The consultation, which was held by the College early in 2017, asked for the views of veterinary surgeons and nurses, animal owners, and stakeholders on the use of telemedicine in veterinary clinical practice.
The consultation was designed to help identify potential risks associated with telemedicine, identify areas where it may help address the needs of both clinicians and the public, and support the potential development of new professional standards and guidance.
The online survey of veterinary professionals received 1,230 responses, while the public consultation received 229 responses and the survey of organisations/stakeholders received eight responses.
The headline question asked of veterinary professionals was whether RCVS 'supporting guidance to the Code of Professional Conduct' should be amended to allow remote examination to take the place of physical examination in certain circumstances. 41% said 'Yes', 40% said 'No' and 18% were unsure.
Veterinary professionals and organisations were then asked a series of questions in order to establish how they rated the risk associated with telemedicine according to activity type, practice type, clinical sign or syndrome, mode of technology, and familiarity with client, animal or environment.
Unsurprisingly perhaps, the majority felt that providing just general advice presented a low risk. At the other end of the scale, most felt that the use of telemedicine to diagnose disease or injury would be either 'high risk', or 'not appropriate at all'.
Likewise, the majority said the risks would be low or medium where the client and environment were known and the animal seen before, for the same problem. By contrast, the majority said telemedicine would be either 'high risk' or 'not appropriate at all' when the client, animal and environment were all unknown.
When asked whether the current definition of 'under care' should be extended to allow veterinary surgeons to prescribe veterinary medicines where there has been no physical examination of the animal, 69% said 'No', 16% said 'Yes' and 15% were unsure.
However, when asked whether certain types of veterinary medicines should be able to be prescribed without a physical examination of the animal, the majority of respondents to the professional survey (52%) were in favour.
The results of the consultation were first considered at a special meeting of the Standards Committee in August 2017, where it was noted how the consultation had revealed significant confusion around current supporting guidance to the RCVS Code of Professional Conduct and that, at a minimum, clarification as to what was currently permissible was needed.
The Committee determined a key issue going forward was whether to change the Supporting Guidance to the RCVS Code of Professional Conduct regarding 'under care' to allow veterinary surgeons to prescribe POM-V medicines based on telemedicine alone.
Given the complex nature of the issues and the wide-ranging implications, the Standards Committee presented a range of options for amending RCVS Guidance to RCVS Council at its meeting in November 2017. After discussion, Council asked the Standards Committee to continue their review and to present more detailed proposals to Council regarding the future of telemedicine in clinical veterinary practice.
Anthony Roberts, RCVS Director of Leadership and Innovation, said: "We would like to thank all those who took the time to respond to the consultation – although Council has not yet made any firm decisions, we felt it would be useful to share our research so far.
"The use of telemedicine is growing rapidly in human healthcare and it is only right the RCVS assesses the opportunities it could bring to improve access to veterinary services. It is critical, however, that we understand the issues it presents 'at the coal face' and consider all the available evidence before making any changes to our Guidance. The RCVS should ensure its regulatory framework fosters innovation and maximises the opportunities to improve the quality, efficacy and accessibility of veterinary services, whilst at the same time protecting animal health and welfare."
The Standards Committee will meet again in April 2018 to take further evidence and develop proposals to take the issue forward.
Meanwhile, the full summary is available on the College’s website: www.rcvs.org.uk/telemeds-summary/.
The RCVS statement, which can be read in full here, highlighted the fact that there is no body of evidence that homeopathy is effective and nor is it based on sound scientific principles. It should therefore be considered as complementary rather than alternative to treatments which are based on sound scientific principles, or for which there is a recognised evidence base.
In fact, the RCVS statement said nothing new. The principle that veterinary surgeons must first prescribe licensed medicines tested for safety and efficacy is enshrined in the Veterinary Medicines Regulations 2013, which say that if there is no veterinary medicine authorised in the United Kingdom for a condition in a particular species the veterinary surgeon responsible for the animal may treat with a veterinary medicine authorised for use in another animal species or for another condition in the same species, or, failing that, either a medicine authorised in the UK for human use, or a veterinary medicine authorised in another member state for use with any animal species in accordance with the Special Import Scheme, or a specially prepared (extemporaneous preparation or special) medicine, or exceptionally a medicine imported from outside the EU.
There are no homeopathic treatments listed by the VMD as 'authorised', just a handful of homeopathic preparations listed as 'registered', something which, as the BAHVS itself points out, means they have not been subjected to the same evaluation as authorised medicines or tested for efficacy.
The BAHVS is fond of using anecdote as evidence of efficacy (see the endorsements at the foot of this page: http://www.bahvs.com/), so one veterinary surgeon has been inviting colleagues to share their experiences of homeopathy causing harm on social media, in order to produce an infographic (pictured above right, click to enlarge) highlighting the very real harm caused when, for example, owners 'vaccinate' against parvo with homeopathic nosodes, only to have a dead litter on their hands.
The draft infographic can be found here.
The company says the new method, which was developed with Professor Ian Ramsey at the University of Glasgow, has been introduced following recent studies that showed a lack of correlation between ACTH stimulation test results and the clinical status of dogs treated with Vetoryl 1,2
Craig Sankey, Brand Manager at Dechra Veterinary Products, said: "Vetoryl is a medicine that will normally deliver major clinical benefits to a patient with canine Cushing's syndrome but finding a stable, long-term dosing regimen can be hard if ACTH stimulation tests return varying results.
"Pre-Vetoryl Cortisol monitoring is a reliable alternative to traditional ACTH stimulation tests for several reasons. It predicts clinical signs better, gives more consistent results, is less expensive and is easier to perform.
