Guidance for veterinary surgeons and veterinary nurses on client confidentiality and microchipping has been amended by the RCVS.
The amendments deal with situations when a client presents an animal registered in another person's name, and a new flow diagram has been added to provide additional practical advice for vets and VNs dealing with these types of situations.
Animals can be registered in a different name to that of the client for various reasons. For example, an animal may have been re-homed or sold, but the details on its microchip have not been updated; it could have been stolen; or, the owners may be involved in a civil dispute.
Veterinary surgeons in practice may be unsure what to do in these situations. The new guidance informs veterinary surgeons about their options and provides advice on client confidentiality and data protection issues.
The College advises that veterinary nurses employed by a veterinary surgeon or practice should discuss the issues with a senior veterinary surgeon in the practice before breaching client confidentiality.
The amendments apply to Chapter 14 of the supporting guidance to the RCVS Code of Professional Conduct. The supporting guidance and flow diagram are available at: www.rcvs.org.uk/confidentiality.
The RCVS Disciplinary Committee has dismissed an application for restoration to the RCVS Register from Dr Janos Nemeth, who was struck off in 2009 for fraudulent registration.
This was Dr Nemeth's second unsuccessful restoration application, and the Committee said it would hear no further application unless the Committee Chairman, advised by the Legal Assessor, considered it to have a reasonable prospect of success.
At the original hearing on the 23rd February 2009, Dr Nemeth, who had practised in the Wokingham area of Berkshire, was found to have dishonestly entered his name in the RCVS Register. Although he held a veterinary science degree from the Szent István University in Budapest, he had included a forged document in his registration application. He lodged an appeal with the Privy Council the following month, but did not pursue it; the appeal was dismissed in September 2009 and his name was removed from the Register. Dr Nemeth was ordered to pay costs of £8,904.59, which remain outstanding.
In September 2010, he applied to the RCVS Disciplinary Committee for restoration of his name to the RCVS Register, denying that he had produced a fraudulent document. In refusing the application, the then-Committee told Dr Nemeth that it had no appellate jurisdiction and that the onus was on him to demonstrate that he was a fit and proper person, before his name could be restored. It advised him generally about a future application for restoration.
At this week's restoration hearing, Dr Nemeth told the Committee that he did accept the original findings of the Committee but, at the same time, told them again that he was not party to the forgery. He also said that he held a licence to practise from the Hungarian Veterinary Chamber, and had been employed since October 2011 as a veterinary surgeon in a small animal hospital in Budapest, where he carried out a wide range of work including surgery. He also said he had attended two CPD courses.
The Committee accepted this. However, it continued to be concerned about the absence of evidence. Dr Nemeth had not produced evidence of CPD undertaken or provided letters of support from employers or colleagues, to give comfort to the assertion that he should be permitted to practise in the UK. The Committee rejected Dr Nemeth's argument that his licence to practise in Hungary meant he did not need to do this.
Committee Chairman Professor Peter Lees said: "The Committee is disappointed by Dr Nemeth's continuing lack of insight and is satisfied that he has paid insufficient attention to the guidance given at the previous restoration hearing. The burden remains on him to satisfy this Committee that he is a fit and proper person, before his name can be restored to the Register."
The application was dismissed.
Lynn Jo Ann Davies MRCVS first appeared before the Committee in January 2018 to face a number of charges related to two drink-driving offences, breaching the terms of her undertakings to the College as part of its Health Protocol, and being under the influence of alcohol on three occasions while she was on duty as a veterinary surgeon in December 2016.
Dr Davies admitted all five charges against her and admitted that this meant she was unfit to practise veterinary surgery and that she was guilty of disgraceful conduct in a professional respect. The Committee accepted her admissions and found, with the exception of one allegation, that her conduct was disgraceful in a professional respect.
At its first hearing the Committee having considered both aggravating and mitigating circumstances decided to postpone the hearing for six months on the basis of Dr Davies’ entering into a new set of undertakings, including one not to practise veterinary surgery and to remain abstinent from alcohol during the period of postponement.
At the second hearing, in July 2018, the Disciplinary Committee resumed its sanction inquiry decision. Dr Davies’ Counsel submitted on her behalf that Dr Davies wished to return to practise and the Committee reviewed her witness statements, documentary proof and medical records that she provided to demonstrate she had complied with the her undertakings given at the last hearing.
Stuart Drummond, Chairing the Committee and speaking on its behalf, said: "Having had the opportunity to see and hear from the respondent when she gave evidence and when she answered the questions put to her, the view formed of her current state of health was favourable. All members of the Committee considered that the account she gave of herself in the witness box was confident and they were reassured by her evidence as to how she now sets about managing her levels of stress and how she reacted to stressful incidents.
"Such concerns as the Committee had about her return to practice concerned her ability to receive support from a third party who would act as a mentor…the Committee therefore requires the Respondent to identify, within a period of one month of today’s date, a veterinary surgeon who would agree to act as her mentor. That mentor would have to be a veterinary surgeon acceptable to the College as someone suitable to act in that capacity and that mentor would have to be approved before the Respondent could resume practice.
"A further requirement of the Committee would be that the Respondent should make a disclosure to any new employer of the fact of her appearances before this Committee in January 2018 and in July 2018 and of the decisions of the Committee in relation to both such hearings. The final requirement of the Committee in this respect is that the respondent should not accept a 'sole charge position' at any time during her employment during this next period of postponement of sanction."
The Committee directed that the hearing be postponed for a further 12 months.
The ‘Introduction to the UK veterinary professions’ is a two-part online course run in partnership with VDS Training, designed to equip vets and nurses with the insight needed to work in the UK veterinary profession.
Due to the coronavirus pandemic, the course has been moved online. It includes a series of free online pre-recorded talks from representatives at a number of different veterinary organisations, including the RCVS, VDS Training, the British Veterinary Association, Vetlife, and VetAbroad.
The talks cover a variety of topics such as the Code of Professional Conduct, how to find the right job for you, how to look after mental health and wellbeing, and recognising and understanding cultural differences.
There will then be a number of live Question and Answer sessions across different dates over the coming months [see below], which are also free to attend, so those who have watched the videos can ask further questions from some of the speakers themselves.
