The RCVS Disciplinary Committee has suspended two veterinary surgeons from the Register after finding them guilty of lying to clients and the College about the circumstances of a castration procedure which led to the death of a dog.
The Committee suspended Mr Mpho Donald Lesolle and Mr Georgi Cheshmedzhiev from the Register for four and two months respectively, following surgery undertaken on Benson, a two-year-old male Labradoodle belonging to Mr and Mrs Grayson.
During the proceedings, the Committee heard that, on 6 August 2013, Mr and Mrs Grayson brought Benson to the Swinfen Veterinary Centre in Stafford, where Mr Lesolle is the practice principal and Mr Cheshmedzhiev was his assistant, for the operation which was undertaken by Mr Cheshmedzhiev. Mr Lesolle did not directly supervise the procedure telling the Committee that he was confident that his colleague could carry out the castration, having permitted him to do so on previous occasions.
The Committee heard that, after the operation, a nursing assistant, Ms Bell, had noticed that there was blood on the bedding and that Benson had a swollen scrotum. Mr Lesolle then performed a scrotal ablation on Benson, who was discharged later that day.
However, on the morning of 8 August 2013, Mrs Grayson discovered that Benson had died during the night. An independent post-mortem concluded that he had probably died of intra-abdominal bleeding which caused circulatory collapse. Mr and Mrs Grayson raised a concern with the RCVS in September 2013.
The charge against Mr Lesolle relates to his actions following the operations and during the investigation. The four parts of the charge were that he failed to be sufficiently open with Mr and Mrs Grayson on the circumstances of Benson’s surgery; that, in September 2013, he wrote to the College indicating that he had in fact performed the castration and failing to state that there had been two operations; that, on 23 January 2014, he informed Pam Mosedale, a Veterinary Investigator employed by the College, that he had carried out both procedures; and that, on the same day, he also encouraged his veterinary nursing assistant Ms Bell to be dishonest with the College’s investigators.
Mr Lesolle, who was present at the hearing, admitted all parts of the charge against him. He told the Committee that he decided to take responsibility for Mr Cheshmedzhiev’s operation out of a desire to protect his colleague whom he regarded as vulnerable and lacking in self-confidence. He also accepted that he had encouraged Ms Bell to lie during her interview. He told the Committee that he had persisted with the deceit until 15 January 2015, when he gave a full account of what had occurred.
The three parts of the charge against Mr Cheshmedzhiev, who was not in attendance or represented at the hearing, were that in a letter to the College sent in September 2013, he indicated that he had not undertaken the castration procedure on Benson; that on 23 January 2014 he had denied carrying out the operation while being interviewed by Pam Mosedale; and that, on 19 June 2014, while being interviewed by a solicitor instructed by the College, he said that Mr Lesolle had carried out both procedures.
The Committee found the charge against Mr Lesolle amounted to serious professional misconduct, falling far short of what is expected of a professional. The Committee highlighted the protracted nature of his deceit and the fact that he encouraged another member of staff to participate in it. However, it did accept that his motivation was to protect Mr Cheshmedzhiev.
In deciding on the sanction for Mr Lesolle, the Committee considered the aggravating and mitigating factors. Ian Green, chairing the Committee and speaking on its behalf, said: “Having taken the calculated decision to deceive the College as to what had occurred, he abused his position of responsibility to obtain support for his deceit by involving a junior employee, without any proper consideration of the effect of that decision upon her. Instead he continued with the deceit until he was presented with incontrovertible evidence that he had not carried out both procedures on the dog. In the Committee’s view he showed a wilful disregard for the College’s investigatory process.”
However, in mitigation, it also accepted that he was protecting a colleague and that there was no financial gain. It also considered his personal circumstances, the fact that he is sole principal of a small mixed practice which provides his sole source of income and that the rented accommodation also provides a home for his wife and two children. Taking all factors into account, the Committee imposed a sanction upon Mr Lesolle of four months’ suspension from the Register.
In regards to Mr Cheshmedzhiev, the Committee did not find the part of his charge relating to the letter sent in September 2013 to be proven but, in respect of the other two parts of his charge, found that his conduct fell far short of what is expected of a professional. It highlighted his willing participation in the deceit over a protracted period and his failure to take responsibility for his own involvement in the operation on Benson.
In deciding the sanction, the Committee said that the fact that Mr Cheshmedzhiev had lied to the College’s investigators on two occasions and did not admit that he had carried out the castration and apologise for his actions until February 2015, after he had returned to his native Bulgaria, was an aggravating factor.
Ian Green added: “The Committee accepts that he allowed himself to be persuaded by Mr Lesolle to provide a dishonest account of what had taken place to the College’s investigator Mrs Mosedale, and solicitor, Mr Hudson. It also accepts that he has been described by Mr Lesolle as a vulnerable person, lacking in self-confidence in his ability to practise as a veterinary surgeon in the United Kingdom.
“Nevertheless, Mr Cheshmedzhiev accepted the obligations contained in the Code of Professional Conduct when he registered as an MRCVS, which included an obligation to cooperate honestly with the College’s investigatory process. It has also noted that he has expressed a present intention not to work in or visit the United Kingdom again.”
Taking into account all factors, the Committee decided the appropriate sanction was to suspend him from the Register for two months.
Results for the 2010 RCVS Council elections have been released today and, following a slight increase in turnout for the second year running, four existing Council Members and one former Member have been returned for another four years. However, new to Council this year and securing the most votes was Preston-based veterinary practitioner David Catlow.
4,232 veterinary surgeons out of a possible 22,541 cast their votes this year, an increase of 0.6% from 18.2% in 2009. The results of the voting are as follows:
CATLOW, David Frederick. 2,383. Elected. TAPSFIELD-WRIGHT. Clare Joan. 2,352. Elected.SHIELD, Christine Fiona. 2,133. Elected.MOLYNEUX, Jacqueline Rosina. 2,111. Elected.SMITH, Neil Christopher. 2,089. Elected.PARTRIDGE, Robert Duncan. 1,971. Elected.NELL, Adi. 1,781. ANDERSON, Roy Paxton. 1,455. GODDARD, Philip Campbell. 1,385. LONSDALE, Thomas, 380.
