Dr Power faced a number of charges relating to alleged clinical and communications failings surrounding surgery carried out on two separate dogs on two separate occasions.
The first concerned laryngeal tieback surgery carried out on Harvey, a Tibetan Terrier in March 2018, and the second concerned oesophageal surgery carried out on a boxer dog, Boss, in October 2018.
The College withdrew a number of the charges at the start of the hearing, and more later after hearing from witnesses.
Of the remainder, Dr Power admitted that she had not undertaken pre-operative radiographs before proceeding with the laryngeal surgery, had failed to perform the surgery appropriately (she dissected excessive tissue and had inappropriately placed sutures), and had undertaken the surgery when it was outside her area of competence.
In relation to the oesophageal surgery, Dr Power admitted failing to provide a referral report and/or clinical records to the veterinary practice he was referred from, despite requests from the practice.
The Committee found that the majority of the charges which had not been withdrawn or admitted by Dr Power, not proven.
However, the Committee found that in addition to the admitted charges, Dr Power had subjected the dog undergoing oesophageal surgery to an excessive 9.5 hours of anaesthesia.
The Committee then went on to consider whether the proven charges amounted to serious professional conduct.
Counsel for the College submitted that Dr Power’s conduct breached the part of the Code of Professional Conduct relating to veterinary surgeons keeping within their area of competence and referring responsibly; and providing veterinary care that is appropriate and adequate.
In terms of aggravating factors, the College submitted that there was both actual injury to the animal, as well as actions that posed a risk of injury, that Dr Power financially benefitted from the alleged misconduct as she was paid to perform a procedure outside her competence, and that she occupied a position of increased trust and responsibility as she advertised herself as a practitioner who accepted referrals and was competent to perform soft tissue surgery.
Dr Power’s counsel submitted that the charges that had been found proven amounted to clinical and administrative failings and that this was not a case of a veterinary surgeon deliberately or recklessly acting outside of their capabilities, but rather a case where a diligent and responsible veterinary surgeon had fallen short in discrete areas of her clinical practice and had reasonably believed at the time that she was competent to perform the surgery.
The Committee found that although the conduct within the proven charges fell short of what would be reasonably expected of a veterinary surgeon, it did not fall so far short that her conduct constituted serious professional misconduct.
Paul Morris, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee understood that it had a responsibility to consider the wider public interest, taking into account the view of a reasonable member of the public in possession of all the relevant facts and information.
“The Committee considered that such a member of the public would understand that veterinary surgery is a challenging profession. It was of the view that such a member of the public would not expect perfection, but understand that any professional practitioner may make mistakes in the course of their practice.
“It is the judgement of this Committee that the respondent’s conduct does not constitute disgraceful conduct in a professional respect.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
The new machine is a modular system using low-flow anaesthesia for animals from 2-80kg.
The company says that compared to anaesthetic techniques which use high fresh gas flow rates, it functions without posing a risk to team members from the huge amounts of oxygen and inhalational anaesthetic agents that would otherwise be released.
In turn, this results in cost savings from unwasted agents, and a typical 5 to 10 times reduction in environmental damage.
Darvall founder, Dr Colin Dunlop, said: “For optimal outcome from anaesthesia, veterinary anaesthesiologists and veterinarians routinely make decisions about the physiological well-being of the patient, the environmental impact of their actions, the operational efficiency of their practice and cost-effectiveness.
"Having suitable equipment that uses low-flow anaesthesia will reduce the risk of hypothermia, improve team safety, reduce environmental emissions and reduce costs.”
“Low-flow anaesthesia not only reduces oxygen flows and inhalant agent consumption to less than 10% of high-flow, non-rebreathing systems, it can help reduce anaesthetic hypothermia because it uses warm gas when using the Darvall heated breathing circuits.
"Using our specifically designed modern system for veterinary patients addresses the traditional challenges associated with low-flow anaesthesia and hypothermia.
Darvall says the use of just one system will also simplify staff training and ensure familiarity.
https://darvallvet.com
The session will be led by Adam Gregory, Head Nurse, who has experience gained around the world both as a veterinary nurse and a zookeeper.
Adam will take attendees through the basic triaging steps to assess and review treatment that may be needed, as well as covering a range of common presenting problems.
Great Western Exotics says it will be a great opportunity for first opinion vets and nurses to become more familiar with the needs of these birds to ensure they receive the best treatment possible in emergency situations.
To sign up to the talk, email Jess: GWEreferrals@vets-now.com.
https://www.gwexotics.com
Vets Now launched the service at the start of the pandemic to provide remote veterinary advice, and it has now expanded from eight to nearly 30 emergency vets.
In 2022, Video Vets Now had over 13,000 consultations, with 80% of these occurring out-of-hours. Sundays are the busiest day, with almost a third of all consultations taking place.