Part 2 of the course is an optional practical and participatory paid-for online live communications skills training session run by VDS Training, looking at how to navigate some of the most common pitfalls encountered during client consultations, helping to equip you with the skills and confidence to communicate effectively in practice.
Ian Holloway, RCVS Director of Communications, said: “While we enjoyed running this course in person and meeting veterinary professionals from all over the world, the coronavirus pandemic has also given us the opportunity to look at how we can make this course even more accessible for a greater number of people.
“While there is still a significant live element, albeit online for the time being, the pre-recorded talks enable those veterinary surgeons and veterinary nurses to do much of the learning in their own time, without having to take time off work or travel to London for the day, meaning that more people can engage with this crucial information on working in the UK.”
Elly Russell MRCVS, a consultant at VDS Training, added: “Communicating with clients can be one of the most rewarding, but also challenging parts of our jobs as veterinary professionals. Communication problems lead to complaints, increase your stress at work and can impact the care our patients receive. Join VDS training for a highly interactive, online 4-hour workshop. Work in small groups with our experienced facilitators and role players using realistic scenarios to practise and develop your communication skills. Let us help you feel more confident managing common communication challenges in UK practice: improved communication will help you, your clients, and your patients.”
The dates for the free live 2021 Q&A sessions are:
The dates and times for the paid-for live online communications skills workshops from VDS Training are:
The cost for attending the communication skills session (Part 2) is £150 +VAT per person. It is not mandatory to complete both parts of the course, but those who are interested may choose the part of the course most suitable for them.
For further information: www.rcvs.org.uk/overseas-cpd
The award categories that someone can be nominated for are:
The closing date for the awards is Friday, 7 January 2022.
For more information, visit www.rcvs.org.uk/awards.
The College says the reforms will make for a clearer and more streamlined process, and offer an alternative, more compassionate way of resolving cases that might otherwise go to a full Disciplinary Committee hearing.
The College will now establish ‘Stage 1 Preliminary Investigation Committees (PICs)’ to replace the current Case Examiner Group stage of the concerns investigation process.
Eleanor Ferguson, RCVS Registrar, said: “Setting up Stage 1 PICs will streamline and clarify the early stages of the concerns investigation process and could also potentially, once sufficiently bedded in, reduce the amount of time taken for a number of cases.
“Currently, Stage 1 of a concerns investigation is carried out by a Case Examiner Group who determine if there is an ‘arguable case’ for serious professional misconduct before referring it on to the Preliminary Investigation Committee.
"However, under these reforms, the Stage 1 PICs will close cases where there is no realistic prospect of finding a case of serious professional misconduct.
"Where cases require formal statements and/or expert opinion they will be referred on to Stage 2 PIC to determine if, based on the additional evidence gathered, a case is serious enough to warrant referral to either the Charter Case Committee [see below], or a full, public Disciplinary Committee hearing.
“In essence this change means that there will be one consistent threshold of seriousness in all our investigations, meaning it is likely that fewer cases will be unnecessarily referred to Stage 2 of the process.”
The second reform involves the implementation of the new ‘Charter Case Protocol’ to provide an alternative way to resolve suitable cases meeting certain criteria which, though they meet the threshold to go to the Disciplinary Committee, it is considered that the public interest can still be served without a full hearing.
The ‘Charter Case Committee’ to which these cases will be referred will be able to issue written warning notices.
Eleanor added: “The establishment of the Charter Case Protocol and Committee is important for the RCVS in being able to get the balance right between upholding professional conduct standards and protecting animal health and welfare and public confidence in the professions, while also being a compassionate regulator.
“The type of cases we envisage being dealt with by the Committee are those where the conduct of the veterinary surgeon or veterinary nurse has fallen far short of what is expected of them under the Code, but where there is no ongoing risk to animal welfare or public confidence, and where the level of insight and contrition about their conduct is such that it can be resolved without the need for an onerous, stressful and expensive Disciplinary Committee hearing.
"We estimate that the Charter Case Committee will deal with around 20 such cases per year.
“Of course, the most serious cases of professional misconduct, for example around dishonesty and criminality, will continue to be referred to Disciplinary Committee hearings.
“It is worth noting that Charter Case Protocol and Committee are working titles, describing the fact that we are implementing this process under the remit of our Royal Charter.
"RCVS Council has agreed that the name should be changed in due course to something that better reflects its function and remit."
Unlike the Disciplinary Committee, the Charter Case Committee will not issue to the press the full details of cases as a news article.
Instead, it will publish a warning notice on the RCVS website summarising the area of concern, the relevant sections of the Code that were breached and supporting guidance it referred to, and the reasons for issuing the warning.
These warning notices will remain on the RCVS website for a maximum of two years and will not change the registration status of the individual.
The College says that the reforms are likely to take some months to implement and it will be looking to recruit additional Preliminary Investigation Committee members in due course.
The RCVS Registered Veterinary Nurse Disciplinary Committee has suspended a Northants-based registered veterinary nurse who admitted to acting dishonestly with her employer, a client and a pet database company by taking home a patient that was supposed to have been euthanised.
During the two-day hearing, the Committee heard how Sally-Ann Roberts, formerly of the Best Friends Veterinary Group in Thrapston, had deliberately gone against the wishes of the owners of a 14-year-old Maine Coon cat called Jason that he be euthanised, rather than treated further, and instead had taken the cat home with her for "intensive nursing". Jason had subsequently escaped from Ms Robert's residence, leading her to fabricate a story, first to the pet database company, and then to Jason's owners and her employer, that he had escaped from the practice, before being returned by a member of the public two days later and then euthanised as originally requested.
Ms Roberts acted with her veterinary surgeon colleague Przemyslaw Bogdanowicz, who chose not to euthanise Jason and who, for his part, received a three-month suspension from the RCVS Disciplinary Committee in December 2012. She repeated the false account on a number of occasions, both orally and in written statements, and also forged the signature of Jason's owner on official documentation in order to substantiate her story.
Only when Ms Roberts was interviewed for a second time by her then employer's area manager, did she finally admit to what had actually happened. Shortly afterwards, Ms Roberts was suspended from the practice and, following an internal disciplinary hearing a few days later, was dismissed by them for gross misconduct, along with Mr Bogdanowicz. There was no evidence available as to what ultimately happened to Jason.
