Freda Andrews, the Director of Education at the RCVS, has announced her retirement from the position on 2nd April after nearly 16 years at the College.
Freda joined the RCVS as Head of Education in September 1999 and became Director of Education in 2013, with strategic responsibility for both veterinary and veterinary nursing education.
Nick Stace, RCVS Chief Executive Officer, said: "We will miss Freda for her professionalism, her encyclopaedic knowledge of all things related to veterinary education and her attention to detail, but she leaves behind a team that is stronger-than-ever and a considerable legacy for the profession as a whole.
"Under her watch the Education Department has seen a significant number of achievements. This includes the introduction of the Professional Development Phase which has helped veterinary graduates develop their confidence and competence during the first few years of practice and the accreditation of the University of Nottingham's School of Veterinary Medicine and Science - the first new UK vet school in 50 years."
Freda's responsibilities as Director of Education will now be split between Christine Warman, Head of Education, and Julie Dugmore, Head of Veterinary Nursing.
Freda said: "I have really enjoyed working with such a fascinating profession and I think that through working very closely with our colleagues in the vet schools, as well as with practising vets, veterinary education has made some significant advances. For example, there is more focus now on communication and professional skills and greater alignment of accreditation standards internationally, to name but two things.
"I am sad to leave but I know that the future of veterinary and veterinary nursing education has been left in the very safe hands of Christine and Julie and their respective teams."
Dr Corsi consulted with Kika's owners about the management of her pregnancy at the end of November 2017, finding at least 4 puppies on an x-ray taken at the time.
The first of five charges against Dr Corsi was that on the 14th December, after being advised by Kika's owners that the dog had produced two live puppies and one dead puppy the previous night, she failed to advise them that Kika needed an immediate veterinary examination.
The second charge was that, having been telephoned for a second time by the owner, she still failed to advise the owners that Kika required an immediate veterinary examination.
The third charge was that, following an examination of Kika that afternoon, and having ascertained that Kika required a caesarean section to remove one undelivered puppy, Dr Corsi failed to perform the caesarean section that day and advised the owner that Kika could undergo the caesarean section (at the practice, performed by her) the next day (or words to the effect).
The charge also stated that she failed to advise the owner that Kika’s health and welfare required the caesarean section to be performed that day; and that she failed to advise them that, if she or another veterinary surgeon at the practice could not perform the surgery that day, Kika needed to be referred to the out-of-hours clinic so that the caesarean section could take place on the 14th December.
The fourth charge was that Dr Corsi failed to recognise that Kika’s health and welfare required a caesarean section to be performed on 14th December.
The fifth charge was that, on 16th December 2017, having been telephoned by the owner at about 5pm and having been informed that Kika was weak and had not been eating post-operatively, Dr Corsi failed to advise the owner that Kika should be presented urgently for a veterinary examination.
The Disciplinary Committee considered the facts of the case and heard evidence from a number of witnesses including the owners of Kika and Dr Corsi, and from Mr Maltman MRCVS who was called as an expert witness on behalf of the College and Mr Chitty, who was called as an expert witness on behalf of Dr Corsi.
Having considered all of the evidence, the Committee found all aspects of the first and second charges proven in their entirety.
The Committee found the majority of the third charge not proved, with the exception of the fact that it found that Dr Corsi did advise the owner that she could undertake the Caesarean section on 15 December 2017.
In light of the Committee’s findings in respect of the aspects of charge three that were not proved, charge four was also found not proved.
Finally, the Committee considered that charge five was found not proved.
The Committee then went on to consider whether the charges that were found proven amounted to serious professional misconduct either individually and/or cumulatively.
Committee Chair Cerys Jones said: "In light of the evidence of both parties’ experts, the Committee was of the view that there was a risk of harm or injury resulting from Dr Corsi’s failure - the Committee decided that this was an aggravating factor.
"However, the Committee took into account that, at the time of both calls, Dr Corsi had a rationale for her decision, that she asked appropriate questions and received answers which led her to make what she considered to be a reasoned assessment.
"She had also made arrangements in both calls to be kept updated either at a pre-arranged time or sooner if Kika’s condition changed. On this basis, the Committee was satisfied that, while this was an error of judgement, it did not fall so far short of what was expected as to amount to disgraceful conduct."
Therefore, the Committee decided that while Dr Corsi’s conduct in Charges 1 and 2 demonstrated a departure from professional standards, the falling short was not so grave as to amount to disgraceful conduct in a professional respect.
The full decision can be read here: https://www.rcvs.org.uk/concerns/disciplinary-hearings/
Recent changes in the way veterinary schools teach clinical and practical skills, coupled with increasing financial pressure on students and new graduates, have triggered the Royal College of Veterinary Surgeons to review its guidelines for Extra-Mural Studies (EMS) and clinical education.
