Telemedicine can be defined as any clinical healthcare service that is provided using remote telecommunications services.
The aim of the consultation, which starts on the 13th February, is to receive feedback to help the College develop an appropriate regulatory framework for such services in the veterinary sector. The College’s current Code of Professional Conduct and supporting guidance is generally concerned with face-to-face provision of veterinary services.
The consultation will consider issues such as who is responsible for veterinary care if it is provided remotely, how 'under veterinary care' is defined in the context of the telemedicine delivery of services, the potential risks as well as opportunities for improving animal welfare that may arise out of new technologies and the appropriate regulation of veterinary services provided directly to clients using new remote technologies.
Nick Stace, RCVS Chief Executive, said: "We want the UK’s veterinary surgeons to be at the forefront of innovation and to be making use of, and developing, new technology to extend the reach of veterinary services and thereby improve animal welfare.
"However, while the adoption of technology can greatly benefit veterinary services, we also need to develop a regulatory framework that takes into account the questions it poses, for example, in areas such as remote diagnosis and prescribing, to ensure that animal health and welfare is the foremost consideration."
David Catlow, Chair of the RCVS Standards Committee that approved the consultation, added: "What we are looking for in this consultation are comments that will help inform a new position for the College on the use of telemedicine. There are questions that need to be answered around the principles of using telemedicine and we hope that we will get the views of a broad range of the profession.
"I would strongly encourage all members of the profession to engage with this survey so that we can build a better picture of how this technology is currently being used, how it might be used in the future and how we can best regulate it."
The consultation questionnaire will be available to complete for six weeks from Monday 13 February 2017 at www.rcvs.org.uk/telemedicine
Dr Radev faced three charges concerning his treatment of an American Bulldog in 2021.
The first charge, which contained a number of sub-charges, was that he failed to provide appropriate and adequate care to the animal.
The second was that he failed to keep adequate records.
The final charge was that his failure to keep records was misleading and dishonest.
At the outset of the hearing Dr Radev admitted that, having recognised free fluid in the dog’s abdomen, he failed to take adequate and appropriate action and failed to aspirate the dog’s abdomen with regards to the possibility of it having septic peritonitis.
He also admitted writing the clinical notes approximately two months after the event.
After considering and rejecting an application by the RCVS to amend and withdraw elements of the first charge, the Committee then considered each of the remaining sub-charges in turn.
Sub-charge 1(a) was that Dr Radev repeatedly administered meloxicam to the dog when it had recently undergone intestinal surgery and had a recent history of vomiting.
The Committee found that this was not proven.
Dr Radev said it had been administered just once and the Committee was not satisfied so as to be sure that it was repeatedly administered.
Sub-charge 1(b) (i) was that Dr Radev failed to recognise free fluid in the dog’s abdomen as shown on an ultrasound scan.
The Committee found this not proven.
Sub-charge 1(c) (i) was that Dr Radev failed to recognise the possibility of septic peritonitis in the dog.
Sub-charge 1(e) was that Dr Radev failed to provide a full medical history when referring the dog to a different practice.
The Committee found the charge not proven.
Regarding charge 2 (ii), that Dr Radev had failed to include in clinical records a reference to the colonotomy surgery, the Committee found this charge not proven as it had been provided with clinical records disproving this charge.
Finally, regarding both aspects of charge 3, namely that Dr Radev had acted misleadingly and dishonesty, the Committee found this not proven.
The Committee then considered whether the charges that Dr Radev had admitted amounted to gross misconduct in a professional respect.
In all cases it found that, while Dr Radev’s conduct had fallen below what was expected of veterinary professionals, it did not fall so far below as to constitute serious professional misconduct.
www.rcvs.org.uk/disciplinary
The RCVS Council has decided that the final enrolments for the remaining RCVS Diplomas must be made by 1 November 2012.
According to the College, this is in line with the recommendation made by the Education Policy and Specialisation Committee to Council that the RCVS should speed up the process of phasing out all of the remaining RCVS Diplomas in favour of the increasingly popular European Diplomas.
There are now such small numbers of candidates sitting RCVS Diploma exams that benchmarking and determining a consistent examination standard becomes increasingly difficult, and the examination increasingly indefensible and unsustainable. For example, in each of the past three years, only two candidates have entered the Diploma in Small Animal Surgery (Orthopaedics) exam, and there was only one candidate in 2008. Similarly, it is now usual for only one or two candidates per year to sit Diploma exams in Zoo Medicine, Cattle Health and Production or Ophthalmology.
A number of RCVS Diplomas have already been phased out, and new enrolments are no longer being taken in subjects such as Small Animal Medicine, Dermatology, Anaesthesia and Diagnostic Imaging.
Examinations will continue to be held for enrolled candidates (including candidates who enrol ahead of the 1 November 2012 deadline). The last Diploma examinations held in each subject will depend upon when its final candidates complete the pre-examination requirements. For candidates enrolling this year, this means 2019 at the latest.
The phasing out of RCVS Diplomas has been an agreed strategy of Council for many years after the then Education Strategy Steering Group recommended greater convergence with European Colleges in a report to Council in 2002 entitled "A framework for veterinary education and training for 2010 and beyond".
The position of each subject has been under review by the respective subject boards at their annual board meetings for the last few years, and some have already been closed to new entrants.
Professor Mike Herrtage, Chairman of the RCVS Diplomas and Certificates Subcommittee said: "For some subjects, there had been a perception that the European route required the candidate to follow a residency in an academic institution, which could be a barrier to UK practitioners' chances of completing a Diploma.
"However, all the European Colleges allow an alternate training route for practitioners provided the programme is planned and specified at the time of enrolment and approved by the College before training starts."
