Miss Herdman faced three charges.
The first was that she indicated to a friend that she would supply diazepam and/or tramadol for use by their husband.
The second was that she supplied diazepam and/or tramadol and/or gabapentin.
The third was that she gave advice on the dosages of diazepam and/or tramadol and/or gabapentin.
Miss Herdman was not present at the hearing and was unrepresented, but the Committee determined that it was appropriate to proceed in her absence as she had been notified, was aware that the hearing was taking place and her absence was voluntary.
However, Miss Herdman had been in contact to indicate her pleas to the charges.
She admitted the intention to supply diazepam and/or tramadol and that she had provided advice on the dosages.
She also admitted that she had supplied diazepam but strongly denied that she had supplied tramadol and/or gabapentin.
Taking all the evidence into account (including messages sent by Miss Herdman and her admissions), the Committee found proven the charges in relation to the intent to supply and the advice on dosages.
The Committee also found proven the charge in relation to the supply of diazepam, but found not proved the charge relating to the supply of tramadol and gabapentin for several reasons, including the fact that the messages sent by Miss Herdman did not point unequivocally to her actually suppling each of the drugs to which she referred.
There was no suggestion that the diazepam was stolen from her place of work.
The Committee found that Miss Herdman’s actions had breached paragraphs 1.5 and 6.5 of the Code of Professional Conduct for Veterinary Nurses.
The committee judged that there were a number of aggravating features of Miss Herdman’s conduct, including that she was not qualified or authorised to prescribe medication to animals, let alone to human beings and that providing a controlled drug to a person who was already taking various painkilling medications was reckless.
The Committee also felt that a reasonable and informed member of the public would be very concerned to learn that a veterinary nurse had supplied a controlled drug to a friend for their personal use.
Regarding the sanction for Miss Herdman, Paul Morris, chairing the Veterinary Nursing Disciplinary Committee and speaking on its behalf, said: “Drawing all the material together, and considering the matter as a whole, the Committee had to impose a proportionate sanction for an isolated incident of serious professional misconduct which arose out of a misguided attempt to help a friend.
"The conduct in question was entirely out of keeping with Miss Herdman’s usual practice and there is no real risk that it will be repeated.
"However, this case was much too serious to take no further action and no useful purpose would be served by postponing a sanction.
“The Committee considered that a warning or reprimand would not be sufficient to satisfy the public interest as veterinary nurses are trusted by the public to deal with medication responsibly and failure to do constitutes a severe breach of trust.
“The Committee therefore considered a period of suspension sufficient to meet the public interest in maintaining the reputation of the profession and declaring and upholding proper standards of conduct for members of the profession.
“The Committee also considered whether a removal order would be appropriate but concluded it would be disproportionate and that such a step would remove from the profession an experienced, competent and valuable veterinary nurse for no discernible benefit.
“It was decided that Miss Herdman’s registration be suspended for a period of three months – a period which is sufficient to mark the gravity of the misconduct while taking into account the circumstances in which it arose.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings/
The surgery was carried out in August 2018 and is, they say, the first time it has been performed on a companion animal anywhere in the world. The dog, a five-year old spaniel called Gigha, has now made a full recovery.
Gigha’s surgery was carried out by Dr Guy Killick and featured in a recent episode of The Yorkshire Vet. Guy said: "Gigha provides vital companionship to her owner, Mrs Taylor. She fell into a drainage ditch last summer and this caused a tiny cut on her elbow.
"The initial wound did not seem severe, however, despite intensive decontamination and treatment with broad spectrum antibiotics, the wound proved to have been infected with a resistant Haemolytic E. coli infection, causing a significant loss of skin from the medial aspect of the elbow. During this time, Gigha was hospitalised and was at significant risk of DIC and septicaemia."
"The skin loss was full thickness and, once the compromised tissue was debrided away, she was left with a large wound.
"We managed the wound in hospital for four days with daily dressing changes and an irrigation device to provide local anaesthesia and the delivery of topical antibiotics.
"Unfortunately, skin grafting in her case was not suitable given the infection and a lack of sufficient loose skin to donate. As such, we elected for healing by second intention but, given the large area, we felt it was important to explore novel methods to accelerate the healing process and reduce Gigha’s pain.
"Surgery using Tilapia fish skin grafts was pioneered at UC Davis in the USA and was used successfully on a horse with acid burns in the UK last year. It is still very rare, however, and had not been used to treat an infected wound before. Nor had it been used on a dog.
"Having done our research though and finding that these grafts have a natural anti-infective and analgesic effect, while also reducing the frequency of bandage changes that would cause discomfort and distress to the patient, we felt it was an appropriate treatment for Gigha and carried out the surgery a week after the initial wound."
Guy says the surgery was straightforward and simply involved tacking the skin in place. It adhered to the developing granulation bed, accelerating its growth and providing an antiseptic and analgesic effect. After application, Gigha’s owner reported that she was much brighter and seemed to be in less pain. Pain-scoring during check-ups confirmed this to be the case despite pain relief being voluntarily withdrawn by the owner.
This initial graft stayed in place for two weeks before breaking down and being removed. By this stage, granulation of the wound had been completed and around one cm of neo-epithelisation had occurred. A further graft was then placed which remained for a further two weeks until the wound was 50% of its initial size. No further grafts were placed as the team did not have access to further supplies so they simply bandaged the wound with traditional bandages. It was completely healed within nine weeks. Eight months on, Gigha has made a full recovery and the wound has healed completely.
Guy said: "Given the large wound area and risk of further infection we decided on this novel approach to improve the quality of life for the patient while the wound was healing. While we were naturally apprehensive of making the first attempt at this potentially revolutionary technique, what we knew about fish skin grafts and suggested that they could work in her case so we were determined to give it a try.