A requirement has been in place for the last 75 years that veterinary students ‘see practice' for at least 26 weeks in their clinical years.
The purpose of EMS has always been to ensure that veterinary students have the right mix of practical and theoretical teaching and understand the realities of commercial clinical practice before they graduate. This objective does not change, but the College's Education Policy and Specialisation Committee believes it is now time to look again at what is covered in the clinical curriculum of the undergraduate degree to ensure that guidelines are kept up to date.
EMS was last reviewed in 1996, but in the interim veterinary schools have introduced new ways of teaching practical and clinical aspects of the curriculum. There has also been an increase in the role played by the veterinary schools' own first opinion practices.
In addition, having to carry out EMS not only restricts students' capacity to work during the holidays, but often incurs substantial travel and accommodation expenses. With students facing increasing amounts of debt, the financial impact of EMS needs to be reviewed.
The review group, which will be chaired by RCVS Council Member and practitioner Dr Barry Johnson, will gather evidence from a broad range of stakeholders. It aims to make a report to Council by the end of 2009.
The RCVS has published a new video which explains the Professional Development Phase (PDP) and highlights the support it provides for new veterinary graduates as they develop their Year One Competences.
In the video, Victoria Henry MRCVS - who works at Mandeville Veterinary Hospital in Northolt - speaks about how the PDP has helped her move from being a newly-qualified graduate to becoming a confident practitioner. She said: “It’s a massive transition coming out of vet school and going into practice – you suddenly have all the responsibility and it’s all on you. The PDP gives you goalposts to work towards and flags up the areas you don’t have much practice in; it helps you to reflect on what you’ve been doing and assess yourself.”
Jeremy Stewart, the Head Veterinary Surgeon at Mandeville Veterinary Hospital, talks about how the PDP helps employers to support and develop graduates like Victoria by building their confidence and helping them gain the experience they need for practice life.
The video also highlights the support available for graduates undertaking the PDP and features Julian Wells, one of the five Postgraduate Deans who help graduates undertaking the PDP by providing advice on any issues they may encounter, checking their progress and confirming when they have completed it. He also describes how the PDP helps graduates to understand the mentoring role in practice, which they can then provide to new graduates as they progress through their own careers.
Christine Warman, Head of Education at the RCVS, said: “With 859 new UK graduates having just joined the Register, we thought this video would be helpful in setting out why the PDP can be so crucial in helping to build the confidence and experience of new graduates, as well as the fact that it can easily be incorporated into day-to-day work.”
More information about the PDP is available by visiting www.rcvs.org.uk/pdp or by emailing pdp@rcvs.org.uk.
Veterinary surgeons who wish to sign up to the Professional Development Record can do so by visiting www.rcvs-pdr.org.uk
Tramadol has become a controlled drug and has been added to Schedule 3 of the Misuse of Drugs Regulations 2001
The change to the regulations, which was made by the Home Office means that the drug is now subject to special requirements when writing prescriptions.
The RCVS says practitioners should also note that:
Although tramadol is exempt from Safe Custody Regulations, the RCVS advises that all Schedule 3 controlled drugs are locked away.
The Home Office has also reclassified ketamine as a Class B controlled drug. However, it remains under Schedule 4 (Part 1) of the 2001 Regulations meaning that the legal requirements for supply, storage and record keeping remain the same.
The RCVS therefore continues to advise that practice premises should:
Further details about the specific requirements for controlled drugs can be found in the Veterinary Medicines Directorate’s Guidance Note No 20 – Controlled Drugs.
Practice premises can also contact the RCVS Professional Conduct Department for further guidance on 020 7202 0789 or profcon@rcvs.org.uk.
The RCVS Charitable Trust, has announced a complete rebranding that includes a change of name - RCVS Knowledge - and the refocus of its mission on supporting the flourishing evidence based veterinary medicine (EBVM) movement across the globe.
For the past 50 years, the charity has been known as a small funder of veterinary research and the home of the only freely-accessible library for the practising veterinary community in the UK.
Nick Royle, Executive Director of RCVS Knowledge said: "RCVS Knowledge is a name that encompasses our three core offerings: historical knowledge represented by our valuable Historical Collection, present knowledge, represented by our library, and future knowledge, represented by the new evidence based veterinary medicine project, which is underpinned by our grants programme."
The RCVS Knowledge re-launch goes further than a mere name change, and comes as the charity refocuses its efforts to become a global intermediary for EBVM, a direction reached following a period of consultation, and on the back of a successful symposium on the subject held at the end of 2012.