Of these total consultations, 17% of pets were discharged normally, 7% were immediately referred in-clinic, and 48% were discharged as non-emergency cases, but with a recommendation to get a daytime vet appointment within 48 hours.
Dave Leicester, Vets Now’s head of telehealth says the fact that so few of Video Vets Now calls are referred on to a face-to-face consultation is a real benefit for pet owners and the veterinary profession: “Over two thirds of cases don’t need to be seen urgently by a vet.
"A lot of the cases are pet owners needing some clinical reassurance.
"As cases are triaged remotely, the service therefore frees up clinical staff for genuine emergencies.
“Additionally, without the service, many clients would have no other option than to attend for a full consultation at an out-of-hours clinic; so, clients save money too, allowing them to save their budget to spend at their daytime practices.
“Following the triage consultation, if the pet does need a non-urgent face-to-face consultation, we always direct clients to their registered vet. The £24 Video Vets Now consultation fee is then refunded.
"We call this our ‘Never Pay Twice’ promise, and it applies regardless of where that follow on consultation takes place.
"We see this as a win-win situation for clients and practices.”
Dave continued: “Over the past three years, Video Vets Now has seen unparalleled growth, providing essential care and reassurance for pet owners during a time of many challenges to traditional veterinary practice.
“As the pandemic has drawn to a close, we have consolidated our position as one of the UK's foremost providers of teletriage.
"Looking to the future, the changes in veterinary regulation will allow us to grow further and expand the range of services we can provide, bringing telehealth to an even greater number of pet owners.”
The toolkit is part of a major study, the ‘Old Age Pets (OAP) research project’, recently funded by BSAVA PetSavers at the University of Liverpool.
The ACT includes an owner checklist for home triage and a leaflet which explains the more common health problems affecting aged dogs.
There's a practice waiting room poster which includes a QR code to give clients access to a digital version of the leaflet.
The leaflet recommends working through the checklist at least every six months and keeping completed versions for comparison, to monitor dogs as they age.
PetSavers says that some clients may benefit from advice and guidance from RVNs or PCAs on how to complete the checklist for the first time.
BSAVA has also curated a collection of articles, podcasts, lectures and book chapters to support veterinary professionals in caring for senior dogs: http://www.bsavalibrary.com/petsaversact.
Professor Carri Westgarth from the University of Liverpool said: “We conducted this research project kindly funded by BSAVA PetSavers in order to help owners and veterinary professionals provide great care for our loved pets as they age.
“Our investigations uncovered common physical and behavioural signs in dogs that owners observe and for which support from the veterinary practice would be beneficial.
"Our simple evidence-based checklist is designed to engage owners and importantly stimulate efficient discussion with their veterinary team.”
Free digital copies of the leaflet and poster can be downloaded here: http://www.bsavalibrary.com/content/cilgrouppetsaversact, where veterinary professionals can also request free printed copies for their practices.
https://www.bsava.com/petsavers/our-impact/citizen-science-project.
At the hearing, the Disciplinary Committee considered whether she had accepted the findings of the Committee at the original inquiry hearing, the seriousness of those findings, whether she had demonstrated insight into her past conduct, and the protection of the public and the public interest.
In her restoration application, Dr Burrows included continuing professional development (CPD) certificates for the courses she had completed since her removal from the Register, letters/informal witness statements from the veterinary surgeons and nurses she had worked who had expressed a willingness to employ her again, together with character references and reflection statements.
She also made a detailed opening statement in support of her application, in which she said that the period since her name was removed from the Register was extremely difficult and also that she now unconditionally accepted all the Committee’s original findings in May 2021, some of which she had previously denied and had failed to acknowledge.
Dr Burrows went on to state that she only had herself to blame for her actions and that she now understood and accepted that the original sanction of removal from the register had needed to be severe given the serious breach of trust to the public, to the veterinary profession and the insurance industry that was a direct consequence of her dishonest actions.
Since removal from the Register, Dr Burrows had taken on the role of receptionist in a Vets4Pets practice in Cardiff, which required her to deal directly with the public and their insurance requests and entitlements.
She stated that as a result of her involvement over the past 18 months in processing insurance claims, she acknowledges the “delicate” relationship between veterinary surgeons, clients and insurers.
Additionally, working as a receptionist, had allowed her to recognise the need for contemporaneous and clear clinical notes.
She also highlighted her CPD, which was relevant to insurance, as well as the fact she’d undertaken a professional ethics course to assist her rehabilitation, reflection, and insight.
In support of Dr Burrows’ restoration to the Register, the Committee took into account three witness accounts from people who work at the Vets4Pets branch where Dr Burrows works as a receptionist.
All witnesses gave positive reflections on Dr Burrows’ character and assured the Committee that they would provide the correct level of support to allow her to return to work safely and that they would have all the necessary safeguarding measures in place to ensure that the public’s and the profession’s interest is always at the forefront.
Judith Way, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee was impressed by the fact that busy professionals chose to give up their time to provide witness statements and give evidence in support of Dr Burrows’ application.
