Benchmark Holdings has announced that it has acquired Improve International limited, the Swindon-based veterinary Continuing Professional Development (CPD) business.
Improve will be added to Benchmark's Technical Publishing division, which provides global knowledge transfer, technical insight, e-learning and market analysis for people and businesses working in agriculture, aquaculture and the food supply chain.
Established in 1998 by a group of veterinary surgeons, Improve organises CPD courses for veterinary professionals across the UK, Republic of Ireland, Scandinavia and mainland Europe from its bases in the UK and Portugal.
Improve's courses are run privately and are accredited by the European School of Veterinary Postgraduate Studies (ESVPS) and/ or Harper Adams University.
In partnership with ESVPS and Harper Adams University, Improve also provides courses and qualifications for Official Veterinarians in England, Scotland and Wales.
Improve's veterinary directors, David Babington (pictured right), Heber Alves and Rui Lobao will all remain with the business.
Benchmark's management says it believes there is considerable scope for online development of the courses within the digital arm of its Technical Publishing division. The division currently offers 15 distance-learning courses, which are tailored to develop core industry skills.
Malcolm Pye, Chief Executive of Benchmark Holdings Plc said: "The acquisition of Improve will enable us to combine our digital and distance learning expertise with Improve's veterinary content across Europe, enhancing our ability to serve the professionals in our key veterinary markets.
"This is a significant step forward for our Technical Publishing division in both of the food and companion animal markets. We plan to take Improve's successful, face-to-face courses and deliver content digitally on an international basis."
The service will be available to veterinary practices that use more than £250/€300 of Royal Canin urinary diets per year.
The company has enlisted the support of an independent laboratory to carry out an infrared spectroscopy analysis of the stones, in order to make a quantitative and qualitative assessment of their composition. Royal Canin says that by appreciating the mineral-type in all layers, the best dietary recommendation can be made.
Lee Danks, Royal Canin’s Veterinary Scientific Support Manager, said: "Managing cat and dog urolithiasis can be challenging. This valuable service will improve practices’ diagnostic capacity, enabling a better understanding of a patient’s condition and a much more individualised approach to treatment and long-term prevention."
Royal Canin says there are many complex and interacting contributors to urinary stone formation1. Dietary modifications can influence urine pH, the concentration of minerals within the urine and most critically, urine turn-over through the bladder2. The many interactions between promotors and inhibitors of urolithiasis highlight just how critical a tailored nutritional approach can be to the long-term health of urinary patients.
References
The survey, which can be downloaded here, was promoted to the profession via the websites, by Veterinary Times and through the RCVS Mind Matters newsletter. The data was then anonymised, analysed and reported on by Sally Everitt MRCVS, ex Head of Scientific Policy at BSAVA.
677 participants reported being on the receiving end - within the last year - of at least one of 15 types of unpleasant behaviour which ranged from being physically intimidated through to being on the receiving end of sly glances. However, on average, each respondent experienced no less than five different types of unpleasant behaviour.
Of these, 390 were veterinary nurses, 252 were veterinary surgeons and 13 were practice managers.
The most frequently reported behaviours were: 'being belittled in front of other staff' (73%), 'being criticised minutely, repeatedly and seemingly unfairly' (65%), 'being aware of management or senior staff talking negatively about you behind your back' (51%), and '‘having your authority undermined to others in the practice, for example by having your instructions countermanded commonly and without consultation' (50%).
Seen in isolation, some might question whether these sorts of behaviour amount to bullying. It is important therefore to stress both that they typically formed part of a pattern of behaviour (the five different behaviour types reported, on average, by each respondent), and that the survey specifically asked only for reports where the behaviour was repeated.
Separately, 344 people also said they were currently on the receiving end of sustained patterns of behaviour, usually from one person, which seemed designed to make their life unpleasant.
Respondents were also invited to describe in more detail how they felt they had been mistreated at their practice.
Sally said: "Reading the responses, four main themes stood out: not feeling part of the team, lack of respect, lack of support and issues around management including not being listened to and perceptions of being treated unfairly."
Participants in the survey were then asked to describe what impact the behaviour had on their working life.
Sally said: "The answers to this question often demonstrated that the respondents had been very upset by the behaviours. Of the 560 replies to this question, 220 described an impact on their mental health, from anxiety to breakdowns and suicidal thoughts. 120 respondents talked specifically about the impact on their lack or loss of confidence, and 207 talked about leaving their job or the profession entirely."
Survey participants were then asked what they planned to do about it. Out of 680 replies, 195 talked about moving practice as soon as they can, 164 said they would take it up with the practice manager (however, of the 55 who reported this in the free text answer, 30 said it led to no change or made things worse), and 109 said they had no choice but to suffer in silence. 45 said they had or would leave the profession and only 35 said they would take it up with the perpetrator themselves.
As regards who is bullying who, more or less the same number of people reported being bullied by a veterinary surgeon as a veterinary nurse. What was interesting, and important for those in positions of leadership to note, is that veterinary nurses were much more likely to be bullied by other nurses and vets by other vets.
Finally, respondents were asked a series of questions about whether there was a zero tolerance of bullying or conflict resolution policy in force and enforced at their practice. Only 24 and 28% of respondents respectively were aware of such policies being in place. What was also clear was that having such policies and enforcing them correlated with lower levels of being on the receiving end of sustained patterns of unpleasant behaviour at the practice.
