Dr Botes faced a total of nine charges against him, relating to performing (or recommending) inappropriate total hip replacements on five dogs without adequate investigation and without getting informed consent from the owners.
One of the charges also related to a failure to keep adequate, clear and detailed clinical records in relation to the five dogs.
Dr Botes denied the first two charges which were later dismissed because the owner did not attend the hearing and counsels agreed that it would not be in the public interest to pursue them.
Dr Botes admitted the other seven charges and that they amounted to serious professional misconduct, and they were therefore found proven by the Committee.
In considering whether the charges amounted to serious professional misconduct, the Committee considered an expert report from Professor John Innes, RCVS Specialist in Small Animal Surgery (Orthopaedics) and Mr Midgley, RCVS Advanced Practitioner (Small Animal Orthopaedics).
Ian Arundale, Chair of the Committee, said: “In coming to its decisions, the Committee took into account Professor Innes’ opinions that it was not reasonable for Dr Botes to have carried out the THR without sufficient investigation into Kilo’s pain; that the THR undertaken in respect of Sora was not in the animal’s best interests; and that it was ‘entirely unnecessary’ to recommend the THR in respect of Penny.
"In addition, the Committee has found that both THRs performed in respect of Daisy were not in her best interests.
"Thus, in the Committee’s view, Dr Botes’ actions and omissions did not ensure the animals’ health and welfare.”
The Committee took into account that the THRs in question were a source of financial gain, that Dr Botes’ conduct was repeated over a considerable period of time and that he was in an increased position of trust and responsibility because of perceived expertise in small animal orthopaedics and its education.
However, the Committee took into account, as a mitigating factor, that Dr Botes has indicated some insight into some aspects of the charges in his written communications to the College, in his witness statement dated 29 December 2021, and in his admissions at the start of this inquiry.
The Committee then considered what would be an appropriate and proportionate sanction, hearing from several character witnesses including Dr Midgely, who was put forward as Dr Botes’ proposed supervisor if the committee agreed to a postponement with undertakings.
When making their decision, the Committee took into account the fact that Dr Botes had been suspended from the Register in 2008 for six months for serious professional misconduct over the care of a dog that had been involved in a road traffic accident.
The Committee considered a postponement of judgment with undertakings, which was submitted by Dr Botes’ counsel.
However, the Committee took the view that a postponement would not be appropriate because the failings were not in limited aspects of practice but were wide-ranging, covering the fundamental requirements of any veterinary surgeon.
In the Committee’s view, this would mean nothing less than direct supervision, where Dr Botes’ practice was directly monitored on a day-to-day basis would be sufficient to protect animals, clients, and to uphold the wider public interest.
It would be impracticable to formulate undertakings capable of effectively addressing these issues.
The Committee also noted that the disgraceful conduct was serious and there was a pattern of sustained and persistent misconduct.
The Committee therefore did not believe that no further action, a reprimand or a warning were appropriate or proportionate outcomes.
The Committee also considered whether suspension was appropriate but concluded that there was a real risk of repetition of the behaviours outlined in the charges, and so the Committee was unable to conclude that Dr Botes would be fit to return to practice after a period of suspension.
The Committee therefore decided to direct that Dr Botes should be removed from the Register indefinitely.
In coming to this decision, the Committee carefully applied the principle of proportionality and took into account the impact of such a sanction on Dr Botes both professionally and financially, and took into account his witness statement in this regard.
Ian Arundale added: “In light of the gravity of the conduct, and all of the factors taken into account, any lesser sanction would lack a deterrent effect and would undermine public confidence in the profession and the regulatory process.
"Removal was the only appropriate and proportionate sanction.”
Dr Botes has 28 days from being notified of his removal from the Register to lodge an appeal with the Privy Council.
The Committee’s full findings can be viewed at www.rcvs.org.uk/disciplinary
The recognised qualifications are expected to take 12 months to complete and are assessed via a combination of online written exams, a skills portfolio, case scenarios, assignments and practical exams.
VetSkill's Qualifications Manager, Sam McMillan, said: "It’s an exciting time within the veterinary nursing industry and to be involved in the creation of such iconic qualifications.
"We’re thrilled with the positive reaction gained by the industry and are confident that developing these skills based qualifications will give veterinary nurses the opportunity for further career growth and improve nurse retention in the industry."
The company has created a waiting room board kit, social media pack and a video which surgeries can play on waiting room televisions.
The board kit comprises cut out images of items which are commonly found in a typical Christmas shopping basket which can be toxic or dangerous to pets. Meanwhile, the video explains the dangers pet owners need to be aware of throughout the year.
For practices which are limiting the number of people coming into the premises, TVM is also offering waterproof posters which can be displayed outside surgeries, along with Pet Dangers leaflets for clients to take home.
Will Peel, Product Manager of TVM UK, said: ‘We know that poisoning cases increase significantly over the Christmas period and while many pet owners are aware of the items which are toxic to their pets, it’s easy to get distracted during the festive season so the materials we have put together are intended as a reminder to be diligent and keep pets safe from harm.’
To claim your free Pet Dangers practice resource kit, visit https://www.tvm-uk.com/order-your-tvm-uk-christmas-pet-dangers-display-kit, contact your local territory manager, email help@tvm-uk.com or call 0800 0385868.
In what researchers say was the largest study of its type to date, dogs with Cushing’s syndrome were identified from the electronic patient records of practices participating in the UK VetCompass programme during 2016.
Both pre-existing and incident cases of Cushing’s syndrome during 2016 were included to estimate the one-year period prevalence.
Available demographic data for study dogs included date of birth, sex, neuter status, breed and mean lifetime bodyweight above 18 months.
