Clare O'Dwyer, a veterinary nurse from Terrington Vets in King's Lynn, has been presented with Royal Canin's first-ever 'Outstanding Contribution to Pet Health Counselling' Award.
Clare was recognised for her dedication and contribution to the role of Pet Health Counsellor in her practice, working hard to promote preventative health care whilst running a wide variety of pet health clinics for local pets and their owners. For example, in the past year alone, Clare has organised obesity clinics, dental clinics, puppy parties, senior pet clubs and an open day for the practice, as well as presenting bravery awards to some of her recovering patients.
Royal Canin presented Clare with £500 of high-street vouchers, along with the award's inaugural gold badge and certificate, plus a hamper stuffed full of goodies including food, a mug, t-shirt and stationery.
The award presentation was made by Royal Canin's Clare Hemmings VN, helped by practice colleagues who helped prepare a surprise buffet and party along with her husband and a special guest of honour, Sherman her pet French Bulldog, who she'd hand-reared from a pup after he was born with a cleft palate.
Clare said: "It's a real honour and a little overwhelming to be honest! I just want to thank my colleagues for all their support and a big thank you to Royal Canin too, as it's always lovely to be appreciated."
Pfizer Animal Health is advising vets and horse owners to be on guard against the threat of West Nile Virus (WNV) in the UK, following a spate of outbreaks of the disease in several European countries this year.
West Nile Virus has recently made headline news because of a human outbreak in Greece which resulted in a number of deaths. Outbreaks have also occurred in Russia, Romania and Italy during 2010. West Nile Fever is a viral disease transmitted by mosquitoes, which carry the virus after biting infected birds. Primarily occurring between July and October, in line with typical peak activity of mosquitoes, it can have serious consequences on human and equine health, with severe cases resulting in fatal neurological disease.
There is no cure, though supportive treatment can aid recovery. However if the disease progresses to a state where the animal is not able to stand up, their chance of survival is considered low. Prevention of infection is difficult, but any steps that reduce mosquito numbers or the likelihood of horses and people being bitten may help to reduce the risk in areas where the disease is present. However, the only way to reduce the risk of an individual horse developing disease due to WNV is through vaccination.
Ben Gaskell, Pfizer's equine veterinary advisor said: "West Nile Virus may well become a very real threat to both horses and humans in Northern Europe. It is important for vets, horse owners and infectious disease experts to work together to mitigate its impact in the event of the virus becoming endemic across Europe. The rapid spread of the disease across North America is an illustration of what could potentially happen in Europe and it is important to remember there is no curative treatment - the only way to prevent clinical disease in horses is by vaccination."
Pfizer Animal Health supports the PrEquID (Prevention of Equine Infectious Disease) group, which consists of internationally recognised equine and infectious disease experts. The group was formed to develop guidelines on the prevention and control of a number of equine infectious diseases, on a global basis.
Klaus Osterrieder, Professor and Chair in the Institut für Virologie in the Veterinärfakultät at Freie Universität Berlin, Germany and a member of the PrEquID group advises: "Horse owners should ask their veterinarian for advice on appropriate prevention measures. Experience has shown that adopting a prudent prevention strategy can be a very effective way of managing this devastating disease."
Further information on WNV is available at www.westnile.eu.
Vetoquinol has announced that the 50g pack size of Ipakitine will shortly be replaced by a 60g pot.
The company says this will provide the convenience of a 30 day supply for a 5kg cat or dog who is on 1g/5kg bodyweight twice a day (one level scoop twice a day).
The 60g pot will be available from the end of December. Also at this time, the existing 150g size pot will be replaced by a 180g pot.
The new packaging is more eye-catching, easier to read and gives more description. A 300g pot will also be available in February 2012. Pricing will be in-line with increase in pack size, so proportionally a 20% increase for 20% more product.
Ipakitine is a phosphate binder formulated specifically for veterinary use. It is designed for both cats and dogs and is available as a tasteless powder formulation for easy administration with food.
The partnership between the Webinar Vet and Bought By Many will offer vet nurses the opportunity to access online, curated training programs for free. This should help those whose training programmes have been interrupted by the coronavirus pandemic and subsequent lockdown, plus those who find CPD training a financial burden.
Anthony Chadwick, founder of The Webinar Vet said: “I am delighted to be partnering with Bought by Many in providing 10,000 CPD packages for nurses and student nurses. Since starting The Webinar Vet in 2010, it's been my objective to provide high quality training to vets and nurses to make them more confident in their place of work. It's amazing to see Bought by Many step up at this challenging time to provide such a generous gift to my nursing colleagues. I am very grateful on their behalf.” Steven Mendel, CEO and Co-founder of Bought By Many, said: “Our mission is to improve pet insurance and to help owners access high-quality treatment for their pets. An important part of that includes working closely with the veterinary community to ensure they feel supported to provide the best care available for the nation’s pets. We are proud to support vet nurses with their professional development because we recognise the vital work they do as part of the veterinary care ecosystem to keep our pets healthy and happy.“
Sarah James, Qualified Veterinary Nurse and Bought By Many’s Vet Relationship & Technical Claims Manager, said: “As a former vet nurse, I know the huge importance of CPD. But I also know how difficult it is to find time to study. This online course solves that problem, and at zero cost to nurses, the traditional barriers to professional development are completely removed."