"Our online guide gives veterinary professionals a detailed insight into how they can integrate PVC into their treatment plans and the benefits it can bring to their patients and practice."
Information about Pre-Vetoryl Cortisol monitoring is now available at www.dechra.co.uk/prevetorylcortisol, together with other resources for patients on Vetoryl.
Dechra also hosts a website for owners whose pets have been prescribed Vetoryl: www.canine-cushings.co.uk.
References
This was the sixth time that Mr Warwick Seymour-Hamilton had applied for restoration after being removed from the Register in June 1994, the reasons for which related to the condition of his practice premises and his record-keeping following an inspection by the RCVS. His most recent restoration hearing took place in May 2017.
In his application Mr Seymour-Hamilton said that he wanted to be restored to the Register to aid his research into herbal medicines and, during the course of the hearing, he also challenged some of the evidence given to the Committee in the June 1994 hearing. In particular he challenged the assertion that his practice was open when it was inspected by the RCVS as, he submitted that, he had retired three weeks’ prior to the inspection due to ill-health.
Mr Seymour-Hamilton told the Committee that he did not wish to return to clinical practice but wished to restore his membership of the RCVS in order to prescribe his own herbal treatments and to obtain peer review that would allow his treatments to be licensed. Furthermore, he produced, during the hearing, a continuing professional development (CPD) record card in which he had logged 1,438 hours of CPD in 2017.
In considering his application for restoration the Committee dismissed his challenge to the details of his original hearing in June 1994.
Ms Judith Way, Chairing the Committee and speaking on its behalf, said: "The Committee has noted that this issue is ancient. It is not for this Committee to consider it. Moreover the finding of the Committee represents a determination which was not challenged by the applicant until one of the more recent restoration applications. He never appealed it. Nor did he attend at the original hearing. It acknowledges that the premises could well have been closed given their condition, but whether they were or not is not for it [the Committee] to decide. It is quite possible the applicant has persuaded himself of the position. This is not an issue which is a persuasive factor in this application."
Regarding Mr Seymour-Hamilton’s contention that he would use his RCVS registered status to further his research into herbal treatments Ms Way said: "The Committee accepted there were no direct public protection issues which caused it concern, although it did retain some anxiety that the applicant’s commitment to herbal medicine could govern the way in which he would wish to care for an animal. A more rounded veterinary approach, which involved a full evaluation of an animal’s condition, a coherent diagnosis and a subsequent discussion about treatment with the client is called for."
Turning to his CPD she added: "His CPD now has a bias for herbal medicine as does his extensive reading. The Committee was not satisfied that his skills are up-to-date and that he could practise veterinary medicine safely. The Committee was not satisfied that he would approach a sick animal with the full and rounded approach required of a veterinary surgeon. Nor did his confidence in this regard allay the concerns of the Committee. He expressed belief in himself on the basis of his practice which came to an end some 24 years ago."
The Committee did acknowledge that Mr Seymour-Hamilton’s removal from the Register had a considerable impact on him and that, not only is he ashamed of it, but he believes it is frustrating his ability to advance the cause of herbal medicine.
In conclusion, Ms Way said: "Taking all these matters into account, the Committee has concluded that the applicant has not satisfied it on all of the evidence that he is fit to be restored to the Register and so this application is refused."
This, says Spillers, suggests that older horses, whether or not they have been diagnosed with insulin dysregulation, need an appropriate diet and management plan to help minimise the risks associated with insulin dysregulation such as laminitis.
The two studies1,2, which were conducted in collaboration with Michigan State University, aimed to find out more about the relationship between insulin dysregulation, dietary adaptation, and ageing to help guide more appropriate feeding regimens for senior horses.
Both studies investigated tissue insulin resistance and the insulin response in healthy adults compared to healthy senior horses adapted to diets with varying levels and sources of hydrolysable and structural carbohydrate (starch, sugar, and fibre).
Results from both studies showed insulin responses tend to increase with age in healthy horses, regardless of the diet they had been fed prior to evaluation. The insulin response, for example, was highest in the senior horses fed a starch rich meal even when they had been adapted to such a diet.
Clare Barfoot, RNutr, the research and development manager at Spillers said: "These studies confirm that even healthy older horses can have an increased insulin response compared to younger animals.
"This suggests that the energy sources used in the diet of senior horses and their effect on insulin dynamics need to be carefully considered.
"Practically, this means restricting the overall amount of starch and sugar in the diet especially for those horses that already have additional risk factors such as obesity, native breeding or PPID."
The results, in order of number of votes, are:
Elected: Susan Paterson – 3,976 votes
Elected: Mandisa Greene – 3,819 votes
Elected: Neil Smith – 3,544 votes
John Innes – 3,502 votes
David Catlow – 3,310 votes
Matthew Plumtree – 2,677 votes
Iain Richards – 2,635 votes
Karlien Heyrman – 2,487 votes
John Davies – 580 votes
Thomas Lonsdale – 542 votes
Due to the fact that a Legislative Reform Order (LRO) that amends the College’s governance has completed its passage through the House of Commons and House of Lords and is expected to be signed off by the relevant Minister to bring it into law, only the first three candidates are expected to take up their posts on Council at RCVS Day on 13 July 2018.
Eleanor Ferguson, RCVS Registrar and Returning Officer for the election, said: "I would like to thank all the candidates who stood for Council this year and would like to, in particular, congratulate Susan, Mandisa and Neil for being re-elected to RCVS Council.