"Looking at her now, you wouldn’t believe that she’d been days from death just a few months ago. Her case is a demonstration of the efficacy of fish skin grafts as a treatment for large wounds where there are no other suitable methods of closure – and for their use in dogs. We hope her story and her recovery will be useful to colleagues treating dogs with similar wounds in the future and are happy to discuss the case with them if this would be helpful.
"I would also like to thank Dr Jamie Peyton, Chief of Integrative Medicine Service at UC Davis for her invaluable help and advice during this case and her assistance in the use of the Tilapia graft."
There are only 11 other practices in the UK that hold the Gold Standard Award for rabbit care. To achieve it, Valley Veterinary Hospital had to demonstrate excellence across all aspects of rabbit care, including pain relief and management, dentistry and airway management.
The practice was commended on its top-quality facilities, including a dedicated exotic department with separate waiting and consulting rooms, as well as kennel areas for rabbits to keep them away from larger animals, relieving them of stress and anxiety.
Valley Veterinary Hospital exotic animals specialist, Tariq Abou-Zahr, BVSc CertAVP(ZooMed) MRCVS (pictured right), said: "I am absolutely delighted that Valley Veterinary Hospital has met the grade to achieve the first RWAF gold status in Wales. I believe that rabbits are just as deserving of excellent veterinary care as cats and dogs, and I am so pleased that I work in a veterinary hospital where we have the facilities to provide this standard of care.
"Rabbit medicine has always been an interest of mine, and I’m very grateful to Vet Partners for investing in such great facilities and to RWAF for considering our application and granting us Gold status."
Applications for the Awards are assessed by Dr Richard Saunders BSc Hons MSB CBiol DZooMed MRCVS, one of the UK’s leading specialists on rabbit welfare and veterinary advisor for RWAF.
Dr Richard Saunders BSc Hons MSB CBiol DZooMed MRCVS, who assesses applications on behalf of the RWAF, said:
"As a dedicated rabbit charity aiming to improve the wellbeing and welfare of domestic rabbits throughout the UK, our requirements to meet a Gold standard in rabbit care are very high. Valley Vets has met all of these standards and I’m delighted to reward a practice in Wales who have demonstrated that they are as passionate about rabbit care as we are.”
The RWAF has published a list of award-winning rabbit-savvy practices on its website which can be viewed here: https://rabbitwelfare.co.uk/rabbit-care-advice/rabbit-friendly-vets/rabbit-friendly-vet-list/
Any veterinary practices interested in applying for the Rabbit Friendly Vet List should visit https://rabbitwelfare.co.uk/rabbit-vets/vet-membership/
The grant has been awarded to Dr Carri Westgarth, a Lecturer in Human-Animal Interaction at the University of Liverpool, for her project entitled Using citizen science to develop a ‘Canine Ageing and Wellbeing’ tool for use in veterinary practice.
Dr Westgarth’s initiative aims to determine what senior dog preventative healthcare and treatment advice is currently offered in UK veterinary practices and then take steps to build a practical tool to facilitate knowledge-sharing between owners and veterinary professionals.
Carri said: "Dogs are living up to twice as long as they did 40 years ago and there are implications for senior dogs’ healthcare and wellbeing.
"As life expectancy increases, so does the amount of time spent in poor health. Many dog owners may not be aware of the signs of serious age-related diseases as they attribute them to normal age-related changes."
The Citizen Science project will investigate owner expectations, experiences and attitudes to ageing in dogs, including preventative care and general understanding of normal and abnormal changes during ageing.
A number of in-depth interviews and questionnaire surveys with veterinary professionals and dog owners will be conducted, and pet owners will be invited to submit diaries, photographs or videos to share their experiences of living with an older dog. The study will also examine electronic health records of senior dogs reported in the Small Animal Veterinary Surveillance Network.
The findings will be used to develop the Petsavers Canine Ageing and Wellbeing tool, to guide on best practice discussions in consultations with senior dogs.
A new range of food flavour sprays for dogs and cats, which could it a lot easier for vets, nurses and owners to feed reluctant eaters and administer oral medications, has been launched by M H Foods Ltd.
The sprays, which will retail through veterinary practices only, are primarily designed to encourage cats and dogs to eat in situations where they are reluctant to feed.
Testimonials received by the company from vets and veterinary hospitals suggest the sprays may help pets to eat when recovering from surgery or suffering from anxiety or depression. The company says they have also been helpful in encouraging pets to eat before their insulin injections and to enjoy bland foods such as renal diets.
Fred Key, Managing Director of M H Foods, said: "The well-researched aromas and flavours of this patented development, which we have branded Bon Appetit, entice pets back to eating. Another plus, pointed out by veterinary nurses, is that our flavour sprays disguise tablets and medication powder on food, making life easier for pets and owners alike!
"The Bon Appetit range - in chicken, beef and fish varieties - is artificially flavoured and, therefore, has no protein and is free from sodium, potassium and phosphorous, adding only 2 Cals per spray".
Retailing at around £5 to £6 for about 50 days' supply, M H Foods says that Bon Appetit has been well received by the major veterinary wholesalers.
Testimonials, full product and analytical information is available at: http://www.mh-foods.co.uk/.
Bayer Animal Health has launched Tracer Advance Slim, a new, smaller microchip which is delivered through an implanter needle that - with a diameter of 2mm - is 20% smaller than its predecessor.
The company says that the new product will help vets and nurses reassure the 27% of owners that have said the size of the implanter needle caused them concern over whether they should get their animal chipped1.
Bayer also says slimmer microchips make microchipping more accessible for smaller species including exotic pets, birds and rabbits, which in turn means a potential new client base for vets.