Multivariable binary logistic regression modelling was used to assess the associations between risk factors and Cushing’s syndrome.
Dr Imogen Schofield, corresponding author for the paper, said: “A total of 1527 Cushing’s syndrome cases were identified in this study, from a population of 905,544 dogs in 2016.
"The estimated one-year period prevalence for Cushing’s syndrome in dogs was 0.17% (95% confidence interval 0.05 to 0.07).
“The findings of this study provide evidence from primary-care clinical records on the epidemiology of Cushing’s syndrome which can help primary-care veterinarians during diagnosis.
"Seven breeds were associated with increased odds of Cushing’s syndrome; the Bichon frise (OR=6.17, 95% CI 4.22 to 9.00), Border terrier (5.40, 95% CI 3.66 to 7.97), miniature schnauzer (3.05, 95% CI 1.67 to 5.57), Lhasa apso (2.52, 95% CI 1.49 to 4.28), Yorkshire terrier (1.82, 95% CI 1.23 to 2.70), Staffordshire bull terrier (1.52, 95% CI 1.08 to 2.13) and Jack Russell terrier (1.50, 95% CI 1.07 to 2.08).
"Four breeds were at decreased odds of Cushing’s syndrome: the Golden retriever (0.24, 95% CI 0.06 to 0.98), Labrador retriever (0.3, 95% CI 0.17 to 0.54), Border collie (0.32, 95% CI 0.13 to 0.78) and cocker spaniel (0.44, 95% CI 0.21 to 0.90), which could help vets in practice lower their index of suspicion for Cushing’s syndrome for these breeds.
"Dogs with a bodyweight higher than their breed-sex mean had 1.44 times the odds of Cushing’s syndrome than those within their breed mean (95% CI 1.17 to 1.78), suggesting either overweight dogs or larger examples of the breed are at increased risk of this condition, or that dogs with Cushing’s syndrome gain weight.”
Nicola Di Girolamo, Editor of JSAP, said: “When we look at risk factor analysis in previous studies, the generalisability of their findings to the general population of dogs in the UK have typically been limited due to studying dogs from referral populations or due to a lack of multivariable analysis.
"The findings of this study help to address that knowledge gap, supporting some of the risk factors previously reported, and by identifying novel associations, such as that in the Border terrier.
"Awareness of breeds with high or low risk could help to enhance the index of suspicion for veterinary surgeons working in primary-care practice where Cushing’s syndrome is predominantly diagnosed and managed.”
Reference
Photo: BSAVA
The study1 took the form of an online survey of over 5,500 owners, which exploring the the early socialisation, health and behaviour of ‘pandemic puppies’ purchased in 2020 compared to 2019 puppies.
The study found that puppies bought during the pandemic in 2020, in comparison to pre-pandemic in 2019, were more likely to have been ‘designer crossbreeds’, for example a Cockapoo or Cavapoo, instead of Kennel Club registered purebred dogs.
The 2020 cohort of pandemic puppies were also more likely to already hold a pet passport at purchase, indicating they may have been imported from Europe – perhaps illegally – to meet the greatly increased demand and prices for puppies.
Amongst the positive findings was the fact that many of the health and socialisation experiences examined didn’t vary significantly between puppies purchased in 2019 and 2020.
However, researchers say there was still a concern that 2020 ‘pandemic puppies’ were less likely than 2019 puppies to attend puppy training classes or to have experienced visitors to their homes (under the age of 16 weeks in both circumstances).
This, they say, means pandemic puppies may be more likely to experience stranger-related fear and anxiety and other behavioural problems related to insufficient socialisation, from being unable to attend puppy classes under 16 weeks of age; a critical period for the development of puppies.
In addition, those puppies sourced from Europe may have been transported over long distances without their mother, a stressful experience which the researchers say could cause problem behaviours in the future.
Pandemic puppies may therefore need extra support from the veterinary profession, particularly those specialising in animal behaviour.
Dr Claire Brand, Researcher in Canine Welfare at the RVC said: “Despite many owners’ concerted efforts to raise their puppies as well as possible, some puppies missed out on key experiences of puppyhood, such as going to puppy classes, or experiencing visitors in their homes.
"This has potential consequences for the future behaviour of ‘pandemic puppies’ and so we are encouraging owners to seek out training and behaviour advice from accredited professionals so that these now adult dogs can learn to live happily in our post-lockdown world.”
Zenrelia is a new JAK inhibitor which Elanco says provides visible itch relief which lasts 24 hours, from the first dose.1
The company points to a head-to-head study with over 330 dogs across 25 vet clinics, in which Zenrelia was shown to get 45% more itchy dogs back to normal than Apoquel (oclacitinib).1
Elanco says its once-daily dosing may also improve treatment compliance over twice-daily alternatives.
The company also says that Zenrelia has a cost benefit too, presumably meaning it's cheaper than alternatives.
Zenrelia can be given long term with commonly used medications, including vaccines, antibiotics, parasiticides and NSAIDs.
Elanco UK & Ireland General Manager Matthew Frost said: “With this treatment, we’re looking at happier dogs and their owners, and a more rewarding experience for vets.”
www.zenrelia.co.uk
The company has completed a health hazard assessment which concluded that any risk to animal and human health is likely to be low and no greater than expected for this product under normal conditions, as described on the product labelling.
The recall is for the following batches only:
Batch Numbers:
0265-900302-900246-900112-900295-909053-919103-91
Norbrook Laboratories Ltd is contacting veterinary surgeons to examine inventory immediately and quarantine products subject to this recall.
