professional Indemnity Insurance (PII).
Dr Petrovic, who was at the time of all the allegations carrying his duties as an Official Veterinarian on behalf of the APHA, denied charge 6 – that in November 2021, he failed to take sufficient steps to prevent the four horses being exported to Serbia, when he had been informed that there were concerns and/or doubts about whether those horses had tested negative for Leptospirosis.
He also denied charge 8 – that in relation to the allegations relating to his submitting the blood samples to the Veterinary Laboratories Agency on 8 November 2021, certification of the Export Health Certificates on 16 November 2021 and his subsequent conversations with members of APHA staff regarding both sets of documentation he had acted in a misleading (Charge 8a) and/or dishonest (Charge 8b) way.
The Committee considered evidence presented by the College including hearing from APHA staff witnesses called by the College and also hearing from a witness and character evidence presented by Dr Petrovic. Dr Petrovic also gave evidence to the Committee.
It found most charges proven with the exception of Charge 6, and also found that Dr Petrovic had not acted dishonestly in submitting the blood samples or certifying the EHC’s as alleged in charges 1 and 3.
The Committee concluded that Dr Petrovic had acted in a dishonest and misleading way in his conversations with the APHA staff as detailed in charges 2 and 7.
The Committee then considered whether the individual proven charges amounted to serious professional misconduct, determining that, with the exception of charges 3 and 5, all proven charges amounted to disgraceful conduct.
Paul Morris, chairing the Committee and speaking on its behalf, said: “In the Committee’s judgement, the respondent’s position as an Official Veterinarian also meant that he had a responsibility to ensure that the trust which was delegated to him was not breached.
"In his role, the respondent was acting in a position of trust, as a representative of the government, and the Committee found that he had breached that trust…. It took these matters into account when determining that the respondent’s behaviour cumulatively amounted to disgraceful conduct in a professional respect.”
Regarding the sanction for Dr Petrovic, the Committee considered his request that it consider suspension, rather than removal, from the Register.
In terms of aggravating factors – the Committee found that Dr Petrovic had acted without integrity, recklessly and without regard for the APHA’s systems relating to the export of animals.
In mitigation, it took into account: the fact that no animal was harmed by his conduct, albeit there was risk of harm; his long and unblemished career in the UK since 1994; admissions he had made to the APHA and Disciplinary Committee at the first day of the hearing; had remediated his lack of professional indemnity insurance by putting in place a retrospective policy; the significant amount of time that had elapsed since the conduct; and six positive character references from experienced fellow veterinary surgeons who held him in high regard.
Paul Morris added: “The Committee took into account that the respondent had continued to work as a veterinary surgeon with no subsequent complaints and that he had a previous long and unblemished record and there was support by several positive character references.
"The Committee also took into consideration the pressures of Brexit and the pandemic which the respondent had faced at the time, but which were unlikely to occur again.
“The Committee had concluded that the respondent was unlikely to repeat similar behaviour or to pose a risk to animals, particularly because he was no longer involved in certifying animals for export.
"Furthermore his admissions to most of the matters it had found proved showed that he had some insight.
"The Committee was also satisfied that the respondent had a genuine concern for the welfare of animals and it noted that the Respondent did not require any further training to continue in practice as a veterinary surgeon.
“The Committee therefore concluded that a suspension from the Register was the proportionate sanction in this case taking into account the seriousness of the conduct it had found proved but also all of the mitigating factors.”
The Committee recommended that Dr Petrovic be suspended for six months to reflect the seriousness of the conduct and the damage it could do to public confidence in the profession, while meeting the public interest and sending a clear message of deterrence.
www.rcvs.org.uk/disciplinary