Fourteen veterinary surgeons stood for election this year and 8,542 voted, a turnout of 24.5% of eligible voters. That compares with a turnout of 26.2% in 2020, 25.5% in 2019 and 22.7% in 2018.
Danny scored a total of 4,759 votes, leaving the other successful candidates Tshidi Gardiner, Colin Whiting and Louise Allum nevertheless trailing in his wake, with 3,228 votes, 2,957 votes and 2,368 votes respectively.
The VN Council election also had 14 candidates standing for one elected place, the other having been taken by Susan Howarth RVN who was automatically re-elected as the only candidate standing at the time of the original deadline in January.
Donna Lewis was elected with 404 votes from those cast by 2,341 veterinary nurses, which amounted to a turnout of 12.4% of eligible voters. That compares with a turnout of 17.1% in 2020, 14.5% in 2017 and 10.9% in 2016.
All of those elected to either RCVS or VN Councils will formally take up their seats at the RCVS Annual General Meeting on Friday 9 July 2021.
Eleanor Ferguson, RCVS Registrar and Returning Officer for both elections, said: “Thank you to all those who stood as candidates and all those who voted in this year’s elections, especially in view of all the extra demands on everyone’s time at the moment. Many congratulations to our five successful candidates with whom we look forward to working over the coming months and years.
“Even though the elections were held during the ongoing pandemic, the RCVS Council election still produced the third highest turnout on record, and turnout in both elections was above the average for those held over the last ten years.
“As always, we made concerted efforts to let people know about this year’s election, which included additional reminder emails sent on behalf of the RCVS by our election provider Civica Election Services, as well as regular email reminders and social media posts from the RCVS. We do, of course, always endeavour to improve turnout, and will continue to review this going forward.”
Photo: Left to right, Danny Chambers, Tshidi Gardiner, Colin Whiting and Louise Allum.
The Association says that now there is so much information about nutrition available to pet owners from so many different sources, it is the responsibility of veterinary professionals to help them make the right decisions about appropriate feeding.
The BSAVA Guide to Nutrition is an independent guide comprising a series of factsheets for veterinary professionals on four different diet options, each accompanied by a factsheet for owners that can be given as part of the consultation.
The factsheets cover:
The factsheets provide information on the formulation of the various diet types and look at the advantages and disadvantages of the diet based on diet claims and available evidence. They also outline the safety measures that need to be taken into account when feeding a particular diet type and detail the considerations for feeding the diet to healthy dogs and cats, as well as those with particular diseases.
The new BSAVA Guide to Nutrition is available exclusively through the BSAVA Library (£25; £15 to BSAVA members).
The new changes are being introduced in the following phases:
The new Environmental Sustainability Award allows practices to demonstrate that they have embedded environmentally sustainable behaviours and are excelling with their sustainability goals.
The Award includes points for reducing waste, consolidating medicines orders and minimising drug wastage, and calculating the practice’s carbon footprint and setting reduction targets.
The changes and additions to the standards at Core Standards and General Practice level cover the sustainability of a wide range of practice areas, including requiring a sustainability policy, communicating sustainability achievements, and minimising anaesthetic gas usage.
As well as improving environmental sustainability, the new and amended standards also include requirements to help make practices more socially sustainable, through measures including increasing diversity and inclusion.
The PSS has produced a list of resources to support veterinary practices with meeting the new environmental sustainability standards and implementing sustainable practices in general.
Mandisa Greene, Chair of the Practice Standards Group, said: “We want to assure PSS-accredited practices that the new standards won’t mean an overhaul of ways of working or result in expensive investment in resources.
"Instead, the standards explain ways that practices can increase their sustainability by putting in place new measures gradually over the next 12 months, in time for them becoming mandatory.
"As with all standards updates, the PSS team are always available to answer any questions that practices have and anyone who is unsure about how to apply them is encouraged to get in touch with the PSS team.”
During the last Standards Committee meeting, there were also several approved clarifications to the standards in the form of guidance notes and minor changes across a range of accreditation levels.
These include updates to the guidance notes for requirements on sterilisation of dental instruments, environmental swabbing of clinical areas, and anaesthetic monitoring.
The new version of the standards that includes all the latest changes, and a separate document listing all the updates, are available to download here: https://www.rcvs.org.uk/setting-standards/practice-standards-scheme/additional-resources
Any questions from practices about the updates can be sent to the PSS team at pss@rcvs.org.uk
The story of ‘Spliff' the Staffy has clinched the title of the National Office of Animal Health nationwide search for the most striking ‘it shouldn't happen to a pet' anecdote.
Submitted by Vets4Pets in Grimsby, the practice will receive a prize of £500 towards the staff Christmas party.
In a campaign to raise awareness of the importance of animal health and welfare considerations amongst pet owners and potential owners, NOAH has recently launched the new Pet Health Information website (http://www.pethealthinfo.org.uk/) to enable them to make informed decisions about their pet's healthcare.
