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VetNurse.co.uk publishes a curated feed of veterinary nursing news for registered veterinary nurses (RVNs), students (SVNs) and veterinary nursing assistants, with a primary focus on the UK profession.
We select stories based on their practical relevance, clinical interest or professional significance — filtering out noise so busy veterinary nurses can stay informed quickly.
Our coverage includes:
We report across all areas of practice, including companion animal, referral and specialist settings, with a focus on issues affecting veterinary nurses in clinical and professional roles.
Our editorial approach is deliberately selective and concise. We prioritise clarity and relevance over volume, aiming to make each story worth your time.
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The article points towards the corporatisation of the profession, with 51% of practices now owned by private equity groups and 67% belonging to a group of three practices or more, as the main driver for an increase in vets' fees of over twice the rate of inflation between 2015 and 2020.
However, what the article focuses on, which is the issue of complex and very expensive treatments for pets, is a multifactorial problem which cannot be entirely blamed on corporatisation.
At its heart lie advances in science which now allow vets to offer ever more complex treatments and diagnostics which, when used in human medicine to prolong a human life might sometimes seem expensive, but when used to prolong the life of a dog, can seem frankly a bit bonkers.
Indeed the article does point towards over-treatment being partly driven by 'celebrity vets advocating increasingly complex surgeries'.
Then there's the fact that both parties to the transaction are often heavily invested in the idea of doing whatever can be done to save the dog: the pet owner, who has anthropomorphised their pet since they first collected it, and the vet, who's entire career has been dedicated to doing their best for the patient in their care.
Then of course there's the inflationary effect of insurance on treatment.
After all, if the animal is insured, why wouldn't you throw the kitchen sink at it?
Things are complicated by the difficulty in estimating the cost of veterinary treatment at the outset, when so much depends on the unknown outcome of diagnostic tests, the progression of disease and the success or failure of treatment. It's not like quoting for a new exhaust system.
There's also the inflationary effect of the increasingly litigious and socially litigious world we live in. It would be no surprise if veterinary surgeons have become more likely to test for everything, when the consequences of missing something is soul-destroying trial by social media.
And finally, there's the subjective value of money.
Nevertheless, the Daily Mail has a point.
Selling any product or service is about meeting clients' and customers' needs.
If you keep increasing the price of your product range until all you can offer is a Rolls Royce, sooner or later you're going to price yourself out of the market.
One other lesson for the profession from that article: 'No comment' is not a good look for a caring profession.
The research, led by the Royal Veterinary College in collaboration with the University of Edinburgh and Nottingham Trent University, also revealed that 66% of owners would recommend their flat-faced breed to others.
Although previous RVC studies found that owners are initially attracted to brachycephalic breeds due to their distinctive appearance, this latest study has revealed that behaviour traits are a core component of why owners ‘love’ their breed and would recommend them to others; essentially, owners come for the looks, but stay for the personality.
In order to gain a deeper understanding of these views, the study, which included over 2,000 owners of Pugs, French Bulldogs and English Bulldogs, asked owners to describe which aspects of their current breed they would or would not recommend in their own words.
The main reasons for owners recommending their breed included:
Conversely, aspects of their breed that owners would not recommend included:
Dr Rowena Packer, Lecturer in Companion Animal Behaviour and Welfare Science at the Royal Veterinary College and leader of the study, said: "With a multitude of stakeholders trying to tackle the current brachycephalic boom in the UK, our results are of real concern to these efforts. Understanding how breed loyalty develops towards brachycephalic breeds, and whether it can be changed once established, is key to reducing the popularity of short-muzzled breeds. If first time owners of flat-faced dogs choose these breeds for the rest of their lives, then the current crisis could continue for decades.
"Although strong focus has been placed upon dissuading new puppy buyers from purchasing brachycephalic breeds, as they are now some of the most popular breeds in the UK, attention should also be turned to current owners. Priority should be given to developing evidence-based strategies to help these owners consider lower risk, healthier breeds when acquiring future dogs. Our novel findings start this process by highlighting the key behavioural characteristics that this owner group value."
The CMA provisional decision was widely seen as less interventional than had been expected, largely demanding transparency over things like pricing, practice ownership and billing, which many practices had already implemented.
However, one provisional decision was that regardless of their status, all veterinary practices should inform owners that they can ask for a written prescription and explain that they may be able to have it fulfilled cheaper online.
Two of the largest online veterinary pharmacies are animed.co.uk, which is owned by CVS, and petdrugsonline, which is owned by IVC.
