The Disciplinary Committee considered a number of charges against Javier Salas Navarro MRCVS and Roman Kristin over 35 days.
The charges against Dr Navarro concerned his treatment of a kitten named Marnie. They included:
In August 2016, failing to read the anaesthesia consent form in relation to a surgical spay he performed;
When Marnie was readmitted for surgery, failing to read the anaesthesia consent form, failing to undertake adequate assessment of Marnie’s condition; performing surgery without adequately considering her condition; subjecting Marnie to anaesthesia without recognising the seriousness of her illness; failing to obtain informed consent from the owners; administering medication which was contra-indicated; and failure to make an adequate record of his involvement in Marnie’s care.
The charges against Dr Kristin also related to his treatment of Marnie. They included:
In August 2016, failing to undertake an adequate assessment of her condition; failure to recognise and record the fact that Marnie could not pass urine; failure to refer or offer her for specialist treatment; and failure to ensure Marnie received care and treatment overnight.
When admitting Marnie for surgery, that he made a number of clinical mistakes including failure to gain informed consent; and failure to recognise the seriousness of her illness;
that there were a number of failings in relation to Marnie’s care, including failure to arrange adequate overnight care, failure to monitor and record her condition, and failure to gain informed consent for the overnight care.
that he failed to advise Marnie’s owners that he suspected her uterers had been ligated during the spay, failed to advise Marnie’s owners that she required specialist veterinary treatment; and advised that Marnie undergo further surgery at the practice in spite of this meaning her having to undergo further anaesthesia in a week and with poor chances of survival;
that the above conduct was misleading and dishonest.
The Disciplinary Committee found a number of the facts in the charges against both Dr Navarro and Dr Kristin proven (the full details can be found in the documentation at www.rcvs.org.uk/disciplinary).
The Committee found that Dr Navarro breached a number of aspects of the Code of Professional Conduct for Veterinary Surgeons including: making animal health and welfare the first consideration when attending to animals; the provision of appropriate and adequate veterinary care; responsible prescription, supply and administration of medicines; communication with professional colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; effective communication with clients; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee found that his initial failure to read Marnie’s anaesthesia consent form on 5 August did not amount to disgraceful conduct in a professional respect, but that the repetition of this failure on 9 August did amount to disgraceful conduct. It also found that Dr Navarro’s failure to undertake adequate assessment and perform surgery without this assessment amounted to serious professional misconduct. Furthermore, the Committee found that subjecting Marnie to anaesthesia in spite of her being unwell, failure to obtain informed consent and failure to keep adequate records also amounted to serious professional misconduct.
For Dr Kristin, in summary, the Committee found not proven the allegation that he had failed to respond on 5 August 2016 to concerns from Marnie’s owners about her condition while she was recovering from a surgical spay and also all the allegations relating to Dr Kristin’s admission of Marnie to the practice on 9 August on the basis that it was not satisfied so as to be sure that Dr Kristin had been the veterinary surgeon who admitted Marnie on that day.
The Committee found proven the remaining charges and found he breached the following parts of the Code of Professional Conduct for Veterinary Surgeons: making animal health and welfare the first consideration when attending to animals; keeping within area of competence and referring responsibly; providing appropriate and adequate veterinary care; responsible prescribing, supply and administration of medicines; communication with colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; communicating effectively with clients and obtaining informed consent; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee determined that his failure to adequately assess Marnie’s health, to obtain a clinical history, to undertake blood tests and recognise that she was seriously ill, amounted to disgraceful conduct in a professional respect and led to “Marnie’s underlying condition going undetected and undoubtedly contributed to her eventual death two days later”.
The Committee also found that Dr Kristin’s decision to hospitalise Marnie without adequate overnight care, place her on IV fluids without monitoring the treatment or her condition, and failure to obtain adequate informed consent – among other things – amounted disgraceful conduct in a professional respect.
Stuart Drummond, chairing the Committee and speaking on its behalf, said: "As a direct result of Dr Kristin’s acts and omissions, Marnie was left alone overnight on fluids when those fluids had nowhere to go. Had he done his job properly he would have known that and Marnie could have avoided the prolonged suffering caused by the chosen course of treatment that did not address the underlying condition. Every element of Dr Kristin’s behaviour was catastrophic for Marnie, and yet he took no personal responsibility for her welfare and just went home.”
Following its findings on disgraceful conduct in a professional respect, the Committee then went on to consider its sanction for both Dr Navarro and Dr Kristin.
In respect of Dr Navarro, the Committee considered the mitigating factors including previous good character, admissions to some of the facts of the case from the outset; genuine insight and remorse into the seriousness of the actions; his youth and inexperience; and relevant and good-quality testimonials from colleagues. The Committee noted that the testimonials were universally positive and demonstrated that Dr Navarro had reflected on his conduct, had become more mature and confident in his practice and made efforts to rectify the areas in which he had fallen below standards.
Stuart Drummond said: “Although the consequences for Marnie and her owners were clearly devastating, the Committee considered that Dr Navarro’s part in her demise has to be seen in the context of all the evidence. In light of the extensive mitigation, including significant evidence of insight and remediation, the Committee was able to conclude that Dr Navarro did not represent a future risk to animals or the public. In such circumstances, the Committee considered that it was not necessary to restrict Dr Navarro’s registration and that a reprimand was the appropriate and proportionate sanction in his case.”
In relation to Dr Kristin, the Committee took into account positive character evidence from Mr Karel Daniel, a semi-retired veterinary surgeon and Vice-President of the Czech Republic Veterinary Chamber, a similar body to the RCVS in that country, as well as other testimonials on his behalf. In mitigation, the Committee considered Dr Kristin’s previously unblemished career, the fact that it was a single case involving a single animal; some development of insight into his conduct; no evidence of repetition; expressions of remorse; the impact of a family bereavement during the course of proceedings; and his financial position.