Arlo Guthrie, Editor of VetSurgeon.org and VetNurse.co.uk said: “Above all else, I want to thank everyone who shared their experience so that others can draw comfort in knowing they are by no means alone in this. I also want you to know that you’ve been heard.
"Given the survey design, it is not possible to draw any conclusions concerning the prevalence of bullying in the veterinary profession. What we can say for sure is that there have been 680 reports. If, as the data indicates, these are from different practices, then it is something that goes on in a significant proportion of veterinary practices."
"The million dollar question is what needs to be done next. It seems to me that the first and most important thing is that the profession needs to talk about behaviour and its impact openly and candidly, mirroring the great strides forward in the area of mental health."
In addition, the survey report proposes further discussion - at both a practice and professional organisation level - about things which:
As one veterinary nurse commented: "Pay is obviously important when you have a mortgage and bills, but not dreading going into work every day, it’s priceless!"
To download the report in full, click the link below.
PDF
VetUK, an online supplier of pet products and veterinary prescription only medications, has announced that it now processes over £750,000 worth of online transactions per month.
The point of the press release was to highlight that this has been achieved using paypoint.net to handle the tens of thousands of orders that VetUK says it receives each month, and process the payments.
However, it does also highlight the ever growing competition to veterinary practices from online. You might like to check VetUK's POM prices here.
MWI Veterinary Supply Inc, the parent company of Centaur Services, has acquired practice management software company Vetspace in order to offer practices wholesaler services that are better integrated with their practice management system.
Vetspace, formerly Jupiter Systems, has been developing and providing server and cloud-based practice management software for veterinary practices since 1989. There are over 1,000 installations of Vetspace's software solutions in the UK.
The recent acquisition by MWI Veterinary Supply sees Vetspace joining a group of companies including Centaur Services and Securos, a manufacturer and supplier of veterinary orthopedic solutions.
Centaur Services' core business is the daily delivery of products required by UK veterinary practices. MWI says Vetspace customers will now benefit from an enhanced level of customer service, innovative product development, technological investment and an opportunity for greater integration between their practice management software and wholesaler - all backed by the experience and investment of a global parent company.
Centaur Services customers may continue to use any other practice management system, whilst Vetspace customers may continue to work with other wholesalers. Brian Topper, Managing Director of Centaur Services said: "We're very pleased to be able to offer our customers throughout the UK the opportunity to further enhance and streamline their practices by integrating their practice management system and wholesaler solution. Our focus is on delivering a high quality service that's accurate and reliable and we believe that aligning our offer with that of Vetspace will have major benefits for the future of both ours and our customers' businesses."
Nader Pour of Vetspace added: "Having been at the forefront of practice management software for the past 25 years we are delighted to be joining the MWI Veterinary Supply group and working with the likes of Centaur Services to further develop the benefits we're able to offer our customers for the next 25 years and beyond."
Picture shows, left to right: Brian Topper, Centaur Services, Nader Pour, Vetspace and Jim Cleary, CEO of MWI.
The RVN Disciplinary Committee of the RCVS has removed an Armagh-based nurse from the Register after finding that she'd entered the details of four injections into clinical records when she had no reasonable basis for doing so.
During the four-day hearing, the Committee considered two alternative charges against Ms Tracy Nicholl (nee Wilson) relating to her actions on 3 February 2011, whilst employed by O'Reilly & Fee veterinary surgery, Armagh.
Ms Nicholl was alleged by the College to have administered Dolethal, a pink liquid containing pentabarbitone and used for euthanasia, to a dog called Butch without being directed to do so. It was also alleged that she had made dishonest entries into the dog's clinical records, or had administered drugs without a veterinary surgeon's prescription.
Ms Nicholl was alleged to have administered the Dolethal via a fluid bag and giving set on the morning of 3 February, which she denied. The Committee found that, although a veterinary surgeon believed that she saw pink fluid in the line, uncertainties in the surrounding circumstances made the Committee unable to be sure the line contained pink liquid. Expert and forensic evidence revealed Butch had received Dolethal, but not the route of administration or the timing. Therefore the Committee could not be sure Ms Nicholl administered the Dolethal and dismissed this charge.
However, the Committee found that Ms Nicholl did enter on Butch's clinical records that four drugs had been injected, when she had neither administered them nor been told that the drugs had been administered. Although she denied making the entries in evidence submitted to the hearing, in evidence from an interview with the College on 11 July 2011 she had admitted this and her initials were on the record entries.
The Committee noted these injections would be chargeable, and was satisfied the public would regard making these incorrect entries as dishonest. As Ms Nicholl was a highly experienced, senior nurse who also lectured to veterinary nursing students, the Committee was sure she knew she was acting dishonestly. Further, she had breached her responsibilities to clients by failing to maintain accurate case records, and the entries raised potential animal welfare issues. In mitigation, her actions affected no animal's actual welfare, and there was no evidence that Ms Nicholl had made any financial gain or repeated her conduct.
Ms Judith Webb, chairing and speaking on behalf of the Committee, said: "In addition to the fact that the charge involved dishonesty, there were a number of other aggravating features. The Respondent has not demonstrated any recognition of the seriousness of the record entry allegation, specifically the importance of keeping proper records ... It is in the wider public interest and to protect the reputation of the veterinary nursing profession that the Respondent's name should be removed from the Register."