Dan Calvo Carrasco MRCVS from Great Western Exotics, said: "The small size of the modern devices, combined with newer technology, increases the ease of implantation, causes less discomfort for the animal and makes microchipping suitable for almost any captive animal, including small birds, mammals and reptiles."
In addition, the new chip has a reading distance of up to 30cm, which Bayer says can help improve the welfare of those animals that are easily stressed, or difficult to handle.
Dan added: "Some animals do not tolerate handling well and longer reading distances will allow identification without the stress of catching and restraining the animals. Automated readers can be placed on tunnels, gates and nest areas, so microchips are read without handler intervention."
It's not just the owners of small species and exotics that have concerns about implanter needle size. First opinion equine vet Nathalie Cole said: "Whilst working as a first opinion practitioner I have met equine clients who have been concerned about the size of needle used and reported hearing stories of horses becoming very needle-shy following a microchipping experience. I can recall at least one client who gave needle size, perceived pain and stress to the horse as the reason for declining to have their horse chipped.
"Slimmer microchip products could be used to improve client perception and therefore uptake of microchipping, particularly given that the majority of UK equine microchip candidates are foals"
Bayer says that additional benefits of the new product include the fact that the transponder is encapsulated with an extremely robust bio-polymer which is ten times stronger than glass and less likely to shatter. Plus the new implanter has a removable needle which means sharps disposal should be easier and more cost-effective.
Tracer Advance Slim is available with a choice of registration options - online, postal or via participating Practice Management Software providers.
Tracer Advance Slim is available from veterinary wholesalers.
Reference
The RCVS is to launch a consultation in the New Year on proposals to allow all RCVS-registered veterinary surgeons to use the courtesy title 'Dr'/'Doctor', and is seeking the views of all members of the veterinary and veterinary nursing professions, and the general public.
The proposals were raised by RCVS President Stuart Reid at RCVS Day in July 2014, with the aims of aligning the UK with international practice, providing greater clarity for the profession and offering reassurance to clients and the animal-owning public that all veterinary surgeons registered with the RCVS, regardless of where they qualified, have veterinary degrees of an appropriate standard.
In his speech in July, Stuart highlighted that most international veterinary surgeons use the title and that, in Australia and New Zealand, this is frequently tied to registration and professional standing, rather than necessarily academic attainment. He went on to outline that, of the three main clinical degrees in the UK, ie medicine, dentistry and veterinary medicine, only veterinary surgeons do not use the courtesy title 'Doctor'.
Stuart added: "given the fact that all continental EU graduates carry the title 'Doctor', there is now a greater chance of confusion for the lay public than previously.
"This is now an opportunity to provide, for those UK veterinary surgeons who wish it, the legitimate use of a title that offers a level of parity with fellow medical professionals."
The key objective of the consultation is to gauge whether the public and the profession are in favour of the proposal, not in favour of it, or don't mind either way. If agreed, the use of the title would be optional, although the College would regulate its use through the RCVS Code of Professional Conduct.
Background information and draft guidance on using the title is available to read on the RCVS website at www.rcvs.org.uk/doctortitle, from where respondents can follow a link to answer the consultation questions.
The consultation will open officially on Tuesday, 6 January for six weeks (deadline for responses is 5pm on Monday, 16 February) although it is already available to view via the RCVS website, to allow more time for responses over the Christmas and New Year break.
Do you think vets should be called 'Dr'? Discuss here.
The new guidance is being launched as part of the company's Keeping Britain’s Pets Healthy (KBPH) preventative healthcare initiative.
The guidance includes 18 recommendations designed to help all members of the practice team to implement consistent, effective improvements in preventative healthcare.
The recommendations were the result of a package of research carried out by Dr Rachel Dean, Dr Marnie Brennan, Dr Natalie Robinson and Dr Zoe Belshaw at the university’s vet school, including a systematic review of the literature, a survey of veterinary surgeons and in-depth interviews with vets and owners. A final study used the Delphi technique to achieve consensus amongst 26 first opinion practitioners and 8 pet owners.
The recommendations invite practices to consider a number of ways they might improve the consultation process, including: the purpose of the consultation, the role of each member of the practice team, and how pet owner expectations should be addressed and communicated during the process.
John Helps, Senior Technical Manager at MSD Animal Health said: "Our new KBPH initiative marks a step change in our emphasis on preventative healthcare.
"It aims to champion the central role each member of the veterinary practice team plays as experts in educating and engaging our nation of pet lovers.
"These evidence-based guidelines are just the first step towards our increased emphasis on communicating the importance of the annual preventative health visit.
"They support the partnership between the practice and its clients around the health and welfare of their pets, and the significant contribution vaccines and parasiticides make to the health and welfare of their pets. They also help the whole team understand their specific role in the provision of preventative healthcare."
You can download the full recommendations here.
Mr Molnar had been convicted at Manchester and Salford Magistrates’ Court in March 2018 of five counts of importing puppies to the UK in contravention of the Rabies (Importation of Dogs, Cats and other Mammals) Order 1974.
At that court hearing he also pleaded guilty to one count of keeping premises as a pet shop without the authority of a licence granted by a local authority.
As a result of his conviction Mr Molnar was sentenced to 270 hours of unpaid supervised work and was ordered to pay compensation of £2,683.93 and costs of £250.
The Committee, which proceeded with the hearing in Mr Molnar’s absence, found that the RCVS charges against Mr Molnar were proven and went on to consider whether, individually and cumulatively, they resulted in Mr Molnar being unfit to practice being a veterinary surgeon.
Ian Green, chairing the Committee and speaking on its behalf, said: "The Committee accepts the College’s submission that the fact that they [the puppies] were imported contrary to the law of the UK, because they were underage and had not been properly vaccinated, undermines the integrity of a system which is designed to ensure that effective vaccination and precautions against disease take place in every case.