In Spliff's case, the website could have helped solve a number of queries.
For Spliff it all started with a visit to the vet for a minor operation to cure a simple earache.
The problems started as Spliff was about to leave the practice, with a shiny new bucket collar.
However, his owner explained that Spliff is a bit of a snappy dresser, and if it isn't bling, he's not interested. Despite the practice's advice, he insisted the collar was removed so he could take Spliff home to recover.
The very next day, the phone started ringing ‘Spliff's scratching his ear - we need a collar.' Far too busy to bring him round, the owner sent his girlfriend to pick it up.
Problem solved - surely? Nope. The phone continued to ring. Spliff was ‘going nuts!' Apparently the dog was unable to walk, and was getting very distressed.
Finally, after nearly 24 hours of increasingly frantic calls, Spliff's owner brought him in. He arrived insisting that the vet came out to the car, as Spliff still couldn't walk. Not a common side effect of a minor operation on the ear, so it was a worry.
All became very clear when the vet reached the car, the ear was healing up nicely, and Spliff's paralysis was easily solved. They had put his bucket collar on the wrong way round, and every time he took a step - his front feet got trapped in the collar.
Rather than collapse in a heap, Spliff, in one of the first sensible decisions of his life, chose not to move at all. Mystery duly solved, Spliff went on to make a full recovery.
Sounds like the owner should probably smoke a bit less of it.
Part of the VN Futures project, the lunchtime webinars will be delivered between February and June 2020 via the Webinar Vet, and the College is encouraging all nurses, veterinary surgeons, practice managers and owners to attend, as it says the webinars will benefit the whole practice team.
All three webinars take place at 12.30pm and last one hour. They are as follows:
Tuesday 4 February 2020 – ‘Maximising the potential of the veterinary nurse’ presented by Louise Northway RVN, BVNA Council member and recipient of the RCVS Inspiration Award. The webinar will give an overview of the role of veterinary nurses under Schedule 3 of the Veterinary Surgeons Act, how VNs can develop their role in practice and take on extra responsibilities and how VNs can approach these conversations in practice through the creation of learning and development plans. This webinar will illustrate how fully utilising the nursing team not only hugely boosts the morale of the work force, but also enhances patient care and increases the efficiency of the business.
Tuesday 10 March 2020 – ‘Veterinary nurses’ time is valuable: How and why to charge for it’ presented by Stephanie Writer-Davies MRCVS, Career Progression Working Group member, and Jane Davidson RVN, VN Council member and regular blogger on veterinary nursing issues. This webinar will provide examples and case studies of how veterinary nurses contribute to practice finances, how practice pricing structures can be developed so that the financial value of veterinary nurses’ time and effort can be better highlighted, and how veterinary nurses can demonstrate their value to clients.
Tuesday 23 June 2020 – ‘Lead or Head RVN: What’s in a name?’ presented by Gillian Page RVN, President of the Veterinary Management Group. This webinar will look at the role of the traditional Head RVN and how development of ‘Lead RVNs’ in different areas of practice can help to allow for growth of other talented team members and provide increased and shared responsibility and progression. This webinar will explore how this enhances practice efficiency alongside development of team members, thus increasing job satisfaction and, ultimately, retention.
Racheal Marshall, Chair of RCVS Veterinary Nurses Council and the VN Futures Board, said: "We hope that veterinary nurses will engage with these webinars in order to gain some inspiration about how they can truly show their value to their team, their clients and the wider public.
"The VN Futures research clearly demonstrated that there was a desire from the veterinary nursing profession to find ways in which VNs could gain greater recognition for the work they do and progress in their careers. These webinars, and our talented presenters, will provide many practical examples and case studies on how this can be done, help build confidence and highlight opportunities for further learning and development."
To sign up to the free webinars visit https://www.thewebinarvet.com/sponsors/VN%20Futures.
The College says the reforms will make for a clearer and more streamlined process, and offer an alternative, more compassionate way of resolving cases that might otherwise go to a full Disciplinary Committee hearing.
The College will now establish ‘Stage 1 Preliminary Investigation Committees (PICs)’ to replace the current Case Examiner Group stage of the concerns investigation process.
Eleanor Ferguson, RCVS Registrar, said: “Setting up Stage 1 PICs will streamline and clarify the early stages of the concerns investigation process and could also potentially, once sufficiently bedded in, reduce the amount of time taken for a number of cases.
“Currently, Stage 1 of a concerns investigation is carried out by a Case Examiner Group who determine if there is an ‘arguable case’ for serious professional misconduct before referring it on to the Preliminary Investigation Committee.
"However, under these reforms, the Stage 1 PICs will close cases where there is no realistic prospect of finding a case of serious professional misconduct.
"Where cases require formal statements and/or expert opinion they will be referred on to Stage 2 PIC to determine if, based on the additional evidence gathered, a case is serious enough to warrant referral to either the Charter Case Committee [see below], or a full, public Disciplinary Committee hearing.