Terms of office for the six successful candidates will (re)commence at RCVS Day on 2 July 2010.
Following a successful partnership last year, the RCVS again teamed up with this website to allow voters more opportunity to quiz the candidates directly and find out more about their views.
Once again, this seemed to prove popular with the electorate although it presented candidates with a large increase in their workload during the voting period. Page views in the election section rose 23% to 28,347 this year; 48 discussion threads were started (slightly down from 53) and total responses rose dramatically by 47% to 988.
A new incentive for members to vote this year was a pledge to donate 20p per voter to the DEC Haiti Earthquake Appeal. A donation of just over £845 will therefore be made shortly.
RCVS Registrar Jane Hern said: "An increase in turnout, if only a small one, is to be welcomed and I hope we can continue to increase members' interest in the composition and activities of RCVS Council. I'd like to thank all ten candidates who stood for election this year; my congratulations to those elected and my commiserations to those who weren't successful this time."
Note: there was no VN Council election this year as only two nominations were received for the two available places. These will be filled by Suzanne May RVN and Hilary Orpet RVN.
The RCVS has opened a consultation on the future of veterinary specialisation, which includes a proposal that the use of postnominals and titles by veterinary surgeons should be rationalised in order to avoid confusion amongst the public.
The proposals are submitted for comment by the RCVS Specialisation Working Party, which is chaired by former Chief Medical Officer Professor Sir Kenneth Calman.
The Working Party's review was precipitated by a finding that the structure of veterinary specialisation is "confusing and opaque" to both animal owners and the profession (Unlocking Potential - a Report on Veterinary Expertise in Food Animal Production, by Professor Philip Lowe, 2009).
The Working Party has explored the routes to RCVS Recognised Specialist status. It has also looked at the use of 'specialist' more broadly, given the fact that it is not a protected term in the veterinary field, and has considered animal owners' expectations of a 'specialist'.
The Working Party also makes proposals for encouraging more veterinary surgeons to become specialists, given that there are currently only 319 on the RCVS List of Recognised Specialists, out of a UK practising arm of the profession of some 17,400 veterinary surgeons.
The proposals from the Working Party could have far-reaching impact. One suggestion is that all those meeting the criteria for specialist status would also become Fellows of the RCVS (FRCVS) - a status currently only held by those who complete a thesis or exam, or who qualify on the basis of 'meritorious contributions to learning'. There are also proposals that the term 'RCVS Recognised Specialist' be dropped and replaced with the much simpler term 'specialist' or 'veterinary specialist'.
Further proposals include the introduction of a 'middle tier' of veterinary surgeons - potentially to be called 'advanced practitioners' - who would be below full specialist status and subject to periodic revalidation.
There are also recommendations that veterinary surgeons should be obliged to explain referral options to their clients, including the level of expertise of those to whom they are referring cases.
The future of the RCVS subject boards, which currently manage the various Certificate and Diploma examinations, is also considered in the proposals.
The emphasis throughout is on simplification and improvement, according to Professor Sir Kenneth Calman, who said: "New legislation to introduce statutory registration for veterinary specialists would no doubt make things clearer, as it is for doctors and dentists, but, in the meantime, we believe there are a number of actions which the RCVS could take to improve matters."
The consultation paper can be downloaded from www.rcvs.org.uk/consultations, and comments are welcomed from members of the public, veterinary surgeons and veterinary nurses. The closing deadline for comments, which should be sent to RCVS Head of Education, Freda Andrews, on f.andrews@rcvs.org.uk, is Friday 9 December.
Comments received will be considered by the RCVS committees and Council in early 2012.
In his first year of what would normally have been be a four-year term, Colin served on the College’s Education Committee, PIC/DC Liaison Committee, and on the Advancement of the Professions Committee as Council Deputy Lead for the ViVet innovation programme.
VetSurgeon.org caught up with Colin, who explained: "I've never had any problem with the idea of respecting Council decisions, even those I disagree with.
"However, I questioned the interpretation of collective responsibility when I first joined Council, and was told that in the event of disagreement, it was OK for councillors to say publicly that there was a 'split vote', or 'opinions varied'.
"This new statement would mean that if I disagree with a Council decision, I would now either have to lie in public and say I supported it, or run away and hide.
There were two other aspects of the new statement which Colin was not prepared to sign up to.
The first was a new requirement that councillors "support the College’s vision".
Colin said: "People who actively disagree with the College's vision should be free to stand to join Council, and if the profession disagrees with the College's vision, they'll get elected!"
The second was a requirement for councillors to "Live the College’s values"
Colin said: "Although perhaps inline with a corporate ethos, I think it represents quite a conflict.
"The values someone lives by are a deeply personal matter, and shouldn't be imposed by the majority vote of a committee they happen to sit on - however much they may or may not be likely to align."
Colin's resignation prompted VetSurgeon.org to carry out a quick analysis of the percentage of RCVS Council meeting agenda items marked as 'Confidential' from November 2015 to June 2022, to see whether the requirement to tow the party line reflected a broader lack of transparency at the College.
In the four Council meetings from November 2015-2016, 12% of the agenda items in the Council minutes were marked 'Confidential'.
By 2022, that figure had more than doubled to 36% (see graph right).
The new RCVS 'How we work' statement can be read in full in Annex One of the June 2022 Council Papers.
The Royal College of Veterinary Surgeons has launched an online quiz to test its members' knowledge of the Guide to Professional Conduct.
The Guide outlines what is acceptable professional and ethical behaviour for veterinary surgeons. It is developed and maintained by the Advisory Committee of the RCVS, which, in addition to veterinary members of RCVS Council, also includes lay members, a member of the Veterinary Nurses Council, and independent (ie non-Council) veterinary surgeons. The Guide is the benchmark against which a veterinary surgeon is judged, by both the Preliminary Investigation and Disciplinary Committees.
The quiz, which was road-tested at the London Vet Show on 6-7 November, is anonymous, but the College will be collating data on results to help focus future communications activities and see where extra guidance may be required.
