The article, which is available open-access, comprises a literature search of both medical and veterinary medical journals for evidence of the effectiveness of input-based and outcomes-based CPD.
Its conclusion is that outcomes-based CPD, which concentrates less on hours logged and more on interactive and reflective learning, is the most effective at improving practice and patient health outcomes.
The paper was originally presented to the RCVS CPD Policy Working Group on 4 December 2015 to inform its discussions. A six-week consultation with the profession was held over the summer asking for their views on the resulting proposals for an outcomes-based approach to CPD.
The proposed model for CPD has four key components: planning, doing, recording and reflecting. While an overall majority of the 3,357 people who responded to the College’s consultation agreed with the proposed changes, certain elements received less support than others. The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
With this in mind the RCVS Education Committee and VN Council decided that a pilot of a new outcomes-based approach should be held during 2017 with a group of volunteers, and made this recommendation to RCVS Council. RCVS Council approved this pilot at its meeting on 10 November.
The pilot is expected to be launched in February next year and the College is now looking for volunteers who both support the proposals and those who have a ‘healthy scepticism’ about them. Volunteers will receive help and support throughout the trial and will also be invited to attend an introductory CPD meeting at the College’s offices on 28 February.
If you are interested in volunteering, contact Jenny Soreskog-Turp, RCVS CPD Officer, on cpd@rcvs.org.uk.
To access the article for free, visit the Veterinary Record: http://veterinaryrecord.bmj.com/content/179/20/515.full?keytype=ref&ijkey=bwDIVYMY8Vwd0su.
Further information, including the CPD Policy Working Party’s response to the consultation, is available at www.rcvs.org.uk/CPDpilot.
According to the company, gum disease is five times more common in dogs than humans, as dogs have a more alkaline mouth, promoting plaque formation. The company also says that studies have shown 80% of dogs suffer some form of gum disease before they are three years old.
The survey found most owners associate bad breath, tooth loss and inflamed gums (76%, 67% and 65% respectively) with poor oral hygiene.
However, many dog owners were unaware it could lead to more serious consequences with only 11% identifying heart disease as a potential cost of poor oral hygiene and only 7% understanding the liver can be affected.
The company has produced a YouTube video with Marc Abraham MRCVS and behaviourist Carolyn Menteith about canine oral care and Pettura Oral Health - a gel applied directly to dogs' teeth and gums to help maintain oral hygiene.
Just over 1,000 veterinary nurses have not yet paid their annual renewal fee of £61 and if this is not received on or before 31 December 2016 then their names will be removed from the Register. Those who have their name removed will not be able to use the postnominal ‘RVN’ and will not be able to carry out medical treatments and minor surgery as defined under Schedule 3 of the Veterinary Surgeons Act (www.rcvs.org.uk/delegation).
In order to restore their name to the Register they will have to pay a restoration fee of £51 in addition to the £61 renewal fee.
The easiest way to pay the fee is to log in to the ‘My Account’ area of the RCVS website (www.rcvs.org.uk/login) using the credentials provided to each veterinary nurse by the College’s Registration Department. If these credentials have been lost or misplaced the Registration Department can be contacted on 020 7202 0707 or registration@rcvs.org.uk.
For details about alternative methods of payment visit www.rcvs.org.uk/about-us/fees/how-to-pay or contact the RCVS Finance Team on finance@rcvs.org.uk or 020 7202 0723.
As well as paying the annual renewal fee, veterinary nurses should also confirm their Register and correspondence details, confirm that they comply with the College’s current requirements for continuing professional development and declare any convictions, cautions and/or adverse findings.
All Schedule 2 controlled drugs (with the exception of quinalbarbitone) and certain Schedule 3 controlled drugs are legally required to be stored in a locked container which is compliant with the Misuse of Drugs (Safe Custody) Regulations 1973; however, the College considers it advisable for all Schedule 3 controlled drugs to be stored in the controlled drug cabinet.
Controlled drug cabinets must only be accessed by a veterinary surgeon, or anoher nominated responsible person at the practice. In the case of a nominated person who is not a veterinary surgeon removing controlled drugs from the cabinet, the legal and professional responsibility remains with the veterinary surgeon whose direction they are under.
The College’s full guidance, including advice on use, location, and design and construction of cabinets, can be found in the Controlled Drugs Guidance and the Practice Standards Scheme Manual. Many police forces in the UK also have Controlled Drugs Liaison Officers who offer advice on various matters, including safe storage.
To download the Controlled Drugs Guidance, which includes further guidance on areas such as storage and destruction of controlled drugs, please visit the College’s website: http://www.rcvs.org.uk/publications/controlled-drugs-guidance/
To access the PSS Manual, visit the College’s website: http://www.rcvs.org.uk/practice-standards-scheme/
Contact details for Controlled Drugs Liaison Officers by area can be obtained from the Association of Police Controlled Drugs Liaison Officers: http://www.apcdlo.org.uk/contact.html.
Essential 6 spot-on is designed to moisturise the skin and strengthen its barrier function to help manage kerato-seborrhoeic disorders (dandruff, bad odours, dry or greasy coat, excessive hair loss) and atopic dermatitis in ferrets, rabbits, rats, hamsters, guinea pigs and gerbils.