In some subjects, the European Diploma syllabus may not cover exactly the same ground as the RCVS equivalent - for example, small animal surgery encompasses both soft tissue surgery as well as orthopaedics - but the trend for residency positions in both universities and specialists practices has been to take candidates through the European style programmes, which produces more surgical specialists who thereafter can major in one aspect of another.
Mike said: "Recent experience has shown that many diplomates take the European Diploma first, and this entitles them to apply to join the list of RCVS Recognised Specialists. If they then want to specialise in a narrower field they can do so, by providing supporting data and references to show that they are practising at a specialist level in the area concerned."
Veterinary surgeons will continue to have multiple routes to RCVS Recognised Specialist status - including via European Diplomas, which also offer a route for those not in a standard residency position, American Diplomas, the RCVS Fellowship, or other such high level qualifications.
Developed in partnership with the Veterinary Client Mediation Service (VCMS), the course uses practical examples based on real-life experiences.
The course shows how to assess complaints from a client’s perspective and how building client relationships can help defuse complaints.
Jennie Jones, Head of VCMS, said: "Leveraging insights from the VCMS and involving our entire team with its production has enabled us to develop highly effective materials that ensure veterinary professionals are well-equipped to manage complaints."
The course takes one hour to complete.
academy.rcvs.org.uk
Neurodiversity Celebration Week is a worldwide initiative that challenges stereotypes and misconceptions about neurological differences, and the neurodiversity resource hub (www.vetmindmatters.org/resources/) aims to help members of the veterinary professions better understand how, for over one million people in the UK, neurological differences mean they learn and think in a way that is different to what is considered ‘neurotypical’.
Among the resources contained in the hub is information about neurological conditions closely associated with neurodivergence such as attention deficit hyperactivity disorder (ADHD), autism, dyspraxia and dyslexia, as well as information for employers about neurodiversity, including inclusive working tools and sources of government support.
A new ‘kite’ with six new modules are also being added to the MMI Kite App – a specialist microlearning platform for topics related to veterinary wellbeing – that deal specifically with issues related to neurodiversity. The six modules cover: what is neurodiversity; the importance of talking about neurodiversity; different types of neurodiversity; bespoke considerations for neurodivergent individuals; how neurodivergence can lead to innovation through thinking differently; and, exploring further how different brains work and how we can make our brains work best for us.
The College is also publishing a blog on the resource website by Dr Kirstie Pickles, Clinical Assistant Professor in Equine Medicine at the University of Nottingham, about her current MMI-funded research investigating the various workplace stressors that affect autistic veterinary professionals and what adjustments can be introduced to mitigate these stressors.
Lastly, at BSAVA Congress on Saturday 26 March between 3pm and 4pm, the RCVS has organised a discussion session on neurodiversity.
The discussion will be led by Roxanne Hobbs, a consultant in workplace inclusion particularly around neurodiversity, and will look at how to nurture and cultivate neurodiversity in the veterinary professions.
Lisa Quigley, Mind Matters Manager, said: “As a project focused on the mental health and wellbeing of veterinary professionals, the Mind Matters project has a commitment to recognising and providing a space for all forms of diversity, and so we are very glad to be supporting Neurodiversity Celebration Week again this year.
“We hope that our neurodiversity resource hub and our other initiatives during Neurodiversity Celebration Week will be useful source of information for everyone and will aid people in understanding neurodivergence, how it can manifest and how it can be supported in the workplace and educational settings.”
The final deadline for paying the fee was 31 May 2019, with the 346 who did not pay being removed on 1 June 2019, compared to 308 last year.
Those who were removed from the Register but have subsequently paid to be restored are not named on the list.
The RCVS says it sent reminders to all MsRCVS, including emails and text messages, reminding them that the fee was due. Letters were sent to those members that the College does not have an email address or mobile telephone number for.
A list of those who have not paid their fee has now been published. Practices are encouraged to check the list to ensure that no employees are named.
The College also wants to remind veterinary surgeons that, although paying the fee is required to remain on the Register, to complete their registration in full they need to confirm they are compliant with the continuing professional development (CPD) requirement and complete the criminal disclosures form. Both of these are required by the Code of Professional Conduct and can be completed on the ‘My Account’ area.
Anyone with queries about completing the registration process should contact the Registration Department on 020 7202 0707 or registration@rcvs.org.uk.
The Royal College has announced that a Legislative Reform Order (LRO) to reconstitute its disciplinary committees separately from its Council has been signed by Defra Minister David Heath, and will come into force on 6 April 2013.
The LRO will amend Part I of Schedule 2 of the Veterinary Surgeons Act 1966 (VSA) and require 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 will ensure that the same group of people is not responsible for setting the rules, investigating complaints and adjudication, and will bring lay people formally into the Preliminary Investigation Committee.
The LRO will also allow the RCVS to increase the pool of people available to investigate complaints and sit on disciplinary hearings, reducing the workload on the individual Committee members whose primary appointment is to RCVS Council.
The RCVS has been working on the LRO with Department of Environment, Food and Rural Affairs (Defra) officials since late 2010, and the Order was based on consultations undertaken by the RCVS and Defra.
According to the College, the Order was commended at every stage of Parliamentary scrutiny as an effective means to address the single biggest deficit of the VSA and to improve how the RCVS regulates the profession. During debate in Grand Committee of the House of Lords on 10 January, the RCVS received considerable praise for its strenuous efforts to modernise under the constraints of the present legislation, and the LRO received unanimous support.
Following the Order coming into force, 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. Information about how to apply to join these committees will be available shortly.