On completion of the quiz, it is possible to review answers and view the relevant section of the online Guide.
The quiz is aimed at veterinary surgeons: if it's a success, a version for Registered Veterinary Nurses will follow.
To try the quiz, visit www.rcvs.org.uk/guidequiz It will initially be online for three months and reviewed thereafter.
The RCVS has announced the results of the 2013 Council and Veterinary Nurses Council elections.
4,661 veterinary surgeons voted, the highest turnout seen in ten years. 1,329 veterinary nurses voted, the highest ever number.
Veterinary surgeons voted incumbents Christopher Gray, Peter Jinman, Bradley Viner, Christopher Tufnell, and Jeremy Davies back onto the RCVS Council. However, the highest number of votes was given to Thomas Witte, who will be new to Council when he takes his seat in July. Veterinary nurses voted similarly by returning Andrea Jeffery to VN Council, whilst giving to Amy Robinson, another newcomer, the largest number of votes.
According to the College, turnout in both elections has increased markedly on last year in both absolute and proportional terms. Votes were cast by 4,661 veterinary surgeons (18.8%) and 1,329 veterinary nurses (12.5%), compared to 3,625 (15.1%) and 743 (7.5%), respectively, in 2012.
Gordon Hockey, RCVS Registrar said: "We're delighted with the increase in turnout. It's difficult to pinpoint the reasons for the increase, but hopefully, it's because increasing numbers of vets and nurses are feeling more engaged with the College. We have also undertaken extra communications activities this year, such as the 'hustings', which we hope have helped."
The Council election 'hustings' was a new venture this year, with RCVS Council candidates able to select three questions, submitted by voters, to answer in a live webinar run by The Webinar Vet.
Veterinary surgeons and VNs could cast their votes by post, online, or by text. The majority of vets voting chose to cast postal votes (3,247), as did the majority of VNs (1,055). Whilst voting online was used by 1,330 veterinary surgeons, only 227 VNs chose it as a means of voting. Voting by text was used by only 84 veterinary surgeons and 47 VNs.
The successful candidates will take up or resume their seats at RCVS Day on 5 July.
The full results of the two elections are as follows:
RCVS Council electionWITTE, Thomas Hermann - 2,251 (Elected)GRAY, Christopher John - 1,974 (Elected)JINMAN, Peter Charles - 1,949 (Elected)VINER, Bradley Phillip - 1,927 (Elected)TUFNELL, Christopher Wynne - 1,883 (Elected)DAVIES, Jeremy Vincent - 1,830 (Elected)STURGESS, Christopher Paul - 1,809 CONNELL, Niall Thomas - 1,596 ROBINSON, Peter Bayley - 1,366 ELLIS, Robert Nigel Ward - 1,302 GRANT, Lewis George - 832 TORGERSON, Paul Robert - 824 LONSDALE, Thomas - 337 Twenty-two votes in the RCVS Council election were found to be invalid.VN Council election
ROBINSON, Amy - 725 (Elected)JEFFERY, Andrea Karen - 607 (Elected)BADGER, Susan Frances - 459TOTTEY, Helen Wendy 332 One vote in the VN Council election was found to be invalid.The 2013 RCVS and VN Council elections were run on behalf of the RCVS by Electoral Reform Services.
The RCVS Disclipinary Committee has severely reprimanded and warned as to her future conduct a Brighton-based veterinary surgeon who failed to maintain a proper boundary between her professional and personal relationships with a client.
The eight charges considered at the seven-day hearing involved Marie-Louise Schlemm's treatment of Ratszy, a 16-year old Jack Russell with chronic renal failure, and her relationship with the dog's owner, Ms B, who suffers from mental illness, during May 2010. At that time, Ms Schlemm was employed by Coastway Veterinary Group in Brighton to work for its out-of-hours veterinary services, Vetcall, to which Ratszy had been referred by the PDSA.
The College alleged that Ms Schlemm deliberately misled Ms B as to the condition and prognosis of Ratszy, removed the dog without Ms B's consent, and behaved unprofessionally and inappropriately in her dealings with Ms B. Other allegations were that that she had suggested Ms B tell the PDSA a fabricated story in order that she might see the dog again; made an offer that Ms B and Ratszy could come and stay with her at her home; required Ms B to attend a supermarket car park at 12.30am to collect Ratszy; and took money from Ms B other than for the purposes of legitimate veterinary treatment.
The Committee found both Ms Schlemm and Ms B to be truthful and honest witnesses, and that Ms B's recollection was given to the best of her ability. However, where recollections differed, it relied on contemporaneously prepared clinical records to find that Ms Schlemm did not mislead Ms B to the effect that the dog was not dying. Although recognising that Ms Schlemm's actions were misguided the Committee found that the dog was not taken without consent.
Furthermore, the Committee said in making the offer that Ms B and Ratszy might come and stay with her, Ms Schlemm was wholly misguided and had blurred the distinction between personal and professional activities. By this time, she was aware Ms B suffered from mental illness and so should have allowed the mental health services to take control of the situation. Similarly, she should not have required Ms B to meet in a car park to collect Ratszy, behaviour the Committee described as bizarre and which had compromised Ratszy's welfare. Although the Committee gave Ms Schlemm the benefit of the doubt as to whether money taken was, in fact, to pay for alternative therapy for Ms B, she did not deal with the matter openly and it was a clear breach of trust to both Ms B and Vetcall.
In mitigation, the Committee was satisfied that Ms Schlemm now had a genuine insight into her lack of judgement in her relationship with Ms B, had reflected on the decision of the Committee and fully accepted the "utter stupidity" of her actions. She had also attended courses on teamwork and managing client relationships, and had established good working relationships in a new practice.
Professor Peter Lees, chairing and speaking on behalf of the Committee said: "While the Committee has accepted that Ms Schlemm was motivated by good intentions towards Ms B and Ratszy, she breached the trust of both of Ms B and Vetcall in the way in which she behaved [and] acted in a misguided way in dealing with a vulnerable client, who was suffering from mental illness. In light of the serious nature of its findings, the Committee does not consider it appropriate to take no further action. The Committee has concluded that Ms Schlemm should be severely reprimanded for her conduct and given a warning as to her future conduct [and] reminds the profession of the importance of maintaining a proper boundary between the professional and personal relationships of client and veterinary surgeon."