To register for the CPD, visit: https://www.thewebinarvet.com/pages/bought-by-many-vet-nurse-free-cpd
Electoral Reform Services (ERS), the independent body that carries out the Royal College of Veterinary Surgeons' Council election, has offered reassurance that the election was fair, in spite of a number of voters being sent duplicate ballot papers.
According to the College, ERS designs and prints the ballot papers, and receives back votes via the post, internet and text message, but it does not distribute the ballot papers: this was carried out by a separate mailing house contracted directly by the RCVS. Although the exact number of voters who received duplicate papers is not known, it may have been up to 289, as that was the shortfall of voting papers at the mailing house.
ERS carried out a review of voting patterns, including issues such as multiple votes coming from a single IP address, and concluded that it was not possible to say there had been instances of dual voting. Even in the small number of cases where there was a suggestion of dual voting, if those particular votes had been discounted it would not have affected the outcome of the election.
In a letter to the College, Adrian Wilkins, ERS Senior Consultant said: "Our view is... that although a number of members were sent two ballot papers, there is no firm evidence of fraud, and that the result is an accurate reflection of the views of the members of the Royal College. Our recommendation is consequently that the result should be declared as per our election report of 30th April 2012."
As a consequence, the RCVS returning officer, Gordon Hockey, Acting Registrar, declared the election results on 30 April.
Andrew Parry MRCVS, an RCVS and European Specialist, heads Diagnostic Imaging at Willows. He said: "Our previous CT scanner was excellent but all technology moves on. We wanted to ensure we maintained our position at the forefront of specialist veterinary diagnostic imaging.
"We have a large cardiology service and the Siemens scanner, with its advanced cardiac imaging package, will allow the team to gain a huge amount of information about cardiac disease and other vascular abnormalities. This combination of technology and on-site Specialist imaging expertise is unusual, even at a referral level.
"A further advantage of the new scanner is its use of tin filters, which enables it to produce high quality images of regions of high contrast, such as feline chests."
Willows has also invested in a software package which does all sorts of clever stuff to bring the images to life for clients.
He said: “The syngo.via software allows anyone to access and manipulate images from any computer in the hospital. This can be building complex models or more straightforward multiplanar reconstruction.
"Specialists can show models to clients immediately, while surgeons can manipulate images in theatre and all clinicians can view and interact with images from their own working environment.
"Additionally, we have invested in Siemens-manufactured software called syngo.via Cinematic VRT, which means we can build, rotate and fly through volume rendered CT models with clients, giving them a dynamic understanding of anatomy and pathology."
Mr Lomax was found guilty of causing death by careless driving at Shrewsbury Crown Court in July 2019 and was subsequently sentenced to a 12-month community order, 300 hours’ unpaid work, 15-months’ driving disqualification and ordered to pay £1,000 in prosecution costs and victim surcharge of £85.
Mr Lomax declared his conviction to the RCVS in April 2020 as part of his declaration upon renewing his registration, following which the RCVS started its concerns investigation process leading to his appearance before the Disciplinary Committee last Monday.
At the outset of the hearing Mr Lomax admitted the charge against him, which was also accepted by the Committee based on its receipt of the certificate of conviction from Shrewsbury Crown Court.
The Committee then considered whether the conviction rendered Mr Lomax unfit to practise. The RCVS submitted that the nature of the conviction and the devastating consequences of Mr Lomax's conduct, which caused the death of a 64-year-old woman, rendered him unfit to practise.
The College also submitted that his conduct would be considered to have fallen far short of the standard expected of a member of the profession, that it had devastating consequences, and that the conviction would have an impact on the reputation of the profession and the public’s confidence in it.
Mr Lomax’s counsel, who represented him during the hearing, submitted that he did not accept his conduct rendered him unfit to practise as a veterinary surgeon, although Mr Lomax did accept that the impact of his conduct was devastating.
Mr Lomax’s counsel submitted that there was a significant difference between his conduct and its consequences, as evidenced by the fact he was charged with careless driving rather than dangerous driving meaning that, though his standard of driving had fallen below that expected of a competent and careful driver, it did not fall far below. Nor was there a suggestion that Mr Lomax had carried out a deliberate act, was carrying out any dangerous manoeuvres or was otherwise impaired.
Dr Martin Whiting, chairing the Committee and speaking on its behalf, said: “There is no doubt that the consequences of Mr Lomax’s conduct were serious and tragic for the [victim’s] family.
"The Judge at the Crown Court referred to their loss in detail and it no doubt played a significant part in the sentence he passed, as reflected by his comments.
"The Committee was cognisant, however, of the different role it had to perform.
"A criminal conviction marks a breach of criminal law, whereas a finding of unfitness marks a breach of professional standards.
"When looking at the conviction, the Committee focused on the actual conduct of Mr Lomax and the concomitant level of culpability, rather than the consequences. Whilst it would be artificial, insensitive and inappropriate to ignore the consequences, the Committee was concerned with the conduct.”
He added: “The Committee did not consider that Mr Lomax’s conduct was liable to have a seriously detrimental effect on the reputation of the profession and concluded that the public, in full knowledge of the circumstances of this particular case, would not expect a finding that the conviction renders him unfit to practise as a veterinary surgeon.
