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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.
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CEVA Animal Health has updated its practice support materials to include an all-encompassing D.A.P. client leaflet, a website and a new vet detailer.
The new materials, which also include a D.A.P. and Feliway reference guide containing details of 31 published trials into the practical applications of pheromones, focus on using D.A.P. to prevent stress at key stages of a dog's life. Particular attention is paid to the benefits of fitting a D.A.P. Collar during early puppy consults in order to help prepare dogs for the modern world and helping to prevent anxiety-related problems such as separation anxiety and noise phobia, developing in later life. In addition, the vet brochure will draw practitioners' attention to the times in a dog's life when owners are particularly concerned about their dog becoming stressed including events like trips to boarding kennels.
Lucy Brett, product manager at CEVA Animal Health, said: "Over the last three years eight different trials have been published looking at the use of pheromones to reduce canine stress. The latest data backs up what we have believed for some time - that the management of stress during socialisation is vital if dogs are to grow into emotionally balanced and confident adult dogs. We now have a much better idea of the impact of allowing puppies to get stressed or overwhelmed during socialisation and the difference providing pheromone support in the form of a D.A.P. Collar can make."
For further details, or for information on CEVA's range of educational resources for veterinary professionals interested in feline and canine behaviour, please contact your CEVA Animal Health representative or call 01494 781510.
Mr Kane was sentenced to two years’ imprisonment, suspended for 18 months in September 2024.
He was also disqualified from driving for two years until he had passed an extended driving test, and was ordered to undertake 200 hours of unpaid work within 12 months, and to pay a victim surcharge of £187.
It was alleged that the conviction rendered Mr Kane unfit to practise as a veterinary nurse.
From the outset, Mr Kane admitted the facts contained in the charge, but did not accept that this rendered him unfit to practise as a veterinary nurse.
After the criminal proceedings, Mr Kane wrote to express his deepest regret for his actions and the pain and guilt they had caused, stating that there was not a single day that had passed that he had not thought about the family that was affected by his actions, and the lifelong consequences that they now face.
He went on to express that he understood that as a member of a trusted profession, his conduct must reflect not only his clinical competence, but also his integrity and accountability.
He also noted that he had sought to recognise and address the consequences of his actions and that he is determined to make a positive contribution to society and to the profession.
The Committee found the charge proved on the basis of Mr Kane’s admission and the Certificate of Conviction.
The Committee found a number of factors relevant to the case:
The question for the Committee was whether Mr Kane’s conviction of causing serious injury by dangerous driving, when put into proper context, rendered him unfit to practise as a veterinary nurse.
This was not a conviction in any way linked to his practise and there was no suggestion that he represented any sort of a risk to animals in his care.
The Committee was not, therefore, concerned with any issues arising out of the need to protect animals, but rather with whether a finding of unfitness to practise was needed to uphold standards of conduct and behaviour in order to maintain public confidence in the profession.
Kathryn Peaty, Chair of the Committee and speaking on its behalf, said: “The Committee took into account the public interest which includes maintaining public confidence in the profession and the regulator and upholding proper standards in the profession.
"The public interest also includes allowing an otherwise competent veterinary nurse to continue in practice, where appropriate.
“Agreeing with the judge that this was indeed an exceptional case, the Committee did not consider that Mr Kane’s conduct was liable to have a seriously detrimental effect on the reputation of the profession and concluded that the public, in full knowledge of the circumstances of this particular case, would not expect a finding that the conviction renders him unfit to practise as a veterinary nurse.
"Rather, the public would recognise that whilst the consequences were appalling and tragic for the family involved, in terms of Mr Kane’s culpability this was a momentary piece of dangerous driving, categorised by the judge as a ‘mistake’ rather than anything more blameworthy.
“The Committee therefore concluded that Mr Kane’s conviction does not render him unfit to practise as a veterinary nurse.
"This is not to in any way detract from the catastrophic consequences for the family, but rather is to reflect the context, exceptional circumstances and level of culpability in this case.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings/
The fellowship provide a grant of up to £35,000 for work in companion animal research to be spent over a maximum of two years.
Applications are open to veterinary nurses who have completed a postgraduate qualification such as a PhD or Masters, and who are within the first four years after starting an academic post (Lecturer, Fellowship or above) and have received no more than £50,000 of funding in competitive external grants to date.
David Killick, Chair of the BSAVA PetSavers Grants Awarding Committee said: “BSAVA PetSavers is delighted to launch the PetSavers Research Fellowship.
"It is well recognised that the journey from completion of a PhD to becoming established as an independent researcher is one of the most challenging times of a researcher career.
“With this new grant BSAVA PetSavers will support exceptional veterinary professionals in the Early Career Researcher phase develop their research ideas by providing £35,000 towards research costs over a two-year period.
"Through this initiative BSAVA PetSavers aims to help these researchers reach their potential and in so doing expand the capacity for companion animal research in the UK.”.
Applications close on 28th February 2022, and a decision will be made by the end of May 2022.
To apply for the Research Fellowship, visit the BSAVA PetSavers website: https://www.petsavers.org.uk/Apply-for-funding/research-fellowship.