Ms Nicholl is the first Registered Veterinary Nurse to be struck off since the introduction of the title.
The Royal College of Veterinary Surgeons has embarked upon the most extensive review of its veterinary nursing qualifications for many years, in order to meet the timetable for Ofqual's implementation of the Qualifications and Credit Framework (QCF) in summer 2010.
The new QCF aims to provide a more user-friendly and flexible system. Under the new arrangements, all qualifications will carry a 'value' in terms of their level and the volume of learning involved. It's a similar system to that used in higher education for a number of years.
The new national awards framework means that NVQs as such will disappear and the process of review opens up the whole qualification structure, allowing for the creation of a more flexible system to suit better the needs of the veterinary nursing profession and employers.
Head of Veterinary Nursing, Libby Earle said: "Future options include potentially placing more of the responsibility for education and basic skills on the colleges, leaving practices to concentrate on providing quality mentorship and work experience, with less emphasis on assessment.
"Consideration will also be given to providing part of VN training and education within full-time further education, which is possible now that the lower age limit for VN students has been dropped."
The College is keen to hear the views of those involved with the delivery of training and employers of qualified nurses. A consultation letter has been sent to those involved and topics on which views are sought include the range and level of knowledge and skills delivered by the current awards, the impact of training on employers of student VNs, meeting the increased demand for qualified VNs, and providing VNs for mixed or equine practices.
Over the summer, evidence-gathering meetings will be held at the RCVS to explore the issues in more depth. Anyone who has not been sent a formal consultation letter and who would like to contribute is very welcome to submit their views. Please visit www.rcvs.org.uk/vnawardsreview for the consultation papers. Comments should be submitted by 30 June 2009.
The review of the RCVS awards will take place alongside Lantra's review of the National Occupational Standards (NOS) for VNs: the NOS describe what a person needs to do, know and understand in their job to carry out their role in a consistent and competent way.
The letter outlines how the organisations want to work with the government to ensure the best possible outcome for animal health and welfare, public health and the veterinary profession post-Brexit, but also voices concern that perceptions of ‘anti-foreigner’ rhetoric may already be having an impact on the veterinary workforce.
Here is the full text of the letter sent to the Prime Minister on the afternoon of Tuesday 18 October 2016:
Dear Prime Minister,
Like all professions and sectors, we are currently involved in detailed debates regarding how Brexit is likely to affect our members and how we can best harness the opportunities it may present. We are very keen to work with the government to make a success of Brexit within our sector. The veterinary profession plays a crucial role in protecting public health, relies heavily on EU graduates and is already feeling the impact of the EU referendum.
The UK veterinary profession is made up of over 26,000 veterinary surgeons and over 11,000 veterinary nurses, working to improve the health and welfare of animals, to monitor and control the spread of diseases, and to assure the safety of the food we eat. Each year around 50% of veterinary surgeons registering to practise in the UK are from overseas, with the vast majority coming from the EU. EU veterinary surgeons make a particularly strong contribution to public health critical roles such as working in the Government Veterinary Services. In the meat hygiene sector some estimates suggest 95% of veterinary surgeons graduated overseas. Consequently, Brexit and accompanying changes to the mutual recognition system or immigration restrictions could have a profound impact upon the veterinary workforce.
We are currently considering how best to manage the potential impact on the veterinary workforce, and will be very pleased to discuss these issues with the relevant government departments in due course. However, even before Article 50 is triggered we are experiencing a negative impact on the existing veterinary workforce.
We have received reports that the increasing focus on foreign workers is causing personal distress to individual members of the veterinary profession who live and work in the UK. There are also reports of a negative impact on recruitment and retention: those involved in public health critical roles, such as meat hygiene, are having increasing difficulty recruiting much needed EU veterinary surgeons to work in the UK; leading experts from overseas are turning down employment offers from top UK universities; and many others are considering leaving the UK due to a feeling it is no longer welcoming to foreigners. There is a danger that the language and rhetoric around Brexit, alongside the ongoing uncertainty for non-British EU citizens, could seriously impact the veterinary profession’s ability to fulfil its essential roles.
The government has encouraged professions like ours to present factual data on the EU migration issues so that you can fully understand the challenges the country faces. The RCVS has begun the process of commissioning detailed research into the impact that Brexit is having upon those working in the profession and the implications this could have for the veterinary workforce. We will keep your officials informed as to the results of this research.
In the meantime, we reiterate our call for the government to protect the status of non-British EU vets and vet nurses currently working and studying in the UK, and urge Ministers to be mindful of the negative impact of what may be perceived as ‘anti-foreigner’ rhetoric.
We are committed to working with you to identify opportunities created by Brexit for animal health and welfare, public health and veterinary research and to realise our joint vision for the UK to continue to lead in these areas, and we are keen to maintain close communication with you and your colleagues as the negotiations develop.
Yours sincerely,
Chris Tufnell, President, Royal College of Veterinary SurgeonsGudrun Ravetz, President, British Veterinary Association
The Bella Moss Foundation (BMF) and Oncore Online Learning have announced the launch of a 2 week online training course developed to help veterinary professionals implement rigorous, tailored infection controls in practice.
Practical Infection Control is delivered online as a fully tutored course and students will have access to Oncore's virtual learning environment which will host a lecture, learning materials and discussion forums.
