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The BVA and the RCVS are inviting applications from veterinary surgeons to join the new Vet Futures Action Group, set up to drive forward the ambitions identified in the Vet Futures report launched at BVA Congress at the London Vet Show on 20 November.
The Vet Futures report, Taking charge of our future: A vision for the veterinary profession for 2030, was the culmination of a year-long joint project by BVA and RCVS designed to help the veterinary profession prepare for, and shape, its own future. The Action Group is a vital next step in the Vet Futures project, ensuring the delivery of the report’s six ambitions and 34 recommendations.
BVA and RCVS are seeking seven veterinary surgeons and one veterinary nurse to join the Action Group to ensure there is buy-in from across the professions and to drive forward workstreams of activity. The group will be co-chaired by the BVA and RCVS Presidents, and both Junior Vice-Presidents will sit on the group. Action Group members will be independent and will not represent, or be required to report back to, any particular organisation.
Veterinary surgeons or nurses keen to apply for an Action Group role should have experience of working as an active member of a group or committee and the ability to deliver, engage and inspire others. The veterinary surgeon members should have specific expertise, knowledge and experience in relation to at least one of the Vet Futures ambitions or the cross-cutting issue of veterinary education. The ambitions cover:
Successful applicants must be able to attend three all-day meetings in London (9 February, 17 March and 12 May) and an all-day Vet Futures Summit (20 June), with a time commitment totalling approximately seven days between February and June 2016. The group will be supported by BVA and RCVS staff. For the full Vet Futures Action Group role profile and terms of reference, please visit: www.vetfutures.org.uk.
The deadline for applications is 12 noon, 31 December 2015.
The Royal College of Veterinary Surgeons has produced bookmarks for accredited practices to give clients, which explain the RCVS Practice Standards Scheme (PSS).
Lizzie Lockett, Head of the RCVS Communications Department said: "A key part of the PSS is helping practices explain their accreditation to clients - and the bookmarks are a simple and eye-catching promotional tool for this. We hope they will have the advantage over conventional leaflets of being kept, and used, by clients, meaning the accredited-practice message is more likely to be taken on board. Although many people are using e-books these days, the traditional book - and bookmark - still has a place."
All accredited practices may order a free sample of 100 bookmarks, and a further 400 free bookmarks are available to practices recently renewing or receiving accreditation. More bookmarks may also be ordered from the RCVS, as well as the new accredited-practice logos. To find out more, or download an order form, practices can visit www.rcvs.org.uk/PSSpromo.
The first ever survey of Registered Veterinary Nurses' Continuing Professional Development has found that the average RVN appears to do substantially more than the minimum required amount of CPD.
Libby Earle, RCVS Head of Veterinary Nursing said: "The CPD requirement for RVNs is to complete at least 45 hours in any three-year period - an average of 15 hours a year. As the requirement was only introduced in 2007, it is particularly encouraging to see that in the first two years of obligatory CPD, the average RVN appears to be doing considerably more than the minimum."
However, not all cards were filled in correctly and some RVNs were including more than the permitted five hours of undocumented self-directly study annually. The number of hours recorded in the survey data was accordingly reduced in order to correct this. Taking into account this reduction, the survey found that the RVNs responding completed an average of 23 hours of CPD 2007, and 28 hours in 2008.
The RCVS asked 509 RVNs - a random sample of 10% of all RVNs qualified for more than three years - to submit a copy of their CPD Card. Of these, 460 returned a copy of their card - a response rate of 96%.
Libby said: "I would like to thank the RVNs who submitted copies of their cards as requested. As the purpose of this exercise is to collect baseline data for use in the future, we will be contacting the small number of RVNs who failed to submit a copy of their CPD card when asked."
All RVNs should ensure that they are familiar with the CPD requirements. Guidance is printed on the RVN CPD Record Card which can be downloaded from www.rcvs.org.uk/vnregister.
The RCVS is to launch a new badge for registered veterinary nurses (RVNs) at the British Veterinary Nursing Association Congress later this week.
The launch ties in with the 50th anniversary of veterinary nurse training, and highlights the fact that RVNs, while qualified to the same level as their listed colleagues, stand apart because they additionally agree to account for their professional practice and keep their skills and knowledge up to date.
The non-statutory RCVS Register of Veterinary Nurses was introduced in 2007, and RVNs abide by a code of professional conduct, commit to continuing professional development and, from 1 April this year, can be taken to task via a disciplinary system.
The new badge builds upon the old version but with the word 'registered' underneath. Plans for a more dramatic departure from the existing badge were dropped when the College saw the affection in which veterinary nurses held the traditional antique silver and red-enamel badge, introduced in 1984.
Liz Branscombe, Chairman of the RCVS Veterinary Nurses Council said: "There is currently no legislation to protect veterinary nurses' title and area of work, but we have not stood still and the Register shows a real commitment to developing our status as professionals. We need to ensure this commitment is recognised by clients and others in the veterinary team, and hope the new badge will make it easier to identify who is professionally accountable."
All those veterinary nurses qualifying since 2003 automatically became registered and those qualifying earlier could choose to do so. Currently there are 8,682 registered veterinary nurses, and 1,463 remain on the unregulated list.
The new badge will be presented to all those qualifying since 4 July 2011, and those registering earlier can purchase it for £15 (to cover the cost of the badge and engraving it with the RVN's individual number) up until the 31 January 2012. RVNs are under no obligation to purchase the new badge, although the College hopes that many will choose to do so to mark the step forward which the profession has made.
The Veterinary Nurses Council is developing proposals for statutory regulation to put to the Department for Environment, Food and Rural Affairs. Meanwhile, Roger Gale MP will host a reception at the House of Commons on 11 October to celebrate the first half-century of veterinary nursing, and raise awareness of the benefits for animals and their owners of legal recognition of veterinary nurses.
Veterinary nurses attending BVNA Congress in Kettering are encouraged to visit the RCVS stand in the gallery area to take part in a 50th anniversary quiz, collect their chocolate version of the new badge, and find out how to obtain the real thing. Liz Branscombe will also be making a presentation on Saturday 8 October about the new disciplinary system for registered veterinary nurses.
The RCVS has launched a survey to discover what the profession thinks it does well and what it could improve upon.
The confidential online survey asks about your recent interactions with the College, what you think the organisation does well and what can be improved upon.