So in effect, the decision asked independent practices to direct their clients to competitor businesses.
What you might call a bitter pill to swallow.
In the light of the announcement, CVS issued a press release citing the "clarity" afforded by the CMA announcement and the fact that it does not think the CMA's proposed remedies will have a material impact, as factors behind its decision to seek a Main Market listing.
The company has also announced a £20m share buyback programme.
Thiamacare contains 10 mg/ml thiamazole, which is double the concentration of Thyronorm, for a lower dose volume.
Animalcare highlights research which shows that 87.4% of owners prefer liquid medications for their cat1, and that cats find liquid presentations more palatable2.
James Beaumont from Animalcare said: "With the lowest dose volume available, we believe Thiamacare will make the medical management of this condition easier through improved cat acceptance and better owner compliance."
Thiamacare's dosing syringe is marked with a single scale in 1.25 mg increments to facilitate precise dosing in response to total T4 measurement values. The scale does not need converting when switching from other brands or formulations.
Animalcare has developed a range of supporting materials to encourage the use of Thiamacare as the preferred choice for feline hyperthyroid medical management. They include social posts and a post-prescription leaflet to help veterinary teams support owners, particularly through the stabilisation phase post-diagnosis.
A short webinar offering top tips for treating feline hyperthyroidism from feline Specialist Dr Caney will also be available later in October. These resources will all be available at www.the-pac.co.uk.
References
Speakers at the free event will include feline expert Dr Andy Sparkes, BVetMed, PhD, DipECVIM, MANZCVS, MRCVS and the immunologist who led the Purina research behind Liveclear, Dr Ebenezer Satyaraj, PhD.
Andy will address the consequences of feline allergy. He says that in majority of cases, cat-allergic owners will choose to tolerate ongoing symptoms of allergy, rather than relinquish their cats, even when they have severe symptoms.
Ebenezer will talk about the research behind Pro Plan Liveclear and how it will allow veterinary surgeons and nurses to help support these clients.
Libby Sheridan, MVB MRCVS, Purina Veterinary Technical Affairs Manager, UK & Ireland said: "This innovation is safe for cats who continue to produce the major cat allergen, Fel d 1, which is found mainly in the cat's saliva and sebaceous glands.
"Our researchers found that the Fel d 1 protein could be neutralised through feeding a nutritious cat food coated with an innovative egg product ingredient containing anti-Fel d 1 antibodies1 which helps reduce the active allergen transferred to hair and dander during grooming, and ultimately helps reduce active Fel d 1 in the environment.2
"Now the science has resulted in a commercially available product that could have a big impact on the quality of life of the cat and their owner. We'll be sharing the research behind this at the symposium so that clinicians can evaluate the potential benefits."
Any member of the practice team can register for the event at www.veterinarywebinars.com/purina, and will be entered into a prize draw to win an iPad. There will also be a number of goody bags available as additional prizes.
More information about the science is available at www.purinainstitute.com.
The Linnaeus Post Registration Programme (PRP) is a year-long programme designed to support its newly-qualified veterinary nurses as they enter referral practice.
As part of the PRP, participants rotate around wards, theatre and diagnostics.
They can then choose an optional rotation such as soft tissue, orthopaedics, neurology, internal medicine or dentistry.
The nurses are supported by a broad team – including PRP managers, skills supervisors and clinical mentors – and offered ring-fenced training and study time.
The launch of the PRP coincided with the Covid-19 pandemic and until the first in-person training day last month, the programme had to be delivered remotely.
Sam Thompson, one of the Post Registration Programme Managers at Linnaeus (pictured right), said: “Like the rest of the company we continued all our training programmes via Teams throughout the pandemic, but it makes a huge difference to our attendees when they can meet colleagues from other parts of the business.
"We want them to create friendships and support networks with each other."
Niranjani Kanthagnany, an RVN at Linnaeus-owned Cave Veterinary Specialists, attended the session. She said: "The PRP training has taken me out of my comfort zone, helping me to develop my soft skills as well as my clinical knowledge. It was great to meet other nurses taking part in the programme and discuss our different experiences of working in a referral hospital.”
For more information about the Linnaeus PRP visithttps://www.linnaeusgroup.co.uk/careers/graduates-students-and-apprenticeships/referral-nursing-post-registration-programme.
Renutend contains primed mesenchymal stem cells (MSCs) which Boehringer says are specifically targeted to reduce scar tissue formation so horses can return to the intended level of performance, with a reduced risk of re-injury1.
According to the company, a single dose decreases scar tissue formation with consistent and proven results 2.