Nick, a former CEO of the human evidence based medicine resource, The Cochrane Collaboration, said: "Today, veterinary surgeons and nurses are required to take account of an ever-increasing pool of scientific data, the owners' values and preferences, and their own clinical expertise when making clinical decisions. RCVS Knowledge is ideally placed to generate, collate and distribute this information to support evidence based practices. We aim to develop tools to assist practitioners to quickly make well-informed treatment decisions."
As part of the new direction, the Historical Collection will be made accessible and available online, following a start-up grant from the Wellcome Trust. Clare Boulton, Head of Library and Information Services, said: "The Collection contains priceless and fascinating material, covering topics such as early horse-care and management, veterinary expeditions of discovery through Africa, and research that made the British Cavalry horses of 1914 the finest in the world. But this is just the beginning. If you have relevant experience or some funds that could help us, please get in touch."
Meanwhile, RCVS Knowledge's Library and Information Service will be re-designed to make it much more than shelves of journals, but rather a resource with the capacity to steer first-rate care and innovation, and an information engine capable of driving evidence based veterinary medicine at a global level.
The Grants and Awards program, for which the former RCVS Charitable Trust has been known, will be redesigned to celebrate professional excellence, and to address gaps in veterinary knowledge. Nick said: "We are aware of the responsibilities that veterinary surgeons and nurses face every day and feel we are in a position to support their decision making. We would like to urge every veterinary professional with an interest in EBVM, a curiosity about the history of their profession or a need to access up-to-date research to get in touch, so that we can keep you up to date with developments."
The new RCVS brand has been highly commended in the 'Brand Development' Category of the Membership Communication (MemCom) Awards.
The new look, which was launched last year, aimed to clarify the role and function of the College, with the strapline 'Setting veterinary standards' and a professional new livery of blue and gold.
The award was made at a presentation at the Institute of Directors on 17 May, and the judges' citation said: "[The rebrand] sought to overcome a remote and stuffy image whilst at the same time seeking to underline that it is the only Royal College that is primarily a regulatory body acting in the public interest," adding that "to put this into second place took a remarkable entry".
The top award in the category was taken by the Wildfowl and Wetland Trust, with its book 'Watching Waterbirds', endorsed by the TV celebrity Kate Humble.
Lizzie Lockett, RCVS Head of Communications said: "Design can be subjective but the important thing is what it communicates. We are delighted to have received this commendation in recognition of the work we have done to ensure the role of the College is clearer for both the public and the profession."
The petition follows the news that IVC is to launch its own telemedicine service, joining three others already in the game, at least one of which is pushing for a relaxation of the rules surrounding the prescription of POM-V medicines.
For clarity, veterinary surgeons are currently allowed to remote prescribe medicines for animals that meet the definition of 'under his care' (i.e. seen immediately before, or "recently enough or often enough for the veterinary surgeon to have personal knowledge of the condition of the animal or current health status of the herd or flock to make a diagnosis and prescribe").
In other words, there is nothing to stop bricks and mortar practices offering video consultations and prescribing medicines to those of their existing clients that they have seen recently enough.
What Shams and the BVU are petitioning against is the idea of allowing companies staffed by veterinary surgeons to prescribe veterinary medicines for animals that they have never seen in the flesh.
They argue that remote prescribing will:
First and foremost risk animal patient welfare and herd health
Create a two-tier system of care within the profession
Break down the practice-based vet-client relationship
Disrupt veterinary services due to complications related to out-of-hours emergency cover, transfer of patient and patient histories etc. of remotely treated patients
Cause clients to face increased costs by paying for telemedicine consultations and then requiring examination and treatment in practice
Negatively impact the financial condition of veterinary practices and professionals.
These all seem very possible consequences of allowing remote prescribing, indeed some have already come to pass in the world of human medicine following the launch of Babylon.
The counter argument is that remote prescription will improve access to veterinary care as people don’t have to flog down to the practice for a flea treatment and the cost of a consultation is reduced. There is surely truth in that.
The other point that is fundamental to this debate is the type of drug being prescribed remotely. With so many small animal parasiticides having already gone OTC, is it really necessary to talk to a veterinary surgeon before buying a POM-V flea treatment? Perhaps not.
However, that doesn’t necessarily present a case for remote prescribing such drugs; if they don’t need veterinary input, then you could equally argue they just need reclassifying.
So, should you sign this petition? Well, I think so, yes. Remote prescribing will come. It’s inevitable. But given the risks, surely the pragmatic starting point is to trial remote prescribing amongst existing clients of bricks and mortar practices, and only if that is successful to broaden it to non-clients of bricks and mortar practices.