The survey is one of several activities that the College is undertaking as part of its First-Rate Regulator initiative. Others include a survey amongst those who have made complaints; research amongst RCVS staff and Council / VN Council members; in-depth phone interviews with veterinary surgeons, veterinary nurses and practice managers; and, questionnaires aimed at stakeholder organisations that work regularly with the College.
Desk-based research is also being carried out, to see how the RCVS shapes up when compared to other similar regulators, both in the UK and overseas.
Following this evidence-gathering stage, an assessment will be made about where gaps exist between how the College performs and what it ought to be achieving, together with recommendations for change.
Nick Stace, RCVS CEO said: "Becoming a first-rate regulator is the aim, building on the good things we do, and challenging ourselves to be better where we fall short."
"Although the RCVS has a long and proud history, we also need to have a sustainable future. Careful scrutiny of what we do, and how we can improve, will ensure this. I would urge all members of the veterinary team to take this unique opportunity to help improve the regulation of their professions."
The survey closes on 4 January 2013. All veterinary surgeons and veterinary nurses for whom the RCVS holds unique email addresses will be sent a link to the survey. Others are invited to visit www.rcvs.org.uk/firstratesurvey to take part. Practice managers, and student vets and VNs are also encouraged to complete the survey. Individuals who are not veterinary surgeons, nurses, students or practice managers, and who have views about how the College could improve, are invited to contact Nick Stace on nick@rcvs.org.uk.
The RCVS has advised that veterinary surgeons should delegate Schedule 3 work to veterinary nurse students only during students' training, following a series of queries from employers about such students locuming.
Veterinary surgeons have dispensations under Schedule 3 of the Veterinary Surgeons Act to delegate to student veterinary nurses in the course of their training, so that students can learn how to give medical treatments to animals.
Crucially, these dispensations apply only when the student is working as a student in their approved training practice or on a placement organised by their university, and is under the supervision of qualified staff.
These dispensations do not apply to any extra-curricula activity so, if working as locums, they are legally classified as unqualified lay staff
The RCVS is concerned that locum agencies do not always appear to know this and are placing locums in their capacity as students, or even "senior students." This has the potential to mislead employers and the students concerned, and result in illegal practice.
Liz Branscombe, Chairman of the RCVS Veterinary Nurses Council said: "We know that student VNs, especially those on university courses, often undertake locum work to supplement their earnings. However, beyond the training practice which employs them, or in a placement organised by their university, they can only carry out tasks that may be expected of an unqualified staff member, and cannot legally undertake Schedule 3 work."
Practices may check the details of a student VN directly with the RCVS or with the student's college. If you notice an agency promoting student VN locums, please contact the RCVS so that we can provide guidance.
Miss Morris faced three charges.
The first was that she left the post-operative German Shepherd unattended between 12.15pm and 2.30pm, made clinical records entries before leaving the practice indicating she’d made these entries at 2pm when she had not, and at 1.41pm sent a message to a veterinary surgeon colleague in which she purported to be providing contemporaneous updates about the dog’s condition and circumstances when she was not, in fact, with the animal.
The second charge alleged that her conduct from the first charge was potentially detrimental to the dog’s welfare, while the third charge alleged that the same conduct was dishonest and/or misleading.
Miss Morris admitted the majority of the charges, although she denied that she had made the clinical record dishonestly, saying that she had innocently omitted to correct a time entry she had earlier made in the records as a “prompt”.
After considering the evidence, the Committee found that she had been dishonest as she knowingly pre-entered the incorrect time in order to cover up for a period of absence from the practice.
The Committee then considered whether the charges amounted to serious professional misconduct.
In terms of aggravating factors, the Committee found that there was a real risk of injury to the animal caused by leaving it unattended when it was recovering from a serious emergency procedure, dishonesty, recklessness regarding the dog’s welfare, pre-meditated misconduct, breach of client trust and, breach of the position of trust and responsibility placed in her.
In mitigation, the Committee considered that this was a single isolated incident, that it concerned one animal, and that, although there was a risk of harm in leaving a vulnerable animal unattended, her actions did not directly lead to any harm coming to the animal.
Overall, it found that Miss Morris’s conduct would undermine the public trust and confidence placed in the veterinary nursing profession as a whole as well as bring the profession into disrepute and so found that her actions amounted to serious professional misconduct.
In deciding the most appropriate sanction, the Committee took into account a number of further mitigating factors. These were Miss Morris’s youth and inexperience at the time of the misconduct, her previously unblemished career, her open and frank admissions to the majority of the charges, her efforts to avoid repeating such behaviours, her efforts to remediate past misconduct, the significant lapse of time between the incident and the disciplinary hearing, her demonstration of insight into her misconduct, together with and positive personal character references and testimonials.
Mrs Judith Way, chairing the Committee and speaking on its behalf, said: “In deciding the proportionate sanction, the Committee considered the nature and extent of the dishonesty it had found proved.
"When considering where the dishonesty fell on a scale of dishonesty, it noted that the respondent had acted dishonestly within her practice as a veterinary nurse, on three clinical records, but that the dishonesty related to a single incident and one patient with the aim of extending her time away from the practice on Christmas Day.
"It therefore concluded that this could be described as middle ranging dishonesty (not the most or least serious type of dishonesty)."
Mrs Way added: “The Committee therefore concluded that, taking into account all of the above matters, a suspension of six months was the proportionate sanction required to meet the public interest in this case.
"It decided on a period of six months in order to send a signal to the veterinary nursing profession and the public about such conduct.
"In the Committee’s judgment, taking into account all of the above factors, a sanction of removal would be excessive and would not take sufficient account of the substantial mitigating factors.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
The Royal College of Veterinary Surgeons is warning practices and would be veterinary nurse students to check that VN training courses are approved by the College, or they will not lead to qualification as a veterinary nurse.
The RCVS has reported one such course, run by Direct Veterinary Services of Oxford (http://www.direct-vets.com/), to Trading Standards: it advertises 'accredited training for veterinary nurses' leading to 'an honours degree in veterinary nursing' without being an RCVS-approved training provider or awarding organisation.
RCVS Head of Veterinary Nursing, Libby Earle said: "Would-be veterinary nurse students should always check that the course they are embarking upon will lead to a qualification that is recognised by the RCVS for the purposes of registration, or they may be in for a disappointment.
