The RCVS Disciplinary Committee has dismissed a charge against Nicholas Robert William Horniman MRCVS, a veterinary surgeon from Cinderford, Gloucestershire, that alleged he was guilty of pet insurance fraud, along with one of his clients, and of dishonestly altering clinical records.The charge was that, between December 1 2008 and June 30 2014, in relation to Cassy, a Labrador retriever belonging to Jayne Bowkett, Mr Horniman:
The Committee heard that Cassy, who had previously been diagnosed with hip dysplasia, had been registered with Pets Barn Veterinary Group in Gloucestershire in May 2008 when Mr Horniman was the Principal and owner of the three-practice group. Cassy was treated at the Cinderford branch of the practice where she received regular prescriptions for her condition.At some point in 2008/2009, Mrs Bowkett had relayed concerns to Mr Horniman that her current pet insurance policy needed to be renewed, that the renewed policy would not cover Cassy's existing hip problems and that she would be unable to pay for any future operations herself. It was alleged that, in response to Mrs Bowkett's concerns, Mr Horniman told her that they could take Cassy off the practice computer and put her back on under a different insurance policy in a different name.Mrs Bowkett took out a policy with Petplan, beginning on 13 August 2009, using her father's details instead of her own. It was alleged that Mr Horniman then arranged for new practice records to be set up in the name 'Cassy Griffiths'. These new records were first used substantively in May 2010 when Cassy returned to the practice with hip problems, following which two separate records were maintained for the dog under 'Cassy Bowkett' and 'Cassy Griffiths'.In August 2010 Dariusz Drozdz MRCVS, a vet who had treated Cassy several times, had been told by Mrs Bowkett that the dog had two separate records. He told the Disciplinary Committee that he queried this with Mr Horniman who suggested that it was a mistake and that they 'RIP' the name Cassy Bowkett. Mr Drozdz disagreed on this course of action but was told by Mr Horniman to 'leave it to me' and the records were then changed to say that Cassy Bowkett had died.Mrs Bowkett alleged that, at some point in 2011, Mr Horniman explained to her that it would no longer be possible to claim for treatment for Cassy's hip dysplasia under the Petplan policy in her father's name. However, the policy remained active, and was transferred into Mrs Bowkett's name upon her father's death.In July 2011 Cassy Griffiths was seen by Jennifer Jones MRCVS, a part-time locum vet at the Cinderford practice, who told the Committee that she was puzzled about why there were very few clinical records relating to the animal. A receptionist explained to her that there were two sets of records for the same dog and that Mr Horniman had instructed her to mark the original pet as having been euthanased and close its records and create a second new record for the dog. Ms Jones tendered her resignation shortly afterwards citing concerns that a pet had been 'reincarnated to ensure continued income from insurance claims'. In November 2011 Ms Jones submitted a formal complaint to the RCVS.During the course of the hearing the Committee heard evidence from Mrs Bowkett, Mr Drozdz and Ms Jones, amongst others.In giving evidence Mrs Bowkett admitted that she had knowingly engaged in fraud but maintained that at all times she had acted with the knowledge and on the advice of Mr Horniman. However, the Committee found that she was unable to remember any relevant material dates and was unclear about the chronology of events. It was suggested on several occasions that she was lying to the Committee, which she denied. However, the Committee believed that she took no responsibility for her own fraudulent actions but merely blamed Mr Horniman and that she had a strong motive to engage in the insurance fraud.In regards to the evidence given by Mr Drozdz the Committee noted that he did not record his suspicions of possible fraud, that he continued to treat Cassy Griffiths after he raised his concerns, and that he appeared to have accepted Mr Horniman's assurance that he had dealt with the issue.The Committee found that Ms Jones was correct in her suspicions that there was only one dog. However, it felt she offered no evidence to support her suspicion that this was part of Mr Horniman's 'scheme to maximise income for the practice' as she alleged in her witness statement.The Committee also heard oral evidence from and on behalf of Mr Horniman who categorically denied suggesting to Mrs Bowkett that she commit insurance fraud and attempting to cover this up through the maintenance of two separate records. He maintained that it was not until Ms Jones voiced her concerns that he realised that Cassy Bowkett and Cassy Griffiths were the same dog.The Committee voiced a number of concerns about Mr Horniman's actions and behaviour and, at times, found his evidence to be unsatisfactory. For example, the Committee found it difficult to understand why 'alarm bells' did not ring that he was dealing with only one dog when he prescribed medication for two almost identical dogs in May 2010 when only one was presented for examination. It also queried why, when he became aware that the insurance policy for Cassy Griffiths was fraudulent, practice records were not updated and no attempt was made to contact Petplan to inform them of this, as is clearly advised by the RCVS Code of Professional Conduct.Furthermore, the Committee was concerned that, in his correspondence with the RCVS, he was less than transparent, candid and honest. The Committee considered this to be unacceptable behaviour from a professional in dealings with investigations undertaken by the regulatory body.In making its judgment, the Committee had to make a decision on whose account it felt to be more reliable in regards to the first element of the charge.Noreen Burrows, chairing the Committee and speaking on its behalf, said: "In coming to its conclusion ... the Committee is faced with conflicting evidence from Mrs Bowkett, who is an admitted fraudster, admits to acting dishonestly and to lying to Petplan. This is in contrast to the evidence from the Respondent, who is of good character, had an unblemished personal record over 23 years and is supported by impressive character references."The Committee found the evidence of Mrs Bowkett to be "vague, lacking in clarity and inconsistent with the facts" and therefore rejected her evidence concerning the first element of the charge. In regards to the second element of the charge, the Committee was not satisfied that Mr Horniman had arranged for or allowed the records to be changed as was alleged. In regards to the third element it found that, since it had already rejected the charge that Mr Horniman suggested to Mrs Bowkett that she embark upon insurance fraud, it was unlikely that Mr Horniman would have acted dishonestly in the manner alleged.Noreen Burrows added: "In the light of the above findings, all charges against the Respondent are dismissed."