Essential Mousse is a rinse-free and soap-free repairing cleanser, used to cleanse and deodorize the animal as often as necessary. In particular, the company highlights its application in clinic, for cleaning up after anal gland expression, incontinence or vomiting, for use in animals that cannot be bathed, and as a customer courtesy before discharge.
The complete Dermoscent range, including the new small mammal products, is available in the UK through Vet Direct.
Henry Schein stocks the 4 variants for cats, dogs and small mammals of Essential 6 spot-on.
More information can be found at the Dermoscent website www.dermoscent.com, where visitors can access clinical studies and watch Wayne Rosenkrantz’s webinar: "Current Treatment Options for Canine Atopic dermatitis".
Using 14 years’ of race day veterinary reports, the study found that soft tissue injuries, respiratory conditions and gait abnormalities were the most commonly reported issues. Soft tissue injuries include wounds and lacerations. Those classified as 'gait observations' primarily relate to horses reported as lame, moving poorly or being stiff, but without a specific cause being identified. The majority of horses with respiratory conditions had epistaxis.
Researchers say the findings will help prioritize efforts and direct research to identify risk factors for the most common and/or severe conditions, with the aim of developing strategies to further reduce injuries and fatalities in British flat racing, building on its already strong record on equine welfare.
Sarah Rosanowski, PhD PGDipVCS BSc, at the Royal Veterinary College said: "It was not surprising to find that most veterinary incidents reported on race-day are relatively minor and not career-ending. This is of course a good thing.
"Although the good news is that the majority of injuries are not life-threatening, the fatality rates in British flat racing have remained relatively stable rather than declining over the past decade.
"The ongoing surveillance by the British Horseracing Authority is important as it provides a way to track the occurrence of veterinary events over time. Now that we have a baseline against which to monitor the effects of future interventions, there will be opportunities to further improve horse welfare and racing safety."
Reference
Buprelieve is a 0.3mg/ml buprenorphine solution for injection, licensed for post-operative analgesia and to potentiate the sedative effects of other centrally-acting agents in dogs and horses. It can be administered by intramuscular or intravenous injection to dogs and cats and by intravenous injection to horses and is available in 10ml multi-dose glass vials.
Dr Rich Irvine BVSc MRCVS, veterinary services manager at Jurox (UK) Limited said: "We are delighted to be extending our range of products with the launch of Buprelieve which will provide veterinary practices with effective and economical analgesia.
"The launch of Buprelieve will be supported by our highly qualified team of veterinary surgeons who aim to deliver top quality help, advice and assistance for clinics wishing to perform best practice anaesthesia across all patient groups."
Jurox says it has been listening to the concerns of veterinary surgeons who say they want high quality generic medicines at affordable prices along with transparency as to what they are paying for each vial. As a result, the company says it is launching Buprelieve at a very affordable list price with a simple and generous introductory offer or rebate.
Richard Beckwith, country manager of Jurox (UK) Ltd, said: "Jurox prides itself on providing customers with a range of high quality medicines and we believe the launch of Buprelieve will also satisfy vets’ increasing requests for competitively priced products. We understand that providing high quality pain relief is critical and Buprelieve helps vets deliver the care they demand for their patients."
For more information, contact your local Jurox technical advisor, telephone the customer services team on 0800 500 3171 or e-mail: info@jurox.co.uk.
The letter outlines how the organisations want to work with the government to ensure the best possible outcome for animal health and welfare, public health and the veterinary profession post-Brexit, but also voices concern that perceptions of ‘anti-foreigner’ rhetoric may already be having an impact on the veterinary workforce.
Here is the full text of the letter sent to the Prime Minister on the afternoon of Tuesday 18 October 2016:
Dear Prime Minister,
Like all professions and sectors, we are currently involved in detailed debates regarding how Brexit is likely to affect our members and how we can best harness the opportunities it may present. We are very keen to work with the government to make a success of Brexit within our sector. The veterinary profession plays a crucial role in protecting public health, relies heavily on EU graduates and is already feeling the impact of the EU referendum.
The UK veterinary profession is made up of over 26,000 veterinary surgeons and over 11,000 veterinary nurses, working to improve the health and welfare of animals, to monitor and control the spread of diseases, and to assure the safety of the food we eat. Each year around 50% of veterinary surgeons registering to practise in the UK are from overseas, with the vast majority coming from the EU. EU veterinary surgeons make a particularly strong contribution to public health critical roles such as working in the Government Veterinary Services. In the meat hygiene sector some estimates suggest 95% of veterinary surgeons graduated overseas. Consequently, Brexit and accompanying changes to the mutual recognition system or immigration restrictions could have a profound impact upon the veterinary workforce.
We are currently considering how best to manage the potential impact on the veterinary workforce, and will be very pleased to discuss these issues with the relevant government departments in due course. However, even before Article 50 is triggered we are experiencing a negative impact on the existing veterinary workforce.
We have received reports that the increasing focus on foreign workers is causing personal distress to individual members of the veterinary profession who live and work in the UK. There are also reports of a negative impact on recruitment and retention: those involved in public health critical roles, such as meat hygiene, are having increasing difficulty recruiting much needed EU veterinary surgeons to work in the UK; leading experts from overseas are turning down employment offers from top UK universities; and many others are considering leaving the UK due to a feeling it is no longer welcoming to foreigners. There is a danger that the language and rhetoric around Brexit, alongside the ongoing uncertainty for non-British EU citizens, could seriously impact the veterinary profession’s ability to fulfil its essential roles.
