At the start of the hearing the RCVS applied for it to take place in the absence of Mr Dobson, who had failed to respond when informed about the hearing. The application was granted by the DC on the basis that Mr Dobson, by refusing to respond to communications from the College – including by letter, telephone and email – had voluntarily waived his right to attend.
There were three sets of charges against Mr Dobson. The first charge was in June 2018, while he was not on the Register of Veterinary Surgeons, Mr Dobson had carried out an equine pre-purchase examination (PPE) and used the postnominals MRCVS to sign the associated PPE certificate and covering letter.
The Committee found this charge proven after it was presented with evidence of the certificate and covering letter alongside the fact that Mr Dobson had been removed from the Register on 1 June 2018 for non-payment of the annual renewal fee needed to remain on the RCVS Register. He was only restored to the Register upon paying his outstanding fee in late November 2018.
The second charge was that Mr Dobson did not have any professional indemnity insurance (or PII) or other equivalent arrangements in between June 2018 and August 2020. He also failed to provide adequate details of his PII when requested by the RCVS.
The Committee was presented with evidence that Mr Dobson had failed to confirm that he had PII arrangements or other equivalent arrangements in place prior to August 2020 and that he had failed to respond to numerous requests for evidence from the College. On this basis the Committee found the charges proven.
The third and final charge was that Mr Dobson had failed to respond to numerous requests from the RCVS, including: failing to provide written comments on concerns relating to the equine PPE; failing to provide written comments on the concern that he had carried out the PPE and used the postnominals MRCVS while not on the Register; failing to provide details of his continuing professional development (CPD) for the previous three years; and failing to provide copies of his Day Book and/or Controlled Drugs Register. All elements of this charge were found proven when the Committee was presented with evidence of numerous attempts to contact him that went unacknowledged and unanswered.
Regarding the first charge, the Committee recognised that Mr Dobson had not intentionally allowed his registration with the College to expire and that it was down to administrative error. However, it also considered that he had not responded to or taken action upon receiving numerous reminders to pay his fees. It considered that Mr Dobson had therefore acted recklessly in not only allowing his registration to expire but in continuing to practise veterinary surgery while not registered, a criminal act in contravention of the Veterinary Surgeons Act. The Committee therefore found that the first charge amounted to serious professional misconduct.
The Committee also found that the remaining charges constituted serious professional misconduct.
Cerys Jones, chairing the Committee and speaking on its behalf said: "The respondent demonstrated a pattern of behaviour in not responding, which was sustained and persistent. He asked for extensions of time but did not make good on his assurances that he would provide information. Due to the length of time during which the respondent failed to comply with the requests, as well as the proliferation of issues in respect of which he did not comply, the Committee was of the view that he demonstrated a wilful disregard of the role of the RCVS and the regulatory processes. This was particularly serious in light of the reliance which the RCVS places upon its members to cooperate with providing it with information relating to their professional practice which is relevant to the RCVS’s regulation of the profession.
"There was no harm caused to animals or the public, and the Committee acknowledged that practice circumstances have been made more difficult in general by the Covid-19 pandemic. However… the respondent’s failures to comply were serious and undermined the functions of the RCVS. The Committee was satisfied that the respondent’s failures fell so far below what was expected as to amount to serious professional misconduct."
Having found that all the charges amounted to serious professional misconduct the Committee then considered the most appropriate sanction for Mr Dobson. In terms of aggravating factors, the Committee considered Mr Dobson’s recklessness in failing to renew his registration and practising while it was lapsed, his pattern of not responding to the RCVS, the fact that financial gain was obtained as a result of misconduct, a wilful disregard to the RCVS and regulation, and limited evidence of insight. In mitigation the Committee considered Mr Dobson’s previous good character, a long and otherwise unblemished career, the fact that no animals were harmed and increased demands on time and processes due to Covid-19.
However, taking all of the information into account, the Committee decided that removal from the Register was the appropriate and proportionate sanction due to the sustained and prolonged nature of the misconduct.
Cerys Jones said: “The respondent demonstrated a wilful disregard of the role of the RCVS and the regulatory processes by way of his disgraceful conduct. In addition, his lack of engagement with the hearing process indicates to the Committee that he is not engaging with his regulator and, along with the limited insight and lack of remediation with respect to the disgraceful conduct, this demonstrates a lack of insight into the seriousness of his actions or their consequences.”
