The proposals follow the recent consultation on reforming the Veterinary Surgeons Act 1966 along with recommendations made by the Competition and Markets Authority following its investigation into veterinary services for household pets.
According to DEFRA, the department responsible, “Millions of pet owners will benefit from the most significant overhaul of veterinary regulation in six decades.”
The new measures, it says, “will radically modernise the industry, delivering better protections for households and greater transparency around prices – helping pet owners understand what they are paying for, avoid unexpected costs and choose the best value care for their pets".
Practices will be required to publish price lists for common treatments and be transparent about options and changes.
An independent veterinary ombudsman is being considered to give pet owners “a clear and straightforward route to redress when complaints cannot be resolved directly with their practice”. DEFRA states: “With the power to make binding decisions, the ombudsman will ensure disputes are resolved more quickly and fairly, increasing confidence across the sector.”
Among the new proposals are that veterinary businesses will be subject to statutory regulation, with a mandatory licensing system – similar to GP surgeries and care homes; and there will be inspections of premises with publication of compliance reports.
The proposals also include reforms to fitness-to-practise processes. The current system, says DEFRA, focuses heavily on past alleged misconduct and professional disrepute offering limited options for intervention. Under the proposed framework, regulation would move towards a modern “current impairment” model that focuses on whether a professional currently presents a risk and what support may be needed to help them practise safely and effectively.
Although no timescale is given, there is to be statutory registration of veterinary nurses as well as farriers; later, physiotherapists, osteopaths, chiropractors, equine dental technicians and cattle and equine hoof trimmers will have to be registered. It is not yet clear who will have responsibility for this.
In addition to the ombudsman, practices will need to have in-house complaints procedures, and first opinion small animal practices will require a mandatory mediation process.
The Secretary of State for DEFRA, Emma Reynolds, said the reforms would help owners avoid unexpected bills, compare prices more easily and get the best value care for their pets; while the UK’s chief veterinary officer at DEFRA, Christine Middlemiss, said the new framework “will build a stronger, more resilient veterinary profession fit to meet the needs of the UK’s animal sector whilst ensuring the highest standards of care for our animals”.
She continued: “One of the most significant proposals is extending statutory regulation beyond veterinary surgeons to include veterinary nurses and other allied veterinary professionals through a licence-to-practise system.
“In recognising and regulating a broader range of professions as a sector we can provide greater clarity about roles and responsibilities, protect professional titles, and enable appropriately qualified professionals to work to the full extent of their competence. This will importantly help create a more flexible and resilient workforce while maintaining high standards of animal welfare and public confidence.”
She added: “The proposed licensing framework for businesses will establish clear standards relating to areas such as clinical governance, staffing, consumer information and accountability. At the same time, of course, regulation should remain proportionate and outcomes-focused, avoiding unnecessary burdens while maintaining confidence in the sector.”
The RCVS warmly welcomed the proposals, calling them “a step-change in how the sector is regulated”. The College said it agreed that the profession required modern legislation to protect animal welfare and noted that it was ready to separate its professional leadership and regulatory roles if DEFRA determined it necessary.
The newly-elected president of the Royal College, Tim Hutchinson, said the proposed reforms would provide stronger powers for the RCVS to regulate all veterinary and animal healthcare businesses, ensure the title “veterinary nurse” is used only by properly qualified professionals, allow for the regulation of the wider veterinary team, and introduce a modern fitness to practise framework. “These changes are essential for protecting animal health and welfare and for public confidence in the veterinary professions,” he added.
The BVA president, Rob Williams, described the publication of the white paper as “a positive, landmark moment for vet professionals, as well as for animals and their owners, taking us all one step closer to improved legislation that meets the demands of modern veterinary medicine”.
The BSAVA gave “broad support” to the proposals, in particular the legal protection of the veterinary nurse title, but it stressed that professional recognition must be paired with continued investment in lifelong learning and education for the whole team. This association, along with the BVA, has previously expressed concern that new pricing and prescription rules may disproportionately impact smaller, independent practices.
The BVNA said it was thrilled to see the white paper include statutory regulation and official protection for the title of “veterinary nurse”. This, it stated, would prevent unqualified individuals from using the title and ensure high standards of animal welfare and public safety. The association said it had pushed for years to update the law so it reflected what nurses actually do today. The BVNA also backed the proposals to hold corporate veterinary practices and businesses accountable, rather than just individual nurses and vets. This, it says, “will improve fairness and create a safer working environment”.