For further information, contact Gary Mckee on +44 2830 264435 or email gary.mckee@norbrook.co.uk
Ms Benson faced six charges.
The first was that between January 2018 and November 2019 she took a number of bags of dog food and two horse wormer syringes from the practice without paying for them.
Charge 2 alleged that between November 2018 and November 2019 she took a number of items of animal food and one or more boxes of horse wormer and paid less than the correct amount for them.
Charge 3 was that between October 2018 and November 2019 she arranged for or allowed a friend to receive a discount on items from the practice, without consent from the practice.
Charge 4 alleged that in December 2019 she asked a veterinary surgeon colleague to input details of treatment and/or medicine for her cat into the clinical records of another of her animals that was also registered to the practice.
Charge 5 was that in relation to charges 1, 2 and 3, her conduct was dishonest.
Charge 6 alleged that in relation to charge 4, her conduct was dishonest, potentially compromised the integrity of a professional colleague and was potentially detrimental to animal welfare.
At the outset of the hearing, Ms Benson admitted to charges 1,2,3,4 and 6 of the allegations and the Committee accepted these admissions. The Committee considered evidence from Ms Benson’s colleagues including witness statements, written testimonial and clinical records for her animals.
When asked about taking items from the practice, Ms Benson explained that she did not intend to take items without paying for them and that she had not realised how much she had taken. She also explained that she had paid back in full what she owed to the practice. The Committee considered that Ms Benson’s conduct had involved a degree of premeditation as she had repeatedly taken items over an extended period. They also considered that there had been a potential risk of injury to animals resulting from Ms Benson’s request to incorrectly write up her animal’s veterinary records.
The defence attested that no actual harm had come to any animal because of Ms Benson’s actions and that she previously had an unblemished career in veterinary nursing. She had also admitted most of the charges against her and paid for the items she had taken in full.
Cerys Jones, chairing the Committee and speaking on its behalf, said: “The Committee considered that in the case of Ms Benson, there had been a potential risk to animals had her pet’s records been incorrectly completed, although no harm resulted. The request to alter the records had been a short, single event, but the taking of items had been repeated over a period.
"The Committee also considered that Ms Benson had abused the trust placed in her as a senior nurse with managerial responsibility. We took into account that there was some evidence of Ms Benson being overloaded by work, but there was no evidence of any health condition during the time of the misconduct which might explain her actions.”
The Committee therefore found Ms Benson guilty of serious professional misconduct and decided that a nine-month suspension from the Register was the most appropriate sanction.
Cerys Jones said: “The Committee accepted that Ms Benson had developing insight in making her admissions and we give her credit for her long unblemished career. She admitted to a large part of the allegation, expressed remorse for her actions and has repaid the practice. We have also heard a number of positive testimonials which spoke positively of Ms Benson’s recent conduct.
“However, dishonesty is a serious matter in relation to professional practice and taking no action in response to the serious nature of Ms Benson’s disgraceful conduct would not be proportionate or serve to protect animals and maintain public confidence in the profession.
“Having carefully considered matters, the Committee decided that the appropriate and proportionate sanction, was to suspend Ms Benson’s registration for nine months.”
Ms Benson has 28 days from being informed of the outcome of the hearing to appeal the Committee’s decision.
The course has been designed for RVN’s with an interest in nursing, welfare and conservation of non-domestic animal species.
The course will be offered as a Graduate Certificate and a Postgraduate Certificate, which will allow RVN’s from any academic background to gain the RCVS Cert AVN.
The course lasts one academic year and will be studied mainly online.
Student finance is currently available for students applying to study the 60 credit Graduate Certificate.
Funding is available for a full MSc (180 credits) at postgraduate level, for which the PgC in AVN Exotics, Zoo and Wildlife can make up one third of the study credits, if completing an MSc over 3 years.
More information can be found on the Student Finance website.
AZEVN Chair, Matt Rendle RVN said: “Finally, we have an RCVS recognised qualification that will allow RVN’s from all academic pathways to show the high level of knowledge and understanding they have.
"The modules allow veterinary nurses taking the qualification to have a focus on the species or area that they are personally passionate about, be that axolotls, aardvarks or adders!
"This is a huge leap forward for veterinary nurses in the UK.”
www.azevn.orgwww.harper-adams.ac.uk
The Burgess Excel Vet Awards have three categories: UK Rabbit Vet of the Year; Rabbit Nurse of the Year and Rabbit Veterinary Practice of the Year.
The newly-announced judging panel is made up of:
The judges will be looking for exceptional knowledge of rabbit care and husbandry and evidence of continued commitment to educating the public on how to care for rabbits correctly. Practices will be assessed on their provision of rabbit-specific materials and their efforts throughout the year to engage with rabbit owners.
Suzanne Moyes, said: "Our work with Rabbit Awareness Week has provided a unique opportunity to gain an insight into the positive impact veterinary practices can have on rabbit welfare. Research consistently demonstrates that there are too many rabbit owners out there who are neglecting the welfare needs of their pets and education is key to addressing this.
"Many vets and vet nurses will have first-hand experience encountering rabbits in practice that have been admitted with entirely preventable illnesses or diseases. As a profession, if we can spend more time engaging with and informing pet owners on how to correctly care for their rabbits, we can drive significant change that positively benefits their lives. That’s a unique position for vets and vet nurses to be in."
John Chitty (pictured right), co-director of Anton Vets in Andover said: "Rabbits are one of the UK’s most popular pets but unfortunately they’re also one of the most neglected. Despite the growing threat of fatal diseases such as RVHD2, vaccine numbers are dangerously low and far too many rabbits are being seen with nutritional and husbandry related issues.