Neurology Specialists Mark Lowrie and Laurent Garosi from Davies Veterinary Specialists and Robert Harvey from the UCL School of Pharmacy have discovered a new syndrome which causes noise-triggered seizures in old cats, dubbed FARS (feline audiogenic reflex seizures).
The discovery came about after the charity International Cat Care contacted Davies Veterinary Specialists for help with several enquiries it had received regarding cats having seizures, seemingly in response to certain high-pitched sounds. The problem was not documented and little, if anything, was known about it.
Mark, Laurent and Robert decided to investigate, and compiled a questionnaire for owners to complete. The research generated worldwide media interest (dubbed 'Tom and Jerry syndrome' after the cartoon character Tom who has a strong startle reflex and often reacts with involuntary jerks to sound stimuli), and they received hundreds of replies from across the globe from people who had noticed the same problem in their cats in response to certain types of sound. These owners had also found that their local vets had no information at all about it, and often did not believe that a sound had triggered the seizure.
The research has resulted in a paper, Audiogenic reflex seizures in cats, which is published in the Journal of Feline Medicine and Surgery.
The paper pulls together information from 96 of reported cases, looking at the type and duration of seizure and the triggering sound. The authors say it reveals that some cats do indeed suffer from audiogenic reflex seizures - those which are consistently caused by sounds (this is also recognised in people). Certain sounds induced 'absences' (non-convulsive seizures), myoclonic seizures (brief, shock-like jerks of a muscle or a group of muscles), or generalised tonic-clonic seizures. This last category is what most people think of as a 'seizure', with the cat losing consciousness and its body stiffening and jerking, often for several minutes. The new syndrome has been termed feline audiogenic reflex seizures (FARS).The investigation found that FARS occurred in pedigree and non-pedigree cats, but that among the pedigrees, the Birman breed was over-represented. This is also a problem of older cats - the average age of seizure onset was 15 years, with cats ranging in age from 10 to 19 years.
The most commonly reported triggers for FARS were:
Other, less common triggers were the sound of breaking the tin foil from packaging, mobile phone texting and ringing, digital alarms, Velcro, stove igniting ticks, running water, a dog jangling its collar as it scratched, computer printer, firewood splitting, wooden blocks being knocked together, walking across a wooden floor with bare feet or squeaky shoes and, in one case, the short, sharp scream of a young child.
Avoiding the sounds could reduce the seizures, although owners reported that it was sometimes difficult to avoid certain sounds, and the loudness of the sound also seemed to increase the severity of seizures.
The geriatric nature of this condition is such that it may be overlooked in older cats, which may potentially suffer from other concurrent conditions. The hope is that publication of the paper will raise awareness among vets in practice about this syndrome. Meanwhile, work is ongoing to identify the genetic basis of this disorder and the team is now also working on a paper about treatment of these cases.
Lead author, Mark Lowrie, said: 'We have been overwhelmed by the response to our work. A second study is soon to be published suggesting that levetiracetam is an excellent choice of medication in managing this condition. Our experience is that it can completely rid a cat of these sound-induced seizures, including the myoclonic twitches - one owner reported that levetiracetam had 'truly been a miracle drug for my cat''.
Claire Bessant, Chief Executive of International Cat Care, summed up: 'How wonderful to be able to go back to those worried owners who came to us for help with a problem previously unrecognised by the veterinary profession with not only an explanation for their cats' behaviours, but a way to help them as well.'
The study can be read for free here: http://jfm.sagepub.com/content/early/2015/04/27/1098612X15582080.full.pdf+html Reference
Lowrie M, Bessant C, Harvey RJ, Sparkes A and Garosi L. Audiogenic reflex seizures in cats. J Feline Med Surg. Epub ahead of print 27 April 2015. DOI: 10.1177/1098612X15582080.
Sian Llewellyn, Head Nurse at the Barry and Boverton Veterinary Surgeries has completed her first London Marathon and raised £400 for the charity Support Dogs in the process.
A keen runner, Sian had completed two half marathons and entered the ballot to run the marathon little expecting to get a place, as she knew many fellow runners who had tried for several years without success.
She said: "Finding I'd been accepted for the Marathon last October was a surprise and my first thought was that I'd better start doing some proper training, which I did with the help of my running club, the Village Vipers, based in Cardiff.
"Taking part was really tough! I had abdominal and hip pain towards the end but family, friends and the roar of the crowd got me through. The drums, music and fancy dress costumes made me smile at so many points throughout the 26.2 miles. You can't help but laugh when you see a gorilla skipping along the route or an ostrich having to stop to go to the toilet.