The government has encouraged professions like ours to present factual data on the EU migration issues so that you can fully understand the challenges the country faces. The RCVS has begun the process of commissioning detailed research into the impact that Brexit is having upon those working in the profession and the implications this could have for the veterinary workforce. We will keep your officials informed as to the results of this research.
In the meantime, we reiterate our call for the government to protect the status of non-British EU vets and vet nurses currently working and studying in the UK, and urge Ministers to be mindful of the negative impact of what may be perceived as ‘anti-foreigner’ rhetoric.
We are committed to working with you to identify opportunities created by Brexit for animal health and welfare, public health and veterinary research and to realise our joint vision for the UK to continue to lead in these areas, and we are keen to maintain close communication with you and your colleagues as the negotiations develop.
Yours sincerely,
Chris Tufnell, President, Royal College of Veterinary SurgeonsGudrun Ravetz, President, British Veterinary Association
The partnership happened after Lumbry Park’s Clinical Director, veterinary cardiologist, Dr Luca Ferasin and his wife Heidi had a son, Mattia, with multiple and life-threatening congenital heart defects. During their son's subsequent treatment, which involved seven hours of successful open heart surgery, Dr Ferasin and his wife got to know Dr Caner Salih, a consultant paediatric cardiac surgeon and member of the team caring for Mattia. So when Dr Salih acquired French Bulldog puppy called Büdu a few weeks later, and a heart murmur was detected during his first visit to the vet, he turned to Dr Ferasin for advice.
Dr Ferasin diagnosed Büdu with the congenital heart condition Perimembranous Ventricular Septal Defect (VSD). A VSD is characterised by a hole between the left and right ventricles of the heart which causes an abnormal blood flow between the two chambers. Ironically, a large VSD was one of the multiple heart defects successfully corrected during Mattia’s life-saving cardiac surgery.
Dr Salih said: "I first met Dr Ferasin and Heidi under one of the most stressful circumstances a parent can experience, that of waiting for a child to undergo life-saving cardiac surgery. Sometime later I had first-hand experience of something not comparable but nonetheless very stressful of having to wait for the results of a diagnostic test which Dr Ferasin was able to provide for our newly acquired puppy. I appreciated more than ever the importance of knowing that our newest family member was in the most capable of hands."
Dr Ferasin said: "The related stories of Mattia and Büdu highlight the remarkable similarities between paediatric and small animal medicine, not only in terms of medical conditions, diagnostic techniques and therapeutic procedures, but also in terms of the psychological, emotional and social importance of the human-animal bond – in both directions. After all, just like babies and young children, veterinary patients cannot communicate with us - while their ‘parents’ have the same need for reassurance that their beloved ‘baby’ will recover.
"Our partnership with the Evelina London Children’s Hospital will celebrate these similarities and promote the concept of ‘One Health’ in a bid to advance both human and veterinary medicine. By working closely with the Evelina London, we aim to contribute positively to the development of novel techniques, research and therapies in both our children and in companion animals. We’re planning a range of initiatives, including fundraising and collaborations with the clinical staff at Lumbry Park and the Evelina London, in particular with those in the cardiology and cardiac surgery departments. We’re also planning social events, such as advanced pet-therapy sessions for children undergoing treatment at the Evelina and their families, including direct interaction with our veterinary patients with similar conditions."
He added: "Thanks to the dedicated team at the Evelina London Children’s Hospital, Mattia is thriving and is a happy, healthy and fun-loving little boy. He will continue to visit the hospital for reassessments as he grows. Büdu visited us again at Lumbry Park during 2016 for a reassessment and an ultrasound of his heart showed the spontaneous closure of his VSD, resulting in the resolution of his condition. This is a rare but fantastic outcome which, to the best of our knowledge, has only been reported in a couple of canine cases in the veterinary literature. What better reason to cement the bond between human and veterinary medicine!"
Dr Salih added: "Many people do not appreciate the amount of shared learning that has, for decades, occurred between the study of animals and medicine. Many of the advances in areas of human healthcare we embrace today simply could not exist without this relationship – and open heart surgery is one. The Evelina is delighted to be collaborating with Lumbry Park on this exciting venture."
Telemedicine can be defined as any clinical healthcare service that is provided using remote telecommunications services.
The aim of the consultation, which starts on the 13th February, is to receive feedback to help the College develop an appropriate regulatory framework for such services in the veterinary sector. The College’s current Code of Professional Conduct and supporting guidance is generally concerned with face-to-face provision of veterinary services.
The consultation will consider issues such as who is responsible for veterinary care if it is provided remotely, how 'under veterinary care' is defined in the context of the telemedicine delivery of services, the potential risks as well as opportunities for improving animal welfare that may arise out of new technologies and the appropriate regulation of veterinary services provided directly to clients using new remote technologies.
Nick Stace, RCVS Chief Executive, said: "We want the UK’s veterinary surgeons to be at the forefront of innovation and to be making use of, and developing, new technology to extend the reach of veterinary services and thereby improve animal welfare.