"Rather, the public would recognise that whilst the consequences were appalling for the [victim’s] family, in terms of Mr Lomax’s culpability this was a momentary piece of poor driving rather than anything more blameworthy. At its height it was careless driving for three or so seconds.
"In the Committee’s view Mr Lomax’s careless behaviour fell below, but not far below, the standard expected of a veterinary surgeon and did not amount to disgraceful conduct in a professional respect.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
From next month, practices will be required to ask all clients, both new and existing, a series of questions about their personal circumstances.
The most controversial of the new requirements is that clients will be required to show three month's worth of bank statements and payslips, so that vets can decide which treatment will be appropriate and affordable.
Clients will also need to provide their vet with:
RCVS spokesperson Flora Olip said: "It's really important that vets always take into account ALL the factors that may be pertinent to a clinical recommendation.
"This way, the profession can still offer treatments for dogs costing tens of thousands of pounds, but targeted at those who can afford it, such as oligarchs, footballers and drug dealers."
"And with a little luck, maybe with these new rules, the CMA will just quietly go away."
The government estimates that up to 5,000 primates are currently kept outside of licensed zoos in the UK. Marmosets are by far the most commonly held primates in the UK, with capuchins, squirrel monkeys, lemurs and tamarins also among the most common species.
The new proposals will mean that specialist primate keepers who do not hold a zoo licence will need to obtain a new specialist private primate keeper licence to ensure they are meeting the required high welfare standards. These plans will also place welfare restrictions on the breeding and transferring of primates.
The BVA has welcomed the consultation. BVA Senior Vice President, Daniella Dos Santos said: “For a long time, we have called for a ban on private individuals keeping primates as pets. As vets, we have significant concerns as to whether the health and welfare needs of primates can ever be met under these circumstances.
“Primates are long-lived, intelligent and socially complex animals whose needs are extraordinarily difficult to meet in captivity and we can think of no circumstances where a primate would benefit from being kept in this way.
“We welcome the Government’s move to open a public consultation on this and hope that it does indeed result in a ban. If the UK wants to maintain its reputation for some of the highest standards of animal welfare in the world and if the government wants to fulfil its promises of enhancing the welfare of animals as we leave Europe then we must put an end to the keeping and trade of primates as pets.”
To take part in the consultation, visit: https://consult.defra.gov.uk/animal-health-and-welfare/primates-as-pets-in-england/consultation/intro/
Dechra Veterinary Products has launched a range of support material to help educate owners about pet ear health.
Senior Brand Manager at Dechra Veterinary Products, Larry King, said: "This extensive range of new material will help veterinary professionals raise client awareness of ear infections and also help owners understand why ear health is important.
"The information available includes a leaflet for owners on how to treat their pet's ear infection as well as a guide to effective ear cleaning, which is also available as a video for practice and client use."
Videos entitled: 'How to clean your dog's ears' and 'How to clean your cat's ears are available to view at www.dechra.co.uk/How-to-Guides/Dechra-how-to-videos-guides.aspx
The It's Time to Change campaign offers best practice guidelines and information on ear disease in cats and dogs. It provides assistance in helping to diagnose the organisms associated with infection, support in choosing the correct approach to control as well as help in educating owners to apply and use treatments correctly.
More information on the support material can be found at www.dechra.co.uk/timetochange or veterinary professionals can contact their local Dechra representative.
The information has been made available amid concerns from behaviourists and animal welfare organisations that there may be a rise in behavioural issues as lifestyle restrictions are lifted.
The Q&A explains what some of the behavioural concerns are and how they can be prevented and managed. Topics include separation-related issues, animals becoming anxious as the world around them becomes busier and noisier, and puppies lacking appropriate skills when greeting animals (including dogs and people) from other households.
The Q&A can be downloaded here.
Dr Hannah Donovan, vet, clinical animal behaviourist and Social Media Officer at the BVBA said: “We hope that this information will help practices to support their clients and their pets when faced with potential challenges as we transition out of lockdown.”
Professor Ian Ramsey, President of the BSAVA added: “This guidance has been developed in collaboration with the BVBA with the intention of supporting veterinary professionals in an ever-changing environment. It sits alongside other practical BSAVA resources vets and nurses can share with pet owners, such as Vaccination Guidance and Neutering Guidance, and follows the BSAVA’s core ethos – ‘By the profession for the profession.”
The BSAVA has also created a collection of resources for veterinary professionals relating to the prevention, management and treatment of behavioural issues in cats of dogs, which is freely available in the BSAVA Library until the end of July.
The collection includes chapters from the BSAVA Manual of Canine and Feline Behavioural Medicine; for those wishing to buy the full manual, there is a £10 discount on both the print and online editions throughout July (using code BEHAV10 on checkout).
Further information for veterinary nurses can be found in the BSAVA’s COVID-19 resources here.
Pet healthcare insurance provider, Pet Protect has analysed its 2007 claims for pet rabbits, concluding that that one in four relate to dietary issues and, in particular, obesity. Rabbits are now the third most popular of British pets, with nearly 2 million pet rabbits in the UK. An estimated 30% of domestic rabbits are obese, according to the Rabbit Welfare Association.