"My highest point was turning the corner to run down the Mall to cross the finish line hand in hand with a complete stranger. Receiving my medal was an emotional and proud moment. I finished in five and a half hours which was slower than I hoped but I blame the various painful parts of my body!"
Ten days before entering the race, Sian attended a talk about Support Dogs and was inspired to use her participation to fundraise for them. She has so far raised £400 for the charity, which is dedicated to increasing independence and quality of life for people with medical conditions by training and supporting specialist assistance dogs. It currently trains Autism Assistance Dogs, Disability Assistance Dogs and Seizure Alert Dogs.
She added: "Support Dogs are amazing and, having heard what a difference they make to so many people, I really wanted to raise funds for them.
"I'm already being asked whether I'll enter another Marathon. During the race my answer would have been no, never again! Now that the pain is ebbing away, my answer is most likely yes!"
Anyone wishing to donate to Sian's chosen charity, Support Dogs, is asked to contact her at the Barry and Boverton Veterinary Surgery. It is based at 51-53 Ty-Newydd Road, Barry, South Glamorgan CF62 8AZ and can be reached on 01446 733406.
More information on Support Dogs is at www.supportdogs.org.uk
Each event is designed to help attendees with:
Each attendee will be given a complimentary annual Veterinary Osteoarthritis Alliance (VOA) membership.
Kai Crawshaw, Animalcare Brand Manager said: "We had excellent feedback from our first workshops, so we’re pleased to be able to reach veterinary practices in more locations around the UK.
"We also have plans to run more across the rest of the year.
"We hope that these events will lead to veterinary staff becoming more confident in dealing with OA in dogs and helping owners understand the options open to them."
All events start at 7:30pm (arrival from 7pm) and will finish approximately at 9:30pm.
Hot food and drinks will be provided.
https://www.animalcare.co.uk/oa-workshops
Virbac has announced the launch of a new support pack to help practices promote National Microchipping Month this June.
The pack contains a range of promotional and educational items including:
Sarah Walker MRCVS, BackHome Product Manager, said: "With microchipping soon to become compulsory for dogs across the UK, this year's National Microchipping Month is the ideal platform to raise awareness of its importance in all species and to remind clients that they will soon be required by law to ensure that their dogs at least are protected with a microchip. The new BackHome Mini Chip has a 34% smaller needle than our standard needles and this can minimise any stress and discomfort to pets during implantation.
"The resources in our Microchipping Support Pack are bold, colourful and eye-catching. We hope that, with the creative teams that exist within each practice, you can promote National Microchipping Month successfully using imaginative displays and use this opportunity to engage with your clients."
For more information, contact your Virbac Territory Manager.
The RCVS has released a short film animation to help raise awareness among the general public of the vital role played by registered veterinary nurses in animal care and treatment.
The video has been released to coincide with the BVNA National VN Awareness Month which is particularly significant this year as it is not only the organisation’s 50th anniversary, but also coincides with the new RCVS Royal Charter recognising veterinary nursing as a fully regulated profession.
The animation aims to explain to the general public what registered veterinary nurses do, the education and training that they go through to gain their status and what it means to be part of a regulated profession which abides by a Code of Professional Conduct.
The video also tackles the fact that, currently, ‘veterinary nurse’ is not a protected title, meaning that it is not illegal for someone to call themselves a veterinary nurse even if they do not have the requisite training and qualifications and are not registered with the RCVS. This is something which the RCVS, in partnership with the BVNA and British Veterinary Association (BVA), will be raising with MPs and Peers when Parliament reconvenes after the General Election.
Kathy Kissick RVN, Chair of VN Council, said: “It is important that the public understand that veterinary nurses are not ‘junior vets’ but that they complement the work of veterinary surgeons and enhance animal health and welfare in different ways.
“The video, for example, sets out the role that veterinary nurses play in providing care, in educating pet owners on issues such as diet and welfare and in carrying out medical treatment and minor surgery delegated to them by a veterinary surgeon.
“I would encourage all veterinary nurses, as well as vets and other veterinary professionals, to share this video on social media and with their clients so that they can find out more about the profession and understand how crucial it is that we secure protection of the title. Having untrained and unqualified people calling themselves veterinary nurses is not only misleading but potentially detrimental to animal health and welfare.”
More details of how to support the protected title campaign can be found at: www.rcvs.org.uk/vntitle.
As well as YouTube, the video is also available on the RCVS Facebook page (www.facebook.com/thercvs) and on twitter via the hashtag #vntitle.
For more details on what the BVNA will be doing for National VN Awareness Month, please visit www.bvna.org.uk/news/veterinary-nursing-awareness-month
The competition will run throughout National Microchipping Month in June, to highlight the importance of microchipping (not to mention the fact that it becomes compulsory on 10th June).
Identi also has a range of support materials to help practices answer clients' questions about chipping, including a social media toolkit and a Practice Pet Protection Pack with client leaflets (available in digital or hard copy form).
To enter the competition: https://docs.google.com/forms/d/1qmJJiJadeGNJ-PelBU_Jrh43i5htqGl7mQ1hVlW3hSY/edit
For info about the support materials: contact@identichip.co.uk
Elanco Animal Health, maker of Comfortis, Trifexis and Atopica, has launched ScratchTracker, a smartphone app designed to help dog owners with a simple way to monitor pruritus in their pet and share the results with their vet.