Course materials and ongoing tutor support and assessment will be provided by VN lecturer and BMF advisor Louise O'Dwyer. As part of the course, students will be able to create and implement their own tailored infection control standard operating procedures for their practice, which will be evaluated by Louise.
Course registration is now open, and as soon as a minimum of eight students are booked, the first two week course will go live. Practical Infection Control costs £129 and counts for six hours of documented CPD. A percentage of the proceeds will be donated to BMF, to help the charity continue to fund veterinary education and support for pet owners seeking advice on antimicrobial resistant infections.
Louise O’Dwyer said: "This will be a highly interactive course which will be tailored to the individual delegate, and therefore the individual practices. "It will have a different learning format to many other CPD courses, being interactive and very much driven by delegate feedback, meaning those undertaking the course can gain the specific information they need on aspects such as prevention of surgical site infections, cleaning and disinfection, surgical patient preparation and hand hygiene."Jill Macdonald, RVN and founder of ONCORE Online Learning, said: "Infection control is a key component of any practice routine, but in my experience having clear and up-to-date practice guidelines and protocols – that everyone actually uses – can sometimes be overlooked.
"This module, especially timely given new official focus on infection safeguards in the PSS, will empower nurses and other staff to implement the most recent and robust infection control methods, whatever their place of work, whether it be a small local practice or a large veterinary hospital."
To register for Practical Infection Control or find out more about the range of courses offered by ONCORE, visit www.oncoreepd.co.uk or contact info@oncoreepd.co.uk or 07717 335484To find out more about BMF, visit: www.thebellamossfoundation.com
The RCVS has launched its first annual audit of continuing professional development (CPD) for Registered Veterinary Nurses (RVNs).
RVNs commit to keeping their professional skills and knowledge up to date and must meet a target of 45 hours of CPD over a three-year period.
Letters have been sent to a nationwide sample of RVNs to enable the College to monitor the level and nature of CPD being undertaken. Around 500 RVNs will be asked to submit their last two years' RCVS CPD Record Cards for review; some may then be followed up with requests for more information.
"Maintaining CPD is key to improving standards of nursing care, developing the pool of veterinary nursing knowledge and enabling VNs to further their own careers," stresses Andrea Jeffery, Chairman of the VN Council. "I would urge all veterinary nurses who have received a letter to please send in their completed Record Cards by 1 May this year."
CPD Record Cards, which also include guidance notes on what can be counted towards CPD, are posted annually to RVNs. They are also available to download from RCVSonline at www.rcvs.org.uk/vnregister.
As with veterinary surgeons, poor compliance with CPD obligations would be taken into account in any complaint arising against an RVN. Completed CPD Cards are also considered as part of a Practice Standards Scheme inspection.
Any queries regarding the audit should be directed to the Veterinary Nursing Department on 020 7202 0788 or vetnursing@rcvs.org.uk.
Burgess reminds everyone that RVHD2 is a highly infectious strain of RVHD with few or no visible symptoms. It is fatal and can kill within hours. RVHD2 poses a significant threat to Britain’s rabbit population and outbreaks have been reported all over the UK and Ireland meaning no area is safe.
According to the company, the most recent sales figures show that only 137,405 RVHD2 vaccinations have been distributed in the last year1. This, says the company, shows a concerning number of practices are still not stocking the necessary vaccines to protect rabbits against RVHD2 and other fatal diseases.
Rabbits who have received the combined vaccination for RVHD and myxomatosis need a separate vaccination for RVHD2.
BSAVA President Sue Paterson said: "The British Small Animal Veterinary Association (BSAVA) supports the Rabbit Awareness Week 'Protect and Prevent' approach to saving the lives of rabbits in the UK. The BSAVA urges all rabbit owners to get their rabbits vaccinated against this disease and encourages all practices to remind their clients of the importance of doing this."
Richard Saunders BVSc DZooMed MRCVS said: "It's important for vets to be aware of the importance of vaccinating rabbits against all 3 viral diseases: Myxomatosis, RVHD1 and RVHD2.
"We certainly don't want rabbits to go without their annual myxomatosis vaccine: this horrible disease is very much still around. RVHD1 appears to have been overtaken by the new variant, RVHD2, but should still be vaccinated against.
"RVHD2 is a recent strain of the RVHD virus, which the Nobivac Myxo-RHD vaccine does not cover, and it is, quite literally, everywhere. Transported by inanimate objects as well as animals, it can affect both indoor and outdoor rabbits anywhere in the UK.
"If you wait until you see the first case in your area before recommending vaccination, rabbits will die, when this could be avoided.
"Remember that rabbit owners are much more likely to bury their dead pets at home than cat and especially dog owners, who generally bring their pets to a vet for cremation, and so we, as a profession, are under-aware of the incidence of the disease out there.
"RVHD2 is a core vaccination requirement, being endemic in the UK. Additionally, it’s not just a fatal disease, it’s a fatal disease with a reservoir in the wild. We strongly recommend vaccination of rabbits with either Filavac or Eravac in addition to Nobivac Myxo-RHD."
For more information on this year’s campaign and to request your RAW veterinary pack with marketing materials and free samples, visit www.rabbitawarenessweek.co.uk
Reference
VetSurgeon member Anthony Todd has started a petition amongst veterinary surgeons and nurses, calling for the installation and routine monitoring of CCTV in all pre-slaughter areas of licensed abattoirs in the UK.