"All witnesses were clearly supportive of Dr Burrows’ request for restoration to the Register.
“The Committee found Dr Burrows to show remorse and she does now accept the findings of dishonesty that were made against her in the original enquiry hearing and stated that her conduct was dishonest.
"In the Committee’s view, the evidence given by Dr Burrows on affirmation was very believable and she now accepts her dishonesty together with the gravity of her dishonesty.
“The Committee also formed the view that the steps she has taken to address her dishonesty serve to confirm that she is passionate about the prospect that she be allowed to return to practise.
"The Committee was impressed by Dr Burrows and the evidence given and is now satisfied that she will ensure the highest standards of probity and honesty in the future.
“Having taken all evidence into account, the Committee is satisfied that the future welfare of animals under Dr Burrows’ responsibility will be properly protected, and that her future dealings with insurers will be honest in all respects and that the interests of the public will be met.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings
Helen was presented with the award at a black tie event in Manchester yesterday.
She said: “I love what I do – I love the organisation, and as of veterinary nurse of 27 years I remember before Pet Blood Banks were set up and all the difficulties we had then when animals needed transfusions. I’ve seen the difference these products make first-hand and I don’t know where we would be without them”
The other winners were:
Petplan’s Sales and Marketing Director, Bella von Mesterhazy said: “All of the night’s winners are so deserving of the accolade, thanks to their true commitment to their profession, and like all those who sent in nominations, Petplan is incredibly grateful for the outstanding services provided by not only our winners, but veterinary professionals around the country.”
The company says it estimates that 75% of its staff have periods and many will find themselves caught short without a pad or tampon when they have an earlier or heavier period than expected.
This can be very embarrassing and stressful, so tampon/towel dispensing machines are being installed in the loos at every CVS veterinary practice and site in the UK.
Helen Finney, Group HR Director at CVS, said: “We want to provide dignity and peace of mind for all of the colleagues who work at CVS.
"We wouldn't expect colleagues to have to bring their own toilet paper to work.
"So those who experience periods shouldn't fear being caught short either.
"In a busy practice it can be difficult to ask a colleague if they have a tampon or towel, or to find time to go out to buy supplies.
“By providing free period products to colleagues while at work, we are seeking to help in one small but meaningful way.”
When one stops to think about this (albeit as the male editor of a veterinary website), it is something of a wonder that it has taken this long. Helen's quote about loo paper hits the nail on the head. Why do all work loos not have period products by default?
In short, the old discussion forums have been replaced with a new format where we now invite members to post ONLY questions for the community instead.
Your question can be about anything you like: clinical, practice management, or even something which has nothing to do with work.
Then anyone in the community, which includes fellow veterinary nurses and representatives from industry, can earn points for answering your question.
In due course, points will mean prizes and there'll be rewards for the most helpful community members and the most interesting questions, as voted for by you.
The new VetNurse Community which now exists entirely to help you get good quality, authoritative answers to your questions has a very strict requirement that all participants treat each other with courtesy, respect and good manners.
There will also be a requirement for contributors to share their level of experience in their profile, to give their answers some context.
VetNurse Editor Arlo Guthrie said: "I've struggled for a while about the role of discussion forums in the Facebook era.
"But this, I think, will be a really useful platform which offers something completely different.
"In short, a community exclusively for answering each others' questions; somewhere you can be absolutely certain of a friendly welcome and an authoritative answer.
"If other members of the community don't know the answer to your question, then I personally will go and see whether I can find someone else to help with it"
"Plus I want to make it a bit more fun to help each other, which I think a competitive element, with a leaderboard and rewards will bring"
"The other great thing about asking and answering questions on VetNurse.co.uk is that you will be contributing to a searchable body of knowledge and experience everyone in the profession can benefit from.
"In due course, we'll be upgrading VetNurse.co.uk with all sorts of extra features which will make it easier for you to follow questions, refer back to ones you've had answered, and more."
Meantime, come and try it out.
Post a question for the community today: https://www.vetnurse.co.uk/f
Under the protocol trial, the RCVS can launch private prosecutions against unqualified people practising veterinary surgery or using the title 'veterinary surgeon'.
The College says that where breaches of the Veterinary Surgeons Act cross over to other criminal offences, for example, fraud by false representation, they will be more properly dealt with by the relevant police force.
Local authority trading standards agencies will also deal with issues around, for example, misleading courses that purport to lead to registration with the RCVS but do not; concerns about dog grooming businesses and concerns about dog breeding establishments (other than where there is illegal practice of veterinary surgery by unqualified persons).
Eleanor Ferguson, RCVS Registrar and Director of Legal Services, said: “This protocol recognises that there are constraints on the time, resourcing, and budgets of both the police and public prosecutors which means that the pursuit of these breaches of the Veterinary Surgeons Act, both of which carry minor criminal penalties, is not necessarily a priority.