"Only those courses approved by the RCVS will lead to registration, and without registration (or listing), individuals should not call themselves veterinary nurses and cannot legally carry out medical procedures and minor surgery under Schedule 3 to the Veterinary Surgeons Act."
The College says candidates should also be wary of training providers who demand money upfront online.
All new veterinary nursing courses and qualifications must be approved by the RCVS and this process can take some time. The list of approved centres providing VN training courses, together with details of approved qualifications, are available at: http://awardingbody.rcvs.org.uk/,
The RCVS is focussing its efforts on the campaign to protect the title ‘veterinary nurse’ at BVNA Congress 2015.
Ahead of the Congress, which takes place at the Telford International Centre from 9 to 11 October, the College has produced badges which veterinary nurses can wear in support of the campaign. The campaign started in May and, this August, the College launched a petition on the official UK Government and Parliament e-petition website calling for the title ‘veterinary nurse’ to be protected in law, so that only those who are qualified and registered can call themselves a veterinary nurse.
Lizzie Lockett, Director of Communications at the College, said: “The response to our campaign so far has been excellent – for example, more than 10,000 people have signed our petition in just a few weeks.
“We now want to get the word out to the wider public about this campaign and hope that if veterinary nurses wear the badge it will act as the starting point for a conversation with clients, family and friends about what they do, what it means to be a veterinary nurse and why the title needs to be protected.”
The badges will be available to collect from stand B7, where delegates can also sign the petition and pick up a template letter asking local Members of Parliament to support the campaign.
Visitors to the stand can also take part in a ‘Shape your future’ game in which they will be challenged to complete a shape puzzle as quickly as possible, with the fastest person receiving a Kindle Fire. The game is based around the joint RCVS and BVA Vet Futures project which aims to help the veterinary professions prepare for and shape their future.
At 11.45am on Saturday 10 October, Liz Cox RVN, the Chair of VN Council, will be leading a session for any veterinary nurses who wish to make the professional declaration that all new nurses make upon registration. Following this, Liz will be joined by Julie Dugmore, Head of Veterinary Nursing at the RCVS, Fiona Andrew, President of the BVNA, and Samantha Morgan, Vice-President of the BVNA, for a question and answer session with Congress delegates.
To coincide with BVNA Congress, VN Council will also be holding its first ever meeting outside of London on Thursday 8 October at the Holiday Inn Telford, between 11am and 1.30pm. The meeting is open to members of the public and the veterinary nursing profession, but they must give the RCVS at least one week’s notice. Please contact Emma Lockley, RCVS Events Officer, on e.lockley@rcvs.org.uk if you wish to attend.
More details about the protection of title campaign can be found at www.rcvs.org.uk/vntitle.
Further information about Vet Futures, including the latest research and blogs about the future of the veterinary profession, can be found at www.vetfutures.org.uk
The work done by vetnurse.co.uk and vetsurgeon.org attempted to identify the sorts of unpleasant behaviour that veterinary surgeons and and nurses found themselves on the receiving end of, and the impact that it had on them. It was not, however, able to quantify the prevalence of these types of behaviour other than to the extent that there were 677 reports.
The new survey of over 650 vet nurses and student vet nurses found that not only did 96% agree or strongly agree that bullying and incivility is a serious problem in the profession, but 70% of respondents had personally experienced a mental health concern as a result.
Other findings from the survey were:
The full findings of the survey will be revealed at the MMI Student Veterinary Nurse Wellbeing Discussion Forum, taking place on Wednesday 3rd November.
Attendees will have the opportunity to discuss the challenges highlighted in the survey and how they can be addressed. The results will also be published at a session led by Jill McDonald, VN Futures Project Coordinator at BVNA Congress, taking place Saturday 2nd – Monday 4th October.
Lisa Quigley, Mind Matters Initiative Manager, said: “A number of our survey findings are extremely concerning, particularly the high levels of bullying, incivility and discrimination reported by participants. We conducted the survey with the intention of finding out more about what systemic issues across workplace practices were impacting on the profession’s mental health.
"We want to thank everyone who took part and shared their experiences with us. There were some upsetting accounts shared with us about experiences of bullying and discrimination – no one should go through this at any point in their life, let alone at their place of work.
"Decisive action needs to be taken to tackle this and we will be using the findings of the survey to help form our 2022-2027 strategy and decide what resources and training we create for the profession. Supporting the wellbeing of veterinary nurses and student veterinary nurses is one of our key priorities, and will be part of all future MMI activities.”
“I would encourage as many veterinary nurses and student veterinary nurses as possible to attend the upcoming Student Veterinary Nurse Wellbeing Discussion Forum and our session at BVNA to have your voice heard about what steps need to be taken to improve the mental wellbeing of the profession.
"We recognise that these results may bring some difficult emotions to the fore for many people, and we would encourage anyone who has experienced bullying or discrimination to seek help from an organisation such as Vetlife or the National Bullying Helpline.
"I would urge anyone who witnesses bullying or discrimination in the workplace to speak out, wherever it is safe to do so. This takes immense courage, but it is only by calling out this behaviour that it can begin to be addressed. We will be launching Active Bystander training in early 2022, to equip people with the confidence to call out unacceptable behaviour, and the skills to proactively support colleagues who have been targeted.”
Matthew Rendle, Chair of the RCVS Veterinary Nurses Council, added: “As a veterinary nurse some of these results were a difficult read and I would like to thank those student vet nurses and newly qualified vet nurses who came forward with great honesty and bravery with their views and experiences, as it couldn’t have been easy.
“We take these matters very seriously and opening up the conversation is an important first step. I hope that, following these results, we can take look at things such as strengthening reporting mechanisms for bullying and discrimination and encouraging better workplace practices to mitigate against these incidents.
“While it’s easy to focus on the negatives, I do think that these survey results have given us positive steps to build on, not least that people know how to access mental health support so they’re not suffering in silence and the role that our amazing clinical coaches are playing in supporting people with their mental health, and how we can better give them the tools for this support.”
Voter turnout was more or less the same this year as last: 10.9% (or 1,435) of those eligible to vote. The average over the past 10 years is an 8.8% turnout.
The two places available on VN Council will be taken by new members Matthew Rendle and Racheal Marshall who gained 547 votes and 537 votes respectively.