President Jacqui Molyneux said: "I am delighted the LRO has been made and I am immensely thankful for the hard work of the Defra team and my colleagues in the College. The LRO is the single biggest reform to the regulation of veterinary surgeons since the 1966 Act, and it will bring the RCVS in line with regulatory best practice and improve the perception of the independence of the RCVS disciplinary processes."
The hearing proceeded in Ms Kay’s absence as she failed to attend. The Committee heard a number of charges relating to her practising while under the influence of alcohol, breaching undertakings to the College to abstain completely from alcohol, alleged serious clinical failings in relation to the treatment of two dogs, Izzy and Alfie, and making disparaging remarks to a client about other veterinary surgeons (the complete list of charges can be found on the College’s website: www.rcvs.org.uk/concerns/disciplinary-hearings/).
In relation to the first charge, (that in September 2016, while a locum veterinary surgeon at Haven Veterinary Surgeons Group, Great Yarmouth, she was under the influence of alcohol), the Committee heard from a veterinary nurse at the practice who told how on different occasions Miss Kay had appeared to need more assistance than expected, was overly friendly in speaking to clients, was unable to prepare a syringe correctly, and finally, on 14 September 2016, was found asleep in the car with an open can of alcohol by her feet. The Committee also heard from a number of other witnesses from the Haven Veterinary Surgeons Group who also provided evidence of Ms Kay’s behaviour on the day in question. Following deliberations, the Committee found the first charge to be proved.
The second charge related to the breaching of undertakings which Ms Kay had given to the College to the effect that she would abstain completely from alcohol. When samples were taken on 3 August 2017, however, it was found that she had been consuming alcohol in the recent past. The Committee was therefore satisfied that the second charge was proved.
The Committee then turned to the third charge, that in March 2017 Ms Kay had displayed a number of clinical failings when performing surgery on a cocker spaniel, Izzy, belonging to Mrs Debbie Coe. The Committee found the majority of the charges proved, amongst others that she failed to obtain informed consent for surgery, performed surgery in her own home when it was not registered as a veterinary practice and it was not possible to ensure sterility, and that she failed to provide suitable post-operative analgesia to Izzy.
The College then turned to the fourth charge, which concerned her treatment of Mrs Coe’s other dog, Alfie, a Miniature Schnauzer. The charge was that in March 2017, Ms Kay euthanased Alfie in an inappropriate manner, and used a controlled drug without having a registered veterinary premise from which to dispense it. After hearing from an expert witness the Committee found the charges proved.
Finally, the Committee heard evidence relating to the fifth charge, namely that in or around July 2016, Ms Kay made disparaging remarks to Mrs Coe about other veterinary surgeons who had treated Alfie, and that between 17 March and 31 March 2017 she had sent inappropriate texts and voicemail messages to Mrs Coe about the treatment of her dogs and payments owed in relation to this. The Committee thought there was not enough evidence in relation to the voicemails, but found the remainder of the charge proved.
Taking all into account, the Committee found that Ms Kay’s conduct had fallen far short of the standard expected of a member of the veterinary profession and concluded that her conduct clearly amounts to disgraceful conduct in a professional respect.
Alistair Barr, chairing the Committee and speaking on its behalf, said: "The Committee considered that the only appropriate sanction is that of removal from the Register. Such a sanction is required to protect animals and to send a clear message to the Respondent, and to all veterinary surgeons, of the unacceptability of the conduct identified in this case. Such conduct undermines public confidence in the profession and fails to uphold proper standards of conduct and behaviour.
"Accordingly, the Committee has decided that removal from the Register is the only appropriate and proportionate sanction in this case."
Ms Kay has 28 days from being informed about the Disciplinary Committee’s decision to make an appeal to the Privy Council.
Colonel Neil Smith has been elected Vice-President of the Royal College of Veterinary Surgeons. He takes up office at RCVS Day on 6 July 2012.
Neil graduated from the Royal Veterinary College in 1989, and was commissioned into the Royal Army Veterinary Corps (RAVC) with the intention of staying for four years. Twenty-two years later, he is now the Director Army Veterinary and Remount Services, effectively the Chief Veterinary Officer for the Army and head of the RAVC, which currently has over 35 Veterinary Officers.
He has held a mixture of clinical, staff and command positions, and has worked in the UK, US and Germany. He has Masters' Degrees in Food Science, Defence Administration and Defence Studies. He has also worked part-time in small animal practice (including the Blue Cross, of which he is now a Trustee), and was heavily involved in the Foot and Mouth Disease outbreak in 2001.
First elected to Council in 2004, Neil was re-elected in 2010 after a short break. He has served on Education, Advisory, Preliminary Investigation and Planning and Resources Committees, and on VN Council (currently Vice-Chairman and Chairman of the Awarding Body).
He has also previously been President of the RVC Student Union Society, the RVC Alumnus Association, Southern Counties, and the Association of Government Veterinarians. He is currently a Council member of the Central Veterinary Society, and has previously sat on the BVA's Veterinary Policy Group.
Neil said: "I am honoured to have been elected as the next Vice-President. The College is about to go through some significant organisational changes, not least because of the proposed legislative reform order. However, I aim to ensure that we remain focused on our primary role in safeguarding the health and welfare of animals committed to veterinary care. The functions of the RCVS are quite diverse, and I am keen that we try to enhance both the profession's and the public's understanding of our remit, including our responsibility for educational, ethical and clinical standards."
Jacqui Molyneux has been confirmed as President, and Dr Jerry Davies as Vice-President, effective July 2012.