Explaining her actions to the Committee, Ms Roberts said she was upset that Jason's owners wanted him to be euthanised and felt that he could recover if given some love and attention. She had asked Mr Bogdanowicz to discuss this possibility with Jason's owners, but he had refused, agreeing instead that she could continue Jason's treatment at her home. After Jason escaped, Ms Roberts said she was "devastated" and had "panicked", inventing the story of Jason's escape to cover her actions, which she now acknowledged were "wrong" and "stupid", and which she "bitterly regretted". Ms Roberts expressed sorrow and remorse for her behaviour, which she said would never occur again, and stated that being a veterinary nurse was everything to her.
In view of the admitted facts, the Committee judged that Ms Robert's dishonesty and breach of client trust, as well the distinct risk of injury to which she exposed Jason, amounted to serious professional misconduct. In deciding on an appropriate sanction, the Committee balanced a number of aggravating factors (in particular, the forged signature) against Ms Roberts' "strong mitigation", which included her admitting the entirety of the charges against her, her medical and personal problems at the time, the insight she had shown into the effects of her actions on Jason's owners and her previous unblemished career.
Professor Peter Lees, chairing and speak on behalf of the Committee, said: "The Committee has concluded that the Respondent has shown insight into the seriousness of her misconduct and that there is no significant risk of repeat behaviour. In light of the Respondent's admission, her insight, her remorse and the high regard in which she is held by her professional colleagues, it is the Committee's view that the sanction of two months' suspension is appropriate and proportionate."
The Committee's full decisions on facts and sanction are available at www.rcvs.org.uk/disciplinary.
Warwick Seymour-Hamilton, a former veterinary surgeon who practised in Kent, has had his third application for restoration to the Register refused by the RCVS Disciplinary Committee this week.
Mr Seymour-Hamilton was struck off in 1994 following an inspection of his premises, equipment and facilities in Orpington, which were found to be in such poor condition that it constituted a risk to the health and welfare of animals brought to the practice and brought the profession into disrepute.
Mr Seymour-Hamilton had made two previous restoration applications in July 1995 and June 2010. Both of these were refused on the grounds of poor preparation for re-entering practice life as, in both cases, he had made no attempt to engage in continuing professional development or visit and observe other veterinary practices.
Representing himself at this week's hearing, Mr Seymour-Hamilton said that, since the 2010 hearing, he had further developed an interest in herbal medicine and, after visiting a number of veterinary practices in continental Europe, had attended the College of Naturopathic Medicine in Dublin, gaining a qualification in herbal and naturopathic medicine. He told the Committee that he currently worked as a herbalist and naturopath with human patients but wanted to widen his work and research to include animal patients.
The Committee was concerned by his answers to a number of questions, Mr Seymour-Hamilton having described the hearing as an 'exploratory meeting' and indicating a lack of knowledge in a number of areas to do with veterinary practice and its regulation. The Committee felt that this demonstrated a fundamental lack of understanding as to its function and terms of reference.
Professor Noreen Burrows, chairing the Committee and speaking on its behalf, said: "The Committee expresses its surprise and concern at the lack of preparation for this hearing by the applicant, given that these issues have arisen at his previous restoration hearings, and that the result of a positive finding in favour of him would be his ability to practise unfettered as a veterinary surgeon forthwith."
In particular the Committee highlighted Mr Seymour-Hamilton's lack of understanding of the regulatory framework for veterinary practice as set out in the RCVS Code of Professional Conduct, the requirements of continuing professional development and what 'fitness to practise' meant, beyond the practical issues of his physical and mental capacity.
Professor Burrows added: "Based on all of the evidence available to the Committee it is very clear that he has failed to satisfy... that he is fit to be restored to the Register and this application is therefore dismissed."
The Committee's full findings and decision are available on the RCVS website (www.rcvs.org.uk/disciplinary).
The RCVS ERP provides an ethics review mechanism for researchers who are based in practice and don't have access to this process through university and industry connections.
The subcommittee has representation across a range of areas of veterinary expertise, including veterinary nursing, and also includes lay researchers and scientists.
Since its formation as a trial service in 2016, the ERP has reviewed more than 530 research proposals on behalf of the College.
Nicola said: “I am honoured to be offered this position.
"Having been a member of RCVS ERP for the past three years and undertaking a similar role as the Chair of the Clinical Research Ethical Review Board at the Royal Veterinary College, I felt that I had the right expertise to take on the role
“It is vitally important that all research, regardless of where it is undertaken, undergoes ethical review to ensure that robust results are produced especially when they have the potential to influence clinical practice, and so I really welcome the work the ERP has been undertaking.
“As chair of the ERP I hope to build on the success of my predecessor and continue to support those working in clinical practice that is not associated with a university to undertake valuable research and add to the body of evidence that supports our clinical decision-making.”
www.rcvs.org.uk/ethics
The RCVS has announced that the nomination period for the 2015 RCVS and VN Council elections has opened until 5:00pm on Saturday 31 January 2015.
Each year six RCVS Council seats are contested while two seats are available for VN Council. Successful candidates serve four-year terms.
Existing RCVS Council members Niall Connell, Professor Sheila Crispin, Mark Elliott, Lynne Hill, Dr Bob Moore and Professor the Lord Trees of the Ross are due to retire from Council next year but are all eligible for re-election. Elizabeth Branscombe and Elizabeth Cox are due to retire from VN Council but will also be eligible to stand again in 2015.
In order to stand, candidates for either RCVS or VN Council will need to complete a nomination form, submit a short biography, write a short personal statement and supply a high resolution digital photo.
Each candidate will also need to provide two nominations - for RCVS Council candidates this should be two veterinary surgeons on the RCVS Register who are not current RCVS Council members; for VN Council candidates nominators must be registered or listed VNs who are not current VN Council members.
The election period commences in early March 2015 and runs until Friday 24 April. Successful candidates for either Council will take up their seats at RCVS Day - the College's Annual General Meeting and Awards Day - on Friday 10 July 2015.
Gordon Hockey, RCVS Registrar, said: "After a record 19 candidates - of which over half were women - for last year's RCVS Council elections, and a good showing for VN Council as well, we hope to build on that momentum this year by attracting candidates of all ages and backgrounds.