Eleanor Ferguson, RCVS Acting Registrar, said: "I’d like to congratulate all those who were successfully elected, and re-elected, to Council, and thank all those who took part in this year’s elections – whether by standing as a candidate, casting a vote or submitting questions for the candidates to answer."
Liz Cox, Chair of VN Council, added: "Many congratulations to the two brand new members of VN Council – I look forward to working with them over the coming years and seeing what they can bring to help drive the profession forward."
All the successful candidates will take up their positions at RCVS Day – the College’s Annual General Meeting and Awards Day – on Friday 15 July 2016 at the Royal Institute of British Architects.
Each candidate in the elections was invited to produce a short video in which they answered questions put to them by fellow members of the professions and which appeared on the RCVS YouTube channel. The videos provided by the RCVS Council candidates received 1,169 views while those provided by the VN Council candidates received 779 views.
The elections were run on behalf of the College by Electoral Reform Services.
The RCVS is holding a session at the London Vet Show on Saturday 23rd October from 8:30am-9:30am to provide guidance and advice concerning the work the nursing team does in practice.
As the RCVS says, the recent Panorama programme "It shouldn't happen at a vets'" was a stark reminder of the importance of ensuring that all practice staff are working within the appropriate legal framework.
The session will answer such questions as:
Because of the early start, the RCVS is providing breakfast from 8:15am.
The RCVS says the session will be relevant for all members of the practice team, but that if you can't make the session, they will be on hand to discuss VN legislation on stand M26.
The campaign was officially launched at an event at the Palace of Westminster sponsored by Kevan Jones MP (Labour, North Durham) who has spoken about his own experiences with depression, and featured first-hand testimonials from senior veterinary surgeons and doctors who have experienced mental ill-health.
‘&me’ is a collaboration between the RCVS Mind Matters Initiative, which seeks to address mental health and wellbeing issues within the veterinary profession, and the Doctors’ Support Network, which provides peer support for doctors and medical students with mental health concerns.
Introducing the campaign, Mr Jones said: "The key message I have today in regards to mental health is talking about it and trying to get it out of the dark corners rather than it being something you are ashamed to talk about. That is how we get people to help themselves with their own condition and to seek help. The other key thing is not to write people off if they have a mental illness."
The floor was then opened to personal stories from those who have lived experience of mental ill-health. Dr Louise Freeman is Vice-Chair of the Doctors’ Support Network and was diagnosed with depression in 2009 as a result of the way in which her return to work was handled after having time off work as an emergency medicine consultant following a bereavement.
She said: "This experience made me think that doctors with mental health problems were in a small minority and that it was probably our own fault anyway. Both impressions are completely wrong. The incidence of mental health problems is one in four people in any one year and is actually higher for doctors, who are often slower to seek help than non-medics. The good news is that well supported doctors have excellent treatment outcomes.
"During my own return to work, I was told by my clinical lead that they had 'always thought that I was a mental health problem waiting to happen.' I think this says more about them than it did about me! On reflection, yes that was true, but only inasmuch as this applies to all of us during our lives.
"I hope that the ‘&me’ campaign can start to address this by encouraging senior healthcare professionals, who are currently well, but have experienced mental health problems, to disclose that they have 'been there themselves'. I think that this will help to normalise mental ill health for healthcare professionals and therefore remove some of the barriers to unwell professionals seeking help at an earlier stage. Overall this would be better for healthcare professionals, their colleagues and their patients."
David Bartram, Director of Outcomes Research for the international operations of the largest global animal health company and a member of the Royal College of Veterinary Surgeons' governing Council, spoke next. He gave his perspective on coming to terms with a mental health condition in a profession that has some stigma attached to it.
A number of years ago David attempted suicide following the breakup of his marriage and explains what happened from there: "I just thought I was stressed – after all, who wouldn’t be in those circumstances? But in fact I was becoming progressively more unwell. What started as worry, early waking and palpitations – which I recognised – led to patterns of thinking which I did not recognise as being disordered. I felt trapped and worthless – suicide was the only escape. From a medical perspective, my biological, social and psychological risk factors had converged and tipped me into major depression.
"That was the first of multiple suicide attempts and several prolonged stays in hospital. Over a three-year period I spent 12 months as a psychiatric inpatient. I was treated with antidepressants, antipsychotics, mood stabilisers, talking therapies and electroconvulsive therapy.
"But now thankfully I am well – and I have been for 14 years…. To what do I attribute my recovery? A mixture of medical treatment, psychological therapies, supportive friends and family, rest and time – they all contributed, probably in similar measure."
He added that while his episode of mental ill-health does not define him it has changed him in a positive way and that no one is immune from it.
Dr Jonathan Richardson is Group Medical Director for Community Services at the Northumberland, Tyne and Wear NHS Foundation Trust who had a mental health condition when he was a medical student and spoke about how it is possible to flourish in your career with a mental health diagnosis.
"I was unwell as a teenager with a physical illness and later as a medical student with a mental illness… these two experiences crystallised my drive to become a doctor and my own approach to healthcare. I wanted to be able to deliver the care that I was fortunate to receive. I wanted to be as patient-centred and compassionate with the patients I would serve, in the same way as the teams who delivered my care. I was lucky to have support when I was unwell from very good friends, some from school and some from university; and a very close family. I have been able to recover.
"It is 24 years since my mental illness. I now work in Northumberland, Tyne and Wear NHS Foundation Trust, one of the largest mental and learning disability health trusts in England – and one of only two to be rated outstanding by the Care Quality Commission…. I do not feel that my illnesses have stopped me."
Dr Angelika Luehrs is the chair of the Doctors’ Support Network and a consultant psychiatrist who was diagnosed with bipolar affective disorder while she was a trainee psychiatrist. She said: “When I asked for advice about how to access help one of the answer I got was one of ‘whatever you do, make sure that you don't have any mental illness in your medical records otherwise you will never go anywhere in your medical career. However, getting the diagnosis and help from a Consultant Psychiatrist was the best thing that ever happened.”
She added: "The reality is that my diagnosis has not stopped me – I have been a consultant psychiatrist since 2010 with the Avon and Wiltshire Mental Health Partnership NHS Trust, last year I was appointed as medical lead for West Wiltshire including early intervention, intensive services and primary care liaison services. I have a special interest in supporting doctors with mental illness and I am delighted to be appointed by the newly launched GP Health Service as a special advisor for complex mental health cases."
