Su Page MRCVS, Amodip Product Manager at CEVA, said: “If left untreated, hypertension can result in target organ damage (TOD), with ocular problems developing in at least 80% of hypertensive cases1.
"Other major body systems that are commonly affected include the brain, heart and kidneys.
"Despite the potential for catastrophic sequelae such as retinopathy and blindness, owners may see very little in the way of warning signs.
"That means these patients are completely reliant on a veterinary recommendation for blood pressure monitoring.”
Ceva says that ideally, all cats over nine should be screened regularly. But given the pressure the profession is currently working under, the priority is to address the needs of the most at risk cats, ie those with predisposing conditions such as kidney disease and hyperthyroidism.
Su said: “There is a real danger that many of those cats will be close to crisis point right now and the sooner we can identify those that need help, the better a chance we have of extending their quality and quantity of life.”
Vet nurses looking to update their knowledge on feline hypertension, including the importance of regular screening, blood pressure monitoring techniques, and appropriate treatment options, can complete Ceva's free Feline Hypertension Ambassador CPD course at: https://veterinarywebinars.com/community/ceva/.
Reference
400 people took part in the research, of which 76% described their mental health as ‘reasonable’ or ‘very good’, while almost three quarters 71% said there was someone at work they could talk to about their mental health and 80% knew where to access information and support.
This compared to 2019, when only 50% had even recognised veterinary wellbeing as an issue.
So far so good.
However, on the flip side, 60% felt that their work/life balance was not right and 82% were worried about their financial situation.
As is well known, the pandemic placed further strain on veterinary professionals: 78% of respondents said their workload had increased since it struck, and 44% said they were working longer hours.
What's more, 63% felt that that changes in working practices introduced during the pandemic had not been beneficial to their mental health.
The survey results showed a number of interesting variations depending on the respondent's time in the profession and their role.
For example, people who've been in the profession for more than ten years appeared to be more resilient than those who've been in the profession for six years or less, with 66% of the older hands saying the pandemic had had an impact on their mental heath, compared to 71% of the younger respondents.
The older crowd also reported being more aware of where to access support and information (89% vs 71%) but feel they have fewer people they can talk to at work (68% vs 76%).
Interestingly, nurses felt they had more people they can talk to at work (76% vs 62% of vets)
The organisers say that overall, the research suggests that the veterinary profession is more aware of the pressures on veterinary teams and is taking some steps to mitigate it and support staff better.
97% said they felt supported by their colleagues, 75% said they felt that their practice had strong leaders and managers and 90% said that they loved their job.
50% said their practice offers online resources to support wellbeing at work, 41% offer counselling and 40% offer flexible working.
When asked what more could be done to improve their wellbeing at work, simple solutions such as taking a lunch break, having a pleasant room at work in which they could relax and receiving recognition for hard work were the most commonly proposed.
VET Festival will be offering a Wellness Hub, supported by MWI Animal Health, in which a range of practical activities will be offered to support delegates in improving their day-to-day wellbeing, with representatives of Vetlife also on hand to offer advice and support.
Tickets for VET Festival can be bought here: https://www.vetfestival.co.uk/delegate-info/ticket-information
Since qualifying as an RVN in 1998, Georgina, aka George, has had a number of veterinary management roles, including Head Nurse, Business Support Manager and Regional Operations Manager.
She is currently Practice Director for Irby and Neston Vets in Cheshire.
George joined the VMG Board in 2016 and takes over as President from Richard Casey, who becomes Senior Vice President of the association.
Stuart Saunders, Practice Manager at Devon-based Selworthy Vets, becomes Junior Vice President.
All will serve a one-year term.
George said: “Becoming a manager or leader has an impact on the individual, but has an even stronger impact on the work and day-to-day experience of those around them.
"These roles therefore bring with them a great responsibility to do them well.
“We know from our members that the support, teaching, coaching and other resources that the VMG offers are making a positive difference and I’m particularly excited to take on the presidency following the recent launch of our Certificate of Veterinary Leadership & Management, an accredited taught qualification.
"I believe rigorous qualifications are the most effectively way to create the 21st century leaders and managers the veterinary sector needs.
“During my presidency, I will continue to focus on extending the range of support and help we offer to leaders and managers."
The aim of the Working Party is to compare options, such as limited licensure, for increasing inclusion, source evidence both from the UK and other countries, and to identify any potential unintended consequences of change.
The College says that it is inviting representatives from the Association of Veterinary Students (AVS), British Veterinary Association (BVA), British Veterinary Chronic Illness Support (BVCIS), the British Veterinary Nurses Association (BVNA) and Veterinary Schools Council (VSC) to join the Working Party.
Sue Paterson will be Chairing the Working Party.
She said: “The formation of this new Working Party is a significant and very welcome step in helping to make the veterinary professions more accessible for people with a disability.
"Fellow members of the Working Party include a broad range of colleagues, students and veterinary bodies, to ensure we take into account as many perspectives as possible when we propose recommendations.
"We recognise that many organisations have already begun to explore what we could do to make the veterinary professions more accessible, and we are keen to work collaboratively with them to ensure we keep up the momentum on this vital work.