“In essence this change means that there will be one consistent threshold of seriousness in all our investigations, meaning it is likely that fewer cases will be unnecessarily referred to Stage 2 of the process.”
The second reform involves the implementation of the new ‘Charter Case Protocol’ to provide an alternative way to resolve suitable cases meeting certain criteria which, though they meet the threshold to go to the Disciplinary Committee, it is considered that the public interest can still be served without a full hearing.
The ‘Charter Case Committee’ to which these cases will be referred will be able to issue written warning notices.
Eleanor added: “The establishment of the Charter Case Protocol and Committee is important for the RCVS in being able to get the balance right between upholding professional conduct standards and protecting animal health and welfare and public confidence in the professions, while also being a compassionate regulator.
“The type of cases we envisage being dealt with by the Committee are those where the conduct of the veterinary surgeon or veterinary nurse has fallen far short of what is expected of them under the Code, but where there is no ongoing risk to animal welfare or public confidence, and where the level of insight and contrition about their conduct is such that it can be resolved without the need for an onerous, stressful and expensive Disciplinary Committee hearing.
"We estimate that the Charter Case Committee will deal with around 20 such cases per year.
“Of course, the most serious cases of professional misconduct, for example around dishonesty and criminality, will continue to be referred to Disciplinary Committee hearings.
“It is worth noting that Charter Case Protocol and Committee are working titles, describing the fact that we are implementing this process under the remit of our Royal Charter.
"RCVS Council has agreed that the name should be changed in due course to something that better reflects its function and remit."
Unlike the Disciplinary Committee, the Charter Case Committee will not issue to the press the full details of cases as a news article.
Instead, it will publish a warning notice on the RCVS website summarising the area of concern, the relevant sections of the Code that were breached and supporting guidance it referred to, and the reasons for issuing the warning.
These warning notices will remain on the RCVS website for a maximum of two years and will not change the registration status of the individual.
The College says that the reforms are likely to take some months to implement and it will be looking to recruit additional Preliminary Investigation Committee members in due course.
The company says it believes it is the first major veterinary business in the UK to make this promise.
As a result of the pledge, salaries for about a third of the pet emergency firm's 1280 employees, including receptionists and animal care assistants, are set to increase to at least £9.50 an hour from April.
Vets Now says it has made the pledge on the recommendation of the Living Wage Foundation, which offers independent advice to employers and says £9.30 is now the real cost of living, not the Government-set national living wage of £8.72 for people aged 25 and over.
Vets Now’s chief executive Mark Ross said: "Our people are our biggest asset and at the heart of everything we do. We want to properly recognise the vital role each and every one of them plays in the business.
"This move demonstrates our commitment to that. We are confident that by paying all of our staff a competitive hourly rate of at least 20p more than the real living wage we will achieve higher morale and lower turnover."
Animal care assistant, Jody Reynolds, who works in Vets Now out-of-hours clinic in Kirkcaldy, said: “It’s amazing that Vets Now has been able to increase salaries to not only meet but exceed the real living wage. The extra will really help towards the cost of everyday living and even allow a few luxuries."
The study titled “Diagnosis and treatment of gastro-oesophageal junction abnormalities in dogs with brachycephalic syndrome” included thirty-six client-owned brachycephalic dogs (French bulldogs, pug and English bulldogs) in a prospective, randomised trial.
Antacid treatment (omeprazole (1mg/kg PO q24 hours) and magaldrate (5-10mL/dog PO q8-12 hours)) was randomly prescribed in 18 dogs before and after surgery, while the other 18 dogs did not receive any gastrointestinal medical treatment.
Digestive clinical signs and gastro-oesophageal junction abnormalities (GJA) were assessed and scored at presentation, at the time of surgery and at recheck. GJA were assessed during endoscopy in standard conditions, as well as during endotracheal tube obstruction. All endoscopic procedures were recorded and reviewed by a single, blinded reviewer.
In order to assess whether endotracheal tube obstruction manoeuvre accurately detects GJA, the procedure was also performed during the examination of the gastro-oesophageal junction in a group of 10 control dogs. Control dogs were healthy or had diseases that were not expected to interfere with gastro-oesophageal junction dynamics, and were anaesthetised for independent purposes.
Dr Emilie Vangrinsven, corresponding author for the paper said: "Although results of multivariate analysis failed to demonstrate a direct effect of antacid treatment, a significant interaction between antacid treatment status and improvement of digestive clinical score throughout the endoscopies was present, meaning that treated animals seem to improve faster and have lower clinical scores after surgery than untreated animals. Furthermore, a significant improvement in GJA-obstruction score was present in the treatment group only.
"In contrast to standard endoscopy, the obstruction manoeuvre during endoscopy allowed detection of GJA in dogs, even in the absence of clinical signs. We were concerned that the obstruction manoeuvre may induce false positive results for the diagnosis of dynamic GJA; in the control group, GJA during obstruction manoeuvre were found to be negligible suggesting that this technique does not significantly overestimate the presence of GJA.”