The Statutory Membership Examination must be taken by all individuals educated outside of the UK whose veterinary qualification is not recognised by the RCVS. Passing the exam allows them to join the UK Register, and practice as a veterinary surgeon in the UK.
The exam has existed in its current format for over 30 years, and the review was implemented to ensure the examination remains fit for purpose, and sits in line with international best-practice and the College’s current Day-one Competences.
The College says the review was also designed to make sure it is using the most appropriate means of assessment methods, to best prepare candidates for success, and to ensure candidates can work in the UK to the best of their ability.
The written examination will now consist of two parts; a clinical Multiple Choice Question (MCQ) paper (in a single best answer clinical vignette format) and an open book examination, which will be used to ascertain the candidate’s knowledge of the RCVS Code of Professional Conduct.
The Clinical, Practical Examination will now exist in the form of a multi-dimensional Objective Structured Clinical Examination (OSCE). This examination is set to measure a range of clinical, technical and professional skills including clinical reasoning, communication, professionalism, and ethical awareness. Following a tender process, Glasgow Veterinary School has been awarded the contract to host the OSCE examination for five years from 2019 to 2023.
RCVS Examinations Manager, Victoria Hedges, said: "The review of the Statutory Membership Examination has provided us with the opportunity to ensure that we continue to test the skills and knowledge needed to work effectively in a veterinary practice in the UK in a robust manner, and bring it in line with the final year examinations delivered at UK vet schools. In designing the examination, the RCVS has considered international best practice, in addition to approaches to regulatory examinations within both the veterinary and medical sectors."
A comprehensive handbook regarding this new examination will be available on the Statutory Membership Examination section of the RCVS website (www.rcvs.org.uk/statutory-membership-exam) shortly.
If you have any questions, please get in contact with Examinations Manager, Victoria Hedges: v.hedges@rcvs.org.uk
The RCVS is calling for its members to nominate veterinary surgeons and non-veterinary surgeons who merit the award of Honorary Associateship or Honorary Fellowship.
Honorary Associates are awarded annually to people, not necessarily vets, by reason of their special eminence in, or special service to, the veterinary profession. Council has agreed that these should only be people ineligible for election as Honorary Fellows.
Honorary Fellowships can be awarded to up to three veterinary surgeons in any year for their service to, or special eminence in, the cause of veterinary science. Nominees for Honorary Fellowships must be members of the RCVS and have been a member, or held a registrable qualification, for at least 20 years.
Nominations must be received by the President, Mr Peter Jinman, by Friday 3 September 2010. Members can obtain nomination forms from the RCVS Executive Office (0207 202 0761 or executiveoffice@rcvs.org.uk).
All nominations need to include the particular reasons why the honour/award should be conferred, along with supporting statements from two referees, at least one of whom must not be a working colleague of the person nominated.
Nominations will be considered at the meeting of the Nominations Committee on 14 October, and awards made at RCVS Day on 1 July 2011. Details of Honorary Fellowship and Honorary Associateship award holders can be found in the Register of Veterinary Surgeons, with the addition since 2 July 2010 of Dr Tony Lawrence and Professor Martin Shirley (Honorary Associates), and Professor Elizabeth Simpson and Professor Peter Roeder (Honorary Fellowships).
Vets who want to stand as election candidates must submit their nomination forms by 5pm on Wednesday 31st January 2024.
There are places for three elected candidates on Council.
This year, the RCVS has put together downloadable information packs for prospective candidates.
The pack explains the role of an RCVS Council member and the candidate nomination process, and contains the candidate nomination and candidate information forms.
The RCVS Council pack is available to download from rcvs.org.uk/vncouncil24.
Eleanor Ferguson, RCVS Registrar and Returning Officer for both elections, said: “RCVS-registered veterinary surgeons of all backgrounds, at all career stages, and with all levels of experience are eligible to stand in the elections.
"So, if you want to help shape the future of veterinary regulation and our Royal College initiatives and activities, please consider standing in next year’s elections.”
Veterinary surgeons who are interested in standing for RCVS Council and who have any further queries should contact Dawn Wiggins, RCVS Council Secretary, on d.wiggins@rcvs.org.uk
The survey was held between the 1st and 5th May and was sent to the 3,139 UK veterinary practices for which the RCVS holds a unique email address. In total it gathered 251 responses (a response rate of 8%) compared to the 532 responses to the initial survey conducted between 3rd and 7th April (a response rate of 17%).
