The app allows practices to submit results along with cytology and histopathology results in order to help train the AI algorithm and improve its accuracy from an original sensitivity of 85% and negative predictive value of 97%.
Liron Levy-Hirsch, Managing Director of HT Vista, said: “The HT app has provided us with over 700 additional validated scans to analyse this year alone.
"The validation process is well controlled, whereby we use the lab results to tag the scans as benign or malignant and let the algorithm know if it was correct or not.
"The more we train the algorithm the more accurate it becomes, and it is extremely exciting to see the sensitivity increase to 90% and the NPV to 98%.”
HT Vista says the app was developed to meet demand from clinics.
Liron said: "By having a portal to upload lab results alongside the device’s results not only do we further improve the device, but we also increase confidence among our vets and nurses that the device is a reliable tool.
https://ht-vista.uk
The programme is designed to take advantage of the RCVS Under Care review changes, which mean that veterinary nurses can now start the patient's journey of care in certain cases, when before, vets were required to do a hands-on examination before delegating.
Racheal Marshall, Vets Now’s Head of Clinical Nursing said: “So, for example, under the protocols a nurse may offer blood tests prior to vet consultation, and the vet can then continue the consultation with the owner with additional clinical information.”
The 'Enhancing the Nurse Role' training programme is covers three main areas: front of house care, patient procedures and team dynamics.
So far, Vets Now has held 11 training workshops using partial task simulators to provide a realistic experience and safe environment to learn new skills.
Emphasis is placed on hands-on practical skills that can be used back at clinics, including placement of central lines, urinary catheterisation of blocked cats, feeding tube placement, suturing and a two-day ultrasound training.
The third phase of the Enhancing the Nurse role programme, which looks at team dynamics, has been overseen by Zara Kennedy, Head of Veterinary Standards at Vets Now.
She said: “As a vet, the collaboration between the vets and the rest of the team, and maximising everyone’s skills is critical.
“This third phase focuses on teamwork and communication, and we are utilising much of what has been learned in human medicine.
"A focus on these softer skills enhances the way the teams carry out patient care and ultimately result in better patient care.
Using the great skills of our nurses can help take the pressure off those bottlenecks where currently the patients are waiting for the vet.”
Vets Now says the Vets Now programme is designed to make the company an appealing place for veterinary nurses to work.
Racheal said: "Using all their skills provides them with greater job satisfaction, and by mixing with other nurses at the training, as well as being a great opportunity to bring our nurses together, they get to share and learn from each other's experiences.
“It will bring greater benefits for patients and clients and their experience in the clinic.”
The event will include empowering talks by Vet Empowered founders Katie Ford and Claire Grigson MsRCVS.
Expert guests include Aoife Smith, an ex-RVN and psychotherapist, Chloé Hannigan from VetYogi and Jo Kelly, a registered veterinary nurse and accredited nutritional therapist.
There'll be hands-on workshops and immersive activities aimed at challenging comfort zones, fostering connections, and cultivating a mindset of growth and empowerment.
The organisers say Vet Empowered Live also offers the chance to connect with like-minded professionals, share experiences, and build a supportive community of peers committed to personal and professional growth.
Katie said: "We're thrilled to bring Vet Empowered Live to life and provide veterinary professionals with a unique opportunity to invest in their personal development.
"Our mission is to empower individuals to unlock their full potential, overcome obstacles, and create fulfilling careers on their own terms.
"We are passionate about providing a safe and inspiring space to do this."
Tickets cost £150 and include six hours of CPD and food and drink throughout the day.
https://www.eventbrite.co.uk/e/vet-empowered-live-confidence-beyond-manchester-2024-tickets-775605325407
https://www.vetempowered.com
25% of owners said they have seen their dog running away on hearing the word 'vet' and 30% have actively avoided a visit to the vet because of the animal's stress.
To try and get round the problem, 30% of owners use language to avoid alerting their animal: either spelling out the word 'V-E-T', or using a different word, like the 'dogtor'.
47% of owners disguise the trip and take their dog for a walk first, whilst 46% give their dog extra treats that day.
Duncan makes three requests of the UK Government:
The first is to make changes to encourage more overseas vets, and specifically the return of EU vets.
The second is to increase funding for UK universities to provide veterinary courses.
The final request is to update the regulatory framework to enable veterinary nurses to expand their role.
Full article: https://ivcevidensia.co.uk/News/duncan-phillips-time-to-overhaul-vet-support
RCVS Council recommended the increase due to inflationary pressures and increased business costs.
Dr Tshidi Gardiner MRCVS, RCVS Treasurer, said: “We recognise that these are difficult economic times, so Council has endeavoured to limit the fee increase as far as possible; however, in proposing these new fees, Council has had to take account both of increased costs due to inflation, and of additional costs related to ensuring we are fulfilling our regulatory remit to the best of our abilities and meeting our strategic priorities.