However, the Committee also took into account aggravating factors including a lack of candour from Dr Kristin when he was giving evidence, demonstrated by a tendency to blame others rather than take responsibility, as well as his recklessness in suggesting a third operation on Marnie that was not in her interests, rather than referring her into specialist care.
The final decision of the Committee on the sanction for Dr Kristin was that, given the seriousness of the misconduct, it was satisfied that this warranted a six-month suspension period. However, given the mitigating factors, the Committee decided that four months was appropriate and proportionate.
Commenting on the sanction Stuart Drummond said: “The Committee determined that it was important a clear message be sent that this sort of behaviour is wholly inappropriate and not to be tolerated. It brings discredit upon the respondent and discredit upon the profession and, most importantly, caused harm to Marnie and great distress to her owners.
"The Committee did consider whether to remove Dr Kristin from the Register. However, in light of the mitigation in this case, the fact that this was a single case in an otherwise unblemished career, together with the unlikelihood he would repeat his disgraceful conduct, the Committee decided that, in all the circumstances, to remove him from the Register would be disproportionate.
"The Committee therefore decided to order that the Registrar suspend Dr Kristin’s registration…. The Committee was satisfied that a period of four months was appropriate and proportionate in all the circumstances."
The full facts and findings from the case can be found at www.rcvs.org.uk/disciplinary
Prior to the start of the hearing, the RCVS received correspondence from Mr Kombert confirming that he did not intend to attend the hearing, either in person or via a video-link, nor did he intend to send legal representation in his stead.
The Committee, chaired by Dr Martin Whiting, decided to proceed with the hearing in the absence of Mr Kombert and any legal representation, on the basis that it was in the public interest and the interests of justice to proceed and that Mr Kombert had been given the opportunity to attend or be represented.
The Committee heard that staff at the practice where Mr Kombert was working as a locum had undertaken a check of the medicines kept in the practice’s controlled drugs cabinet and discovered that 5.5ml of ketamine and 1.5ml of methadone was missing. After the code to the controlled drugs cabinet was changed, Mr Kombert was observed taking an additional 3ml of methadone, which he then administered to himself while on duty at the practice.
After Mr Kombert was confronted with the evidence, he was given the details of the Vetlife charity for support and asked not to return to the practice.
The police were contacted and, on 4 January 2019, Mr Kombert was arrested and interviewed. He received a police caution for theft, with conditions that he should attend and complete a drug-use awareness course, and engage in a restorative justice process, which involved attending the practice to discuss his offences. At this meeting, Mr Kombert admitted stealing the drugs and administering them to himself while on duty, which meant he was not in a fit state to see patients. He apologised for his actions and the matter was then also reported to the RCVS.
In relation to the fact that Mr Kombert had accepted the police caution, made the admissions at the restorative justice meeting and had emailed the RCVS apologising for his actions, the facts of the case were found proven.
The Committee then went on to consider if Mr Kombert’s actions amounted to disgraceful conduct in a professional respect (henceforth called ‘serious professional misconduct’), something which Mr Kombert had admitted to in correspondence with the RCVS.
The Committee found that Mr Kombert’s actions did amount to serious professional misconduct. Dr Martin Whiting, chairing the Committee and speaking on its behalf, said: "The respondent’s conduct was dishonest; it constituted both a breach of trust and an abuse of his position with regards to access to veterinary medicines; it risked animal welfare and jeopardised the reputation of colleagues. It fell far short of the conduct expected of a member of the profession and amounts to disgraceful conduct in a professional respect."
The Committee then considered what the appropriate sanction against Mr Kombert should be, taking into account both aggravating and mitigating factors.
In terms of aggravating factors, the Committee took into account the risk of harm to animals, his dishonesty, the premeditated nature of the misconduct, the breach of trust and the fact it was repeated.
It also took into account three previous matters recorded against Mr Kombert in the United States of America.
These were: a letter of admonition from the Colorado State Board of Veterinary Medicine for practising when his licence had expired; a stipulation order from the same body in which he agreed to relinquish his licence in that state following an allegation that he took controlled substances from a veterinary practice and self-administered them; and a criminal conviction in New York State for obtaining an opioid controlled drug by deception, for which he was sentenced to three years’ probation. The Committee was made aware of the New York State criminal conviction after Dianne Norris, a Probation Officer based in that state, had contacted the RCVS after hearing about the inquiry and informed the College that Mr Kombert was in breach of his probation conditions.
Dr Whiting said: “The Committee has considered the witness statement of Ms Dianne Norris, a probation officer employed by Putnam County Probation in New York, who was responsible for supervising the respondent as part of his probation. Ms Norris explained that the respondent breached his probation on numerous occasions, which took place from November 2017 to 2018…. As a result of the breaches, Ms Norris required the respondent to increase his attendance at support groups to an inpatient treatment program for 28 days from 13 July 2018. He failed to attend.
"Ms Norris explained that warrants were issued for the respondent’s arrest…. The Committee noted that the conduct of the respondent in relation to obtaining controlled drugs from his employers for his own use while in the United States of America was similar to his conduct … [described in] the charges."
In mitigation the Committee considered that Mr Kombert had consistently admitted the charges against him as well as accepting and agreeing with the evidence against him.
However, the Committee decided that in light of the seriousness of his misconduct, including dishonesty and risk of serious harm to animals, removal from the Register was the most appropriate and proportionate sanction.
Summing up, Dr Whiting said: "The respondent has failed to uphold the requisite standards to be expected of him on multiple occasions. The Committee considers that the only sanction that is sufficient to protect the welfare of animals, maintain public confidence in the profession and declare and uphold proper standards of conduct is one of erasure."