"Through their participation in the Councils and their committees members can have a big impact on the future of their respective professions by developing policy and making decisions in areas of key importance such as education and professional standards."
Nomination forms, guidance notes and frequently asked questions for RCVS Council candidates can be found at www.rcvs.org.uk/rcvscouncil15. The equivalent documents for VN Council candidates can be found at www.rcvs.org.uk/vncouncil15.
Last year the RCVS produced two short videos outlining what is involved in being a Council member, the benefits it can bring and the amount of time it requires. These can be found at www.youtube.com/rcvsvideos
Prospective candidates are also invited to attend a 'Meet the RCVS Day' at Belgravia House on Tuesday 25 November where they will have the opportunity to find out more about the role of the College and RCVS and VN Council members as well as having a tour of the building and the opportunity to talk to staff.
Those who are interested in attending should contact Fiona Harcourt, Events Officer, on f.harcourt@rcvs.org.uk or 020 7202 0773.
The College says its Veterinary Graduate Development Programme (VetGDP), which will be replacing the Professional Development Phase (PDP), has been developed in response to detailed feedback from the profession during the 2018-19 Graduate Outcomes consultation, which looked at how graduates could be better supported during their transition into working life.
One of the main changes will be the introduction of VetGDP Advisers for all new graduates enrolling onto the programme, to provide one-to-one support and advice to help build the confidence and skillsets of new vets.
Practices wanting to employ veterinary graduates from summer 2021 will need to have at least one trained VetGPD Adviser in the workplace. This will involve a short, free online training course and will contribute to their practice being recognised as an RCVS-Approved Graduate Development Practice (for non-clinical settings they will be called RCVS-Approved Graduate Development Employers).
Dr Sue Paterson, Chair of the RCVS Education Committee, said: “When we conducted the Graduate Outcomes consultation, one very clear message that came across from graduates was that they felt there was a need for more bespoke, hands-on and one-to-one guidance from a designated person in their practice.
"The role of VetGDP Adviser is to help graduates identify areas of strength and areas for improvement, to closely monitor and provide feedback on their performance, and to support them in finding their feet as a newly-qualified professional. We hope all this will help increase their confidence and competence and, crucially, ensure we are doing more to retain our young vets in the profession and that this investment in our young talent will, in turn, benefit practices and the profession at large.
“Ahead of the introduction of VetGDP next summer, we want to give the profession advance notice of the coming changes and ask members of the profession who have been on the UK-practising Register for at least three years, and who are passionate about supporting the next generation of vets, to consider becoming VetGDP Advisers.
"We will be introducing free formal online training for VetGDP Advisers from April 2021 but we are asking vets to register their interest as soon as possible so they can find out more about what the role will entail and how it will support new graduates.”
The training will comprise approximately 20 hours of e-learning using a mixture of different methods including case studies, reflective exercises and recorded presentations and will cover topics such as giving effective feedback to support, encourage and motivate; coaching techniques; the provision of guided reflection; goal-setting; reviewing progress; and mentoring.
The training is being provided online by the RCVS and can be undertaken flexibly at any time. It can also count towards the annual continuing professional development (CPD) requirement.
Once an individual has completed the training, and committed to providing the equivalent of at least one hour of support each week per graduate employed, they will receive VetGDP Adviser status. The role will include observing their graduate’s practice and providing feedback and guidance where appropriate.
Veterinary practices with at least one employed VetGDP Adviser will also be formally recognised as an RCVS-Approved Graduate Development Practice, which will indicate that they are able to employ new graduate veterinary surgeons and have the necessary support and development structures in place.
Dr Linda Prescott-Clements, RCVS Director of Education, added: “Developing VetGDP has been a significant step forward in supporting graduates to establish fulfilling veterinary careers. I would like to thank all those members of the Graduate Outcomes Working Group, the Education Committee and RCVS Council who have been involved in putting together the programme, as well as all those veterinary professionals and students whose feedback was crucial in shaping the direction of travel.
“The programme recognises that the profession would like to see a range of ways to support graduates in the workplace, involving a balance between professional and clinical skills. The need was for a programme to reflect their everyday work and professional development in the workplace, with a much greater focus on structured and meaningful support. This support is crucial in developing them beyond their Day-One Competences into becoming confident, capable and independent veterinary professionals.
“As all new vet graduates from summer 2021 will be required to undertake the VetGDP, practices and other workplaces taking on new graduates will need to have at least one VetGDP Adviser and RCVS-Approved Graduate Development Practice status. The online training is not onerous, it is free of charge and takes approximately 20 hours; furthermore, it can be counted towards CPD hourly targets for the year. We envisage that the VetGDP Adviser role will be highly rewarding, with the personal satisfaction of knowing you’re helping to shape and support the next generation of vets.
“Please do make sure to take a look at the full range of resources that we have produced about VetGDP and familiarise yourself with the coming changes.”
To aid understanding of the VetGDP, the RCVS has produced a number of resources, including FAQs, further information for those who are interested in becoming VetGDP Advisers, and information for students, which can be found at: www.rcvs.org.uk/lifelong-learning/vetgdp
From early 2021, the RCVS will be holding online video seminars with final-year veterinary students from all eight UK veterinary schools to discuss VetGDP in further detail.
Anyone with further questions about VetGDP should contact the RCVS Education Department on vetgdp@rcvs.org.uk
Less than a quarter of veterinary students starting their degrees in 2009 were male (24%), according to figures released today in RCVS Facts.
This is up slightly from 23% last year, but down from just over 30% in 1999: ten years before that, the gender balance of new students was approximately 50:50. Meanwhile, 53% of UK-practising veterinary surgeons are female.
RCVS Facts is part two of the RCVS Annual Report, and presents a statistical picture of the veterinary and veterinary nursing professions. Other headline facts include a 21% increase in the number of practice premises registered with the College since 1 April 2009, bringing the total on the Register of Veterinary Practice Premises to 4,821; some 766 veterinary nurse students completing their training and becoming eligible to register (an increase of 28% compared with those eligible to register during the previous two-year period) and an increase of nearly 10% in the number of complaints received about veterinary surgeons, to 739.