"The LRO that is likely to be signed off in due course will reconstitute the makeup of Council – with greater lay and veterinary nursing input – and will also reduce the overall size of Council, including the number of elected members. Because of this only the first three – as opposed to the first six under previous rules – candidates are likely to be taking up a four-year term at RCVS Day 2018. Our commiserations go out to all the unsuccessful candidates, especially in this unusual transitional year, and we thank them for their participation in this year’s election."
The results of the election will be formally declared at this year’s RCVS Day – the College’s Annual General Meeting and awards ceremony – which takes place at the Royal Institute of British Architects on Friday 13 July 2018.
The National Equine Health Survey is a snapshot survey conducted by the Blue Cross in conjunction with the British Equine Veterinary Association during the month of May each year, sponsored by Dodson & Horrell and Zoetis. Last year 5,235 people took part and returned records for 15,433 horses.
The 2017 survey found that 39% of those who carry out faecal worm egg counts do so at four-monthly intervals, 22% do so at 8-12 week intervals and 2% do so at six-weekly intervals.
Dr Wendy Talbot, equine vet at Zoetis said: "The NEHS results show that there’s still a lack of understanding about the purpose and benefits of FWECs during the grazing season. For the most effective results FWECs should be conducted every 8 to 12 weeks between March and October. They will indicate which horses are passing the most worm eggs in their droppings and mean that horses are only treated when necessary.2 Remember though that FWECs don’t remove the need to treat horses at specific times of year for encysted small redworm, tapeworm and bots, none of which will show up in FWECs.3"
References:
ATOP 7 Mousse and PYOclean Mousse are presented as a ‘dry shampoo’ in foam form for cats and dogs. They join the company's Dermoscent portfolio of companion animal products, developed to help with the management of scaling disorders, atopic or allergic skin disease and infections.
Both products contain a blend of plant extracts and essential oils from Hemp seed, which LDCA says has a moisturising and restructuring action on the skin. Atop 7 contains lemon tea tree extract, which the company says boosts anti-inflammatory and anti-pruritic activity. PYOclean contains lavender and manuka, which are claimed to have an anti-bacterial action.
LDCA says it has designed the two non-rinse mousses with owner compliance in mind; that used twice-weekly twice-weekly alone or in combination with other supplements or treatments as part of a skincare protocol, they can extend the time between shampoos. They can also be applied quickly to speed patients’ discharge from hospital or used when animals are boisterous or dislike baths.
According to the company, a 2-week veterinary-supervised study looking at the effect of ATOP 7 Mousse on the skin of flea-allergic and atopic dogs, reported a veterinarian general satisfaction score of 8.7/10. Owners of the dogs on the trial reported an 8.7/10 general satisfaction score and a similar score for the product’s ability to soothe irritated skin.¹
The full Dermoscent range, including the new mousses, is available through Vet Direct as well as Henry Schein (selected products) or as a special order through Centaur. ATOP 7 Mousse and PYOclean Mousse are both available in 150ml packs and are priced at £7.94 + VAT each (list price).
For more information visit: http://www.dermoscent.com. A clinical case study by Dr Jean-Loup Mathet on the use of PYOclean Shampoo, Spray and Mousse in a 14-year old West Highland White Terrier with chronic, recurrent, inflammatory, pruritic and seborrhoeic dermatosis is also available online or by request.
Reference
Mrs Angie Scullion (pictured right) from Okehampton joined the Healthy Pet Club in May 2017 at Okeford Veterinary Centre with her Border Collie, Cassie. She was awarded a year’s free membership by the practice to celebrate the milestone.
Launched in 2010 with 11,000 members, the Healthy Pet Club helps pet owners budget for their pets’ healthcare by spreading payments over a year. They also make savings on vaccinations, flea and worm treatments and receive access to a wide range of other benefits.
Mr Mukesh Rughani, Healthy Pet Club Manager at CVS, said: "Pet owners want value so we constantly research the market to check that the discounts and benefits we offer through the Healthy Pet Club are the ones that we know they will find most meaningful.
"We are delighted that the Healthy Pet Club has reached the 300,000-member mark and we have a number of exciting developments planned for later this year which we believe will make it an even more useful tool for our member practices while setting a new standard in value for our clients."
The Prince's Trust 'creates life-changing opportunities' for those aged 11-30 and Nick has long-held a passion for making a difference to young lives. He has set up three charities for young people: with learning disabilities; who want to campaign to change the world; and who want to break down the barriers to enjoying nature and the outdoors.
Nick has led the RCVS since September 2012. During his tenure, developments at the College include a new Royal Charter, major governance reform, improved regulation of veterinary nurses, the instigation of Vet Futures, the introduction of the alternative dispute resolution service, significant evolution within the Practice Standards Scheme, the refocusing of RCVS Trust into RCVS Knowledge, the launch of Mind Matters, and the recognition of the College as a Great Place to Work.
Nick said: "It has been a great privilege to be CEO of the College and to work with such amazing staff, such a progressive Council and such a decent and caring profession. It is no surprise to me that vets and vet nurses are among the most trusted professionals in this country, and in my view this is due to their professionalism and to the excellence of the Royal College in maintaining and advancing standards. I hope I have played my part in helping the College and the profession navigate through a period of great change and preparation for significant change to come.
"At The Prince’s Trust I will be focused on the next generation, helping to give young people the confidence and purpose they need to make a success of their lives and the world around them. I know from my own personal experiences of school, and the various charities with which I have been involved, how many young people are not given the best chance in life. I cannot think of a better mission to take on."
RCVS President Chris Tufnell said: "I feel very fortunate to have worked closely with Nick over his five years with the RCVS; he has made a tremendous contribution to the College and our professions. With his energy and drive, he has infused the College with a culture of openness, engagement and dedication and has inspired the team through some impressive achievements.