Mr Kombert has 28 days from being informed of the outcome of the hearing in which to make an appeal to the Privy Council.
Starting in the New Year, the benefits of vaccination will be communicated to both farmers and pet owners, initially focussing on farm use.
The aims of the campaign are to raise awareness of how and why vaccines work and the range of diseases they protect against, to review and improve how vaccines are stored and administered, and to encourage better uptake of existing vaccines.
Further information and tips on storing and using vaccines correctly will be shared, to help ensure that vaccines used will be effective.
NOAH says that research has shown that:
Dawn Howard, NOAH’s Chief Executive said: “It is encouraging that vaccination of the UK’s calves and sheep against livestock diseases has risen to one of the highest levels in seven years1. This increase is encouraging, however still more needs to be done in relation to uptake, storage and usage. We are asking the vet profession to support the #VaccinesWork campaign by spreading the messages with their clients and engaging on social media."
"We will be providing information for farmers e.g. if vaccines are not stored correctly, it will impact on their potency, meaning they could be less effective – not only will there be the potential for the vaccine to fail to protect animals against disease but also farmers may have wasted their efforts – and may be deterred from vaccinating again."
Whilst correct use by farmers is the initial focus, the campaign will include pets. Dawn said: "The topic of vaccine hesitancy is becoming increasingly important. Recognised by the WHO as one of the top 10 global health threats for people in 2019, this phenomenon is translating to the veterinary sector as well, especially in companion animals. The PDSA reports an ‘alarming’ drop in pet vaccinations: the proportion of pet dogs, cats and rabbits receiving a primary course when young has fallen by 18% over the past 3 years, down to 66%3.”
"This is bad news for the health and welfare of the nation’s pets, who are increasingly at risk of disease, and we need to work to address this."
NOAH is asking practices to support the campaign by sharing messages and materials which will be published on its website (https://www.noah.co.uk/campaigns/vaccineswork) and on social media, @UKNOAH
References
https://ahdb.org.uk/knowledge-library/use-of-vaccines-in-cattle-and-sheep-2018-sales-update
https://www.noah.co.uk/wp-content/uploads/2019/10/NOAH-Vision-Paper-8pp-A4-Sep-19-vf.pdf
https://www.pdsa.org.uk/media/7420/2019-paw-report_downloadable.pdf
This second edition of the Pocketbook for Veterinary Nurses contains a number of notable additions including: surgical and anaesthetic checklists, pain scales for dogs, cats and rabbits, dental recording charts, and PROTECT ME information on antimicrobial resistance.
This edition has been edited by Emma Gerrard (pictured right), who built on the work of Louise O’Dwyer, the editor of the first edition. It condenses knowledge from a range of BSAVA titles, including the BSAVA Textbook of Veterinary Nursing, together with information from a number of external sources.
The BSAVA says the Pocketbook for Veterinary Nurses has been put together with an awareness of the value of time in a busy clinical setting. Sections are arranged alphabetically, with cross-references for ease of use.
Ian Ramsey (BSAVA President 2020-2021): “Animals are more likely to get better, and get better faster, if they have good nursing care. This book is packed with the sort of information that allows nurses to deliver that care. It is presented in a format that makes it easy to carry around, but it will find its home at the heart of the clinic.”
The BSAVA Pocketbook for Veterinary Nurses, 2nd edition is now available from the BSAVA website www.bsava.com/shop priced at £15 for BSAVA members and £25 for non-members.
New BSAVA veterinary nurse members, and existing members who renew in 2021, will receive a free copy of the book.
During the course, which counts as 7 CPD hours, some of the best-known veterinary experts in equine nutrition will be sharing their knowledge with the speaker panel comprising Caroline Argo, Andy Durham, Pat Harris, Nicky Jarvis and Sarah Stoneham.
Course organiser Nicky Jarvis said: "Whether it's a conversation with an owner about their overweight horse, examining a geriatric pony with weight loss or formulating nutrition for an orphan foal, tailored nutrition is the cornerstone of every equine case we see in veterinary practice.
"We regularly treat a variety of conditions such laminitis and colic, but are we always confident about the best feeding advice to give our clients? And how often do we walk into a tack room full of the ‘latest’ supplements and wonder if any of them actually work?"
The course will look at a range of clinical conditions to enable vet nurses to build evidence-based feeding advice into their treatment plans, formulate diets for any age of horse and see which supplements are worth the internet hype. The speakers will provide practical tips for everything from the anorexic pony to the stubborn weight loss case.
The course will cover how to:
BEVA President Lucy Grieve said: "Following the National Equine Forum’s Great Weight Debate (Equine) last month, appropriate equine nutrition has never been more topical.
"Equine obesity is a growing problem and this debate has highlighted how teamwork, communication and trust will help to tackle it to best effect. Veterinary professionals are in a unique and privileged position to support owners on all matters of nutrition and this course will give you the knowledge you need to provide practical, constructive help."
From superfoods to supplements: How to know more than the owner will cost £80.00 for members and £160.00 for non-members. To find out more and to book visit https://www.beva.org.uk/Education/CPD/Event-Details/eventDateId/555
The study was part of the RVC’s VetCompass programme which include anonymised veterinary information from over eight million UK dogs. From this pool, a random sample of 22,333 dogs were followed for a year, identifying all health issues that were diagnosed during this time.
The study is one of the largest ever studies to explore the anonymised health records from veterinary surgeries and report on the most common disorders in dogs. The study also looked at whether the health of dogs varied by age, sex and whether the dogs were neutered.