Figures are also available for:
The reporting year is 1 April 2009 to 31 March 2010, and part one of the RCVS Annual Report, RCVS Review, takes a more personal look at the activities of the College during the period, through the eyes of some of those involved. Topics include reviews of Extra-Mural Studies and the Practice Standards Scheme, the modular Diploma in Advanced Veterinary Nursing producing the first diplomates, a focus on mental health and wellbeing, fund-raising for the RCVS Trust and the College's joint work with other authorities to bring justice in cases of fraudulent 'veterinary surgeons'.
Both publications are available online at: www.rcvs.org.uk/review and www.rcvs.org.uk/facts.
The RCVS has announced the new recruits for the two independent statutory committees responsible for investigating and holding inquiries into concerns raised about the professional conduct of veterinary surgeons.
The Disciplinary Committee has seven new members (three laypeople and four veterinary surgeons) and is now chaired by Ian Green, a former magistrate and Chief Executive of YMCA England from 2008 to 2013, who has been a member of the Committee since 2013.
The new members are:
The Preliminary Investigation Committee has three new members (all of them veterinary surgeons) and is now chaired by Andrew Ash MRCVS, a director of a veterinary practice group and Past-President of the British Small Animal Veterinary Association (BSAVA), who has been a member of the Committee since 2013. The new members are:
The College says these changes now bring it into line with a Legislative Reform Order which came into effect in July 2013 and which amended the Veterinary Surgeons Act to say that the two statutory committees should be constituted separately from RCVS Council.
Gordon Hockey, RCVS Registrar, said: “We pushed forward the LRO because we wanted to make sure that the College was following regulatory best practice by ensuring the independence of those who adjudicate on concerns raised about a veterinary surgeon’s professional conduct and fitness to practise.
“The LRO allowed for a two-year transitional period and so, with these new appointments, we see it come to fruition as the committee members are now wholly separate from RCVS Council members, who are ineligible to sit on the Disciplinary or Preliminary Investigation committees.
“I would like to extend a very warm welcome to the new Chairs and members of the committees. They all went through a rigorous recruitment process over a number of months this year and I am confident in their integrity, independence, judgement and abilities.”
Through the same independent recruitment process two new members have also been appointed to the VN Preliminary Investigation Committee – Suzanne May RVN and Susan Macaldowie MRCVS.
Details of the Disciplinary and Preliminary Investigation committees can be found at www.rcvs.org.uk/about-us/committees/disciplinary-committee and www.rcvs.org.uk/about-us/committees/preliminary-investigation-committee respectively.
The RCVS has published a summary of the goings on at its 6 November meeting.
Amongst other things, Council agreed to continue to display postnominals in the Register, undertake a consultation on whether members should be able to use the courtesy title 'doctor' and make amendments to the College's current registration regulations.
In addition,
More information about these decisions can be found in the latest edition of RCVS News, copies of which have been sent to all veterinary surgeons and listed/registered veterinary nurses.
The full papers for the Council meeting can be found on the RCVS website at www.rcvs.org.uk/about-us/rcvs-council/council-meetings
Ms Gurrin faced two charges, the first being that she had issued prescriptions for Roaccutane tables, indicating they were for the treatment of an animal when they were in fact for a human.
The second charge was that Dr Gurrin’s conduct in relation to the first charge was dishonest and/or misleading, and took place in circumstances where Dr Gurrin was not professionally qualified to write a prescription for a human.
Ms Gurrin admitted the allegation in its entirety and the Committee therefore found it proved.
The College submitted that Dr Gurrin breached fundamental tenets of the Code of Professional Conduct and acted dishonestly and, as such, that the admitted facts amounted to disgraceful conduct.
The Committee accepted that Dr Gurrin’s conduct involved dishonesty, but took into account the context: that Dr Gurrin was seeking to help in continuing a course of medication that she understood to have been properly prescribed by a specialist physician.
Mitigating factors included the lack of artifice or sophistication in the drawing of the prescription and its presentation to the pharmacist, in that Ms Gurrin didn't invent an animal name or species, or any kind of elaboration or backstory when challenged by the pharmacist on the prescription.
In addition, there was no financial or other personal gain, it was a single isolated incident, it was a spur of the moment decision without reflection, no harm was caused or risked to any animal, Ms Gurrin had a long and previously unblemished career and lastly she showed insight into the offence.
The committee also took into account the character testimonials which showed Ms Gurrin not only to be an exceptional vet, but a dedicated professional who had nurtured a very strong team, and someone who is held in extraordinarily high regard by both her clients and colleagues.
There were no aggravating factors.
The Committee considered that the case was too serious to take no further action, but that there was no ongoing danger to the public or risk to animal health.
Kathryn Peaty, chairing the Committee and speaking on its behalf, said: “The Committee has reached the conclusion that it is appropriate to impose a reprimand and a warning in this case.
"It would serve no purpose to impose a more severe sanction of a suspension and deprive Dr Gurrin’s clients of her valuable service and to deprive Dr Gurrin of the opportunity to practise for however short a time.
"The Committee considered that it is right to recognise that this misconduct was an aberration in a fine career, which is not characteristic of this veterinary surgeon and which happened when she was off her guard and in circumstances when she was mistakenly trying to help another in what she thought was a safe way.
“The Committee therefore decided, in the particular circumstance of this case, to impose a reprimand and warning on the basis that it would be proportionate in order to maintain public confidence in the profession and declare and uphold proper standards of conduct and behaviour.”
Following a two-year postponed judgment, the Disciplinary Committee (DC) of the Royal College of Veterinary Surgeons last week warned a Cambridgeshire veterinary surgeon as to his future conduct, after he had been convicted in 2006 for causing death by careless driving whilst under the influence of alcohol.
In September 2007, the Committee heard that Peter Hanlon MRCVS, of Soham in Cambridgeshire, had been involved in a road traffic accident in February 2006. Mr Hanlon's car had drifted across the road and collided with an oncoming car driven by James Barber who was accompanied by his wife, Ivy. Mr Barber was pronounced dead at the scene and both Mrs Barber and Mr Hanlon sustained injuries.