"Nick’s leadership will enable vets and veterinary nurses to fulfil their potential and it's fitting that he's moving on to a role which benefits the lives of others. Meanwhile, there's a considerable amount of important work being done by the RCVS and I am confident that we have a strong team at Belgravia House to manage this until the new CEO is in post."
The RCVS says its Operational Board will be reflecting on Nick’s successes and the future needs of the College, before developing a specification for the new CEO and a recruitment process over the coming weeks.
Emma, who completed her training as a Registered Veterinary Nurse in 2015, was nominated for the City & Guilds Medal by Lite Ltd, the organisation with whom she did her training.
The award was presented to Emma at a ceremony at Kensington Roof Gardens in London last week by City and Guilds.
Mrs Jackie Shopland-Reed from Lite Ltd said: "City & Guilds Medals for Excellence recognise the achievements of learners, lecturers and trainers who have achieved great results by producing exceptional work – going above and beyond what is expected to achieve their goals. It recognises not only excellent results but also those who show a true journey of progression throughout their qualification.
"We felt Emma was deserving of the Medal as she achieved outstanding results for each aspect of this very challenging qualification – showing exceptional skills in assignment writing, examination technique and in her practical ability. Emma proved to be a conscientious, adaptable individual who is an excellent role model, not only for future students but also for the veterinary nursing profession as a whole."
Emma said: "I am honoured to have been nominated for the Medal, particularly as I am the veterinary nurse to receive it. I love my job at Friarswood Vets and I am proud to be recognised for my achievements."
The Petplan/Panasonic Monitoring Kit, which was launched last year, allows pet owners and veterinary staff to check on their animals via an app on their smartphone or tablet.
Petplan says is it being used by some veterinary practices to help provide additional security and monitoring capability within the practice.
The kit includes an indoor camera, which comes with an in-built temperature sensor and night vision, a door sensor and Smart Plug which can be remotely activated to turn on a radio, lamp, portable heater or fan to help keep animals content.
The kit also contains an SD card which allows clients to save and share video footage of their pet in its home environment with their veterinary surgeon, and practices to record and share footage with their staff or clients.
Isabella Von Mesterhazy, Head of Marketing at Petplan, said "For Petplan, keeping pets healthy always has been and always will be our priority. We worry about our pets when we are not with them and the pet Monitoring Kit addresses this problem by providing welcome reassurance that they are safe and well. We are delighted to be able to share this exclusive, time limited offer with our customers and veterinary partners to allow them to check in on their pets, from wherever they are."
To find out more and access a discount code, veterinary staff should login to petplanvet.co.uk.
The case against Jose Ignacio Messa MRCVS related to two heads of charge against him.
The first charge was that, on 13th September 2015, Mr Messa failed to provide adequate and appropriate care to Barney, a border collie. The second charge was that on 14th September 2015 Mr Messa failed to ensure adequate and appropriate on-going care for Barney after his examination of him, including failing to take sufficient steps to ensure that Barney was referred urgently to the care of a referral practice and failing to ensure there were adequate arrangements in place for his ongoing care.
Barney was presented to the Basingstoke practice where Mr Messa was employed having suffered a severe 'stick injury' to his jaw on 12th September.
The Committee heard that, on 13th September, Mr Messa re-examined Barney, administered medication and then discharged him to be cared for at home by his owners. During the examination the owners alerted Mr Messa to the condition of the skin on Barney’s neck, but the Committee heard Mr Messa had felt the area and reassured them it was not something to be concerned about.
The Committee heard that at some point on 13th September, after he was discharged, Barney developed a foetid smell from his mouth caused by an infection and the next day his owners went back to the practice because Barney’s condition had deteriorated – he was unable to walk and had laboured breathing.
On 14th September Mr Messa admitted and sedated Barney and examined him again, noting a hole in the side of his throat that was infected. He recommended referring Barney to a referral practice for further treatment, which was agreed by his owners.
The Committee heard that the referral practice was contacted by a veterinary nurse at the practice and that an appointment for 9am on 15th September 2015 was booked directly with the owner. It also heard that, during his time at Mr Messa’s practice, Barney did not receive intravenous fluids or any further antibiotics.
Barney’s owners said they met with Mr Messa again at around 5pm on 14th September when they came to collect Barney, this was disputed by Mr Messa, and the Committee were not satisfied so as to be sure that it had been Mr Messa who had met the owners and discharged Barney although the Committee found that all the witnesses had been honest and reliable.
Barney was admitted to the referral practice on 15th September but, as a result of sepsis, he suffered a cardiac arrest and died at 10.30pm.
In respect of the first charge the Committee concluded that, on 13th September, Mr Messa made only a rudimentary examination of Barney, and the absence of such basic clinical examination of the temperature, the respiration rate and the pulse of Barney was a failure on the part of Mr Messa and that, furthermore, he did not choose the best course of antibiotic treatment for the wound and infection.
In respect of the second charge Mr Messa admitted that he did not provide fluid therapy to Barney on 14th September before he was discharged.
With reference to the remaining aspects of the charge the Committee took into account the Code of Professional Conduct, particularly in respect of the need for veterinary surgeons to refer cases responsibly and the Code’s supporting guidance on referrals.
The Committee determined that, having delegated the arrangements of the referral to a veterinary nurse, Mr Messa made no attempts to follow up and ensure it was a same-day appointment when this would have better suited the severity of Barney’s condition. The Committee found that he was unaware of Barney’s location or of the time of the appointment and did not make provision for antibiotic or fluid therapy.
Having found the majority of the charges against Mr Messa proven, the Committee then considered whether this amounted to serious professional misconduct.