Nicola Di Girolamo, Editor of JSAP said: "Based on this study, antacid treatment administered to brachycephalic dogs undergoing surgery may be beneficial. It should be noted that a direct influence of antacid treatment on digestive clinical and lesion scores could not be significantly demonstrated, which may have been because of the lack of an actual difference, or as a result of the small sample size.”
The full article can be found in the March issue of the Journal of Small Animal Practice and can be read online here: https://www.onlinelibrary.wiley.com/doi/10.1111/jsap.13279
Reference
Photo: Professor Ian Ramsey
The BetterwithPets Prize invites entries from entrepreneurs whose work focuses on the power of the pet human bond and whose efforts are helping to transform society. Purina runs the prize in collaboration with Ashoka, a pioneer in the field of social entrepreneurship.
StreetVet was shortlisted from 150 applicants from Europe, the Middle East and North Africa. Its Accredited Hostel Scheme offers free, accessible veterinary care for pets whose owners are experiencing homelessness and support for hostel managers and staff to adopt and implement positive pet policies.
Jade Statt, co-founder of StreetVet said: “Discovering a competition that celebrates the importance of the human animal bond felt like fate, one the StreetVet team felt compelled to enter. We are so delighted that we did! Going through this process has been really enlightening and we are beyond pleased that our project has reached the final, it is a real privilege."
The finalists will take part in an online pitch on 3rd June 2020, following which, Bernard Meunier, CEO, Nestlé Purina PetCare EMENA will announce the winners.
Mary Sharrock, External Relations Director, Purina, said: "The work StreetVet do is simply amazing and I’m delighted they’ve made the shortlist. Throughout the selection process for the BetterwithPets Prize, we found ourselves inspired by so many of the initiatives which harnessed the pet-human bond in such innovative ways and create positive changes in communities."
VetPartners says Valley Vets has around 200 employees, less than half of which are members of the union, although the BVU says 50% are required for recognition.
Suzanna Hudson-Cooke MRCVS, Branch Chair at BVU said: “Fees at Valley Vets have increased by 25% in two years, which is hurting pet owners whilst some staff at Valley Vets are being paid so little that they’re having to use foodbanks.
“Three years ago, VetPartners CEO Jo Malone committed to paying all staff a living wage, which still hasn’t happened”
“VetPartners did increase the salaries of lower paid members by 7.27% in the last review, but this was mostly to meet its legal obligation to pay the minimum wage.”
VetPartners responded to these points saying:
"It has been and still is our aim to pay at least the real living wage to all of our employees. We have moved closer to the aim over the past three years.
"There are 20 members of the regular team that work at Valley Vets who are below the real living wage and they are paid approximately 1.6% below that level.
"Since April 2020, we have uplifted overall salary costs at Valley Vets by 31.45% before the increase in April 2024, at a time when VetPartners, like many businesses across the UK, has been hit by a sharp rise in the cost of goods and services, interest rates and rampant inflation.
"Valley Vets’ profitability has declined over the last three years.
"We have made advances over several years in improving many benefits for our teams such as life cover, health shield, sickness and enhanced maternity cover and want to continue to do so.
"We have seen mass redundancies from other large groups and we are trying to avoid this at Valley Vets.
"The BVU in Unite requested pay and condition increases initially that would have raised employment costs by over 25% and they are currently requesting increases which would raise this by 15% which would make Valley Vets unsustainable without a significant reduction in the workforce, something we are trying to avoid.”
During annual salary reviews in 2024, we benchmarked pay for all roles within Valley Vets and they sit in the upper quartile.
"We prioritised lowest-paid team members with a 7.27% pay increase while higher paid colleagues also received an increase at a lower rate.
"We are also well aware of the affordability of care fees, and that is why we felt fees paid by our clients could not be raised any further to support significant salary increases demanded by the BVU in Unite.
The strike is due to continue till the end of July, during which time the BVU says staff are being released from the picket line as needed to provide local animals with emergency care.
Staff are not paid whilst out on strike so the BVU has started a fund, here: https://www.surveymonkey.com/r/PTVKVK3
The company, which now has over 20,000 monthly subscribers in the UK, saw a massive growth during the pandemic, with a reported 1000% increase in monthly recurring revenue over the past two years.
Since March 2020, VetBox has shipped over quarter-of-a-million boxes.
Bought by Many says the acquisition is a major part of its expansion beyond insurance and into preventative wellness.
Will said: "I founded VetBox after seeing that far too many UK pets were missing out on essential parasite protection.
"I'm really proud of the progress that VetBox has made in solving this issue in just five years and can't wait to see what we can achieve as part of the Bought By Many family.
"As a vet I've seen first-hand the fantastic service Bought By Many offer pet owners, so it's been a pleasure seeing this partnership grow over the past few years."