The Disciplinary Committee had found Dr Schulze Allen guilty of four charges, namely that he had been convicted of the criminal offence of petty theft in the US which rendered him unfit to practise, and that on three subsequent occasions, twice to the RCVS and once to a notary in California, dishonestly represented that he had no criminal convictions.
Following the DC hearing, Dr Schulze Allen submitted an appeal to the Privy Council. The basis of his appeal revolved around whether, under Californian law, his conviction for petty theft was a conviction for a criminal offence or an infraction, and whether an infraction under US law was a criminal offence.
The RCVS had argued that while the theft is not a criminal felony in California, it would be considered so under English law.
However, the Board of the Privy Council which heard the appeal – comprising Lords Wilson, Carnwath and Lloyd-Jones, found the College had not proven beyond all reasonable doubt that Dr Schulze Allen was convicted of a criminal offence under Californian law. It therefore upheld his appeal against the DC’s finding that he had committed a criminal offence.
The Privy Council then considered Dr Schulze Allen’s appeal against the third and fourth of the charges against him - that he was dishonest in his representations to the College that he did not have a ‘criminal’ conviction and did not have a ‘criminal record’. The Privy Council found that, since the conviction for petty theft was an infraction, and was not a criminal offence and did not leave Dr Schulze Allen with a criminal record, then, strictly speaking, his representations to the RCVS were not false and so upheld his appeal against these two charges.
The Privy Council then considered Dr Schulze Allen’s appeal against the College’s second charge against him. This charge was that he had, in a written application for restoration to the Register, represented that he did not have any cautions, criminal convictions or "adverse findings". The College argued that he still had a responsibility to make a full and frank disclosure about his infraction, even if it did not meet the threshold of ‘criminal’ under Californian law.
The Board of the Privy Council said it had, on Dr Schulze Allen’s behalf, done its best to identify some argument that his conviction for a petty theft infraction did not amount to an "adverse finding", but failed. Rather, it found that "the conviction obviously amounted to an adverse finding."
The Board added that "there is no material by reference to which the Board [of the Privy Council] can depart from the [Disciplinary] Committee’s conclusion that, in answering “no” to that question, he knew that his answer was untrue. In other words, his denial was dishonest."
The Board therefore allowed the appeal against the DC’s conclusion on the first, third and fourth charges. But it dismissed the appeal against its conclusion on the second charge, namely that in that regard Dr Schulze Allen had been guilty of disgraceful conduct in a professional respect."
The Board then set aside the original sanction, that Dr Schulze Allen be removed from the Register, and tasked the Committee with identifying the appropriate sanction in relation to the second charge.
The Disciplinary Committee will now hold a further hearing to decide the sanction, at some time in the future. In the meantime Dr Schulze Allen remains on the Register of Veterinary Surgeons.
Musculoskeletal therapists currently have their work underpinned by an Exemption Order to the Veterinary Surgeons Act 1966 which allows them to treat an animal under the direction of a veterinary surgeon who has first examined that animal.
The College says it has recognised that there has been confusion over whether musculoskeletal therapists need a veterinary referral for maintenance work, such as massage, in a healthy animal. This may lead to delays in animals receiving maintenance care.
The new guidance, found in Chapter 19 (www.rcvs.org.uk/unqualified) of the supporting guidance to the Code of Professional Conduct, sets out the existing rules for musculoskeletal treatment of illness, disease or pathology, and clarifies that healthy animals do not need a veterinary referral for maintenance care.
The guidance stresses that musculoskeletal therapists are part of the vet-led team, and that any animal, including healthy ones, should be registered with a veterinary surgeon and referred to a vet at the first sign of any symptoms that may suggest underlying health issues.
The guidance also says that vets should be confident that the musculoskeletal therapist is appropriately qualified; indicators of this can include membership of a voluntary regulatory body with a register of practitioners, and associated standards of education and conduct, supported by a complaints and disciplinary process.
In March 2019 the RCVS published the Review of Minor Procedures Regime (www.rcvs.org.uk/document-library/report-to-defra-on-the-review-of-minor-procedures-regime-and/) which noted that the existing exemption order was not suitable for underpinning the work of musculoskeletal therapists, and recommended that this be remedied by reform of Schedule 3 of the Veterinary Surgeons Act, alongside regulation by the RCVS through Associate status for musculoskeletal therapists.
This would allow the RCVS to set and uphold standards for musculoskeletal therapists in a similar way to veterinary nurses, giving further assurance to both the veterinary professions and the public. The recent Legislation Working Party Report recommendations builds on that recommendation, and is currently open for consultation at www.rcvs.org.uk/consultations
The RCVS has published new guidance for veterinary surgeons and veterinary nurses on the use of social media and online forums, such as those on VetSurgeon.org and VetNurse.co.uk.
The guidance sets out the professional standards expected of veterinary professionals, as well as providing advice on good practice, how to protect privacy, maintaining client confidentiality and dealing with adverse comments from clients.
The guidance has been developed by the Standards Committee, partly in response to demands from the profession and partly in light of recent decisions by the courts and other regulatory bodies which demonstrate that professionals can be at risk of legal or disciplinary action where their online conduct is unprofessional or inappropriate.
Laura McClintock, RCVS Advisory Solicitor said: "Whilst social media is likely to form part of everyday life for veterinary professionals, who are just as free as anyone else to take advantage of the personal and professional benefits that it can offer, its use is not without risk, so vets and vet nurses should be mindful of the consequences that can arise from its misuse."
The new guidance explains that vets and vet nurses are expected to behave professionally online, whether publishing material as themselves or anonymously. The College highlights the fact that demonstrably inappropriate behaviour on social media may place registration at risk, as the professional standards expected online are no different to those in the 'real world'.