At the initial hearing, Mr Hanlon admitted the conviction (for which he had been sentenced to 30 months in prison and received a four-year driving ban) and the charge that it rendered him unfit to practise veterinary surgery. The Committee decided to postpone its judgment for two years on the agreement that Mr Hanlon would undertake to abstain from alcohol and to submit quarterly medical reports and six-monthly CPD (continuing professional development) reports to the Committee chairman.
At the resumed hearing last week, the Committee carefully considered Mr Hanlon's written and oral submissions, and accepted that he had fully complied with these undertakings. He had abstained from alcohol since the day after the accident, produced an "exemplary" CPD record and provided impressive reports from his employers concerning his professional competence.
In addition, Mr Hanlon, who spent around 14 months in prison and remained on licence until July 2009, also reiterated to the Committee his remorse for the death of Mr Barber and respect for his family.
The Committee was mindful of its duty to maintain confidence in the veterinary profession and uphold proper standards of conduct. Whilst it did not consider it necessary to postpone judgment again, it felt that Mr Hanlon should be warned about his future conduct.
Caroline Freedman, chairing the Committee, concluded: "As this case has demonstrated, and as Mr Hanlon himself has fully recognised, abuse of alcohol can lead to far reaching consequences in personal and professional lives and the lives of others."
The British Association of Veterinary Emergency & Critical Care has released the results of a survey into practitioners attitudes to 24-7 and OOH home visits.
360 veterinary surgeons took part in the survey, nearly all of whom have been practising for more than 2 years. 70% work in small animal practice, 12% at a dedicated OOH provider, and the bulk of the remainder in referral or mixed practice. 81% described the work they do as small animal first opinion, and 76% were employees. 35% said they had already responded to the RCVS call for evidence on the provision of 24/7 emergency cover.
26% said they work for a practice that outsources its OOH to a dedicated provider, and more than 85% of those said they would not return to an on-call system.
In terms of dedicated out-of-hours providers, a clear pattern emerged. Namely those practitioners who outsource their OOH feel that patient care, staff safety and professional well-being are all enhanced by dedicated OOH services, but that dedicated OOH comes at a cost of reduced value for money for the pet owner. Customer service between the different OOH provisions is perceived to be similar (on-call better 25%, same 48%, and dedicated better 27%).
Among those practitioners who work for a dedicated OOH service, dedicated OOH services perform best in all categories. 68% responded that OOH customer service is better with a dedicated OOH service compared to an on-call system (12% responded that on-call provided better customer service on average). 44% responded that customer value for money was better with dedicated OOH service compared to 19% who responded that customer value for money was on average better with an on-call system.
Among those practitioners who do their own on-call, customer service and value for money were perceived to be better with an on-call system (42% v 26% and 61% v 15% respectively). In the other categories dedicated OOH services again out-performed an on-call system.
Whether routine or emergency, 'owner demands' were felt to be the biggest reason for home visit requests (41% and 30% respectively). However, 'genuine clinical need' was the main reason cited by 19% of respondents as the main reason for emergency home visits. Inability to move the animal was given as the main reason by a further 28%.
Participants in the survey were asked to score (out of 10) how much their decision to perform a home visit was affected by the threat of a complaint, either to their employer or to the RCVS. Interestingly, 37% said a complaint to their employer weighed heavily on the decision (ranking it 8 or higher) where, by comparison, 52% said the threat of a complaint to the College ranked 8 or higher in their decision making.
69% of respondents said they make visits alone, either sometimes or always. When asked if they had ever felt threatened whilst performing an OOH visit, 48% said yes. This compared to 23% who said that they had felt threatened when performing a visit in normal hours.
When asked to rank (out of 10) the stress home visits cause, 7% said none at all and 36% said 8 or above.
72% said they believe that the profession should continue to be obligated to provide 24/7 for animals.
Respondents were then asked to say whether they support or disagree with the suggestion that the need to perform house visits is removed from the CoPC. 59% were strongly for the idea (scoring it up to 3), compared to 22% who were strongly against it (scoring it 8 or above).
Opinions about whether the College should clarify the need to perform house visits was far more clear cut. 77% strongly supported clarification (scored up to 3), whereas only 16% said there was no need (scored 8 or above).
However, an overwhelming 93% said that they would continue to perform visits in the case of genuine clinical need even if the Code of Professional Conduct was changed to make it dear that there was no risk of disciplinary action for not attending off-site.
The VCMS, which is administered by Nockolds Solicitors, was formally launched by the RCVS as an alternative dispute resolution service in October 2017 following a year-long trial.
The aim of the service is to resolve, by mediation, disputes between clients and veterinary practices that do not meet the threshold of serious professional misconduct that is needed for the RCVS to investigate a concern through its formal processes.
Since the service’s trial, which started in October 2016, the VCMS has given preliminary mediation advice on how to resolve a case in more than 1,700 instances with over 580 cases having gone to full mediation of which 89% have concluded with a resolution.
Eleanor Ferguson, RCVS Registrar and Director of Legal Services, said: "From the perspective of both the public and the profession, the establishment of the VCMS has been a "win-win" situation. For the public it has provided them with an additional route to solve those complaints which wouldn’t cross the threshold to progress in the concerns investigation process.
"For the profession it has provided a more appropriate format for resolving a client dispute that doesn’t involve the time, effort and formal process of an RCVS investigation for those cases that will never amount to serious professional misconduct. I think this has been demonstrated by the fact that the vast majority of the profession are willing to engage with the VCMS process, even though it is entirely voluntary.
"The VCMS has also had a positive impact on the College and its concerns investigation process, allowing us to focus greater resources on those cases that do meet our threshold of serious professional misconduct. This has had a very clear impact on the speed with which we either close cases or move them on to the next stage of consideration by the Preliminary Investigation Committee (PIC), which, again, is important to both the public and the profession."
The College says that around 90% of cases investigated at Stage 1 of the process are now either closed or referred to PIC within four months – the College’s key performance indicator at this stage. This compares to around 50% of these cases being closed or referred within four months at Stage 1 in 2016.
The College also says that in total (including both preliminary and full mediation cases), 86% of the cases dealt with by VCMS were successfully mediated and feedback from both clients and veterinary practices has been largely positive. In client feedback from the third quarter of 2018, 93% said they would use the VCMS again and 79% considered it to be fair, while the equivalent figure amongst veterinary practices was 94% and 87% respectively.