“While we are always willing to work with the police and other agencies to pursue such breaches, the protocol details how we can act independently where appropriate and ensure we are fulfilling our stated ambition to safeguard the interests of the public and animals, as well as the reputation of the professions, by ensuring that only those registered with us can carry out acts of veterinary surgery.
“We would like to manage expectations around this trial period as we will only be launching private prosecutions where they meet the criminal evidential standards of ‘beyond a reasonable doubt’ and it is judged to be in the public interest to do so.
"We will also be relying on members of the professions and the public to report breaches and provide sufficient evidence to us, as we have no statutory investigatory powers.”
The trial period will last for one year and the College has set aside £50,000 to pursue private prosecutions.
The trial will be overseen by the Disciplinary Committee/ Preliminary Investigation Committee Liaison Committee while decisions on whether to pursue private prosecutions will lie with the Registrar/ Director of Legal Services.
Suspected breaches of the Veterinary Surgeons Act can be reported to the RCVS Professional Conduct Department on breachvsa@rcvs.org.uk.
The main change to the guidance was from:
A veterinary surgeon who has an animal under their care should have a 24/7 facility to physically examine the animal or visit the premises in the case of production animals, farmed aquatic animals and game.
to
A veterinary surgeon who has an animal under their care must be able, on a 24/7 basis, to physically examine the animal or visit the premises in the case of production animals, equines, farmed aquatic animals and game.
Where a veterinary surgeon is not able to provide this service, they must make arrangements for another veterinary service provider to do so on their behalf, details of which must be provided to the client in writing in advance of providing veterinary services.
The new guidance elaborates on the details which must be given to clients:
Veterinary surgeons should provide clients with full details of this arrangement, including relevant telephone numbers, location details, when the service is available and the nature of service provided.
The amended guidelines maintain that the prescription of antimicrobials and controlled drugs requires a physical examination in all but exceptional circumstances, but clarify that for antimicrobials, this applies to all except production animals, farmed aquatic animals and game.
The guidance for limited service providers, such as vaccination and neutering clinics, has been amended with the requirement that if they engage the services of another provider to provide 24-hour emergency cover, this arrangement must be confirmed in writing with the client before veterinary services are offered.
Council voted unanimously for a review of the guidance to be conducted 12 months from the implementation date, with the caveat that the Standards Committee would continue to monitor any impacts on an ongoing basis.
The full details of the amendments can be found in the papers for the March 2023 RCVS Council meeting at: www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/
Linda Belton MRCVS, Chair of the RCVS Standards Committee, said: “I would like to thank all the organisations and individuals within the professions who helped provide the crucial content and context for the case study scenarios, as well as feedback to make sure they were realistic and applicable in practice.
"Thank you also to all those who have fed into the further improvements that have been made to the guidance and I would like to reassure those with concerns that the guidance is robust, we have considered how it will be enforced and we will continue to review the guidance.”
Eleanor Ferguson, RCVS Registrar, added: “Ahead of it coming into force, we will also be publishing resources about the guidance, including the case studies that we are currently finalising, and some FAQs.
"We hope these will help to further explain the context behind the guidance changes, and help to counter any misunderstanding about the impact of the guidance and what it will actually mean for practising professionals on a day-to-day basis.”
For further information about the guidance and the consultation process that led to its development visit: www.rcvs.org.uk/undercare
Andy (pictured right) will be joined at the The Moores Orthopaedic Clinic by fellow surgical specialist Chris Jordan, and Managing Director Richard Hoile.
The clinic is situated just off the M3, thirty minutes from the M25.
It is equipped with a CT scanner, mobile digital radiography and two surgical theatres with a full complement of orthopaedic kit including for total hip replacement in cats and all sizes of dogs.
To ensure best patient outcomes the surgical suite has its own HEPA-filtered ventilation system, isolated from the rest of the clinic, which Andy says exceeds guidelines for human orthopaedic theatres and will reduce the risk of infection.
Andy said: “The Moores Orthopaedic Clinic fills a gap in the market to provide high-class specialist orthopaedic care at a reasonable price.
"We have two very experienced specialist surgeons and a clinic designed from the ground-up to reduce the risk of complications after surgery.
"We will be able to provide the very best orthopaedic care and the best possible outcomes after surgery.
"And without the high overheads many referral centres often face, we will be able to achieve this at a very competitive price.
"I can’t wait to start seeing cases in May.”
Non-urgent cases can be booked from April 2023 using the online referral form: https://mooresortho.com/contact/
In the lead up to opening in May, Andy is available for remote consultations, client visits, to consult/operate on select cases in your own clinic or to discuss cases via email andy@mooresortho.com
mooresortho.com
There are 5 candidates standing this year and vet nurses can vote for up to two of them until 5pm on Friday 21st April 2023:
The candidates' profiles are available at www.rcvs.org.uk/vnvote23, where you can also read the candidates’ answers to two questions of their choice submitted by the profession.