"However, while the adoption of technology can greatly benefit veterinary services, we also need to develop a regulatory framework that takes into account the questions it poses, for example, in areas such as remote diagnosis and prescribing, to ensure that animal health and welfare is the foremost consideration."
David Catlow, Chair of the RCVS Standards Committee that approved the consultation, added: "What we are looking for in this consultation are comments that will help inform a new position for the College on the use of telemedicine. There are questions that need to be answered around the principles of using telemedicine and we hope that we will get the views of a broad range of the profession.
"I would strongly encourage all members of the profession to engage with this survey so that we can build a better picture of how this technology is currently being used, how it might be used in the future and how we can best regulate it."
The consultation questionnaire will be available to complete for six weeks from Monday 13 February 2017 at www.rcvs.org.uk/telemedicine
She said: "The veterinary family – which is my focus as BVA President – is part of the international scientific community, and we are a diverse profession with far-reaching influence and impact in so many areas of political and public life ... A healthy veterinary workforce is vital for UK animal and human health."
With the residence or working rights of UK-based EU vets a 'top five' priority for the profession in forthcoming Brexit negotiations, Gudrun highlighted workforce issues: "The UK veterinary profession relies heavily on EU graduates, who have felt the impact of the EU referendum result since day one … In the meat hygiene sector alone, some estimates suggest 95% of veterinary surgeons graduated overseas.
"That’s why our first action after 23 June was to call on UK governments to protect the status of EU veterinary surgeons and veterinary nurses currently living and working in the UK. It was encouraging to see some of these key priorities … make it into the Prime Minister’s list of negotiating priorities. But we have said from the outset that our members need certainty and reassurance, so we urge the Government to make that firm commitment now."
"We know vets remain nervous about the changes to come, with many of our members concerned about the threat Brexit poses for UK animal health and welfare … Yet we can also see the opportunities Brexit presents, and BVA is determined to work with the Government to seize these opportunities, where they exist, to improve standards."
Highlighting opportunities that Brexit could offer in terms of improving animal health and welfare, Gudrun suggested a tightening up of the Pet Travel Scheme to reduce the growing trend of illegal puppy imports and improvements for welfare at slaughter. She said:
"The Welfare at Time of Killing or WATOK Regulations for England … are a case in point about the welfare-mismatch that could occur between domestic standards and those of our trading partners under the new Brexit arrangements. By failing to bring in evidence-based parameters for all waterbath stunning of poultry, [the] legislation has rendered it impossible for Official Veterinarians to protect the welfare of all chickens at slaughter. The regulations are simply not for fit for purpose, and could call into question England’s claim as a leader in high animal welfare."
The BVA President then shared a highlight of an early meeting between BVA and the then new Defra Secretary of State Andrea Leadsom MP last July: "We were pleased to hear [the Defra Secretary of State’s] vision to make the unique selling points of 'UK PLC' high animal welfare and food safety standards. It's a commitment that BVA fully backs ... To ensure our high standards continue, it is essential that we maintain existing veterinary certification and controls to satisfy our own consumer demand for quality and safety. Official statistics put the value of UK livestock outputs at £13 billion and not a penny of that could be realised without veterinary input."
Gudrun concluded by saying: "We can only make a success of Brexit if we harness our veterinary resource in clinical practice, public health, government services, conservation, academia, research and industry. We are a small profession but our impact is significant."
The Parliamentary Under Secretary of State for Rural Affairs and Biosecurity Lord Gardiner of Kimble responded, saying: "In my role at Defra I am continually reminded of the importance of the relationship between vets and government - most recently in tackling the outbreak of Avian Influenza in the UK. Your thoughts and ideas are invaluable as we manage the many opportunities and challenges posed by exiting the European Union, ensure the highest standards of animal welfare, protect the country from new animal disease threats, and attract the brightest and best into the profession.
"I look forward to continuing to work closely together as we push ahead with our plans to create a world leading food and farming industry based on high standards of animal health and welfare."
To find out more about the BVA’s work on the UK’s exit from the EU, visit www.bva.co.uk/news-campaigns-and-policy/policy/future-of-the-profession/brexit/
The nine-page booklet is being distributed electronically to all BEVA members, together with a guide on spotting some of the warning signs horses may display, written by equine veterinary surgeon and behaviourist Gemma Pearson.
A report commissioned by the BEVA in 2013 indicated that an equine vet could expect to sustain between seven and eight work-related injuries that impeded them from practicing, during a 30-year working life.
Data available from the Health and Safety Executive suggests that this is a very high number of injuries compared to other civilian occupations, including those working in the construction industry, prison service and the fire brigade.
The new guide has been produced ‘by horse vets for horse vets’ with BEVA members contributing their views, experiences and suggestions to early drafts.
It provides information for those handling and involved with equine veterinary care; to make workers consider the steps that they can take to make their activities as safe as reasonably possible by assessing a situation and implementing measures to limit the risk that vets and others are exposed to.
The guide also aims to challenge prevailing attitudes and culture. It outlines how to make ‘on the spot’ or ‘mental’ risk assessments and when to stop if a procedure becomes unsafe.
The guide is accompanied by an illustrated leaflet Signs of Increased Arousal Combined with a Negative Effective State. Written by Gemma Pearson, BVMS Cert AVP (EM) MRCVS who specialises in equine behaviour and learning theory, it explains signs of increased arousal including facial expressions, stance, movement and response.