The Disciplinary Committee heard three charges against Dr Dhami, relating to events which took place while he was in practice at Vets4Pets in Market Harborough, Leicestershire.
The first charge against him was that, in November 2017, he used excessive force in kicking and stamping on a Staffordshire Bull Terrier he was treating.
The second charge was that, between in October and November 2017, he failed to pay adequate regard to the welfare of a Jack Russell in his care by leaving it in a sink without adequate reason and for an excessive period of time.
The third charge was that, between April and March 2018, he failed to have adequate regard to the welfare of a six-to-eight week old kitten, including providing bedding and warmth.
At the outset of the hearing Dr Dhami admitted to lightly kicking the dog, but denied forcefully kicking it and also denied that he had stamped on the dog, as well as denying the other two charges against him.
In considering the circumstances of the first charge, the Committee heard evidence from two of Dr Dhami’s colleagues stating that the dog had bitten him whilst he was cleaning its ears and, following this, he took the dog out of the consulting room, closed the door and whilst holding the dog’s lead then proceeded to kick her twice, knocking her along the floor both times, and then finally stamp on her when she was prone.
Dr Dhami disputed his colleagues' version of events and stated that he had only delivered two light kicks to the dog’s rump, that neither of these had made her fall to the floor and also denied in categorical terms that he stamped on the animal. Furthermore, he also denied the second and third charges against him.
In considering the evidence as to whether Dr Dhami kicked and stamped on the dog, the Disciplinary Committee found the evidence of his two colleagues to be credible and reliable, and so found all aspects of the charge proven.
Ian Green, chairing the Committee and speaking on its behalf, said: "For the avoidance of doubt, the Committee finds that the admitted kicks administered to [the animal] by the respondent were of significant force. The Committee rejects the respondent’s assertion that the admitted kicks amounted to mere taps on the backside. The Committee finds that the ‘stamping’ was also of significant force."
In regards to the second and third charges, the Committee was not satisfied that the charges had been proven by the evidence it heard and therefore dismissed them both.
Having found all parts of the first charge proven, the Committee then went on to consider whether or not Dr Dhami’s conduct amounted to serious professional misconduct, something that Dr Dhami, following the Committee’s decision on the facts, through his counsel, had admitted.
The Committee identified a number of aggravating factors, including the real risk of physical harm to the animal and the deliberate nature Dr Dhami’s conduct against the animal, committed in anger.
In mitigation, the Committee accepted that this was an isolated incident and that Dr Dhami had been bitten and was in pain. The Committee therefore found that Dr Dhami’s admission of serious professional misconduct was ‘properly and prudently made’.
The Committee then considered what sanction to impose on Dr Dhami. In doing so it took into account some of the written testimonials and character witnesses called on behalf of Dr Dhami. The Committee was also satisfied that Dr Dhami had had a hitherto long and unblemished career, that he had apologised to colleagues immediately after the incident and that, since the events, he had continued to work as a veterinary surgeon without any problems.
In relation to insight about the event, the Committee accepted Dr Dhami had provided some evidence of reflection, in that he admitted kicking the dog and accepted that this conduct, once found proven, amounted to serious professional misconduct.
The Committee decided that suspending Dr Dhami from the Register for four months would be the most proportionate sanction.
Ian Green concluded: "Having regard to all the matters urged by way of mitigation, and having taken into account all the evidence that it has heard, the Committee is satisfied that a period of suspension is sufficient in this case to protect the welfare of animals, maintain public confidence and to declare and uphold proper standards of conduct."
Dr Dhami has 28 days from being informed of the outcome of the hearing in which to make an appeal to the Privy Council.
The recommendations were proposed by the Legislation Working Party (LWP), which was set up in 2017 to consider the principles governing any new legislation affecting veterinary regulation and come up with recommendations for what innovations could and should be included in any future replacement for the Veterinary Surgeons Act 1966.
The LWP comprises members of RCVS Council, RCVS staff and representatives from the BVA and the BVNA.
The approved recommendations were grouped into five key headings: embracing the vet-led team; enhancing the veterinary nurse role; assuring practice standards; introducing a modern ‘fitness to practise’ regime; and, modernising RCVS registration processes.
The recommendations include:
Professor Stephen May, RCVS Council member and Chair of the LWP since its inception in 2017, said: “The scale of the changes that are recommended in this report are very significant indeed and, if implemented via new primary legislation, would really change the face of veterinary regulation, bringing it up to date with that of other healthcare professions, and ironing out many of the oddities and closing many of the gaps in our current regulatory regime.
"Changes to the legislative framework for veterinary regulation have been mooted for some time. While the Veterinary Surgeons Act 1966 has served the profession well for over 50 years, and we have been able to make some changes to it – for example, reducing the size of Council, the separation of the Disciplinary Committee from Council and introducing the concept of delegation to veterinary nurses via Schedule 3 of the Act. However, there are limits to how much we can continue to tinker around the edges, and it has become increasingly clear that new legislation is needed if we are to make progress.
"I have been very grateful to my colleagues on the Legislation Working Party for their hard-work over the past three years. There has been a lot of robust debate on how we can move veterinary regulation forward, but ultimately we have a consensus that there are significant deficiencies, imperfections and blind-spots in the current regime and, in order to ensure that the professions are able to best fulfil their mandate to protect animal health and welfare, and that the RCVS is able to meet its mission to set, uphold and advance veterinary standards, significant changes are needed.