The main findings were:
Dr Dan O’Neill, Senior Lecturer, Companion Animal Epidemiology at the RVC and lead author of the paper, said: "This study shows that it is really important for owners to develop strong habits of caring for their dog’s teeth, ears and weight, right from the time they first acquire a puppy.
"This study shows interesting and strong correlations between human and canine healthcare: the need for good dental and bodyweight maintenance. Given how closely the lives of humans and dogs are intertwined, this should be no surprise really; we often share the same food and exercise. Owners should work closely with their vet to plan appropriate dental and weight care programmes at each visit to their veterinary clinic.”
Hannah James, Health Research Manager at the Kennel Club, and co-author of the paper, said: "As dog owners, the key priority is keeping our pets healthy and happy, but it can be difficult to put into context the most common problems that affect our canine counterparts and which areas we need to pay particular attention to in order to maintain this. These findings help us establish these key areas, and where we as owners, vets and organisational bodies can work towards to improve the day-to-day life of our beloved companions."
Reference
O'Neill, D.G., James, H., Church, D.B., Brodbelt, D.C. and Pegram, C. (2021) 'Prevalence of commonly diagnosed disorders in UK dogs under primary veterinary care: results and applications', BMC Veterinary Research.
Photo: Uwe Gelle
The strategy, which is available to read at: www.rcvs.org.uk/diversity, lists six areas where the College and other DIG member organisations can work to improve diversity and inclusion within the veterinary professions at all stages – from school-age children who may be considering a career in the veterinary professions, to engendering positive culture change for those already in the professions.
The six areas are:
The RCVS Diversity & Inclusion Group includes representation from the Association of Veterinary Students (AVS), British Veterinary Association (BVA), the British Veterinary Ethnicity & Diversity Society (BVEDS), the British Veterinary LGBT+ Society, the British Veterinary Nursing Association (BVNA), the Major Employers Group, the Society of Practising Veterinary Surgeons (SPVS) and the Veterinary Schools Council (VSC) and will be responsible for monitoring and evaluating progress within each of the above areas.
Dr Niall Connell, Senior Vice-President of the RCVS and Chair of the Diversity & Inclusion Group, said: "I’ve always been of the opinion that making the veterinary professions more diverse and reflective of British society at large, as well as protecting fellow professionals from discrimination, isn’t just a moral issue, but one that actually improves the quality of the profession and the outcomes we are delivering for our clients and patients.
"If we are losing colleagues to discrimination or just not attracting people from diverse backgrounds in the first place because they think it’s ‘not for people like them’, then we are losing out as a profession, and if we aren’t drawing on a diverse range of backgrounds, experiences, and attitudes in our work, then we are also potentially doing a disservice to our patients and clients. This is why this Strategy is not just a case of being seen to be doing something, but is actually crucial for the ongoing vitality and credibility of the veterinary team.
"It’s important to emphasise that this Strategy is a start, and not an end in and of itself. There will be lots of hard work to be done and challenging conversations to be had, and results may not be quick or immediately obvious, but I am proud that we are taking a proactive approach and not just saying ‘things will change with time’.
Dr Mandisa Greene, RCVS President and a member of the DIG, added: “Fulfilling this Strategy will involve a lot of hard work over the coming months and years but I am glad to say that many of the activities it outlines are already underway both at the RCVS and our partner organisations, building on the pioneering work that organisations such as the British Veterinary Association, British Veterinary Ethnicity & Diversity Society, the British Veterinary LGBT+ Society, Animal Aspirations and others have been undertaking.
“For example, we have already held a joint RCVS and Veterinary Schools Council Roundtable with BAME students in which we heard about their experiences, issues that they have encountered and how they felt they could be better supported. These discussions led to the formation of a new RCVS/VSC Working Group that will take forward actions as a priority.
"Our Mind Matters Initiative has also funded a vital piece of research being undertaken by BVEDS and the Royal Veterinary College on the impact of racism on the mental health of BAME veterinary professionals which will no doubt highlight some critical actions to take to better protect members of the professions from discrimination and improve how discrimination is reported and dealt with.
“On a personal level, I have also been undertaking a number of school talks and providing one-to-one mentoring to school students about veterinary careers because I think it is important that children from a wide variety of backgrounds can see me, as a Black British woman of Caribbean heritage, as a role-model for diversity within the veterinary profession and know that the professions can and should be welcoming to all.”
The new distribution service uses Invatech's Patient Medication Record (PMR) system, called Titan, which was accredited by the NHS a little over a year ago. Titan has now been developed further to support the company's Home Pharmacy service, and integrate with MWI.
The company says the new system offers practices a seamless workflow between prescribing, dispensing and logistics systems.
Tariq Muhammad, CEO of Invatech Health, said: "“The use of PMR systems for the veterinary market has been very light touch until now. Knowing that that we can bring the same level of efficiency and workflow to a new market presents an opportunity to support animal health in the same way that we do for human health."
Alan White, Commercial Director at MWI Animal Health, said: “The Covid pandemic has presented many challenges to veterinary professionals in the UK. Travel restrictions and social distancing measures make it difficult for animal owners to collect the medications and treatments they need from veterinary practices.”
“We are excited to be able to work with Invatech to provide an innovative solution to this problem, where vets can send the medications needed directly to their client. Working in partnership with veterinary practices and Invatech means we can move animal health forward together.”
For more information, visit: https://www.invatechhealth.com/
Hill's says the new diet, which has been through three clinical trials over four years, contains nutrients to help strengthen the skin's natural barrier against environmental allergens and the Histaguard complex with bioactives and phytonutrients to help manage a dog's response to environmental allergens.
Prescription Diet Derm Complete also uses egg as its single intact animal protein source, which Hill's says avoids 96% of adverse food reactions1 and has shown the ability to dampen the inflammatory response in dogs and reduce itching.