"The Committee also notes that the convictions in this case were directly linked to the respondent’s veterinary practice, as they related to animals sold from his veterinary practice address. By operating an unlicensed pet shop, and by doing so through an email address that referred to his occupation as a veterinary surgeon, the respondent was abusing his position as a veterinary surgeon, and acting in a way that was liable to undermine the reputation of the profession."
The Committee therefore found that, because Mr Molnar’s conviction was directly linked to his veterinary practice and posed a substantial risk to animal welfare and public health, his conviction meant his conduct fell far short of what was expected of a professional.
In considering the sanction for Mr Molnar the Committee considered that, while he had no previous convictions or adverse professional findings against him, the case against him was very serious "because of the risk of serious harm both to animals and the public, as well as being for financial gain."
Ian Green said: "The Committee considered that the respondent, as a veterinary surgeon, must have known the serious implications and consequences of what he was doing by importing these puppies unlawfully. The public should expect to be able to trust a veterinary surgeon to ensure that his conduct does not put at risk the health of both animals and humans."
Mr Green added that the Committee felt that the only appropriate sanction was to direct the Registrar to remove Mr Molnar’s name from the Register.
The RCVS has opened a consultation on the future of veterinary specialisation, which includes a proposal that the use of postnominals and titles by veterinary surgeons should be rationalised in order to avoid confusion amongst the public.
The proposals are submitted for comment by the RCVS Specialisation Working Party, which is chaired by former Chief Medical Officer Professor Sir Kenneth Calman.
The Working Party's review was precipitated by a finding that the structure of veterinary specialisation is "confusing and opaque" to both animal owners and the profession (Unlocking Potential - a Report on Veterinary Expertise in Food Animal Production, by Professor Philip Lowe, 2009).
The Working Party has explored the routes to RCVS Recognised Specialist status. It has also looked at the use of 'specialist' more broadly, given the fact that it is not a protected term in the veterinary field, and has considered animal owners' expectations of a 'specialist'.
The Working Party also makes proposals for encouraging more veterinary surgeons to become specialists, given that there are currently only 319 on the RCVS List of Recognised Specialists, out of a UK practising arm of the profession of some 17,400 veterinary surgeons.
The proposals from the Working Party could have far-reaching impact. One suggestion is that all those meeting the criteria for specialist status would also become Fellows of the RCVS (FRCVS) - a status currently only held by those who complete a thesis or exam, or who qualify on the basis of 'meritorious contributions to learning'. There are also proposals that the term 'RCVS Recognised Specialist' be dropped and replaced with the much simpler term 'specialist' or 'veterinary specialist'.
Further proposals include the introduction of a 'middle tier' of veterinary surgeons - potentially to be called 'advanced practitioners' - who would be below full specialist status and subject to periodic revalidation.
There are also recommendations that veterinary surgeons should be obliged to explain referral options to their clients, including the level of expertise of those to whom they are referring cases.
The future of the RCVS subject boards, which currently manage the various Certificate and Diploma examinations, is also considered in the proposals.
The emphasis throughout is on simplification and improvement, according to Professor Sir Kenneth Calman, who said: "New legislation to introduce statutory registration for veterinary specialists would no doubt make things clearer, as it is for doctors and dentists, but, in the meantime, we believe there are a number of actions which the RCVS could take to improve matters."
The consultation paper can be downloaded from www.rcvs.org.uk/consultations, and comments are welcomed from members of the public, veterinary surgeons and veterinary nurses. The closing deadline for comments, which should be sent to RCVS Head of Education, Freda Andrews, on f.andrews@rcvs.org.uk, is Friday 9 December.
Comments received will be considered by the RCVS committees and Council in early 2012.
The long-awaited Panorama programme about the veterinary profession will air on Thursday 22 July at 9pm on BBC One.
Rumour has it that the programme will cover a range of issues, including the role of unqualified nursing staff in the practice, support for new graduates, over-charging in relation to insurance and regulation of corporate practices.
The RCVS says it expects increased public interest in the regulation of the profession following the programme and is gearing itself up to address any concerns it raises. A statement will be posted on www.rcvs.org.uk immediately following the programme, and the RCVS has said that it will work with the British Veterinary Association and other organisations to ensure that the robust nature of the regulatory system is communicated to the public, from undergraduate degrees through the Professional Development Phase and the Guide to Professional Conduct, to mandatory continuing professional development and the voluntary Practice Standards Scheme and Register for Veterinary Nurses.
In a statement issued today, the RCVS said: "We currently receive around 700 complaints a year - about one every 15 years of a member's practising life. It's a record to be proud of. However, if the programme raises areas of genuine concern, we will do all we can to act on them and we have already made it clear to the BBC that we would expect their support in this."
Hosted on the Boehringer Academy website, the three-minute quiz involves listening to 15 murmurs and deciding whether each one is clinically significant or not.
After deciding, you'll be told the grade of the murmur and if further investigation should be considered to determine if the dog has cardiomegaly. Boehringer says this is important since dogs with MVD and cardiomegaly are more likely to develop heart failure within 1 to 2 years1.
To register on the Boehringer Academy or take part in the quiz, visit www.boehringer-academy.co.uk.
As part of the campaign, veterinary practices are being urged to measure their feline patients’ blood pressure from seven years of age and above, as recommended by ISFM (International Society of Feline Medicine) 1.
Ceva says it will also continue the Mercury Challenge, its study of feline blood pressure, throughout 2019 to help increase veterinary professionals' confidence in measuring blood pressure and identifying feline hypertension.
The company says that since June last year, 128 practices and over 1,000 cats have participated in the challenge. You can registered to take part at: mercurychallenge.ceva.com, where there's a chance to win diagnostic tools to help diagnose feline hypertension.