Elanco says ScratchTracker uses a scoring scale that has been developed by veterinary dermatologists and is proven to be an accurate and consistent way for pet owners to assess pruritus in dogs.
It's hoped the app will help veterinary surgeons track how a dog is responding to treatment and identify reasons for an increase in the dog's level of itchiness.
After downloading ScratchTracker from the Apple App Store or Google Play, pet owners are asked to rate how itchy their pet is by agreeing to a statement such as 'Extremely severe itching/almost continuous: itching doesn't stop whatever is happening, even in the consulting room' or 'Moderate itching/regular episodes: itching might occur at night, but not when eating, playing or exercising'. The reading will then be submitted and ScratchTracker will convert it to a numerical score tracking history which can be emailed from the app to the veterinary surgeon.
Alice Laurens, DVM MRCVS, product manager at Elanco Animal Health, said: "The ScratchTracker App is a useful tool to track pruritus in dogs for either a short period of time or for dogs suffering from a lifelong condition such as atopic dermatitis as part of a long term management programme."
For further information, contact your Elanco Animal Health key account manager or email: elancoCAH.uk@elanco.com
Ceva Animal Health, maker of Milbactor, Vectra 3D and Vectra Felis, has launched a new booklet for practices to give clients: Protecting your Pet from Parasites.
The booklet offers an overview of the common ecto and endoparasites that can affect dogs and cats in the UK, including fleas, ticks, roundworm, tapeworm and lungworm. It explains how pets can become infested, how to tell if a pet is infected and the potential health problems that may result from an infestation. It also highlights the importance of routine treatment to help prevent infestation and transmission of diseases.
At the end of the booklet there is a check list designed to help pet owners and their vets determine the parasites that pose the greatest threat to their pet, taking into account factors such as whether there is more than one pet in the household, whether the pet scavenges or hunts wildlife or whether there are children in the household.
Rob McLintock MRCVS, companion animal business unit manager at Ceva Animal Health said: "Recent research1 carried out by Ceva demonstrated that pet owners are increasingly confused by what parasites are being treated by their current anti-parasitic regime. The new booklet will provide owners with a comprehensive overview of both ectoparasites and endoparasites and facilitate discussion between clients and their vets to assess the best treatments on a case by case basis."
Ceva has recently launched the Ceva Protection System for dogs, a simple two-step solution featuring Milbactor and Vectra 3D to provide comprehensive ectoparasite and endoparasite protection with one monthly topical treatment and one flavoured tablet. The Ceva Protection System also features Vectra Felis, offering fast-acting flea protection for cats, and Acclaim® for sustained treatment of the pet's home environment.
To request copies of the booklet, call Ceva Animal Health on 01494 781510 or contact your local Ceva Animal Health territory manager.
Reference
536 cat and dog owners, February 2015
The successful candidate will be awarded a free place on Improve Veterinary Education’s Emergency and Critical Care Nurse Certificate (NCert) online training programme, which covers:
The 9-module online course also offers optional practical modules which will be included in the scholarship.
Claire L Dorey-Phillips BSc (Hons) VNPA ISFM FNDip RVN, Senior Programme Coordinator at Improve Veterinary Education said: “Similar to Louise, we are deeply committed to mentoring and offering delegates the finest opportunities, ultimately enhancing patient welfare in their care and ensuring optimal outcomes.
"The scholarship grants delegates free enrolment in the Nurse Certificate in Emergency and Critical Care programme, inclusive of complementary RECOVER Initiative responder online modules, online study skill lessons for delegate support, 12-month access to the RCVS knowledge library and a complimentary Emergency and Critical Care textbook which is in conjunction with a dedicated programme coordinator and assessment team to provide pastoral support and guidance when required.”
Applications close on 31st July 2024.
https://subscriptions.improveinternational.com/louise-odwyer-scholarship-2024
Lindsay Newell, a Derbyshire veterinary nurse, has been struck off by The Veterinary Nurses Disciplinary Committee of the RCVS, after she was found guilty of the unlawful possession of veterinary medicines and failing to give regard to welfare in respect of six animals.
The hearing for Ms Newell, who did not attend and was not represented, concluded on 18th November 2015. It related to two main charges against her. The first was that, on 29 November 2012, she was found in possession of a number of veterinary medicines without lawful permission.
The Committee heard that the RSPCA and police officers had attended Ms Newell’s home on that day, where they found veterinary medicines, including controlled drugs, stored in an insecure cabinet within an insecure shed. It heard that during a police interview, she agreed that she was not allowed to possess some of the drugs and subsequently accepted a police caution, which the Committee took as an admission of the offence and therefore found the charge proved.
The second charge was that, between 1 and 29 November 2012 at the Burton Wildlife and Rescue Centre in Etwall, Derbyshire, she failed to give any or sufficient regards to the welfare of six animals in her care. These charges relate to an RSPCA investigation of the rescue centre on 29 November 2012 which found two animals dead and the rest of the animals emaciated and in poor physical condition.