Jennie Jones, a partner at Nockolds Solicitors who heads up the VCMS, said: "It is a good sign that mediation is largely working as it should when both parties are reporting similar satisfaction rates and we pride ourselves on negotiating resolutions that are acceptable and beneficial for both the clients and the practices.
"It is great to see that our efforts are also having an impact on the RCVS concerns investigation system by allowing it to concentrate on more serious cases."
More information about the RCVS concerns investigation process, including the different stages of an investigation, can be found at www.rcvs.org.uk/concerns
Further information about the VCMS can be found on its website at www.vetmediation.co.uk or by calling 0345 040 5834.
Fourteen veterinary surgeons stood for election this year and 8,542 voted, a turnout of 24.5% of eligible voters. That compares with a turnout of 26.2% in 2020, 25.5% in 2019 and 22.7% in 2018.
Danny scored a total of 4,759 votes, leaving the other successful candidates Tshidi Gardiner, Colin Whiting and Louise Allum nevertheless trailing in his wake, with 3,228 votes, 2,957 votes and 2,368 votes respectively.
The VN Council election also had fourteen candidates standing for one elected place, the other having been taken by Susan Howarth RVN who was automatically re-elected as the only candidate standing at the time of the original deadline in January.
Donna Lewis was elected with 404 votes from those cast by 2,341 veterinary nurses, which amounted to a turnout of 12.4% of eligible voters. That compares with a turnout of 17.1% in 2020, 14.5% in 2017 and 10.9% in 2016.
All of those elected to either RCVS or VN Councils will formally take up their seats at the RCVS Annual General Meeting on Friday 9 July 2021.
Eleanor Ferguson, RCVS Registrar and Returning Officer for both elections, said: “Thank you to all those who stood as candidates and all those who voted in this year’s elections, especially in view of all the extra demands on everyone’s time at the moment. Many congratulations to our five successful candidates with whom we look forward to working over the coming months and years.
“Even though the elections were held during the ongoing pandemic, the RCVS Council election still produced the third highest turnout on record, and turnout in both elections was above the average for those held over the last ten years.
“As always, we made concerted efforts to let people know about this year’s election, which included additional reminder emails sent on behalf of the RCVS by our election provider Civica Election Services, as well as regular email reminders and social media posts from the RCVS. We do, of course, always endeavour to improve turnout, and will continue to review this going forward.”
Photo: Left to right, Danny Chambers, Tshidi Gardiner, Colin Whiting and Louise Allum.
The nurse, who admitted the charges against her, successfully applied for anonymity at the outset of the case, on the basis that the shock factor of the removal of the animals' heads could greatly upset members of the public and veterinary staff, leading to a backlash which would present a threat to her safety.
The Disciplinary Committee heard that the nurse, who was working as a locum, asked a permanent member of staff if she could take a couple of skulls from the strays, because she had a friend who 'cleaned up' dead strays and wildlife and displayed the skulls at home.
The College’s case was that the nurse’s actions amounted to serious professional misconduct because she failed to afford the dead animals with the respect and dignity they deserved, there was a risk to human health because she failed to comply with biosecurity measures, and her actions had the potential to undermine public confidence in the profession.
Although she admitted that her conduct fell short of what was expected, the nurse countered that her actions were not intended to be disrespectful to the animals, that she was an animal-lover who had three cats of her own, and that her actions were not malicious but misjudged.
Weighing up the case, the Committee found that the aggravating features of her conduct were around biosecurity and abuse of her professional position, while in mitigation it found that there was no financial gain in her actions and that it was a one-off incident.
Kathryn Peaty, chairing the Committee and speaking on its behalf, said: “The respondent’s conduct represented a biosecurity risk.
"Any body part would be in some degree of decomposition.
"As the cats were strays, it was unclear as to whether or not they had been in good health.
"Although the respondent transferred the body parts to her home and kept them in the freezer in cadaver bags, there was a risk that they could leak.
"In short, her actions were not without risk to human or animal health.
“The respondent abused her professional position.
"She had an obligation to treat the cadavers with respect.
"Her professional position gave her access to the cadavers.
"She abused her professional position by severing the cats’ heads and, using a scalpel, body bags and other equipment she pursued an interest of her own, rather than performed the role she was employed to undertake.
"Although she may say that she obtained permission to remove the cats’ heads from a permanent member of staff, she was a Registered Veterinary Nurse and therefore an autonomous professional.
"Whatever permissions she received should not have made her believe she had a licence to act as she did.”
Considering the appropriate sanction, the Committee took into account her relative youth and inexperience, the fact she made open and frank admissions at an early stage, the fact she made efforts to avoid a repetition of the behaviours, the insight she had shown into why her conduct was wrong, and the amount of time that had passed since her conduct relative to the total length of her four-year veterinary nursing career.
The Committee also considered positive character references from fellow veterinary nurses with whom she worked and trained.
Kathryn added: “The Committee considered that a reprimand was the sanction it should impose.
"A reprimand marks the Committee’s view of the respondent’s behaviour, thereby satisfying the public interest.
“The Committee did consider issuing a warning as to future conduct, but it had no concerns that the respondent would fail to follow the Code of Professional Conduct for Veterinary Nurses in the future.
"It therefore rejected a warning as an appropriate alternative.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
The FAQs cover everything within the College’s guidance on veterinary medicines, including questions around controlled drugs, their storage, destruction and prescription, supplying medicines under the cascade, and prescriptions in general including topics such as what written information to provide, broach dates, and repeat prescriptions.
Lisa Price, RCVS Head of Standards, said: “Queries about veterinary medicines are some of the most frequent questions that our Standards & Advice Team deal with and we recognise that this is quite a complex and potentially confusing area of practice, with information being contained in a variety of places including the RCVS Codes of Professional Conduct, the Veterinary Medicines Regulations and the Practice Standards Guidance.
“We felt it would be helpful to try and draw much of this information into one place and provide answers to questions applicable to common scenarios that veterinary surgeons and veterinary nurses encounter within everyday practice.
“The 17 questions and answers have all been approved by the RCVS Standards Committee and we hope members of the professions find them useful.
"We are also open to feedback and suggestions for further questions to be added to the FAQs and you can contact us on advice@rcvs.org.uk if you have any.”