The last speaker was veterinary surgeon Neil Smith who chairs the RCVS Mind Matters Initiative and outlined how to participate in the campaign. He said: "This event is just the start… the real challenge is to start to get this message out to the wider professions. Stigma is a difficult thing to tackle, but the good news is that changing our minds is within the power of every individual to do."
Following the launch the ‘&me’ campaign is now encouraging other senior health professionals to step forward and talk about their own experiences with mental ill-health, especially as both medical doctors and veterinary surgeons have higher suicide rates than the general population but often have more reluctance to seek help because of the impact it may have on their career.
The campaign is interested in hearing from not only doctors and veterinary surgeons but also nurses, veterinary nurses, dentists, pharmacists and other healthcare professionals who want to open up about their experiences of mental ill-health. To participate in the campaign email Dr Louise Freeman on vicechair@dsn.org.uk.
Further information about the ‘&me’ campaign can be found at www.vetmindmatters.org/&me
The deal includes an option for the College to lease the building for up to two years to give it time to consider its options for the future, and how they may have changed as a result of the pandemic.
The decision to sell the property was made back in November 2018, when Council decided that the building was rapidly becoming unfit for purpose and the College needed more up-to-date and modern facilities with more room for a growing workforce. The College’s Estates Strategy Project Board was tasked with managing the process, chaired by former RCVS President Barry Johnson.
RCVS Treasurer Susan Dawson said: “Council recognised that this deal realised maximum value for the building, especially considering the impact the pandemic has had on property prices in Central London.
“It also provides a very valuable opportunity to reflect on the changing needs of the organisation and the professions and public it serves, and to consider the requirements and different working patterns of the College staff going forwards.
“It is likely that many staff members will wish to continue to work at home more than they did pre-Covid, so the need for pure desk-space may not be as great as we had planned for the 10-15 years ahead. However, the importance of in-person meetings for collaboration, creativity and the maintenance of good corporate culture is not to be underestimated, so our new requirements are likely to be different to that anticipated back in 2018.”
The College says it expects to welcome limited numbers of staff back to the office in June, to work in a socially distanced way, including virtual or partly-virtual meetings.
Changes to working patterns over the coming months will also help inform decisions around future remote working policies and the type and size of building that will best suit the future needs of the College and its workforce.
The RCVS Disciplinary Committee has suspended two veterinary surgeons from the Register after finding them guilty of lying to clients and the College about the circumstances of a castration procedure which led to the death of a dog.
The Committee suspended Mr Mpho Donald Lesolle and Mr Georgi Cheshmedzhiev from the Register for four and two months respectively, following surgery undertaken on Benson, a two-year-old male Labradoodle belonging to Mr and Mrs Grayson.
During the proceedings, the Committee heard that, on 6 August 2013, Mr and Mrs Grayson brought Benson to the Swinfen Veterinary Centre in Stafford, where Mr Lesolle is the practice principal and Mr Cheshmedzhiev was his assistant, for the operation which was undertaken by Mr Cheshmedzhiev. Mr Lesolle did not directly supervise the procedure telling the Committee that he was confident that his colleague could carry out the castration, having permitted him to do so on previous occasions.
The Committee heard that, after the operation, a nursing assistant, Ms Bell, had noticed that there was blood on the bedding and that Benson had a swollen scrotum. Mr Lesolle then performed a scrotal ablation on Benson, who was discharged later that day.
However, on the morning of 8 August 2013, Mrs Grayson discovered that Benson had died during the night. An independent post-mortem concluded that he had probably died of intra-abdominal bleeding which caused circulatory collapse. Mr and Mrs Grayson raised a concern with the RCVS in September 2013.
The charge against Mr Lesolle relates to his actions following the operations and during the investigation. The four parts of the charge were that he failed to be sufficiently open with Mr and Mrs Grayson on the circumstances of Benson’s surgery; that, in September 2013, he wrote to the College indicating that he had in fact performed the castration and failing to state that there had been two operations; that, on 23 January 2014, he informed Pam Mosedale, a Veterinary Investigator employed by the College, that he had carried out both procedures; and that, on the same day, he also encouraged his veterinary nursing assistant Ms Bell to be dishonest with the College’s investigators.
Mr Lesolle, who was present at the hearing, admitted all parts of the charge against him. He told the Committee that he decided to take responsibility for Mr Cheshmedzhiev’s operation out of a desire to protect his colleague whom he regarded as vulnerable and lacking in self-confidence. He also accepted that he had encouraged Ms Bell to lie during her interview. He told the Committee that he had persisted with the deceit until 15 January 2015, when he gave a full account of what had occurred.
The three parts of the charge against Mr Cheshmedzhiev, who was not in attendance or represented at the hearing, were that in a letter to the College sent in September 2013, he indicated that he had not undertaken the castration procedure on Benson; that on 23 January 2014 he had denied carrying out the operation while being interviewed by Pam Mosedale; and that, on 19 June 2014, while being interviewed by a solicitor instructed by the College, he said that Mr Lesolle had carried out both procedures.
The Committee found the charge against Mr Lesolle amounted to serious professional misconduct, falling far short of what is expected of a professional. The Committee highlighted the protracted nature of his deceit and the fact that he encouraged another member of staff to participate in it. However, it did accept that his motivation was to protect Mr Cheshmedzhiev.
In deciding on the sanction for Mr Lesolle, the Committee considered the aggravating and mitigating factors. Ian Green, chairing the Committee and speaking on its behalf, said: “Having taken the calculated decision to deceive the College as to what had occurred, he abused his position of responsibility to obtain support for his deceit by involving a junior employee, without any proper consideration of the effect of that decision upon her. Instead he continued with the deceit until he was presented with incontrovertible evidence that he had not carried out both procedures on the dog. In the Committee’s view he showed a wilful disregard for the College’s investigatory process.”
However, in mitigation, it also accepted that he was protecting a colleague and that there was no financial gain. It also considered his personal circumstances, the fact that he is sole principal of a small mixed practice which provides his sole source of income and that the rented accommodation also provides a home for his wife and two children. Taking all factors into account, the Committee imposed a sanction upon Mr Lesolle of four months’ suspension from the Register.
In regards to Mr Cheshmedzhiev, the Committee did not find the part of his charge relating to the letter sent in September 2013 to be proven but, in respect of the other two parts of his charge, found that his conduct fell far short of what is expected of a professional. It highlighted his willing participation in the deceit over a protracted period and his failure to take responsibility for his own involvement in the operation on Benson.