"The Working Party will endeavour to find a way that those wishing to undertake a veterinary degree or a veterinary nursing qualification in the UK are not faced with barriers due to disability."
For more information, contact Rosie Greaves, Policy and Public Affairs Officer: r.greaves@rcvs.org.uk
The scholarship was set up to honour the memory of Dr Earl H. Rippie Jnr., a former president of the North American Veterinary Community, who recognised the value veterinary nurses bring to the healthcare team and the significant role they play in promoting the wellbeing of animals.
The award reflects his steadfast belief that veterinary nurses are the spoke in the wheel of the practice and the heart of any veterinary hospital and should be celebrated as equals in the veterinary profession.
The only international recipient, Belinda was given the award for her impressive leadership and impact on growth of the profession and practice.
Belinda said: “I am overwhelmed with gratitude to have been selected to receive this prestigious award.
"I am so honoured to have my work recognised in this way by the Dr Earl Rippie award panel.
"It means so much to me that the work I am so passionate about also resonates with others.”
Professor Stuart Reid, Principal of the RVC, said: “I am delighted that Belinda has been recognised with this prestigious award.
"This international recognition is a testament to her ongoing work and commitment to ensuring veterinary nurses have equal voices and are rightfully acknowledged for the vital role they play in upholding the highest standards of animal care in veterinary practice.”
The RCVS reports that its alternative dispute resolution (ADR) trial is now nearing completion with over two-thirds of its target number of cases either resolved or in process.
The year-long trial, which began in November 2014, aims to gather the evidence needed to develop a permanent scheme which would provide a way of adjudicating on concerns raised about a veterinary surgeon that do not meet the RCVS threshold of serious professional misconduct.
The aim of the trial, which is administered by the independent, not-for-profit Ombudsman Services, is to make determinations on around 100 cases in order to gather information about types of concern, time taken to resolve disputes, recommendations and how likely each party is to accept recommendations. As of this week some 72 cases have been referred to the trial scheme, with final decisions made in relation to 54 of these cases.
RCVS CEO Nick Stace was responsible for pushing forward the trial believing that “what is good for the consumer is good for the profession”. The College also says it brings it into line with a European Union Directive on alternative dispute resolution which, while not legally binding, specifies that regulators and other ‘competent authorities’ should have consumer redress systems in place.
Nick said: “The majority of cases are either being determined in the veterinary surgeon’s favour or finding that they need take no further action in order to resolve the dispute. Where recommendations have been made in favour of the client, the suggested remedies have generally been for a small goodwill payment to be made.
“However, the trial has not been without some frustrations so far. The fact that participation in the trial is entirely voluntary has meant that, in many cases, members of the profession have chosen not to take part.
“With this in mind, it is very important to stress the benefits of the trial to the profession – chiefly that many of the vets who chose to take part have had their actions exonerated by Ombudsman Services in a way that a concern being closed by our Professional Conduct Department does not. For clients, where a vet does have a case to answer, it gives them the chance to seek recompense without having to resort to legal action.
“Regardless of which way the decision goes in any of these cases, participating in the trial can bring these often long-standing and burdensome disputes to a close.”
The trial will continue to run until the end of October and a full report and recommendations will be presented to RCVS Council at its meeting on Thursday 5 November 2015. Full details of the trial and its parameters can be found at www.rcvs.org.uk/adr
The RCVS has issued a reminder that you have just over a week to put forward nominees for the annual VN Golden Jubilee Award.
The Award is given in recognition of an outstanding contribution to the profession, animal welfare and/or patient care and nominees can be veterinary nurses, veterinary surgeons or lay people. It was launched in 2011 to celebrate the 50th anniversary of the first RCVS veterinary nursing training course.
Nomination forms need to be submitted by 5pm on Friday 24 April. The principal nominator must be a registered veterinary nurse or veterinary surgeon although the two supporting proposers can be lay people.
The winner will be chosen by a panel of VN Council members and will receive the accolade at RCVS Day – the College’s Annual General Meeting and Awards Day – on Friday 10 July.
The nomination form is available to download from www.rcvs.org.uk/goldenjubilee. For further information contact Annette Amato, Deputy Head of Veterinary Nursing, on a.amato@rcvs.org.uk or 020 7202 0713.
The aim of the Leadership Stories initiative is to present the perspectives of people from diverse and minority backgrounds so that they see themselves reflected in leadership roles within the profession.
RCVS Leadership and Inclusion Manager, Gurpreet Gill, said: "We decided to release this video as part of Veterinary Nursing Awareness Month to show people exactly what a career in veterinary nursing can lead to.
"Betsy has achieved a huge amount in a relatively short space of time and is a great example of what can happen when you blend personal values, professional knowledge and excellent people skills to deliver effective leadership.”
“The theme for Veterinary Nursing Awareness Month this year is ‘progression’, and we hope that this film will inspire members of the veterinary community, or those aspiring to become members, to find their own inner leaders.
"There are so many different opportunities working in the veterinary sector, but it’s often difficult to know what could be possible.