“For example, increased costs related to the additional number of veterinary degrees coming on stream, modernising our membership database, our Charter Case Committee, the trial of our private prosecutions protocol against non-vets breaching the Veterinary Surgeons Act, and much more besides.”
As part of the University of Bristol, Langford is the only referral hospital in the South West which has an educational facility.
The new academy will also be developing its Veterinary Nurse Graduate Program and give access to its Vet Nurse Congress.
Juliet Morrison, Nurse Graduate Lead said: “At LV we passionately believe in nursing progression.
"Through our SAH Graduate Nursing Programme, we continue to support the next generation of nurses to become confident, resilient professionals.”
For more information, email: brm@langfordvets.co.uk
The new pathway shows the opportunity to progress through either clinical or team leadership and how nurses can move into management roles.
Behind each level in the pathway there's a curriculum of learning which starts at the stage of being newly qualified and then moves into three clinical activity levels.
Level 3 nurses for example, would regularly undertake advanced Schedule 3 nursing procedures - such as tail amputations and mass removals, as well as diagnostics - such as MRI and ultrasound.
Beyond this, there are opportunities to become a CVS clinical or team lead, with the former leading a defined area of clinical practice and the latter responsible for line managing some of the nursing team.
In CVS multi-disciplinary hospitals and practices there will also be a new role of Nurse Manager, who will be responsible for the management of a larger team.
Tara Ryan, Chief Veterinary Nursing Officer, said: “There are so many good reasons to provide structure and clarity around nursing careers.
“The nursing career progression will enhance the role of the RVN in our practices and ensure we utilise the skills of our nurses.
"It should give more confidence to vets when delegating to nurses and it will enable nurses to do more for clients whether that be consulting or procedures.
“Most importantly it will support nurses in taking the direction in their career that they want to take.
"There are multiple different options for nurses to progress within CVS – whether it be in practice, procurement, client services or learning, education and development. It means nurses can truly have a life-long career at CVS.”
The company says the new addition leverages a combination of image recognition technology, algorithms, and cloud-based deep learning AI to enable accurate, in-clinic sediment analysis of fresh urine, delivering results within minutes.
The system evaluates red and white blood cells, squamous and other epithelial cells (e.g. urothelial and renal tubular epithelial cells), hyaline and non-hyaline casts, struvite and calcium oxalate dihydrate crystals, and cocci and rod bacteria.
Zoetis says its performance is comparable to that of a clinical pathologist.
Richard Goldstein, DVM, DACVIM, DECVIM-CA, Vice President and Chief Medical Officer, Global Diagnostics Medical Affairs at Zoetis said: “Urinalysis is an essential diagnostic test for veterinary surgeons, and often a good indicator of potential wider issues.
"Having the ability to get these results faster will improve the speed and level of care teams can provide their patients, facilitating efficient medical decision-making and helping to ensure smooth workflows.
For the research, the medical histories of 188 Basset Hounds and 270 Dachshunds presenting to CVS’ Dovecote Veterinary Hospital and Chestergates Veterinary Specialists, and the University of Ghent were retrospectively assessed.
Information included signalment, whether the dog had received a diagnosis of TL-IVDE, the duration of clinical signs, affected discs and anatomical region and the neurological grading at presentation and discharge.
Basset Hounds and Dachshunds are both chondrodystrophic breeds which are predisposed to IVDE.
However, the study found 77.4% of Dachshunds had presented with IVDE, compared to only 36.2% of Basset Hounds.
Dachshunds also presented earlier (66.5 months) compared to Basset Hounds (median 87.5 months).
Dachshunds had a lower proportion of midlumbar IVDE and were more frequently non-ambulatory at discharge than Basset Hounds.
In addition, Dachshunds were more likely to be paraplegic without sensation at presentation than Basset Hounds (16/154 Dachshunds compared to just one Basset).
The Basset Hound is the largest chondrodystrophic breed and the physical characteristics of this larger body conformation may have benefits, with previous studies suggesting the protective effects of being a larger dog2.
One hypothesis is whether breed conformation and anatomy – the relative height/weight ratio - influences the severity and occurrence of IVD and points to a link between the size of the patient and the space in the vertebral canal.
A smaller spinal cord versus vertebral canal ratio in the Basset Hound may indicate a less compressive lesion.
Sergio Gomes, Head of Neurology and specialist in veterinary neurology at Dovecote Veterinary Hospital, who led the study, said: “This is the first time that IVDE data for Basset Hounds has been directly compared with that for Dachshunds.
“We now need to look closely at the conformation and anatomy of the Basset Hound to see what learnings we can take.