Dr Rosanne Jepson, American, European and RCVS Specialist in Small Animal Internal Medicine at the Royal Veterinary College, said: "It is great to see that so many cats (over 1000!) and practices in the UK have been involved with the Mercury Challenge promoting the measurement of blood pressure and detection of hypertension.
"I would urge as many practices as possible to measure blood pressure; it’s simple, quick and easy to perform and means that we can help prevent target organ damage which at its most severe can leave cats sadly blind for the rest of their life. With careful identification and treatment this can so easily be prevented."
To help raise awareness of Feline Hypertension Month, Ceva has produced a range of marketing materials including waiting room displays, a pet owner leaflet and veterinary marketing packs, which are available upon request.
The initiative will be supported with an extensive PR campaign aimed at pet owners, including a radio day starring CBBC’s Rory the Vet.
For more information, contact cevauk@ceva.com or visit mercurychallenge.ceva.com.
References
Almost half of the vets that watched a webinar about ferret medicine have said they would change their treatment protocols for adrenal disease and reproduction management as a result of what they learned.
The Virbac-sponsored webinar was led by John Chitty BVetMed CertZooMed CBiol MSB MRCVS and viewed by more than 600 practices, making it the most popular CPD event hosted by The Webinar Vet this year.
John Chitty said: "I provided an overview of treatment protocols for all of the common diseases but focused on adrenal disease as it's highly prevalent in neutered ferrets but may be reduced by the routine use of deslorelin implants. These implants can also be used to avoid surgical neutering."
According to a post-webinar questionnaire, 33% of clinicians said that they saw ferrets more than five times a year. Chris Geddes MRCVS, Product Manager at Virbac said: "This confirms what we thought: ferrets are being presented more and more in practice and so education on this species is vital. An amazing 41% of respondents said that they would change their protocols for reproduction management and 40% their treatment of adrenal disease following the webinar, showing how useful it was to those attending."
Virbac recently announced that it has gained a marketing authorisation for the use of Suprelorin 9.4mg in male ferrets. Suprelorin, a slow-release implant containing the gonadotropin-releasing hormone (GnRH) agonist deslorelin, offers temporary sterilisation without the need for surgery.
For those who were unable to see it at the time, the webinar can now be viewed by visiting www.virbac.co.uk. A CPD certificate is also available for download as are six other webinars previously sponsored by Virbac.
During her two-day hearing, the RCVS Disciplinary Committee heard that Ms Vockert had been convicted under Animal Welfare Act 2006 at Bournemouth Magistrates Court in April for, by her own admission, failing to protect two dogs she owned from pain, suffering, injury and disease, by not adequately grooming them.
The prosecution had been brought by the RSPCA after one of her dogs, a Shih Tzu named Happy, was taken into care by the local Council in September 2014 as a stray.
The dog was examined by Chris Devlin MRCVS who reported at the time that the dog’s coat was in an "appalling state, with multiple mats of hair all over his body" and with "evidence of faecal and urinary soiling on the fur around the rear end", which constituted clear signs of neglect. The dog was anaesthetised and treated by Mr Devlin for an eye condition and was also given a full body shave. The dog made a full recovery after these operations.
Council employees discovered that Happy belonged to Ms Vockert and referred the matter to the RSPCA who started an investigation into his condition. When two RSPCA inspectors visited Ms Vockert’s home in September 2014 they observed a Cocker Spaniel named Millie which had severely matted fur. There were no concerns about any of the other dogs owned by Ms Vockert.
The two inspectors visited Ms Vockert’s home the next day by appointment and were told by Ms Vockert that Millie had been euthanased. Millie’s body was subsequently taken to Professor Kenneth Smith MRCVS and Claire Muir MRCVS for a post-mortem examination. In their report following the post-mortem, they observed Millie’s hair coat to be "extensively matted and given the growth of hair over the collar and claws, it is likely that the hair has not been clipped for an extremely long period... and is likely to have restricted the dog’s ability to walk. In addition, a large amount of faecal material has become matted within the hair coat and this finding strongly suggests that this dog was neglected."
As a result of her prosecution by the RSCPA, Ms Vockert was fined £620, ordered to pay costs of £300, a victim surcharge of £62 and a deprivation of animal ownership order was made under the Animal Welfare Act 2006.
The Disciplinary Committee considered that the failure to groom extended over a period of months and that any conviction on the part of a veterinary surgeon relating to animal welfare was an extremely serious matter.
Ian Green, chairing the Committee and speaking on its behalf, said: "The College submitted that the conviction of a veterinary surgeon for an animal welfare offence, of necessity has the potential to undermine both the reputation of the profession and public confidence in the profession.
"In such circumstances, the respondent’s conviction fell far below the standard to be expected of a veterinary surgeon and therefore renders her unfit to practise veterinary surgery."
In considering Ms Vockert’s sanction, the Committee took into mitigation her long and otherwise unblemished career both in the UK and Germany, her guilty plea to the RSPCA conviction and the fact she made no attempt to challenge the College’s submissions in relation to her fitness to practise.
However, it also took into account a number of aggravating features, particularly the fact there was "actual neglect of the welfare of two animals, over a protracted period of time, which resulted in pain, suffering and discomfort. This aspect of the case is made more serious because the two animals in question belonged to the respondent, who is a practising veterinary surgeon with access to the drugs and equipment necessary to groom the dogs."
Ultimately, the Committee decided that the only appropriate sanction was to direct the Acting Registrar to remove Ms Vockert’s name from the Register.
Ian Green, summing up, said: "The Committee considers that the respondent’s conduct which led to the conviction, involved a departure from the most basic and pivotal principle of the Code [of Professional Conduct], which states that the first consideration when attending to animals is health and welfare.
"Accordingly, the Committee had decided that removal from the Register is appropriate and proportionate in this case."