The research is being conducted by Sarah Mansell under the supervision of Dr. Malgorzata Behnke. They say this parasite hasn't been studied in depth in the UK since the 1970's, because the symptoms can be controlled by routine worming measures. However, as the industry moves away from routine worming as a measure of reducing the risk of parasites developing resistances to treatments, a condition such as this which is now considered to be quite rare in the UK can start to re-emerge.
Sarah is asking vets to fill out a short questionnaire to assess awareness of Onchocerca Cervicalis in veterinary practices. The survey includes specific questions about the parasite as well as questions about cases of unresponsive skin conditions because a similarity in symptoms can lead to misdiagnoses that could, in fact, turn out to be Onchocerca Cervicalis.
Sarah said: "Hopefully the findings will raise awareness of this problem and help shape future research in this area."
She added: "I want to get vets thinking about this issue much more than perhaps they are at the moment."
To take part in the survey, visit: https://harper-adams.onlinesurveys.ac.uk/assessing-the-awareness-of-onchocerca-cervicalis-amongst-e-2
Lead author Professor Clare Rusbridge, Chief of Neurology at Fitzpartick Referrals, conducted the study because of a lack of clarity on the recognition and diagnosis of the clinical signs associated with CM as opposed to syringomyelia (SM).
CM is an abnormality in the skull, making it smaller, and impacting on the brain to alter the flow of cerebrospinal fluid; this results in pain and a collection of fluid pockets within the spinal cord. These fluid pockets are commonly known as SM and over time can cause irreversible damage to a dog’s spinal cord. However it is not clear whether signs of pain in affected dogs are due to CM or SM or both.
To try to rectify this, Clare studied the medical records of all the cavalier King Charles spaniels diagnosed with CM-associated clinical signs presenting to her at Fitzpatrick Referrals over a five year period. She documented the historical and examination findings and related them to the MRI findings, including presence and size of the SM.
She found common signs in all dogs were vocalisation, spinal pain (neck, middle or lower back), reduced activity, reduced stairs or jumping ability, aversion to being touched or groomed, altered emotional state (described as being more timid, anxious, withdrawn or aggressive) and sleep disturbance.
A tendency to rub or scratch at the head or ears was common but was more likely in dogs with small or no SM suggesting that this may be a sign of head discomfort associated with CM. Head and ear rubbing was not associated with the presence of material within the middle ear (a condition which is also common in this breed and often given the acronym PSOM).
The only signs that were specific to SM were phantom scratching, scoliosis (twisted spine) and weakness and these were only present when the SM was large (at least 4mm wide).
Clare says this study is important because it suggests that CM alone is a cause of pain in many dogs. The aim now is to use the information gained in this study to develop a questionnaire to determine risk of CM and monitor the response to clinical signs.
Reference
Photo: Charlie on a bad day
The service uses an Xstrahl 100 superficial radiotherapy system, a £150,000 piece of equipment installed by Paragon after it was used successfully in the USA by the hospital's medical and radiation oncology specialist, Dr Rodney Ayl.
Rodney (pictured right) says the new equipment will transform the way Paragon can treat skin cancers, dermatological disorders and some other common superficial conditions.
He said: “This is a very exciting development for us and our clients because Xstrahl systems have been used so successfully in human medicine for many years.
“This prompted us to explore adapting the SRT system for veterinary use in the UK and we hope to collaborate with Colorado State University, which has a similar unit, to develop protocols for pets.
“We believe this will be a significant advance in the treatment and care of animals and we’re delighted to be at the forefront of introducing this new service.
“It is the only one of its kind for pets in the UK and there are very few units like this anywhere in the veterinary industry, so it really is an important move forward.”
Xstrahl radiotherapy systems were originally designed for the treatment of skin cancer, dermatological disorders, certain types of benign disease and some palliative care in humans.
Rodney says that having adapted the SRT system for animals will transform their treatment and the logistics and cost of getting radiation therapy for superficial skin conditions.
He added: “Superficial radiotherapy is particularly useful for treating some types of skin cancer where it may be preferable to surgery as it can deliver excellent non-invasive outcomes with curative or palliative intent.
“The treatment is less stressful from the outset and, thanks to its mechanism of action, it is also pain-free.
“Its use of different size cones, directly over the lesion, minimises effects on healthy skin and the fast treatment means a large reduction in time and impact on the patient’s day-to-day life, while providing a highly-effective treatment.
“The machine’s flexibility also makes it particularly suited for treating multiple lesions that are difficult to access, such as the head and neck, without changing patient positioning.
“The Xstrahl 100 system will help us to respond to the growing demand for radiation treatment and we can treat these patients on an outpatient basis, helping us to reduce surgical and hospitalisation costs.
“The technology is a real winner. It is easy to use and helps us to deliver safe and effective radiotherapy to our animal patients.
“It provides a quicker, easier, cheaper and non-invasive alternative for superficial tumours, especially in geriatric patients where surgery is not always an option. We’re looking forward to seeing the positive results here at Paragon.”