Laura added: "Understanding and applying our new guidance should help vets and nurses to meet their professional responsibilities and reduce the risks of receiving complaints from clients or others, as well as potential civil actions for defamation."
The new guidance can be found on the RCVS website at: www.rcvs.org.uk/socialmedia
Ed's comment: The new guidance seems like common sense to me. A couple of things stand out as useful reminders, though. The first is to anonymise details of the cases you discuss on vetsurgeon.org, or get your clients' prior permission to discuss their animal in a professional forum. The other is the fact that being disparaging about a colleague online is as much of a breach of the Code of Professional Conduct as if you do it offline. So don't!
There are 10 candidates standing this year and vets can vote for up to three of them until 5pm on Friday 21st April 2023:
The biographies and statements for each candidate are available at www.rcvs.org.uk/vetvote23 where each candidate has also answered two questions of their choice submitted by members of the profession.
The three candidates who receive the most votes will take up their four-year terms on RCVS Council at the RCVS Annual General Meeting on Friday 7th July 2023.
Any veterinary surgeons who have not received their voting email should contact CES directly on support@cesvotes.com stating which election they intend to vote in.
The course, which is led by Mental Health First Aid England, comprises of two day-long sessions, the first of which will take place on Tuesday 9th January 2024 from 9am – 5pm and the second on Thursday 11th January.
The course costs £40 per person, and is open to all those working in the veterinary professions.
Advancement of the Professions and Mind Matters Director, Angharad Belcher, said: “This day long training session will help people to gain an understanding of what mental health is and how to challenge stigma, to gain the knowledge and confidence to advocate or mental health awareness, provide them with the ability to spot the signs of mental ill health and the skills to support positive wellbeing, as well as give people the confidence to support someone who is in distress or may be experiencing a mental health issue.
“While these sessions are open to all working in the veterinary professions, we are particularly encouraging vets working in rural areas or in ambulatory work to get involved.
"All veterinary work has its challenges, but we know from MMI funded research conducted by Scotland’s Rural College that rural and ambulatory veterinary work comes with its own set of challenges which is often compounded by working alone or having relatively limited contact with colleagues.
"Those working in rural areas often play integral roles within their local communities and it is therefore important to provide people with the skills to not only look after their own mental health, but with the opportunities to learn how to best support their friends and colleagues too.”
https://vetmindmatters.org/training
The RCVS is to embark on a communications campaign over the next few months to raise awareness amongst the general public of the difficulties that vets face in providing out-of-hours emergency cover, and the responsibilities incumbent on animal owners to know what to do in a veterinary emergency.
Emergency cover has been high on the College's agenda for some time.
Over the last 18 months, the RCVS 24/7 Working Party has considered the ongoing desire of vets to continue to offer emergency care 24 hours a day, and the feasibility of delivering this, against a backdrop of the Working Time Regulations, geographical variations in animal and vet density, and increasing practice diversity.
Working Party meetings have been supported by a survey of how vets are currently meeting their 24/7 requirements, a seminar of stakeholders and regular informal polls at RCVS Question Time meetings.
It was agreed at the September 2009 meeting of Advisory Committee, to which the Working Party reports, that the majority of vets remain willing to deliver emergency cover 24/7. Advisory Committee recommended that a communications project be undertaken to help raise awareness amongst the general public and animal owners that although the veterinary profession continues to make this voluntary commitment, EU rules, geography and financial constraints impose some limitations.
This campaign will kick off soon and focus on spreading messages via animal-owner publications and websites. The responsibility of pet owners to know how they can access emergency care for their animal in advance of need will be stressed, as will the fact that in the absence of an NHS for pets, emergency care is a service for which practices must charge a realistic fee (which is likely to be higher than for day-time work).
The campaign will also outline vets' responsibilities as part of the Guide, so the public knows what it can reasonably expect. It would be helpful if practices could ensure they have clear information available on their 24/7 arrangements - as outlined in the Guide - should this campaign stimulate requests from clients.
Jerry Davies, who chaired the Working Party, said: "There is overwhelming opinion within the profession that we must continue to provide round-the-clock veterinary care. The main tenet of the Working Time Regulations is that workers should not have their health or, importantly, skills compromised by unreasonable working patterns. Vets, VNs and the animals they care for deserve the same level of protection.
"However, this legislation has made continuing to provide such care at a reasonable cost to the animal owner a significant challenge. Meeting this challenge will require the understanding and cooperation of the animal owning public.
"If clients can be flexible and accept slightly longer response times, an effective service can still be sustained. The key is for all animal owners to establish, in advance, exactly what will be involved should they need to access veterinary care in an emergency. This simple step will help optimise response times and eliminate the frustration, confusion and inevitable dissatisfaction that may arise if ill-prepared."
The committee heard five charges against Dr Davies at a resumed hearing of an inquiry which was originally adjourned in January and then July 2018. The decision was made, at both the 2018 hearings, to postpone the final decision on the sanction.
The first two charges against Dr Davies related to convictions for drink driving in March 2014 and October 2015 for which she received driving bans of 17 and 45 months.
The third charge related to her breaching a number of undertakings she had entered into as part of the College’s Health Protocol, including her consuming alcohol on four occasions between May 2015 and January 2016 and missing a pre-arranged appointment with a consultant psychiatrist appointed.
The fourth and fifth charges related to being under the influence of alcohol on three occasions while she was on duty as a veterinary surgeon in December 2016 which was also in breach of her undertakings under the Health Protocol.