Hill's says the new diet represents a real breakthrough, both because it simplifies treatment and because it's the first dietetic food for both adverse food reactions and environmental sensitivities.
Michael Unsworth, Hill’s Vet Affairs Manager, UK & Republic of Ireland said: "Supporting patients with skin sensitivities can be extremely challenging. Not only is it uncomfortable for the pet themselves, but it can cause a lot of distress for owners who just want to give their dogs a happy and healthy life. There can be a lot of pressure to find a quick, effective and affordable solution.
"Our new Prescription Diet Derm Complete is truly a ground-breaking product; the result of years of trials and clinical studies that has seen visible skin healing in dogs with AFR in as little as 21 days2 and not a single dog showing signs of recurrence after using the product.
"We’re thrilled to introduce this innovative, life-changing product to the market, to the benefit of dogs, dog-owners – and of course veterinary professionals - everywhere."
Accompanying the launch, there's a free webinar taking place at 7.30pm on Tuesday 23 February (tomorrow) for veterinary nurses in which Sarah Warren BVetMed MSc (Clin. Onc.) CertVD MRCVS will look at the complex nature of canine allergic skin disease and the importance of individualised treatment plans. To register, visit: https://www.veterinarywebinars.com/hills/canine-dermatitis-hills/
For more information about Prescription Diet Derm Complete, contact your Hill’s representative.
An environmental photojournalist, Mr Gekoski has won various well-known wildlife photography awards and is regularly featured in the press, most recently for his book Animosity: Human - Animal Conflict in the 21st Century.
Aaron will join BVA President James Russell, Association of Veterinary Students (AVS) Senior Vice President Izzie Arthur and two other judges nominated by the competition sponsor iM3 Veterinary Dentistry. The BVA photography competition has already had over 200 entries for this year's award since it launched in January. Split into three categories, entrants are asked to focus on images that capture the human-animal bond in day-to-day veterinary work, as well as photos of pets or wildlife taken outside of the working environment.
Submissions for each category can be taken on a phone or a high-spec camera, and should take into account responsible animal interaction and positive animal health and welfare.
The three categories are:
Aaron said: “It's a huge honour to be a judge for the BVA Veterinary Photographer of the Year Award, the most prestigious photographic competition for the veterinary profession. The competition helps shine a light on the invaluable and relentless work carried out by vets around the world; work that may otherwise go unnoticed. I look forward to bringing my experience as an environmental photojournalist to the judging process."
The BVA Veterinary Photographer of the Year Award 2021 closes at 11.59 GMT on 8th March 2021. Winners will be announced in April. They will receive a £250 John Lewis voucher and their pictures exhibited by BVA.
Find out more and submit your entries at www.bva.co.uk/photo-comp
250 mainly menopausal-aged veterinary surgeons and nurses took part in the survey.
Over 80% said the menopause had affected their health. Nearly half said the impact on their mental health had been moderate to severe. Overall, 76% said they were concerned about the impact of the menopause on their health, life and work.
You can read the full survey report here.
The most commonly reported physical symptoms, affecting over three quarters of respondents, were fatigue, irritability and difficultly sleeping. Hot flushes, night sweats and joint pain were also very common. Anxiety was the most common mental health impact, with some individuals experiencing clinical depression and, rarely, suicidal ideation.
Workplace measures said to be helpful included flexible working, help with heavy lifting and provision of fans or air conditioning. Diary management to allow breaks, and openness and understanding amongst colleagues were also valued.
Liz Barton, editor of Veterinary Woman said: “As a predominantly female workforce, we cannot ignore the profound impact the menopause can have both on individuals and veterinary teams. The effects last for an average of seven years and impact a majority of women mid-career. As a profession we have an opportunity to lead this conversation as it’s beginning to open up across the wider media."
Awareness of the impact of menopause was wide-ranging across age categories, but averaged 4.3 out of 10 for those 40 years old and under, and increased to 7.4 out of 10 for those aged 41 and over. Even with relatively high levels of awareness among respondents, 90% said they would like to know more about the impacts from either personal and/or business and human resource perspectives.
SPVS President, Anna Judson (pictured right), said: “Having experienced the effects of the menopause working as a practice owner, I wish I had known more about the impact and that I was not alone in how I was feeling. It’s time to break these taboos, open up the conversation and put in place measures to mitigate the impacts. In so doing, we will not only help individuals to continue to thrive in their careers, but also help practices to retain experienced staff at this challenging time of life."
A free access webinar discussing menopause impacts and how to mitigate is available free at: https://www.veterinarywoman.co.uk/2020/11/menopause-and-the-effect-on-veterinary-professionals-and-teams/
The series will start on Sunday February 27th when Katie Ford MRCVS, who is also a life coach, will discuss the benefits of 'gratitude practice' in a 'Facebook Live' session starting at 8:00pm.
Thereafter, there will be a further seven 30-minute sessions:
Liz Barton, co-founder of WellVet, said: "We were blown away by the positive response to the Winter Wellbeing series and want to continue to build more tools and content to help people through what has already been a tough start to 2021. Our emphasis is on simple, practical, accessible tips to improve personal and team wellbeing.”
Emma McAnally, territory manager at Boehringer Ingelheim Animal Health said: “Spring is the ideal time to hit refresh on your mental and physical wellbeing. So we felt that this series will help to shed the winter blues, re-energise the team and offer an opportunity for the veterinary community to come together and take forward positive wellbeing practices. We’re delighted to support WellVet again in bringing this Spring series to life.”
For further information on the WellVet Winter Wellbeing series and for details on how to join visit www.wellvet.co.uk.