Disciplinary Committee member Stuart Drummond, who was chairing the Committee and speaking on its behalf, said: "In the light of the facts found proved and considering that disgraceful conduct in a professional respect is that which is conduct falling far below that expected of a veterinary surgeon, the Committee had concluded that the heads of charge, when taken individually, or collectively, do fall below the standard expected.
"However, as a matter of judgement, the Committee did not conclude that Mr Messa’s conduct fell far below the requisite standard and therefore did not amount of disgraceful conduct in a professional respect.
"Whilst the Committee did not find Mr Messa’s actions fell far below the requisite standard, there were concerns expressed about several aspects of this case. There were a number of missed opportunities which occurred; in particular the Committee notes the failure of the care plan and to take adequate steps to ensure that the referral process has been timeously effected."
Ms Buttler was charged with having been under the influence of alcohol whilst at work on two separate occasions. On both occasions, she was working as a locum veterinary nurse.
The first occasion was between 25th and 28th April 2016 in Frome, and the second from 3rd July to 4th July 2016 in Salisbury.
It was also alleged that a prior conviction of drunk driving on 19th November 2013 rendered her unfit to practise as a veterinary nurse.
The Committee decided to hear the case in Ms Buttler’s absence as it was satisfied that she had properly been served with the notice of hearing and because she had stated that she was aware of the proceedings but did not wish to engage with the process. The Committee also noted that she had not requested any adjournment.
The Committee heard from five witnesses for the first charge, including three veterinary nurses and one veterinary surgeon. They gave testimony that they had had cause to suspect that Ms Buttler was under the influence of alcohol whilst at work due to her demeanour, and recalled Ms Buttler repeatedly retreating upstairs to her accommodation during the working day. Further, an open wine bottle was found in Ms Buttler’s accommodation and was observed to have been drunk during the course of her shift. The Committee found the first charge proved.
The Committee heard from four witnesses in respect of the second charge. Two of the witnesses stated that they smelt alcohol on Ms Buttler’s breath while she was on duty, with one of them stating that Ms Buttler had slurred speech and a flushed face at the end of a fourteen-hour shift. The other two witnesses also presented evidence to support the assertion that Ms Buttler was under the influence of alcohol whilst at work, while the Committee found that Ms Buttler lacked credibility because she had denied having any alcohol on the premises when originally confronted, but later admitted in an email to the College that she had had an open bottle of wine in her bag. The Committee found the second charge proved.
The Committee then considered the third charge, namely the conviction in 2013. The Committee considered the certificate of conviction obtained from the North East Devon Magistrates Court and was satisfied that Ms Buttler had been convicted of driving with excess alcohol as set out within charge 3.
When considering whether these all amounted to a finding of disgraceful conduct in a professional respect, the Committee was concerned about Ms Buttler showing no insight into her drinking, and the repeated nature of the offences. The Committee also considered that being under the influence of alcohol when working as a veterinary nurse was conduct which fell far short of the standards to be expected of members of the veterinary nursing profession.
It therefore concluded that Ms Buttler was guilty of disgraceful conduct in respect of charges 1 and 2.
The Committee then considered whether Ms Buttler’s conviction (charge 3) rendered her unfit to practise as a veterinary nurse. The Committee concluded that Ms Buttler had not acknowledged the seriousness of her actions in 2013, or learnt any lessons from it. Accordingly, it felt that she continued to pose a risk to animals and the public in the future. The Committee also felt that the conviction undermined the reputation of the veterinary nursing profession because the offence inevitably involved a risk of injury to herself and other road users.
Having found Ms Buttler guilty of misconduct, the Committee went on to consider sanction.
The Committee took into account aggravating factors, including that there was a risk of injury to an animal, the fact that the first two charges involved an element of premeditation, the fact that Ms Buttler was under the influence on more than one shift in each practice, that there is no evidence of insight from Ms Buttler and there is a future risk to animals if she continued to practice unrestricted.
They also considered mitigating factors, including the fact that this is the first disciplinary hearing she has faced, that she did not cause any harm to any animal and that she did not gain financially from her conduct.
In reaching its decision Jane Downes, chairing the Committee and speaking on its behalf, said: "The Committee noted that Ms Buttler said she had worked for twenty years without any problem and that she was previously of good character. However because there was no evidence that Ms Buttler would not repeat the conduct with regards to working whilst under the influence of alcohol she could continue to pose a risk to animals or the public in the future. The Committee therefore was bound to consider her removal from the register.
"Although it noted from the brief email correspondence Ms Buttler had sent to the College that she said she did not intend to practice in the future, the Committee decided that until she had shown insight into her behaviour in 2016, she remained a risk to animals. It therefore decided that the proportionate action was to instruct the Registrar to remove her name from the register of veterinary nurses forthwith."
If Ms Buttler chose to re-engage with the College, she could apply for restoration to the register after ten months.
The associations signed a memorandum of understanding to that effect at BVA Members' Day last week.
As part of the memorandum, BVA and BVNA have agreed to identify opportunities to work together to represent the views of veterinary surgeons and veterinary nurses to the media, policymakers and general public and to raise the profile of the veterinary professions and the wider veterinary team.
The two associations have also agreed to work together to deliver joint events and support each other’s members.
British Veterinary Association President, Gudrun Ravetz said: "This memorandum really captures the importance of the veterinary family, my Presidential theme, in terms of us all working together to achieve the best possible outcomes for animal health, welfare, public health and our professions.
"At community level, we could not achieve a fraction of what we do if vets and vet nurses did not pull together and, at national level, one strong veterinary voice will achieve so much more if we work in unison.