At Dr Davies' first Disciplinary Committee hearing in January 2018, she admitted all five charges against her and also accepted that her conduct was 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 the conclusion of its hearing on 23 January 2018 the Committee decided to postpone its decision regarding sanction for six months on the basis of Dr Davies’ entering into undertakings, including not to practise veterinary surgery and to remain abstinent from alcohol during the period of postponement and to undergo blood and hair tests for alcohol consumption every two months.
At the resumed hearing on 30 July 2018, Dr Davies’ Counsel submitted on her behalf that she wished to return to practise and the Committee reviewed evidence that she provided to demonstrate she had complied with her undertakings.
However, the Committee retained concerns about Dr Davies' return to practise and therefore required her to identify a veterinary surgeon who would agree to act as her mentor, noting that the mentor would have to be acceptable to the College as someone suitable to act in that capacity.
The Committee also required the continuation of the requirements for abstinence from alcohol and the programme of blood and hair testing.
A further requirement of the Committee was that Dr Davies should make a disclosure to any new employer of her appearances before the Committee in January 2018 and in July 2018 and of the decisions it made.
The final requirement of the Committee was 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 then directed that the hearing be postponed for a further 12 months.
The Disciplinary Committee resumed its inquiry on 7th August 2019, when Dr Davies submitted documentary proof and medical records to demonstrate she had complied with all her undertakings given at the last hearing. The Committee also heard from Dr Davies’ appointed veterinary mentor who provided a statement that concluded that she no longer needed monitoring or supervision.
The Committee then considered what sanction to impose on Dr Davies.
Ian Green, chairing the Committee and speaking on its behalf, said: "The view of the Committee is that the respondent has to date overcome her addiction to alcohol and, given that her competence as a practising veterinary surgeon is not disputed, that she should therefore be permitted to return to her chosen profession. However, in the judgment of this Committee the seriousness of the offences to which the Respondent has pleaded guilty means that a sanction of “No Further Action” cannot be justified."
The Committee therefore decided that the most proportionate sanction was for Dr Davies to be reprimanded as to the conduct she admitted at previous hearings and that she be warned as to her future conduct.
Ian added: "The respondent must understand that she has been given an opportunity to prove that, for the remainder of her time in practice, she can meet the high standards expected of all registered veterinary surgeons from both other practitioners and from members of the public who entrust the care and treatment of their animals to members of this profession."
The RCVS Veterinary Nurses Council has celebrated the 50th anniversary of veterinary nursing at the House of Commons with a call for statutory regulation for the profession.
At a Golden Jubilee event hosted by Mr Roger Gale MP, Veterinary Nurses Council Chairman Liz Branscombe drew attention to the fact that there is no legal protection for the title 'veterinary nurse', despite qualified nurses playing "a unique role in the practice team".
This effectively means that anyone could work in a veterinary practice as a nurse, without taking the three- or four-year training required for Listed or Registered Veterinary Nurses.
Liz said: "We believe that the nation's animals and their owners deserve better than this. And it's not just a question of animal welfare: public health is at risk from the incorrect use of medicines - for example, the well documented development of antimicrobial resistance."
The Veterinary Surgeons Act 1966 was put in place only five years after the introduction of veterinary nurse training and too soon to fully recognise the potential of veterinary nursing as a profession in its own right.
As an interim measure, the RCVS has put in place a non-statutory Register for Veterinary Nurses, to which 86% of eligible nurses have signed up. Registered Veterinary Nurses agree to follow a code of conduct, keep their skills and knowledge up to date and abide by a disciplinary system. However, it is not possible for the College to bar those removed from the Register for serious professional misconduct from working as a veterinary nurse.
The Register also does not address the misuse of the title 'veterinary nurse' by unqualified people.
Liz asked MPs present at the House of Commons reception to sign up to an Early Day Motion tabled by Andrew Rosindell MP, which calls for statutory regulation for the veterinary nursing profession.
Others are urged to sign a petition on the Government's website which has been mounted by the British Veterinary Nursing Association and is supported by the College and the British Veterinary Association: http://epetitions.direct.gov.uk/petitions/18700.
The issues are being considered by the RCVS Veterinary Nurses Legislation Working Party and the group's recommendations will feed into the wider work of the RCVS Legislation Working Party, which will be reporting to the Defra Minister of State in the summer of 2012 with proposals as to how statutory regulation could be provided for a range of veterinary services, including veterinary nursing.
For the study, the RVC interviewed 13 small animal general practitioners, exploring their experience of providing pre-purchase consultations for brachycephalic dogs.
The study revealed a number of barriers to delivering effective pre-purchase consultations and advice about these breeds.
They included limited time and resources, competition for appointment availability, a perception that vets are only there to fix things, public distrust of veterinary surgeons (often over money), fear of damaging vet-client relationships, and the conflicting influence of breeders and the Kennel Club on clients.
Many veterinary surgeons that took part in the research felt that they had little or no power to overcome these barriers which are highly intractable at an individual veterinarian level.
A resulting moral conflict in veterinary surgeons between their perceived ethical and moral responsibilities to animal welfare versus the needs and wants of their clients and businesses was expressed by many vets in the study, and was felt to compromise their professional integrity and autonomy.
The study set out a series of recommendations:
Dr Rowena Packer, Lecturer in Companion Animal Behaviour and Welfare Science at the RVC and lead author of the study, said: “This is the first time that the impact of brachycephaly on the practising veterinary surgeon has been explored.
"Our concerning results highlight the importance of recognising that the brachycephalic crisis is not only negatively impacting animals, but it is affecting human wellbeing too.
“Our study highlights the conflict that vets are experiencing - bound both by their duty of care to their brachycephalic patients, but also to animal welfare at a population level.