If both those proved successful, and with technology advancing in the background, it might then be sensible to look at whether non bricks and mortar practices could remote prescribe. But that’s quite a big ‘might’.
Meantime, you can sign the petition here: https://www.change.org/p/royal-college-of-veterinary-surgeons-stop-authorising-prescription-of-pom-v-without-physical-examination-of-the-patient
You can discuss the petition with Shams here: https://www.vetsurgeon.org/nonclinical/f/6/t/28273.aspx
The RCVS Day held last Friday saw the investiture of Professor Stuart Reid as the new President for 2014/15, the formal adoption of a new Royal Charter that recognises veterinary nurses, and a smorgasbord of awards.
Professor Reid, who graduated from the University of Glasgow in 1987, began by outlining three things he wants to pursue during his term in office:
Jacqui Molyneux then stood down as Vice-President, replaced by Dr. Bradley Viner, who in turn was replaced as Treasurer by Amanda Boag.
After approving of the minutes of last year's RCVS Day and the Annual Report and Statement of Accounts for 2013, members of the College were then asked to vote on a motion to adopt the new Royal Charter. The motion, which was proposed by Professor Reid and seconded by Robin Hargreaves, President of the BVA, was passed unanimously. The proposed new Charter was delivered to the Privy Council that afternoon. According to the College, approval should be given later this year or early next.
Introducing the new Charter, Professor Reid said it would better define the objects of the College, provide a clear framework for the existing functions of the RCVS and give Council the power to create new classes of associate.
However, the greatest impact of the new Charter will surely be felt by veterinary nurses, as it formally recognises them as professionals and associates of the College for the first time. Professor Reid said: "Words like 'historic' should be used sparingly, but on this occasion it is justified. We now have some 12,000 veterinary nurses on the books, nine-tenths of them being registered veterinary nurses. Yet the present Charter does not so much as mention their existence.
"The new Charter gives the RCVS a formal duty to keep the Register of Veterinary Nurses and makes the Veterinary Nurses Council responsible for setting standards for their training, education and conduct."
After adopting the Charter, David Bartram, Mandisa Greene and Susan Paterson were formally welcomed on to Council. Amber Richards was welcomed onto VN Council, which Neil Smith is also joining.
Outgoing President, Neil Smith, then conferred a range of awards including:
Nick Stace, Chief Executive Officer and Secretary of the RCVS, then gave an update on what the College had achieved in the last year. Among the achievements he noted was the introduction of a new system to reduce the time it takes to process complaints; the imminent launch of the new Advanced Practitioner status; and the development of a new Practice Standards Scheme, due to come into force next year.
He said: "In addition, we have listened and responded to fair criticism from the profession, including a very productive evidence-gathering session on 24/7 emergency care, which has resulted in important changes.
"I believe listening and responding is a sign of strength and confidence. We do not seek to be popular but to be sensible in how we regulate and respectful in how we carry out our Royal College duties."
He also outlined how he wanted the RCVS to be a "force for good" in the world by supporting the very best veterinary practitioners and ensuring that the public feels properly protected.
The RCVS has announced that it is carrying out an audit of continuing professional development (CPD) for vets in order to monitor compliance and gauge what type of activities they are engaging in.
Under the RCVS Code of Professional Conduct, introduced in 2012, veterinary surgeons are expected to undertake 105 hours of CPD over a rolling three-year period in order to demonstrate that they are maintaining and advancing their knowledge and skills.
Nearly 5,000 vets - made up of three cohorts - have been asked to share their CPD records. The first cohort comprises 4,425 UK-practising vets who registered before 1 April 2012 but who did not confirm their CPD compliance upon renewing their registration this year. The second cohort comprises a random sample of 400 vets who did confirm their compliance upon renewing their registration this year. The third cohort comprises 84 vets who graduated before 2012 but have not yet completed their post-graduation Professional Development Phase.
Christine Warman, RCVS Head of Education, said: "Since it is coming up to three years since we introduced the Code we thought that now is a good time to take stock of the proportion of veterinary surgeons that are fulfilling the requirement and how they are doing so.
"It is also a good time to remind members of the profession of the importance of CPD and that it is not just a tick-box exercise but vital for everyday practice. Engaging in CPD is a personal obligation for all veterinary surgeons and demonstrates to both the profession and public that they are continually advancing their capability and competence.
"This year we will be providing some guidance on what constitutes CPD and how to undertake it to those who are non-compliant. However, from 2015, we may also refer those who repeatedly fail to comply, or respond to requests to submit their records, to our Professional Conduct Department for further investigation."