"These awards will highlight the importance of providing the right levels of care and attention to learning the particular needs of rabbits. Doing so has numerous benefits, not just for the UK’s pet rabbits, but for the veterinary practices that are taking care of them too, as research shows rabbit owners will seek out practices that specialise in rabbit care as a preference."
Nominations for the Burgess Excel Vet Awards will open in March 2020 and winners will be announced at the London Vet Show 2020.
One winner from each of the three categories will receive a cash prize of £500.
Veterinary surgeons, nurses and other interested parties can register their interest in the Burgess Excel Vet Awards now by visiting www.burgesspetcare.com/excel-vet-awards.
The Association says following the launch two years ago BEVApod has become such a popular information and learning resource that members have been asking for more content.
The new BEVApod will include regular features from equine vet Brad Hill, clinical Assistant Professor in Equine Practice at the University of Nottingham (pictured right), who will be exploring the many aspects of life in equine practice. He will be sharing real life stories to help promote a sense of togetherness and support mental health and wellbeing.
Brad said: “Although based at Nottingham, I am passionate about maintaining links to all areas of the equine profession. This podcast will provide a platform to bring the experiences of others directly to the listener wherever they are.”
Brad will be releasing a new episode every other week and has already lined up some participants, including Maddy Campbell, Ellen Singer, Graham Duncanson, Jack Wallace and Gemma Kirk.
BEVApod will also host clinical episodes on a monthly basis, taken from the BEVA Clinical Catch-Up recordings.
BEVA President Lucy Grieve said: “These are live webinars where we invite a practitioner to present on a clinical topic and then open it up for an informal discussion. We have turned the recordings of these into podcasts so that our members can listen to the recordings whilst travelling between clients. It makes great use of travel time and fills the void we all sometimes feel when we are alone with just our thoughts in the car.”
Current clinical catch-ups available on BEVApod include a panel discussion with experts on PPE, a discussion on equine obesity with Lucy Grieve and Cathy McGowan and treating and managing liver disease with Sarah Smith.
You can listen to the BEVApod here https://beva.podbean.com
Miss Miles and her co-defendants mistakenly believed that the animals, which included a lamb, hens, piglets, goats, a calf, dogs and a pig, were in poor condition.
They went to steal the animals from their owners' properties after dark, dressed in dark clothing; some in balaclavas.
Miss Miles was sentenced to a community order for a period of 18 months rehabilitation activity requirement and 100 hours unpaid work rehabilitation, to pay £250 compensation, an £85 victim surcharge, and £400 in costs.
The Committee found that the facts of the case were proved on admission by Miss Miles and on the basis that they accepted the copy of the Certificate of Conviction.
Deciding on Miss Miles’ fitness to practise, the Committee considered the evidence before it and the advice of the Legal Assessor.
It also considered the transcript of remarks of the sentencing judge, as well as the fact that the events which led to the convictions occurred while Miss Miles was a registered veterinary nurse with the RCVS.
In terms of mitigating factors, the Committee considered that there was no financial gain associated with Miss Miles’ actions.
In terms of aggravating factors, it noted the risk of injury to animals, that Miss Miles’ behaviour was pre-meditated, that individuals had been targeted in their own homes after dark, the stress and emotional harm to the owners, and that there had been repeated criminal offending.
The Committee also considered Miss Miles’ motivations in respect of animal welfare in coming to its decision.
However, it assessed the offences to be serious, taking into account their nature and circumstances.
Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee was aware that breaches of the Code do not in themselves mean that the respondent is unfit to practise by reason of the conviction.
"However, the Committee took into account the nature and circumstances of the conviction and also considered the wider public interest.
"The Committee was satisfied that the respondent’s behaviour which led to the conviction created a real risk of harm to the animals in question, as was clear from the basis upon which the respondent was sentenced.
“Further, the behaviour which led to the conviction for the repeated offences in the circumstances in question brings the veterinary nursing profession into disrepute.
"To find otherwise would undermine public confidence in the profession and fail to uphold proper standards of conduct and behaviour.
“Accordingly, the Committee found that the conviction, set out in the charge, renders the respondent unfit to practise.”
When determining an appropriate sanction, the Committee considered the same aggravating factors it had evaluated when assessing fitness to practice. However, further mitigating factors, in addition to the fact that Miss Miles had no financial gain, included:
The Committee considered the testimonials and character references which attested to Miss Miles’ exemplary practice, integrity, professionalism, compassionate approach to animals, commitment to animal welfare, work in educating others in animal welfare, and commitment to campaigning for animal welfare.
However, it was noted that Miss Miles gave the impression to the Committee that while she accepted that it was wrong to commit the criminal offences, she also believed that her intention to protect the animals’ welfare was a justification.
Speaking on the sanction, Paul Morris said: “The Committee was of the view that the conviction was particularly serious, in that it involved offences of dishonesty on a repeated basis.
"The Committee also took into account that the respondent has invoked her beliefs to undermine an aspect of the sentencing judge’s remarks and has used those beliefs to justify her actions at the time before this Committee.
“However, the risk of re-offending is low and, as already stated, the Committee accepts the respondent’s assertion that she does not intend to break the law again, and the Committee is assured in this regard by the lack of repetition in the last six years.
"There was insight shown by the respondent into the effect of her conviction on public trust and confidence in the profession.
"The Committee weighed the demands of the public interest, as well as the previously stated mitigating and aggravating factors.
"In all the circumstances of this particular case, the Committee concluded that both a reprimand and a warning as to future conduct is sufficient and proportionate to meet the need to maintain public confidence in the profession and uphold proper standards.”