In deciding the sanction, the Committee said that the fact that Mr Cheshmedzhiev had lied to the College’s investigators on two occasions and did not admit that he had carried out the castration and apologise for his actions until February 2015, after he had returned to his native Bulgaria, was an aggravating factor.
Ian Green added: “The Committee accepts that he allowed himself to be persuaded by Mr Lesolle to provide a dishonest account of what had taken place to the College’s investigator Mrs Mosedale, and solicitor, Mr Hudson. It also accepts that he has been described by Mr Lesolle as a vulnerable person, lacking in self-confidence in his ability to practise as a veterinary surgeon in the United Kingdom.
“Nevertheless, Mr Cheshmedzhiev accepted the obligations contained in the Code of Professional Conduct when he registered as an MRCVS, which included an obligation to cooperate honestly with the College’s investigatory process. It has also noted that he has expressed a present intention not to work in or visit the United Kingdom again.”
Taking into account all factors, the Committee decided the appropriate sanction was to suspend him from the Register for two months.
The Codes were approved by RCVS Council and the Veterinary Nurses Council earlier this year, following a lengthy consultation and review process that began in 2009, and will replace the existing Guides to Professional Conduct.
The College says the new Codes are principles-based, easily accessible and, at 16 pages long compared to the 50-page Guides, much more concise. They bring the College's guidance into line with the codes of conduct of other regulatory bodies, and help to describe those professional responsibilities that are fundamental to veterinary surgeons' and veterinary nurses' practice.
To expand on and clarify these professional responsibilities, an additional 27 chapters of supporting guidance have been published on the RCVS website, which also consolidate and update all existing RCVS guidance for veterinary professionals.
Both Codes set out five principles of practice: professional competence; honesty and integrity; independence and impartiality; client confidentiality and trust; and, professional accountability.
The veterinary surgeons' Code features an update to the declaration made on admission to the profession and, for the first time, the veterinary nurses' Code includes a declaration to be made on professional registration.
Among the professional responsibilities introduced in the Codes are: mandatory recording of continuing professional development; a mandatory professional development phase for new veterinary surgeons and period of supervised practice for registered veterinary nurses (RVNs) returning to practice after a break; a Performance Protocol; and, notification to the RCVS of any matter that may affect fitness to practise, including convictions (although this will require further consideration by the College).
For the first time, mandatory clinical governance has been introduced, and minimum practice standards have also been incorporated, at equivalence to the core standards set out in the RCVS Practice Standards Scheme.
A pocket-sized hard copy of the Code will be posted to all vets and RVNs shortly, which will include references to where the supporting guidance and further information can be found on the RCVS website. The online versions - at www.rcvs.org.uk/vetcode and www.rcvs.org.uk/vncode - are fully searchable by keyword, and PDF versions will soon be available to download. A digital version is also being explored, to enable veterinary surgeons and veterinary nurses to access the Codes and supporting guidance on smart phones and tablets.
Although only registered veterinary nurses have agreed to abide by the VN Code of Professional Conduct, the College hopes that all veterinary nurses will consider it a useful benchmark of professional standards.
Dr Jerry Davies, RCVS President, said: "I am delighted that this significant piece of work has come to fruition. The RCVS has shown that, despite aged legislation, the Codes will, through imaginative interpretation of the Veterinary Surgeons Act, ensure the public and their animals continue to receive the level of professional service they have come to expect from veterinary surgeons and veterinary nurses in the UK."
Veterinary Nurse Sarah Hancill has won the Royal College of Veterinary Surgeons Charitable Trust’s 'Driving Practice Innovation' competition, with her peripheral venous catheter care checklist.Sarah's competition submission reads as follows:"Peripheral venous catheters are used to administer medication directly into the venous system for rapid distribution to the whole body, and also to deliver fluid therapy and nutritional support to the patient."The rationale behind the creation of the checklist is that, although intravenous catheter insertion has become common practice, breaking the skin barrier alters the hosts’ defence against infection, which increases the risk of local infection or bacteraemia with more serious complications such as septicaemia. This causes concern for patient safety."The peripheral venous catheter care checklist is intended to increase patient safety. It consists of 14 quality indicators, repeated every 24 hours over a 72 hour period."This timing allows for objective assessment of clinical performance for insertion and management of the peripheral intravenous catheters."Examples of the interventions included are: appropriate hand hygiene is followed before handling the patient; an assessment of the appearance of catheter insertion site; and the timely removal of the catheter."Each day the veterinary nurse or veterinary surgeon caring for the patient should complete each intervention and record their findings on the checklist provided."This can then be used as a tool for communicating between staff any problems with the catheter. It can also be used to collect data on what interventions are being completed."It is hoped that the checklist will be valued by veterinary nurses as a practical tool to care for patients who need an intravenous catheter placed as part of their treatment."It has an additional use as an educational tool to enable students to understand the correct protocol for caring for an intravenous catheter."Sarah has a BSc (Hons) in Veterinary Nursing from the Royal Veterinary College where she gained her foundation degree in veterinary nursing before becoming an RVN in 2011.Her prize was £100 in shopping vouchers which she intends to spend on a pair of netball shoes. “Playing netball helps me to deal with the stresses of being a veterinary nurse,” she says.
The RCVS has asked more than 800 registered veterinary nurses to submit their continuing professional development (CPD) records in order to monitor compliance with their professional obligation to undertake CPD.
Under the Code of Professional Conduct for Veterinary Nurses, members of the VN profession are expected to undertake at least 45 hours of CPD over a rolling three-year period in order to demonstrate that they are keeping their skills up-to-date and engaging in learning and development.
Every year since 2010, the RCVS has conducted a CPD audit with registered veterinary nurses to gauge compliance and see what type of CPD the profession is engaging in.
This year the College contacted a random sample of 468 registered veterinary nurses from across all postcode areas (representing around 8% of the profession) asking them to share their records. It also wrote to 107 RVNs who took part in last year’s audit but were short of meeting the requirement, 80 RVNs who failed to respond to requests to submit their records in last year’s audit and 150 RVNs who confirmed they were not compliant with the CPD requirement when renewing their registration last year.