Vet Futures, the joint initiative by the RCVS and BVA to stimulate debate about the future of the profession, has opened a new discussion about whether VAT on vet fees for pets should be dropped.
The discussion has been opened by this month's Vet Futures guest blogger, Stuart Winter, the Sunday Express small animal columnist and a campaigner to end VAT on pet fees.
Stuart argues that owning a pet is not a luxury to be taxed when they need medical intervention, because owning a companion improves the health and wellbeing of its owner.
He writes that removing VAT on veterinary fees for domestic animals, or at least reducing it to five pence in the pound, would improve the nation's animal welfare. It would allow low-income families to seek medical attention earlier, he argues, while allowing more owners to afford and take out pet insurance.
He says that shifting Government thinking on the subject might be a Herculean task, but that doesn't mean we shouldn't campaign for its removal. "No Chancellor delights in losing revenue. Treating, curing and caring for sick and injured animals is nothing more than a service and services are ripe to be harvested.
"It is time for a counter argument. Pet ownership is not a luxury. It is more than a privilege. Is it not a human right? Welcoming animals into our lives makes our lives more fulfilled and more civilised."
To tie in with the discussion, Vet Futures is inviting vets to take part in a poll which asks: "Would you agree that VAT should no longer be levelled on vet fees?"
The College is encouraging members of the veterinary team and the public to take part in the poll so that it can generate debate on the issue of VAT and better understand the full consequences if it was removed.
January's poll asked members of the profession if they could recognise the signs of mental ill-health in a colleague. Reassuringly, just over half (58%) of the 65 respondents said they would be able to recognise the signs, although that leaves 40% who would not feel comfortable in their ability to do so.
To read Stuart Winter's blog, contribute to the discussion and vote in the poll, visit www.vetfutures.org.uk
The RCVS has advised that veterinary surgeons should delegate Schedule 3 work to veterinary nurse students only during students' training, following a series of queries from employers about such students locuming.
Veterinary surgeons have dispensations under Schedule 3 of the Veterinary Surgeons Act to delegate to student veterinary nurses in the course of their training, so that students can learn how to give medical treatments to animals.
Crucially, these dispensations apply only when the student is working as a student in their approved training practice or on a placement organised by their university, and is under the supervision of qualified staff.
These dispensations do not apply to any extra-curricula activity so, if working as locums, they are legally classified as unqualified lay staff
The RCVS is concerned that locum agencies do not always appear to know this and are placing locums in their capacity as students, or even "senior students." This has the potential to mislead employers and the students concerned, and result in illegal practice.
Liz Branscombe, Chairman of the RCVS Veterinary Nurses Council said: "We know that student VNs, especially those on university courses, often undertake locum work to supplement their earnings. However, beyond the training practice which employs them, or in a placement organised by their university, they can only carry out tasks that may be expected of an unqualified staff member, and cannot legally undertake Schedule 3 work."
Practices may check the details of a student VN directly with the RCVS or with the student's college. If you notice an agency promoting student VN locums, please contact the RCVS so that we can provide guidance.
The charge against Ms Law was that in November 2017, having performed surgery on Kiwi, a German Shepherd/Wolfhound-cross dog, to address gastric dilation volvulus (GDV), she failed to obtain informed consent to the entirety of the surgical process and management, including post-operative aftercare.
The charge also stated that she failed to provide adequate analgesia to Kiwi before, during or after the surgery, failed to provide appropriate and adequate fluid therapy to Kiwi, failed to offer an appropriate and adequate post-operative care plan and/or post-operative transfer for Kiwi to another practice and failed to inform the owners that there would be nobody present at the practice to provide post-operative monitoring and aftercare for Kiwi for approximately seven hours during the night.
Finally the charge stated that Ms Law allowed Kiwi to remain at the practice overnight from 12:30am to 07:45am without adequate monitoring or post-operative aftercare.
Ms Law admitted some of the charges against her, including that she had failed to obtain informed consent, failed to offer an appropriate and/or adequate post-operative care plan, failed to inform the owners that there would be nobody present at the practice and allowed Kiwi to remain at the practice overnight without adequate monitoring and/or post-operative aftercare. However, she denied that she failed to provide adequate analgesia or fluid therapy to Kiwi.
The Committee found all of the charges proved, with the exception of failing to provide adequate analgesia during the perioperative period.
Having considered the facts, the Committee then moved on to consider whether the admitted and proven charges against Ms Law amounted to serious professional misconduct, taking into account any aggravating and mitigating factors. The aggravating features were that, as a result of Ms Law’s failures in relation to analgesia and fluid therapy, there was either actual injury to Kiwi, or a risk of such injury.
In mitigation, the Committee considered that she promptly and accurately diagnosed GDV, and proceeded to perform the necessary emergency surgery. The Committee considered that the charges related to a single isolated incident and that Ms Law has had an unblemished career to date. They also noted that Ms Law had made open and frank admissions as to the majority of the charges.
The Committee found that the conduct of Ms Law set out in the majority of the charges did not amount to serious professional misconduct. However, in the judgement of the Committee, Ms Law’s conduct in allowing Kiwi to remain at the practice overnight without adequate monitoring or post-operative aftercare did amount to serious professional misconduct.
Jane Downes, who chaired the Committee and spoke on its behalf, said: "The Committee considers that the respondent (Ms Law) has insight into the serious mistake that she made in failing to ensure that Kiwi was checked or monitored overnight. The Committee has found that this was a single isolated incident, which involved a serious lapse of clinical judgement, which will probably stay in the mind of the respondent for the rest of her career.
"The respondent has been in practice for some nine years now, and apart from this incident, there is no suggestion that the respondent has fallen short of the standards expected of her on any other occasion. The Committee does not consider that there is a risk that the respondent is likely to leave an animal overnight after major surgery again, without ensuring that it is checked during that time, and, as such, the Committee considers that there is no future risk to the welfare of animals so far as the respondent is concerned."