The animals included a male lamb found dead in its pen, a ‘furry-faced’ lamb which died just over a week after the investigation took place, a female goat which died 12 hours after being taken to a veterinary practice for treatment and a pig which died during the investigation process, as well as an adult ewe and a pony which both survived. The charge against her also cited her failure to supply an adequate diet, obtain any or any adequate veterinary attention and explore and address the cause of the weight loss for these animals.
The Committee found all parts of the second charge proved and was satisfied that Ms Newell failed to give sufficient regard to animal welfare as is required by the RCVS Code of Professional Conduct for Veterinary Nurses.
In deciding its sanction, the Committee considered a number of aggravating factors in this case. It found that, in respect of both charges, the misconduct was “sustained over a period of time rather than being a single and isolated incident” and that, in respect of the second charge, that there was “actual harm caused to animals, which resulted in the deaths of four out of the six animals.”
The Committee felt that this constituted reckless disregard for animal welfare rather than deliberate acts but, nevertheless, said that these animals unnecessarily suffered for a period of at least four weeks due to inadequate diet and that, as rescue animals that were already vulnerable, the expectation was that they would be given the appropriate level of care. It also found that Ms Newell had demonstrated limited insight into her behaviour. Furthermore, it considered that a Magistrates’ Court had also disqualified Ms Newell from keeping sheep, goats, pigs, and equines for a period of five years.
In mitigation it considered that Ms Newell did show some insight into her behaviour in relation to the first charge by making admissions during her police interview, as well as the fact that the animal sanctuary, which opened in 2008, had no complaints or cause for concern prior to 2012.
Ian Green, chairing the Committee and speaking on its behalf, said: “The Committee is of the opinion that removal of Ms Newell’s name from the Register of Veterinary Nurses is the only appropriate sanction based upon the severity of the facts found proved.”
London Vet Specialists (LVS), billed as the capital's first complete-service referral centre, has announced its official opening in Belsize Park.
The centre is headed up by senior surgeon and soft tissue specialist, Dr Janet Kovak McClaran DVM DACVS DECVS MRCVS, former head of the department of surgery at the Animal Medical Center in New York.
Janet leads a team of consultants specialising in internal medicine and surgery, diagnostic imaging, emergency and critical care, anaesthesia and analgesia, and minimally-invasive surgery.
Janet says the new centre was set up to enable London-based vets to access close-by expert help across key areas: "When I was first approached about setting up a referral centre servicing central and greater London, I was surprised that a dedicated facility didn’t already exist. Previously, referring clinicians have had to send clients on long journeys outside of the capital, leading to patient stress and hassle and extra expense for the owners. Now, they have the reassurance of access to a highly-experienced secondary and tertiary level referral team on their doorstep."
The LVS facility boasts a state-of-the-art surgical theatre, complete with a Karl Storz operating tower enabling cutting-edge laparoscopic, thoracoscopic and cystoscopic procedures. The minimally-invasive surgery suite is one of only three such facilities in the UK. An onsite CT scanner, the GE Brivio CT 385, forms part of an array of imaging equipment, operated by European Specialist in Veterinary Diagnostic Imaging, Dr Livia Benigni. The immediate interpretation of even the most-complex of images is designed to allow seamless patient investigation and negate the need for repeated patient anaesthetics.
Internal Medicine consultant Dr Kaye Gugich, formerly of Vets Now Referrals in Swindon, together with board-certified Emergency and Critical Care Specialist Dr Adam Mugford, and Dr Karla Borland, a previous resident in anaesthesia and analgesia at Edinburgh University, complete the consultant team.
London Vet Specialists says it is the only facility in central London to offer a full time specialist surgery service alongside a specialist service in emergency and critical care. Emergency stabilisation and intensive care is available around the clock, with experienced clinicians and a nursing team ensuring continuous supervision, day or night. The LVS specialist surgical team is also on call to the hospital overnight should specialist emergency surgery be required out of hours.
Patient and customer care at LVS is based on the model used by Sydney’s SASH Vets (Small Animal Specialist Hospital). LVS Client Relations Manager Claire Newton helped to develop the SASH system during her time at the advanced referral hospital, which concentrates on delivering the highest standards of patient care, alongside a dedicated support system for the client and referring vet.
Claire said: "From the very start of the referral process, customer care is prioritised. In this we consider that we have two customers; the first, the referring vet, who needs to feel that he or she has an integral role in the ongoing management of the case, and that his or her client is well-looked after. Our second customer, the pet owner or client, needs to be looked after with compassion and respect, and have the ability to speak directly to the clinician in charge of their pet, at any point. Excellent two-way communication is key. We ensure that we listen and respond to the needs of both parties through every step of the customer journey."
For more information on London Vet Specialists, or to speak to Claire Newton about referring a patient, visit www.londonvetspecialists.vet, email Claire.newton@londonvetspecialists.vet, or telephone 0207 4330155.
The RCVS Disciplinary Committee has dismissed an application to be restored to the Register of Veterinary Surgeons from former Wirral-based vet Ian Beveridge.
In May 2013 the Committee had asked the Registrar to remove Mr Beveridge from the Register following a four-day hearing in which he was found guilty of serious professional misconduct after finding that he had treated clients badly, kept inadequate clinical records, was dishonest in his dealings with the RCVS and that animals in his care were placed at risk.