“We hope that by sharing the leadership stories of people like Betsy, we can help demystify the landscape slightly and help to show people that there are many opportunities out there that they may not have previously considered or even be aware of.”
Betsy said: “It was a brilliant opportunity to work with the team at the RCVS on such an important project.
"As I’ve mentioned, whether it’s specialising, leadership, teaching or research, RVNs have so many transferable skills that can be used across the sector in many different roles.
“Coming from an ethnic minority background myself, it has been very clear that the profession isn’t very diverse and that we need to do more to proactively promote veterinary nursing and veterinary medicine as viable career options in schools from a younger age.
“When it comes to leadership, I think initiatives such as the RCVS Leadership Stories are great in terms of showcasing diverse leaders and career opportunities.
"People need to be able to see themselves in these roles, to see that it is possible.
"We are making progress, but we still have a long way to go.”
https://www.youtube.com/watch?v=XSgg8xeHyp4&list=PLwm3GH0FNPl30FXR3k688HSNzeaKxMwD9&index=4
In addition to the UK, Vetigel will be marketed and distributed to veterinary surgeons throughout Europe and elsewhere via Veterinary Instrumentation's global distribution network.
Matt Lewis, Vice President of Sales at Cresilon said: "Our partnership with Veterinary Instrumentation will help us provide more veterinary surgeons with a revolutionary hemostatic gel that significantly improves the standard of care for pets and animals.
"Vetigel has been used by thousands of veterinarians thus far and helps veterinary clinics and animal hospitals save time, reduce operating costs, and improve patient outcomes."
https://vetigel.comhttps://veterinary-instrumentation.co.uk
At the roundtable, Liz Barton MRCVS, Head of Communications at Vet.CT, spoke about the application of AI in clinical practice, including in preventative medicine, diagnostics, treatment and prognostics.
Liz highlighted how the use of AI tools in clinical practice for tasks such as pattern recognition had led to many unforeseen and unexpected benefits, for example by picking up things that humans may not.
Dr P-J Noble, Senior Lecturer in Small Animal Science at the University of Liverpool, explained how AI tools had proven useful in processing, assessing and annotating qualitative data gathered through the university's Small Animal Veterinary Surveillance Network (SAVSNET) once they were programmed to recognise certain patterns, saving lots of research time and costs.
Dr Chris Trace MRCVS, Head of Digital Learning at the University of Surrey, spoke about AI use in higher education and how it has already started to be used beneficially both as a teaching and learning aid, as well as for assessment and feedback.
In the afternoon session, groups of delegates were asked to discuss practical questions over AI use in the veterinary professions and how it might be regulated.
There were discussions on how to help vet and VN students make the most of AI in learning and assessment, responsible use of AI in clinical settings, the risks of not using AI, how veterinary professionals can work with animal owners and keepers to ensure the safe and productive use of AI, and whether AI-led devices should be regulated.
Lizzie said: “This was a really positive and exciting event that involved a heady mix of trepidation over the risks and implications of AI now and into the future, and optimism over the beneficial impact it could have for education, diagnosis, treatment and patient outcomes.
"The discussions have certainly given us at the College a lot of food for thought on how we can put in place guardrails and guidelines on the appropriate use of AI in the veterinary sector.
“This is an area of technology that is evolving so rapidly that it would not be effective for us to put in place specific guidance for the use of AI tools, but instead we will be looking at how we can regulate the use of AI in the round and ensure our principles are sufficiently future-proofed to keep up with the pace of change.
“Any regulation will start with first principles, such as transparency and honesty around the use of AI in veterinary practice, the minimisation of potential risks, and the continuing importance of professional accountability for decision-making, even where such decisions may have been heavily influenced by the use of AI tools and AI-generated data.”
The input gathered from the roundtable will now be considered by a range of RCVS committees over the coming months.
A full report of the event will be published this summer.
In 2022, Winchester published the results of a study led by Professor Andrew Knight, which claimed the headline: "Vegan diets may be the healthiest to feed pet dogs, say researchers"1,2.
For the study, 2,639 dog owners were invited to report their own opinion of seven indicators of their dog's health.
The researchers also looked at the prevalence of 22 specific health disorders, reported as being based on 'predictions by vet assessments', finding 49% prevalence in traditional meat diets, 43% for raw meat diets and 36% for vegan diets.
However, it was not clear in the report what "predictions by vet assessments" actually means. Whose predictions? The vets'? Or the owners'?
Closer examination of the original study reveals it was "owners' predictions of vet assessments".
Owner-reported opinion, otherwise known as anecdote, is of course notoriously unreliable, and if there is one thing more unreliable than owner-reported opinion, it would surely be owner-reported opinion of their vet's opinion.
Furthermore, the original study was of an observational design, and therefore could only suggest correlation, not causation.
Lastly, the original analysis only looked at the relationship between diet and owner observations/opinion, without considering the impact of other factors assessed by the study, such as the age of the dog and whether the owner was a vegan.
For the new study3, therefore, researchers at the University of Liverpool led by Professor Alex German re-analysed the data used for the original study, in particular correcting the data for confounding variables.