The Committee considered that the finding of disgraceful conduct in a professional respect in this case is too serious for no further action to be taken, having regard to the need to maintain public confidence in the profession and declare and uphold proper standards of conduct.
The Committee therefore concluded that the appropriate sanction in this case was to issue a reprimand to Ms Law, in relation to the finding of serious professional misconduct.
Jane Downes added: "The Committee considers that this sanction, coupled with the findings of fact and disgraceful conduct made against the respondent, is sufficient to maintain public confidence in the profession and uphold proper standards of conduct. The Committee does not consider it necessary to issue a warning to the respondent about her future conduct, on the basis that the Committee has concluded that there is no risk of repetition."
There were three charges against Ms Creese, all pertaining to the period between July 2016 and November 2017.
The first charge was that she failed to ensure that there were adequate systems and processes in place for out-of-hours’ care for in-patients.
The second charge was that she publicised that the practice had "24 hour care provided by our vets at our practice" and/or "Care 24/7 for your pets" on its website, which suggested that staff were present at the practice 24 hours a day when they were not and as such publicity was dishonest and/or misleading.
The third charge against Ms Creese was that she failed to ensure that Kiwi's owners were informed about arrangements at the practice for out-of-hours’ care for in-patients.
At the outset of the hearing, Ms Creese denied all the charges against her.
After hearing evidence from relevant witnesses, the Committee considered that the practice did have in place systems and processes for out-of-hours care for in-patients and that there was no evidence of repeated or ignored failures of these systems and processes. The Committee therefore found the charges against Ms Creese not proved and all three were dismissed.
The main change to the guidance was from:
A veterinary surgeon who has an animal under their care should have a 24/7 facility to physically examine the animal or visit the premises in the case of production animals, farmed aquatic animals and game.
to
A veterinary surgeon who has an animal under their care must be able, on a 24/7 basis, to physically examine the animal or visit the premises in the case of production animals, equines, farmed aquatic animals and game.
Where a veterinary surgeon is not able to provide this service, they must make arrangements for another veterinary service provider to do so on their behalf, details of which must be provided to the client in writing in advance of providing veterinary services.
The new guidance elaborates on the details which must be given to clients:
Veterinary surgeons should provide clients with full details of this arrangement, including relevant telephone numbers, location details, when the service is available and the nature of service provided.
The amended guidelines maintain that the prescription of antimicrobials and controlled drugs requires a physical examination in all but exceptional circumstances, but clarify that for antimicrobials, this applies to all except production animals, farmed aquatic animals and game.
The guidance for limited service providers, such as vaccination and neutering clinics, has been amended with the requirement that if they engage the services of another provider to provide 24-hour emergency cover, this arrangement must be confirmed in writing with the client before veterinary services are offered.
Council voted unanimously for a review of the guidance to be conducted 12 months from the implementation date, with the caveat that the Standards Committee would continue to monitor any impacts on an ongoing basis.
The full details of the amendments can be found in the papers for the March 2023 RCVS Council meeting at: www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/
Linda Belton MRCVS, Chair of the RCVS Standards Committee, said: “I would like to thank all the organisations and individuals within the professions who helped provide the crucial content and context for the case study scenarios, as well as feedback to make sure they were realistic and applicable in practice.
"Thank you also to all those who have fed into the further improvements that have been made to the guidance and I would like to reassure those with concerns that the guidance is robust, we have considered how it will be enforced and we will continue to review the guidance.”
Eleanor Ferguson, RCVS Registrar, added: “Ahead of it coming into force, we will also be publishing resources about the guidance, including the case studies that we are currently finalising, and some FAQs.
"We hope these will help to further explain the context behind the guidance changes, and help to counter any misunderstanding about the impact of the guidance and what it will actually mean for practising professionals on a day-to-day basis.”
For further information about the guidance and the consultation process that led to its development visit: www.rcvs.org.uk/undercare
The RCVS has launched a new College honour, the RCVS Queen's Medal.
RCVS President Col Neil Smith said: "The Queen's Medal will be the most prestigious honour that the RCVS can bestow upon a veterinary surgeon and will be reserved for those whose distinguished careers and outstanding lifetime achievements deserve wider recognition."
The honour was created following a review of the RCVS honours system, which demonstrated the need for a new aspirational award.
The RCVS wrote to the Cabinet Office last year, together with letters of support from Peers and MPs, many of whom attended the reception, to request permission to name this new honour after Her Majesty the Queen.
Col Smith said: "We are honoured that Her Majesty has supported the proposal and allowed the College to name the award after her, and express our sincere thanks to those Parliamentarians who supported our endeavour."
The first RCVS Queen's Medal will be presented at RCVS Day in July 2014. The nomination form for the Queen's Medal can be found at www.rcvs.org.uk/Queensmedal.
The removal of names from the RCVS Register of Veterinary Surgeons for non-payment of retention fees is now complete, with 386 veterinary surgeons having been removed, compared with 616 last year.
The RCVS says that the administration involved with removing a name for non-payment is time-consuming and costly. Hence, to be restored to the Register, the veterinary surgeon must pay the appropriate annual retention fee, and the restoration fee, currently £294, which multiplies each time if fees are not paid in successive years.
The College writes to members' Register addresses to remind them when fees are due and, where an email address is maintained by the member as part of their formal record, also sends an email. It is, however, the responsibility of members to inform the RCVS Registration Department of any changes to their contact details and to ensure that payment is made. It is illegal for veterinary surgeons to practise or undertake any veterinary-related activities if their name does not appear on the RCVS Register as a home-practising member.
To help ensure that members removed for non-payment are aware that they have been removed from the Register, the full list of those removed for non-payment and not restored by 10 June can be downloaded from RCVSonline. The current status of individual veterinary surgeons can be checked online (www.rcvs.org.uk/checkregister).
A veterinary surgeon whose name has been removed from the Register and who wishes to restore him or herself should view the information on restoration to the Register.