The main changes compared to last month's survey were:
Lizzie Lockett, RCVS CEO, said: "This latest survey has identified some positive trends in terms of a slight uptick in business, including turnover, and fewer incidences of staff having to take time off with COVID or COVID-like symptoms.
“I am glad to see that the framework we published in April has, so far as we can see, provided veterinary professionals with greater guidance and reassurance regarding the fact that if it is feasible to do something safely under social distancing guidelines, then they can go ahead, if they choose to.
"We left plenty of scope for veterinary professionals to use their clinical judgement as to what services actually offer, depending on their facilities, level of staffing, availability of protective equipment, local disease pressures and so on.
"However, it is also clear that we are, by no means, out of the woods and that veterinary businesses are still struggling financially, with some of them reporting a very acute impact of the coronavirus and the associated restrictions on their businesses.
“We will continue to monitor the situation via these regular surveys, with the next one planned for early June. 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. 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.
Each charge related to fraudulent pet insurance claims that Mr Johnston had made for the treatment of animals when he was in practice in Banbridge, County Down, two of which were fictitious, and where he had arranged for the insurance claims to be diverted and paid into a personal bank account, rather than the practice’s bank account.
At an initial hearing, which concluded on April 2022, Mr Johnston had admitted all the charges against him as well as admitting that his conduct was dishonest and amounted to serious professional misconduct.
The Committee was satisfied that his conduct amounted to serious professional misconduct, with Committee Chair Paul Morris saying: “The Committee has no hesitation in concluding that the respondent’s dishonest conduct will have severely undermined the confidence of the public in the veterinary profession and, further, that his conduct fell far short of the standards and conduct properly to be expected of a member of the veterinary profession.
"The Committee is satisfied that this conduct by the respondent brought the profession into disrepute.”
The proceedings were then adjourned to allow a psychiatric report and other mitigation to be prepared.
At its resumed hearing in November 2022 the Committee considered what sanction to impose in relation to Dr Johnston’s actions.
At this point, the Committee decided to postpone its decision on sanction for a period of two years on the condition that Dr Johnston enter into undertakings to the Committee including refraining from any form of gambling, subjecting himself to a close regime of support and supervision, and repaying some of the sums he had defrauded.
The hearing reconvened in October 2024 to decide on an appropriate sanction.
The Committee noted that Mr Johnston had complied with the undertakings and provided the Committee with the interim reports required of him.
He also continued with the therapeutic interventions and programmes specified, as well as implemented measures designed to minimise the risk of a relapse into gambling.
The Committee also noted that reports from the gambling support services, to which Mr Johnston had signed up, all spoke positively about his involvements and confirmed the progress he had achieved in managing his addiction.
The Committee also took into account a psychiatric report as well as evidence under oath from Mr Johnston’s wife who confirmed his compliance with the undertakings.
As a result, the Committee was satisfied that the prospects of a repeat of the conduct which led to the charges laid against Dr Johnston were now greatly reduced.
The Committee said it was less impressed with the evidence provided by Mr Johnston.
While he had largely complied with the letter of the undertakings he gave in 2022, it remained troubled by his apparent unwillingness or inability, on account of lack of effort, to fulfil the assurances previously given that he was in the process of changing his name to Johnston, from Fegan, on official documentation in order to be consistent with his legal name, when he had not done so.
The only formal name change in place was on the RCVS Register, and he had failed to alter his name on his driver’s licence, on his registration with the Veterinary Council of Ireland, his passport, bank accounts, and one of his email addresses.
As a result, the Committee did not find Dr Johnston to be an entirely satisfactory witness.
Paul Morris, chairing the Committee and speaking on its behalf, said: “Having made the progress that he has over the period since the commission of the charges found proved in 2019, the Committee considers that the imposition of a sanction of suspension on top of the period of postponement would be excessive, in the particular circumstances of this case.
“For the same reasons, as stated above, it is considered that it would be excessive now to impose a sanction of removal from the register.
“That process of reasoning has driven the Committee to the conclusion that the sanction of a reprimand and warning as to future conduct is what the facts and circumstances of this case call for.
"That is because the respondent can be under no illusion about the outcome were he to appear again before this Committee.