Those veterinary nurses who were previously on the List and who were moved to the Register when the new RCVS Royal Charter came into effect in February 2015, have not been asked to take part in the audit. Previously listed veterinary nurses were not expected to undertake CPD and so the RCVS is allowing a ‘bedding in’ period of three years (until 2018) for them to fulfil the requirement.
Further details on how the new Charter affects previously listed veterinary nurses can be found at www.rcvs.org.uk/registration/about-the-vn-register/royal-charter-faq/
Veterinary nurses taking part in the audit need to submit their CPD records to the College no later than Friday 14 August. Records can be submitted by allowing the RCVS access to the online Professional Development Record (www.vnpdr.org.uk), by emailing a scanned copy of the CPD record card or posting a photocopy of the card.
Those with any queries about the audit should contact the Veterinary Nursing Department on 020 7202 0701 or email vnpdr@rcvs.org.uk
The RCVS has launched a new College honour, the RCVS Queen's Medal.
RCVS President Col Neil Smith said: "The Queen's Medal will be the most prestigious honour that the RCVS can bestow upon a veterinary surgeon and will be reserved for those whose distinguished careers and outstanding lifetime achievements deserve wider recognition."
The honour was created following a review of the RCVS honours system, which demonstrated the need for a new aspirational award.
The RCVS wrote to the Cabinet Office last year, together with letters of support from Peers and MPs, many of whom attended the reception, to request permission to name this new honour after Her Majesty the Queen.
Col Smith said: "We are honoured that Her Majesty has supported the proposal and allowed the College to name the award after her, and express our sincere thanks to those Parliamentarians who supported our endeavour."
The first RCVS Queen's Medal will be presented at RCVS Day in July 2014. The nomination form for the Queen's Medal can be found at www.rcvs.org.uk/Queensmedal.
The RCVS has announced that Dot Creighton has been given its Veterinary Nursing Golden Jubilee Award for her pioneering work to raise awareness of the role that nurses play.
Dot, who was President of the BVNA from 2003 to 2004, devised the concept of VN Awareness Day as a way of making animal owners and local communities more aware of veterinary nurses and what they do. This subsequently developed into an awareness week and now National VN Awareness Month, which takes place every May. This legacy was one of the main reasons Dot, who was also a member of VN Council from 2004 to 2011, was chosen to win the Award.
Kathy Kissick, Chair of VN Council, said: “Dot has worked tirelessly to raise awareness of the veterinary nurse both within the profession and with the general public. She has always supported the student veterinary nurse in training and leads by example at all times inspiring nurses to stay in or return to practice even when life changes their circumstances.
“Dot is an inspiration to many, many nurses and always commits 100% to the welfare of the animals in her care and to her clients. I congratulate her on achieving this award.”
The VN Golden Jubilee Award was launched in 2011 to celebrate the 50th anniversary of the first RCVS veterinary nurse training scheme and nominees can be veterinary nurses, veterinary surgeons or lay people who have made an outstanding contribution to the profession.
Dot was nominated for the Award by fellow veterinary nurse Lindsey Raven-Emrich who praised her “enthusiasm and input” to the profession, adding that she really “couldn’t think of a better member of the nursing community to receive this award.”
Dot, who is currently working in practice in Essex, said she was delighted to win the Award at such a crucial time for the profession. She said: “It couldn’t be a more exciting time to train to be a veterinary nurse – we have a robust training scheme, we are pushing and advancing the boundaries of veterinary nursing practice, we are seeing veterinary nurses branch out into different fields of clinical practice and, most importantly, the new Royal Charter officially recognises veterinary nursing as a regulated profession.”
The Award will be given to Dot at this year’s RCVS Day – the College’s Annual General Meeting and Awards Day – which takes place on Friday 10 July at One Great George Street in Westminster.
The RCVS) has announced that 5 candidates are standing in this year's RCVS VN Council elections - an increase of one from last year.
The candidates are:
Kathy Kissick, Chairman of VN Council, said: "I'm really pleased there is an increase in VN candidates this year, especially on the back of the marked increase in VN turnout that we saw in last year's elections. With all the changes continuing to face the VN profession, I can't stress enough how important it is for all veterinary nurses to get involved in our Council elections and I'd like to wish all five candidates the best of luck!"
In a slightly later start to the voting period this year, ballot papers and candidate details for the elections will be posted on 19 March 2014, and all votes must be cast, either online or by post, by 5pm on Friday, 25 April 2014.
In the meantime, the College is inviting all voters to think about the one question they would like to put to the candidates and submit it in time for this year's 'Quiz the Candidates', to be broadcast by the Webinar Vet at 8:00pm on the evening of 20 March. All questions received will be put to the candidates, who will each then answer two questions of their choice, as well as explaining what they consider sets them apart as a potential Council member.
Questions (one per person) for RCVS VN Council candidates should be submitted to the RCVS by 12 March via its dedicated election websites, available soon at www.votebyinternet.com/VNvote14, on twitter using the hashtag #VNvote14, or by email to VNvote14@rcvs.org.uk.
The RCVS Disciplinary Committee has agreed to adjourn multiple charges against a County Durham-based veterinary surgeon following her undertakings to request removal from the RCVS Register and never to apply to be restored to it.
At the hearing held yesterday, Silke Birgitt Lindridge was charged with disgraceful conduct in a professional respect in regard to four separate allegations, spanning the period of June 2011 to September 2012 whilst in practice at the Safe Hands Veterinary Group. Two of the allegations related to failures to euthanase or arrange the euthanasia of a cat and a dog and being dishonest and/or misleading about these failures, with their respective owners. The other two allegations related to administering a vaccine (Fevaxyn) which was more than two years past its expiry date to a cat, and failure to provide or take adequate steps to provide promptly all the relevant clinical information to a veterinary practice taking over the responsibility for the treatment of a Labrador Cross.
However, before the Disciplinary Committee had heard evidence in respect of these charges, Mrs Lindridge, who did not attend the hearing, had lodged her application for adjournment on the basis that she would request that the Registrar remove her name from the Register with immediate effect and undertake never to apply to be restored to it. The Disciplinary Committee made no enquiry into the facts of the four charges and emphasised that they had neither been proved against, nor admitted by, the respondent.
Removal from the RCVS Register removes a veterinary surgeon's right to practise in the UK. The respondent informed the RCVS that she had no wish to return to the practice of veterinary surgery in this country. Should she subsequently apply to be restored to the Register, the Disciplinary Committee would resume its consideration of the charges, along with the breach of her undertaking.