Alternatively, please ring the RCVS Registration Department on 020 7202 0707. Restorations made since 10 June are not shown on this list.
Vets Now has published a response to the RCVS DC ruling in which Munhuwepasi Chikosi, a locum working for the company, was struck off for delaying an emergency OOH home visit.
The response is available in full here: http://www.vets-now.com/news/?item=4191
Mr Meacock faced six charges relating to his website - naturalhealingsolutions.co.uk - which has claimed, amongst many other things, that:
VetSurgeon.org understands this is the first time that claims made on a practitioner's website have been the subject of a disciplinary hearing. However, before the case could be heard and the claims tested, counsel for the College and the defendant met in private, whereupon Mr Meacock voluntarily entered into undertakings with the RCVS to amend his website in order to make it compliant with his professional responsibilities.
As a result, the College applied to adjourn the hearing generally (ie indefinitely). This application was not opposed by Mr Meacock and was granted by the Committee.
Judith Webb, chairing the Committee and speaking on its behalf, explained that the adjourned charges would be kept open indefinitely but the Committee encouraged the College not to extend the period beyond two years. However, if at any time in the future Mr Meacock failed to keep up his undertakings or made further claims which the College found unacceptable, then a fresh case could be brought.
Because Mr Meacock's undertakings were agreed in private, it is not yet known whether he has agreed to remove all of the content on his website alleged by the College to bring the profession into disrepute, although presumably time will tell.
In addition, it is not clear whether Mr Meacock also undertook not to practise those treatments which the College claimed bring the profession into disrepute (as opposed to just advertising them on his website).
Either way, the implications of the case could stretch beyond Marine Plasma, Russian Healing Blankets and Bio-Resonance Technology. In particular, it raises a serious question over the unsupported claims being made by other practitioners of alternative and complementary therapies, such as the claim by the British Association of Homeopathic Veterinary Surgeons that homeopathy is effective in resolving cancer: http://www.bahvs.com/cured-cases/.
The Committee's full findings and decision are available here.
Derbyshire surgeon Victoria Lilley BVSc CertSAM MRCVS has launched a petition calling on the RCVS to abandon its plans to remove Certificate and Diploma holders' post nominals from the RCVS Register at www.rcvs.org.uk.
Under the current plan, which followed a consultation in 2011 and a submission to Council in 2012, the College will only distinguish the new "Advanced Practitioners" and "RCVS Recognised Specialists" in the Register from some time after the autumn. Vets with old-style RCVS Certificates can apply for "Advanced Practitioner" status but must complete module A of the CertAVP or 100 hours of equivalent CPD and pay £50 to apply, plus £110 per year to maintain the status.
Victoria said: "I want to spread the word that this is happening, as I don't feel the RCVS has publicised it well enough. I did my certificate in practice, it was a lot of hard work and I feel that the RCVS removing my CertSAM post-nominals from the register undermines this. Whilst I acknowledge that I could apply for "Advanced Practitioner" status, I strongly feel that spending a large proportion of my CPD time and budget learning about ethics and public safety is not going to help me improve my small animal medicine knowledge or skills. I also don't feel that I should be penalised by having to pay to be an "Advanced Practitioner" when the Royal College should be supportive of vets who undertake further study. My biggest objection is to post-nominals being removed from the register, which I feel is very unfair."
Speaking at the RCVS's online Question Time on thewebinarvet.com, RCVS Treasurer and Vice-President-elect Dr Bradley Viner said: "To clarify the situation with the Register: the Register no longer goes out to members routinely as a printed document. It is now primarily online, and in line with other regulators such as the GMC, the only information that is in the official part of Register is whether that person is a Member or a Fellow of the Royal College of Veterinary Surgeons and their registrable qualifications, in other words the primary qualification they achieved which entitled them to become a Member or Fellow of the Royal College.
"But we are certainly not going to be inhibiting people from using their post-nominals freely. They can use any of the post-nominals that they have achieved as long as they are not misleading.
"But I think there is confusion between a qualification and a status. A qualification is something that you obtain and you've got for life, and of course the old style Certificate is one of those, the new RCVS CertAVP is another. A status is something that a qualification within our context might enable you to attain, but it is something that has to be maintained.
"So what is going to be happening, hopefully from autumn this year, is that in line with the recommendations of the Specialisation Working Party, [there will be] an extra tier. So there will be Practitioners, there will be Advanced Practitioners and there will be RCVS Recognised Specialists, and there will be lists of those available via the Royal College. An Advanced Practitioner will be somebody who has a relevant qualification in the area of their advanced practice, and that may well be an old-style Certificate, certainly the CertAVP but there are also other qualifications which can also be relevant and used for that purpose. But they also have to prove that they are working actively in that area of practice, and they have an advanced requirement for CPD.
"Now in the case of old style RCVS Certificate holders, that qualification will be in line with the qualification they require to be listed as an Advanced Practitioner, but within the first three years they will have to show that they have either done the RCVS A module which is part of the new RCVS Certificate, or have done work that is equivalent to that in various areas such as communications, teamworking and personal and professional development, because we think from a Royal College point of view that it is really important that those areas are included within the Advanced Practitioner Status."
To sign the petition, visit: http://www.change.org/en-GB/petitions/royal-college-of-veterinary-surgeons-keep-post-graduate-qualifications-on-the-rcvs-register?recruiter=89624244&utm_campaign=mailto_link&utm_medium=email&utm_source=share_petition
The Royal College of Veterinary Surgeons has announced the results of the 2011 RCVS and VN Council elections.
Elected to the RCVS Council are:
Not elected are:
For the first time in eight years, all six successful RCVS Council candidates have served on Council before, although one - Sandy Trees - is currently an appointed, rather than an elected, member.
For VN Council, one existing member has been returned and two new members have been elected:
Not elected to VN Council was:
Following rises in previous turnouts, voting figures have dropped markedly this year in both RCVS and VN Councils elections, to 15.9% (3,887 voters) and 7.6% (723 voters) respectively. The previous turnouts were 18.8% (in 2010) and 11.2% (in 2009).