Vets who have been selected to take part in the audit will have received letters in early November and will have until Monday 1 December to respond. They can do so by either allowing the RCVS to view their online Professional Development Record (PDR) profile or by submitting their paper CPD record by post or by sending the College a scanned copy by email.
For further advice and to submit a CPD record by email, contact cpd@rcvs.org.uk. Those who have not yet registered for the PDR can do so by visiting www.rcvs-pdr.org.uk
The RCVS has announced that it is to host an open day on Monday 15 December for those members of the veterinary and veterinary nursing professions who are interested in joining the College’s Preliminary Investigation Committee (PIC), Disciplinary Committee (DC) or Veterinary Nurse Preliminary Investigation Committee (VN PIC).
In January 2015 the College will be looking to recruit veterinary members for PIC and DC following a legislative reform order last year to reconstitute them separately from RCVS Council. This means that the committees must be made up of veterinary and lay members who are not on Council and members will be appointed on the advice of an independent selection committee.
The RCVS will be seeking to recruit four veterinary surgeons for DC as well as three veterinary surgeons for PIC. At the same time the College will be recruiting two registered veterinary nurses and a veterinary surgeon for VN PIC. Applications are particularly sought from practising or recently retired clinicians.
The Open Day (at Belgravia House from 9.30am to 4pm) will provide the opportunity for those who are interested in applying to hear from current members of each committee about what being a committee member is really like and the type of cases dealt with. Recruitment consultants will also be on hand to explain the hiring process and attendees will have the opportunity to put questions to Gordon Hockey, RCVS Registrar.
Those who are interested in attending the Open Day should contact Peris Dean, Executive Secretary, on p.dean@rcvs.org.uk or 020 7202 0761 to register an interest or request an agenda.
1CPD was launched in 2020 with the aim of providing an easy-to-use platform for veterinary surgeons to use to plan, record and reflect on their continuing professional development (CPD).
The workshops, which are taking place on Wednesday 9th December 2020, are designed to help those who are not yet familiar with the platform, or have some limited experience of it but would like some additional guidance.
The first workshop takes place at midday and is for those members of the profession who haven’t yet used the platform. The session will give an overview of how 1CPD works and the benefits of using it for planning, recording and reflecting on CPD. No prior knowledge is assumed, and complete beginners are especially welcome. There'll be an opportunity to ask questions.
The second workshop takes place at 7pm and is for those who have some experience of using 1CPD but may have further questions, for example, about how to use some of its features such as the planning module and how to best make use of the reflective notes and comments feature.
Both of the workshops will last for approximately an hour each.
Susan Paterson, Chair of the RCVS Education Committee, said: “We’ve seen fantastic take up of the 1CPD platform in less than a year – with around 65% of UK-practising veterinary surgeons and an amazing 80% of veterinary nurses using it to plan, record and reflect on their professional development. The feedback that we receive has been overwhelmingly positive, with the even the more technically-challenged amongst us finding 1CPD intuitive.
"Although the numbers are very encouraging, there is a cohort of people who have not yet actively engaged with the platform and maybe are unsure about using it or are put off by the thought of having to learn how to use a brand new online system. The aim of these workshops is to guide and reassure those who are hesitant that the 1CPD system is very simple and easy-to-use with lots of useful features. In the long run, it will save you a lot of time and effort when it comes to recording your CPD because it’s there on your phone or tablet, ready to update as-and-when you need to."
Richard Burley, Chief Technology Officer for the RCVS, added: “We are very glad that the 1CPD platform developed by our team here has been so well received. We are continuing to improve and update the platform based on user feedback to improve its design and usability and would welcome any further constructive comments that members of the professions have about it. We do hope you those who are both unfamiliar with the system, and those who have used it but need further advice, can join us for these sessions to find out both how to use 1CPD and how to get the best out of it.”
To sign up to one of the workshops, visit: www.rcvs.org.uk/news-and-views/events/1cpd-online-workshop.
For those who aren’t able to make it on the day, recorded versions of all of the workshops will be made available to watch again after the event.
To download 1CPD as an app for use on iOS (Apple) or Android devices, or to access the web version, visit: www.rcvs.org.uk/1CPD
The survey was held in mid-June and gathered 196 responses from UK practices. That compared with the 532 responses to the initial survey conducted early in April and 251 responses to the second survey conducted at the start of May.
One of the main findings was a marked increase in the number of practices running a near-normal caseload, from 3% in May to 32% in June. Practice turnover data similarly reflected a shift back towards normality, with 46% now reporting a reduction of less than 25%, compared with 19% last month.
Other findings included:
Lizzie Lockett, RCVS CEO, said: "This latest survey has demonstrated a continuation of the previous survey’s positive trends including an increase in practice turnover with more practices approaching a ‘near normal caseload’ and with a reduction in the number of practices impacted by staff self-isolating or with confirmed cases of Covid-19.