"This could have positive future implications for Dachshund breeding programmes, so that longer term we can try to minimise this painful and common canine condition.”
References
The company says that although some UK insurers are continuing to offer protection to existing policy holders, Agria is one of the few insurers to offer lifetime veterinary fee cover to new customers.
Insurance will be available to owners who have an exemption certificate.
Vicki Wentworth, Managing Director at Agria Pet Insurance, said: “We know that the last few months have been particularly difficult for owners of American XLBully dogs, and we are pleased to be able to reassure them that we can provide lifetime veterinary fee cover for their dog, so we can support them in prioritising their pet’s welfare”.
The company says that although it can provide cover for veterinary fees, it can't cover third party liability.
Agria is advising owners to contact an organisation such as Dogs Trust which can provide third party cover.
The judges praised the practice group for leveraging employee ownership (EO) to drive growth and staff satisfaction, protect independence, and champion EO in the veterinary sector.
Pennard Vets, which has eight practices in Kent, says its driving ambition when it took the decision to transfer the business into an employee ownership trust and make its 150-strong team business owners, was to protect its independence and core values.
Pennard Vets has also been eager to spread the word about employee ownership to other veterinary practices.
Matthew Flann, a director from Pennard Vets, said: “Winning this award is a huge coup for our entire industry, who have been searching for ways to secure the future of their independent practices.
"Set against a backdrop of increasing corporatisation of UK veterinary practices, we chose to protect our heritage by becoming an EOT.
“It hasn't been easy, but it has been massively rewarding and our team have passionately bought into their new status as owners, and the results can be seen throughout the practice – from team-led initiatives to the impact on the range of procedures we can now offer to our patients.
"It’s genuinely been transformational and since 2021 we’ve doubled turnover and grown our team by 30%.
"We’ve also welcomed Abbotsley Veterinary Group and Priory Lodge into the group with the two local Kent practices citing our EOT status as a motivating factor for their moves.
“Crucially our EOT structure provided the launchpad to becoming the first veterinary practice in Europe to achieve B-Corp status in 2022, which we see as another step towards becoming the very best practice possible, using input and ideas from our team to provide a better service, give back to our community and protect the environment.
“We’re also determined to make the journey less arduous for other veterinary practices to follow our lead and we regularly hear from practice owners who are exploring becoming EO.
"We’ve established the British Veterinary Employee Owned Association to help guide other practices through the journey of becoming an EOT by networking, attending events and presenting webinars.
"This year we have supported thriving practices to become EO in all parts of the UK, including Arrowfield Vets in Herefordshire, Animal Tails Veterinary Practice in Stirling, Shetland Vets and Cornerstone Veterinary Clinic in Belfast.
“We believe intrinsically in the value of supporting and promoting our team as the best way to grow our business and provide the best possible service to our clients and patients, and that same approach will pay dividends for other veterinary practices. Because of this we fully intend to continue to campaign for the benefits of EO.”
James de le Vingne, CEO of the EOA, said: “Congratulation to Pennard Vets on winning this award.
"The awards recognise businesses and individuals that are delivering great employee ownership. Collectively, great employee owned businesses deliver significant uplift in productivity and performance, outperforming their non-EO counterparts across multiple impacts for employees, society, the environment and the economy.”
The first, hosted by Sam Taylor, head of veterinary specialists at ISFM (International Society of Feline Medicine) is titled ‘Whetting the appetite: purr-fectly feeding your knowledge of feline inappetence and why early detection shouldn’t be overlooked’.
The session, which starts at 12:30pm on Tuesday 6th, will explore the importance of feline inappetence, how it goes overlooked by owners and practices alike and why it shouldn’t be underestimated.
In the second session, which starts at 12:30pm on Friday 9th, Libby Koytzoumis, veterinary technical advisor at Dechra (pictured), will talk about one of the most commonly diagnosed endocrine diseases in dogs, Cushing’s syndrome.
Libby's webinar, ‘Are you seeing these usual suspects in practice?’ will explore the common signs, routes to diagnosis and the effective treatment and monitoring of Cushing’s.
https://thewebinarvet.com/events/virtual-veterinary-congress-2024
The Scottish Fold is bred for a cartilage abnormality which gives them their distinctive folded ears.
However, that same cartilage abnormality affects their joints, meaning that they go on to develop painful arthritis, even from a young age.
The charities say the impact of using this breed in a Hollywood film cannot be overstated and is likely to significantly increase their popularity with potential cat owners.
Nathalie Dowgray, Head of ISFM, said: “International Cat Care (iCatCare) and its veterinary division, the International Society of Feline Medicine (ISFM), believe that it is simply unethical to continue to breed cats with a genetic mutation that is known to cause significant painful disease – the rationale for breeding these cats was purely for traits considered attractive to humans, as some people believe the folded ears look appealing.