The patient-side test identifies urinary tract infection (UTI) and the best antibiotics to treat the condition, with the results produced in minutes.
Test and Treat says the new test means that vets will no longer have to treat empirically while a urine sample is sent to an external laboratory. Nor will you have to risk delaying treatment until the results are received.
In addition, the company says that the test will help support the responsible use of antibiotics, which is particularly important given that Enterococci strains identified in canine urinary infections have been found to be resistant to three or more antimicrobials1.
U-treat is a two-part test. The first part of the test detects the presence of a urinary infection. The second part of the test looks at antibiotic susceptibility, showing the best choice of antibiotic and identifying those that won't work due to antimicrobial resistance.
Using the principles of bioluminescence, U-Treat removes host cell ATP before lysing bacterial cell walls to release bacterial ATP, which is then detected using a luminometer. The initial detection of infection test takes five minutes and the susceptibility test takes 30 minutes.
Clinical evaluation of the test in cats and dogs was carried out at University of Tennessee in conjunction with Prof. David Bemis of Cornell University. The company says U-Treat demonstrated high levels of sensitivity (97.1%) and specificity (92%), compared to lab tests.
The test is currently validated for use in dogs and cats and is being investigated for use in horses. While the test will launch first in the veterinary world, it also has scope to cross over into human medicine where there is potential to use it in general practice, paediatric and geriatric care.
Ron Turner, CEO and Scientific Director of Test and Treat said: "We've already sent our first orders to the US and have being talking at veterinary conferences about the technology - so we know vets are keen to get access to this new diagnostic test. Fast, reliable and accurate results mean that it's easier to put together a rational treatment plan that they can be very confident will work because they have the evidence."
Test and Treat is based near Newmarket in Suffolk and orders for the test are now being taken from veterinary practices in the UK. Full training will be given and the desk-top equipment (incubator, luminometer and reader) required to run the test can be supplied.
The company, which has attracted government enterprise funding, is also interested in hearing from veterinary surgeons who might be interested in investing in the technology and helping to expand its use.
To place an order, contact James Turner, General Manager on 01638 501974, email: jamest@tandtreat.com or visit http://www.tandtreat.com.
The new course is called ‘New staff training course with Post2Pet’, and, as the name suggests, it will look at how to incorporate the home delivery option into a preventative healthcare plan.
Premier Vet Alliance says the course is suitable for any member of the practice team that wants to increase their knowledge about healthcare plans.
The course is 4 modules long with an assessment leading to 1.5 hours of completed CPD. It will launch towards the end of April.
James Tudor, Head of Customer Experience at Premier Vet Alliance, said: "This is a fantastic resource and I am I so proud of the team who’ve developed this and helped practices to train staff efficiently and effectively.
"It’s opening up the future of training and we hope to gain guidance in developing our training provision by working directly with practices, to help keep the training relevant.
"We see real value in CPD accredited courses, especially where they help enable veterinary staff to increase their knowledge on maximising their clients’ compliance. They can also learn how to influence animal health, and drive other aspects of the business through health plans."
"This is just the beginning; we will continue to increase our CPD accreditations and share best practice across Europe and the United States."
For more information contact 0117 370 0300 or email pcp@premiervetalliance.co.uk.
To use the service, practices have to register for VetsDeliver via Easy Direct Debit (which handles payments), then configure the system for the number of consultation rooms needed and to add practice branding. The first consultation room costs £69 per month, with discounts for subsequent rooms.
Practices can promote the service to pet owners by sharing a link for appointments via social media, the practice website, or a mail out to clients.
Clients then follow the shared link, complete a form and book a consultation slot.
After the consultation, the practice can email a link to the pet owner so that they can pay for any medication.
Adrian Tantrum (that must have been quite a cross to bear at school), Head of the Companion Animal Business Unit at MSD Animal Health said: "As market leaders, with brands such as Bravecto, Nobivac and Caninsulin, we want to help practices adapt to the new normal.
"We have listened to feedback from practices around what they want from a telemedicine platform and worked with EDD to create a simple and easy to use service. This will allow practices to provide pet owners with the support they need, whether it be their parasiticide prescriptions or providing continuity of care for diabetic patients, and will of course bring much-needed cash flow into their practices.
"We've chosen Zoom for the video capabilities as it is one of the most popular video conference apps with millions of users worldwide, so we know it's familiar to most pet owners."
Adrian added: "As we all adjust to new ways of working we are putting in place a whole series of new services for practices that will help bring them closer to their clients and allow them to continue to provide pet owners with the expertise and support they need. Being able to see a vet 'face-to-face', if not in the flesh, will be reassuring for a lot of pet owners who will be worrying about both new and on-going conditions."
For more information, contact your MSD account manager.
Felpreva is the first spot-on parasiticide for cats that covers tapeworms in addition to other endoparasites including gastrointestinal roundworms and lungworms, and ectoparasites (fleas, ticks and mites) for up to three months with a single dose.