For more information, visit www.paragonreferrals.co.uk.
Both veterinary professionals and clients can nominate people and practices for one of five awards.
Every professional nominated in the awards will be sent a personalised certificate.
An independent panel of judges from within the veterinary industry will then narrow down the entries to a shortlist of three finalists for each award, who will all be invited to awards ceremony in Manchester on Thursday 21st March 2024.
Bella von Mesterhazy, Sales and Marketing Director at Petplan, said: “Every year we think we’ve seen it all, but then we’re overjoyed by the sheer volume of and enthusiasm behind the latest nominations.
"So for anyone who’s considered nominating before but hasn’t got round to it, this year’s the time to get involved, as we all come together to champion the immense success of the UK’s veterinary industry, whilst celebrating the awards quarter-century anniversary.”
petplan.co.uk/vetawards
Nominations close on 8th January 2024.
177 delegates took part in the survey, which found that even the most commonly used digital tool, namely automated reminders, are not being used by more than a third of all practices.
Less than 60% are using digital records.
Less than half are using online booking, which Provet says can significantly improve the customer experience.
Less than 20% have implemented integrated payments or telemedicine or 'pet parent' apps.
The survey also found that 42% are still using old server technology, rather than cloud-based solutions (28%).
The company has produced a guide to what you should look for in a practice management system, including pros and cons of cloud vs. server-based solutions and digital tools that can improve service level whilst saving time, which you can download here.
Cytopoint is an injectable monoclonal antibody therapy for dogs that targets and neutralises the cytokine IL-31, a mediator of allergic itch1.
Zoetis says the new claim was granted following a randomised, double-masked, multi-centred, placebo-controlled study which looked at Cytopoint’s efficacy and safety for the treatment of pruritus associated with allergic dermatitis in client-owned dogs. The study showed that Cytopoint significantly decreased pruritus, and improved skin lesions.2
Allison Henry, Product Manager Companion Animal Dermatology at Zoetis UK, says: "Allergic dermatitis is one of the most common skin conditions in dogs.3 The associated clinical signs – including scratching, hair loss and skin lesions – are disruptive for the dog, impacting their quality of life and that of its owner. Allergic skin disease is one of the most frequent reasons owners present their dog to a veterinarian.
"The licence extension demonstrates further innovation from Zoetis in the field of veterinary dermatology, and across the continuum of care, increasing the treatment options available to manage pruritus. Apoquel remains an ideal choice for short-term control due to its ability to provide rapid itch relief within four hours4 for as little as one day.5 This enables pruritus to be tightly controlled during the diagnostic work up,7 as well as being used for longer term control where tablets are the preferred method of administration.
"The sustained duration of action of Cytopoint makes it better suited to long-term management of pruritus, particularly when administering tablets is a challenge. Other benefits, such as no restrictions on age or with comorbidities, coupled with the flexibility of the new claim, make it a useful treatment at an earlier stage for more unique cases, e.g. young dogs or those with comorbidities."
For further information, contact your Zoetis Account Manager.
watch?v=A8EJ8LpLVzw
References
The College is the first UK centre to offer the course, and says it provides a new route for career progression for RVNs working in clinical practice who are looking to expand their clinical skills and knowledge.
Clare Renwick, Lecturer in Veterinary Nursing at Askham Bryan College said: "The Veterinary Nursing team at Askham Bryan College has developed an industry-relevant programme of study that fits in with both the personal and professional lives of learners.
"Taught primarily online over one year, students will be provided with all the tools and resources required to develop their knowledge through evidence-based nursing, industry-expert guest lecturers and professional discussions. In-person practical sessions will allow the RVN to extend and demonstrate their practical expertise ready for assessment.
"We are very excited to roll out this course which we feel will fill enhance our current offering in the subject area.”
The course involves completion of modules that extend skills and knowledge when leading consultations and clinics.
It is a regulated level 5 qualification and offers Suitably Qualified Person (SQP) registration following successful completion of assessments allowing the RVN in practice to further extend their nursing clinic offerings to pets and their owners.
Applications are now being accepted for a February 2021 intake.
For more information, visit http://www.askham-bryan.ac.uk/ or contact: tracey.seymour@askham-bryan.ac.uk or clare.renwick@askham-bryan.ac.uk.
Sabrina joins Fran Taylor-Brown, Simon Bertram and head of service Tom Cardy.
Tom, a European and RCVS specialist in neurology, said Cave is now the biggest specialist-led neurology service in the South West:
“We are very pleased to have Sabrina join the neurology service at Cave, expanding our team to four European and RCVS-recognised specialists in veterinary neurology. This really sets Cave apart from our competitors.
“Sabrina’s arrival, in conjunction with the installation of our new state-of-the-art MRI scanner, means we can see most urgent neurology referrals within 24-48 hours in nearly all cases and increase the number of neurology cases we treat each day.”
Cave’s new £1.2m Phillips Ingenia 1.5T Evolution offers 50% faster scans at a far higher resolution than its previous MRI and shorter general anaesthetics for patients.