"This is an unnatural appearance for a cat, and the underlying genetic defect has far-reaching and severe consequences for the health of the cat.
"Health should always be more important than looks.”
The trailer for the film also shows a cat travelling in a backpack and subjected to rough handling, including being picked up by the scruff and thrown from a building.
ISFM says that although these scenes have been created using digital animation, the organisations share concerns that suggesting these interactions with cats are acceptable or entertaining may have a negative impact on the welfare of cats.
Sarah Ellis, Head of Cat Mental Wellbeing and Behaviour at International Cat Care, said: “Scruffing a cat is an unacceptable form of restraint that can cause a cat considerable discomfort, fear and even pain, as the weight of its body is completely unsupported, and the cat cannot escape the pressure from its skin being grasped.
"Backpacks are not a cat friendly way to transport a cat; they can leave a cat cramped, without enough ventilation, struggling to control body temperature, and uncomfortable due to the unpredictable movement from being worn on a person’s back.
"Backpacks are simply not cat friendly - they do not respect the cat as a species and run the risk of psychological and physical suffering to the cat.”
The organisations have contacted Universal Pictures, asking them to adopt Cat Friendly Principles in future, and not to promote cat breeds with extreme features in future.
The annual survey gives an overview of remuneration levels within the veterinary sector.
It covers everything from basic earnings, bonuses, dividends and overtime, to benefits such as accommodation, car allowances and pensions.
SPVS is asking everyone in the veterinary profession to take part, whether they're in a clinical or non-clinical role, a vet, a nurse, a practice manager, support staff or working in industry.
The main findings of the survey will be published in a report and freely available to any participant who gives their email address at the end of the survey.
SPVS members will be able to access the full results with additional commentary and analysis.
All survey data is treated as strictly anonymous and totally confidential.
https://www.smartsurvey.co.uk/s/LOZS6O
Any questions: office@spvs.org.uk
In the last four years, there has been an increase in the number of identified B. canis cases in the UK, which had previously been sporadic and isolated.
Data released by the Government shows that cases have risen from three reported before 2020 to 240 in the last three years.
Most dogs were either imported, had returned from holiday overseas, or been bred with an imported dog.
In 2022, the first UK case of dog-to-human transmission was reported, highlighting the risks to those handling and treating infected dogs and raising levels of concern within veterinary teams, although the BVA says the risk is relatively low.
The BVA, SPVS and BVNA joint policy calls on the Government to :
British Veterinary Association President Anna Judson said: “Vets are seriously concerned about the lack of adequate checks for potentially zoonotic diseases entering the country via imported dogs.
"Brucella canis is not currently considered to be widespread in the UK, so a proactive approach with an emphasis on reducing the risk of this and other worrying exotic diseases being brought into the UK is crucial.
“This is important both for the health of the UK’s dogs and the humans who care for them."
https://www.bva.co.uk/take-action/our-policies/brucella-canis
Identichip says the scanner is particularly suited to noise-sensitive dogs and cats.
It's designed to fit in one hand, and is compatible with all ISO 15-digit (FDX-B) microchips.
Tammie O’Leary, commercial lead at Identicare, said: “With compulsory microchipping coming into effect for owned cats from 10 June in England, it is likely that more cats will be presented to check for a chip or to be implanted.
"Many practices are making substantial efforts to minimise fear or stress in their patients, however most microchip scanners beep when they locate a microchip, which can be stressful for animals.
"The silent microchip scanner will help reduce any associated stress for noise sensitive animals.”
Dr Ellie Lee, veterinary surgeon and director at Manchester Cat Clinic, has trialled the silent microchip scanner.
She said: “The scanner is a great tool; we really like how compact it is, which makes it less intimidating for cats, and the silence is definitely beneficial to them too.
"As it doesn’t beep, we watch the screen to check that a chip has been detected, but this is easy to do as it’s such a handy size.”
The silent scanner can be purchased from NVS, Covetrus or from identichip direct.
Questions: contact@identichip.co.uk.
Amongst the proposals agreed by Council was to move towards an independent appointment system for Council membership to replace the current election system.
In addition, Council voted:
Council was tied on whether to separate the position of RCVS President and the Chair of RCVS Council, meaning that this will come back for decision at a later date following the consultation.
RCVS President Sue Paterson said: “The unique way that RCVS Council is currently constituted with annual elections to Council is an old model of self-regulation which is no longer found in other professions including doctors, nurses, pharmacists, solicitors and social workers, among others.
“As a responsible regulator we have a duty to operate in a way that recognises modern principles of regulation, and best meets our objectives to enhance society through improved animal health and welfare by setting, upholding and advancing the educational, ethical and clinical standards for the veterinary professions.