It is licensed for treatment of cats with, or at risk from, mixed parasitic infestations/infections, including:
Matthieu Frechin, Vetoquinol CEO, said: “Marketing authorisation is a pivotal achievement for both Vetoquinol and Felpreva.
"It is a breakthrough treatment with convenience and simplicity of use combined with long-lasting efficacy.
"We believe that Felpreva will be a real game changer for this area of veterinary medicine, demonstrating our commitment to the parasiticide market.”
It is anticipated that Felpreva will be available in Europe early in 2022.
Louise is an RCVS and EBVS European Specialist in Veterinary Anaesthesia and Analgesia, and a Past President of the Pain Medicine Section Council at the Royal Society of Medicine. She has also been an invited examiner on the European Diploma examination and a Treasurer of the Association of Veterinary Anaesthetists. She has headed the anaesthesia team at Davies since 2007.
Her tips are:
The proposal seems to have its roots in the First Rate Regulator initiative announced by Nick Stace in November 2012. As part of the initiative, the College commissioned Sally Williams and Associates to conduct research amongst stakeholders and report back with recommendations for being a first rate regulator.
One of those recommendations was to move to the civil standard of proof (page 33/34 here). There is no stated rationale for this recommendation, other than: "The majority of other professional regulators have moved to the civil standard of proof".
Nevertheless, the recommendation then found its way into the RCVS 2017-2019 Strategic Plan.
The proposal was then mentioned in the published summary of the Legislation Working Party's meeting in December 2017:
"In considering reform to the disciplinary process, the Registrar noted that the RCVS is one of the only regulators (and the only healthcare-based regulator) still using the criminal standard of proof (‘beyond all reasonable doubt’) when determining the facts of a case. Most other regulators used the civil standard of proof (‘on the balance of probabilities’) when making their determinations. Consideration of moving to the civil standard has also been carried over from the College’s previous Strategic Plan and the Registrar agreed to review the last six months’ cases to assess what the likely outcome of those cases would have been under the civil standard, and the cost of change. The Working Party also decided to contact other regulators about their disciplinary processes, in order to gather information about their experiences of what does and does not work, both for long-standing issues and new reforms."
The proposal then resurfaced last week in the Veterinary Record, which reported that the College is in 'advanced discussions' about adopting the lower standard (Standard of Proof for disciplinaries could change).
The College has now issued a statement to VetNurse.co.uk as follows:
"The Royal College of Veterinary Surgeons (RCVS) is currently very much in the minority of regulators still using the criminal standard of proof ('beyond all reasonable doubt') in its disciplinary proceedings, rather than the civil standard of proof ('on the balance of probabilities').
"By comparison, all nine of the healthcare regulators in the human field (as overseen by the Professional Standards Authority) have moved to the civil standard, as have other regulators such as the Bar Standards Board and the Solicitors Regulation Authority.
"In our last two strategic plans we have committed to considering whether or not the RCVS should change the standard of proof in line with other regulators and these discussions have been taking place as part of the ongoing deliberations around legislative reform.
"A change to the standard of proof would require an amendment of our 2004 Procedure and Evidence Rules via the Privy Council rather than new primary legislation, but we would consult with the profession before any such changes were made and, at present, this matter has not been put before RCVS Council for a decision."
So, as it stands now, no evidence has yet been presented to the profession which supports the need for - or benefits of - a change to the standard of proof required in disciplinaries. The idea that it should be done simply because 'that's what the other regulators are doing' does not hold water. The veterinary profession is unique. According to the College's own research, it enjoys a remarkably high level of trust amongst the public. But at the same time, it also suffers one of the highest suicide rates.
Clearly Council will need to reflect extremely carefully on whether the members of such a widely trusted profession should face an even greater threat of losing their career, particularly when they seem to be at such a risk of vexatious complaints, fear of a disciplinary is already so high, and the consequences of this change on mental health in the profession could be so profound.
It may even be true to say that lives could depend on this decision.
In the study1, records from a large commercial diagnostic laboratory were searched for canine skin masses submitted for histopathology from dogs aged between 0-12 months from practices based in the UK and Europe.
For each case, data on the breed, age and sex of the dog, the body location of the sample, and the diagnosis made by the original reporting histopathologist were recorded.
For the purposes of the study, masses were included which were cystic, hyperplastic or neoplastic, but not inflammatory.
Submissions of samples from the eyes, anal glands and nails were excluded and only MCTs submissions that were cutaneous were included.
Risk factor analysis using multivariable binary logistic regression modelling was carried out for skin masses with at least 30 submissions.
Professor Ken Smith, corresponding author for the paper, said: “A total of 2553 submissions for a skin mass were included in the study.
"Across all the skin masses, the majority (94.3%) were neoplastic in nature.
"Of the neoplastic lesions, 98.5% were considered benign.