Ian, who helped devise the PROTECT ME acronym which is now used worldwide to champion the cause of responsible antimicrobial use, said: "Antimicrobial resistance is one of the greatest threats of our time and it affects all sectors of the veterinary profession.
"While there will always remain a need for the use of antimicrobials for the treatment of bacterial infections, it is the duty of every one of us to continue our good work to protect their usage to ensure they remain effective for the future."
PROTECT ME stands for Prescribe only when necessary, Reduce prophylaxis, Offer other options, Treat effectively, Employ narrow spectrum, Cure appropriately, Tailor your practice policy. Monitor, Educate others.
Ian added: "I discussed the issue of restricted prescribing with my Doctor when he was treating my injury back in 2011
"Discussion on the Small Animal Medicine Society (SAMSOC) forum followed and then we developed a working group.
"I came up the name PROTECT when I was in the shower one day experimenting with acronyms on the shower cubicle wall!
"Collaboration with BSAVA enabled the scheme to launch in 2012 and then BEVA adapted the scheme and added the ME.”
PROTECT ME is now used for BSAVA and BEVA’s antimicrobial resources and campaigns and has also been taken up in New Zealand and been translated into French.
Rachael McGregor, Clinical Director at Calder Vets in Yorkshire asked Ian for help in developing antimicrobial stewardship guidelines for the practice last year. She said: “Ian helped us to set up prescribing guidelines using a traffic light system, supported a programme of CPD and supplied prescribing posters. This has made a significant difference to prescribing behaviour across the practice and over the past two months we haven’t prescribed a single critically important antibiotic.”
Davies has produced a range of resources for vets and for pet owners including an explanatory poster and a webinar series. For further information visit: https://vetspecialists.co.uk/insights/webinars/antimicrobial-webinars/
Miss Panait faced the charge that on 3 April 2018, at Cardiff Magistrates’ Court, she was convicted of causing serious injury by dangerous driving for which she was sentenced to 10 months in prison, disqualified from driving for 41 months and ordered to pay a victim surcharge of £140.
At the start of the hearing Miss Panait admitted to the charge against her which related to an accident on 15 May 2017 in which, following an attempt to overtake a number of vehicles, she lost control of her car and collided with a vehicle on the other side of the road, causing serious injuries to herself and life-changing injuries to the other driver. The Committee subsequently found this charge to be proved.
The Committee then considered whether the charge found proved made her unfit to practise veterinary surgery.
In doing so, it took into account the fact that Miss Panait was convicted of a serious crime which resulted in serious harm to another and for which she received a custodial sentence.
The Committee decided that the criminal conviction and the custodial sentence fell far below the standard expected of a veterinary surgeon and therefore rendered her unfit to practise veterinary surgery.
In considering her sanction, the Committee heard directly from Miss Panait who attended the hearing having been released from prison on licence.
Stuart Drummond, chairing the Committee and speaking on its behalf, said: "After the submissions the respondent spoke directly to the Committee. She was understandably emotional and was remorseful and apologetic. She acknowledged that she had made a mistake and apologised for bringing the profession into disrepute…. To the Committee her sense of personal responsibility or shame was palpable."
The Committee also took into account other aggravating and mitigating factors in the case.
The Committee recognised that it was a serious offence with significant consequences for both the victim and Miss Panait but accepted it was a single isolated incident, that Miss Panait has made efforts to avoid repetition of the incident by undertaking further driving instruction and recognised that she had displayed full insight and remorse. Furthermore, it also considered the many testimonials from colleagues and clients and that she had received significant support from her employers.
Mr Drummond added: "The Committee came to the conclusion that this was one of those exceptionally unfortunate and sad cases where it is appropriate and proportionate to take no further action. The respondent has insight and is deeply remorseful and has accepted full responsibility for what has happened.
"In the circumstances of this case the Committee determined that the public interest has been met by the finding that the respondent’s conviction renders her unfit to practise. The Committee was of the view that to impose any sanction now would be disproportionate."
According to Davies, Sharpsmart is the world’s safest and most environmentally responsible sharps and clinical waste management system, proven to:
Ellie West, anaesthetist at Davies and Green Group leader said: "We are really excited to have the opportunity to be the first veterinary centre to be working with Sharpsmart and are already seeing great results in carbon reduction and we look forward to sharing our results later in 2019."
Adrian Giles, Total Waste Program Manager for Sharpsmart added: "Working with Davies has enabled us to showcase our safety engineered sharps system in a new and exciting arena where sharps safety and sustainability are a priority.
"The transition to Sharpsmart was seamless and was completed across the centre in a day without any challenges. Face-to-face training was provided to staff along with touch point education material. We look forward to strengthening our partnership with Davies over the coming months and years."
As part of its green drive, Davies will be hosting 'Sustainability CPD' for referring vets on May 2nd 2019 at its HQ in Higham Gobion, Hertforshire.
Ellie West said: "Run by the Sustainability Leads at DVS, this evening aims to increase your carbon literacy, explore the challenges and barriers to improving sustainability in your daily practice and find some positive solutions to implement sustainability. The challenges which we have faced at DVS will be explored, along with the co-benefits of sustainability to our business, and useful resources to help your practice to be more environmentally friendly and resilient will be highlighted."
You can book your place here https://vetspecialists.co.uk/events/davies-first-sustainability-cpd-for-referring-vets/ or contact Ellie.West@vetspecialists.co.uk if you are interested in attending or would like more information.
Davies has also produced a suite of Waste Segregation Posters which are proving popular with their referring practices. You can find out more and view the posters here https://vetspecialists.co.uk/sustainability/sustainability-initiatives-at-davies-your-questions-answered/.
For more information or to receive print ready PDFs, contact marketing@vetspecialists.co.uk
What is 'quality improvement', you ask? Good question. Sure, it's an improvement in, er, quality. But of what?