"I am delighted that members of RCVS Council have agreed to put our recommendations to a full consultation and I look forward to seeing how this report and its, sometimes quite radical, recommendations will spark important debate of these big ideas.”
A full public consultation process on the recommendations is expected to take place later this year. After this has taken place, and depending on its outcome, and Council’s final decision on how to proceed, a full set of proposals on legislative reform will be put to the Department for the Environment, Food & Rural Affairs in the hope of seeking support for new legislation.
While RCVS Council approved, in principle, the report as a whole, there was a separate debate on some of the report’s recommendations concerning reform to the RCVS disciplinary regime which do not require changes to primary legislation, but could be made through powers granted to the College via its 2015 Royal Charter. Further details on this will be announced separately.
The full Report of the LWP is available to view in the papers for the June 2020 meeting of RCVS Council at: www.rcvs.org.uk/document-library/rcvs-legislation-working-party-report-to-council-2020
The RCVS has also published a blog from Professor Stephen May explaining, in more detail, the workings of the LWP and the rationale behind its recommendations. This is available to view at: www.rcvs.org.uk/news-and-views/blog/a-step-change-in-veterinary-regulation
Professor May’s presentation from the Council meeting is also available to view on the RCVS YouTube channel at www.youtube.com/rcvsvideos
Katie (pictured right) was awarded £1,000 for her research into the use of an ATP bioluminescence meter to monitor cleaning, with the aim of improving hospital hygiene.
The research is part of her study towards her Certificate in Surgical Nursing.
Katie said: "While we don’t have a clinical infection problem at our hospital I believe that there is always a need to improve hygiene standards across the industry as a whole. My aim is to prove that there are easily implementable, and affordable, processes that will improve the hygiene levels of the clinical areas in which I will work. I hope that this can then be rolled out further across the hospital and implemented across our branches and the veterinary industry as a whole."
Michelle Townley, veterinary advisor at MSD Animal Health said: "As the first veterinary nurse to receive one of our research bursaries it’s appropriate that this has been awarded for work that can easily support future developments within the industry. We are committed to preserving and improving the health, well-being and performance of animals so this piece of research fits well with this important goal.
MSD Animal Health launched its first Veterinary Nurse Research Bursary last year, adding to its existing vet surgeon and vet student schemes. One £1000 bursary has been made available to the student or qualified veterinary nurse in the UK with the best research project application. It offers an opportunity to win additional prizes of £1,000 and £500 for the best research projects and presentations at the MSD Animal Health’s Research Bursary Day in June 2020.
For further details go to the MSD Animal Health Research Bursary website at www.msdahresearchbursary.co.uk.
Petsavers, the charitable division of the BSAVA, is calling for entries to its 2012 digital photography competition, this year themed 'Best Buddies'.
The competition is open to entries from pet owners and veterinary professionals alike. The judges will be looking for qualities like humour and character in the photos, as well as photographic skill.
If you need a little inspiration, you can see the winning images from previous years on the BSAVA website.
The competition has two categories: Adult (16 and over) and Junior (under 16). First prize in each category is £200 in photography vouchers, second prize is £100 in photography vouchers and third prize is £50 in photography vouchers. The closing date is Thursday 26 January 2012. To enter the competition, email your photographs to info@petsavers.org.uk. An application form must also be submitted; this can be emailed with your photograph or alternatively you can print and fax the form to BSAVA at 01452 726701.
Petsavers is also encouraging practices to help promote the competition by displaying leaflets in practice, and telling clients about it.
More information is available by emailing: info@petsavers.org.uk or visiting www.petsavers.org.uk/.
Mr Murray was charged that he had been convicted of affray at Birmingham Crown Court in 2021 - to which he had pleaded guilty - and given nine months in prison.
Mr Murray applied for anonymity at the start of the disciplinary hearing, which was refused when the Committee decided there were no special circumstances which would justify anonymity.
The Committee considered whether or not the charge rendered him unfit to practise as a veterinary nurse.
Counsel for the RCVS submitted that the conviction was for a serious public order offence in relation to an incident in which another person was left seriously injured.
Although Mr Murray was not directly responsible for the injury, RCVS Counsel submitted that he had brought the profession into disrepute and that his conduct therefore left him unfit to practise.
The Committee took into account that Mr Murray’s involvement in the public order incident was not premeditated, that it took place before his registration as a veterinary nurse, that no injury was caused directly by him nor was he carrying an offensive weapon and that the offence was not gang-related.
However, it did consider that his role in the incident was serious enough to warrant a custodial sentence and that serious physical injuries were sustained by an individual during the incident.
Hilary Lloyd, chairing the Committee and speaking on its behalf, said: “The Committee assessed the incident to be serious, taking into account its nature and circumstances as set out above.
"It led to serious physical injuries inflicted by a sword in a public place.
"Children were present at the scene at one point, as remarked upon by the Judge.
“The Committee considered the wider public interest.
"Taking into account the view of the reasonable member of the public who is well-informed of all the facts and evidence in the case, the Committee was satisfied that the Respondent’s behaviour and conviction brings the veterinary nursing profession into disrepute.