RenuTend is administered by intralesional injection and complements Boehringer Ingelheim’s other equine stem cell product Arti-Cell Forte, which is authorised to treat mild to moderate recurrent lameness associated with non-septic joint inflammation in horses.
RenuTend will be available in September this year.
In the meantime, Boehringer is encouraging veterinary surgeons to register their interest with their BIAH representative or call 01344746960 in order to get updates or product information as soon as it becomes available.
Membership of the Dechra Academy is free and gives access to content from key opinion leaders examining topics such as diagnosis and treatment, monitoring and best practice.
The Academy covers subjects like anaesthesia, analgesia, endocrinology, dermatology and fluid therapy relating to exotics, equines, companion animals and food-producing animals.
The Academy includes webinars, eLearning, eBooks and videos, all of which provide CPD credits with downloadable certificates.
Dechra is currently running a new series of webinars through the Academy about how to successfully manage cases with the constraints of the coronavirus outbreak as part of its enhanced support for veterinary professionals.
Roddy Webster, Country Manager for the UK and ROI, said: "The Dechra Academy offers a vast range of valuable training support materials developed and led by our technical veterinary advisors and industry key opinion leaders. The platform reinforces our commitment to supporting the veterinary profession in the development of veterinary skills and knowledge.
“The refreshed Academy is more intuitive and flexible to use with improved functionality and navigation that makes it easier to access training as and when it suits the user.
“A community of more than 30,000 veterinary professionals are already benefiting from the learning opportunities available through the Academy and we would encourage anyone looking for exceptional and free CPD support to sign up now.”
To register for free access to the Dechra Academy, visit: www.dechra.co.uk/academy.
Course delegates will learn a range of practical skills, including understanding oneself and others, practising positive thinking, nutrition and fitness, day-to-day demands and confident teamwork.
The six-part course consists of 17 modules which count for over 20 hours CPD. It can be accessed through an online learning platform with an accompanying workbook and reflective exercises.
Carolyne Crowe, Head of Training at the VDS, said: "We all know that veterinary nurses are a vital part of the practice team, and that they work tirelessly to improve the health and wellbeing of animals in their care. However, I’m sure even the most confident amongst us would often like to have more faith in our own abilities and judgements, to be able to speak up more assertively in situations we find challenging and take back control.
“We’re passionate about helping nurses to feel more relaxed and in control, and our Confident Vet Nurse programme can give them the tools to do that, with highly experienced coaches and nurses coming together to deliver this practical course. We have been there, we know what it’s like, we understand, and we can help you to build your confidence to get what you need from your life and from your work.”
Emma Stansfield, Head Veterinary Nurse at the RVC Beaumont Animal Hospital and and Stress Management and Wellbeing Trainer and Coach at VDS Training (pictured right) said: “Veterinary nursing can be tough. It can easily chip away at your confidence, leading nurses to undervalue their role and capabilities. I’ve had to work hard on my building my confidence over the years and I see many nurses struggling with self-doubt and a lack of confidence in their abilities.
"What so many of us don’t realise is that developing confidence is a process and with specific intention and activity it grows over time. Rarely do we receive guidance on how to build our confidence; people assume they have it or they don’t. This course aims to challenge that view by guiding nurses through the key aspects of confidence building, to help you become the best version of yourself, where you trust your own judgement and value your own contribution.”
The Confident Vet Nurse course costs £97 + VAT and can be booked at: www.vds-training.co.uk/courses/event/the-confident-vet-nurse.
The company has created a waiting room board kit, social media pack and a video which surgeries can play on waiting room televisions.
The board kit comprises cut out images of items which are commonly found in a typical Christmas shopping basket which can be toxic or dangerous to pets. Meanwhile, the video explains the dangers pet owners need to be aware of throughout the year.
For practices which are limiting the number of people coming into the premises, TVM is also offering waterproof posters which can be displayed outside surgeries, along with Pet Dangers leaflets for clients to take home.
Will Peel, Product Manager of TVM UK, said: ‘We know that poisoning cases increase significantly over the Christmas period and while many pet owners are aware of the items which are toxic to their pets, it’s easy to get distracted during the festive season so the materials we have put together are intended as a reminder to be diligent and keep pets safe from harm.’
To claim your free Pet Dangers practice resource kit, visit https://www.tvm-uk.com/order-your-tvm-uk-christmas-pet-dangers-display-kit, contact your local territory manager, email help@tvm-uk.com or call 0800 0385868.
Tom, pictured on the right with Managing Director, Toby Gemill, first joined Willows in 2011 as a member of its medicine and high-dependency RVN team.