"A failure to take advantage of the exceptional course adopted by this Committee on this occasion would be regarded as a serious aggravating factor were he to appear before the Committee at any time in the future.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings
The project was launched as a joint initiative between the RCVS and the BVNA in 2016. Its objectives included highlighting veterinary nursing as a career, encouraging more people into veterinary nursing, improving retention, expanding the scope of the VN role, and providing more opportunity for career progression.
The report begins by highlighting perhaps the biggest challenge facing the profession, that in 2019, 25% of veterinary nurses said they plan to leave the profession in the next five years, largely because of poor pay, because they don't feel sufficiently valued, lack of career opportunities and because of a poor work/life balance.
The main achievements of the project, which should certainly help with some of these issues, include:
Jill Macdonald, VN Futures Project Coordinator, said: "The report is a culmination of years of hard work, putting in place measures to champion the veterinary nursing profession and safeguard it for the future. Through the introduction of initiatives like the School Ambassador Development Programme and the introduction of the CertAVN, to name but a few, we have put in place steps to inspire the next generation of veterinary nurses and support the training and development of people currently working in the profession."
You can read the full VN Futures Interim Report at https://www.vnfutures.org.uk/resource-items/vn-futures-interim-report-2021
The RCVS is reminding veterinary surgeons to complete their registration process by confirming they have met the requirement for continuing professional development (CPD) and declared any outstanding convictions.
The College says that although the deadline for completing the annual renewal was April 2014, there are still some vets who, despite having paid on time, have not yet fully completed the registration process. This includes declaring that they have met the minimum requirement of 105 hours of CPD over a three-year period.
Failing to confirm that the CPD requirement has been met means that the College may request the individual's records as part of its annual monitoring of CPD compliance.
As of this year, veterinary surgeons must also declare any convictions, cautions and adverse findings since 1 January 2006 - or lack thereof - to complete the registration process.
Convictions disclosure forms and a document explaining the new protocol are available to download. The College also has a convictions helpline on 07818 113 056 which is open Monday to Friday, 11am to 4pm.
Those veterinary surgeons who have yet to complete their registration should contact the Registration Department as soon as possible on 020 7202 0707 or registration@rcvs.org.uk for assistance from a member of the team.
To carry out the practice of veterinary medicine, a veterinary practitioner must be registered in the jurisdiction in which they are practising ie a veterinary practitioner who practises veterinary medicine in the Republic of Ireland must be registered with the VCI; likewise, a veterinary surgeon who practises in Northern Ireland, England, Scotland or Wales, must be registered with the RCVS.
EU Directive 2005/36EC enables a veterinary surgeon who is lawfully established and registered in an EU member state to provide services on a temporary and occasional basis in another member state. This service allows registered veterinary surgeons to occasionally practise in other countries in the European Union for short periods, up to a maximum of 30 days per year.
From 1st January 2021, the Directive will no longer apply to veterinary practitioners from the Republic of Ireland who may want to provide veterinary services in the UK and that they would therefore need to be registered with the RCVS even if provision of these services is temporary and occasional.
However, in October 2019 the Presidents of the RCVS and the VCI signed a Mutual Qualification Recognition Agreement. The agreement means that the degree in veterinary medicine from University College Dublin can be recognised by the RCVS, and the current eight RCVS-recognised UK veterinary medicine degrees can be recognised by the VCI. The recognised qualifications are accepted as the basis for registration to practise veterinary surgery by the RCVS in the United Kingdom and veterinary medicine by the VCI in the Republic of Ireland.
The VCI and the RCVS emphasised that regardless of whether a trade agreement has been signed between the EU and the UK by 1 January 2021, this will have no bearing on the Mutual Qualification Recognition Agreement currently in place.
Niamh Muldoon, CEO and Registrar of the Veterinary Council of Ireland, said: “This historic agreement will enable graduates of Irish and UK veterinary schools to continue to seek to practise in the other country when they wish. We look forward to continuing to collaborate with our colleagues in the RCVS in the future for the benefit of the profession in both countries.”
Mandisa Greene, President of the Royal College of Veterinary Surgeons said: “I am very glad to be able to affirm our continuing working partnership with our friends and colleagues in the Republic of Ireland. We know that veterinary surgeons based both in Northern Ireland and the Republic of Ireland have clients and undertake work on both sides of the border, and this Mutual Recognition Agreement will help to ensure that UK and Ireland-qualified veterinary surgeons are able to register in each other’s jurisdictions where required. I too look forward to continuing to work closely with the VCI both on a bilateral basis, and via pan-European institutions such as the Federation of Veterinarians of Europe.”