The two candidates with the most votes will join VN Council for their three-year terms at the College’s AGM in July.
Any veterinary nurses who have not received their voting email should contact CES directly on support@cesvotes.com.
RVC researchers say that the VetCompass study is the largest ever carried out into dental disease in cats using veterinary clinical records.
The study investigated a sample of 18,249 cats randomly selected from a study population of 1,255,130 cats in the UK in 2019.
Periodontal disease was recorded in 15.2% of the sample making it the most common disorder.
The cat breeds with the highest annual levels of this diagnosis were Siamese (18.7%), Maine Coon (16.7%) and British Short Hair (15.5%) as well as crossbreeds (15.4%).
The average bodyweight of cats with periodontal disease (5.7kg) was higher than for cats without periodontal disease (5.5kg).
The risk of periodontal disease rose steeply as cats got older, with cats aged 9 to 12 years being 6.7 times more likely to have periodontal disease compared with cats aged under 3 years.
Cats with periodontal disease were much more likely to have a range of other health conditions compared to cats without periodontal disease (x 1.8 risk).
These conditions included cardiac dysrhythmia (x 2.3 risk), ear discharge (x 2.3 risk) and hairball/furball (x 2.3 risk).
The researchers say that these findings suggest that periodontal disease should be acknowledged as a leading health and welfare issue in cats, and highlight the need for greater dental care in cats as they age.
The study was supported by an award from the Kennel Club Charitable Trust and Agria Pet Insurance.
To get involved, you can use the downloadable fundraising pack, which includes ideas, tips and tricks to help you fundraise.
In return for taking part, your practice will have its logo published on the BSAVA website, and BSAVA PetSavers will promote any fundraising posts on social media, using the hashtag #TeamPetSavers.
Shelby Tunstall, Fundraising Coordinator for BSAVA PetSavers said: “We are really delighted to be launching this campaign which will help PetSavers fund more research projects for companion animals."
If you want to get involved, you're encouraged to register online here, or contact Shelby Tunstall, Fundraising Coordinator at petsaversadmin@bsava.com.
https://www.bsava.com/petsavers/get-involved/petsaversinpractice.
This year, there have been over 30,000 nominations for the awards.
The finalists this year are:
Vet Nurse of the YearCaroline Jones, Battle Flatts Veterinary Surgery, YorkHelen Rooney, Pet Blood Bank, LoughboroughLesley Ramsey (pictured right), Debenham Veterinary Practice, Stowmarket
Vet of the YearAndrew Hayes, Towcester Equine Vets, TowcesterClare McCabe (pictured right), Claymill Veterinary Clinic, CookstownLaurence Behrens, Goddard Veterinary Group, Dagenham
Practice Support Staff of the YearRhiannon Lewis, Streatham Hill Vets, StreathamLaura Cameron, Lomond Veterinary Clinic, HelensburghLouise O’ Reilly, Vets4Pets, Llanrumney
Practice Manager of the YearKristen Lorimer, Blue House Veterinary Centre, Stoke-on-TrentLouise Newman, Blue Cross Vets, MertonNicki Ridgeway, Vets4Pets, Ridgeway
Practice of the YearHollybank Veterinary Centre, NorthwichLanes Vets, PoultonMilfeddygon Williams Vets, Gwynedd
The awards will be hosted at the Kimpton Clocktower Hotel, Manchester on 23rd March.
Bella von Mesterhazey, Sales & Marketing Director at Petplan, said: “This year’s finalist line-up includes an outstanding array of veterinary professionals and practices, and Petplan is delighted to be celebrating the highest achievements in pet healthcare once again."
Meanwhile, the BVA has published the results of its latest Voice of the Profession survey which found that 99% of vets have seen pets in the last 12 months which should have been brought to them for treatment earlier, with 91% reporting that financial reasons were the main factor.
52% of vets also said the number of clients reporting difficulty covering the cost of preventative veterinary care for their animal had increased compared to 2021.
This figure rose to 70% when it came to covering the cost of diagnostic care and treatment.
The Dogs Trust survey, which was carried out by YouGov, asked owners how easy or difficult they would find it to pay vet bills of varying amounts.
10% of pet owners said they would find it fairly difficult to pay unexpected vet bill of £100.
5% said they would find it very difficult.
Overall, 13% said they either cannot afford, or are struggling to afford, the costs of owning a dog in the current climate.
Meanwhile, the charity reports it is getting record numbers of owners asking to hand over their dogs: an average 188 handover requests per day in February compared to an average 141 handover requests per day in 2022, which was itself a record-breaking year (ending in over 50,000 rehoming requests).
In response, Dogs Trust has set up dog food banks at some of its rehoming centres across the UK, which are open to anyone struggling to feed their dog.