The petition was triggered by a news report in the Daily Mail exposing shocking cruelty to pigs at an Essex slaughterhouse run by Cheale Meats. Staff were seen stubbing their cigarettes out on the pigs' faces, punching them and failing to stun the animals correctly, in undercover footage filmed by Animal Aid.
The Food Standards Agency, which is responsible for breaches of welfare at abattoirs, has refused to submit the footage to Defra for prosecution, on the basis that it was filmed illegally.
Anthony said: "Prosecution will automatically follow with legal video evidence.
"The exposure of the Cheale incident was fortuitous and may well be the tip of the iceberg which must be eliminated."
To sign the petition, please visit: http://www.ipetitions.com/petition/abbatoir-abuse/
A group of some of the best-known referral practices in the country has issued a formal response to the recent announcement by pet insurance underwriter RSA that it is building a network of preferred referral practices to direct its clients to.
Whilst RSA has clarified the contents of a letter it sent to practices in the Midlands and North West, and apologised to the profession for the confusion it caused, it has not yet responded to any of the other concerns raised by the profession.
Perhaps chief amongst those is the claim by RSA's Head of Pet Claims, Keith Maxwell, that the company is looking to provide like-for-like treatment at a lower cost from its list of preferred referral practices.
Referral vets from Anderson Moores Veterinary Specialists in Hampshire, Cave Veterinary Specialists in Somerset, Davies Veterinary Specialists in Hertfordshire, Dick White Referrals in Suffolk, North Downs Specialist Referrals in Surrey, The Veterinary Cardiorespiratory Centre in Warwickshire and Willows Veterinary Centre in the West Midlands say that RSA's current list is simply not representative of the RCVS Recognised Specialist expertise and advanced therapies available within the veterinary profession, thereby making it impossible for RSA to offer like-for-like treatment, let alone at a lower cost.
Clive Elwood, Managing Director of Davies Veterinary Specialists in Hertfordshire, speaking on behalf of the practices who have expressed concern about the move, said: "An approach that focuses on cost-cutting rather than quality of patient care and lacks any genuine or objective process to benchmark clinical standards is inappropriate. Many multi-disciplinary centres place enormous value on the importance of Recognised Specialists being involved at every level of care including consultation, anaesthesia and imaging assessment and the proposed restrictions may preclude this level of service in some instances. We understand that balancing high standards of care and affordability for owners and insurance companies is an important issue and we hope insurers will work with all sectors of the profession to find constructive workable long term solutions."
Mike Martin of the Veterinary Cardiorespiratory Centre in Warwickshire added: "Owners buy pet insurance to ensure that they can access the best available expertise when their animals are ill. I don't think any owner wants to have their choice of practice restricted by insurance companies who are primarily concerned with encouraging shortcuts to reduce costs."
The British College of Veterinary Specialists has invited RSA to attend a meeting to discuss issues of concern, but says it hasn't thus far received a reply.
The RCVS Disciplinary Committee has reprimanded Gloucestershire veterinary surgeon Adele Lewis for failing to pass on information about a horse’s clinical history to a potential buyer during a pre-purchase examination.
Ms Lewis, the sole principal of the Cotswold Equine Clinic in Lechlade, Gloucestershire, carried out the examination of a pony called Luke on 13 February 2014. Luke was owned by Mrs Booth who was a long-established client of Ms Lewis, both at her previous practice, Bourton Vale, and at her current practice. The examination was carried out on behalf of the prospective purchaser, Mrs Grieve.
Upon examination Ms Lewis certified that, in her opinion, Luke’s veterinary history did not increase the risk of purchase.
Following the purchase of Luke, Mrs Grieve attempted to obtain insurance for Luke and found out from a pet insurance company that a claim had been made by Mrs Booth in September 2013. She subsequently found out that, following concerns expressed by Mrs Booth and her trainer about Luke’s movement and their wanting an expert opinion, Ms Lewis had referred him to Dr Kold, a Specialist in Equine Orthopaedics, in September 2013. Dr Kold had diagnosed Luke with lameness and had given him intra-articular medication. Luke had also had a follow-up appointment with Dr Kold about four weeks later in October 2013.
The Disciplinary Committee hearing commenced on Tuesday 13 October 2015. At the outset, Ms Lewis admitted several parts of the charges (charge A and charge B) against her. In regards to charge A, she admitted that she had failed to inform Mrs Grieve that, when she examined Luke on 24 September 2013, his then owner Mrs Booth had complained firstly that Luke was “not tracking up and going forward” and, secondly, that he had improved significantly when put on a Phenylbutazone trial. She also admitted that she had referred him to Dr Kold for a poor performance investigation and that she ought to have informed Mrs Grieve of these matters.
In regards to charge B, she admitted that she completed a Certificate of Veterinary Examination in which she had declared that Luke’s veterinary history did not increase the risk of purchase and allowed the vendor’s declaration to include assertions that there had been no previous lameness and no intra-articular medication given in the last 12 months. Ms Lewis admitted that she ought to have known that her declaration that Luke’s veterinary history did not increase the risk of purchase was incorrect.
However, Ms Lewis denied being aware that Dr Kold had diagnosed lameness, administered an intra-articular corticosteroid to Luke and examined and noted a problem with his breathing, including upper airway disease and possible lower airway disease. Furthermore, she denied dishonesty in regards to both the charges against her and in relation to vendor declarations made on the Certificate of Veterinary Examination regarding previous lameness and intra-articular medication.