"I am delighted that BVA and BVNA have had the strategic foresight to formalise our close working relationship, with many more opportunities to come for collaboration that will best represent the voices of our members."
British Veterinary Nursing Association President Samantha Morgan said: "BVNA are very pleased to sign this agreement to formally recognise the close relationship both professions have and therefore both representative bodies have.
"This is going to be a symbiotic relationship, with both professions and representatives retaining their own unique identity but forming a single, strong voice. This is a proud milestone for BVNA, something we have worked towards and we believe this formal understanding between both of our representative bodies is a positive step in the veterinary nurse profession.”
The memorandum between BVA and BVNA is agreed for a period of three years and will be regularly reviewed during that time.
Candidates will have the option of receiving a PGDip Veterinary Physiotherapy after two years, and will be able to practice as veterinary physiotherapists with either qualification.
The course will be delivered at the University’s Sutton Bonington campus at weekends, so that it can fit around people's existing work commitments.
Leading the course at Nottingham will be Dr Richard Payne, Assistant Professor of Veterinary Anatomy. He said: "This is an exciting expansion of our postgraduate provision and will allow us to build on our reputation for delivering first class teaching in our excellent facilities.
"The course will be run on a weekend basis over two academic years, which will allow students to continue to work in their current employment. It is very much hands-on and is designed for musculoskeletal practitioners, veterinary nurses and veterinary surgeons, but also for those who want to expand or change their career opportunities."
The course was developed by Canine and Equine Physiotherapy Training (CEPT) and has been delivered by them since 2008, but is being transferred to Nottingham due to an increasing number of applicants.
The University says much of the practical teaching will be delivered by qualified veterinary physiotherapists, both on campus and at their own practices.
Students will be qualified as veterinary physiotherapists after two years, while the third year for the MSc will revolve around research work for a dissertation based on a topic relevant to veterinary physiotherapy.
Modules will cover a range of topics including the foundations of clinical practice, anatomy and physiology, the foundations of clinical practice, applied clinical skills and clinical reasoning and reporting. Students can expect to come away with a range of practical skills such as physiotherapy, electrotherapy and exercise programming.
The course will be open to applicants with a degree (BSc or above) in a science or animal-related subject and with evidence of at least eight weeks of animal handling experience.
More information about the course, and how to apply, can be found at https://www.nottingham.ac.uk/pgstudy/courses/veterinary-medicine-and-science/veterinary-physiotherapy-msc-pgdip.aspx
Photo courtesy University of Nottingham
In addition, College representatives will be talking to delegates about the future of veterinary nursing, career diversification and mental health.
The College’s stand will have a Schedule 3-themed game in which delegates will be given a list of procedures and then asked to decide whether or not they could be delegated to a veterinary nurse under Schedule 3 of the VSA.
Julie Dugmore, Director of Veterinary Nursing at the College, and Beth Jinks, Advice Officer, will also be giving a talk at the Congress on Saturday 7 October from 2pm to 3pm about the Code of Professional Conduct and how it relates to Schedule 3.
Julie said: "We conducted our consultation on Schedule 3 earlier this year for two main reasons: to gauge how both vets and vet nurses applied it in practice and to consider possible changes that could be made to the legislation so that veterinary nurses could perform additional tasks. We hope that, with the game and with our talk, we can encourage veterinary nurses to think about their understanding of Schedule 3 and how it could be changed to bolster their profession."
Visitors to the RCVS stand will also be able to get an update on the VN Futures project and the latest progress on all its major workstreams including One Health, structured and rewarding career paths, creating a sustainable workforce and having a confident, healthy and resilient workforce.
In order to demonstrate the rewarding career paths available to veterinary nurses the College has worked with the BVNA to develop a series of case studies to show the different areas of work available to nurses including academia, management, industry and even the military. These will be available to view on the VN Futures section of the Vet Futures website: www.vetfutures.org.uk/vnfutures
There will also be an on-stand survey to ask delegates whether they would like to see the development of an Advanced Veterinary Nurse status and, if so, the areas in which they would like to developed advanced skills.
Furthermore, there will also be a Mind Matters stream at Congress (named after the College’s Mind Matters mental health initiative) on Saturday 7 October. Talks during this stream will cover issues such as coaching and mentoring staff and mental health first aid.
A full programme for Congress is available from the BVNA website: https://www.bvna.org.uk/cpd/bvna-congress
The company says the new award, which invites nominations from both pet owners and practices, is also to help raise awareness of Pet Diabetes Month, which this year takes place in November.
Pet Diabetes Month will have an emphasis on detecting the condition through initially screening urine samples, with pet owners being encouraged to visit their local vet practice.
Caroline Darouj, Product Manager at MSD Animal Health said: "There will be two categories for the award – one for the Pet Diabetes Professional Carer of the Year and one for owners – the Pet Diabetes Carer of the Year.
"A diagnosis of diabetes and decision to treat a feline or canine patient requires a lifelong commitment from the owner. We want to recognise the many loving pet owners who commit to giving their pet regular insulin injections and the practice staff who support them. We also want to create awareness of the importance of early diagnosis so pet owners can more easily spot the signs and realise that treatment is an option, which can be made easier with the use of the VetPen."
She added: "In veterinary practices there are outstanding individuals who make an extra effort to provide reassurance for pet owners when they may feel overwhelmed or fearful of their ability to cope with their pet’s diabetes. The Professional Carer of the Year could be a vet, vet nurse, animal nursing assistant or receptionist."
Pet owners and practice staff can nominate in either category. All the details can be found at www.mypetonline.co.uk/petdiabetesmonth.
The website will also be a central source of information about what’s going on during the campaign, tips on diabetes detection and prevention, plus a number of activities to get the attention of pet owners of all ages.