The charity has also started a petition asking the Chancellor to Paws the VAT on pet food and veterinary services: https://www.dogstrust.org.uk/support-us/campaigns-appeals/cut-vat-petition
When pet owners were asked in the YouGov survey to what extent they would support or oppose the Chancellor removing VAT from vet care and pet food in next Wednesday’s budget, 61% said they would support it, with 36% of those saying they would strongly support it.
www.dogstrust.org.uk
The programme covers everything from diagnostic imaging and ophthalmic emergencies to practical nursing skills and using echocardiography to help with day-to-day decision-making in practice.
SCVS says the programme has been made possible by the addition of a new lecture theatre during SCVS’s recent expansion, which was supported by the hospital's owners IVC Evidensia.
Stephen Collins, SCVS Hospital Director and IVC Evidensia’s National Cardiology Lead, said: “We’re proud to announce one of the UK’s most comprehensive CPD programmes and share the vast knowledge that our specialist team has with the rest of the veterinary community.
“Our programme is packed full of informative and practical sessions that everyone can benefit from - whether that’s specialist skill development or improving everyday advice and practices in clinic.”
A full list of CPD events is available here: https://www.ivcevidensiareferrals.com/events-and-cpd.
www.scvetspecialists.co.uk
Ceva says the aim of the course is to enable vet nurses to get the most out of their ocular exams and gain confidence in identifying ocular lesions associated with feline hypertension.
The course is presented by Dr Ben Blacklock BVSc (Hons), Dipl. ECVO, MRCVS, senior lecturer in veterinary ophthalmology at the University of Edinburgh.
It comprises of 10 short videos grouped into four sessions, along with a self-assessment quiz to consolidate learning for each module.
The course counts for a total of two hours’ CPD.
Course content includes: the patient/equipment set up and getting the most from an ophthalmoscope; determining what is normal and what is abnormal during ocular examinations; an overview of ocular pathologies associated with hypertension; avoiding common pitfalls and mistakes; and hints and tips on how to take photographs of the fundus on a mobile phone.
To register, visit www.veterinarywebinars.com/community/ceva.
Dr Guillaume Leblond, an American specialist in veterinary neurology at NDSR said: “Traditionally, bone cement has been used to provide support and stabilisation when treating veterinary spinal instability cases.
“Polyaxial pedicle screws have proven a very reliable and efficient way of treating such spinal problems in human medicine.
“These special screws can be inserted in the vertebrae and connected to strong metal rods instead of bone cement and we’re now very excited to be offering this new service to our patients.
“The main advantage to this cutting-edge procedure is its flexibility.
"Once cement is set in place it is obviously very hard to move, manipulate or remove should you need to adjust or correct.
“With the metal rod and screw system, it is more adaptable and you can adjust it far more easily and quickly.
“It may also be less prone to infection compared to cement, which has been known to harbour bacteria sometimes causing infections several years after the surgery.
"Another hope we have for this system is that it will be less prone to failure compared to cement, especially on extended stabilisation constructs.
Guillaume added: “The neurology team at NDSR has been training in applying this new system as soon as it became available and we have already used it to treat two dogs, both of them having surgery on the same day.
“One was a golden retriever treated by my colleagues Rodolfo Cappello (head of neurology) and Natalie West (neurology resident), and the other was a whippet under my care.
"They were two very different sizes of dog but both operations went well.
“We are grateful to OrthomedTM, the company manufacturing the stabilization system, provided all necessary details to plan the surgeries as precisely as possible.
“We also collaborated with Vet3DTM to create patient specific 3D printed guides to ensure the precise placement of screws and it proved a great solution in both cases.”
“Admittedly, it is still early days for the introduction of this new spinal stabilisation system but we are optimistic it will prove a significant advancement in treating many spinal problems.”
www.ndsr.co.uk
Each site can accept up to 16 candidates at a time, with at least two intakes in April and September.
Linnaeus is now encouraging new recruits both from within the group and from surrounding practices outside the group to enroll for the next two-year training course in April.
All three centres will deliver onsite practical sessions in conjunction with virtual theory sessions, whilst the theory exams can be taken remotely online.
Students can use the facilities at each referral hospital for their practical RCVS Day One Skills training while completing an e-portfolio of evidence to demonstrate competency.
This complements the virtual theory training at CAW and the workplace experience gained in their practices.
Trish Scorer, Lead Pre-Registration Experience Manager at Linnaeus, said: “Students will be studying for a VetSkill Level 3 Diploma in Veterinary Nursing that, on completion, will enable them to register as a veterinary nurse with the RCVS and to use the post nominals RVN. This means students will be in the fantastic position of training alongside our highly-qualified vets and nursing teams within our state-of-the-art referral hospitals.”
www.linnaeusgroup.co.uk/careers/nursing.
The DC heard that Mr Hutton had attended to a horse called Angel at a livery yard in Sheffield.
As he examined the horse, it kicked Mr Hutton in the leg, whereupon he kicked it back in the abdomen.