"To find otherwise would undermine public confidence in the profession and fail to uphold proper standards of conduct and behaviour.”
Having found serious professional misconduct, the Committee then considered the most appropriate sanction for Mr Murray.
In terms of aggravating factors, it found that Mr Murray’s conviction involved recklessness and the risk of injury to a human being.
In mitigation, it considered that: there was no risk or actual harm to an animal; that no concerns had been raised about his competence or the quality of his practice; his relative youth at the time of the incident; the fact he had both pleaded guilty to the charge and had disclosed the conviction to the RCVS at the first opportunity; his cooperation with the regulatory process and the fact that he had shown insight and made efforts to remediate the past offending and avoid repetition of the offending behaviour.
The Committee also considered a positive testimonial from the practice where he was employed which attested to his integrity, as well as from a mental health prison chaplain who had supported him during his time in custody and with whom he continued to work to support other young offenders on their release from custody.
Taking all the facts and circumstances into consideration, the Committee decided that it would be most appropriate to take no further action against Mr Murray.
Hilary added: “This was not a case involving any risk to animals.
"The risk of repetition of the offence is minimal.
"The Committee therefore considered the demands of the public interest, namely the need to uphold proper standards of conduct and behaviour and to maintain confidence in the profession and in the regulatory process.
"The Committee considered that in light of the significant insight and remediation shown, and the minimal risk of repeating the behaviour which led to the conviction, the Committee was not satisfied that the public interest required a sanction to protect it.
"The Committee decided that the demands of the public interest were adequately marked and served by the finding already made that the conviction rendered the respondent unfit to practise.”
www.rcvs.org.uk/disciplinary
This new injectable fluralaner formulation is approved for the immediate and persistent killing of fleas for one year (Ctenocephalides felis and Ctenocephalides canis), from 3 days to 12 months after treatment for the ticks Ixodes ricinus, and Dermacentor reticulatus, from 4 days to 12 months after treatment for Rhipicephalus sanguineus, and from 7 days to 12 months after treatment for Ixodes hexagonus.
MSD says it will also reduce the risk of Babesia canis via transmission by Dermacentor reticulatus from day 3 after treatment for up to 12 months, and also reduces the risk of infection with Dipylidium caninum via transmission by Ctenocephalides felis for up to 12 months.
Victoria Miles, UK Companion Animal Business Unit Director, MSD Animal Health said: “Imagine not having to worry about flea and tick protection for a whole year.
Bravecto 150 mg/ml powder and solvent for suspension for injection for dogs can be administered to dogs and puppies six months of age and older.
The product is already available in France and Germany and MSD told VetNurse.co.uk that stocks are expected in the UK in September, for which the company is now taking pre-orders.
Contact your MSD Account Manager for further information on pricing.
Harrison Family Vets opened its first practice earlier this month in Woodley, Reading, in a £350,000 investment that created eight jobs.
The plan is for the next practice to open later this summer in the Midlands, before the group expands north towards the end of the year. The group is now searching for further properties across the north and south of England, with plans to open 75 practices by the end of the decade.
Tim joined his dad's practice in 1995 as General Manager. He later co-founded Vets4Pets in 2001 before joining Mars Inc. to head the overseas growth of Banfield, then the world’s largest veterinary practice. He then rejoined the family business to grow it further, until it was acquired by IVC Evidensia in 2018.
Alongside Tim is operations director, Kristie Faulkner who also worked at White Cross Vets until it was acquired by IVC, whereupon she became regional operations manager, overseeing more than 200 of the IVC's practices across the South East of England.
Between 2012 and 2018, White Cross Vets was repeatedly named as one of the UK’s best employers and a truly extraordinary place to work. The company secured a place in the prestigious ‘Top 100 Sunday Times Best Small Companies to Work For’ league table for seven consecutive years, as well as being the inaugural SPVS Wellbeing Award Winners.
Tim said: “The whole ethos at Harrison Family Vets is about fostering a culture within our team that sets us apart and differentiates our practice from all others. Every individual’s strengths and personality traits will contribute to what we do, in a family-orientated environment. Our culture is about looking after people. Focus on attracting the very best people and then look after them as much as possible. A successful practice with a fabulous reputation amongst the profession and amongst clients is what automatically follows.
“Our state-of-the-art clinics boast extensive facilities including on-site laboratories, full x-ray suites, operating theatres, ultrasonography and separate dog and cat wards that have been carefully designed with mood lighting, aromas and music to offer a calming atmosphere.
We’ve also worked hard to create a customer experience that’s more akin to an Apple store, than a traditional veterinary practice. We don’t have a reception desk and instead, our front of house team have the autonomy to freely interact with our clients and their pets.
Our waiting areas feature bespoke pods, which give clients their own space and offer pets privacy, thus shielding them from the stresses of facing other pets in a traditional waiting room. Each pod also has its own tablet where clients can update their details, sign up to our Total Wellness Plan or even order fresh and healthy dog food from Butternut Box.
“Everyone wants to know why we want to start another veterinary group now. For Kristie and I the timing is perfect as there is a clear void to fill. The people-focused independent practice is becoming a thing of the past and is what the profession is yearning for. This will attract the very best team members which in turn will provide a superior client and pet experience.