"Almost all of the benign neoplastic lesions were of round cell origin (94.0%), whereas most of the non-neoplastic lesions were derived from the epithelium (93.8%).
“The most common histopathological diagnoses for skin masses were histiocytoma (86.6%), papilloma (3.5%), dermoid cyst (3.3%), follicular cyst (1.7%) and MCT (1.4%).
"Multivariable analysis revealed that Labrador retrievers, Boxers and Golden retrievers had reduced odds of histiocytoma compared to crossbreed dogs.
"Male neutered dogs had lower odds of dermoid cyst compared with female entire animals.
"Dogs aged 9 to 12 months had significantly higher odds of follicular cyst compared with dogs aged under 6 months, whilst dogs aged over 6 months showed significantly higher odds of MCT than dogs under 6 months of age.”
Nicola Di Girolamo, Editor of JSAP, said: “Retrospective studies that include a large number of cases such as this one are an invaluable resource for clinicians working in any setting.
"The findings of this study corroborate those of previous research, suggesting that a skin mass in a young dog is very likely to be a histiocytoma.
"However, the risk factor analysis in this paper identified a number of different predilections to those previously recognised, indicating a need for continued research in this area.”
The full article can be found in the January issue of the Journal of Small Animal Practice and can be read online here: https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13418
The new technique enables the surgeon to suspend a modified acrylic lens from a damaged capsule, which has historically not been possible.
Gary and Chris have published a paper analysing the results of the surgery in the Journal of Small Animal Practice: "Post-operative outcomes in canine eyes receiving a rhexis-fixated prosthetic intra-ocular lens: 30 cases (2014-2020)1"
Surgery was carried out in a total of 30 eyes using a modified acrylic IOL, where the lens capsule could not accommodate a conventional prosthetic endo-capsular IOL.
Over a follow-up period from three to 76 months, 26 of the 30 eyes remained visual.
Chris said: “It’s a novel technique for implanting a prosthetic lens into the eyes of patients who otherwise may have not been suitable for surgery, either saving or restoring their sight.
“Gary developed a method of modifying the lens to fit in the eye in dogs where the lens capsule is damaged.
For more information, visit www.veterinaryvision.co.uk.
The webinar sessions will kick off with a four-part series on neurology, running every Tuesday from 5th May at 3pm. There will also be a six-part series on anaesthesia starting on 14th May. Each webinar will be followed by a live Q&A session with the speakers.
The neurology series will cover:
Tim Richardson, Managing Director of Davies said: "VNAM is a very important event in our calendar, presenting us with the opportunity to celebrate and recognise the essential work done by our fantastic Veterinary Nurses, in all aspects of veterinary practice. We hope our CPD courses will help to support, motivate and inspire them to continue with their career development."
In additional to the special VNAM CPD during May, Davies is providing a programme of veterinary CPD delivered by world-class speakers, throughout the year.
To find out more and to book your place visit: https://vetspecialists.co.uk/cpd
Fort Dodge Animal Health has launched the UK's first free diagnostics service to assist vets in diagnosing Lyme disease in dogs.
The introduction of the new Lyme Disease Surveillance Service (LDSS) reflects concerns that the increasing incidence of the disease in humans could be followed by a similar increase in dogs.
Canine Lyme disease, while still rare in the UK, is known to be difficult to diagnose with vague symptoms and a variety of clinical presentations.
Infest-Nation, the ProMeris Parasite Report launched in late 2007 and based on interviews with 2,000 vets and pet owners, cited figures from the Health Protection Agency (HPA) which reported 768 cases of human Lyme disease in 2006, an increase of 263% since 2003. The increase in human incidence is believed to be attributable to an increase in the human population, better diagnosis and more favourable climatic conditions for ticks as the vector for the disease.
According to Fort Dodge, it's possible that the increase in Lyme disease in humans will be mirrored in the canine population. Forty per cent of vets contacted for Infest-Nation had reported a significant rise in the tick problem over the last five years and 75% of dog owners didn't know how to check their dogs for parasites and didn't treat them as frequently as the recommended once a month.
Participation in the LDSS is free for veterinary practices registering with the scheme. You can do this by contacting Fort Dodge on 01489 781711 or by email at fortdodgeuk@fdah.com. You will then be provided with testing kits and full instructions on the submission of blood samples.
The new drug represents the fruit of 8 years of product development and more than 11 proprietary studies performed by Ceva R&D teams.
Marie Boutot, development project leader said: "Isemid is an original drug developed by Ceva, and was the subject of full pivotal efficacy and safety studies."
Ceva says the new drug has been recognised by the European Medicines Agency as a "2018 Innovation, advancing animal health".
Isemid is presented as pork-flavoured, scored tablets in three strengths: 1, 2 and 4 mg. They can be administered orally once daily, with or without food. The company's research showed a 98% owner compliance (compared to 92% for furosemide, p<0.05) and 80% voluntary acceptance.