The urinary products, which are made to provide tailored nutritional solutions for cats and dogs with urinary issues, are available in both wet pouches and dry kibble.
The company simultaneously introduced a new urinary diagnostic tool: the Royal Canin Hematura Detection by Blücare.
The tool is made up of granules which are put in a cat’s litter tray and which turn blue if they detect blood in the urine. Royal Canin says it is a revolutionary diagnostic aid that will be able to prevent feline lower urinary tract disease developing any further.
John O’Connor, Corporate Affairs Director at Royal Canin, said: "We are constantly looking to evolve our offer and provide the very best in nutrition. We have simplified our ranges making it easier to navigate and choose the right product for each cat and dog, created a new premium pack design and developed our best veterinary nutritional solutions.
"It was imperative that we worked very closely with the veterinary community in making this bold transformation so we consulted with vets and vet nurses, in addition to pet owners from across the world."
The Group says the new checklist has been developed to help potential new owners find a happy, healthy kitten, and to avoid the heartache and potential costs involved with taking on a sick kitten or one which is frightened of people.
The Kitten Checklist includes suggestions to view the kitten with its mother, tips on spotting signs of ill health or asking about inherited conditions, what to ask about the kitten’s breeding and history, how to assess its behaviour and judge how comfortable the kitten is likely to be around people.
BVA President Daniella Dos Santos said: "Buying or homing a new kitten is a huge decision but as vets we’re aware that many people may make it quite rashly, basing their choice on looks or emotion and not asking the right questions.
"Sometimes it will work out okay but the aftermath of poor decisions can range from frustrating and costly to completely devastating. No one wants to unknowingly take home a kitten that is suffering from a hidden health condition or that will be distressed or anxious in its new surroundings, and no vet enjoys breaking the news that a young animal may need extensive and costly treatment before it has even settled into its new home."
The Kitten Checklist can be downloaded from: http://www.thecatgroup.org.uk/pdfs/The-Kitten-Checklist.pdf.
If you'd like to share the Kitten Checklist on your practice social media page, right click on the image above, save to your computer, upload to Facebook with a comment about the new Checklist, adding the url it can be downloaded from to your post.
Concern has been expressed in the profession about environmental contamination from products used in companion animal treatment for ectoparasites, such as fleas and ticks.
In recent years there has been a widely documented fall in the abundance of many terrestrial invertebrate populations1.
While the decline has been mostly linked to agricultural chemicals, there is a concern that companion animal ectoparasiticides could also be a contributing factor, with a recent study2 confirming the presence of common compounds used in flea-treatment3 in UK waterways.
However, the association with companion animal ectoparasiticides is currently poorly understood, with a significant knowledge gap and little robust research available to assess the true importance and environmental consequences.
The funded project ‘Assessing the Environmental Risk from Ectoparasite Treatments in Companion Animals’ will be led by Professor Richard Wall, Professor of Zoology and Dr Emily Bell, Senior Lecturer at University of Bristol in collaboration with Dr Imogen Schofield, Veterinary Statistician and Epidemiologist at CVS, and Lizzie McLennan-Green, Small Animal Veterinary Director at CVS.
It will be conducted via a PhD studentship at the University of Bristol as part of the CVS Clinical Research Awards.
The research will include a longitudinal ‘citizen science’ study with pet owners to develop a greater understanding of owner use and attitudes towards ectoparasiticides.
It will also include laboratory assessments of ectoparasiticide residues collected from companion animals to provide evidence-based information on the potential environmental impact of the treatments when applied to companion animals.
It is hoped the study will help the wider veterinary profession develop the most appropriate approaches to prescribing and use of ectoparasiticides in the future, and inform educational strategies to support owners with ‘responsible use’. The study is also set to benefit companion animals, as the research will inform strategies to ensure the most appropriate control of parasitic burden to pets.
The project starts in January 2023 and will run for three-years as a full time PhD.
CVS is providing £95,000 to fund the research.
The reasons are: above average increases in veterinary salaries, advances in veterinary medicine which mean practices can now offer ever more complex but expensive treatments, veterinary practices becoming more business-focused and now charging fair prices for services that they have in the past subsidised, and the cost of providing out-of-hours care.
One reason for the increase in veterinary salaries is the fact that historically veterinary surgeons and especially nurses have been relatively badly paid, although for vets that was always mitigated by the expectation of practice ownership later in their career, something which is no longer a realistic prospect for many.
Veterinary salaries have also been driven higher by the reduction in EU vets coming to work in the UK post-Brexit, although the report shows that UK trained vets and vets from the rest of the world are starting to pick up the slack.
The BVA report says it recognises that it is 'challenging' for clients to accept that rising bills are in part because of increased salaries, but they need to increase further still, pointing to the fact that NHS consultants earn around £100K per annum after four years, whilst vets earn around half that.
The submission also points to developments in veterinary medicine and technology which allow for far better standards of care, but which come at increased cost, notably in advanced imaging, dental work and laboratory services which increasingly involves specialist input.
The BVA also highlights the fact that veterinary practices have become more business savvy, especially since the 1997 decision by the RCVS to allow people and organisations other than veterinary surgeons to own practices.
With that came an influx of business skills and a prioritisation of financial considerations.
Lastly, the report points to the ongoing burden of providing out-of-hours care.
Unlike in most European countries, British vets must provide 24 hour emergency first aid and pain relief to animals, the costs of which have increased considerably as practices which used to provide the service in house at a loss, have increasingly opted to outsource it to veterinary service providers which charge commercially realistic prices.
The submission also discusses the cost of prescriptions, noting how important it is that veterinary practices are able to charge for the time and work it takes to issue a prescription, which despite an above-inflation increase, still only costs around £18.