The Committee went on to consider an order of suspension but decided that this would serve no useful purpose in light of the low risk of repetition of criminal offending, the nature of which was unconnected to her daily role as an RVN.
It could see no identifiable risk to animals now and in the future.
The Committee decided that to impose a suspension would be punitive and disproportionate.
The reprimand and warning sanction imposed on the respondent will remain on her RCVS record indefinitely and will be taken into consideration should there be any future misconduct.
https://www.rcvs.org.uk/concerns/disciplinary-hearings/
At the meeting, which took place last Thursday, Council members were asked to decide how to proceed with three specific proposals on reforming the disciplinary system:
Acknowledging some of the concerns that have been raised about changing the standard of proof, RCVS Registrar Eleanor Ferguson said: “The RCVS is now one of just a few regulators that still uses the criminal standard of proof in determining the facts of a case. We have sought these changes as part of our ongoing aim to develop a compassionate and forward-looking disciplinary system with the protection of the public absolutely at its heart, whilst also acknowledging the huge toll the process takes on the mental health of veterinary professionals.
"Research that we carried out into the impact of changing the standard of proof indicated that it would not lead to a major increase in cases being referred from the Preliminary Investigation Committee to the Disciplinary Committee. Importantly the number is likely to be very low because the standard of proof only applies to proving the facts of a case; the judgement as to whether proven facts amount to serious professional misconduct will follow the same process as at present.
"We estimated that during 2019, there could have been just two more cases brought to DC under a altered standard of proof, with an additional three cases that were borderline but probably wouldn’t have proceeded any further. Conversely, we also estimated that three cases that did go to DC during 2019 would probably not have done, had the ‘Charter Case Committee’ option been available.
"Ultimately, the aim of the RCVS in regulating the veterinary professions is to protect the public and animal welfare as well as upholding the reputation of the professions. We believe these changes will better achieve that aim."
The consultation on whether to change the standard of proof as well as to introduce the Charter Case Protocol and ‘mini-PICs’ is now planned for later this year.
Further information about the proposals, including some of the arguments for and against changing the standard of proof, can be found in the papers for RCVS Council at: www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/4-june-2020/ (pages 70-97).
For the study, the researchers analysed rehoming adverts placed on the websites of 16 Dogs Trust and RSPCA centres in 2015 and 2018. Data was collected on 1793 dogs across the 16 centres.
The percentage of dogs classified as 'extreme brachycephalic' using the Kennel Club definition increased from 2.76% (n=24) in 2015 to 5.19% (n=48) in 2018.The researchers speculate that owners may be passing on the financial burden of caring for and treating chronic health issues in brachycephalic dogs to the rehoming charities.
Dr Anne Carter, Senior Lecturer in Animal Science at Nottingham Trent University said: "The increasing numbers and rising popularity of brachycephalic breeds is already influencing the demographic spread in rescue centres. This pattern that is likely to continue, particularly as these dogs reach 3–4 years old, which we have found is the most common age for dogs being relinquished.
"Differing breeds require highly contrasting intensities of care, housing, and particularly veterinary care. Owners may often choose brachycephalic dogs with limited consideration for their potential health conditions. These dogs then enter rescue centres, placing additional strain on resources due to cost of treatment and additional length of stay for recovery.”
The company says that despite the development of alternatives to natural bone grafting, such as allografts and synthetic products, autologous bone graft is still considered the standard. However, it has a number of disadvantages, such as donor site morbidities and lameness, limited availability of graft volume (particularly in small size pets) and additional surgical time.
Biocera-Vet is a new bone substitute indicated in surgical procedures where bone grafting is necessary, such as arthrodesis, complex fractures, corrective osteotomy used in correction of limb deformities or as add-on to Tibial Tuberosity Advancement (TTA).
Biocera-Vet is an injectable synthetic self-hardening calcium-phosphate cement combining osteo-inductive, osteo-conductive and osteo-integrative properties designed to support a fast and strong consolidation.
TheraVet says Biocera-Vet also presents an excellent safety profile thanks to its biocompatibility, reduced comorbidities and superior ergonomics which save a significant amount of surgical time.
Dr Olivier Stiévenart, an orthopaedic veterinary surgeon at Surgivet in Belgium said: "Using Biocera-Vet has enabled us to optimise our patient care considerably, by reducing the operating time by at least 30 minutes. The use of an efficient and rapid bone substitute represents a real progress in terms of both operations and the animal’s quality of life".
Julie Schurgers, Chief Commercial Officer of TheraVet, said: "Biocera-Vet is a unique product on the veterinary bone substitute market, combining outstanding bone consolidation properties with an excellent safety profile and superior ergonomics. We are very excited today to announce its commercialisation on the market and are convinced that this innovative product will significantly improve the daily practices of veterinarians, for the well-being of patients and their owners."
The product is now available in Belgium, and will be rolled out in France and the Netherlands shortly, with the rest of Europe following later in 2021 / 2022.
For more information, visit: https://www.thera.vet/en/biocera-vet.
According to the charity, the fire broke out in an adjacent building in the early hours of the morning and caused considerable damage before it was put out by the fire brigade.
Luckily, the building was unoccupied at the time and nobody was hurt.
Structural damage was caused to the building and the charity reports that much of its office contents were damaged or destroyed by fire, smoke or water, including its servers.
However, because of coronavirus, the charity had already put systems in place to operate remotely, so it expects to continue service more or less as normal.
This year, eight veterinary nurses stood for two available places on VN Council.
1,740 veterinary nurses voted, a turnout of 8.4% which was significantly down on previous years (12.4% in 2021, 17.1% in 2020 and 14.5% in 2017).