RCVS Registrar Jane Hern said: "It's certainly disappointing that the turnout has dropped so much this year. It's unclear whether this is due to lack of time, lack of awareness, or lack of interest, but perhaps anyone who didn't vote could let us know why, so we can see what we could do to increase participation.
"Nevertheless, my congratulations to all successful candidates, who I look forward to formally welcoming, or welcoming back, onto the Councils at RCVS Day in July, and my commiserations to those who were unsuccessful this time and who I hope won't be discouraged from standing again next year."
This year's chosen charity - the Veterinary Benevolent Fund - will receive a cheque for £922 arising from the College's pledge to donate 20p for each veterinary surgeon and veterinary nurse who cast a vote.
As of today, veterinary surgeons in the UK can call themselves 'Doctor', following a decision made by the RCVS Council.
The decision to allow the use of the courtesy title followed a consultation which received 11,202 responses, of which 81% were in favour of the change, 13% against, and 6% did not mind either way.
The College says the idea is to align the UK with international practice, provide greater clarity for the profession and offer reassurance to clients and the animal-owning public that all veterinary surgeons registered with the RCVS, regardless of where they qualified, have veterinary degrees of an appropriate standard. Most international veterinary surgeons use the title and, in Australia and New Zealand, this is frequently tied to registration and professional standing, rather than necessarily academic attainment.
RCVS President Professor Stuart Reid said: "I am very pleased that the response from the consultation gave Council such clear direction and has allowed us to bring UK vets in line with the majority of veterinarians worldwide. It was my privilege to pose the question, which has been well and truly answered by the profession and the public.
"Whether one regards the decision as correcting a historical anomaly or simply providing greater clarity at home and abroad, there is no doubt that the issue has generated huge interest. Yet regardless of whether individual vets choose to use the title, it will not change the profession's ongoing commitment to the very highest of standards."
Nearly 50% of respondents to the consultation were veterinary surgeons, 22% veterinary students, 21% animal-owning members of the public, and the rest were veterinary nurses, veterinary nurse students, practice managers and non-animal-owning members of the public.
RCVS CEO, Nick Stace said: "I am delighted that such a strong message came from both the public and the profession on this issue. We have a responsibility to maintain confidence in the veterinary profession and this move will help underline to the public in particular that veterinary surgeons work to very high standards, regardless of where they qualified."
Use of the title is optional, and guidance has been produced to support the change. It stresses that veterinary surgeons using the title should be careful not to mislead the public, and that it is important that the use of 'Doctor' or 'Dr' by a veterinary surgeon does not suggest or imply that they hold a medical qualification or a PhD. If the title is used, the veterinary surgeon should use it in conjunction with their name and either the descriptor 'veterinary surgeon' or the postnominal letters 'MRCVS'.
The guidance is available as part of supporting guidance chapter 23 to the RCVS Code of Professional Conduct for Veterinary Surgeons, and can be read online at www.rcvs.org.uk/advertising (see paragraphs 23.6-23.8).
Veterinary surgeons may start using the title straight away; details about how their RCVS Register entry can be updated will be issued over the coming months.
Surrey vet Matthew Morgan has been struck off by the RCVS Disciplinary Committee after being convicted and imprisoned for four counts of pet insurance fraud.
Mr Morgan was convicted, upon his own confession, of dishonestly making false representations to make gain for himself/another or to cause loss to other/ expose other to risk on 22 July 2013 at the Central Criminal Court and, on 23 August 2013, was sentenced to two years' imprisonment.
The Disciplinary Committee heard that Mr Morgan, who was not present at the hearing but represented by Mr Laurence Imrie, Solicitor Advocate, had, between 13 November 2009 and 21 December 2012, taken out 18 insurance policies for veterinary cover with four separate insurance providers - Direct Line, Pet Plan, Pet Protect and Sainsbury's - in relation to a number of pets. Of these pets, only one, namely his pet cat, actually existed - the rest were fictitious.
During this period, the respondent made 50 claims on the insurance policies, seeking payment to reimburse him for the cost of veterinary treatment for the fictitious animals and also making false claims for treatment for his own pet cat, including for invented injuries 'sustained' during a non-existent car accident. As a result of the claims, the insurance companies made 54 payments to Mr Morgan to which he was not entitled, totalling £198,295.
At the time he began committing the offences Mr Morgan was working as a veterinary surgeon at a practice in Kent and, in order to support his fraudulent claims, used the practice's official stationery and stamps to fabricate invoices, clinical records and insurance claims. He continued to make fraudulent claims after leaving the practice, having taken the practice's headed paper and stamp with him.
Mr Morgan's actions came to light in December 2012 after submitting a claim to Direct Line for an operation on the spine of his own cat. The insurance company became suspicious and contacted the Kent practice which confirmed he had not treated the cat. An investigation by the insurers and, subsequently, the police began.
On 31 December 2012 Mr Morgan voluntarily attended a police station where he admitted fraudulently claiming £5,534.52 from Pet Plan and £7,610.03 from Direct Line, citing financial pressure caused by divorce, but failed to admit to the rest of his fraudulent activities. He was arrested on 25 January 2013 and, upon searching his home, police found the stamp and headed paper along with documents relating to the insurance claims.
The Disciplinary Committee, in considering the conduct of Mr Morgan, took into account a number of serious aggravating factors. This included the very high degree of financial gain from the fraudulent activities, the fact that there were 50 separate premeditated acts of dishonesty over a three-year period, the betrayal of trust of his former employer and the insurance companies, the potential reputational risk for his former employer, the abuse of his position as a veterinary surgeon and the fact that completion of insurance claims is an act of veterinary certification.
The Committee also considered, in mitigation, a letter from Mr Morgan to the Committee, three testimonials and representation from his legal representative. These cited the fact that Mr Morgan, when he committed the fraudulent activities, was heavily in debt, had serious domestic difficulties and was suffering from depression, although no medical evidence was submitted to the Committee.
However, it was the Committee's decision that the sanction of removing Mr Morgan from the Register had to be taken, in order to protect animal welfare and maintain public confidence in the profession.