The Disciplinary Committee was advised that the views of the animal owners involved had been sought and that all had agreed with the proposed course of action.
Speaking on behalf of the Disciplinary Committee, its Chairman, Professor Peter Lees, said: "Having considered the information before it, the Committee has decided it would not be in the public interest to proceed to a full hearing. It is satisfied that the undertakings offered by the respondent [Mrs Lindridge] protect the welfare of animals and uphold the reputation of the profession."
Professor Lees added: "The undertakings offered by the respondent to request the Registrar to remove her name from the Register with immediate effect and never to make an application for restoration to the Register, go beyond any sanction that this Committee could impose at the conclusion of a contested hearing. It does not consider that it would be proportionate for either party to incur the substantial costs of a contested hearing."
At the beginning of the hearing legal applications were made to rule that the whole proceedings should be stopped as an abuse of process on various grounds including the delay that had occurred in the matters being referred to the RCVS, and that there had been flaws in the original investigatory process.
There was also application that the evidence of one of the College’s witnesses should be excluded on the grounds that the witness had been convicted of bribery.
The Committee decided that the proceedings should continue but ruled that the statement and evidence of one witness should be excluded from the hearing based upon their conviction.
Mr Gracey faced five charges, all of which he was found guilty of. They were:
Three other charges were found not proven and one allegation was withdrawn by the RCVS.
The Committee then considered if the proven charges amounted to serious professional misconduct.
In doing so it made reference to the Code of Professional Conduct and its supporting guidance, particularly in relation to the 10 Principles of Certification.
Dr Hazel Bentall MRCVS, chairing the Committee and speaking on its behalf, said: “The Committee considered individually and cumulatively all matters it had found proved.
"It concluded that the public relies on veterinary surgeons to be honest and transparent when completing and signing forms.
"There is a public interest in being able to trust the profession to uphold high standards of probity because veterinary surgeons are trusted to play an important role in the promotion of animal health and welfare and associated human health.
"The Committee therefore concluded that cumulatively Charges 1, 2, 3 and 4 amounted to serious professional misconduct because the respondent had failed to meet the necessary high standards of honesty and transparency.
"In particular the fact that there were four separate events relating to animal welfare and public health was significant when considering what sanction to impose.”
“The Committee is satisfied that such conduct, when taken together, would be considered deplorable by other members of the profession.
"The respondent’s conduct on four occasions in respect of four animals and three conflicts of interest called into question his competence in relation to completing such forms.”
In considering the appropriate sanction for Mr Gracey, the Committee took into account both mitigating and aggravating circumstances, as well as a number of character witnesses for the respondent who highlighted his positive personal and professional qualities.
In mitigation, the Committee considered that Mr Gracey has hitherto been of good character with no previous disciplinary findings, that he had admitted some parts of the charges against him at the outset of the hearing, that he had made efforts to avoid repeating the misconduct and remediate it – this included making alternative certification arrangements for his father’s farm and taking more appropriate care with record keeping.
The Committee also acknowledged the significant lapse of time between the date of the misconduct and the hearing and the stress that had caused to Mr Gracey, as well as the insight he had shown into his misconduct.
Taking into account all the factors, the Committee decided that imposing a period of six months suspension from the Register of Veterinary Surgeons was the appropriate sanction for Mr Gracey.
Dr Bentall added: “The Committee concluded that suspension of the respondent’s registration for a period of six months was proportionate.
"The Committee considered whether a shorter period was appropriate bearing in mind the mitigating factors it had found applied in this case.
"It decided that a period of six months was proportionate and the minimum length necessary to meet the public interest balancing the seriousness of the misconduct and the mitigation.
"It decided that a shorter period of suspension would be insufficient to uphold proper standards within the profession, or to have a deterrent effect.
“The Committee was satisfied that the respondent had shown sufficient insight and efforts to remediate his misconduct and it concluded that at the end of this period of suspension he would not pose a further risk to animal welfare or public health.
"The Committee considered that the respondent was a valued veterinary surgeon with extensive farm animal experience and that a more severe sanction such as removal from the RCVS Register would not properly reflect the Committee’s findings on the scale of dishonesty and would not take account of the respondent’s mitigation.”
www.rcvs.org.uk/disciplinary
The RCVS has written to 625 veterinary nurses whose names have been removed from the List of Veterinary Nurses (incorporating the Register) for non-payment of fees.
Receipts and (R)VN cards have been sent to those whose fees have been paid and whose names remain on the List/Register.
The College is asking VNs who have not received a receipt and (R)VN card for 2013 to check online to ensure they remain registered/listed, and to contact the RCVS if unclear about their status (www.rcvs.org.uk/registration/check-the-register-list).
Employers are also advised to check that the VNs they employ remain on the Register/List, as those who are neither listed nor registered are not legally permitted to carry out minor surgery or medical treatment under Schedule 3 to the Veterinary Surgeons Act 1966. A list of VNs removed for non-payment is available from the RCVS website to assist with these checks.
Although the RCVS has written to the VNs who have been removed, it is likely that some of these nurses have not kept the RCVS informed about changes to their addresses. Consequently, these VNs may not receive letters, and may not have received the previous fee reminders sent by the RCVS.
The deadline for payment of fees to remain on the RCVS List of Veterinary Nurses was 1 November 2012, although the RCVS continued to accept fees until 31 December.
The Veterinary Nurses Council of the Royal College of Veterinary Surgeons (RCVS) is hosting a seminar on 23 June 2011 to celebrate 50 years of veterinary nursing.
The Golden Jubilee will be marked with a series of thought-provoking talks: looking back to celebrate what veterinary nursing has achieved during its first half century, and taking a step forward to consider where it goes next.
Speakers will include pioneers from the early days of veterinary nursing, some of the trailblazers of today's profession and those involved with veterinary nursing overseas. There will be lots of opportunities to ask questions, put forward views and get involved.
The event, which will be held at the RCVS in Westminster, will start with registration at 10am and close around 4.30pm.
A small number of free tickets remain available for veterinary nurses and others involved with the development of the profession. Those interested should contact Fiona Harcourt, on 020 7202 0773 or f.harcourt@rcvs.org.uk, as soon as possible.
More information about other activities to celebrate the Veterinary Nursing Golden Jubilee can be found at www.rcvs.org.uk/VNat50.