Holly Witchell led the field with 533 votes and Jessica Beckett came a close second with 451 votes.
Eleanor Ferguson, RCVS Registrar and Returning Officer for both elections, said: “Many congratulations to all successful candidates, who we look forward to welcoming on to RCVS and VN Councils in July.
"Thank you once again this year to everyone who made the decision to stand in this year’s elections and to those who took the time to vote for their preferred candidates.
"We’re not exactly sure why both elections saw falling turnouts this year, but we do appreciate how extremely busy the professions are at the moment, and that everyone’s time is at a premium.
"As part of our ‘Council culture’ project we are looking at ways of improving all aspects of communicating the work around RCVS Council, VN Council and their committees, including around standing for and voting in elections.”
The full results for the RCVS Council election can be found on the 2022 election page.
At the start of the hearing the RCVS applied for it to take place in the absence of Mr Dobson, who had failed to respond when informed about the hearing. The application was granted by the DC on the basis that Mr Dobson, by refusing to respond to communications from the College – including by letter, telephone and email – had voluntarily waived his right to attend.
There were three sets of charges against Mr Dobson. The first charge was in June 2018, while he was not on the Register of Veterinary Surgeons, Mr Dobson had carried out an equine pre-purchase examination (PPE) and used the postnominals MRCVS to sign the associated PPE certificate and covering letter.
The Committee found this charge proven after it was presented with evidence of the certificate and covering letter alongside the fact that Mr Dobson had been removed from the Register on 1 June 2018 for non-payment of the annual renewal fee needed to remain on the RCVS Register. He was only restored to the Register upon paying his outstanding fee in late November 2018.
The second charge was that Mr Dobson did not have any professional indemnity insurance (or PII) or other equivalent arrangements in between June 2018 and August 2020. He also failed to provide adequate details of his PII when requested by the RCVS.
The Committee was presented with evidence that Mr Dobson had failed to confirm that he had PII arrangements or other equivalent arrangements in place prior to August 2020 and that he had failed to respond to numerous requests for evidence from the College. On this basis the Committee found the charges proven.
The third and final charge was that Mr Dobson had failed to respond to numerous requests from the RCVS, including: failing to provide written comments on concerns relating to the equine PPE; failing to provide written comments on the concern that he had carried out the PPE and used the postnominals MRCVS while not on the Register; failing to provide details of his continuing professional development (CPD) for the previous three years; and failing to provide copies of his Day Book and/or Controlled Drugs Register. All elements of this charge were found proven when the Committee was presented with evidence of numerous attempts to contact him that went unacknowledged and unanswered.
Regarding the first charge, the Committee recognised that Mr Dobson had not intentionally allowed his registration with the College to expire and that it was down to administrative error. However, it also considered that he had not responded to or taken action upon receiving numerous reminders to pay his fees. It considered that Mr Dobson had therefore acted recklessly in not only allowing his registration to expire but in continuing to practise veterinary surgery while not registered, a criminal act in contravention of the Veterinary Surgeons Act. The Committee therefore found that the first charge amounted to serious professional misconduct.
The Committee also found that the remaining charges constituted serious professional misconduct.
Cerys Jones, chairing the Committee and speaking on its behalf said: "The respondent demonstrated a pattern of behaviour in not responding, which was sustained and persistent. He asked for extensions of time but did not make good on his assurances that he would provide information. Due to the length of time during which the respondent failed to comply with the requests, as well as the proliferation of issues in respect of which he did not comply, the Committee was of the view that he demonstrated a wilful disregard of the role of the RCVS and the regulatory processes. This was particularly serious in light of the reliance which the RCVS places upon its members to cooperate with providing it with information relating to their professional practice which is relevant to the RCVS’s regulation of the profession.
"There was no harm caused to animals or the public, and the Committee acknowledged that practice circumstances have been made more difficult in general by the Covid-19 pandemic. However… the respondent’s failures to comply were serious and undermined the functions of the RCVS. The Committee was satisfied that the respondent’s failures fell so far below what was expected as to amount to serious professional misconduct."
Having found that all the charges amounted to serious professional misconduct the Committee then considered the most appropriate sanction for Mr Dobson. In terms of aggravating factors, the Committee considered Mr Dobson’s recklessness in failing to renew his registration and practising while it was lapsed, his pattern of not responding to the RCVS, the fact that financial gain was obtained as a result of misconduct, a wilful disregard to the RCVS and regulation, and limited evidence of insight. In mitigation the Committee considered Mr Dobson’s previous good character, a long and otherwise unblemished career, the fact that no animals were harmed and increased demands on time and processes due to Covid-19.
However, taking all of the information into account, the Committee decided that removal from the Register was the appropriate and proportionate sanction due to the sustained and prolonged nature of the misconduct.
Cerys Jones said: “The respondent demonstrated a wilful disregard of the role of the RCVS and the regulatory processes by way of his disgraceful conduct. In addition, his lack of engagement with the hearing process indicates to the Committee that he is not engaging with his regulator and, along with the limited insight and lack of remediation with respect to the disgraceful conduct, this demonstrates a lack of insight into the seriousness of his actions or their consequences.”
The reports summarise the results of two surveys that were conducted between July and August last year.
17% of the 19,925 veterinary nurses who were sent the survey fully completed and submitted the questionnaire.
Some of the main findings included:
Around 40% of veterinary surgeons and over 40% of veterinary nurses said they had experienced concerns for their personal safety aside from catching Covid.
These safety concerns mostly related to client interactions at the practice either during the day or out-of-hours.