In June 2013 Mr Beveridge, who was not present or represented at the original hearing, then appealed the decision. The appeal was withdrawn in May 2014 which was when Mr Beveridge was formally removed from the Register.
Then, in April 2015, Mr Beveridge applied to be restored to the Register. The Disciplinary Committee met to consider his application in June 2015, however, this hearing was adjourned after new evidence was served to the Committee concerning allegations that Mr Beveridge had ordered prescription-only veterinary medicines when he was not authorised to do so. He was subsequently interviewed by police who took no further action.
In deciding whether Mr Beveridge was fit to be restored to the Register, the Committee heard evidence in regards to the circumstances in which the prescription-only drugs were ordered using his account and delivered to his former practice address which had been taken over by Medivet after he sold the premises to the company.
During the course of the hearing, Mr Beveridge admitted that his account had been used to buy the drugs, but that a part-time member of his staff, who was neither a veterinary surgeon nor a veterinary nurse, had done so without his prior knowledge or approval.
In relation to this evidence Ian Green, chairing and speaking on behalf of the Committee, said: "The Committee takes the view that the unauthorised use of a veterinary surgeon’s drugs account for which he carries the ultimate responsibility is a very serious matter and, of itself, demonstrates that the applicant has at best a cavalier attitude to his work which of itself means that he remains unfit to be on the Register.
"This attitude is further demonstrated by the fact that, even after the first orders were placed in late April and early May 2014, the applicant did not seek clarification from the College of his status following the withdrawal of his appeal against the original Committee’s findings."
In addition to this, the Committee also considered the seriousness of his original failings, the fact that Mr Beveridge’s acceptance of these failings was ‘qualified’, that he had been off the Register for 20 months and the fact that his efforts in terms of continuing professional development had been inadequate and not focused on those areas in need of improvement, among other factors. In mitigation it did consider that Mr Beveridge had demonstrated genuine remorse about previous actions and noted a petition and a large number of letters in support of him from former clients of his practice.
However, the Committee felt that this did not detract from the seriousness of the original failings and, in conjunction with the subsequent unauthorised ordering of veterinary drugs, that the application for restoration must be dismissed.
Owners found not to have microchipped their cat will have 21 days to have one implanted, or face a fine of up to £500.
Cats Protection, which has campaigned for years for the measure, says the new regulations will be a major step forward for cat welfare in England.
According to its research, 2.8 million or roughly 26% of the UK's 10.8 million pet cats are not currently microchipped.
Animal Welfare Minister Lord Goldsmith said: "These new rules will help protect millions of cats across the country and will be brought in alongside a range of other protections we are introducing under our Action Plan for Animal Welfare.
The Government is also reviewing the regulations on dog microchipping and the related microchipping database systems to consider whether improvements can be made.
The new cat microchipping rules will come into force once this review has completed.
David, who was assisted by Dan Kenny and Kat Grzywa MsRCVS, said: “Penny presented with suspected ascites, given a large volume of peritoneal effusion. Her abdomen was very swollen and taut
“We performed a contrast-enhanced CT scan with an iodine-based contrast to help highlight the areas of the body we needed to examine and the results were startling.
“The mass was enormous. It almost completely filled the abdomen.”
CT images showed that the mass had originated in the right kidney, which had been displaced into the left side of the abdomen, and also compressed the rest of Penny’s internal organs.
There was no evidence of metastatic disease.
David added: “A right ureteronephrectomy was performed and the large cystic parts of the tumour were dissected free from the omentum, the peritoneum and the retroperitoneal vasculature.
“The surgery was really difficult because the mass was so large and heavy, and it required extra surgeons to hold and manipulate the mass, while its vasculature was dissected and ligated.
“The weight of the mass on the diaphragm also made the anaesthesia challenging but surgery went very well.
"Once the surgery was over, the weight of the mass was confirmed at nearly 5kg.
“Penny made a good recovery from the anaesthesia, her blood renal parameters remained normal throughout her recovery, and she was discharged 48 hours later. Histopathology later confirmed the mass to be renal carcinoma.”
The strange phenomenon was spotted by Veterinary Vision's clinical director Chris Dixon when he examined Dachshund called Margo, which had been referred for the treatment of a corneal ulcer and fungal infection.
Chris said: “I was assessing Margo’s eye and was very surprised to see a face smiling back at me.
"It perhaps doesn't bear quite the same resemblance as the Turin Shroud. Still, I've never seen anything like it before.
"The good news is that it does not appear to have affected her vision at all.”
Apparently the smiling face is still there, even after Chris performed a corneal graft.
Chris added: "I think we can safely say that Margo is a very happy dog, both inside and out!"
Chair of the Standards Committee, Dr Melissa Donald, said: “We were very aware of the likelihood that both practice staff and clients will increasingly have to isolate over the coming weeks due to direct infection or positive contacts, particularly with the rise in cases amongst school children.
“Added to this, we know there are already workforce pressures across the profession, which will be exacerbated by reduced staffing levels over the Christmas and New Year period.
“We therefore felt it was appropriate to reintroduce these temporary remote prescribing measures at this time to help relieve pressure on practising professionals, and to provide them with the means to continue to look after the health and welfare of their patients in all circumstances.”