'Quality improvement' is a term adopted from the human healthcare sector, variously defined as anything which makes: "healthcare safer, effective, patient-centred, timely, efficient and equitable (NHS)", or "the combined and unceasing efforts of everyone—healthcare professionals, patients and their families, researchers, payers, planners and educators—to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development (BMJ)."
The RCVS research project, which is being conducted by RAND EUROPE, will assess current perceptions and adoption of quality improvement in the veterinary profession.
Specifically, it'll look at the drivers, barriers and expectations associated with QI, with the ultimate goal of strengthening the support provided to the profession.
Chris Gush, Executive Director of RCVS Knowledge, said: "We are delighted to be launching this research project with RAND Europe.
"We know that many of our colleagues across the profession have embedded quality improvement into their practice to great benefit, while we are also aware that it can be a challenge to do so all of the time.
"This research will provide an unprecedented body of evidence on the experiences and perceptions of QI, which will be critical to how we work to support the sector in this area going forward."
Integral to the research is a survey which all members of the profession are invited to take part in, here: bit.ly/QIvetsurvey.
The survey will be live for six weeks, closing early April. It takes around ten minutes to complete, with a prize of one £150 Amazon voucher on offer. Responses will be anonymised.
You can read more about Quality Improvement on the RCVS Knowledge website, here: https://knowledge.rcvs.org.uk/quality-improvement/
On Monday, Kathy Kissick, current Veterinary Nurses Council member and former Head of School Veterinary Nursing and Farriery at Myerscough College, will give a talk entitled 'It’s not the job you do; it’s how you do the job'.
The talk will look at how clinical coaches can encourage their students not only to achieve their qualification, but also develop professional accountability, consider issues regarding fitness to practise and understand the links between professional, legal and ethical responsibilities and accountability.
The next day, RCVS Director of Veterinary Nursing Julie Dugmore (pictured right) and Jill Macdonald, VN Project Coordinator, will give an update on VN Futures and report the work done by its various working groups.
These working groups were set up shortly after the publication of the VN Futures Report in July 2016 to focus on areas such as retention and recruitment in the veterinary nursing workforce, Training Practices, developing meaningful career progression routes for the profession and developing ‘One Health’ links with other healthcare professions, including medical nurses.
Julie said: "Much of the work of the VN Futures project has been going on under the radar for the past few years, but with the appointment of Jill as our VN Futures Project Manager, and moving towards the deadline of the five-year VN Futures plan, we want to make sure the profession is aware of what has been happening and our plans for the next two years."
Finally, RCVS CEO Lizzie Lockett will give a talk about the Mind Matters Initiative. She'll explain how the project is aiming to improve the mental health and wellbeing of those in the veterinary team by offering mental health awareness training, trying to break down the stigma associated with mental ill-health and developing support resources and courses to help members of the veterinary team flourish and, where needed, get back on form.
She will also give an outline of current activities, provide tips on improving wellbeing in the practice and give information on how veterinary nurses can get involved in the project as well. Further information about the Initiative can be found at www.vetmindmatters.org
Fitzpatrick says that the initial results from a study at the University of California Davis has shown a reduction of up to 40% in the volume of prostatic tumours following embolisation, along with significant improvements in the patient's quality of life (the ability to pass urine and faeces in particular)1. However, prostatic embolisation in veterinary patients has only been performed in a small numbers of centres globally and not previously in Europe.
Gerard McLauchlan (European and RCVS Specialist in Small Animal Internal Medicine, Fitzpatrick Referrals Oncology and Soft Tissue) first carried out the procedure in December 2018 and has since performed it on two more patients.
Fitzpatrick is now offering prostatic embolisation alongside targeted intra-arterial (IA) chemotherapy, a treatment which it has now given to over forty patients with urinary tract tumours in the past 24 months, leading to a reduction in tumour size of up to 30% and an improvement in clinical signs.
Gerard said: "We have been developing and refining new techniques for treating various cancers over the past two years at our oncology and soft tissue centre. Really excellent results have been seen so far in cases with prostate cancer treated with intra-arterial chemotherapy and embolisation is the next logical step for managing this condition.
"Prostatic embolisation has only been performed at two centres in the United States and has shown very promising results in terms of patients quality of life and overall survival.
"With a recent study documenting the mean survival of patient with prostate cancer receiving standard intravenous chemotherapy as being only 101 days these new techniques offer an amazing opportunity to truly change how we view and manage this condition."
It's a subject that will be front of many people's minds following the recent cases of equine flu.
As part of the campaign, MSD has produced a range of veterinary practice support materials to help you engage with owners and yards on the subject of preventative healthcare best practice and compliance.
The range includes shareable social media content, videos, a 'What's Your Risk' practice poster, an online risk assessment tool and a number of downloadable information leaflets. Practices will also be supported through the Keep Britain's Horses Health (KBHH) web page, Facebook page and Twitter.
MSD says there are also planning and evaluation resources to help practices manage an effective campaign.
Vicki Farr, Equine Veterinary Advisor at MSD Animal Health said: "The recent outbreaks of equine flu have rocked the horse-racing world, costing the industry millions and raising important animal welfare issues. Furthermore, they have highlighted the need for good preventative healthcare and, in particular, vaccination.
"HHW will therefore come at a relevant time for horse owners and yards when the impact of equine flu is still at the front of their minds.
"This year HHW will provide vital tools for practices; building on the knowledge and resources we’ve acquired throughout the KBHH campaign and from previous HHWs.
"Our focus is on engaging owners and yards on understanding the risk of disease for their horse, while rewarding them for best practice. We are again providing a wide range of resources for practices to help them create an engaging and successful campaign that helps build knowledge amongst the equine community."