“In this survey we also asked about what difficulties practices may be experiencing with EMS placements for vet students and VN training placements as a result of Covid-19, and this will help us to understand how we can better support students and practices in these areas.
“We will continue to monitor the situation via these regular surveys, with the next one planned for later this summer. I would urge as many practices as possible to continue to complete them, so that we can build up a stronger evidence-base on how veterinary businesses have been affected and how they are recovering.
"This information is not only vital for our own policy decisions but also allows us to present a stronger case to the Government and other public bodies where we wish to influence the decisions they make that will impact the veterinary professions and businesses.”
The survey results can be read in full at www.rcvs.org.uk/coronavirus-resources.
Dr Westwood, who now lives in Australia, had been referred to the Committee in relation to a number of charges against him relating to the treatment of a cat at his former practice in Cardiff in October 2015.
He was not present at the inquiry and had requested that his solicitor, Tony Wilson, act on his behalf.
Mr Wilson made an application to the Committee that the hearing should be adjourned contingent on a form of undertakings being accepted. These undertakings were that Dr Westwood’s name be removed from the Register with immediate effect and that he never apply to be restored to the Register under any category.
The application was granted by the Committee, taking into account a number of factors. These included the fact that Dr Westwood has retired as a veterinary surgeon, that he has closed his practice and returned to his home in Australia with no intention of returning to the UK, and that animal welfare and the reputation of the profession have been protected as Dr Westwood will no longer be in practice.
The Committee noted that there were several precedents for concluding cases in such a manner, and that the application was not objected to by the complainant or opposed by the College.
Dr Westwood’s name was removed from the Register of Veterinary Surgeons with immediate effect as of Monday 14 August 2017.
The case studies were developed by the RCVS Standards Committee and use a variety of examples of where miscommunication between a client and the veterinary practice can lead to an inadequate level of consent being gained for procedures and treatment, including euthanasia.
Examples include damaged teeth being removed during a clean and polish dental procedure without the owner’s express permission and not giving the full range of options available in the case of a dog with an osteosarcoma.
The case studies follow the Standards Committee approving changes to chapter 11 (‘Communication and consent’) of the supporting guidance to the RCVS Code of Professional Conduct in January 2018 to give further advice on how to discuss informed consent with clients, who can be responsible for gaining consent for a procedure and additional guidance on consent forms.
Dr Kate Richards MRCVS, Chair of the RCVS Standards Committee, said: "We hope these case studies will prove useful to practitioners who are having to deal with the complexities around making sure that procedures are fully explained to ensure informed consent is gained.
"We understand the difficulties that are encountered and so these case studies, based on real-life scenarios, highlight where things may go wrong and how these incidents can be avoided by being thorough and ensuring that good communication is at the heart of all we do."
To view the case studies, visit www.rcvs.org.uk/informed-consent.
Chapter 11 of the RCVS supporting guidance on communication and consent is available to view at www.rcvs.org.uk/consent
Dr Botes faced a total of nine charges against him, relating to performing (or recommending) inappropriate total hip replacements on five dogs without adequate investigation and without getting informed consent from the owners.
One of the charges also related to a failure to keep adequate, clear and detailed clinical records in relation to the five dogs.
Dr Botes denied the first two charges which were later dismissed because the owner did not attend the hearing and counsels agreed that it would not be in the public interest to pursue them.
Dr Botes admitted the other seven charges and that they amounted to serious professional misconduct, and they were therefore found proven by the Committee.
In considering whether the charges amounted to serious professional misconduct, the Committee considered an expert report from Professor John Innes, RCVS Specialist in Small Animal Surgery (Orthopaedics) and Mr Midgley, RCVS Advanced Practitioner (Small Animal Orthopaedics).
Ian Arundale, Chair of the Committee, said: “In coming to its decisions, the Committee took into account Professor Innes’ opinions that it was not reasonable for Dr Botes to have carried out the THR without sufficient investigation into Kilo’s pain; that the THR undertaken in respect of Sora was not in the animal’s best interests; and that it was ‘entirely unnecessary’ to recommend the THR in respect of Penny.
"In addition, the Committee has found that both THRs performed in respect of Daisy were not in her best interests.
"Thus, in the Committee’s view, Dr Botes’ actions and omissions did not ensure the animals’ health and welfare.”
The Committee took into account that the THRs in question were a source of financial gain, that Dr Botes’ conduct was repeated over a considerable period of time and that he was in an increased position of trust and responsibility because of perceived expertise in small animal orthopaedics and its education.