When analysed in this way, significant illness in dogs correlated most strongly with the age of the dog, whether it was on medication, and the frequency of visit to the vet.
Compared to these, the association between owner opinions of health and feeding vegan dog food was minimal.
Co-author of the second study, Richard Barrett-Jolley, Professor of Neuropharmacology, said: “We know how seriously owners take their pet’s health.
"By revisiting and further interrogating these data, we have been able to draw more nuanced insights.“Crucially, we cannot draw a firm conclusion as to what diet type is actually best for dogs; this was never possible given the nature of the original dataset and study design.
"However, we can conclude that variables other than dog diet are more strongly associated with owner opinions about the health of their dog.”
References
The free app is designed to help to track changes and improvements in a dog’s health during treatment.
The app uses questionnaires to monitor clinical signs and quality of life and includes reminders for when checkups with routine blood tests should be carried out, which Dechra says are recommended at 10 days, 4 weeks, 12 weeks and every 3 months thereafter.
The app also sends pet owners daily reminders to administer medication to their dog.
Sarah Musgrave, companion animal brand manager at Dechra, said: “Continuous and consistent monitoring is key to finding the right Vetoryl dose for a dog with Cushing’s and restoring its health.
"The new Cushing’s syndrome treatment and monitoring app is a useful tool to help owners quickly and easily record and track any medical and lifestyle changes in dogs being treated with Vetoryl, which can then be shared with their vet during check-ups.”
To download the app, search for 'Cushing's monitoring' on either Apple's App Store or the Google Play Store.
The study was the first to use prospectively collected data to estimate the prevalence of and risk factors for gingivitis in a cohort of domestic cats, using data from 860 cats aged up to six years enrolled in the Bristol Cats Study. Gingivitis was found to be a common condition in cats aged up to six years, with prevalence increasing with age, from 24.5% in cats less than 12 months old, up to 56.3% in cats between five and six years old. Odds of gingivitis in cats aged three to four years were higher in cats fed a wet only or mixed wet/dry diet compared to those on a dry only diet; cats not reported to hunt prey compared to reported hunters; cats reported to dribble whilst being stroked at age six months compared to reported non-dribblers; and cats with orange variants in their coat colour compared to non-orange cats. Sex was not found to be a risk factor for gingivitis (Ed's note: what a relief). Jess Williams, lead author of the study, said: “Periodontal disease is one of the most common conditions in cats, potentially causing issues with eating and behaviours like grooming.
"Our study showed that even young cats may have signs of gingivitis, so it is important to discuss and monitor dental health regularly and early on in a cat’s life, especially for those cats who may be more at risk.”
The study was funded by BSAVA PetSavers.
https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13737
Zoetis Business Consulting has announced the launch of Profitsolver, a software tool designed to boost practice profits.
The software has already been rolled out in the US, where Zoetis says that it has delivered an average of £103,000 extra profit to veterinary practices within a year.
Profitsolver uses the practice's actual data - not benchmarks or accepted norms - to enable the practice to manage costs, set prices and gain return on investments. By using an activity-based costing model and using a variety of data such as practice costs, which staff perform which part of the procedure, how long the procedure takes and what equipment and materials are used, Profitsolver calculates the correct pricing to both cover costs and deliver a predetermined profit margin.
Zoetis says that Profitsolver helps practices to understand how the overall practice profit is being generated. For instance, for price sensitive procedures such as vaccination, the practice can match their prices with the competition, but maintain their profit margin by increasing the price for other clinical services.
Nick Steele, national consulting manager at Zoetis said: "Veterinary practices have no standard method for pricing their services and they are often unable to determine which services make money and which don't. This hampers the practice's ability to accurately value the business and, as a result, profit levels tend to be low for many practices. Profitsolver can turn this situation around and already has a very successful track record in the US."
Zoetis piloted the UK version of Profitsolver with John Goulding at St Georges Veterinary Group. He said: "By and large the veterinary profession still relies on the mark-up of medicines where profits are concerned. Even practices that have made a concerted effort to move away from this type of pricing structure are still making their money from the sale of medicines rather than from vets' fees. For years I have wanted to know exactly how to price our services and this new Profitsolver software does just that.
"Most costs have an element of staff time, an element of fixed assets or equipment and an element of disposable items. Profitsolver takes all of these into account, adds the predetermined profit margin and produces an accurate pricing structure for each procedure undertaken within the practice.
"It's important to take the time at the start to put accurate data in from the practice's latest set of accounts and the Zoetis business consultant will guide practices through this to make the initial set up as easy as possible. For instance, for major pieces of equipment such as X-ray machines, you have to work out how many times a year you are likely to use them.
"By using Profitsolver, we worked out that if we do exactly the same amount of work as last year we can increase our bottom line by at least £200,000 for our 18 vet practice. Since last November, when we installed Profitsolver, we have completely changed our pricing structure moving away from focusing on medicines and the size of the animal to rethink how we charge our clinical care.
"An unexpected benefit is that Profitsolver has made me much more confident about the prices we charge to clients as it is all broken down, so we can see exactly how the invoice is made up. I would be at a loss without it now."