David Mountford, CEO of BEVA said: "The new guidelines have been carefully developed to ensure that they are as pertinent, pragmatic and helpful as possible for vets in practice. Hopefully they will help to make the equine veterinary workplace a little safer."
The new guides can be downloaded at: https://www.beva.org.uk/workplacesafety
Four veterinary nurses are contesting two places in this year’s VN Council elections. Two of these are existing VN Council members eligible for re-election while two candidates are not currently on VN Council. They are:
Ballot papers and candidates’ details are due to be posted to all veterinary nurses eligible to vote during the week commencing 13 March, and all votes must be cast, either online or by post, by 5pm on Friday 28 April 2017.
Once again the College is inviting members of the profession to 'Quiz the candidates' by putting their questions directly to all those standing for election. Each candidate will then be invited to choose two questions to answer from all those received, and produce a video recording of their answers. Recordings will be published on the RCVS website on Thursday 16 March.
The biographies and statements for each candidate in the elections can be found at www.rcvs.org.uk/vnvote17.
Eleanor Ferguson, RCVS Registrar, said: "This year we will be publishing the candidate biographies and statements online ahead of the start of the official voting period. This is to allow both veterinary surgeons and veterinary nurses to be better informed about the candidates and their reasons for standing before they put their questions forward.
"We would strongly encourage all members of the professions to review the candidate profiles and pose questions for them to answer. We hope it will spark some interesting debates about how the profession is regulated."
Nurses should email their question (NB only one per person) to VNvote17@rcvs.org.uk, post it on the College’s Facebook page (www.facebook.com/thercvs) or on Twitter using the hashtag #VNvote17 by midday on Monday 27 February.
Specifically, Ms Hodgkinson was alleged to have placed five orders between 1 September 2013 and 1 April 2015:
The medications for charges (i) to (iii) above, were intended for her own personal use, as she had previously at various times been prescribed Codeine, Naproxen and Amitriptyline after being involved in a serious car accident in November 2012, as a result of which she suffered from chronic back pain and other problems.
Charges (iv) and (v) above, were intended for her dog, ‘Minnie’, but the dosages ordered were incorrect. The medications were never removed from the practice or given to Minnie, but were instead returned to the wholesaler.
From the outset Ms Hodgkinson admitted the charges against her, although she believed that other staff at the practice had placed similar personal orders and that she had been given permission to do so as well. Ms Hodgkinson also accepted that the facts amounted to disgraceful conduct in a professional respect.
The Committee accepted Ms Hodgkinson’s admission of the charges and, accordingly, found the charges proved. The question of whether the facts amounted to serious professional misconduct was, however, a matter for the Committee’s judgement, notwithstanding Ms Hodgkinson’s admission.
In reaching its decision, the Committee took into account Ms Hodgkinson’s assertion that she believed she had been given permission to order medication through the practice. She did admit however that she must have been mistaken in that belief. The Committee also took note of the College’s submission that a number of aggravating features were present which amounted to serious professional misconduct, namely: the potential risk posed to animal welfare; Ms Hodgkinson’s ignorance of fundamental legislative provisions; a breach of trust placed in her by virtue of her RVN status; the fact that the misconduct was repeated over a period of time; and a lack of awareness of professional responsibilities at the time of the conduct. The Committee therefore had no hesitation that the conduct did amount to serious professional misconduct.
The Committee then turned to the question of sanction. A number of mitigating factors were put forward in Ms Hodgkinson’s defence including the fact that a period of lengthy suspension or removal from the register would result in her losing an offer of employment, the fact that up to the relevant conduct she had had an unblemished career and the fact that she had made early admissions of guilt and shown insight into her misconduct.
The Committee decided that a period of 10 months’ suspension would be appropriate and proportionate in this case.
Chitra Karve, who chaired the Committee and spoke on its behalf, said: "The length of the period of suspension…is intended to reflect this Committee’s view, assisted as it has been by the experience and knowledge of a practising RVN and a veterinary surgeon, of the seriousness of the respondent’s conduct in its totality and of the need for the message to go out to all veterinary professionals that the ordering of POMs without the authority of a valid prescription is a most serious instance of misconduct. In such circumstances the personal mitigations that a practitioner might place before a Disciplinary Committee, whilst not immaterial, is inevitably of limited persuasion. And that is what this Committee has concluded in this particular case, having reflected carefully on the mitigation factors placed before it.
"Having weighed the matters of personal mitigation against the fact that a rudimentary knowledge of the governing legislation was effectively all that was required of the Respondent to ensure that the misconduct complained of did not occur, it is the clear view of the Committee that it would be failing in its public duty were it to do anything less than to impose a period of suspension from practice and the least period of suspension that is appropriate in this case is one of ten months. The Committee therefore instructs the Registrar to act accordingly."
Together, they're producing an educational video to be distributed and used by registered career advisers across the Southwest of England, and subsequently across the rest of England.
Remi qualified from the Royal Veterinary College in London as a registered veterinary nurse in 2019 and then applied to start the graduate Veterinary Medicine programme at the same university.
She said: “I didn’t quite get the grades to study to be a vet straight away, but I always knew that I wanted to focus on a surgical career path and having gone through the university application twice, I want to help other students realise that they too can pursue a career as a vet or vet nurse.