It also allows a more detailed and accurate diagnosis of complex neurological conditions.
Tom added: “The MRI scanner is one of the most advanced imaging modalities for the nervous system, providing millimetre-thick cross-sectional images of the brain and spinal cord which is essential for both accurate diagnosis and treatment.
“Having such advanced equipment and facilities plus four recognised specialists means all our clients and their pets will see a vet with the highest level of training in veterinary neurology.
“All of our specialists are happy to discuss challenging cases on the phone with our referring vets and Sabrina's skills and enthusiasm will continue to improve and diversify the service we offer.
https://cave-vet-specialists.co.uk
Procanicare contains three live strains of canine-specific Lactobacillus bacteria, which, according to the company, make it an ideal GI support product to maintain balance in the GI intestinal microbiome of dogs, particularly when an alteration to the intestinal microbiome is a risk.
Animalcare says studies show that the strains of Lactobacillus found in Procanicare have been shown to promote indigenous intestinal commensal populations, reduce numbers of potentially pathogenic bacteria and improve stool consistency.1,2
Dr Shea Beasley, Product Development Manager at Vetcare Ltd said: "The strains of Lactobacillus found in Procanicare have been commercially available in Scandinavia for two years now. It has achieved great success, with Scandinavian vets frequently recommending it in situations where the gastrointestinal microbiota can become unstable such as following antibiotic use and in stressful situations such as travelling and kennelling, as well as when supporting the intestinal microbiome is particularly important, such as during pregnancy and lactation."
Available exclusively through vets, Animalcare has produced a range of waiting room materials to help you educate about and promote Procanicare in practice, including a poster, bunting, leaflet and leaflet holder.
There is also a free webinar for veterinary professionals on the importance of the intestinal microbiome, available to view at www.thewebinarvet.com/webinar/the-gastrointestinal-microbiome-and-its-effects.
To find out more or to try Procanicare in your practice, contact your local Animalcare representative via email animalcare@animalcare.co.uk or telephone 01904 487687 or visit www.procanicare.com.
The College says the event is aimed at RVNs who are interested in upholding standards of veterinary nursing professional conduct and who would like to help the RCVS maintain public confidence in the veterinary nursing profession. Prospective applicants for these roles should ideally have a minimum of five years' experience in veterinary nurse practice.
Attendees will have the opportunity to chat to representatives of the committee, and the staff involved in handling cases that go to disciplinary hearings. There will also be a short presentation on the application process from Thewlis Graham Associates – the external agency handling the recruitment.
RCVS staff and DC members will present some anonymised VN DC / DC example cases to talk through in small informal groups, to help convey an idea of the work involved and the challenges one could expect to face when making decisions on allegations of serious professional misconduct or fitness to practise.
The overall programme will be run in the afternoon from 3pm – 5pm and repeated in the early evening from 6pm – 8pm, to suit differing diaries and travel times. Snacks and refreshments will be provided on the day, and the RCVS will reimburse reasonable travel expenses for attendees.
Places at the information day can be reserved by contacting Deborah Rowlanes, RCVS Events Manager, via D.Rowlanes@rcvs.org.uk or 020 7202 0773. The deadline for registering is Friday 21 February 2020.
Alternatively, if you can't attend on the day itself, but would like to speak to the RCVS Registrar and Director of Legal Services Eleanor Ferguson about the vacancies, you can contact Deborah to arrange a convenient time.
Prospective committee members will then have until 5pm GMT Monday 2 March to submit their applications. Applications can be submitted through the Thewlis Graham Associates website: www.thewlisgraham.com/assignment-briefings.
Rosemullion Veterinary Practice is a three-site small animal practice owned by CVS.
It has 100 members of staff and dispenses 3,584 medications in an average month.
According to an article in Companion Animal, medication errors account for 30% of all reported errors in veterinary practice1.
Errors can be prescribing errors - where the vet prescribes the incorrect medication or dosage, or dispensing errors where the incorrect medication, strength or volume is dispensed by the pharmacy team.
Some errors can ‘look or sound alike’ – where medications have similar names or packaging – making them easy to mix up.
Rosemullion conducted an initial clinical audit of entries on its VetSafe system between 1st March and 31st May 2023.
Analysis was conducted on the drugs involved, whether they were prescribing or dispensing errors or near misses, and looking for patterns of behaviour or the drugs involved.
During this time there were 29 (0.27%) near misses and 14 (0.13%) errors.
Prescribing near misses most often involved flea and worm products.
Here additional feedback from vets was that it was difficult to remember weight brackets for all products and when weight brackets were included in the drug description this made them easier to prescribe accurately.
As a consequence, the Rosemullion pharmacy team introduced the inclusion of weight brackets on all flea and worm products.
Dispensing errors and near misses were mostly related to ‘look or sound alike’, particularly in worming tablets, flea treatments and Rheumocam cat and dog.
To address this, the Rosemullion pharmacy team added extra labelling to dispensary draws and separated draws for flea and worm treatments into different weight brackets.
Rheumocam – with its similar packaging design and box sizes – was also split into separate cat and dog drawers, and drawers clearly labelled up with the version and volume to make dispensing clearer.