Chairing and speaking on behalf of the Disciplinary Committee its Vice-Chairman, Ms Judith Webb, said: "The Committee is of the view that the Respondent's conduct in this case was deplorable ... Such conduct can only undermine public confidence in the profession. The Respondent abused his position as a veterinary surgeon to perpetrate a deliberate long-term fraud on insurers for personal gain.
"The Committee is conscious that its role is not to punish but to protect animal welfare and maintain public confidence in the profession. Due to the serious nature of the matters before it...the Committee has no doubt that the only suitable sanction is to direct the Registrar to remove the Respondent's name from the Register."
The Committee's full findings and decision are available on the RCVS website (www.rcvs.org.uk/disciplinary).
The course was developed with RCVS Leadership and Inclusion Manager, Gurpreet Gill (pictured), and aims to increase self-awareness of unconscious bias, explore strategies to reduce it, and promote equity, diversity, and inclusion in the workplace.
Gurpreet said: “Unconscious bias is an area that some within the professions may not be familiar with and so this course provides an overview of unconscious bias and its impact in the workplace.
“We also explore strategies that we can all apply to help reduce unconscious bias.
"This is important in helping to achieve fairer and more equitable working environments, and I’d encourage any veterinary professional, whatever your role, to undertake the course.”
The course is accessible free via the RCVS Academy, and takes about an hour and three quarters to complete,
Building on the unconscious bias course, the RCVSA academy has also launched a course for members of the Fellowship Credentials Panels, who are responsible for assessing applications to the Fellowship.
Dr Niall Connell FRCVS, Acting Chair of the Fellowship Board, the governing body for the learned society, said: “This course explores the complexities of assessing applications, ensuring that each candidate receives a fair and thorough evaluation.
"Participants will gain insights into best practices for reviewing applications, offering constructive feedback, and identifying and addressing potential biases that may influence decision-making.
"By completing this course, participants will gain a heightened proficiency in assessing applications and managing bias, enabling them to support the RCVS’ mission of fostering equity, diversity and inclusion within the Fellowship.”
https://academy.rcvs.org.uk
The RCVS has announced that it has accepted the resignation of council member Bob Partridge.
Bob, who had been an elected member of the RCVS Council since July 2006, tendered his resignation for personal reasons.
Peter Robinson will take up the vacated Council position, as he came next in the ballot in the 2013 election.
The guide explains:
https://www.rcvs.org.uk/news-and-views/features/standards-and-advice-update-advice-published-on-amended
https://www.gov.uk/government/collections/veterinary-medicines-guidance-notes-vmgns
The Royal College has announced the winners of the 2009 RCVS Council and VN Council elections.
This year, a special elections section was set up here on VetSurgeon.org and on VetNurse.co.uk for members to engage directly with candidates in a members forum, or directly using the social networking features on both sites. In the interests of promoting democracy, the sites offered a case of champagne to the voter who started the forum discussion which generated the greatest number of responses. Over the course of the voting period, these sections received over 23,000 page views, 53 questions for candidates, and 650 responses.
Arlo Guthrie, Editor of VetSurgeon.org and VetNurse.co.uk said: "I think it's great that the candidates agreed to try this. They could have said no, and stuck with the traditional methods of communication (which are more of a known quantity). Instead, they really got stuck in to some interesting and at times lively debate. My sincere thanks to all candidates and congratulations to the winners. And I raise my glass to Phil Elkins, who wins the case of champagne for starting the most active discussion thread, even allowing for the number of times he responded to his own post!"
Voting in the RCVS Council election increased from 17% to 18.2% this year, with 4,041 veterinary surgeons out of a possible 22,201 casting a vote. The results are as follows:
NUTE, Patricia Jill. 2,467 votes. Elected JINMAN, Peter. 2,346 votes. Elected GRAY, Christopher John. 2,230 votes. Elected DAVIES, Jeremy Vincent. 2,229 votes. Elected VINER, Bradley. 2,123 votes. Elected TUFNELL, Christopher Wynne. 2,088 votes. Elected SWAYNE, Nigel. 1,673 votes. McDOWELL, David Michael. 1,394 votes.LONSDALE, Thomas. 389 votes.
The new Council members are Christopher Gray and Christopher Tufnell, who will officially join Council at RCVS Day on 3 July 2009.
The VN Council elections saw a larger increase in voters, with 912 out of a possible 8,108 VNs casting a vote. This was an 11.2% turnout, up by nearly 25% up on last year. The results were as follows:
JEFFERY, Andrea Karen. 604 votes. Elected GLYSEN, Louise. 332 votes. Elected WILLIAMS, Caroline Mary. 312 votes.IVES, Cheryl Diana. 236 votes.
Louse Glysen is the new VN Council Member (again, officially joining at RCVS Day) and Andrea Jeffery will begin her eighth year, having been the Council's chairman for the past four years.
The Legislative Reform Order (LRO) to reconstitute the RCVS disciplinary committees separately from its Council has come into force and has amended the Veterinary Surgeons Act 1966 (VSA).
The LRO brings the RCVS in line with regulatory best practice and, says the College, improves the independence of its disciplinary processes, marking a major step towards the College becoming a 'First Rate Regulator'.
The amendment made by the LRO requires that the RCVS Preliminary Investigation and Disciplinary Committees are made up of veterinary surgeons and lay members who are not RCVS Council members, and who are appointed independently. This ensures that the same group of people is not responsible for setting the rules, investigating complaints and adjudication.
The LRO also brings lay people formally into the Preliminary Investigation Committee and will allow the RCVS to increase the pool of people available to investigate complaints and sit on disciplinary hearings.
The first external members will join the Disciplinary and Preliminary Investigation Committees from July 2013. After a two-year transition period, members of the RCVS Council will become ineligible for membership of these committees.
RCVS Registrar, Gordon Hockey, said: "The LRO has been the culmination of many years hard work by the RCVS and Defra, with the support of the British Veterinary Association. At first glance the change that the LRO makes to the Act may appear minor, but the reform fundamentally improves the way the veterinary profession is regulated, and will help to ensure public confidence in the RCVS disciplinary processes."