Many respondents experienced conflict between their personal wellbeing and professional role, and found it difficult to juggle their work and caring responsibilities.
Many respondents also said their mental health was adversely affected by the experience of working during the pandemic.
A large majority of respondents said they had personally seen an increase in caseload due to new animal ownership.
Lizzie Lockett, RCVS CEO, said: “While many of the results of the survey may not be especially surprising and confirm what we have already been told anecdotally, it is very important that we have this hard data to hand on the overall impact of the pandemic on individual members of the professions.
“These two reports complement the six surveys that we have conducted with veterinary practices on the economic impact of the pandemic to give us as clear and holistic a picture as possible about the challenges that the professions and the veterinary sector as a whole have faced since March 2020.
"This not only provides a useful historical snapshot, but builds an evidence base to inform future temporary changes should the pandemic continue into more waves, or should future such crises arise.
“The results of the two individual surveys make it clear it has been a tough time for the professions.
"A good proportion of respondents also acknowledged that positive developments have come from the past two years, including the way the profession has demonstrated remarkable resilience, flexibility and adaptability, as well as forging a stronger team spirit under such difficult circumstances.
“However, a large number of both vets and vet nurses who responded said that the experiences since March 2020 have left them feeling more pessimistic about veterinary work and their place within it.
"I would like to reassure members of the veterinary team that the RCVS is aware and understands.
"We tried throughout the pandemic to support the professions with relevant temporary guidance changes, and we are now working with a range of stakeholders on critical issues such as the workforce crisis, which has been in part caused by Covid.
"We are also developing tools, training and resources to support the professions, via our programmes such as RCVS Leadership and Mind Matters.”
The full coronavirus impact survey reports can be found at www.rcvs.org.uk/publications.
A research project funded by The Horse Trust has found that various types of ocular tumours can be successfully treated with mitomycin C, a cytotoxic antibiotic isolated from a bacterium.
The research concludes that mitomycin C offers a safe and cost effective alternative to current treatment options such as surgery and radiation.
The research project was led by Fernando Malalana, while working as The Horse Trust's Clinical Scholar in Equine Internal Medicine at University of Liverpool. Fernando is now working as a Clinician Teacher in Equine Internal Medicine at the university.
Ocular tumours are more difficult to treat than tumours in other parts of the horse's body due to the risk of damaging the eye. In the study, Malalana investigated the use of mitomycin C in treating ocular squamous cell carcinoma, the most common ocular tumour in horses, and occular sarcoids, skin tumors that frequently affect the eyelids .
Mitomycin C is an antibiotic isolated from a bacterium, Streptomyces caespitosus. It is known to have cytotoxic effects and has been used to treat tumours in horses before, but only in combination with surgery.
Currently, the main method of treating ocular squamous cell carcinoma is by removing the tumour surgically or with radiation. Both treatments are costly and have a number of associated risks. There is also the risk of damage or scarring to the eye.
Fourteen horses with ocular squamous cell carcinoma, three of which were affected bilaterally, were included in the study. Mitomycin C was applied to the conjunctival sac of the affected eye; in some of the cases the treatment was combined with surgery. Malalana found that of the 8 eyes treated with mitomycin C alone, clinical resolution occurred in 6 cases. Of the 9 eyes treated with both surgery and mitomycin C, clinical resolution occurred in 7 cases.
Mitomycin C was also used to treat various types of sarcoids found in the eye. Currently, the most effective treatment for occular sarcoids is radioactive wire. However, radioactive wire treatment is not ideal as it is expensive, only offered in two locations in the UK, and has potential health risks to the vet applying the wire due to exposure to radioactivity.
Six horses and two donkeys with occular sarcoids, including one horse that was affected bilaterally, were treated with mitomycin C, which was injected directly into the tumour. Malalana found that of the nine nodular and fibroplastic occular sarcoids treated with the antibiotic, all were completely cleared. However, the vets did not have good results with verrucous sarcoids.
Malalana said: "The results of this research should offer hope to the owners of horses that have eye tumours. We have already been contacted by vets from across Europe to find out more information about this treatment and hope that it will be offered to more horses with occular tumours in the future".
Vets at the University of Liverpool are now testing the use of mitomycin C on other tumours that are difficult to treat surgically, including melanomas near the horse's anus. So far, two cases have been treated, but it is too early to tell whether treatment has been successful.
Malalana's research has been submitted to Veterinary Ophthalmology journal.
Owners are being asked to provide a photo or video and a brief description that capture what it is like to live with and care for an older dog.
Dr Carri Westgarth, a senior lecturer in human-animal interaction at the University of Liverpool, has been awarded a citizen science grant from PetSavers to run the project. She plans to use the information gathered to help develop a ‘Canine Ageing and Wellbeing’ tool for use in veterinary practice.
Carri said: “Dogs are living up to twice as long as they did 40 years ago and there are implications for senior dogs’ healthcare and wellbeing.
"As life expectancy increases, so does the amount of time the dog may spend in poor health. It may be difficult for us to distinguish between the signs of serious age-related diseases and normal age-related changes in our dogs."
PetSavers says the data will contribute to our investigations of owner expectations, experiences and attitudes to ageing in dogs, including preventative care and general understanding of normal and abnormal changes during ageing.
Carri added: "Improving discussions between owners and veterinary professionals about senior dog care will help to increase owner understanding and involvement in care decisions for their pet. The resulting early detection of health problems should bring significant improvement to the quality of life of senior pets and the dog-owner relationship.
"Any adult UK residents who (currently or recently) live with an aged dog/s of any breed/s or health status are encouraged to participate by choosing an image or short video and telling us about it."