“I met the managing director of JHP Recruitment, Justin Powlesland, at a networking event and explained how keen I was to help more people realise that there is more than one way to become a veterinary professional and to encourage school age children not to dismiss a veterinary career from an early age.
Justin said: “We have employed a production company and are now looking for a location to film it.
"Ideally, we need a teaching hospital to offer us some space for a day, as we want to set our interview with Remi in a clinical setting, where there is plenty of equipment to see.
"We are hoping to film this summer and are appealing for help to find a location.
“The video will tell Remi’s story about the hurdles she has faced and overcome to ultimately study to become a vet, it will also show students where the veterinary industry can take them and the different roles and routes to study that are available.
"As well as the video, a downloadable PDF version will be created, which are both great resources for career advisers that we will also share across social media.”
Remi added: “I really hope that what we are doing will encourage more people from diverse backgrounds to consider going to into higher education to start a career in veterinary medicine or veterinary nursing – that’s the ultimate goal.”
Any teaching hospital that can help with a filming location is being asked to contact Justin via email Justin@jhprecruitment.com or to call him on 07506 981 354.
Game players have to 'catch' falling symbols marked with a '+' or the Credelio Plus ingredients, milbemycin oxime and lotilaner to win points, and avoid ones with fleas, ticks and worms, which lose points.
In addition to the £50 vouchers, there are goody packs for four runners up each month.
William Hawker, Parasiticides Marketing Manager at Elanco Animal Health said: "We are excited to showcase our novel new game at BVA Live with this exciting drop and offer all attendees the first chance to play Plus Plummet and win some great prizes by topping the leaderboard every month."
To play the game, visit: https://www.myelanco.co.uk/brand/plus-plummet
Incidentally, if you're at BVA Live, you're invited to join Elanco at the Exhibitor Showcase Theatre tomorrow from 09:00-09:50 for ‘Parasitology: Testing Times? Navigating the current challenges in practice’.
Cat Henstridge (BVSc MRCVS, small animal vet) will be interviewing Ian Wright (head of ESCCAP) and answering questions on everything from when to test, when to treat and how to communicate with pet owners about choice and the parasiticide treatment options available.
Photo: Elanco launches Plus Plummet at BVA Live
Although developed by the RCVS and VSC BAME Student Support Working Group ostensibly for use by Universities, EMS placement host practices and other educational establishments, it is recommended that all veterinary practices review the guidance.
The Guidance on Religious Clothing and Beliefs covers issues such as: balancing accommodations for religious dress with clinical considerations, and making accommodations for religious observance in academic timetabling and exams.
Gurpreet Gill, RCVS Leadership and Inclusion Manager said: “This document is about recognising that personal religious beliefs should be respected and accommodated as far as possible, while also not compromising professional responsibilities such as infection control, effective communication and the health and safety of individuals and their colleagues.
"Most importantly, it is about creating a welcoming and inclusive environment and ensuring that all students are able to express their religious identity whilst participating in educational and workplace settings.
“Although the guidance is not exhaustive, we would highly recommend that, where relevant, educators, practices and other veterinary workplaces review, adopt and adapt this guidance for their own settings to ensure that all members of the professions are welcomed and included.”
The Guidance on Religious Clothing is available to download from: https://www.rcvs.org.uk/news-and-views/publications/guidance-on-religious-clothing-and-beliefs/
Sabrina joins Fran Taylor-Brown, Simon Bertram and head of service Tom Cardy.
Tom, a European and RCVS specialist in neurology, said Cave is now the biggest specialist-led neurology service in the South West:
“We are very pleased to have Sabrina join the neurology service at Cave, expanding our team to four European and RCVS-recognised specialists in veterinary neurology. This really sets Cave apart from our competitors.
“Sabrina’s arrival, in conjunction with the installation of our new state-of-the-art MRI scanner, means we can see most urgent neurology referrals within 24-48 hours in nearly all cases and increase the number of neurology cases we treat each day.”
Cave’s new £1.2m Phillips Ingenia 1.5T Evolution offers 50% faster scans at a far higher resolution than its previous MRI and shorter general anaesthetics for patients.
It also allows a more detailed and accurate diagnosis of complex neurological conditions.
Tom added: “The MRI scanner is one of the most advanced imaging modalities for the nervous system, providing millimetre-thick cross-sectional images of the brain and spinal cord which is essential for both accurate diagnosis and treatment.
“Having such advanced equipment and facilities plus four recognised specialists means all our clients and their pets will see a vet with the highest level of training in veterinary neurology.
“All of our specialists are happy to discuss challenging cases on the phone with our referring vets and Sabrina's skills and enthusiasm will continue to improve and diversify the service we offer.
https://cave-vet-specialists.co.uk
The report is the culmination of the work of a joint RCVS and VSC BAME Student Support Working Group, set up to explore key issues in supporting BAME veterinary students during their studies.
The Working Group made a total of 14 recommendations, which included:
Stephanie-Rae Flicker is a recent Royal Veterinary College (RVC) graduate who co-chaired the Working Group alongside Professor Rob Pettitt from the University of Liverpool.
She said: “I hope this encourages and supports our veterinary institutions to actively implement change regarding discrimination faced during studies and placements, nurturing role models and helping affected students develop sense of belonging and community during their studies and beyond.