He subsequently established the role of patient flow manager at Willows, before working as deputy nurse manager and then moving to head of clinical support services in 2019, during which time he also led the hospital’s efficiency group.
Tom moved from Willows in 2021 to take up the referral nursing manager position with Linnaeus, which entailed overseeing nursing across Linnaeus’s 17 UK referral sites.
Tom said: “I am really pleased and privileged to be returning to Willows to work alongside the amazing hospital team.
"The opportunity to undertake this role highlights Linnaeus’ commitment and progressive outlook to veterinary nursing as a profession.”
The new ingredients include pomegranate, which Virbac says helps clean and control dental plaque1,2,3, Inulin to balance intestinal microflora and reduce foul smelling intestinal gas emissions4,5, and Erythritol to freshen breath with a cooling and anti-plaque effect6,7.
Dan Johnson, Product Manager at Virbac, said: "Bad breath is a common complaint by pet owners8, but some pets do not accept any brushing, especially cats, so Vet Aquadent FR3SH is an easy way to help control bad breath and plaque at home
"The benefit of water additives as part of passive homecare is already recognised by the WSAVA Dental Guidelines, meaning Vet Aquadent FR3SH plays a trusted and proven role in any proactive dental care routine".
For information, contact your Virbac Territory Manager.
The four-month courses are free and open to RVNs of all levels across Linnaeus’s referral hospitals.
The training combines live and pre-recorded virtual lectures, skills lists and case reports, with attendees also presenting a case they have worked on to support reflection of their nursing care.
Linnaeus says it has plans to host further neurology RNPD programmes next year, after a successful pilot finished in July.
Helen Musgrave (pictured right) is a neurology RVN at Wear Referrals in County Durham, who attended the neurology RNPD programme.
She said: “As one of six neurology nurses at Wear, the course gave me a different perspective and approach to neurology.
"We take patient care very seriously and the training covers all aspects of this, from long-term hospitalised patients to the vet's perspective on clinical assessment and examination.
"This provided me with a wider knowledge and understanding of the patient's assessment and neurological grading system.”
https://www.linnaeusgroup.co.uk/medical-and-nursing/veterinary-nursing-support-team/professional-development-team.
Cladaxxa is a combined amoxicillin/clavulanic antibiotic, which Krka says is bioequivalent to the market reference product1,2,3,4.
The new product is available in three strengths of flavoured tablet, with the 200/50 mg formulation also licensed for cats.
Cladaxxa is presented in blister packaging to protect the clavulanic acid, which is highly sensitive to moisture.
The tablets are ready-scored to help with accurate dosing and halved tablets can be returned to the protective blister packaging to be used within the following 24 hours.
Cladaxxa comes in packs of 60 or 100 tablets.
Krka’s National Sales Manager Will Ridgway, said: "Treating bacterial infections is an important everyday task for vets in practice.
"Cladaxxa is a great example of Krka using its expertise in end to end product design to deliver efficacy and value to our customers.”
The company says that the packs have been redesigned to make it easier for pet owners to identify the variety of products available.
The new packaging has stronger imagery, simplified and larger product names to improve readability, and kibble shapes displayed actual size to reassure owners of smaller breeds that it will be suitable for their pet. Flavour profiles and breed sizes are displayed on all packs.
Hill's says the new range is also presented in optimised bag sizes for more convenient feeding. Small and Miniature and Mini dog foods have been combined into a new Small & Mini product, designed to cover the needs of all small dogs under 10kg.
For more information, visit: https://www.hillspet.co.uk/science-plan/new-look.
Specifically, the statement explains that:
Vets will risk assess each case and exercise their clinical and professional judgement to decide whether face-to-face treatment or care is essential or whether services could be provided remotely. These assessments will vary across the country due to local disease risks. They will also vary between clients due to individual circumstances.
On the specific issue of pet vaccinations, BVA guidance says that following a risk assessment both for animal health and welfare and with regard to Covid-19, some vaccinations could go ahead. But this does not mean that all vaccinations now have to be, or should be, carried out. Vets will risk assess each case to decide whether certain vaccinations are essential at this time.
BVA is asking all animal owners to respect their vets’ clinical and professional judgement and be patient during this time.
In what researchers say was the largest study of its type to date, dogs with Cushing’s syndrome were identified from the electronic patient records of practices participating in the UK VetCompass programme during 2016.
Both pre-existing and incident cases of Cushing’s syndrome during 2016 were included to estimate the one-year period prevalence.