For more information about Profitsolver, contact your Zoetis account manager.
Tip 1 – Make sure that pet owners understand the functions of a microchip properlyMichelle says: "Some customers I’ve spoken to wrongly believe that microchips function as GPS trackers. To help manage pet owners’ expectations I always stress the importance of a microchip in lost pet recovery scenarios, where they serve as a permanent form of identification."
Tip 2 – Stress the importance of pet owners updating their contact details with their microchip providerMichelle says: "Pet owners often think that updating contact details with their vet will automatically sync these changes with the microchip database. It’s vital to inform owners that they must separately update their contact information with their microchip database. I’d recommend regularly reminding pet owners to check and update their microchip registration."
Tip 3 – Reassure pet owners that microchips are safe for their catsMichelle says: "I’ve had some owners express worries about allergic reactions or rejection of the microchip by their cat's body. So it’s worth taking the opportunity to dispel this myth during routine wellness exams by explaining microchips are made from inert, biocompatible materials designed to be nonallergenic and nontoxic.
Tip 4 – Make sure to discuss the longevity of microchips with pet ownersMichelle says: Microchips are designed to last the lifetime of the pet without needing a power source and that their functionality can easily be verified during any veterinary visit. If you find an owner expresses concerns about this, you could offer to check the microchip as part of regular health checks to demonstrate its reliability.
Tip 5 – Emphasise how every cat needs a microchip – regardless of age or activity levelMichelle says: "All vets will know even indoor or elderly cats can escape or wander off and older cats can become disoriented more easily. It is worth reminding owners that microchipping is a safeguard, ensuring their pet can be identified and returned home if lost. The new law means that pet owners can also face a large £500 fine if their cat isn’t microchipped."
Tip 6 – Explain how not all microchips are the same and the importance of getting the right oneMichelle says: I often explain that microchips vary in terms of the technology they employ, such as the new 'Thermochip' by HomeAgain that also measures a cat’s subcutaneous temperature. It’s worth talking pet owners through the different microchips available and the database options so they can make an informed choice.
http://homeagain.co.uk/Cats
Nebojsa Petrovic faced eight charges, although charge four was withdrawn at the start of the hearing.
At the outset of the hearing, Dr Petrovic admitted a number of allegations, including:
Charge 1 - that in November 2021, he falsely represented to the Animal and Plant Health Agency (APHA) that blood samples he submitted in respect of four horses were from the same horses as the samples he submitted on 1 November 2021.
Charge 2 – that in November 2021, he told APHA’s Veterinary Head of Border Control that he had checked the microchips and/or passports of the four horses when he hadn’t done so;
Charge 3 – that in November 2021, he signed Export Health Certificates for the four horses, in which it was stated that blood samples taken from these horses on October 2021 had been submitted to the Veterinary Laboratories Agency laboratory, Weybridge, with a negative result for Leptospirosis when in fact those samples had tested positive;
Charge 5 – that he failed to send the APHA’s Centre for International Trade, within seven days of signing, certified copies of the export health certificates;
Charge 7 – that in January 2022, he told an APHA officer that he was satisfied that he had properly identified the horses for which you had submitted the two samples when he had not done so;
Charge 8c – that he risked undermining government procedures designed to promote animal health and international relations in relation to the charges he admitted; and
Charge 9 – that in February 2022, he failed to have in place any or any adequate Professional Indemnity Insurance (PII).
Dr Petrovic, who was at the time of all the allegations carrying his duties as an Official Veterinarian on behalf of the APHA, denied charge 6 – that in November 2021, he failed to take sufficient steps to prevent the four horses being exported to Serbia, when he had been informed that there were concerns and/or doubts about whether those horses had tested negative for Leptospirosis.
He also denied charge 8 – that in relation to the allegations relating to his submitting the blood samples to the Veterinary Laboratories Agency on 8 November 2021, certification of the Export Health Certificates on 16 November 2021 and his subsequent conversations with members of APHA staff regarding both sets of documentation he had acted in a misleading (Charge 8a) and/or dishonest (Charge 8b) way.
The Committee considered evidence presented by the College including hearing from APHA staff witnesses called by the College and also hearing from a witness and character evidence presented by Dr Petrovic. Dr Petrovic also gave evidence to the Committee.
It found most charges proven with the exception of Charge 6, and also found that Dr Petrovic had not acted dishonestly in submitting the blood samples or certifying the EHC’s as alleged in charges 1 and 3.
The Committee concluded that Dr Petrovic had acted in a dishonest and misleading way in his conversations with the APHA staff as detailed in charges 2 and 7.
The Committee then considered whether the individual proven charges amounted to serious professional misconduct, determining that, with the exception of charges 3 and 5, all proven charges amounted to disgraceful conduct.
Paul Morris, chairing the Committee and speaking on its behalf, said: “In the Committee’s judgement, the respondent’s position as an Official Veterinarian also meant that he had a responsibility to ensure that the trust which was delegated to him was not breached.