As before, the temporary dispensation is subject to the specific guidance found in FAQ4 (www.rcvs.org.uk/covidfaq4), including that veterinary surgeons must be able provide a 24/7 follow-up service involving physical examination, for example where the animal does not improve, or suffers an adverse reaction, or deteriorates, subsequent to the remote prescription of medicines.
The Committee agreed that the position should be reviewed in February 2022 at its next meeting.
The company, which now has over 20,000 monthly subscribers in the UK, saw a massive growth during the pandemic, with a reported 1000% increase in monthly recurring revenue over the past two years.
Since March 2020, VetBox has shipped over quarter-of-a-million boxes.
Bought by Many says the acquisition is a major part of its expansion beyond insurance and into preventative wellness.
Will said: "I founded VetBox after seeing that far too many UK pets were missing out on essential parasite protection.
"I'm really proud of the progress that VetBox has made in solving this issue in just five years and can't wait to see what we can achieve as part of the Bought By Many family.
"As a vet I've seen first-hand the fantastic service Bought By Many offer pet owners, so it's been a pleasure seeing this partnership grow over the past few years."
In the study titled “Safety of early postoperative hydrotherapy in dogs undergoing thoracolumbar hemilaminectomy”, the medical records of a single referral hospital in Sweden were retrospectively reviewed to identify dogs that had been treated with hemilaminectomy for acute or chronic thoracolumbar IVDE and had commenced hydrotherapy within five days after surgery.
Information collected from the medical records included signalment, presenting clinical signs, severity of neurological signs, initiation and duration of hydrotherapy, postoperative complications and follow-up.
Postoperative complications were considered major if there was a need for hospitalisation, surgery or if the dog died or was euthanised as a direct consequence of the complication.
A complication was deemed minor if outpatient medical treatment was sufficient to rectify it.
A total of 83 dogs were included in the study.
Hydrotherapy was started within a mean of 2.7 (one to five) days after surgery and consisted of swimming without underwater treadmill (UWTM) in dogs with severe paraparesis or paraplegia.
With neurological improvement, and when supported ambulation was possible, UWTM was initiated.
Ninety-six percent of the dogs used swimming as postoperative hydrotherapy, starting with a mean of 2.7 days after surgery, fifty-seven percent of the dogs used UWTM as the postoperative hydrotherapy, starting with a mean of 13 days after surgery.
Forty-five percent of dogs used both hydrotherapeutic modalities.
Dr Abtin Morjarradi, corresponding author for the paper, said: “A total of 10 minor complications were recorded during the study period, including surgical site infection (SSI) (n=5), diarrhoea (n=4) and urinary tract infection (n=1).
Major complications were recorded in 26 dogs during the study period and included euthanasia (n=13), acute dermatitis (n=1), spinal abscess (n=1) and disc extrusion (n=1).
Reasons for euthanasia were urinary incontinence (n=5), lack of neurological improvement (n=2), clinical suspicion of progressive myelomalacia (PMM) (n=2), persistent pain (n=1), aggression (n=1) and widespread cellulitis with an abscess caudal to the right stifle without known cause (n=1).”
Abtin added: “Follow-up visits for 71 dogs were performed at a mean of 15.3 (9 to 30) days, and 68 dogs at a mean of 45.9 (30 to 111) days, after surgery.
"At the first follow-up visit 68% of the dogs were ambulatory with Modified Frankel Score (MFS) 4 or higher.
"At the last follow-up visit 97% of the dogs were ambulatory with MFS 4 or higher, with 34% demonstrating normal neurological function. None of these dogs deteriorated after the initiation time of hydrotherapy.”
Nicola Di Girolamo, Editor of JSAP, said: “Whilst previous studies indicate that early rehabilitation may be beneficial after acute spinal cord injury, the optimal timing to start hydrotherapy is unclear.
“Despite a high number of complications being recorded in the present study, it is not clear how many of these complications were directly related to the initiation time of hydrotherapy and therefore further research is required.”
The full article can be found in the December issue of the Journal of Small Animal Practice: https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13412.
Lizzie Lockett, RCVS CEO, said: “It’s clear that there are a number of workforce issues affecting the professions, such as high vacancy rates that employers are struggling to fill and a resultant increase in pressure on the professions in terms of caseload and hours worked, together with an increase in the number of people choosing to leave the professions.
“While many of these issues are long-standing, and due to complex and multifactorial reasons, the scale of the problem has been exacerbated by three things: the UK’s exit from the EU and the impact this has had on overseas registrants; the ongoing impact of the pandemic in areas such as staff absence and burnout; and an increase in demand for veterinary services.
The reports were published in advance of the College's Workforce Summit, held at the end of November to discuss potential solutions to the problems.
They can be downloaded here: https://www.rcvs.org.uk/news-and-views/events/workforce-summit-2021/
A further report of the Workforce Summit is expected in due course, which the College says will include an action plan with commitments from a range of stakeholders.
1,500 volunteers were surveyed for the study, which was led by Dr Francois Martin.
As well as having lower depression scores, dog owners were more likely to report feeling loved and valued during the pandemic than those who did not own a dog.
Owners also had a significantly more positive attitude toward and commitment to pets.
The full study is available open access here: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260676
The company points to an increasing trend across Europe towards feeding raw diets to pets, with 4% of UK cats and 10% of UK dogs now being fed raw meat and animal by-products.