For further information, talk to your MSD Animal Health Equine Account Manager, call 01908 685685 or refer to KBHH social media feeds on Facebook page and Twitter (@keepinghorseshealthy).
The Government says that contracts have been secured with Brittany Ferries and DFDS to run ferries into and out of Poole, Portsmouth, Plymouth, Immingham and Felixstowe, thereby relieving pressure on the Dover straights.
Critical goods have been identified as those essential for the preservation of human and animal welfare, including all veterinary medicines authorised under the Veterinary Medicines Regulation 2013, including finished and un-finished products, and Active Pharmaceutical Ingredients (for import and export).
Critical goods also include unauthorised medicines permitted for import under the Veterinary Medicines Directorate’s Special Import Scheme (for import only).
Photo: Shutterstock/Peter Hermes Furian
Founder Jade Statt said: "As StreetVet grows, we are being contacted to help clients outwith our current active StreetVet locations, of which there are now 13. For this reason and to help us continue to expand, we would like to put out a call to the profession to ask any practices that are happy to work with us to get in touch and help us set up a StreetVet Directory of Supporting Practices."
If you'd like to know more about partnering with StreetVet, email: StreetVet.practices@gmail.com
You'll be sent detailed information about the options for working with StreetVet and offered a fundraising pack. If you go ahead, you'll also have your practice logo added to a directory on the StreetVet website.
The article looks at the practice, rationale and motivation for raw feeding before evaluating the existing evidence on both the benefits and risks of such diets.
The recent trend away from heat-treated, manufactured pet food for dogs and cats towards raw diets has been driven by suspicion of the former and perceived health benefits of the latter.
However, feeding raw diets, even commercially-prepared ones, does have risks: a recent paper described 13 cats in the UK that appeared to have been infected by Mycobacterium bovis2 by feeding Natural Instinct Wild Venison, a commercial raw mince for cats.
The leader of the investigation, Professor Danièlle Gunn-Moore from the University of Edinburgh said: "Feeding raw food was the only conceivable route of infection in most cases; this outbreak of tuberculosis has now affected more than 90 individuals in over 30 different locations, with more than 50 of the cats developing clinical disease."
One of the authors of the review, Dr Andrew Wales, said: "Formal evidence does exist for claims by raw‐feeding proponents of an altered intestinal microbiome and (subjectively) improved stool quality. However, there is currently neither robust evidence nor identified plausible mechanisms for many of the wide range of other claimed benefits.
"There are documented risks associated with raw feeding, principally malnutrition (inexpert formulation and testing of diets) and infection affecting pets and/or household members. Salmonella has been consistently found and there is also a risk of introducing antimicrobial-resistant bacteria."
The full review article can be found in the June issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here https://onlinelibrary.wiley.com/doi/10.1111/jsap.13000
AceSedate for horses contains 10mg/ml acepromazine as its active ingredient, which the company says means a lower dose volume is required compared to the non-UK licensed equine acepromazine options available.
The dosage of AceSedate is 0.03-0.10 mg per kg bodyweight, however Jurox recommends that the lower end of the dose range is always selected where possible. It can be administered via intramuscular or slow intravenous injection.
AceSedate is supplied in a multidose vial and the shelf life after opening the immediate packaging is 28 days.
Richard Beckwith, country manager of Jurox (UK) Ltd, said: "The launch of AceSedate means injectable acepromazine is now licensed in the UK for horses, giving vets peace-of-mind that a licensed product is now available. It is a welcome addition to our equine anaesthesia, analgesia and sedation portfolio."
For more information, visit: www.jurox.com/uk, contact your local Jurox technical sales representative, telephone the customer services team on 0800 500 3171 or e-mail customerservice@jurox.co.uk.
The first opinion Linnaeus Group practice, which also holds RCVS hospital status, is run by a team of nine vets, 14 nurses, nine receptionists and four animal care assistants.
It was given an outstanding rating for client service, inpatient service, patient consultation service and team and professional responsibility.
Maureen Geraghty Sathi, Practice Manager at Maven said: "We’re always asking ourselves how could we do this better? Everyone has to be on board or it would not work."
The practice had a focus team look at awards and the improvements it would need to make to achieve the required standards. Amongst the various things that were highlighted as exceptional were:
A genuinely separate cat waiting area and cat consult room.
An extensive pain monitoring system with pain scoring for all patients in hospital and an outpatient system which enables clients to monitor and chart their pets pain levels at home and review them with their vet.
Daily clinical rounds which involve the entire clinical team as well as management and a member of the customer care team. Aside from discussing clinical cases for the day this platform also enables daily review of any significant events or morbidity and mortality cases to be highlighted and time allocated for review.
A system whereby vets at the practice email clients in advance of any surgical procedure with information on the procedure itself as well as any potential risks associated with the procedure allowing time for further discussion with the client as needed
Consistent use of surgical and GA checklists to maximise patient safety.
In the final report, the RCVS practice standards assessor wrote: "The structures and management in place were of the very highest order. I was really impressed by the commitment of this practice to provide the very highest standards of clinical care to its clients."
Maureen said: "I am massively proud of the team, to see the pride in how they work. It is lovely to be told that you are working to an extremely high level and genuinely reflects the standards of the team day by day."
Looking at the imagery on the company's website, I'm not altogether sure I'll be able to resist it either.
The new range, which comes in chicken or tuna flavour with vegetables and rice, includes:
Urinary Care - to help dissolve struvite uroliths
Derm Defense - to support skin health
Digestive Care - for pets with gastrointestinal disorders and pets in recovery
Metabolic - a weight management diet for pets
Kidney Care - to support pets with kidney conditions
For more information, visit: https://www.hillspet.co.uk/prescription-diet/stew.