"Trying to balance both of these responsibilities in the current working environment is proving very challenging for some, leading to moral distress.
"It is, therefore, essential that we protect the mental wellbeing of vets on this issue as well as from an animal welfare perspective.
“As the brachycephalic crisis continues to prevail, the support of leading veterinary organisations is vital in providing a united voice regarding the known harms of brachycephaly and support in facilitating PPCs to ensure vets are protected, and potential owners are fully informed when it comes to acquiring decisions.”
Dr Dan O’Neill, Assoc Prof of Companion Animal Epidemiology at the RVC and co-author of the study, said:
“Over the past decade, the RVC has generated a vast evidence base revealing the true extent of the serious health issues of dogs with brachycephaly.
"This new study now focuses RVC research towards protecting the wellbeing of practising veterinary surgeons who are also shown as victims of the brachycephalic crisis.
"The clear message here is that we all need to ‘stop and think before buying a flat-faced dog’.”
The Disciplinary Committee took the unusual step of granting an application by the respondent for anonymity, after seeing evidence of a real and immediate threat to the individual’s security if their details were made public.
For the purposes of the hearing, the respondent was therefore referred to as 'X'.
The Committee heard that the individual pleaded guilty in court in 2020 to intentionally and knowingly attempting to communicate with a person under 16 years for the purposes of sexual gratification.
Following this they were sentenced to a two-year probation order, were ordered to register on the Sexual Offences Register for five years; and were made subject to a Sexual Offences Prevention Order for five years.
At the outset of the hearing the individual admitted to all the charges against them and the Committee also noted that there was a certified copy of the conviction available.
The Committee then considered whether the conviction amounted to serious professional misconduct. In considering this, it set out the aggravating factors surrounding the case, these being that there was the risk of actual harm to a minor, that the misconduct was premeditated as the respondent had sent a number of messages via a number of online platforms over several days, that the individual displayed predatory behaviour including sending pictures and making comments of a sexual nature, and that it involved what the respondent believed to be a vulnerable individual, namely a 15-year-old child.
In mitigation, the Committee considered that there had been no actual harm caused to a human or animal in light of the fact that the 15-year-old child, who the respondent believed they were communicating with, was not real. It also took into account that the conduct related to a single isolated incident and that the individual had made open and frank admissions at an early stage.
Cerys Jones, chairing the Committee and speaking on its behalf, said: “The Committee was satisfied that the sentence imposed on X, which included X being subject to a Sexual Harm Prevention Order until 2025, resulted in the profession of veterinary nurses being brought into disrepute and, in the Committee’s judgement, public confidence in the profession would be undermined if the Committee did not find that the conviction rendered X unfit to practise as a veterinary nurse.”
In considering the individual’s sanction, the Committee heard from a character witness who said that the respondent’s actions were out of character, that they had a previously long and unblemished career, that they had made full admissions and demonstrated insight, and that they had a low risk of reoffending in the future.
Cerys said: “The Committee accepted that X had been an excellent veterinary nurse and that X’s criminal conduct did not relate to X’s practice as a veterinary nurse. However, in the Committee’s judgement, the aggravating factors outweighed the considerable mitigating factors in this case.”
She added: “The Committee decided that a suspension order was not the appropriate sanction for such a serious offence because it did not reflect the gravity of X’s conduct. In the Committee’s judgement, the wider public interest, that is the maintenance of the reputation of the profession and the College as a regulator, required a sanction of removal from the Register. The Committee considered that X had much mitigation and was clearly a dedicated veterinary nurse but the reputation of the profession was more important than the interests of X.
“Further, the Committee noted that in circumstances where X’s probation order expired in 2022, and where the ancillary orders, a Sexual Harm Prevention Order and a requirement to register on the Sexual Offences Register did not expire until 2025; the only proportionate sanction was to direct the Registrar to remove X’s name from the Register of Veterinary Nurses.”
The full findings for the case can be found at: www.rcvs.org.uk/disciplinary
Five graduates from St George's University School of Veterinary Medicine (SGUSVM), in the Caribbean island of Grenada, have passed the Statutory Membership Examination of the UK's Royal College of Veterinary Surgeons.
According to the University, SGUSVM graduates have traditionally demonstrated impressive pass rates on this rigorous exam, but this year's 100% pass rate by SGU students - compared with an overall 44% pass rate for candidates overall - is an exceptional result for SGU students, and only the second time it has been achieved in the school's history.
In order to practice veterinary surgery in the UK, all graduates with foreign or Commonwealth qualifications must pass the RCVS examination. The exam consists of two days of written papers, followed by clinical, oral and practical exams at a UK veterinary medical school. Thirty-five St George's graduates have passed into the RCVS since the School's inception in 1999.
The RCVS sets no quota for this Statutory Membership Examination, meaning those who meet the standards will pass, regardless of the number of candidates sitting the exam.
Austin Kirwan, St George's Associate Dean of UK and Ireland Clinical Affairs stated: "St George's School of Veterinary Medicine once again produces an excellent set of results with a 100 percent pass rate for the Royal College of Veterinary Surgeons Statutory Membership Examination for those SGU students who sat the examination. This is a credit to the school in the quality of education it provides, but also an indication of the calibre of person SGU attracts in its student cohort - outstanding success abounds by thinking beyond."
Presenting the graduates with a membership certificate at the Ceremony of Admissions at Belgravia House in London, RCVS President Dr Jerry Davies said: "I was delighted to welcome so many of this year's successful candidates to the College. Whether newly graduated or long qualified elsewhere, all of those registering today have succeeded in meeting the educational and professional requirements that enable them to call themselves veterinary surgeons and to practise in the UK."