Feedback was also given to the drug manufacturer.
Rosemullion also held a CPD session to highlight the common errors that were occurring, to explain resulting process and systems improvements, and ask the team to take extra care with these dispensaries.
A new ‘handing out medication’ process was also created – involving checking the medication in the bag matched the on the screen notes, confirming it was for the correct animal and validating it was what the owner was expecting.
A subsequent audit was run from 1st October to 31st November 2023.
The results revealed there were no prescribing or dispensing errors (0%) and only 8 (0.13%) near misses during this time.
Alice Bell, Senior Vet and Quality Improvement Lead at Rosemullion Veterinary Practice, said: “We place patient safety at the forefront of all we do.
"We wanted to conduct this extensive audit to assess our prescribing and dispensing processes and systems.
“The methods we had in place made it easy to do the task correctly and the changes we have now put in place have made the process even safer for our clients.
"Our overall error and near miss is now at a really low number compared to our total number of medication dispenses.
“The teams have been very receptive to the improvements and the project has had a positive impact on various aspects of the practice, including on team wellbeing.”
Rosemullion Veterinary Practice’s initiative has recently been recognised with a RCVS Knowledge Highly Commended status at its 2024 awards.
Vetpol says its new course, which is delivered online, has been designed to deliver a positive experience for students, as SQP training is acknowledged to be challenging, with a lot of information to assimilate. The course uses the principles of reflective learning, with simple exercises to help embed what is learned, and highlighting of key facts to aid recall.
Caroline Johnson, Vetpol Founder and Director (pictured right) says the team thought hard about how best to match need and application while covering the day-one-competencies required for SQP registration: "There is an increasing number of NFA-VPS medicines available alongside POM-VPS medicines and a growing need to broaden knowledge of companion animals, which we have reflected in the course content. In agriculture too, it has never been more challenging to deliver the kind of service that farmers and stock-keepers need in the 21st century - we have looked at this both from the farmer and outlet's point of view and we have really addressed health and disease with this in mind."
Vetpol will provide companion animal, farm, equine and avian training leading to a Level 4 SQP qualification. Level 4 qualifications are rated above A level (which is a level 3 qualification) and include NVQ Level 4, Higher National Certificates (HNC) and Certificates of Higher Education (CertHE).
The course writers have aimed to make sure the course contains information that is relevant, practical and necessary, building on a solid base of animal welfare and husbandry. They plan regular updates to ensure the course reflects current thinking and keeps pace with changes in medicines legislation.
Caroline says she has concentrated on trying to make sure that SQPs have the knowledge they need to add value to customer and client transactions: "We were especially keen when writing the online course to give SQPs the scope to apply their knowledge in practical day to day situations and to make excellent recommendations."
Future students or employers can register their interest or request further information now at www.vetpol.uk or by emailing caroline@vetpol.co.uk.
Sarah Fitzpatrick, Head of Partnerships and Events at BSAVA said: “We’re absolutely delighted to be working in partnership with CVS to support the small animal veterinary profession, through the development and upskilling of veterinary professionals.
"The BSAVA manuals are a go-to vet resource, and by providing this access to CVS they become even more valuable to the community through their use in practice and in consults.”
Joseph Williams, Veterinary Director for the CVS Small Animal Division said: “At CVS we are passionate about giving the best possible care to animals. We take our responsibility seriously to help colleagues to do that, investing in training and through the support given via our Hub Clinical Leadership team.
"BSAVA manuals have long been a trusted reference point for clinical information in our industry. We’re excited to partner with the BSAVA and now, with access to this great resource, every CVS clinician, whether in the consult room, prep room or on a visit, is now just a couple of clicks away from 46 manuals with over 1400 chapters covering all disciplines from anaesthesia to wildlife casualties.’’
Mr Roger faced three charges: that he had failed to provide adequate care, failed to communicate with the owner adequately and failed to keep adequate clinical records for Honey, a Shiih Tzu dog who, it transpired, had hypergycaemia.
At the initial consultation, Mr Roger took a blood sample which showed that there was an elevated blood glucose, an elevated white blood cell count, an elevated ALT and an elevated ALP (which Mr Roger took to be indicative of liver damage secondary to infection).
Mr Roger prescribed a cholagogue (ursodeoxycholic acid), an antibiotic (Synulox) and a diuretic (Frusemide).
In its findings of fact, the Committee found it likely that Mr Roger would have realised that Honey had a potential diabetes mellitus diagnosis with an elevated blood glucose of 28.
However, Mr Roger explained that he had believed the elevated blood glucose was due to the stress Honey had undergone in taking the blood samples.
The Committee therefore accepted that Mr Roger’s actions did not indicate a complete failure by him to notice the elevated blood glucose because he had explained he believed at the time it was due to stress.
Honey’s owner took her back to the veterinary practice that Mr Roger worked at three days later.
A different veterinary surgeon examined Honey and flagged that her blood sugar was high and that her liver was damaged.
She was taken to an alternative veterinary practice for follow-up but died later that day.