Mr Hutton admitted the facts of the allegation against him.
The Committee noted that there was a dispute between the parties about the exact manner in which the kick had been administered and whether the conduct amounted to disgraceful conduct.
Both the College and the defence obtained the opinion of experts, who were not in agreement as to whether the conduct amounted to serious professional misconduct.
The Committee heard evidence from Angel’s owner, Ms A, who was present when Mr Hutton kicked Angel and from Ms B, Mr Hutton’s life partner, who was also present.
In his witness statement, Mr Hutton said that his kick “was an instinctive reaction to what had happened and an instinctive reprimand for what I felt in the aftermath of the kick from her was malicious behaviour”.
Mr Hutton also stated that the reprimand was an appropriate response which a horse would understand, in order to modify its future behaviour.
In the hearing, Mr Hutton apologised for the incident with Angel. He said it had happened in the heat of the moment. He wished that he had apologised straight away.
In his expert evidence before the Committee, Mr T Gliddon MRCVS, called by the College, agreed that attitudes to physical reprimands had changed over time.
In his expert report, he stated that a reprimand administered by a veterinary surgeon that may have been considered acceptable by a significant body of the veterinary profession some decades ago would no longer be regarded as such now, in his opinion.
In re-examination, he stated that in his opinion, there was not a reasonable body of veterinary opinion which would consider kicking a horse as an acceptable form of negative reinforcement of behaviour.
In his expert evidence to the Committee, Dr H Tremaine FRCVS, called by Mr Hutton, stated that in the case of the minority of veterinary surgeons who used physical reprimands as a means of modifying behaviour, he was not aware that such reprimands would include the use of a kick.
The Committee concluded from the evidence that, following the kick from Angel, Mr Hutton moved away from the horse, so that he was no longer in immediate danger and that his kick in response had come after a gap in time, albeit brief.
Ms Greaney, Counsel for the College, provided written submissions on serious professional misconduct, submitting that principles 1.1 (Veterinary surgeons must make animal health and welfare their first consideration when attending to animals) and 6.5 (Veterinary surgeons must not engage in any activity or behaviour that would be likely to bring the profession into disrepute or undermine public confidence in the profession) of the Code of Professional Conduct had been breached.
It was submitted that, on the basis that there had been a deliberate decision by Mr Hutton to kick Angel in the abdomen, he had time to consider his actions.
The College submitted that deliberately kicking Angel, either as punishment or by way of teaching or training a horse, fell far below the standard expected of veterinary surgeons.
The Committee found Mr Hutton’s state of mind when kicking Angel was not an issue and that Mr Hutton had intentionally kicked the horse.
In reaching its decision in relation to whether Mr Hutton’s conduct amounted to serious professional misconduct the Committee took into account that:
Mrs Judith Way, chairing the Committee and speaking on its behalf, said: “The Committee determined that taking all circumstances and its findings into account, this conduct was a single, but serious failure on the part of Mr Hutton and found the facts proved amounted to disgraceful conduct in a professional respect.
“On deciding what, if any, sanction ought to be imposed, the Committee considered the aggravating and mitigating factors of the case, based on findings at the earlier stages of the hearing.
"The Committee found that there had been a risk of physical and/or mental injury to Angel from Mr Hutton’s conduct but accepted that there were a number of mitigating factors.
“It had been found that the incident had occurred over a very brief period and that Mr Hutton had not taken proper time to consider his response to Angel’s unexpected kick.
"This was found to be a single isolated incident and the character evidence indicated that otherwise, Mr Hutton was a competent and well-regarded veterinary surgeon.
"Mr Hutton admitted the kick early on in the proceedings and had issued an early apology, albeit seeking initially to raise some justification for his actions.
“The Committee was persuaded, in light of Mr Hutton’s admissions, heartfelt apologies, developing insight and the testimonial evidence, that he is very unlikely to repeat his past misconduct.
"However, despite the low risk of repetition, the Committee considered that the nature of the kick, delivered without the consent of the owner, could undermine public confidence in the profession.
"Thus, the Committee considered that it was proportionate to issue a reprimand together with a warning as to Mr Hutton’s future conduct.
"It has determined that this would be proportionate and sufficient to provide adequate protection for animals and maintain public confidence in the profession.”
The full details of the hearing and the Committee’s decision can be found at www.rcvs.org.uk/disciplinary.
The increase, which was approved by the Privy Council on Thursday 2 March, will mean that the standard annual renewal fee for veterinary nurses (which must be paid on or before 1 November 2023) will increase by £3 to £77.
The full list of RCVS fees can be found at www.rcvs.org.uk/how-we-work/fees
Lizzie Lockett, RCVS CEO, said: “We are proud that all throughout the pandemic period, when we know that many were struggling, we managed to keep our fees at the same level in the 2020/21, 2021/22, and 2022/23 fee years.