"Creating a successful business and building a fantastic team is incredibly exciting and we genuinely believe Harrison Family Vets can become the most innovative, forward-looking and caring practice, as well as the employer of choice for vets and nurses, in the UK.”
VetNurse.co.uk wishes Tim and Kristie all the very best luck in the world with their new venture, although one suspects that they won't need to rely on luck. White Cross under his direction was consistently doing extraordinary things to foster what seemed to be a remarkably good working environment. If they can come close to repeating the formula, or improving on it, they must be on to a winner.
Ms Mulvey faced a total of nine charges against her:
Ms Mulvey did not respond to the charges, was not present at the hearing and was not represented.
She told the College that she couldn't attend for health reasons, but did not then provide any medical evidence and did not apply for a remote hearing, which was offered.
She had appeared before the Disciplinary Committee twice previously, facing a number of similar charges.
In 2016/2017, Ms Mulvey admitted all charges she was faced with and was found guilty of disgraceful conduct in a professional respect.
The Committee then decided to postpone the sanction for a period of one year.
In 2019, Ms Mulvey appeared before the Committee for the resumed sanction hearing and faced further new charges relating to failures to provide clinical history, failing to communicate with clients, failing to respond to requests for information from the College concerning complaints made against her, continuing professional development and indemnity insurance.
Ms Mulvey admitted the new charges and that she was guilty of disgraceful conduct in a professional respect, for which she was struck off for six months.
Taking into account the fact that this was not Ms Mulvey’s first time before the Committee, as well as new accompanying evidence, the Committee considered the facts of each subsection of each charge individually.
The Committee found all charges proved, apart from one subsection of charge 1.
The Committee then went on to decide if Ms Mulvey was guilty of disgraceful conduct in a professional respect, noting that it was entitled to consider the facts on a cumulative basis.
In other words, whilst any one charge may not fall far below the relevant standard expected of a veterinary surgeon on a standalone basis, it may when considered in conjunction with other failings that have been found proved.
The Committee found a number of aggravating factors in the case, including actual injury to animals (including death and amputation), dishonesty, breach of trust, sustained behaviour, disregard of the role of the RCVS, lack of insight by the defendant and previous adverse findings.
There were no mitigating factors.
The Committee then went on to decide upon a sanction.
Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee found that Dr Mulvey has demonstrated a wilful disregard for the role of her regulator and the systems that regulate the profession which are designed to ensure animal welfare.
"She has failed to learn from, or respond to in any meaningful way, her previous appearances before her regulator and advice given.
"The instant charges found proved dated back to shortly after the earlier suspension had elapsed.
"The Committee further noted that, if a period of suspension were to be imposed, at the end of the suspension Dr Mulvey would be entitled to resume practice without any preconditions.
“This is a case involving serious malpractice.
"It was sustained over a period of time.
"It followed previous adverse findings for almost identical failures.
"From as long ago as 2013, Dr Mulvey was given ample opportunity and support to remedy the deficiencies in her practice, which she squandered.
"Dr Mulvey’s conduct had very serious consequences for animal welfare.
"She continued, and continues, to display a wilful disregard for her responsibilities as a veterinary surgeon under the Code of Professional Conduct.
"Dr Mulvey’s conduct was a gross departure from the conduct expected of a veterinary surgeon.
“Dr Mulvey’s disgraceful conduct is so serious that removal from the Register is the only means of protecting animals and the wider public interest which includes protection of the public, the maintenance of public confidence in the profession, and the upholding of standards.”
Dr Mulvey has 28 days from being notified of her removal from the Register to lodge an appeal with the Privy Council.
https://www.rcvs.org.uk/concerns/disciplinary-hearings
It comes hot on the heels of the as-yet-unsubstantiated claim that remote dermatology diagnoses are as accurate as those conducted in person, and against a background of much debate in the profession about the risks and advantages of the various forms of telemedicine.
For this new study "Reliability of smartphone-based radiographic interpretation for evaluating cardiogenic pulmonary oedema in dogs", researchers from Universidade Federal do Paraná, Brazil, took thoracic radiographs from the medical records of 121 patients with cardiogenic pulmonary oedema or other differential diagnoses from three veterinary teaching hospitals.
All the images were then interpreted by two observers: a board-certified radiologist and an experienced cardiologist, both of whom were blinded to the patients’ diagnosis.
The images were reviewed both as JPEG images on a smartphone, and using a DICOM-viewing platform with an interval of four months between each viewing to reduce interpretation bias. The reviewers were asked to state only whether cardiogenic pulmonary oedema was present or absent. Diagnostic accuracy was assessed between interfaces and reviewers.
The authors say that the results of this study were consistent with previous research; a similar study found that small intestinal mechanical obstructions could be diagnosed from JPEG images of abdominal radiographs on a smartphone by radiologists.2
Lead author, Flavio Jojima said: "The diagnostic accuracy for cardiogenic pulmonary oedema in dogs was not significantly impaired when specialists used smartphones compared to a DICOM-viewing platform to interpret thoracic radiographs.
"This may provide supporting evidence for the use of smartphones for off-site expert interpretation of diagnostic radiographs, particularly in an out-of-hours clinical scenario, but not for routine interpretation of radiographs with a smartphone interface."