Mr Roger admitted failing to ask Honey’s owner if there was a history of diabetes mellitus, failing to take repeat blood glucose tests or carry out urine analysis or carry out additional blood tests, failing to communicate adequately with Honey’s owner about the significance of the hyperglycaemia and the options for investigation/management and failing to keep adequate clinical records in regard to Honey’s blood glucose levels.
The Committee found the admitted facts proved.
The evidence presented to the Committee included the clinical notes taken during Honey’s consultations, emails sent from Honey’s owner to the RCVS outlining the complaint, and evidence from experts in small animal veterinary practice.
Although the Committee found some matters not proved, it did find proved that Mr Roger had failed to recognise and/or pay adequate regard to Honey’s elevated blood glucose levels, had failed to manage Honey’s hyperglycaemia either by treating it or by documenting an appropriate plan to do so and had failed to communicate adequately with Honey’s owner about the significance of her elevated glucose and the reason for it.
Having reached its decision in relation to the facts, the Committee went on to consider whether the facts it had found proved either individually or cumulatively amounted to serious professional misconduct.
Judith Way, Chairing the Committee and speaking on its behalf said: “The Committee found that the charges and particulars it had found proved did not amount to disgraceful conduct in a professional respect either individually or cumulatively.
"In its judgment, the conduct found proved fell short of the standard to be expected of a reasonably competent veterinary surgeon but not far short of the standard which is expected of the reasonably competent veterinary surgeon.”
As a result of the Committee finding that Mr Roger was not guilty of serious professional misconduct on any of the proven charges, either individually or in any combination, the hearing did not proceed further.
The programme offers employers a variety of options, including antigen and antibody testing, environmental testing, a daily wellness symptom checker app and ongoing site monitoring to identify asymptomatic spreaders and pre-symptomatic spreaders, neither of which are identified by the current routine government testing programmes.
Dr Tony Cooke, lead scientist and director at ReCoVa-19 (pictured right) said: "Businesses, such as veterinary practices are struggling to serve the needs of their clients while also protecting their employees in their role as essential workers. Vets also recognise the value of reliable testing at a sustainable cost and the best practice approach. Concerns over obligations with regard to the health and safety of employees and uncertainty, are significant barriers to normal working practices but with the level of testing and support we can provide that’s no longer necessary.”
The company says the new programme is highly accurate and affordable, and can be tailored for businesses of all sizes.
For more information, visit: www.recova-19.com.
The survey was held in mid-June and gathered 196 responses from UK practices. That compared with the 532 responses to the initial survey conducted early in April and 251 responses to the second survey conducted at the start of May.
One of the main findings was a marked increase in the number of practices running a near-normal caseload, from 3% in May to 32% in June. Practice turnover data similarly reflected a shift back towards normality, with 46% now reporting a reduction of less than 25%, compared with 19% last month.
Other findings included:
Lizzie Lockett, RCVS CEO, said: "This latest survey has demonstrated a continuation of the previous survey’s positive trends including an increase in practice turnover with more practices approaching a ‘near normal caseload’ and with a reduction in the number of practices impacted by staff self-isolating or with confirmed cases of Covid-19.
“In this survey we also asked about what difficulties practices may be experiencing with EMS placements for vet students and VN training placements as a result of Covid-19, and this will help us to understand how we can better support students and practices in these areas.
“We will continue to monitor the situation via these regular surveys, with the next one planned for later this summer. I would urge as many practices as possible to continue to complete them, so that we can build up a stronger evidence-base on how veterinary businesses have been affected and how they are recovering.
"This information is not only vital for our own policy decisions but also allows us to present a stronger case to the Government and other public bodies where we wish to influence the decisions they make that will impact the veterinary professions and businesses.”
The survey results can be read in full at www.rcvs.org.uk/coronavirus-resources.
With the profession currently suffering a staffing crisis, some now question the ability of the profession to provide a blanket OOH service, and whether it should remain a requirement for all practices.
A logical first step, however, might be to discover just what percentage of OOH calls really are genuine emergencies, and how many are simply the result of society's increasing demands for a 24 hour service, not just from the veterinary profession. Hence the survey.
The question is open to veterinary surgeons and nurses working in general practice only.
https://survey.alchemer.com/s3/6495987/Out-Of-Hours
Last year Petplan received over 31,000 nominations across the five award categories: Practice of the Year, Vet of the Year, Vet Nurse of the Year, Practice Manager of the Year and Practice Support Staff of the Year.
The awards are judged by an independent panel which narrows the field to three finalists in each category, who are then invited to attend the awards ceremony.
The judges are looking for examples of exceptional levels of animal care, building and sustaining great relationships with colleagues and pet owners, and those who have gone above and beyond the call of duty.
James Barnes, Head of Sales & Partnerships at Petplan, said: “The Petplan Veterinary Awards provide the perfect opportunity to say thank you for the exceptional work carried out by members of the veterinary profession, whatever their field and wherever they’re based. The Petplan Vet Awards provide a great opportunity for both clients and colleagues to recognise the dedication and talent of veterinary professionals, teams and practices, right across the UK and say a particular thank you to those who have kept up the exceptional level of care even in the midst of a global crisis."