The research team will then analyse the submitted text and media for common themes. They may also use anonymised selected quotes to illustrate important findings in research publications such as scientific papers or conference presentations.
If you know any owners who might like to participate, do share this link with them: https://bit.ly/PetSaversOAPsPhoto
For more information, visit: https://www.petsavers.org.uk/our-research/oldagepets
Data collection will close on Friday 10th July 2020.
Feeding companion animals with unprocessed products has become increasingly popular, and whilst ready-prepared raw pet foods are produced in highly controlled environments, Horiba says they may still present a bacterial risk.
Conor’s presentation will include discussion about the main pathogens that can cause issues, such as E. coli, Campylobacter and Salmonella.
He will also touch on potential risk to owners, for example raw food associated with zoonotic diseases, including TB; whilst also covering possible benefits too.
Paul Lymer, Veterinary Business Manager at Horiba UK said: “Veterinary teams are in a unique position when it comes to supporting and advising owners on day-to-day care.
“We appreciate though that raw feeding is definitely a topic which prompts discussion amongst both veterinary staff and pet owners.
"So our latest CPD webinar will help to educate and present a balanced view, ensuring that although the choice remains with the owner on what to feed, veterinary staff are armed with the knowledge to help them do so safely.”
To register for the event, visit: https://register.gotowebinar.com/register/6301418110266818573
The project, which is funded by the RCVS Mind Matters Initiative, is designed to find out about current attitudes, beliefs, and alcohol use behaviours of those working in clinical settings within the UK veterinary sector.
Researchers Dr Jennifer Seddon, Olivia Cormier MRCVS, and Dr Emma Davies, from Oxford Brookes University are inviting people aged 18 and over who are working in the UK veterinary sector, including vets, veterinary nurses, practice managers, veterinary care assistants, receptionists, and those undertaking other in-practice roles, who currently drink or have drunk alcohol in the past three months to take part in an online survey which takes no more than 15 minutes.
Olivia said: “Evidence from research conducted in 2009 showed that veterinary professionals may be more likely to drink at risky levels compared to people in the general population.
"There is a vital need for new research in this area, not only so we can better understand what the current situation looks like, but so that we can learn how best to provide tailored support to this group.”
The survey is anonymous and confidential, and no personal data will be gathered or shared with MMI or the RCVS.
After completing the survey, participants can choose to enter a prize draw to win one of three £100 Amazon vouchers.
https://brookeshls.co1.qualtrics.com/jfe/form/SV_0pHn8qy4ZIVTTgy
Photo: www.depositphotos.com
For the survey, 565 respondents ranked their levels of concern about different aspects of veterinary life that may be affected by coronavirus.
The top concerns were:
In addition, 42% were very or quite concerned about contracting Covid-19 in their workplace, rising to 55% amongst those working in mixed practice and 50% in small animal/exotic practice.
Respondents were more concerned about stress and burnout amongst their colleagues (67% very or quite concerned) than the impact on themselves (45%), but more than half (58%) of small animal/exotics vets reported being concerned about their own stress and burnout. Managers and employees reported higher levels of concern around stress and burnout than business owners and those who are self-employed.
When it comes to employment, the profession is a bit more optimistic. 23% of respondents are not at all concerned about job security in the veterinary sector, with 43% a little concerned and 31% very or quite concerned. Equine vets (45%) and charity vets (64%) are very or quite concerned about job security in their own sectors, against an average of 23% across all areas of work.
However, 95% of respondents had some level of concern (a little, quite or very) about the potential impact of a recession on the veterinary sector, with government, equine and charity vets most concerned.
The findings will be used to inform BVA’s work on supporting the veterinary profession as the pandemic continues.
BVA President James Russell said: “Although this is just a snapshot survey, it tells us a lot about how our colleagues are feeling six months on from the national lockdown. It paints a worrying, but not surprising, picture about the health and wellbeing of a profession that has worked incredibly hard and in very difficult circumstances this year.
“I’m incredibly proud of the way the profession has adapted to working safely during Covid-19, but we know that it has taken its toll, for example with consults taking longer, needing to cover staff shortages, and dealing with anxious clients.
“BVA also shares the profession’s concerns about the impact on students and new graduates. EMS is the jewel in the crown of UK veterinary teaching and it’s frustrating that opportunities to gain practical training have been hampered by the Covid restrictions. The issue is at the top of our agenda with the RCVS and Vet Schools Council to make sure we can collectively support the next generation of vets through this difficult time.
“As the UK is braced for the second wave, we know we are much better prepared and far more able to work safely to do our bit to tackle the spread of coronavirus. But it’s vital that we continue to support one another, as well as continuing the spirit of collaboration with neighbouring practices that helped us get through the height of the pandemic.
The snapshot survey on Covid-19 is available to view at: https://www.bva.co.uk/media/3781/voice-covid-survey-2020-results.pdf
The anaesthesia team has produced a fact sheet, infographic and CPD webinar to help practices minimise the oxygen and volatile anaesthetic agent used in animals safely.
The resources can all be found at: https://vetspecialists.co.uk/oxygen-conservation
Anaesthetist Sarah Gibson will be following up the webinar with a live online Q&A on Low Flow Anaesthesia on Tuesday 7th April at 2pm; to book your place, email: CPD@vetspecialists.co.uk.
Managing Director Tim Richardson said: "By sharing our practical information on oxygen conservation, we hope we can help our colleagues safely use less oxygen during general anaesthesia and sedation, thus ensuring more of this valuable resource remains available."
Davies Veterinary Specialists' premises remain open for urgent and emergency cases. For all other cases, assistance is being provided via remote consultation, be that either telephone or video.