"The College’s recommendations would see us retain self-regulation in the sense of independence from government, and maintain registrants within our governance framework, while better assuring the public that we are acting on their behalf.
“It is our firm belief that, among other things, moving to an all-appointed Council member system, whereby those who serve on Council are selected via an independent process based on their knowledge and experience to ensure input from all parts of the veterinary sector, will better serve our aims, as will having a better balance of professional and lay members.
"Of course, veterinary expertise, knowledge and experience will also remain a vital part of any future arrangements throughout our committee structure, so the veterinary voice will be as important as ever in our policy and decision-making processes.
rcvs.org.uk/who-we-are/rcvs-council/council-meetings/18-january-2024/
Further details about the consultation process will be published in due course.
The new service was reported in The Times, in an article titled "How much should your vet cost? Pet owners bitten by untamed fees."
Since launch, VetHelpDirect has offered owners information to help them pick a veterinary practice, including reviews, ratings (including a value for money score), RCVS accreditation, cat/ rabbit friendly status, health plan details and how out of hours cover is provided.
It has now added some basic information about each practices' charges, specifically the first consultation fee, a dog castrate and health plans, and then categorised them according with £££££ signs to indicate how far above or below the average they sit.
Susie said: “Most practices will give out these prices over the telephone, but there’s no way for the client to find them without directly getting in touch, something people are less and less likely to want to do nowadays.
"Our research data suggests that people want to find this information online, just as they would in any other service industry.
"When they can’t find any information at all on pricing, there can be a perception of secrecy that can do damage to the vet-owner relationship.”
Susie added: “True comparison for vet practices is of course very complex and no basket of services is ever going to capture the whole complexity.
"Every practice is different, from facilities and team qualifications; to the time allotted for consultations; to monitoring equipment for surgery; and of course the level of investigations undertaken which can also vary from vet to vet.”
“We can’t solve all this straight away but we started from a good place, over the years we have built up more information about vet practices than any other website.
"The aim is to provide commonly requested prices for owners to easily access and to add more and more detail on the vet practices over time so that owners can make the most informed choice on the vet that's most appropriate for them and their pet”.
VetHelpDirect says it will soon be adding prescription fees and out of hours consultation, and a much wider range of species-specific fees in the near future.
The company also points to the Competition and Markets Authority investigation into pricing in the UK, highlighting that in its 2019 Report into Funerals in the UK, the CMA noted that weaknesses in the sector included the fact that less than 40% of funeral directors posted any form of pricing online, and those that did were frequently not in a form that made for easy comparison.
Susie says the veterinary sector has an even lower rate of online pricing transparency.
To add your pricing information to VetHelpDirect, email: info@vethelpdirect.com.
COMMENT
Whilst greater transparency over pricing in almost any field is surely to be welcomed, it seems questionable whether comparing prices for consultations and standard procedures will be of much help to pet owners, because things like the level of investigations, how defensively a clinician practises and the owner's own relationship with risk are likely to have a far greater impact on the bill than whether a consult costs £20 more or less up the road.
There is perhaps also a risk of practices rated as '£££££ / more expensive than average' will be seen as just that. Expensive and nothing more.
It's not like a restaurant where £££££ usually means particularly delicious.
Whilst this may not matter much whilst so many practices are having to turn away business, it may become more important in the future.
The group says it has led to 6,086 more clinical metrology questionnaires being conducted at participating practices with their patients, a 1,014% increase.
Developed by John Innes at the University of Liverpool, the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire is a 13-item clinical metrology instrument (CMI) used to assess canine articular disorders like osteoarthritis.
It includes questions on the pets’ medical background, lifestyle and mobility.
Individual question scores are summed to provide an overall “LOAD score” suggestive of the animal’s disease presence and severity.
The questionnaire should be conducted every time the pet is presented to the veterinary clinic, with results tracked over time.
Treatment options - including the benefits and risks of all available modalities – can then be considered and discussed with owners to determine the best course of action, including weight management, diet, supplements, exercise and environmental modification, in addition to medication.
As part of the project, CVS provided a range of supporting resources for its practices, together with training.
Training focussed on diagnosing and managing conditions causing lameness in dogs and cats, using the clinical metrology questionnaire to engage clients in their pets’ treatment plan, offering best practice treatment options and running nurse mobility clinics.
It comprised of a vet CPD day run with Zoetis and the VOA on approach to and management of lame patients, two nurse CPD days on mobility clinics, a feline and canine orthopaedic examination video, First Opinion Clinical Club webinars on canine and feline osteoarthritis and an approach to radiographic interpretation course.
Resources included: new clinical guidelines, IMV resources (radiographic positioning, optimising the image and optimal chemical restraint) and a Mobility Clinic Booklet for clients.