To nominate a colleague or your practice, visit www.petplan.co.uk before nominations close on 10th January 2022.
Poulvac CVI + HVT Marek’s vaccine provides the combination of the Rispens CVI strain and the HVT strain.
Zoetis says this combination of serotypes has long been recognised for providing strong, reliable protection against the disease, effective even against the very virulent pathotype of the virus.
John Kenyon, Zoetis National Veterinary Manager for Poultry said: "Marek’s disease remains a major problem for the poultry industry.
"To increase protection, it is a good idea to combine the CVI and HVT vaccine strains, and the new supplies of our vaccine help to make this more feasible.
“Currently in some longer-lived broilers and backyard laying hens a vaccine composed of just a single serotype is used, but it is advantageous to use a combination of serotypes to boost immunity further.”
Marek’s vaccination with Poulvac CVI + HVT can be performed in the hatchery at day of age via subcutaneous or intramuscular injection.
The Zoetis vaccine is supported with a range of services, including hatchery and vaccine audits, vaccine training and technical assistance.
Eight dogs being treated at three veterinary clinics in Norway took part in the study1.
Previous research2 has found a complication rate of 55% when fibreglass casts are used, 20% of them severe. In this study using the Upets Splinting System, only 12.5% of dogs (n=1) had complications that required treatment, and the complications were minor.
Dassiet says the results suggest that the new product has the potential to make veterinary casting safer, more sustainable, and can help control costs associated with cast replacement and treatment of complications.
86% of the veterinary surgeons participating in the study rated the Upets Splinting System as easy to use and said they would use the product on their own dog.
An earlier poll3 questioned vets on their most common concerns about casting and identified that the most significant were fear of complications (57%), the time-consuming nature of casting (54%) and inconvenience (51 %).
Dr. Martin Kaufmann, OrthoPets founder and Dassiet VET COO, said: “Complications often result from a cast that does not fit as well as it should.
"The results of this study suggest that Upets might be the ground-breaking tool that veterinarians have been waiting for as it provides them with the means to achieve a cast shape that is more precise."
For the white paper detailing the trial, visit: www.upets.vet/research.
IIC is an independent customer experience agency which conducts assessments, develops insights and awards annual accreditations to businesses.
For its accreditations, IIC uses feedback from customers, employees and the management team to assess the customer experience delivered by an organisation.
Customer services manager at Pennard Vets, Collette Rednall, who is also an IIC Ambassador, said: “We are the first in our industry to go through the rigorous process and we are thrilled to achieve a gold award.
“There are just 36 businesses in the UK that have achieved gold status – so this a fabulous achievement for every single one of our 100-strong team.”
In 2021 Pennard Vets became the largest veterinary practice in the world to become employee owned, through an Employee Ownership Trust (EOT), meaning its entire team are now practice owners and shareholders in the business.
The Disciplinary Committee considered a number of charges against Javier Salas Navarro MRCVS and Roman Kristin over 35 days.
The charges against Dr Navarro concerned his treatment of a kitten named Marnie. They included:
In August 2016, failing to read the anaesthesia consent form in relation to a surgical spay he performed;
When Marnie was readmitted for surgery, failing to read the anaesthesia consent form, failing to undertake adequate assessment of Marnie’s condition; performing surgery without adequately considering her condition; subjecting Marnie to anaesthesia without recognising the seriousness of her illness; failing to obtain informed consent from the owners; administering medication which was contra-indicated; and failure to make an adequate record of his involvement in Marnie’s care.
The charges against Dr Kristin also related to his treatment of Marnie. They included:
In August 2016, failing to undertake an adequate assessment of her condition; failure to recognise and record the fact that Marnie could not pass urine; failure to refer or offer her for specialist treatment; and failure to ensure Marnie received care and treatment overnight.
When admitting Marnie for surgery, that he made a number of clinical mistakes including failure to gain informed consent; and failure to recognise the seriousness of her illness;
that there were a number of failings in relation to Marnie’s care, including failure to arrange adequate overnight care, failure to monitor and record her condition, and failure to gain informed consent for the overnight care.
that he failed to advise Marnie’s owners that he suspected her uterers had been ligated during the spay, failed to advise Marnie’s owners that she required specialist veterinary treatment; and advised that Marnie undergo further surgery at the practice in spite of this meaning her having to undergo further anaesthesia in a week and with poor chances of survival;
that the above conduct was misleading and dishonest.
The Disciplinary Committee found a number of the facts in the charges against both Dr Navarro and Dr Kristin proven (the full details can be found in the documentation at www.rcvs.org.uk/disciplinary).