During the course of the hearing, Ms Lewis told the Committee that she had not received the reports about the two consultations by Dr Kold (despite their having been sent to her by letter and, with respect to the second report, also by email) and that she was therefore unaware of his findings when she carried out the pre-purchase examination. She also stated that she had not been informed of these by Mrs Booth. During her evidence, Ms Lewis also admitted having entered inaccurate information on a veterinary report to assist with an insurance claim.
The Committee did not find Ms Lewis to be an impressive witness citing the fact that her “explanations as to her practice showed a worrying absence of probity in the completion of veterinary reports for the purposes of insurance claims, and an absence of any effective practice management, consistent with acceptable practice.”
However, the Committee felt it did not have the evidence to conclude that Ms Lewis had acted dishonestly during the pre-purchase examination. It cited the fact that her actions, when informed by the purchaser Mrs Grieve of Dr Kold’s examination, did not appear to be those of someone trying to cover their tracks.
In regards to charge A, the Committee also found that the “apparently chaotic manner in which Ms Lewis ran her practice, and her own opinion that the pony was sound, would appear to have led her to wrongly disregard these matters from disclosure.”
In making its decision on her conduct and sanction, the Committee said that Ms Lewis’ failure to fully communicate to Mrs Grieve all the relevant information about Luke’s veterinary history fell far short of the conduct expected from a veterinary surgeon. It also cited the utmost importance of a complete and accurate certification process, as made clear in the RCVS Code of Professional Conduct and the Twelve Principles of Certification.
Chitra Karve, chairing the Committee and speaking on its behalf, said: “The Committee continues to emphasise the importance of maintaining the integrity of veterinary certification in any aspect of practice. Mrs Grieve told this Committee that if she had been fully informed about Luke’s veterinary history she would not have purchased the pony. It is clear from the evidence that it affected Mrs Grieve’s ability to insure the pony. Ms Lewis has accepted that the information about Luke’s veterinary history, not having been disclosed, was capable of affecting the risk of purchase. The public are entitled to rely upon veterinary surgeons providing complete and accurate information, when certificates and reports are prepared.”
In mitigation, the Committee paid regard to Ms Lewis’ inexperience at running her own practice and found no issue with her competence or clinical ability as a veterinary surgeon. It concluded that she had acted out of character and that there was no financial motivation for her actions. It also found it “highly relevant that the facts admitted and found proved related to a single pre-purchase examination.”
It also noted that Ms Lewis has now put in place a practice management system and has shown insight into her actions, by taking active steps to better comply with her obligations under the Code of Professional Conduct. She had also made early admissions of guilt and made a full apology to both Mrs Grieve and the RCVS both at the outset of the hearing, and in her evidence.
Chitra Karve added: “Having had the opportunity of observing her demeanour at this hearing, the Committee believes that it is unlikely that she will repeat her conduct.... The Committee has concluded that an appropriate and proportionate response in this case is to reprimand Ms Lewis.”
Dunhelm Veterinary Group in Durham has been targeted by an unusual protest, parked outside its front door.
According to a report in the Northern Echo, the van appeared outside the practice last Saturday.
One of the partners, Jack Creaner told the newspaper that there were no outstanding complaints against the practice and the protest was unexplained.
Although the van has now gone, the practice still has no idea who was behind the protest. However, it does seems to have backfired spectacularly, unleashing a wave of support on the practice's Facebook page: https://www.facebook.com/pages/Dunelm-Veterinary-Group/299184546875132
Jack said: "We are very grateful to all the people who took time to make such lovely remarks on social media."
He added the following advice for anyone else who in the profession who finds themselves at the receiving end of this kind of behaviour: "Try not to let these things get to you on a personal level. As we saw lots more people like what we do than don't. As one client put it - you can be the ripest sweetest juiciest peach in the world but someone out there doesn't like peaches."
The award is designed to develop veterinary nurses’ knowledge and skills in taking care of patients with wounds.
The course will last six months and offer a minimum of 30 hours of CPD. It will be delivered predominantly online with a practical attendance day. Topics include wound healing, infection control, bandaging technique and management of scar tissue.
All delegates will have access to an online resource with discussion forum as well as free membership of the Veterinary Wound Library for the duration of the course.
Lucie Goodwin, Head of Education at the BSAVA said: "We are proud to be partnering with the Veterinary Wound Library to deliver our latest Veterinary Nurse Merit Award.
"Vet nurses are an essential part of the veterinary team and the BSAVA is committed to supporting VNs in their academic development. The VNMA in Wound Management has been designed to equip VNs with skills that are immediately applicable to clinical practice which will maximise patient welfare and reduce bandaging complications."
Georgie Hollis, Founder of the Veterinary Wound Library (pictured right) said: "I’m absolutely delighted to be working with BSAVA to deliver the new VNMA in wound management. The role of the ‘wound’ nurse has certainly become a reality in recent years and this award aims to help nurses begin their journey towards influencing practice and improving outcomes for their patients and their team."
The BSAVA Veterinary Nurse Merit Awards are designed for nurses in primary care practice and offer structured CPD for those who have an interest in developing their knowledge and skills in particular topics, without the commitment of a certificate or diploma.