The full FAQs can be found at www.rcvs.org.uk/medicines-faqs
The RCVS Code of Professional Conduct’s chapter of supporting guidance on veterinary medicines can be found at: www.rcvs.org.uk/medicines
Linda, who was first elected to Council in 2019, will take up the post at the RCVS Annual General Meeting in July.
She is currently Chair of both the RCVS Standards Committee and the Riding Establishment Subcommittee and also sits on the Primary Qualifications Subcommittee and the Preliminary Investigation and Disciplinary Liaison Committee.
Outside of the RCVS, Linda is a Director at The George Veterinary Group in Wiltshire, an independently owned practice providing equine, farm, pig and small animal veterinary services.
Linda has been part of The George since 1992, having started her career in practice in Winchester after graduating from Bristol University Vet School the previous year.
She is a member of the British Veterinary Association, the British Equine Veterinary Association and the Society of Practising Veterinary Surgeons and is also a Trustee for Brooke – an international equine animal welfare charity.
Linda said: “Having recently been re-elected to Council for another term by fellow members of our profession, I am really looking forward to joining the Officer Team in my role as Junior Vice-President and I thank my colleagues on Council for their endorsement and support.
“Since joining Council four years ago, I have learned a lot – one of the difficulties I have observed is the tension of our profession having a Royal College which regulates.
"Wearing two hats is never easy, and being both our leadership body and our regulator can position the College in a difficult place in the eyes of its members.
"There are, however, advantages for us as a profession in being self-regulating.
“As Junior Vice-President, I look forward to increasing Council’s direct contact with vets working in first-opinion practice.
"Working as part of a large independently owned practice, I am aware of many of the day-to-day issues currently facing the different species sectors.
"I understand what it takes to be a good workplace delivering veterinary care in a commercial environment and want, through my contribution to Council and the governance and regulation of our profession, to support others to have a successful and fulfilling career in practice.”
Photo: Linda (right) shaking hands with current President Melissa Donald MRCVS
The charity reports that 2020 was its busiest year ever, with 3,921 calls to its Helpline - a 25% increase over 2019.
Similarly, Vetlife's Health Support service saw a record number of referrals in 2020. There were 190 referrals made over the year, compared to 149 in 2019.
At the same time, the charity says it has seen a decrease in income, putting a strain on its resources. The pledge from the RCVS comes in addition to the annual donation of £100,000 made by the Mind Matters Initiative towards the Health Support service. On top of this, the Mind Matters Initiative also helps to fund other essential running costs for the charity, including the Helpline call directing service and by its contribution to the annual Helpline training for volunteers.
Graham Dick, Vetlife President (pictured right) said: “The last 12 months have brought significant challenges for Vetlife as restrictions in fundraising have combined with a significant uplift in demand for our Vetlife Helpline and Health Support services. Against this background the substantial ongoing financial support provided by the RCVS through MMI, both for the costs of professional mental health support and for the necessary call-handling facilities which underpin our Helpline, continues to be an invaluable contribution to the wellbeing of the veterinary community we serve."
The work done by vetsurgeon.org and vetnurse.co.uk attempted to identify the sorts of unpleasant behaviour that veterinary surgeons and and nurses found themselves on the receiving end of, and the impact that it had on them. It was not, however, able to quantify the prevalence of these types of behaviour other than to the extent that there were 677 reports.
The new survey of over 650 vet nurses and student vet nurses found that not only did 96% agree or strongly agree that bullying and incivility is a serious problem in the profession, but 70% of respondents had personally experienced a mental health concern as a result.
Other findings from the survey were:
The full findings of the survey will be revealed at the MMI Student Veterinary Nurse Wellbeing Discussion Forum, taking place on Wednesday 3rd November.
Attendees will have the opportunity to discuss the challenges highlighted in the survey and how they can be addressed. The results will also be published at a session led by Jill McDonald, VN Futures Project Coordinator at BVNA Congress, taking place Saturday 2nd – Monday 4th October.
Lisa Quigley, Mind Matters Initiative Manager, said: “A number of our survey findings are extremely concerning, particularly the high levels of bullying, incivility and discrimination reported by participants. We conducted the survey with the intention of finding out more about what systemic issues across workplace practices were impacting on the profession’s mental health.
"We want to thank everyone who took part and shared their experiences with us. There were some upsetting accounts shared with us about experiences of bullying and discrimination – no one should go through this at any point in their life, let alone at their place of work.
"Decisive action needs to be taken to tackle this and we will be using the findings of the survey to help form our 2022-2027 strategy and decide what resources and training we create for the profession. Supporting the wellbeing of veterinary nurses and student veterinary nurses is one of our key priorities, and will be part of all future MMI activities.”
“I would encourage as many veterinary nurses and student veterinary nurses as possible to attend the upcoming Student Veterinary Nurse Wellbeing Discussion Forum and our session at BVNA to have your voice heard about what steps need to be taken to improve the mental wellbeing of the profession.
"We recognise that these results may bring some difficult emotions to the fore for many people, and we would encourage anyone who has experienced bullying or discrimination to seek help from an organisation such as Vetlife or the National Bullying Helpline.
"I would urge anyone who witnesses bullying or discrimination in the workplace to speak out, wherever it is safe to do so. This takes immense courage, but it is only by calling out this behaviour that it can begin to be addressed. We will be launching Active Bystander training in early 2022, to equip people with the confidence to call out unacceptable behaviour, and the skills to proactively support colleagues who have been targeted.”
Matthew Rendle, Chair of the RCVS Veterinary Nurses Council, added: “As a veterinary nurse some of these results were a difficult read and I would like to thank those student vet nurses and newly qualified vet nurses who came forward with great honesty and bravery with their views and experiences, as it couldn’t have been easy.
“We take these matters very seriously and opening up the conversation is an important first step. I hope that, following these results, we can take look at things such as strengthening reporting mechanisms for bullying and discrimination and encouraging better workplace practices to mitigate against these incidents.
“While it’s easy to focus on the negatives, I do think that these survey results have given us positive steps to build on, not least that people know how to access mental health support so they’re not suffering in silence and the role that our amazing clinical coaches are playing in supporting people with their mental health, and how we can better give them the tools for this support.”