The Committee found that Dr Navarro breached a number of aspects of the Code of Professional Conduct for Veterinary Surgeons including: making animal health and welfare the first consideration when attending to animals; the provision of appropriate and adequate veterinary care; responsible prescription, supply and administration of medicines; communication with professional colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; effective communication with clients; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee found that his initial failure to read Marnie’s anaesthesia consent form on 5 August did not amount to disgraceful conduct in a professional respect, but that the repetition of this failure on 9 August did amount to disgraceful conduct. It also found that Dr Navarro’s failure to undertake adequate assessment and perform surgery without this assessment amounted to serious professional misconduct. Furthermore, the Committee found that subjecting Marnie to anaesthesia in spite of her being unwell, failure to obtain informed consent and failure to keep adequate records also amounted to serious professional misconduct.
For Dr Kristin, in summary, the Committee found not proven the allegation that he had failed to respond on 5 August 2016 to concerns from Marnie’s owners about her condition while she was recovering from a surgical spay and also all the allegations relating to Dr Kristin’s admission of Marnie to the practice on 9 August on the basis that it was not satisfied so as to be sure that Dr Kristin had been the veterinary surgeon who admitted Marnie on that day.
The Committee found proven the remaining charges and found he breached the following parts of the Code of Professional Conduct for Veterinary Surgeons: making animal health and welfare the first consideration when attending to animals; keeping within area of competence and referring responsibly; providing appropriate and adequate veterinary care; responsible prescribing, supply and administration of medicines; communication with colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; communicating effectively with clients and obtaining informed consent; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee determined that his failure to adequately assess Marnie’s health, to obtain a clinical history, to undertake blood tests and recognise that she was seriously ill, amounted to disgraceful conduct in a professional respect and led to “Marnie’s underlying condition going undetected and undoubtedly contributed to her eventual death two days later”.
The Committee also found that Dr Kristin’s decision to hospitalise Marnie without adequate overnight care, place her on IV fluids without monitoring the treatment or her condition, and failure to obtain adequate informed consent – among other things – amounted disgraceful conduct in a professional respect.
Stuart Drummond, chairing the Committee and speaking on its behalf, said: "As a direct result of Dr Kristin’s acts and omissions, Marnie was left alone overnight on fluids when those fluids had nowhere to go. Had he done his job properly he would have known that and Marnie could have avoided the prolonged suffering caused by the chosen course of treatment that did not address the underlying condition. Every element of Dr Kristin’s behaviour was catastrophic for Marnie, and yet he took no personal responsibility for her welfare and just went home.”
Following its findings on disgraceful conduct in a professional respect, the Committee then went on to consider its sanction for both Dr Navarro and Dr Kristin.
In respect of Dr Navarro, the Committee considered the mitigating factors including previous good character, admissions to some of the facts of the case from the outset; genuine insight and remorse into the seriousness of the actions; his youth and inexperience; and relevant and good-quality testimonials from colleagues. The Committee noted that the testimonials were universally positive and demonstrated that Dr Navarro had reflected on his conduct, had become more mature and confident in his practice and made efforts to rectify the areas in which he had fallen below standards.
Stuart Drummond said: “Although the consequences for Marnie and her owners were clearly devastating, the Committee considered that Dr Navarro’s part in her demise has to be seen in the context of all the evidence. In light of the extensive mitigation, including significant evidence of insight and remediation, the Committee was able to conclude that Dr Navarro did not represent a future risk to animals or the public. In such circumstances, the Committee considered that it was not necessary to restrict Dr Navarro’s registration and that a reprimand was the appropriate and proportionate sanction in his case.”
In relation to Dr Kristin, the Committee took into account positive character evidence from Mr Karel Daniel, a semi-retired veterinary surgeon and Vice-President of the Czech Republic Veterinary Chamber, a similar body to the RCVS in that country, as well as other testimonials on his behalf. In mitigation, the Committee considered Dr Kristin’s previously unblemished career, the fact that it was a single case involving a single animal; some development of insight into his conduct; no evidence of repetition; expressions of remorse; the impact of a family bereavement during the course of proceedings; and his financial position.
However, the Committee also took into account aggravating factors including a lack of candour from Dr Kristin when he was giving evidence, demonstrated by a tendency to blame others rather than take responsibility, as well as his recklessness in suggesting a third operation on Marnie that was not in her interests, rather than referring her into specialist care.
The final decision of the Committee on the sanction for Dr Kristin was that, given the seriousness of the misconduct, it was satisfied that this warranted a six-month suspension period. However, given the mitigating factors, the Committee decided that four months was appropriate and proportionate.
Commenting on the sanction Stuart Drummond said: “The Committee determined that it was important a clear message be sent that this sort of behaviour is wholly inappropriate and not to be tolerated. It brings discredit upon the respondent and discredit upon the profession and, most importantly, caused harm to Marnie and great distress to her owners.
"The Committee did consider whether to remove Dr Kristin from the Register. However, in light of the mitigation in this case, the fact that this was a single case in an otherwise unblemished career, together with the unlikelihood he would repeat his disgraceful conduct, the Committee decided that, in all the circumstances, to remove him from the Register would be disproportionate.
"The Committee therefore decided to order that the Registrar suspend Dr Kristin’s registration…. The Committee was satisfied that a period of four months was appropriate and proportionate in all the circumstances."
The full facts and findings from the case can be found at www.rcvs.org.uk/disciplinary