Sue Davies, head of consumer rights policy at Which?, described the current legislation regulating the veterinary market as seriously outdated with pet owners being badly let down by it.
Which? research has shown that the inadequacies of complaints and dispute resolution processes are a particular problem and they leave people fighting for years to get their voice heard. “This is why an independent veterinary ombudsman is sorely needed,” she said. “The government needs to keep moving forward with the reforms so that fit-for-purpose regulation is in place before the next general election.”
According to DEFRA, the reforms will “introduce more competition to lower costs over time” – though there was no detail in the white paper as to how this might happen.
https://www.gov.uk/government/publications/our-vision-for-a-thriving-veterinary-sector/our-vision-for-a-thriving-veterinary-sector
According to the forthcoming PDSA Animal Welfare 2016 report, only 35% of pet owners are familiar with their pets' legal welfare needs, a figure which has remained persistently low over the past 6 years (45% in 2011, 31% in 2012, 38% in 2013, 36% in 2014 and 31% in 2015).
The same report revealed in 2015 that 97% of veterinary professionals agreed there is value in encouraging pet owners to better understand and provide for the five welfare needs of their pets.
The 2016 report will also report that pet owners who feel more informed about each of the five welfare needs are significantly more likely to provide preventive healthcare to their pets.
Gudrun Ravetz, President of the BVA said: "It’s concerning that, despite many veterinary practices’ best efforts, public awareness of the five welfare needs remains consistently low. There are so many strong voices for animal welfare, which is why it’s great that so many veterinary organisations – including BSAVA, BVNA and BVZS – are coming together within this coalition to highlight pet owners’ legal duty of care. We hope practices across the country will join us in spreading the message by continuing to deliver the welfare need-focused advice to clients that they already do, day-in, day-out."
The 2006 Animal Welfare Acts of England and Wales, and Scotland consolidated and replaced more than 20 pieces of outmoded legislation. They established a duty of care, enshrining in law five animal welfare needs, outlining housing, diet, behaviour, social interactions and health as the legal responsibilities that every owner should meet to ensure their pet is as happy and healthy as possible.
The veterinary animal welfare coalition says it recognises that veterinary practices across the UK already promote the five welfare needs through a range of methods, from displaying materials in their waiting rooms to providing health check consultations with vets and vet nurses to discuss pets’ needs. The seven organisations, which are all UK based and support or provide veterinary service delivery, are pooling their resources so that veterinary practices can more easily signpost clients to the wealth of resources that are available.
James Yeates, who chairs the veterinary animal welfare coalition as part of the Vet Futures Action Plan, said: "The five welfare needs are a fantastic 'umbrella' guide to taking care of our pets, yet each and every species has such differing welfare needs - from cats who tend to be solitary animals and usually prefer to be the only pet to rabbits that should live in pairs or groups of other rabbits and dogs, who should not be left on their own for more than a few hours a day - it’s vital that pet owners can translate theory into practice. Our understanding of animal welfare science has come such a long way over the past 50 years so we'd really like pet owners to visit their local veterinary practice, where they will be able to get tailored, up-to-date advice for their pets."
The BVA's Spring 2016 Voice of the Profession survey of over 1,600 veterinary surgeons found that the majority (60%) see diet as their main welfare concern, causing obesity, dental issues and a variety of other complex health problems. The coalition of veterinary organisations behind this campaign says it hopes it will encourage the 15% of pet owners not currently registered with a veterinary practice to seek out their local surgery for expert advice about issues such as these.
More information about the coalition and the resources available to practices can be found at www.bva.co.uk/news-campaigns-and-policy/newsroom/news-releases/uk-pets-at-risk-as-two-thirds-of-owners-unaware-of-legal-welfare-needs/
The British Veterinary Nursing Association and the Society of Practising Veterinary Surgeons have launched a waiting room poster to help practices raise awareness of the status of their VNs and promote the welfare benefits that VNs can help provide.
Rolled copies of the A2 posters are available in a tube for £2.50 (to cover postage). Folded copies are free or you may download the poster here.
Contact the BVNA office on 01279 408644 to request a copy.