BSAVA currently offers six awards (ECC and anaesthesia, Dermatology, Diagnostic Imaging, Medical Nursing, Rehabilitation and Physiotherapy and Surgical Nursing).
The new award will bring the total to seven and there is also an award in small animal behaviour in development.
To find out more about the BSAVA Vet Nurse Merit Awards visit https://www.bsava.com/Education/VN-Merit-Awards
To find out more about the Veterinary Wound Library visit https://www.vetwoundlibrary.com/
Tramadol has become a controlled drug and has been added to Schedule 3 of the Misuse of Drugs Regulations 2001
The change to the regulations, which was made by the Home Office means that the drug is now subject to special requirements when writing prescriptions.
The RCVS says practitioners should also note that:
Although tramadol is exempt from Safe Custody Regulations, the RCVS advises that all Schedule 3 controlled drugs are locked away.
The Home Office has also reclassified ketamine as a Class B controlled drug. However, it remains under Schedule 4 (Part 1) of the 2001 Regulations meaning that the legal requirements for supply, storage and record keeping remain the same.
The RCVS therefore continues to advise that practice premises should:
Further details about the specific requirements for controlled drugs can be found in the Veterinary Medicines Directorate’s Guidance Note No 20 – Controlled Drugs.
Practice premises can also contact the RCVS Professional Conduct Department for further guidance on 020 7202 0789 or profcon@rcvs.org.uk.
Veterinary nurses can now cast votes for their preferred candidates in this year’s RCVS Veterinary Nurses Council elections.
Ballot papers with candidate details, biographies and manifestos have been posted to all veterinary nurses this week.
There are three candidates in this year’s VN Council elections with the two who receive the most votes joining VN Council also for a four-year term from July. The candidates are:
For this year’s ‘Quiz the candidates’, all candidates have been asked to submit a short video in which they answer two questions, chosen by them, posed by members of their profession.
The video statements from VN Council candidates can be found at www.rcvs.org.uk/VNvote15.
Gordon Hockey, RCVS Registrar, said: “This is the first year that we have had video statements from candidates so please do take a look at them as it's important, before casting a vote, to have an idea of the candidates and their priorities, if elected. My thanks to all those who submitted questions.
“I would urge both vets and veterinary nurses to participate in this year’s elections, because it really can make a difference. Decisions made at RCVS Council can have a real impact on all vets – the recent decision to allow the use of ‘Dr’ as a courtesy title being a case in point, along with current ongoing discussions about potential further governance reform.
Kathy Kissick, chair of VN Council, said: “The recent introduction of the College’s new Royal Charter is a momentous occasion for veterinary nurses, meaning that we are now formally regulated by the RCVS and recognised as true professionals in our own right. With the 2015 VN Council election now underway, it is more important than ever that veterinary nurses decide for themselves who should be elected to their governing body, as the decisions made by VN Council affect the whole of our profession.”
Votes in each election must be cast by 5pm on Friday, 24 April. Those eligible to vote can either fill in the ballot paper and return it by post, or vote online. To vote online, veterinary nurses should use the security codes and instructions printed on their ballot papers.
Any veterinary nurse missing a ballot paper should contact Annette Amato, Deputy Head of Veterinary Nursing on 020 7202 0713 / a.amato@rcvs.org.uk.
Consistent with previous surveys, lameness was shown to be more likely to be caused by conditions such as osteoarthritis in the limb rather than problems in the foot.
Blue Cross carries out NEHS in May each year in partnership with the British Equine Veterinary Association (BEVA). It is sponsored by Dodson & Horrell and Zoetis and supported by the UK’s leading equestrian organisations and charities.
This year saw a 14% increase in participation compared to 2015, with survey records returned for almost 16,751 horses, ponies, donkeys and mules and 5635 people taking part. Most horses were kept in livery or a private yard and used for leisure and hacking.
Lameness has been consistently seen as the most common syndrome affecting horses in the NEHS results year on year. In the latest survey a total of 32.9% (24.4% in 2015) of horses and ponies with health problems were recorded as lame. Overall, as in previous years, lameness in the limb was more common than lameness caused by problems in the foot.
A breakdown of the types of lameness revealed that 47.4% were recorded as suffering from proximal limb lameness, 31.9% from causes of foot lameness other than laminitis and 20.7% from laminitis. Degenerative joint disease (including foot and proximal limb) was the most frequently reported single cause of lameness (41.2% of all lameness) and the most frequently reported joint affected by DJD was the hock (15.3% of all lameness).
Reports of foot lameness (excluding laminitis) more than doubled this year at 10.5% (4.5% in 2015) of all syndromes reported with pus in the foot being the most frequently recorded problem. This could possibly be attributed to the persistent wet weather during and prior to the survey, which can increase susceptibility to the condition.
Josh Slater from the Royal Veterinary College, who is a member of BEVA’s Health & Medicines Committee and analysed the NEHS data, said: "The data gleaned from the survey remains consistent year on year, confirming the reliability of our findings for benchmarking, referencing and research. This year’s increase in overall lameness may be in part attributed to the higher incidence of pus in the foot but may also be because owners are becoming more aware of lameness issues. Ongoing research on lameness has generated significant media coverage over the past year, helping to raise understanding of the importance of accurate diagnosis and treatment both from welfare and performance perspectives."