The deadline for nominations is 30th November 2017.
For further information please contact your MSD account manager.
Massimo (pictured left) qualified from Bologna Vet School in 1990 and spent two decades working as a specialist in veterinary neurology in Italy and Germany, following a three-year residency in neurology and neurosurgery at Bern in Switzerland.He has also spent almost 20 years lecturing at universities in Italy, including ten years as head of neurosurgery and advanced neurology diagnostics.
He said: "During my career I’ve spent short amounts of time in the UK and once I was aware of the opportunity to work with Northwest Veterinary Specialists, I jumped at the chance to move here.
"It has a fantastic reputation in providing the very best care to pets, and the recent investment in state-of-the-art facilities means we can offer the very best service to patients.
"I have a particular interest in continually improving our work around brain and spinal surgery and biopsies, and will be further researching technology and techniques to support treatment of epilepsy in pets."
Luca, who is currently a member of the Examinations Committee of the European College of Veterinary Neurology, also qualified in Italy (in 2007) at the University of Perugia, before moving to England where he completed his internship program in small animal medicine & surgery in 2009. He gained residency at a multi disciplinary referral hospital in the UK and was awarded the European College of Veterinary Neurology (ECVN) in 2012.
Luca has authored scientific papers in peer reviewed international journals and he has also been a reviewer for the Journal of Small Animal Practice and for the BMC Veterinary Research.
He said: "We’ll be focusing on changing the way we do neurosurgery to ensure the pets referred to us receive the very best treatment for their condition.
"We often see patients with intervertebral disc disease and epilepsy, and I’m looking to increase work around my main interests, including surgery of the central nervous system and epilepsy."
Liz Cousins, hospital manager at Northwest Veterinary Specialists said: "This year we’ve been making significant investment in our facilities and people, so it’s fantastic to be able to attract two experienced neurology specialists in Luca and Massimo,” said Liz Cousins, hospital manager at Northwest Veterinary Specialists.
"Luca and Massimo’s appointments clearly demonstrate our emphasis on creating teams of experienced and extremely knowledgeable specialists across the centre."
The College says it will be sending the annual renewal notice to the majority of veterinary nurses by email, so if you don't receive it, check your spam folder. Text message reminders will also be sent to those for whom the College holds a mobile number.
Nicola South, Head of Registration, said: "Last year saw a definite increase in the number of veterinary nurses who renewed on time, which is really wonderful.
"This year we just wanted to remind everyone that the College will be closed on the final day of the deadline, Friday 29 December so there won’t be any of the Registration team available in the office to assist with any login or payment issues. If anybody has any problems renewing before then, however, please do get in touch and we’ll be happy to help."
The annual renewal fee of £64 is due for payment by 1 November, and if a veterinary nurse does not pay the annual renewal fee by the end of the year they will be removed from the Register.
Payments by debit or credit card can be made online via the ‘My Account’ area or by cheque, bank draft or bank transfer.
All veterinary nurses also need to confirm their Register details and their compliance with the College’s CPD requirement of 45 hours over a three-year rolling period, and declare any convictions, cautions and/or adverse findings.
Any veterinary nurses who have not received an annual renewal email or letter by Monday 9 October should contact the Registration Department on registration@rcvs.org.uk.
All practising veterinary nurses and student nurses are invited to take part in the survey, the purpose of which is to ascertain the extent of anaesthetic monitoring, attitudes towards it and how confident people monitoring anaesthetics are.
The survey also aims to identify particular strengths and any areas of weakness, with the overall objective being to optimise vet and nurse student education and promote professional development if necessary.
The survey, which is anonymous, can be found at: https://goo.gl/Vwq1CJ. It should take 5-10 minutes to complete.
Elisabeth said: “I’d like to emphasise that all veterinary nurses and student nurses are invited and encouraged to take part. Your opinions and experiences are extremely important to us, and we’re very grateful for your help with the survey.”
Dr Crespo appeared in front of the Disciplinary Committee earlier this week with two charges against her. The first was that, in November 2015, she dishonestly and falsely made an online representation to the College that she had no criminal convictions, cautions or adverse findings despite having been convicted, in January 2015, of failing to provide a specimen of breath. The second charge against her was that, in March 2016, she once again dishonestly and falsely failed to declare her conviction when renewing her registration.
During the hearing the Committee had two main considerations in respect of both charges – as to whether Dr Marin Crespo had been dishonest in failing to declare the conviction and as to whether the respondent ought to have known that her representations were false. Regarding the dishonesty element, the Committee found the College had not sufficiently proven this, as it accepted Dr Marin Crespo’s evidence that she did not believe she needed to declare a motoring-related offence as it was not relevant to her professional practice.
However, the Committee found it proven that the respondent ought to have known that the representations were false, taking into account that Dr Marin Crespo made admissions that she ought to have checked the guidance on declaring convictions, cautions and/or adverse findings and ought to have been aware that making such declarations is a requirement of the RCVS Code of Professional Conduct.
Having found the parts of the two charges relating to false representation proven, the Committee then considered whether this constituted serious professional misconduct.
Judith Webb, chairing the Committee and speaking on its behalf, said:"The Committee considers that the false declarations made by the respondent were born of a careless disregard for the disclosure process. The Committee notes that the respondent could easily have checked online, and/or by telephone, as to what she was obliged to do when making the relevant declarations. She failed to do that.
"In these circumstances, the Committee considers that the respondent’s conduct fell far short of that which is to be expected of the veterinary profession. Therefore, in the judgement of the Committee, on the facts found proved, the respondent is guilty of disgraceful conduct in a professional respect."