Each site was then provided with its own data, so that they could monitor what they were doing individually.
One year after its nation-wide launch, results reveal that the number of clinical metrology questionnaires being conducted in the 35 participating practices has increased from 6 to 6,092 over a 12 month time period.
CVS says there was also evidence of an increasing incidence of the osteoarthritis drugs Librela and Solensia being prescribed.
Kathryn Patel, Hub Clinical Lead at CVS (pictured), who was responsible for the lameness clinical improvement project, said: “This project uses owner questionnaires to screen for and monitor the impact of lameness on patient quality of life and emphasises the importance of the whole clinical team in patient management.
"Vets and nurses will be supported to improve their ability to reach a diagnosis in every lame case, improve engagement with and compliance of owners with lame pets, and improve the quality of care of lame patients through appropriate medication, surgical intervention, and nurse and physiotherapy support.”
Dr Vlad Butnaru faced two charges, the first of which was that in May 2021, he had signed a passport and/or passport application for a horse and electronically signed a declaration stating that he “had read the above microchip, which had previously been implanted for the animal” when, in fact, the microchip had not been inserted into any horse and he had not read it.
The second charge was that, in relation to the matters set out in the first charge, Dr Butnaru’s signed declaration was false, and that he had acted dishonestly and misleadingly, he risked undermining procedures designed to promote animal welfare, and failed to take sufficient steps to ensure that the microchip number recorded for the horse was accurate.
Dr Butnaru admitted the first charge on all counts, and that the declaration he had signed was false.
He also admitted that his conduct was misleading and that he had failed to take sufficient steps to ensure that the microchip number recorded for the horse was accurate.
However, he denied that his conduct had been dishonest and that he had risked undermining a procedure designed to promote animal welfare.
In its decision, the committee noted that Dr Butnaru kept introducing new versions of what happened for the first time at the hearing and changed his account as he went along, as well as being evasive when answering questions.
The Committee therefore felt that Dr Butnaru could not be considered to be a reliable witness, and whilst it did not know the true reason why he was prepared to sign a false declaration on a passport application, it was satisfied that he'd made a false declaration dishonestly.
The Committee also found that Dr Butnaru had failed to take sufficient steps to ensure that the microchip number recorded for the horse was accurate as, if the passport had been issued on a false premise because of misleading information provided by Dr Butnaru, then it could not function as it was meant to which, in the Committee’s view, clearly risked undermining procedures designed to protect animal welfare.
The Committee found that Dr Butnaru had breached the parts 6.2 and 6.5 of the Code of Professional Conduct, as well as Principle 1 of the 10 Principles of Certification, namely that ‘a veterinarian should certify only those matters which: a) are within his or her own knowledge; b) can be ascertained by him or her personally; c) are the subject of supporting evidence from an authorised veterinarian who has personal knowledge of the matters in question; or d) are the subject of checks carried out by an Officially Authorised Person (OAP).’
The Committee found there were no mitigating factors.
Aggravating factors, on the other hand, were that Dr Butnaru had participated in premeditated misconduct, made financial gain from his actions as he was paid to make the false declaration, abused his professional position, and showed blatant or wilful disregard of the Horse Passport System and of the role of the RCVS and the systems that regulate the veterinary profession.
The Committee found that all proven charges amounted to Disgraceful Conduct in a Professional Respect.
On considering the sanction, the Committee once again considered the aggravating factors, as well as additional mitigating factors in that Dr Butnaru had no previous disciplinary history, showed limited insight by admitting to some of the charges, showed expressions of remorse, and was provided with a positive testimonial.
Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee was cognisant of the importance of a veterinary surgeon’s signature on any document.
"This should have been obvious to any veterinary surgeon, but particularly someone of Dr Butnaru’s 11 years’ experience (at the time of signing).
"The Committee was well aware of the impact and ramifications for Dr Butnaru of any decision to remove him from the Register, but had to weigh his interests with those of the public.
“In doing so it took account of the context and circumstances of the case, all matters of personal mitigation, Dr Butnaru’s previous unblemished record and the need to act proportionately.
"However, the Committee was of the view that the need to uphold proper standards of conduct within the veterinary profession, together with the public interest in maintaining confidence in the profession of veterinary surgeons and protecting the welfare of animals, meant that a period of suspension would not be sufficient.
"His actions were fundamentally incompatible with remaining on the Register and thus the only appropriate and proportionate sanction in all the circumstances of this case was that of removal from the Register.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings
The mandatory regulation of veterinary practices, including statutory powers of entry and inspection, is one of the main parts of the College's proposals for new primary legislation that would replace the current Veterinary Surgeons Act 1966.