Finally, the BVA addressed the issue of transparency over practice ownership, saying that whilst it is not aware of any data concerning whether pet owners select a practice based on its ownership, it nevertheless "supports the principle of improved transparency of ownership to help increase customer awareness and enable consumers to make an informed choice".
British Veterinary Association President Anna Judson said: “In our submission to the CMA, we have explained the complex challenges facing the profession, alongside highlighting the value of veterinary care.
"The CMA’s review will provide valuable insights, but it is essential that any recommendations are informed with full knowledge and understanding of today’s veterinary landscape and the pressures the profession is operating under, including workforce shortages.”
COMMENT
In all, the submission seems a detailed and fair representation of the reasons for increasing veterinary costs, although there is no mention of the impact of the increasing regulatory burden (such as the cascade), other than, ironically, the need for more regulation at a practice level, as well as of individuals.
It will be very interesting to see what the Competition and Market Authority concludes.
After all, there is no reason whatsoever why veterinary practices shouldn't charge a price which reflects the costs of providing the service, or that veterinary professionals should not be paid reasonably for their knowledge, skills and experience.
The problem is that as the industry has started to charge a commercially viable rate for an increasingly higher standard of more advanced care, so the true cost of providing that care has become clear.
Maybe the industry is in danger of trying to sell a Rolls Royce service to marketplace of people who either can't afford or don't want to spend more than the cost of a Ford Focus.
If that is true, the only logical conclusion is that either society will have to accept that pet ownership is a luxury for a smaller group of people who can afford it, or the industry will have to adapt its offering, in other words offer a lower level of cheaper care in order that more people can experience the joys of pet ownership.
The latter of those will be ideologically challenging for a profession bound by its oath that "my constant endeavour will be to ensure the health and welfare of animals committed to my care", not to mention pet owners who often want the best that the profession can offer, despite not always having the wherewithal to pay for it.
https://www.bva.co.uk/media/5459/submission-to-cma-oct-2023.pdf
A survey carried out by the company in 20151 found that 46% of dog owners were not aware that dogs can potentially suffer from the condition, despite the fact that it affects an estimated 375,000 dogs in the UK.3
The company says ocular conditions account for around one in ten canine consultations in first opinion practice,2 with KCS affecting around 5% of all dogs3, and up to 20% of predisposed breeds.4
To help raise owner awareness, Bayer will be holding the first veterinary Dry Eye Awareness Month in July.
Because early diagnosis and treatment can have a significant impact on prognosis, the focus of the campaign will be on encouraging pet owners to speak to their veterinary surgeon in the hope of increasing early diagnoses and improving the uptake of regular testing of at-risk breeds.
The campaign will include a dedicated social media element, targeting communities of at-risk breeds by inviting them to pledge their commitment to managing dry eye in their pet. A range of practice materials have also been produced for practices to support the drive in their waiting room.
Hannah Watts, Group Product Manager at Bayer said: "With this significant gap in owner understanding of the significance of KCS in dogs, it was clear that more is needed to be done to encourage owners of at-risk breeds to visit their vet practice for early diagnosis.
"The focus of Dry Eye Awareness Month is to support vets in championing the issue amongst their client base, through a range of educational materials. We hope vets will join us in utilising the month as a platform on which to discuss the prevalence and potential seriousness of the condition if left unmanaged."
Bayer’s research also found how poor understanding of the lifelong nature of the condition is one of the main barriers to owner compliance when managing cases, further highlighting the need for education.5
Chris Dixon, Director at Veterinary Vision Ophthalmic Referrals, said: "KCS cases can present acutely, or with subtle clinical signs that will not be detected from initial observations and require a Schirmer tear test to effectively quantify the reflex tear film production. Unless vets are actively discussing the condition with owners, and performing these tests on a regular basis, it is likely that many dogs could remain undiagnosed."
"In any case where ongoing treatment is required, client education is key in successful disease management. Accurate determination of the cause of the KCS will allow for an appropriate choice of medical therapy. When adjunctive tear replacement therapy is required, many owners will admit to not having the time to administer treatments frequently enough, which should factor into the recommendations we make as practitioners. For example, offering a longer acting product which requires less frequent application.”
You can download the Remend ‘Vision Matters – A Focus on Keratoconjunctivitis Sicca’ educational guide for veterinary surgeons here: www.remend.co.uk/vets-area.
Dry Eye Awareness Month practice display materials can be ordered from your Bayer Territory Manager or email: ahmarketing@bayer.com
In a separate statement, Mr Stevens said: "Anything that gives homeopathy a veneer of credibility risks chancers being able to con more people into parting with their hard-earned cash in return for bogus treatments which at best do nothing, and at worst can be potentially dangerous."
One of the dangers Mr Stevens referred to was the "rise in misinformation about vaccines - some of which is apparently promoted by homeopaths - and which poses a significant danger to human health."
In other words, anyone gullible enough to believe that a dilution of 1,000,000,000,000 parts of water to one part of crude oil, or skimmed milk, or human placenta, or condoms, or anything else for that matter, is going to cure them of anything, is more likely to believe all sorts of anti-vaccine, anti-pharmaceutical company nonsense, something which is very dangerous at a time when vaccination rates have been declining.
Human medicine does not have the monopoly on nonsense, of course. There are those who continue to peddle the lie that homeopathy can cure cancer in animals, and as the declining rates of human vaccination would tend to suggest, no shortage of people prepared to believe them.
Niall Taylor MRCVS, author of No Way To Treat a Friend, said: "The situation in the veterinary profession mirrors that in the medical profession: a small number of people preaching the benefits of a discredited belief system to vulnerable people.
"Some in the profession argue that we should humour those owners who practise homeopathy in animals, as to challenge them would drive them underground. The problem is that if we don't challenge them, we help foster a belief system which doesn't just harm animal health, but human health too. So the skill here is to find ways to challenge these beliefs in a way that is empathetic and constructive."