Available demographic data for study dogs included date of birth, sex, neuter status, breed and mean lifetime bodyweight above 18 months.
Multivariable binary logistic regression modelling was used to assess the associations between risk factors and Cushing’s syndrome.
Dr Imogen Schofield, corresponding author for the paper, said: “A total of 1527 Cushing’s syndrome cases were identified in this study, from a population of 905,544 dogs in 2016.
"The estimated one-year period prevalence for Cushing’s syndrome in dogs was 0.17% (95% confidence interval 0.05 to 0.07).
“The findings of this study provide evidence from primary-care clinical records on the epidemiology of Cushing’s syndrome which can help primary-care veterinarians during diagnosis.
"Seven breeds were associated with increased odds of Cushing’s syndrome; the Bichon frise (OR=6.17, 95% CI 4.22 to 9.00), Border terrier (5.40, 95% CI 3.66 to 7.97), miniature schnauzer (3.05, 95% CI 1.67 to 5.57), Lhasa apso (2.52, 95% CI 1.49 to 4.28), Yorkshire terrier (1.82, 95% CI 1.23 to 2.70), Staffordshire bull terrier (1.52, 95% CI 1.08 to 2.13) and Jack Russell terrier (1.50, 95% CI 1.07 to 2.08).
"Four breeds were at decreased odds of Cushing’s syndrome: the Golden retriever (0.24, 95% CI 0.06 to 0.98), Labrador retriever (0.3, 95% CI 0.17 to 0.54), Border collie (0.32, 95% CI 0.13 to 0.78) and cocker spaniel (0.44, 95% CI 0.21 to 0.90), which could help vets in practice lower their index of suspicion for Cushing’s syndrome for these breeds.
"Dogs with a bodyweight higher than their breed-sex mean had 1.44 times the odds of Cushing’s syndrome than those within their breed mean (95% CI 1.17 to 1.78), suggesting either overweight dogs or larger examples of the breed are at increased risk of this condition, or that dogs with Cushing’s syndrome gain weight.”
Nicola Di Girolamo, Editor of JSAP, said: “When we look at risk factor analysis in previous studies, the generalisability of their findings to the general population of dogs in the UK have typically been limited due to studying dogs from referral populations or due to a lack of multivariable analysis.
"The findings of this study help to address that knowledge gap, supporting some of the risk factors previously reported, and by identifying novel associations, such as that in the Border terrier.
"Awareness of breeds with high or low risk could help to enhance the index of suspicion for veterinary surgeons working in primary-care practice where Cushing’s syndrome is predominantly diagnosed and managed.”
Reference
Photo: BSAVA
Rob Chapman, MD of the event organiser, CloserStill Media, said: "The London Vet Show in 2019 was the last major in-person event pre-Covid-19 pandemic
“We are delighted to be gathering once more. We had more tickets booked this September than any other year which has reinforced that there’s a real desire amongst the veterinary community to get back together and that confidence in events is returning.
"Our team is busy putting the final touches in place – including our new Covid-safety features, our speakers are excited to present to live audiences again, the delegates are making plans to see old friends. And, very importantly, our exhibitors are busy organising fantastic giveaways and getting stock ready. There has been so much fantastic R&D in the veterinary sector over the past two years and vet professionals will get to try it out first at the London Vet Show.”
BVA Senior Vice President, James Russell, said: “The London Vet Show is a highlight of the CPD and social calendar. The range of lectures we have on means there’s something for everybody – whether it’s clinical, non-clinical, BVA Congress or our career development stream. But the opportunity to see each other again after two years is something which I am so excited about.
"I know that there will be some people feeling nervous about the idea of coming together again. But one of the tremendous privileges I’ve had during the past year is being in London and watching it slowly unlock. I have to say that my recent experiences of being out and about in London make me feel very safe here.
"I do recognise that different people are at different points on their journey with that, but I hope that everyone finds a way of getting to the London Vet Show in a way they feel comfortable with. CloserStill have put in measures when we are there that will make us feel as safe and as comfortable as we can do.”
Professor Jill Maddison, who programmes the Royal Veterinary College Clinical’s small animal streams, said: “After almost two years I am beyond excited that we will be back together again at the London Vet Show. As usual we have a great line up of speakers from abroad, the RVC and around the UK who will deliver lectures covering many different aspects of clinical practice.
"I hope that whatever sessions you attend and whatever exhibits you visit at the 12th LVS you will find something to interest, intrigue and inspire you that you can take back to your practice to enhance the welfare of your patients and clients, your team and of course, yourself.”