However, the Committee took into account, as a mitigating factor, that Dr Botes has indicated some insight into some aspects of the charges in his written communications to the College, in his witness statement dated 29 December 2021, and in his admissions at the start of this inquiry.
The Committee then considered what would be an appropriate and proportionate sanction, hearing from several character witnesses including Dr Midgely, who was put forward as Dr Botes’ proposed supervisor if the committee agreed to a postponement with undertakings.
When making their decision, the Committee took into account the fact that Dr Botes had been suspended from the Register in 2008 for six months for serious professional misconduct over the care of a dog that had been involved in a road traffic accident.
The Committee considered a postponement of judgment with undertakings, which was submitted by Dr Botes’ counsel.
However, the Committee took the view that a postponement would not be appropriate because the failings were not in limited aspects of practice but were wide-ranging, covering the fundamental requirements of any veterinary surgeon.
In the Committee’s view, this would mean nothing less than direct supervision, where Dr Botes’ practice was directly monitored on a day-to-day basis would be sufficient to protect animals, clients, and to uphold the wider public interest.
It would be impracticable to formulate undertakings capable of effectively addressing these issues.
The Committee also noted that the disgraceful conduct was serious and there was a pattern of sustained and persistent misconduct.
The Committee therefore did not believe that no further action, a reprimand or a warning were appropriate or proportionate outcomes.
The Committee also considered whether suspension was appropriate but concluded that there was a real risk of repetition of the behaviours outlined in the charges, and so the Committee was unable to conclude that Dr Botes would be fit to return to practice after a period of suspension.
The Committee therefore decided to direct that Dr Botes should be removed from the Register indefinitely.
In coming to this decision, the Committee carefully applied the principle of proportionality and took into account the impact of such a sanction on Dr Botes both professionally and financially, and took into account his witness statement in this regard.
Ian Arundale added: “In light of the gravity of the conduct, and all of the factors taken into account, any lesser sanction would lack a deterrent effect and would undermine public confidence in the profession and the regulatory process.
"Removal was the only appropriate and proportionate sanction.”
Dr Botes has 28 days from being notified of his removal from the Register to lodge an appeal with the Privy Council.
The Committee’s full findings can be viewed at www.rcvs.org.uk/disciplinary
At the outset of the hearing, which was to consider evidence for a number of charges relating to the treatment of three colts at his former practice in 2015, Mr Denny made an application to the Committee that the hearing should be adjourned contingent on a form of undertakings being accepted. These undertakings were that his name be removed from the Register with immediate effect and that he never apply to be restored to the Register under any category.
The application was granted by the Committee, taking into account a number of factors. These include the fact that Mr Denny had now retired and closed his practice, his long and hitherto unblemished veterinary career and the fact that it would not be proportionate, or in the public interest, for there to be a lengthy hearing on the matter.
The Committee noted that there were several precedents for concluding cases in such a manner. The Committee also noted that the application was supported by both the College and the complainant.
Mr Denny was removed from the Register as of Monday 24 April 2017.
The RCVS and the Veterinary Medicines Directorate (VMD) will be holding a free Masterclass offering practical guidance on the requirements of the Veterinary Practice Premises Register, on Saturday 4 April, at BSAVA Congress.
If you are concerned about medicines inspections and would like further information about complying, this is your chance to find out what you need to do.
By 1 April, all practice premises from which medicines are supplied should be registered with the RCVS. All such premises are then subject to inspection - by either Practice Standards Scheme inspectors, if accredited under the Scheme, or VMD inspectors. Will you be ready if an inspector calls?
Suitable for veterinary surgeons, veterinary nurses and practice managers, the interactive session will be held from 10am - 12noon, with presentations from VMD and the Chief Inspector of the Practice Standards Scheme, followed by group discussion and plenty of time for questions and answers.
Attendance at the Masterclass, which will be held in Hall 6 of the ICC in Birmingham, is free to BSAVA passholders.
For your free ticket, contact Fiona Harcourt on 020 7202 0773, f.harcourt@rcvs.org.uk, or during Congress visit the RCVS Stand, number 918, opposite the catering stand in the Exhibition hall.
The Disciplinary Committee considered four charges against Dr Strokowska. The first was that, whilst registered in the 'Practising Outside the United Kingdom' category of the Register of Veterinary Surgeons maintained by the RCVS, she practised as a veterinary surgeon in the counties of Somerset, Shropshire, London, Lancashire and Norfolk between July 2016 and August 2017 when she was not registered as UK-practising. The charges were that her conduct in relation to this was dishonest and misleading to her employer and/or clients.
The second charge was that, between October 2016 and July 2017, Dr Strokowska made posts on social media which included photographs of and comments about animals being treated at the practices where she worked, without the consent of the owners or the practices.