"In his role, the respondent was acting in a position of trust, as a representative of the government, and the Committee found that he had breached that trust…. It took these matters into account when determining that the respondent’s behaviour cumulatively amounted to disgraceful conduct in a professional respect.”
Regarding the sanction for Dr Petrovic, the Committee considered his request that it consider suspension, rather than removal, from the Register.
In terms of aggravating factors – the Committee found that Dr Petrovic had acted without integrity, recklessly and without regard for the APHA’s systems relating to the export of animals.
In mitigation, it took into account: the fact that no animal was harmed by his conduct, albeit there was risk of harm; his long and unblemished career in the UK since 1994; admissions he had made to the APHA and Disciplinary Committee at the first day of the hearing; had remediated his lack of professional indemnity insurance by putting in place a retrospective policy; the significant amount of time that had elapsed since the conduct; and six positive character references from experienced fellow veterinary surgeons who held him in high regard.
Paul Morris added: “The Committee took into account that the respondent had continued to work as a veterinary surgeon with no subsequent complaints and that he had a previous long and unblemished record and there was support by several positive character references.
"The Committee also took into consideration the pressures of Brexit and the pandemic which the respondent had faced at the time, but which were unlikely to occur again.
“The Committee had concluded that the respondent was unlikely to repeat similar behaviour or to pose a risk to animals, particularly because he was no longer involved in certifying animals for export.
"Furthermore his admissions to most of the matters it had found proved showed that he had some insight.
"The Committee was also satisfied that the respondent had a genuine concern for the welfare of animals and it noted that the Respondent did not require any further training to continue in practice as a veterinary surgeon.
“The Committee therefore concluded that a suspension from the Register was the proportionate sanction in this case taking into account the seriousness of the conduct it had found proved but also all of the mitigating factors.”
The Committee recommended that Dr Petrovic be suspended for six months to reflect the seriousness of the conduct and the damage it could do to public confidence in the profession, while meeting the public interest and sending a clear message of deterrence.
www.rcvs.org.uk/disciplinary
The Bella Moss Foundation (BMF) has launched a free practice hygiene audit tool.
The BMF Practice Hygiene Self Audit is a web-based assessment tool that allows staff to monitor cleanliness across the practice – from theatre and prep rooms to laundry and waiting rooms.
The tick sheet format allows staff to rate the hygiene protocols in each area, resulting in a room-by-room percentage hygiene score, as well as an overall contamination risk score.
The tool was developed by vet and RCVS Practice Standards Scheme (PSS) expert Pam Mosedale and VN lecturer Louise O'Dwyer, along with Edinburgh academic Tim Nuttall and Chris Laurence.
Pam said: "Given the relaunch of the PSS later in the year, which will include new modules on infection control, the BMF audit tool is especially timely.
"We hope that people will try the audit tool and it will lead them to have more of a team discussion about hygiene routines and protocols in practice. We know some areas get more attention than others - for example, how often do things like the toys in the waiting area really get cleaned?
“By using the audit, staff will easily be able to see what rooms/areas might need a bit more cleaning.
She added: "It's a simple no-frills tool but the whole idea is for it to be helpful and easy to use, so more practices are encouraged to have regular quantifiable monitoring systems in place to keep an eye on their hygiene protocols."
Co-creator Louise O'Dwyer said: “The BMF Practice Hygiene Self Audit will help ensure often overlooked aspects of cleaning and infection control are considered and implemented.
“It needs to be embraced by all members of staff, from non-clinical staff through to veterinary surgeons, as every individual has the potential to make an impact within their practice by taking action on infection control.”
To test the tool and see how clean your practice is, go to: www.thebellamossfoundation.com/practice-hygiene-self-audit
The survey, conducted among 130 veterinary professionals around the UK, including vets, nurses, receptionists and practice managers, revealed that on-demand video-based CPD ranked as the top choice of learning platform for 47% of respondents, while online text-based learning was next at 22%.
15% preferred in-person workshops and 10% in-practice training.
Meanwhile, only 6% preferred live lunchtime or evening webinars, and only 1% event lectures.
The survey identified that the most popular non-clinical CPD topics were complaint management (57%), communication (43%) and customer service (44%).
Barriers to the more widespread adoption of online learning platforms within practices were cost (70%) and a lack of time for CPD completion (80%) as a significant challenge.
Emma Barnes, Managing Director for Veterinary at Agilio, said: “The veterinary workforce is stretched and finding time to attend in-person CPD can be challenging.
"Flexible online solutions that accommodate busy schedules empower vets, nurses and the wider practice team to fulfil their CPD requirements whenever and wherever they choose.”
https://agiliosoftware.com
The RCVS reports that the Department for Environment, Food and Rural Affairs (Defra) has now finalised the new microchip regulations for England, which include a provision that dog breeders and other individuals who wish to implant microchips and have no previous approved training, must undergo a compulsory training course.
While veterinary surgeons were exempted from this training, Defra initially envisaged that veterinary nurses would be required to undertake it. In a joint letter, that was followed by negotiations with Defra, the Royal College of Veterinary Surgeons (RCVS), the British Veterinary Association (BVA) and the British Veterinary Nursing Association (BVNA), stressed that registered veterinary nurses are already sufficiently trained to be able to safely implant a microchip, and would be doing so under the direction of a veterinary surgeon.