"Many thanks to all that have contributed to the completion of this Report – we hope the recommendations have a lasting impact, and benefit those both already present and yet to enter our profession."
RCVS/VSC BAME Student Support Working Group Report.
The new guidance replaces Chapter 25 of the Supporting Guidance to the Code of Professional Conduct.
Routine Veterinary Practice describes the procedures and techniques performed on animals by veterinary surgeons (or veterinary nurses under their direction) in the course of their professional duties, which ensure the health and welfare of animals committed to their care.
CVR is when routine procedures are undertaken for the benefit of the animal/s, with the concurrent intention to generate new knowledge that benefits animals, such as developing new procedures, improving a diagnosis, changing a routine procedure, or comparing existing procedures.
While the idea of CVR is not new, this is the first time that the RCVS has provided specific guidance on it.
The guidance also introduces an obligation, which comes into effect on 1st September, to obtain ethics review for all studies where one would be expected to obtain permission from the owner/keeper of an animal prior to being enrolled, or when consent is needed for use of previously collected samples or the use of data from an animal.
The newly drafted Chapter 25 gives extra guidance on the following areas:
Chair of the Standards Committee and incoming RCVS President, Dr Melissa Donald (pictured right), said: “We hope that the guidance will inspire confidence in our veterinary colleagues at all levels to undertake treatment routes which develop veterinary knowledge as a whole, while still being for the benefit of the animal being treated.”
For further information or advice on whether a proposed procedure would be covered by the guidance, contact the Standards and Advice team via advice@rcvs.org.uk.
The new guidance will be found on the RCVS website from the 1st July: www.rcvs.org.uk/recognised
For further information in relation to ethics review of proposed veterinary clinical research studies, contact the Secretary to the RCVS Ethics Review Panel via ethics@rcvs.org.uk or visit www.rcvs.org.uk/ethics
Alice and Mariella, who co-authored the book Cracking the Menopause, met with MPs earlier this month to present the goals of their campaign: education for all on the menopause, an end to scaremongering, prescribing women with the correct medication and making HRT affordable and accessible to all.
Vets Now says 88% of its 1800 employees are women, 28% of whom are aged over 40, when they could be perimenopausal, menopausal or postmenopausal.
The company's new app offers its employees video consultations with health experts, health and fitness programmes, and support with mental health and nutrition.
Vet's Now says it's the starting point for a wider menopause support plan being launched later in the year which will include steps to help manage mental wellbeing at work, menopause support hubs and encouraging a culture which talks honestly about menopause.
Laura Black, Head of Health, Safety and Wellbeing, said: “Women over 50 are the fastest growing demographic in the workplace and sadly it’s estimated that almost 900,000 women in the UK have quit their jobs due to the menopause.
“We are committed to creating an understanding workplace for employees going through the perimenopause and menopause and want to make sure they feel supported by us at all times.
“We've launched Peppy to help our colleagues take control of their health and get the answers they need from experts, anytime, anywhere.
"The app is free to access for all employees and their partners.
“We’ve been working hard on formulating a menopause support package for staff over the past couple of years and we’re really proud that we’re one of the first major veterinary businesses to make this step change.
"We’d encourage other businesses in the sector to look at similar plans for their colleagues.”
While the drive to launch Peppy was initially to support the Vets Now Menopause policy, it also provides support for fertility, pregnancy, early parenthood and men’s health.
For more information on Peppy visit www.peppy.health.
Animalcare says hydrocortisone aceponate is a potent, topical anti-inflammatory, proven to quickly relieve itchy and inflamed skin in dogs.
The new product is applied as a spray, designed to make it easy to target affected areas of skin.
Hydrocortisone Cutaneous Spray Solution is presented in a 76 ml size with a two-year shelf life, six months once opened.
Animalcare Product Manager Eleanor Workman Wright said: “Skin problems are extremely common in dogs.
"They can often cause great discomfort to dogs and concern to their owners.
"We believe that Hydrocortisone Cutaneous Spray Solution will be a useful addition to the range of treatment options currently available to vets as they consider the most appropriate care plan for their patients.”
The day-long courses, each running from 9.30-5:00pm, will cover: basic mental health awareness; HR employment regulations and the legal position; the role of the line manager in supporting someone with poor mental health; making reasonable adjustments; planning 'return to work'; and designing and putting in place wellbeing action plans.
The courses will be run by Connecting with People, a social enterprise that develops and delivers high-quality training to employees with healthcare or safeguarding responsibilities.
Helen Sanderson, former VPMA President and representative on the Mind Matters Initiative Taskforce, said: "If you do one thing this year for your team I strongly recommend it be attending one of these courses. It provided me with invaluable information in recognising stress and depression in a team, as well as giving useful tools and tips on how to discuss and handle situations. I would encourage anyone to attend."
Lizzie Lockett, Director of Mind Matters, added: "It has been wonderful to see the response from the veterinary profession to our mental health awareness training sessions, but we know that managers can face particular challenges in supporting their team's mental health. Meanwhile, line managers play a key role in whether or not someone feels comfortable discussing a mental health issue, goes on to seek help, and, ultimately, returns to the workforce.
"We therefore designed these courses to provide very practical information for those in managerial positions, covering legal requirements as well as how to implement wellbeing strategies for colleagues."