Rob added: “We also have some fantastic new and returning features in store for delegates. For example, I’m delighted to announce the return of the popular Community Masterminds where online peers can meet in person and discuss topics that matter most to them.
"We are also hosting our very first Very Happy Hour on the exhibition floor from 5.30-6.45 pm on Day 1 where there will be drinks available for everyone to enjoy in a relaxed, spread-out fashion to celebrate being back together again.”
“We do ask that delegates planning on attending pre-register so we can best lay out the event and cater for the audience in a Covid-secure manner.”
One day and two-day tickets are available now. Register before Friday, 22nd October to receive your badge in the post. You can book at: https://london.vetshow.com/, call +44 (0)2476 719 687.
Equibactin oral powder comes in a 60g sachet, which Dechra says is the scientifically considered accurate dose1 for two daily treatments for a 600kg horse. The sachets come in a box of 10, which is sufficient for the twice daily treatment of a 600kg horse for five days.
The combination of sulfadiazine and trimethoprim antibiotics (known as TMPS) has a broad spectrum of uses and can be used to treat equine infections associated with Streptococcus and Staphylococcus aureus, gastrointestinal infections associated with E. coli and urogenital infections associated with beta-hemolytic streptococci.
Emma Jennings, Equine and Food Producing Animal Brand Manager, said: “Our product allows for twice daily 30mg/kg treatments, making the treatment of large horses easier and ensuring they receive the correct dose, which is crucial when it comes to tackling antibiotic resistance.”
She added: “TMPS is the only registered oral antibiotic available for use in horses and it is recommended as the first line of treatment for ‘common’ equine bacterial infections including those which have developed through wound infections or open or drained abscesses.2,3
“Effective antibiotics are an important part of the veterinarian’s arsenal when it comes to treating a variety of common bacterial infections in horses. But in recent years, the emergence of drug resistant bacteria has meant that extra precautions must be taken to prevent underdosing - one of the prominent causes of drug resistance.”
Equibactin oral powder is available now in the UK and Ireland. For more information visit www.dechra.co.uk.
The ‘2022 AAFP/ISFM Cat Friendly Veterinary Interaction Guidelines: Approach and Handling Techniques’ and the ‘2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines’ cover all aspects of a cat’s veterinary experience, including the journey to the practice and interactions with veterinary team members, as well as the clinical environment.
The new guidelines cover things like:
Dr Nathalie Dowgray, Head of ISFM (pictured right), said: "We are extremely proud of our new guidelines; they have been a lot of hard work with large amounts of literature to review and multiple time zones to work across, but the effort has been worth it.
"We hope all veterinarians working with cats will take the time to read them and apply the concepts and ideas to their clinics and to how they personally interact with their feline patients.’
The guidelines are available at: https://journals.sagepub.com/page/jfm/collection/cat-friendly-special-issue
The recognised qualifications are expected to take 12 months to complete and are assessed via a combination of online written exams, a skills portfolio, case scenarios, assignments and practical exams.
VetSkill's Qualifications Manager, Sam McMillan, said: "It’s an exciting time within the veterinary nursing industry and to be involved in the creation of such iconic qualifications.
"We’re thrilled with the positive reaction gained by the industry and are confident that developing these skills based qualifications will give veterinary nurses the opportunity for further career growth and improve nurse retention in the industry."
Dr Botes faced a total of nine charges against him, relating to performing (or recommending) inappropriate total hip replacements on five dogs without adequate investigation and without getting informed consent from the owners.
One of the charges also related to a failure to keep adequate, clear and detailed clinical records in relation to the five dogs.
Dr Botes denied the first two charges which were later dismissed because the owner did not attend the hearing and counsels agreed that it would not be in the public interest to pursue them.
Dr Botes admitted the other seven charges and that they amounted to serious professional misconduct, and they were therefore found proven by the Committee.
In considering whether the charges amounted to serious professional misconduct, the Committee considered an expert report from Professor John Innes, RCVS Specialist in Small Animal Surgery (Orthopaedics) and Mr Midgley, RCVS Advanced Practitioner (Small Animal Orthopaedics).
Ian Arundale, Chair of the Committee, said: “In coming to its decisions, the Committee took into account Professor Innes’ opinions that it was not reasonable for Dr Botes to have carried out the THR without sufficient investigation into Kilo’s pain; that the THR undertaken in respect of Sora was not in the animal’s best interests; and that it was ‘entirely unnecessary’ to recommend the THR in respect of Penny.
"In addition, the Committee has found that both THRs performed in respect of Daisy were not in her best interests.