Defra subsequently has agreed that registered veterinary nurses are already sufficiently qualified to implant microchips, and will therefore be exempt from further training requirements when new legislation comes in for England. Wales and Scotland are currently considering the details of implementation.
The Royal College says it is also aware of new Defra microchipping guidelines for England which make it compulsory to report adverse reactions (including migration from the site of implantation) or the failure of a microchip. Gordon Hockey, RCVS Registrar, said: "There is some concern in the profession about this requirement, but Defra have said that they would not enforce this regulation via the courts, or seek to impose fines. The RCVS is likely to amend its supporting guidance later this year to clarify that veterinary surgeons should make appropriate reports, similar to reports for adverse reactions to veterinary medicines. In each case reports can be made online to the Veterinary Medicines Directorate."
To help veterinary surgeons and veterinary nurses, as well as practices, raise awareness of owners' legal obligation to microchip their dogs, the BVA has posters available for all three regions (England, Scotland and Wales) that can be displayed in waiting rooms and surgeries. The posters are available to download from the BVA website: www.bva.co.uk.
BVA President John Blackwell said: "As a founding member of the Microchipping Alliance, which campaigned for compulsory microchipping together with dog welfare organisations, local authorities and others, BVA is delighted with the progress that has been made and it is very good indeed to be less than a year away from mandatory microchipping across the UK.
"But this is where the work begins for veterinary surgeons and nurses. We need to work hard to make owners aware of the new law throughout this year, with animals microchipped as far in advance of the deadline as possible.
"We also need to ensure that microchipping does the job it is intended to do. This process will be helped very much by not compelling veterinary nurses to undertake additional training when they already undertake minor acts of veterinary surgery that are much more complex procedures than implanting a microchip."
VetNurse.co.uk has officially launched a completely revamped job advertising section designed to make it quite simply the best place to browse and advertise jobs for veterinary staff online.
VetNurse Jobs now allows jobseekers to search for veterinary positions by distance from their front door (or from a city, county or country). Other filters allow them to narrow the search yet further, by job title, contract type, hours or practice/employer type. Each advert now also includes a map of the location, and a link to contact the advertiser at the foot of the page.
Jobseekers can subscribe to receive email or RSS alerts the moment a job advert is posted on VetNurse Jobs. Alternatively, they can now 'follow' or 'like' dedicated VetNurse Jobs pages on Facebook, Linkedin and Twitter, to have VetNurse Jobs delivered direct to their timelines.
For advertisers, VetNurse.co.uk remains the largest community of veterinary nurses and support staff to advertise in front of. And its free. But now recruitment adverts are pushed out onto other social networks and there's work being done behind the scenes to push them up the search rankings too. What's more, the advanced new search tool also means that where before users had to sift their way through a long list of vacancies, adverts will now be far better targeted.
Arlo Guthrie, Publishing Editor said: "My aim with VetNurse Jobs has always been to support veterinary practices by eliminating the need to pay for recruitment advertising. But it's not enough just being free. We need to be the best, too."
The roles were confirmed by Buckingham Palace this month as part of a recent review of royal patronages.
RCVS President Dr Sue Paterson FRCVS said: “We are delighted that His Majesty the King is our new Royal Patron, continuing his mother’s support for the veterinary professions.
“We know that His Majesty is a keen advocate for animal health and welfare, the environment and biodiversity, and so his interests align very much with ours in areas such as sustainability, tackling antimicrobial resistance, and in supporting veterinary surgeons and veterinary nurses to best meet their professional standards.
British Veterinary Association President Dr. Anna Judson said: “We’re honoured to welcome His Majesty King Charles as our Patron.
"This ongoing royal commitment recognises the vital contribution vets make to animal welfare and their critical role in society, from taking care of the nation’s pets through to ensuring animal welfare in food production, public health and international trade.
"On behalf of our members, we’d like to thank His Majesty for his commitment to BVA, our profession and the work we do.”
The British Equine Veterinary Association (BEVA) has issued guidelines to help vets employ overseas veterinary graduates successfully.
BEVA says that whilst employers should not discriminate based on nationality, language or place of graduation, it believes they have a duty to ensure all employees have the required level of linguistic and clinical skills to enable them to undertake their role safely and effectively.
The advice explains how to interpret English Language Qualification test results, highlights European Veterinary Schools that have not been approved by European Association of Establishments of Veterinary Education (EAEVE) and reminds employers that compulsory Extra Mural Studies (EMS) is unique to veterinary schools in the UK and Ireland.
Each year many foreign veterinary graduates register to work in the UK. By providing this advice BEVA hopes that employers will find it easier to navigate the differences between graduates from various veterinary schools across Europe, to uphold the reputation of the profession.
Mark Bowen, President Elect of BEVA, said: "At a time when politicians are debating language skills amongst medical graduates, it is useful to remind employers of the complex language skills required to provide the public with the service they expect. This guidance should assist employers in identifying the skilled workforce they need, while navigating the complexities of different English Language Qualifications and different veterinary qualifications."