The webinar, which will also look at the role of testing, offers an opportunity to learn more about the pathogens and parasites associated with raw feeding and the role of the right test at the right time.
Horiba says it's not just pets that need testing, but the raw materials used in their food.
Ian, who is Head of ESCCAP (the European Scientific Council for Companion Animal Parasites) UK & Ireland, said: “The recent trend of increasing raw feeding opens up new opportunities for pathogen transmission.
"Where raw feeding is taking place, adequate tapeworm and protozoal parasite prevention is essential to reduce zoonotic risk and economic losses.
“Testing forms an essential part of their control, and understanding this role and the diagnostic test options available will prove valuable to all veterinary professionals.”
Following Ian's presentation, there will be an open Q&A session.
Horiba’s team of veterinary specialists will also be available at the end of the webinar to discuss and advise on any testing needs, including its veterinary PCR system, the Pockit Central.
To register, visit: https://register.gotowebinar.com/register/4306408134214190348
The RCVS is encouraging veterinary surgeons, veterinary nurses and other members of the practice team to respond to a government consultation on changing the law to introduce English language testing for veterinary surgeons who have qualified from elsewhere in the European Union.
Under the proposals outlined in the consultation by the Department for Environment, Food and Rural Affairs (Defra), the test would apply before an individual joined the Register and only where the RCVS had ‘serious and concrete doubts’ about their English language abilities. The plan to consult on this issue had been welcomed by RCVS Council at its June 2015 meeting.
Every year, around half of all new veterinary surgeon registrants are from outside the UK, the majority from other EU or European Economic Area (EEA) countries. These individuals fall within the scope of the Mutual Recognition of Professional Qualifications (MRPQ) Directive, which applies to all EU nationals wishing to practise in a regulated profession in another member state.
Last year, a revised version of the MRPQ Directive came into force, which made a number of changes, including clarifying and reinforcing the role of competent authorities such as the RCVS. One of these changes is that language testing is expressly permitted, but only where serious concerns have been identified.
Gordon Hockey, RCVS Registrar, said: “Under the current legislation the College is not able to bar someone from joining the Register, and therefore practising, on the basis of language ability, even where we may have serious concerns.
“I would encourage all veterinary surgeons, veterinary nurses and other members of the practice team to engage with this consultation and consider whether the College should have the right to impose a language test where it has serious doubts, more in line with medical doctors, and the form such testing would take.”
Under the proposals, applicants would be asked a series of questions concerning their language qualifications, experience and general ability to use the English language before registering. Depending on how they answer the questions they may then have to pass a language test before registering, or delay their application while they improve their language skills.
The consultation results will inform the College’s work with Defra to determine whether to proceed with implementation and, if so, to develop the most appropriate system of language testing. The College would implement language testing for veterinary nurses in parallel with any changes for veterinary surgeons.
Those who wish to take part in the consultation can do so at https://consult.defra.gov.uk/animal-health-and-welfare/vet_language_controls. The deadline for responses is Wednesday 30 September 2015.
Ceva Animal Health has launched Libeo, a new four-way break, palatable furosemide for the management of heart failure in dogs.
According to the company, furosemide - a diuretic - is the most frequently used treatment for the management of heart failure because it helps reduce pulmonary oedema and its quick onset of action is associated with a noticeable reduction in clinical signs.
However, Ceva highlights the fact that long-term under or over-dosing can have profound health implications for the patient, and says that current recommendations are to reduce the dose to the minimum effective dose as soon as the animal is stable and only increase it if required due to deterioration in heart function.
Ceva says that unlike other furosemides, Libeo has been designed solely for the veterinary market - specifically to facilitate easy and accurate dosing.
The four-way break tablet is available in a traditional 40mg tablet size as well as a unique 10mg size for small patients. The clover-shaped tablet is chicken-flavoured, designed to make it easier for owners to dose their pets and help improve long-term owner compliance. Each box of Libeo contains 120 blister-packed tablets, removing the need for someone to have to count out tablets.
Rob McLintock MRCVS, Companion Animal Business Unit Manager at Ceva Animal Health said: “87% of vets in the UK believe that the dose of furosemide given to pets by their owners is adversely affected by how difficult it is to split the tablets1. This is especially likely to affect pets whose owners are less dextrous or have difficulties using their hands. Libeo is both easy to administer and effective, thereby improving owner compliance and the long term health and welfare of their pets.”
North Lindsey College near Scunthorpe has announced the launch of a new course in September to prepare school leavers and current workers in the industry to qualify as Animal Care Assistants with an option to progress on to their Level 3 Veterinary Course.
Entry requirements are C in Maths, English or Science and 4 grades A-D.
Sarah Clarke RVN at North Lindsey College said: "Mandatory units include understanding the basic treatment of animals and their accommodation and care through to the principles of infection control as well as animal anatomy and physiology. There are optional units that can be taken which include control and restraint procedures, companion animal pharmacy, parasitology and zoonosis. Also featured are reception duties and valuable work experience opportunities.
She added: “If any member of VetNurse.co.uk has a friend, or member of the family, that would like to get on the first rung of the ladder towards veterinary nursing then this course is ideal.”
Details from www.northlindsey.ac.uk or telephone 01724 294030.