"Thus, in the Committee’s view, Dr Botes’ actions and omissions did not ensure the animals’ health and welfare.”
The Committee took into account that the THRs in question were a source of financial gain, that Dr Botes’ conduct was repeated over a considerable period of time and that he was in an increased position of trust and responsibility because of perceived expertise in small animal orthopaedics and its education.
However, the Committee took into account, as a mitigating factor, that Dr Botes has indicated some insight into some aspects of the charges in his written communications to the College, in his witness statement dated 29 December 2021, and in his admissions at the start of this inquiry.
The Committee then considered what would be an appropriate and proportionate sanction, hearing from several character witnesses including Dr Midgely, who was put forward as Dr Botes’ proposed supervisor if the committee agreed to a postponement with undertakings.
When making their decision, the Committee took into account the fact that Dr Botes had been suspended from the Register in 2008 for six months for serious professional misconduct over the care of a dog that had been involved in a road traffic accident.
The Committee considered a postponement of judgment with undertakings, which was submitted by Dr Botes’ counsel.
However, the Committee took the view that a postponement would not be appropriate because the failings were not in limited aspects of practice but were wide-ranging, covering the fundamental requirements of any veterinary surgeon.
In the Committee’s view, this would mean nothing less than direct supervision, where Dr Botes’ practice was directly monitored on a day-to-day basis would be sufficient to protect animals, clients, and to uphold the wider public interest.
It would be impracticable to formulate undertakings capable of effectively addressing these issues.
The Committee also noted that the disgraceful conduct was serious and there was a pattern of sustained and persistent misconduct.
The Committee therefore did not believe that no further action, a reprimand or a warning were appropriate or proportionate outcomes.
The Committee also considered whether suspension was appropriate but concluded that there was a real risk of repetition of the behaviours outlined in the charges, and so the Committee was unable to conclude that Dr Botes would be fit to return to practice after a period of suspension.
The Committee therefore decided to direct that Dr Botes should be removed from the Register indefinitely.
In coming to this decision, the Committee carefully applied the principle of proportionality and took into account the impact of such a sanction on Dr Botes both professionally and financially, and took into account his witness statement in this regard.
Ian Arundale added: “In light of the gravity of the conduct, and all of the factors taken into account, any lesser sanction would lack a deterrent effect and would undermine public confidence in the profession and the regulatory process.
"Removal was the only appropriate and proportionate sanction.”
Dr Botes has 28 days from being notified of his removal from the Register to lodge an appeal with the Privy Council.
The Committee’s full findings can be viewed at www.rcvs.org.uk/disciplinary
The courses are:
MMI Manager Lisa Quigley commented: “I am really proud of this new tranche of training.
"Whereas our previous training has focused on the individual experience, for example, mental health awareness and resilience, these new courses recognise that individual instances of poor mental health and wellbeing can often be caused by systemic issues – whether that’s a poor workplace culture where bullying and incivility thrive, or discrimination on account of someone’s protected characteristics.
The full range of courses, including the dates and times and details on how to register, can be found at www.vetmindmatters.org/training
Feedback about any of the courses can be sent to info@vetmindmatters.org
RSPCA Chief Veterinary Officer, Caroline Allen, today praised the vets and nurses who are providing essential care to animals through the crisis.
She said: “This is an incredibly challenging time for the RSPCA, trying to advise the public and keeping emergency services going with fewer staff, strained resources and in line with Government advice.
"I know this is equally stressful and challenging for vet staff too and I wanted to say a huge thank you from everyone at the RSPCA for your hard work, dedication and support you are giving the RSPCA.
"Our call centre team and officer are working hard to maintain a frontline animal welfare service, but we know there may be occasions where we are unable to attend and this may impact demand on the local vet practice."
Current guidance from the BVA defines emergency and urgent treatment as:
Caroline continued: "There are some circumstances particular to the RSPCA, such as animals that have been subject to abuse or severe neglect, or injured/unwell unowned animals, that may not initially appear to be such an “emergency” in the traditional sense, but our officers will only be collecting them if there is considered to be ‘significant impact on health/welfare and likely to deteriorate if left unmanaged’ as covered by the BVA emergency criteria. We would greatly appreciate your support in ensuring we can protect the welfare of these animals.
"Our National Control Centre will also be following the guidance from the BVA and will be limiting, wherever possible, sending members of the public to vets. However, on occasions where there is a welfare need that would justify an essential journey, we will always ask members of the public to call practices first and follow their social distancing protocols.
"For vets who provide care for our shelters and private boarders we understand the support available will be limited, we will be producing further advice for our teams around options, including remote support.