Mr Seymour-Hamilton was originally removed from the Register following an inspection of his Kent practice in 1993 which found that his operating theatre “showed a total disregard of basic hygiene and care for animals and was such as to bring the profession into disrepute”.
Since being removed from the Register, Mr Seymour-Hamilton has made applications for restoration in 1995, 2010, 2015, 2016, 2017, 2018 and 2019. Each was rejected.
In his latest application, Mr Seymour-Hamilton said that he did not want to re-join the Register in order to practise but to facilitate his research in the area of herbal medicine.
The Committee found that while Mr Seymour-Hamilton had accepted some of the findings of the original case, he disagreed with important facts, such as whether or not his surgery was open at the time of the inspection, and showed ‘minimal insight’ into the seriousness of the findings.
The Committee also voiced concerns over public protection and animal welfare should he be restored, saying that he had demonstrated little or no understanding of the purpose of regulation. The Committee also noted that he had, by his own admission, spayed two cats at a practice in Calais in recent years despite his long absence from the Register and unregistered status as a veterinary surgeon in the UK or France.
In considering his conduct since leaving the Register, the Committee found that Mr Seymour-Hamilton had admitted to a number of instances of conduct which it found ‘reprehensible’. This included carrying out spays; not self-isolating after testing positively for coronavirus and, in fact, travelling through France and Spain in breach of the lockdown put in place due to the pandemic; deliberately trying to re-infect himself with coronavirus and then visiting a vulnerable person without maintaining social distancing; treating his own animals with untested herbal remedies; and using his own remedies to treat people, which, in one case, included a nine-year-old boy in Greece.
In summing up Judith Way, who was chairing the Committee and speaking on its behalf, said: “The Committee has concluded that he has not satisfied it that he is fit to be restored to the Register. He has exhibited a disregard for regulation and compliance with the law. He lacks an understanding as to why he has not been restored in the past. He has not set about addressing any of his shortcomings. He relies wholeheartedly on his research, yet he does not support that research with any real peer-reviewed publications and he fails to acknowledge the consequences of being out-of-practice for so long. He has misplaced confidence in his own abilities and does not recognise that his approach and/or actions can represent a danger to animals and to the public. The Committee has therefore reached the conclusion that the applicant is not a fit person to be restored to the Register.”
The full findings of the restoration hearing for Mr Seymour-Hamilton can be found at: www.rcvs.org.uk/disciplinary
One of the consequences of veterinary price inflation has been a backlash from owners against vets, vet nurses and receptionists, so the first film kicks off by explaining why large vet bills are not the fault of the vet standing in front of them when their dog gets ill.
Currently, a further eight films are now in production, each looking at a different reason why the costs of veterinary care have increased and suggesting ways that owners can mitigate the impact. They are:
VetSurgeon.org Publishing Editor, Arlo Guthrie, who presents the films, said: "Above all, the aim here is to foster a better understanding between veterinary professionals and owners.
"I do hope the vets, nurses and support staff who have been bearing the brunt will feel my films are helpful.
"If you do feel they make useful points, then you need to share and 'like' the hell out of them on all the different social media platforms, in order that they reach the largest number of people.
"And if you have feedback about the content, or ideas for other topics we should cover, then come and post here: https://www.vetsurgeon.org/f/non-clinical-questions/31062/why-have-vet-bills-gone-up-so-much/245723"
The film is available here:
TIKTOK: https://www.tiktok.com/@vetsurgeon.vetnurse/video/7426457335880617248
YOUTUBE: https://www.youtube.com/shorts/lg_EeamSbSI
FACEBOOK: https://www.facebook.com/reel/927062139289036
LINKEDIN: https://www.linkedin.com/posts/vetsurgeon-org_veterinarysurgeon-veterinarynurse-activity-7252420794004205568-LzE3/
INSTAGRAM: https://www.instagram.com/reel/DBM5i2XtfOB/
Mark, an Advanced Practitioner in Zoological Medicine, is well known in the profession, having lectured in the UK and internationally, as well as having numerous articles on exotic topics published in peer reviewed veterinary journals.
Mark said: “I’m really pleased to be joining Pennard Vets, which has seven sites across Kent, and is owned by its employees, which made it a particularly attractive place to join, as I now also own a stake in the business and can help shape the future of it. I can’t wait to meet our clients and their pets and hope to make a real difference to their lives.”
Andy Green, Director at Pennard Vets, said: “Mark is the most qualified vet in the South East of England working in exotics, and we are delighted he is bringing so much experience to Pennard Vets.
"We hope to become the go-to practice for all exotic pets in the South-East and believe that our new and existing clients will all benefit from Mark’s unique and thoughtful approach to veterinary care.”
www.pennardvets.com
Zoetis has announced the launch of Contacera (meloxicam) 15mg/ml oral suspension, a non-steriodal anti-inflammatory preparation for horses.
According to the company, meloxicam has been shown to hold advantages over Phenylbutazone for the alleviation of musculoskeletal inflammation and pain in horses over six weeks of age1,2,3,4.
Contacera can be mixed with food or syringed directly into the mouth to ensure compliance. It is available in 100ml or 250ml bottles, with a measuring dose syringe and a syringe adaptor. Contacera solution for injection is also available.
Penny McCann, Equine Product Manager, Zoetis UK Ltd, said: "Contacera is an exciting addition to our NSAID portfolio. Due to the potential clinical advantages of Meloxicam, Contacera gives vets an important additional option for NSAID management. It is a logical fit with the other products in our range and benefits from a choice of presentations."
For further information, contact your Zoetis Account Manager, visit www.zoetis.co.uk, or ring Zoetis' Customer Support: 0845 3008034