Nicholas Jeffery, editor of JSAP said: "These findings are reassuring. In off-site circumstances, particularly where immediate assessment and interpretation is needed, the use of smartphones could speed up the decision making process and enhance patient outcomes."
References
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.
The full facts and findings from the case can be found at www.rcvs.org.uk/disciplinary
The Forestry Commission, together with other agencies and landowners, is stepping up efforts to find out why some dogs have fallen ill while on countryside walks.
Over 50 cases of so called Seasonal Canine Illness (SCI) occurred during the autumn of 2009 and 2010 in Nottinghamshire, Lincolnshire, East Anglia and Warwickshire, although there have been reports from further afield.
Symptoms include severe vomiting, diarrhoea, shaking / trembling and high temperature, and have generally been displayed by animals within 24 hours of walking in the countryside, especially in woodlands. A small number of dogs have died. The cause of Seasonal Canine Illness remains unknown.
Jo Atkinson, from the Forestry Commission, said: "Although no cases have yet been reported this year, we are working with our many partners to get a clearer picture of the distribution and reasons behind this upsetting sickness. Both dog owners and vets can play their part too in helping protect cherished pets."
Moves to tackle the illness include:
Veterinary surgeons are asked to:
The study, titled “Development and progression of proteinuria in dogs treated with masitinib for neoplasia: 28 cases (2010 – 2019)”, also suggests that a urine protein: creatinine greater than 0.5 should prompt reassessment within one week.
For the study, the clinical records of 38 dogs referred to a single university teaching hospital between 2010 and 2019 for treatment of neoplasia with masitinib were retrospectively evaluated.
Data was collected at masitinib initiation and at various timepoints following the start of treatment.
Data gathered included the masitinib dose given and any changes to medication administration or dosing since the previous visit, presence of gross disease and the results of haematology and biochemistry profiles, urinalysis and urine cultures.
Urinalysis results were only included if they were performed at a reference laboratory.
At each timepoint, the urine was classified as non-proteinuric (UP:C ≤0.5) or proteinurinc (UP:C >0.5). Proteinuria was then categorised as likely pre-renal, post-renal, physiological renal or pathological renal.
Dogs were grouped based on the presence or absence of proteinuria at baseline. Non-proteinuric dogs were further divided, based on whether proteinuria developed following treatment during the study.
Of the 28 dogs in the study, five were being treated for epitheliotropic lymphoma, one for vulval lymphoma, one for malignant melanoma and 21 for mast cell tumours.
Twenty-two (79%) dogs were non-proteinuric and six were proteinuric at baseline.
Of the dogs that were non-proteinuric at baseline, four (18.2%) developed proteinuria within one month of treatment initiation. Median time to first detection of proteinuria was 14.5 days (range: 13 to 31).
Of the dogs with pre-treatment proteinuria (n=6), masitinib treatment was discontinued due to lack of efficacy in three dogs, and three were euthanased during treatment, two for disease progression and one for an unknown reason.
Dr Margaux Kuijlaars, corresponding author for the paper, said: “Patients developing proteinuria should be investigated to exclude non-renal causes. This should allow for more informed recommendations on the monitoring and management of proteinuria and further masitinib treatment in these patients to be made. Masitinib treatment can be considered in patients with pre-treatment proteinuria and does not inevitably cause worsening of proteinuria.
“The findings of this study add to the evidence base for the use of masitinib in treating neoplasia in small animal patients. The use of masitinib in dogs in this study was off-licence as C-KIT MCT expression was not determined, and many dogs were treated for other tumours.”
Nicola Di Girolamo, Editor of JSAP, said: “Little is known about which dogs are predisposed to becoming proteinuric following treatment with masitinib for neoplasia. Due to the small number of dogs in this study that developed proteinuria, conclusions about predisposing factors cannot be definitely drawn.
"The findings of this study add to the evidence base and demonstrate the need for larger, prospective trials including a control population and longer period of follow-up.”
The full article can be found in the August issue of the Journal of Small Animal Practice and can be read online here: https://www.onlinelibrary.wiley.com/doi/10.1111/jsap.13305. It is open access and can be freely accessed by anyone.
Reference
The RCVS is calling for veterinary surgeons and veterinary nurses to supply up-to-date email addresses for its Survey of the Professions, which will take place early next year.
The survey is carried out every four years and, for the first time, next year's will be online only. It will ask questions about how vets and veterinary nurses are using their qualifications, how they carry out continuing professional development, what kind of practices they work in and their views on the profession, amongs other things.
The surveys will be sent via email so correct addresses are needed to make sure that veterinary surgeons and veterinary nurses can have their say. Email addresses should also be unique, rather than being a generic practice email address, for example, so that the survey is sent to an individual rather than a whole team. This is also important for other emails from the College, such as personal fee or deadline reminders.
The RCVS also needs up-to-date contact details in order to offer members a better range of online services, such as the ability to better manage their Register details.
In order to check and update their contact details veterinary surgeons and veterinary nurses should visit the log in area at www.rcvs.org.uk/login. Alternatively, they can contact the College's Registration Department on 020 7202 0707 or membership@rcvs.org.uk