“The increase that we proposed to the Privy Council is very modest, particularly in comparison to the overall levels of inflation that the British economy has experienced over the past year, which has had an impact on our costs.
“While we appreciate that any rise in fee levels will not be welcomed by everyone, we can assure all members of the professions that we are continuing to use our income prudently and with oversight from our Audit & Risk and Finance & Resources Committees.”
As the increase has been confirmed by the Privy Council, annual renewal fee notifications will be sent to all veterinary surgeons in early March.
Omniflora paste is designed to provide fast acting support in acute digestive upset or strategically ahead of perceived stressful events such as travel or veterinary appointments.
It contains probiotics, prebiotics, adsorbents, parabiotics, postbiotics, electrolytes and nutrients.
Omniflora tablets are available for animals who resist an oral syringe.
The tablets contain probiotics, prebiotics and adsorbent clay and fibre.
Veterinary nurse and sales manager, Tara Evans, said: “Digestive upset in cats and dogs is common.
"We wanted to provide vets and pet owners with an easy-to-use solution that can be used in practice or at home.
"One tube of paste lasts for three consecutive days to support cats and dogs as they recover from gastrointestinal upset.”
"As well as supporting the gut in acute episodes of digestive upset such as diarrhoea, Omniflora can be used ahead of time in stressful events such as travelling, visiting the groomers, or any planned veterinary procedures such as surgeries or blood tests.”
Omniflora can be ordered here https://www.vitaanimalhealth.com/product/omniflora
The survey was conducted following the recent RCVS Council decision to redefine ‘Under Care’ to allow vets to prescribe remotely.
692 veterinary surgeons took part in the survey, 88.7% of which worked in practice, 8.7% worked elsewhere and 2.6% are retired.
42.4% worked in corporate practice, 42.4% at an independent practice (spooky), 9.6% locum and 2.6% at a charity.
94% worked in first opinion practice, 5.7% in referral practice.
When asked: “Do you agree with the RCVS Council decision to allow veterinary surgeons to prescribe medication without having seen / examined the animal in person?”, 78.2% said no, 13.6% said yes and 8.2% said ‘ambivalent’.
This raises an interesting discussion about the role of RCVS Council, which the College has long said is ‘representative of’, but not there 'to represent’ the profession in self-regulating.
By any measure, this decision was not ‘representative of’ the wider body of opinion.
It could be argued that electorates vote for representatives to make more informed decisions than they themselves are able, and certainly MPs have voted in ways that are not representative of the wider body of public opinion.
But this is the veterinary profession. MPs have to represent a wide cross-section of society, some groups of which might struggle to field one working brain cell between them.
By contrast, veterinary surgeons are a highly intelligent, highly educated subset of the population, who you might assume are better qualified to make decisions on matters such as these.
So why this level of disagreement? We asked respondents to select any benefits and drawbacks they think remote prescribing will bring, from a list but with the option for them to write in any we hadn’t thought of.
When asked to select benefits of remote prescribing, the majority (70.9%) selected: “Reduced cost to the pet owner (driving/parking etc)’.
39.3% said it would bring an improvement to vets’ quality of life through more flexible working.
27.5% said animal welfare would be improved through increased access to veterinary services.
14.3% said it would bring an ‘Improved client/vet relationship’.
Of those people who selected a benefit, 49.9% said the biggest benefit of remote prescribing is a reduced cost to the pet owner (driving / parking etc).
Other benefits highlighted in the comments section were
Notably, in the comments section for the benefits of remote prescribing, out of the 104 comments, 33 actually commented 'no benefit' or negatively.
When asked to select the drawbacks of remote prescribing, 94.3% selected: ‘Harm to animals caused by misdiagnoses and missed diagnoses.
68% said: Worsened client / vet relationship
60.6% said: Threat to independent practice (corporates funnelling clients from online consults to their practices).
Other drawbacks identified by respondents were:
Amongst the written drawbacks, the biggest themes concerned abuse of drugs and antimicrobial resistance.
When those who had selected a drawback were then asked which was the biggest, 83.3% said ‘Harm to animals caused by misdiagnoses and missed diagnoses”
So in simple terms, in weighing up the pros and cons, it’s between the reduced cost to the owner on the one hand, cited by 70.9%, and harm to animal welfare on the other, cited by 94%. And the harm to animal welfare was selected by significantly more vets as the biggest concern, than reduced cost was selected as the biggest benefit.
In other words, vets think remote prescribing will make veterinary care cheaper, but at the overall cost to animal welfare.
British Veterinary Association President Malcolm Morley said: “New technology presents many opportunities to enhance existing veterinary services, with potential benefits for vets, clients and patients.
"However, we recognise there are concerns within the profession, particularly around the potential unintended consequences of the RCVS’s revised guidance on ‘under care’ in relation to animal welfare and access to veterinary services.
"This survey echoes these concerns as well as supporting the British Veterinary Association’s call for the RCVS to commit to a post-implementation review.”