"We do understand and appreciate the current restrictions being put in place by the BVA and we do understand the very serious strain on practices and teams at this time and we hope that we can continue to work together during this unprecedented time."
The Disciplinary Committee, chaired by Dr Martin Whiting, considered two charges against Mr Shah.
The first charge alleged that in June 2018 Mr Shah allowed a kitten to be anaesthetised for a castration without having first undertaken a clinical examination.
Then, having failed to locate a second testicle during the surgery, it was alleged that Mr Shah failed to contact the owner to inform her of this failure and to discuss the treatment options arising as a result, before ending his attempts at the castration.
The charge then alleged that Mr Shah failed to devise an adequate plan for the completion of the castration, failed to take adequate steps to ensure that the owner was fully informed of the details of the surgery, and failed to make adequate clinical notes in relation to the kitten.
The second charge alleged that, in relation to the conduct in charge one, Mr Shah failed to have adequate regard to previous advice and warnings from the RCVS about his conduct in relation to neutering surgery and related clinical note-keeping and communication with clients.
In particular, this related to a reprimand issued in September 2016 by the Disciplinary Committee following its finding of disgraceful conduct with regards to his discharge of a dog following castration in 2014, and advice issued to Mr Shah by letter of 21 March 2018 by the College’s Preliminary Investigation Committee with regards to circumstances surrounding canine spay surgery performed by him in 2016.
At the outset of the hearing Mr Shah denied all of the charges.
Nevertheless, the Committee found the following charge one sub-charges proved: that Mr Shah allowed the kitten to be anaesthetised without having first undertaken a clinical examination of the kitten and/or ensuring that they had undergone a clinical examination by another veterinary surgeon; that Mr Shah failed to devise an adequate plan for the completion of the castration, that he failed to take adequate steps to ensure that the owner was fully informed post-operatively of the details of the said surgery; and that he failed to make adequate clinical notes in relation to the findings of his examination under anaesthesia, his surgical approach, post-operative communication with the owners and his plan for completion of the castration.
The Committee also found all of charge two proved.
The Committee then went on to consider whether or not, in relation to the proved charges, Mr Shah’s conduct amounted to serious professional misconduct.
In considering the aggravating factors, the Committee took into account the risk of injury to an animal, the contravention of previous advice given by the College, lack of insight, and the previous adverse findings of the Disciplinary Committee and the Preliminary Investigation Committee.
With regards to mitigating factors, the Committee accepted that the conduct was not premeditated, that there was no financial gain and that, notwithstanding the contents of charge two, the first charge was a single and isolated incident.
Considering both the aggravating and mitigating factors, the Committee was satisfied that Mr Shah’s conduct fell far below the standard expected of a registered veterinary surgeon and consequently that it amounted to serious professional misconduct.
The Committee then considered what sanction to impose on Mr Shah. The Committee first considered lesser sanctions, including postponement with undertakings and a reprimand and warning. Neither would be sufficient to protect animals and the wider public interest and uphold proper standards because Mr Shah had already been given a reprimand and warning in 2016, which appeared, to the Committee, to have had no effect.
Speaking on behalf of the Committee, Dr Whiting said: "It is clear to the Committee that in this case, the respondent has failed to demonstrate any insight into the seriousness of his misconduct.
"In this case, the Committee considers that there is evidence of a harmful deep-seated personal attitude problem so far as the respondent is concerned. His pervasive denial of wrongdoing and lack of insight, in spite of the findings of this Committee, is of grave concern.
"The respondent’s persistent abdication of personal responsibility and accountability for anything that went wrong, coupled with his sustained blaming of the nursing staff with whom he worked, displays an attitude which is fundamentally incompatible with being a member of the veterinary profession.
"The Committee cannot be confident that there is no significant risk of repeat behaviour in the event that suspension was found to be the appropriate sanction and that the respondent is fit to practise after any period of suspension.
"This is particularly due to the fact that Mr Shah has failed to have adequate regard to previous advice and warnings from the RCVS, coupled with multiple previous adverse findings of the Disciplinary Committee and the Preliminary Investigation Committee. The Committee has reached this conclusion having regard to the seriousness of its findings in this hearing, and the previous advice and warning given to the respondent, none of which appears to have been recognised or heeded."
The Committee therefore concluded that the only sanction which reflects the seriousness of this case, in the light of the previous findings and advice given to the Mr Shah by the College, is to remove him from the Register.
The Committee’s full facts and findings can be found at www.rcvs.org.uk/disciplinary.