Emilie Guillot, DVM, Ceva Technical Manager for Cardiology said: "With Isemid, we seek to help veterinarians in their goal to improve survival of dogs with heart failure.
"But above all, thanks to its potent action and long half-life which allow once-daily dosing, we hope to ease owner compliance."
Scientific communications with data on Isemid were presented at the American College of Veterinary Internal Medicine forum in Phoenix in June and will be held at the European College of Veterinary Internal Medicine congress in Milan in September.
AniDent is a dental care range for cats and dogs - a rinse, a toothpaste and a gel - created with Virbac to help prevent periodontal disease.
Anident joins VetSoothe, a range of dermatology products which includes shampoos, ear cleaners and skin wipes, developed with Vetruus.
Earlier in the year, IVC also launched Joints & Mobility with Omega-3s, an addition to it's VetPro range, developed with one of the company's orthopaedic experts, Jamie McClement.
On the equine side, the company has also launched EquiXcellence, a range of equine nutritional health and wellbeing supplements.
VetNurse asked what longer term plans the company has for its exclusive brand product range.
An IVC Evidensia spokesperson said: "We're developing own brand veterinary products specifically where we think we can see areas we can add value for our practices, pet owners, and patients. In the case of Anident, we saw there was an opportunity to make oral care easier by offering a range of options to suit pet owners' needs.
"In the case of Joints & Mobility with Omega-3s, there is research which has shown that high levels of Omega-3s EPA & DHA can greatly support freedom of movement and pain, which was the key focus when developing the product.
"We plan to continually enhance our own brand portfolio across our UK and Europe practices with some exciting product launches on the horizon."
Photo: Gerhard Putter BVSc MRCVS MANZCVS (Veterinary Dentistry and Oral Surgery) Diplomate of the European Veterinary Dental College uses Anident on a big cat
The new aids will make their debut at this month's Vet Festival (20-21 May 2022, Loseley Park, Surrey).
The Flexi-Wedge (pictured) positioning aid aims to deliver both better quality and easier to interpret imaging, and to facilitate the ideal positioning of surgical patients.
The second product is the Saddle-Sandbags, which The Big Dog Bed Company says address two problems – the need to hold a patient in place without loading weight to any part of the body and the tendency of existing sandbags to leak sand after a few months of manipulation to different shapes.
Dru Ross, Director at Big Dog Bed Company said: “Support wedges are obviously widely used in the veterinary field.
"The difference with the design of the Flexi-Wedge is that they can be held securely in the desired position and are fully adjustable, making them suitable for a wide range of patient size and shape”.
“The Saddle-Sandbag is designed for those situations when a limb needs to be held out securely without any load on it and standard sandbags are not suited to this purpose.
"There is no need to manipulate the sandbag to the desired shape.
"The weight is split between two bags joined by a broad central strap so the strap is placed round or over the limb”.
James Weston, Managing Director at Northwest Referrals was one of the first to use the Flexi-Wedge.
James said: “I’ve never had such a straight spine when scanning a greyhound before using these supports. Every CT scanner should be sold with these”.
Patrick Harte MRCVS from the The Sidings Veterinary Surgery said: “The weighted ends make these sandbags much easier to handle.
"The larger aid is excellent for holding upper thoracic limb out of the way for lateral views of the elbow, for instance and the width of the flat part of the aid is perfect for wrapping around the antebrachium of the thoracic limb.”
The Flexi-Wedges and the Saddle-Sandbag products use waterproof, antibacterial, wipe clean fabrics in which the seams are thermally welded so no moisture can enter and no sand can escape.
The Flexi-Wedges are available in two lengths 60cm and 90 cm.
They are supplied with wipe clean straps that can be tailored to the size of table on which they are used.
The Saddle-Sandbags are available in three sizes.
The first change has been made to paragraph 1.6 which now advises general practitioners to check whether the vet they are referring a case to is on the RCVS Specialist or Advanced Practitioner list, explaining the difference to the client and what sets them apart from other vets who might be prepared to accept a referral.
Also, practitioners who accept a referral should provide information to the referrer about the experience and status of those likely to be responsible for the case.
The guidance about conflicts of interest in paragraph 1.7 has also been amended such that referring surgeons should tell clients if they are referring their case to a practice owned by the same group.
There is new guidance about how vets and nurses talk about referral practitioners, with the new advice being to focus on accepted terms such as 'RCVS Specialist' and 'RCVS Advanced Practitioner', and avoid more general terms like 'referral surgeon' or 'consultant' to avoid confusion or implying that individuals hold more qualifications than they do.
Lastly, there is new guidance that vets may only use the name 'Specialist' in the name of their practice where there is genuine and meaningful involvement, and oversight, in case management by at least one RCVS specialist in all disciplines where any clinical services are offered under this business name.
https://www.rcvs.org.uk/setting-standards/advice-and-guidance/code-of-professional-conduct-for-veterinary-surgeons/supporting-guidance/referrals-and-second-opinions/