The courses, which are subsidised by Mind Matters and the VPMA, cost £80 for VPMA members and £120 for non-members.
To book a place, visit the Mind Matters Eventbrite page: www.rcvsmindmatters.eventbrite.com
5638 events were reported spontaneously, mainly by the marketing authorisation holder (61%), with the remainder largely reported by veterinary surgeons.
Of these, 5512 were reports of adverse reactions in animals: 829 concerning suspected lack of efficacy, 4638 concerning safety. The majority of reports concerned dogs (2927), cats (1426) and cattle (386).
In dogs, medicines for the control of epilepsy were most often suspected of not having performed as expected (80 reports) whilst vaccines were most commonly reported as having failed to work (71). However, the VMD points out that in many cases, vaccination failure was attributable to other causes (such as incomplete vaccination schedule).
In cats, flea spot-on products were most likely to be reported as not having worked (21). However, there are many reasons why owners may continue to see live fleas on their animal which are unrelated to product efficacy (such as reinfestation from the environment).
Notably, the majority of efficacy reports in horses (12/19) related to euthanasia products, which the report says should serve as a reminder that alternative means of euthanasia should always be available in case the chosen method does not proceed as planned.
Of the safety reports, 59.6% involved dogs, 31% cats, 4.9% horses and 3.9% rabbits. The majority concerned vaccines (1360 reports, most commonly general signs or symptoms, such as lethargy or pyrexia), parasiticides (472 reports, most commonly lethargy, emesis, inflammation/pruritus, depending on method of administration) and inflammation control (412 cases, most commonly emesis, renal insufficiency and diarrhoea, depending on the drug type).
There were 124 reports of adverse events in humans. Of those involving veterinary professionals (about a quarter):
The VMD says that reports of needle stick injuries involving vaccines with a mineral oil adjuvant are of particular concern, because they often fail to show that the injured party has received prompt and correct treatment, either because they are themselves unaware of the necessity for swift intervention, or because they do not take the product package information leaflet with them when seeking medical treatment.
Similarly, the VMD says that incidents involving injectable tilmicosin seem to be often dismissed as just a scratch, and that if you use these products, you should make sure you are fully aware of the warnings contained in the product leaflets.
To read the full report, visit: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/608968/PhV_Annual_Review_2015_v7.pdf
According to the AHT, there is undisputed evidence that owners, riders and trainers have a poor ability to recognise signs of pain seen when horses are ridden. As a result, problems are labelled as training-related, rider-related, behavioural, or deemed 'normal' for that horse because 'that’s how he’s always gone'.
This, says the AHT, means pain-related problems are often disregarded, the horse continues in work, and the problem gets progressively worse.
Dr Sue Dyson, Head of Clinical Orthopaedics at the AHT, believes it may be easier to educate riders and trainers to recognise changes in facial expression and behaviour rather than lameness. So she and her team set out to develop and test an ethogram to describe facial expressions in ridden horses and to determine whether individuals could interpret and correctly apply the ethogram consistently.
At this stage in the project, they concluded that their ethogram could reliably be used to describe facial expressions of ridden horses by people from different professional backgrounds (full paper here: http://www.journalvetbehavior.com/article/S1558-7878(16)30184-8/fulltext).
In the next stage of the project, Sue and her team sought to demonstrate that the ethogram could be used to identify lameness.
The ethogram was applied blindly by a trained analyst to photographs (n=519) of the head and neck of lame (n=76) and non-lame (n=25) horses acquired during ridden schooling-type work at both trot and canter. These included images of seven lame horses acquired before (n=30 photographs) and after diagnostic analgesia had abolished lameness (n=22 photographs).
A pain score (0-3; 0=normal, 1-3=abnormal) was applied to each feature in the ethogram, based on published descriptions of pain in horses.
A total of 27,407 facial markers were recorded, with those giving the greatest significant difference between lame and sound horses including ears back, eyes partially or fully closed, an open mouth with exposed teeth and being severely above the bit.
Pain scores were higher for lame horses than non-lame horses (p<0.001). Total pain score (p<0.05), total head position score (p<0.01), and total ear score (p<0.01) were reduced in lame horses after abolition of lameness.
Severely ‘above the bit’, twisting the head, asymmetrical position of the bit, ear position (both ears backwards, one ear backwards and one to the side, one ear backwards and one ear forwards) and eye features (exposure of the sclera, the eye partially or completely closed, muscle tension caudal to the eye, an intense stare) were the best indicators of pain.
The researchers concluded that application of the ethogram and pain score could differentiate between lame and non-lame horses. Assessment of facial expression could potentially improve recognition of pain-related gait abnormalities in ridden horses (full paper here: http://www.journalvetbehavior.com/article/S1558-7878(17)30019-9/fulltext)
Sue and her team are now working on the development of a whole horse ethogram and its application to non-lame and lame horses, to help to differentiate between manifestations of conflict behaviour, in response to the demands of the rider, and pain. They are also working towards the development of a practical tool for recognising facial expressions, similar to that of a body condition score chart, which they say could dramatically improve the health and welfare of all horses.
Photo: Signs of pain include ears back (pain score of 3), intense stare, muscle tension and mouth. Courtesy Dr Sue Tyson.