Veterinary surgeons and veterinary nurses will be able to try their hands at the Royal College of Veterinary Surgeons code-cracking competition at the London Vet Show at Olympia on 24-25 November.
At the RCVS breakfast session on the Friday morning (8.30, part of the Business Stream), President Dr Jerry Davies will unlock the secrets of the proposed new Codes of Professional Conduct for vets and VNs.
To promote this breakfast session, the RCVS is inviting visitors to come to its stand (J90) to solve photo enigmas, using clues provided to decipher a series of words that appear in the proposed new Codes. The winner will be in line to receive a pair of super sleuthing video glasses.
VNs who missed BVNA Congress can also get their hands on a 50th anniversary commemorative chocolate medallion by visiting the RCVS stand.
Coffee and pastries will be served at the morning session on Friday - there's no need to book, just turn up.
The online book invites veterinary surgeons to leave written messages of condolence, and pictures.
The book will be available until Monday 3rd October.
Dr Melissa Donald MRCVS, President of the RCVS who will be attending the Queen’s state funeral on behalf of the College, said: “I, along with my colleagues in the Officer Team and on RCVS and VN Councils, were greatly saddened to learn of the death of Her Majesty the Queen last week.
“As our Patron and benefactor since her accession to the throne 70 years ago, as a keen supporter of the veterinary professions who had many interactions with its members, and as an animal-lover, we were keen to give veterinary surgeons and veterinary nurses the opportunity to leave messages of condolence, anecdotes about meeting Her Majesty, and tributes for her many years of duty and service to this country.
“After it closes, we plan to save a digital copy of the online book in the RCVS historical archives for posterity.”
Any nurses who have not received the original email should contact communications@rcvs.org.uk.
The review, announced earlier this year, was recommended to RCVS Council by its Standards Committee following its exploration of the implications of new technologies for both animal health and welfare and veterinary regulation.
The main areas under consideration include the provision of 24-hour emergency cover and the interpretation and application of an animal being under the care of a veterinary surgeon.
The initial stages of this review had been drafted for Standards Committee to consider at its meeting on 9 September, where the outline timetable was also discussed.
Standards Committee Chair Melissa Donald, said: "This is set to become one of our most fundamental reviews of RCVS guidance in recent years.
"Considering the complexity of the issues in question, and their importance to animal owners and the professions alike, it is vital that we allow ourselves enough time to ensure this review is as thorough and comprehensive as possible.
"We have a clear responsibility to seek, understand and, where we can, accommodate the opinions and experiences of as many different people from within and around the professions and the public as possible. I would urge my fellow vets and vet nurses to please find some time to consider these issues very carefully over the coming weeks and months, and to send us their views."
The review will comprise several stages and is expected to take around 12 months to complete. The outline timetable, which may be subject to change, is as follows:
October 2019 – January 2020: six-week Call for Evidence, followed by independent qualitative analysis of all evidence received
February – March: Select Committee-style meetings and independent qualitative analysis of additional evidence gathered [NB this stage is subject to Standards Committee requirements, depending on the evidence gathered.]
April – June: Consider all evidence and draft any new policy
July – August: six-week public consultation on draft policy
September – October: independent review of consultation responses, and production of any proposals for change
November 2020: Finalise any proposals for change and publish any new guidance
To support and promote the various stages of the review the College is also planning a programme of stakeholder engagement, and will also provide regular updates on progress to both Council and the wider profession.
Members of the professions and the public will be able to follow the progress of the review via the RCVS website at: www.rcvs.org.uk/undercare
The dispensation was brought in during the spring 2020 lockdown to safeguard animal health and welfare, the health & safety of the veterinary team, and public health, by allowing prescriptions to be made by veterinary surgeons without having first physically examined the animal.
Since it was brought in, the temporary dispensation has been under constant review and, in September, was extended to midnight on Sunday 31st October 2021.
Last week, the Standards Committee met and decided to end the dispensation, although it has put back the end date for the guidance to midnight on Sunday 21 November to allow sufficient time for veterinary practices to change their protocols and policies accordingly.
Melissa Donald, RCVS Junior Vice-President and Chair of the Standards Committee, said: “Due to a number of factors, including evidence that there has been a decline in the amount of remote prescriptions taking place, the Committee took the decision to end the dispensation, albeit with a three-week extension period to allow those practices that are still prescribing remotely to change their policies, inform their clients and so on.
“While the dispensation is ending, it is worth noting that it will still be kept under review in light of any changes in the circumstances around the pandemic, including government advice and regulations.”
The full details about the temporary dispensation can be found at: www.rcvs.org.uk/coronavirus.
Those with any questions about the guidance should contact the RCVS Standards & Advice Team on advice@rcvs.org.uk or 020 7202 0789.
The Royal College of Veterinary Surgeons Charitable Trust is offering a bursary for one delegate to attend the Veterinary Biomedical and Pharma Sciences (VBMPS) Congress on 15 and 16 October 2012 at the ICC in Birmingham.
Members of the RCVS with an interest in 'one health' are eligible to apply. Entrants are asked to explain, in no more than 400 words, their interest in the concept of one health and why they should be granted a bursary.
Entrants should also demonstrate how they would disseminate their learning from the event to the wider veterinary community.
Entries should be sent to grants@rcvstrust.org.uk by Monday 3 September 2012, and the winner will be notified within two weeks.
The bursary winner will be given a delegate pass worth £175 for entry to the conference and admission to all scientific sessions. Reasonable transport costs and accommodation will be reimbursed.
Further details are available at http://trust.rcvs.org.uk/grants-and-collaborations