The third charge was that, between January 2017 and March 2017, Dr Strokowska made posts on social media which included photographs, videos and comments about animals being treated at Goddards Veterinary Hospital in Wanstead, without the consent of the treating and/or operating veterinary surgeon.
The fourth charge was that, between July 2017 and September 2017, Dr Strokowska made representations to the practice principal of Barn Lodge, in Lancashire, and/or a student vet working at the practice that she had gained consent for photographs and social media posts when she had not, and that her conduct was dishonest and misleading.
At the outset of the hearing, the Dr Strokowska admitted to having practised as a veterinary surgeon in the UK when she was registered as practising outside the UK, but disputed that she had been dishonest or misleading with regards to this.
She also admitted to the entirety of the second charge and part of the third, but, under the latter charge, denied that she had, without consent, taken a video of an animal being operated on by a veterinary colleague.
Finally, she admitted to dishonest and misleading conduct with regard to part of the fourth charge, but denied that, in July 2017, she informed the practice principal that she had been told that she would be allowed to take photographs at Barn Lodge and post these on social media, when she had not been so told.
The Disciplinary Committee went on to consider the facts of the case for each of the charges that remained in issue.
Having considered all of the evidence, the Committee accepted that she did not have her registration status with the RCVS in her mind while she was working in the UK during the period in question. Accordingly, the Committee did not find her to have been dishonest.
With regards to the third charge the Committee considered the issue of whether the video in question had been posted "without the consent of the treating and/or operating veterinary surgeon". After examining the relevant evidence (which included the video in question) the Committee determined that the evidence did not support the facts charged and thus that charge three was not proved.
With regards to the fourth charge, Strokowska denied that her conduct in relation to informing the principal that she had been told that she would be allowed to take photographs and post these on social media was dishonest or misleading, on the basis that she believed she had permission to take and post photographs on social media. The Committee was not able to be sure as to how she sought this consent and the response provided and so the charge was found not proved.
The Committee then went on to consider whether the charges that were admitted amounted to serious professional misconduct.
The Committee found that it was the respondent’s responsibility to ensure that her registration status was appropriate at the time she was doing locum work in the UK. However she had provided her RCVS registration number to all the practises she had worked for and in the view of the committee there was no intention to deceive anyone. In the judgement of the Committee, her conduct was not sufficiently grave so as to constitute serious professional misconduct.
The Committee, in its judgement, concluded that her conduct in relation to the second charge did fall far short of the behaviour to be expected of a member of the veterinary profession, and amounted to serious professional misconduct.
The Committee considered that all members of the profession are obliged to ensure that they comply with the provisions of the Code of Professional Conduct, and the supporting guidance, in relation to the use of the internet and social media.
Unauthorised posting of photographs of animals being treated by a veterinary surgeon on social media may well cause distress to the owners, and damage to the reputation of the profession as a whole, and to the reputation of individual practices.
The aspect of the third charge admitted by the respondent involved posting a photograph with accompanying text of a dog without the consent of the treating and/or operating veterinary surgeon. The Committee considered that this was, indeed, a matter of professional discourtesy, but did not consider that it amounted to serious professional misconduct.
The respondent admitted the fourth charge and admitted that her conduct was dishonest and misleading. The Committee, in its judgement, considered that by choosing to lie in response to a genuine professional enquiry about her conduct, her behaviour fell far short of that to be expected from a member of the veterinary profession, and constituted serious professional misconduct.
The Committee next considered what, if any, sanction to impose.
In mitigation the Committee considered that the postings were an attempt to promote the health and welfare of animals; the lack of risk of harm or actual harm to an animal or human; no apparent financial gain from her actions; her youth and inexperience at the time of the misconduct; her open and frank admissions at an early stage; her subsequent efforts to avoid repetition; the lapse of time since the incident; and her demonstration of insight into the effects of her postings on some owners.
The Committee considered the available sanctions in order starting with no further action. The Committee did not consider that this was appropriate where the serious professional misconduct found in this case involved dishonesty, even given the mitigating factors relating to that as outlined above, nor in view of the repeated nature of the social media posts without owner consent.
The Committee determined that a reprimand and warning as to future conduct was the appropriate sanction in the circumstances of this case.
Dr Strokowska was reprimanded for her serious professional misconduct in relation to her admitted failure to obtain necessary consent for posts on social media and her dishonesty in communication.
She was warned that she should in future be fully aware of, and comply with, the provisions of the RCVS Code of Professional Conduct and its supporting guidance, in particular as it relates to the use of social media, including the need to ensure that she has obtained all the necessary consents from all relevant parties.