Tim Greet, former BEVA President and a candidate for RCVS Council, said: "Whilst not condoning any discrimination based upon nationality, it seems only common sense to make sure that a new employee, from whatever background, can cope with the necessary level of communication, so fundamental in modern veterinary practice. A certain level of practical skill should also be expected to avoid compromise to patient welfare and to underpin continued professional development."
The Veterinary Schools Council is supportive of the guidelines. A spokesperson for the Council said: "It is a valuable document that should be helpful to any employer who is considering recruitment of a veterinarian from the EU."
For further information and to download a copy of the document visit www.beva.org.uk
The RCVS has announced the results of the 2015 RCVS Council and Veterinary Nurses (VN) Council elections.
Turnouts in both elections rose this year, with 4,838 veterinary surgeons (18.1%) and 1,379 veterinary nurses (11%) voting, which compares to 4,137 (16.1%) and 1,157 (10%) in 2014. The College says these represent the highest numbers of vets and VNs ever to vote in RCVS elections, noting however that there are more vets and veterinary nurses on the Registers. Average turnouts over the past ten years are 17.4% (4051 veterinary voters) and 9% (833 VN voters).
Current members Niall Connell and Lynne Hill were returned to two of the six available seats on RCVS Council, with 2,575 votes and 1,889 votes respectively (the four other current members of Council eligible for re-election will all be retiring this year). Peter Robinson (2,308 votes) was elected again, having previously served on Council in 2013/14.
Joining Council for the first time will be Timothy Greet (2,550 votes), Joanna Dyer (2,383 votes) and Katherine Richards (1,905 votes).
Disappointing news, however, for the RMB brigade this year: Tom Lonsdale scored 374 votes, down 13.5% on 2014, despite the increasing number of voters.
The two available places on VN Council were taken by new member Lucy Bellwood (914 votes) and existing member and Vice-Chair, Elizabeth Cox (630 votes).
Turnouts in both elections rose this year, with 4,838 veterinary surgeons (18.1%) and 1,379 veterinary nurses (11%) voting, which compares to 4,137 (16.1%) and 1,157 (10%) in 2014. These represent the highest numbers of vets and VNs ever to vote in RCVS elections, although there are increasing numbers of vets and veterinary nurses on the Registers. Average turnouts over the past ten years are 17.4% (4051 veterinary voters) and 9% (833 VN voters).
RCVS Registrar Gordon Hockey, said: "My sincere thanks to all those who stood for election this year and to all those who voted, and many congratulations to the successful candidates. Once again we have an excellent mix of people joining Council, who will be able to bring a diverse range of skills and experience to Council discussions and activities. I very much look forward to welcoming them to Council at our AGM in July."
Chair of VN Council Kathy Kissick, said: "It's encouraging that voter numbers have risen slightly in this year's election, especially in such an auspicious year where the introduction of the new Royal Charter for the RCVS means that we are now formally regulated by the College and recognised as true professionals in our own right. My congratulations to both Lucy and Liz on their success."
In addition to their usual written biographies and manifesto statements, all candidates produced a 'Quiz the candidates' video this year, where they answered questions put to them directly by fellow members of the professions. Still available to watch via the RCVS website and YouTube channel, the 11 RCVS Council candidate videos have been viewed 2,967 times, and the three VN Council candidate videos 509 times.
Once again veterinary surgeons and VNs could cast their votes by post or online, with the former remaining the more popular method. A higher proportion of veterinary surgeons (30%) voted online than did veterinary nurses (23%).
The 2015 RCVS and VN Council elections were run on behalf of the RCVS by Electoral Reform Services.
The CMA says its main concerns remain the same as it outlined in March, namely whether consumers are getting enough information to make informed decisions, whether corporatisation is stifling competition in certain areas, whether corporate groups have incentives to act in ways that reduce choice, whether pet owners might be overpaying for medicines and whether the regulatory framework is outdated
Sarah Cardell, Chief Executive of the CMA, said: "The message from our vets work so far has been loud and clear – many pet owners and professionals have concerns that need further investigation.
"We’ve heard from people who are struggling to pay vet bills, potentially overpaying for medicines and don’t always know the best treatment options available to them.
"We also remain concerned about the potential impact of sector consolidation and the incentives for large, integrated vet groups to act in ways which reduce consumer choice.
"In March we proposed that a formal market investigation was the best route to fully explore these concerns and, if appropriate, take direct action to address them.
"That proposal has been overwhelmingly endorsed through our consultation.
"While we’re aware of acute staff shortages and difficult working conditions for vets, we consider a formal market investigation is essential to ensure good outcomes for the millions of pet owners in the UK as well as professionals working in the sector.
"The independent inquiry group will now take this investigation forward and, in the meantime, we’re publishing some tips to help pet owners better navigate vet services."
Meantime, the CMA has published 3 tips for pet owners, which are to look further than their nearest vet, to question treatment options and to consider buying medication elsewhere.
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."