The six most notable disease syndromes identified in the 2016 National Equine Health Survey are:
Gemma Taylor, Education Officer at Blue Cross said: "The significant increase in participation again this year shows that owners and keepers of horses are really getting behind the survey and recognising its importance in safeguarding the future health and of the UK’s horses. Over the past year NEHS data has been referred to in leading equestrian and veterinary media, showing its credibility as a valuable benchmarking reference."
The 2016 NEHS survey results are now available. To download a copy visit http://www.bluecross.org.uk/nehs2016results and to register for next year’s survey please visit www.bluecross.org.uk/nehs
Lintbells Veterinary has announced the launch of Yurelieve, a feline urinary health supplement containing multiple glycosaminoglycans, L-tryptophan and EFAs.
Andrew Connolly, Product Manager at Lintbells Veterinary said: "Yurelieve supports a condition which is not only frustrating to treat, but can also be distressing for the cat and their owners. The launch of Yurelieve will enable veterinary surgeons to offer their clients the most comprehensive feline urinary health support available."
Yurelieve contains Green Lipped Mussel, which Lintbells says provides a unique combination of Omega 3 fatty acids (EPA, DHA and ETA) to aid the cat’s own natural anti-inflammatory process. In addition, the product contains multiple GAGs and N-acetyl D-glucosamine to support the bladder lining, and L-tryptophan which the company says is proven to decrease stress related behaviours in cats.
To mark the launch of the new supplement, Lintbells is running a Facebook competition in which vets and nurses are invited to share photos of their cats, with a statement that captures their unique personality.
Andrew continued: “When cats are affected by a urinary condition, it takes their independence and personality away from them, so we wanted to celebrate the importance of allowing cats to be their natural charismatic selves with a photo competition starring everyone’s feline friends.”
To enter the competition, post a photo of a beloved cat with a caption that captures their unique personality, starting with ‘I believe…’ to the Lintbells Vet Facebook page (www.facebook.com/lintbellsvet). The best will win a Pampurrrr Spa Day for 2.
Yurelieve is available from your veterinary wholesaler now, in packs of 30 capsules.
For more information on Yurelieve speak to your Lintbells Business Development Executive or call 01462 790886.
A survey published today by the veterinary recruitment agency recruit4vets has found the majority of RVNs are paid between £16K and £20K, with a further 38% on £21-25K and 12% being paid less than £15K.
124 RVNs in full-time permanent employment took part in the survey, and the largest number of respondents overall (37%) worked in the south east and London.
The survey also looked at RVN locum charge-out rates, and found the majority charge £12-£15 per hour, with a further 25.42% getting £15-£16 per hour, 10.15% getting more than £16 and 6% getting less than £11.
52% of the permanent nurses who took part in the survey said their salary had increased in the last 12 months.
65% of the overall respondents said that the demands on them within the practice had increased in the last 12 months.
Recruit4vets has produced a couple of video presentations about the results, locum pay covered here and permanent pay covered here.
Visit VetNurse.co.uk Jobs for the largest selection of classified jobs for veterinary nurses.
The range comprises of a detangling pre-wash, a cleansing shampoo and a fragrant conditioner, all of which are pH balanced and formulated using natural ingredients and a blend of essential oils designed to make bathtime a calmer experience.
The products all come in 300ml bottles with a list price of £6; RRP £12.
The Pet Remedy range can be ordered direct from Animalcare on 01904 487687 (orders@animalcare.co.uk) or from your veterinary wholesaler.
RCVS CEO Lizzie Lockett said: "I am so proud of our performance in the Great Place to Work Awards and the efforts of everyone at the College, and especially our HR team, who have been tirelessly and creatively striving to make the College a wonderful place to work.
"Consistently being placed in the top 50 Great Places to Work is also a testament to the sustained hard work all of our employees and the important part they play in creating a supportive, interesting and good-humoured workplace.
"We are a service-led organisation and we want to make sure that we give our best to the veterinary professions and the general public. If our team enjoys the work, and the workplace, that will improve the service we are able to offer and, ultimately, benefit animal health and welfare."
73 employers took part in the survey, which concluded that when it comes to increasing your chances of a successful job application:
Many survey respondents also shared their own tips and advice about how you can increase your chance of a successful application with them.
You can read the full report here.
Zoetis has announced the introduction of Equimidine solution in a 50% larger plastic bottle.
The company says the new 15ml multi-dose presentation, now in plastic rather than glass, offers greater safety, as well as cost-saving advantages to practices.
Equimidine, containing 10mg/ml detomidine hydrochloride and methyl parahydroxybenzoate 1 mg/ml as a preservative, is a clear solution for intravenous injection. It has sedative and analgesic properties and is indicated for use either alone or in combination with butorphanol to facilitate the handling of horses for clinical examinations, minor surgical procedures and other manipulations. It can also be used with ketamine for short duration general anaesthesia for surgical procedures such as castration.
According to the company, the new 15ml plastic bottle is more cost-effective per dose than the old 10ml glass vial. It is also safer to use as the bottle is less likely to break if accidentally dropped. The multi-dose facility involves a tightly fitted rubber bung through which a sterile needle can be inserted to withdraw each dose.
Penny McCann, Equine Product Manager, Zoetis UK Ltd, said: "The new presentation provides practical benefits for vets and the larger bottle size means the product is now even more cost-effective."
For more information, speak to your Zoetis Account Manager, refer to the SPC or contact Zoetis Customer Support on 0845 3008034.