In considering Dr Marin Crespo’s sanction the Committee took into account a number of mitigating factors including her full cooperation with the College’s investigation, her hitherto unblemished career, her testimonial evidence which it felt demonstrated her dedication and professionalism, and the fact that she has displayed remorse and insight into her conduct.
Judith Webb concluded: "The Committee notes that the respondent’s conduct caused no harm, or risk of harm, to animals or humans. The Committee also notes that there is no charge arising out of the criminal conviction itself. The Committee considers that, if the respondent had answered the online questions correctly, it is unlikely that the respondent would have appeared before the Committee.
"Every veterinary surgeon must ensure that they adopt a careful and accurate approach to the self-certification exercise, which is crucial if the public and the College are to have trust in that process. In these circumstances, the Committee considered that the proportionate sanction in this case is that the respondent be… reprimanded for her conduct."
The practice, which is owned by the Linnaeus Group, says it will be refurbishing its existing facilities, extending its premises, hiring more specialist veterinary surgeons, veterinary nurses and support staff and installing state-of-the-art new equipment.
In addition, it plans to refresh its intern programme and launch a nurse training programme.
A six-month programme of building works will include a new reception area, consultation room and medicine and surgery wards.
New services and facilities will include a cat ward, X-ray department and endoscopy and chemotherapy facilities.
Operations manager Daniel Hogan (pictured right), said: "This is a very exciting period as we grow in every possible area and work more closely with referring practices to continue to develop our bespoke and exceptional service for patients and clients.
"Our aim is aspiring and simple: to create the very best referral centre possible by bringing together the expertise of the very best of veterinary professionals supported by the very latest in technological innovation."
For more information about Southfields Veterinary Specialists, visit: www.southfields.co.uk.
Amir Kashiv faced a charge of being unfit to practise veterinary surgery after twice being found guilty of letting dogs roam freely on public highways or land not owned or controlled by him in Peterborough Magistrates’ Court, once on 20 April 2016 and once on 16 November 2016, and by having repeatedly breached court orders in relation to the same.
Dr Kashiv admitted the convictions, but denied that individually or in any combination they rendered him unit to practise veterinary surgery. This was therefore left to the judgement of the Committee.
In considering whether the convictions rendered Dr Kashiv unfit for practice, the Committee first considered the facts of the convictions.
Dr Kashiv had long taken in house dogs with physical and behavioural problems, at some stages having as many as 30 on his property. In 2014 neighbours became concerned by dogs escaping and noise nuisances, and on 14 November 2014 Dr Kashiv was served by the Police with a Warning Notice, requiring him to install adequate fencing within 28 days.
Four days later he was then served with an Abatement Notice for a Noise Nuisance about the dogs, and on 10 January 2015 he was then served with a Community Protection Notice requiring him to stop his dogs roaming and ensure adequate fencing.
After multiple subsequent escapes Dr Kashiv pleaded guilty of being in breach of the Community Protection Order at the Magistrates’ Court on 20 April 2016, receiving penalties amounting to £5,000 and costs of £6,000, as well as a two year Criminal Behaviour Order requiring him to reduce the number of dogs to no more than five with 28 days, and requiring his dogs to be supervised at all times while they were outside the house.
Two months later one of the dogs was seen outside the property, resulting in another conviction for breach of the Criminal Behaviour Order on 16 November 2016, and Dr Kashiv was fined £250 as well as £250 in costs.
The Committee then considered whether this resulted in Dr Kashiv being unfit to practise veterinary surgery. It considered it a serious matter that a veterinary surgeon should allow himself to be made subject to a Warning Notice, and that, being subject to such a Notice, he should then be found in repeated breach of the Notice and invite prosecution. While the Committee accepts that it is difficult to fence his entire grounds, ten acres in total, the Committee took it as a mark against Dr Kashiv that he failed to address the concerns of the authorities by reducing the number of dogs he housed until he was compelled to do so.
Jane Downes, who was chairing the Committee and speaking on its behalf, said: "The Committee regards this as a case close to borderline. These offences, involving the mismanagement by a veterinary surgeon of his animals and repeated offences demonstrate that Dr Kashiv had a less than adequate insight in 2014 and 2015 into the seriousness of the situation or into the understandable concerns of his neighbours and of the authorities. They are capable of bringing the profession into disrepute so as to undermine public confidence in it.
"But, in the end, The Committee has concluded that Dr Kashiv is not unfit by reason of these convictions to practise as a veterinary surgeon.
"It is apparent from the material before the Committee that Dr Kashiv is a dedicated veterinary surgeon whose life’s work has been devoted to the welfare of small animals and who has gone to extraordinary lengths, at his own expense, to do all that he possibly could to alleviate the suffering of, and rehabilitate, unloved and abandoned and unwell dogs.
"In all the circumstances and in the light of all the evidence the Committee finds that the convictions, whether taken individually or in any combination, do not render Dr Kashiv unfit to practice veterinary surgery."
All SPVS members who complete the survey online will be sent their own personalised survey results allowing them to benchmark their practice against the industry averages.
SPVS is also offering 3 months free membership to anyone who takes part who is not already a member.
VPMA and BVNA members can also complete the survey and the results will be published on their websites.
Peter Brown, SPVS President Elect who leads on development of the surveys said: "Whether you are recruiting, doing an internal pay review, looking for a new job yourself or trying to negotiate a pay rise, it helps to understand what the typical salaries are and the trends. Our new software allows you to easily compare your salaries to others in personalised results making it a valuable business tool."
SPVS is urging as many people as possible to take part in the survey as the more participants, the more reliable the results.
For more information, visit www.spvs.org.uk or call 01926 840318.