The working group, which is expected to present the details of a Mandatory Practice Regulation system to Council by the end of 2024, will be chaired by RCVS President Sue Paterson FRCVS.
It will include Standards Committee Chair Linda Belton MRCVS and Practice Standards Group Chair Belinda Andrews-Jones RVN, alongside veterinary, veterinary nursing, lay and external representatives.
Sue said: “With over 70% of practice premises currently under its ambit, our Practice Standards Scheme (PSS) has shown how keen practices are to maintain high standards.
"However, it is a voluntary scheme and, as a result, there is no mechanism to ensure standards across all practices, or to ensure change in those rare situations where it is needed.
“At present, the RCVS only regulates individual veterinary surgeons and nurses, and the veterinary sector does not have an equivalent to the Care Quality Commission, which considers human healthcare premises.
"This means that the onus for maintaining standards within the workplace falls on regulated individuals rather than the business structure.
"We will consider what a scheme that puts more statutory responsibility on business owners to maintain standards should look like.
“I look forward to working with colleagues in RCVS Council, VN Council and other veterinary organisations via this group to really flesh out what this regulatory system might look like in the future, to make sure it is appropriate, robust, proportionate and enforceable.
"Establishing these details will also prove invaluable in our lobbying work with government, ministers and MPs.”
Matthew’s award is in recognition of his paper Approach to initial management of canine generalised epileptic seizures in primary-care veterinary practices in the United Kingdom, co-authored with Laurent Garosi, which was selected by the BSAVA Committee as being the most valuable to veterinary practice.
James’ study explored data collected as part of the Small Animal Veterinary Surveillance Network (SAVSNET) at the University of Liverpool.
In total, clinical records concerning 3,150,713 consultations (917,373 dogs) were collected and analysed from 224 UK veterinary practices.
This included the management of canine generalised epileptic seizures in 517 dogs up to 6 years of age.
The study concluded that 98% of dogs presenting for a single epileptic seizure were not started on long-term therapy, in accordance with the approach recommended by the International Veterinary Epilepsy Task Force (IVETF).
Other findings from the study included:
The paper also reported on factors potentially associated with prescription of ASDs.
It stated that dogs who presented for cluster seizures (more than one epileptic seizure in a 24-hour period) were more likely to be prescribed ASDs, or to be referred to a specialist, than dogs without cluster seizures.
Dogs that were neutered or microchipped were more likely to be started on ASDs following the initial presentation, perhaps suggesting that owners who take part in regular preventative healthcare prior to the onset of their dog’s seizures could be more willing to start therapy in the earlier stages of the disease.
In addition, more than half of dogs with cluster seizures were not prescribed any ASDs.
Given that the presence of cluster seizures is typically considered an indication to start long-term therapy by the IVETF, Matthew says this may be one aspect of seizure management that could be improved in primary care practice.
Regarding the choice of anti-seizure drugs (ASDs), imepitoin was more frequently prescribed than phenobarbital in response to cluster seizures.
But unlike phenobarbital, the paper highlighted that the market authorisation for imepitoin does not include the treatment of cluster seizures.
Therefore vets should be aware that the use of imepitoin for cluster seizures should be considered as “off-licence” - and has additional implications for obtaining informed consent.
Matthew said: “We believe this research contributes to an improved understanding of the current management strategies for canine epilepsy in general practice and how this compares to the current guidelines advised by the IVETF.
"Given the prevalence of epileptic seizures within the UK canine population, as well as the large proportion of dogs that will be managed entirely within general practice without referral to a neurologist, it is vital to ensure that the level of care being provided is optimal.
"We therefore hope that this research ultimately supports and guides general practitioners in their approach to canine epilepsy, thereby improving the quality of life of affected dogs and their owners.”
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jsap.13543
Dr Briggs faced four charges and admitted to her conduct in the first three at the outset.
They related to three official Animal and Plant Health Agency (APHA) clinical investigation report forms she submitted following three official avian flu surveillance visits she'd undertaken as an Official Veterinarian (OV).
The three surveillance visits all took place during an outbreak of avian influenza in North Yorkshire and were on behalf of the APHA.
Dr Briggs admitted that she'd certified on each of the three forms that she had inspected specific poultry, that she had seen no clinical signs of avian influenza in the poultry and that in her opinion avian influenza did not exist and had not existed in the previous 56 days.
Dr Briggs also admitted that that she had subsequently submitted the three forms to the APHA.
The fourth charge alleged Dr Briggs conduct in certifying the three forms had been dishonest and that her actions risked undermining procedures, regulations and rules designed to protect animal welfare and public health.
Dr Briggs denied that she had been dishonest in any of her actions but admitted that her conduct had risked undermining procedures designed to protect animal welfare and public health.
Dr Briggs explained that in two cases she had relied on information given to her by the keepers of the poultry and in the remaining case it was possible that she had not visited the correct location of the poultry, had posted a letter through the wrong door and had then accidentally submitted a pre-populated inspection form to APHA.
Having heard evidence from the relevant poultry keepers, fellow Official Veterinarians, officials from the APHA and Dr Briggs herself, the Committee gave its determinations on dishonesty.
In relation to the first two charges, which concerned the visits that did take place, the Committee found Dr Briggs had been dishonest both in submitting the inspection forms to the APHA and also in certifying that she had seen no clinical signs or history of avian influenza in both cases.
The Committee concluded that an ordinary decent person would regard the submission of a signed form which contained false information as dishonest.
It also concluded that Dr Briggs had deliberately signed an official form which contained information which she knew to be untrue.
However, the Committee found that Dr Briggs was not dishonest in asserting on these forms that she was of the opinion that disease did not exist based upon the information provided to her by the poultry keepers.
In relation to the third charge, where Dr Briggs did not visit the property concerned, the Committee did not find it proven that she had been dishonest, having heard her evidence that, in this case, she had accidentally submitted a pre-populated inspection form.
The Committee next considered whether the admitted and proven charges amounted to serious professional misconduct.
Paul Morris, chairing the Committee and speaking on its behalf said: “In considering the seriousness of the misconduct, the Committee took into account the fact that the misconduct had involved dishonesty, that there had been a risk of injury to animals and humans (though this risk had not materialised), and that the misconduct had occurred when the respondent, as an Official Veterinarian, occupied a position of increased trust and responsibility.”
He added: “The Committee considered that honest, accurate and careful veterinary certification was a fundamental component of the responsibilities of a veterinary surgeon.
"The matters which the Committee had found to be proved fell far short of the standards expected of a registered veterinary surgeon and amounted, in the Committee’s judgment, to disgraceful conduct in a professional respect.”
In considering the sanction for Dr Briggs the Committee heard positive character testimonials from former employers and clients, as well as a representative from the APHA who said that Dr Briggs had shown contrition for the breaches while recognising that there was unlikely to be a repetition of the conduct and that Dr Briggs was a relatively new and inexperienced vet at the time of her actions.
Mr Morris said: “In the Committee’s judgement the circumstances of the incident were a mitigating factor in the sense that the respondent was working in a pressurised environment, and in a field of practice which was unfamiliar to her.
"The Committee had heard a considerable amount of evidence from various witnesses that the surveillance system created, to monitor the prevalence of avian influenza was one which placed considerable pressure on OVs and, perhaps inevitably, had some shortcomings.
"The respondent had not worked with poultry before so her inexperience in this area fed into this situation.
“The Committee took into account the fact that no actual harm had occurred and there was no financial gain to the respondent.
"The matters with which the Committee was concerned formed a highly unusual, and short-lived, episode in the respondent’s career.”
The Committee also considered that Dr Briggs had made open and frank admissions regarding most of the charges against her and had also shown genuine contrition over her failings.
In light of this, the Committee considered that a reprimand and warning as to future conduct was the most appropriate sanction.
Mr Morris added: “False certification can never be acceptable.
"Veterinary surgeons should never certify any matter which they know, or ought to know, not to be true.
"However, the Committee considered that this case was at the lower end of the spectrum of gravity of false certification cases, that there is no future risk to animals and that the respondent has demonstrated insight.
"In relation to the public interest, the Committee considered that a reasonable and fully informed member of the public would recognise that, in all the circumstances of this particular case, a reprimand and warning as to future conduct would be sufficient to satisfy the public interest.”
www.rcvs.org.uk/disciplinary
The two surveys, for veterinary surgeons and veterinary nurses respectively, ask the professions a wide range of both quantitative and qualitative questions, covering everything from what they do in a typical working day, to career aspirations, to levels of mental and physical wellbeing.
The surveys are confidential and anonymous.
Lizzie Lockett, RCVS CEO, said: “Our Surveys of the Professions are not just a useful and interesting snapshot of the veterinary professions at a particular moment in time, but are really consequential in terms of what we do with the results.
"For example, information from the previous surveys were used to inform our current Strategic Plan, including our mission to be a compassionate regulator, ongoing support for the Mind Matters Initiative, and a focus on workforce-related issues.
"In a similar spirit, this year’s results will inform the forthcoming RCVS Strategic Plan.
“Of course, the quality of the results of the surveys really depends on hearing from as many of you as possible – so we would like veterinary professionals from all parts of the UK as well as our overseas members, from all backgrounds, of all ages and working on all different disciplines to feed into all areas of the surveys and help us with our research.
"Please don’t miss out on having your say, and a huge thank you for taking the time to support this important work.”
The deadline for completing the survey is on or before Friday 16 February 2024.