The Royal College of Veterinary Surgeons has refused to release the McKelvey Report in full, despite Freedom of Information requests made by VetSurgeon.org and others.
According to the College, it had always been the intention of RCVS Officers that the full report, which considered the building works in the Lower Ground Floor of the RCVS offices in Belgravia House, and the implementation of a new database, would be published.
However, on the advice of solicitors (Penningtons), only the recommendations of the Report were published initially, in November.
This publication followed discussion of the full report (one sentence was redacted on legal advice) by RCVS Council on 3 November.
Freedom of Information requests for the full report were then received by the College, so further, external senior legal advice was sought.
This advice, from Counsel, confirmed the original view from solicitors that it would be inappropriate to publish the report in full because it includes personal data, which ought not to be made public, under the Data Protection Act.
The College claims the meat of the report is in the recommendations, which account for approximately 50% of the report, and which are being taken forward by Officers and RCVS Council, with plans to put an Audit and Risk Committee in place taking priority.
The recommendations of the report, which were adopted by Council, were published online on 11 November and are available to download from the 'Related documents' box, above right.
Plans for the introduction of a disciplinary mechanism for Registered Veterinary Nurses (RVNs) have been agreed by the RCVS Veterinary Nurses Council.
RVNs agree to account for their professional conduct and keep their skills and knowledge up to date: over 70% of eligible veterinary nurses have now joined the non-statutory Register.
The Veterinary Nurses Council agreed to a period of nearly three years between the opening of the Register and the College putting in place a disciplinary mechanism. This was to give RVNs time to get used to their new rights and responsibilities. Plans are now in place to introduce a disciplinary system from September 2010.
Charges could be brought against a veterinary nurse if found guilty of fraudulent registration, criminal convictions which render him or her unfit to practise as a veterinary nurse, or allegations of disgraceful professional conduct.
The sanctions would be the same as for veterinary surgeons, ie to remove a nurse's name from the Register (with the nurse eligible to apply for restoration after 10 months), or to suspend the nurse, with his or her name returning to the Register immediately after the period of suspension. A veterinary nurse would not be able to carry out Schedule 3 tasks while removed from the Register.
Complaints would initially be dealt with by the Veterinary Nurses Preliminary Investigation Committee (VN PIC), which will assess whether the complaints should be taken to the hearing stage. Three RVNs will sit on this committee. They will be joined by three members of the veterinary PIC, including either the RCVS President, or one of the Vice-Presidents, and one Lay Observer.
Meanwhile three RVNs will join existing members of the RCVS Disciplinary Committee (DC) to form a VN DC, to adjudicate on charges against a veterinary nurse. These individuals will not currently sit on VN Council. If the case were against a VN, the sitting panel would include at least one veterinary nurse, one veterinary surgeon and a lay person acting as chairman. A legal assessor would also sit with the Committee to offer advice.
If a case were to concern both a veterinary surgeon and a veterinary nurse, the preliminary investigation would be carried out in tandem but with separate disciplinary hearings.
Applications are invited for RVNs to sit on the new VN Preliminary Investigation or Disciplinary Committees. Anyone who would like further information should contact Lesley Evans, Manager, Executive Office (l.evans@rcvs.org.uk or 020 7222 2001) by 31 May 2009.
The College says it will, however, continue to operate as close to normality as possible, with the main support services for veterinary surgeons and veterinary nurses such as advice, lifelong learning (including qualifications and the new 1CPD platform), finance and Practice Standards available as usual over the phone, on email or via the website.
The College’s main statutory activities around accreditation, registration and regulation of the professions will also be largely unaffected, with most Committee, Sub-Committee and working group meetings held by telephone or video conference.
Apparently, however, the April meeting of RCVS Council was going to be too big to be held remotely, so it has been cancelled.
The things that were up for discussion, such as the standard of proof and the report of the Legislation Working Party, will be moved to a subsequent meeting. Should there be any urgent business to consider, Council members have been asked to remain available via email on the date originally scheduled.
The College says it will be deciding whether to proceed with forthcoming DC hearings on a case-by-case basis, to balance maintaining the health and welfare of all involved with the College’s responsibility to protect animal health and welfare and public health.
The College is having to postpone or cancel an increasing number of its events; latest updates and advice for the profession is at: www.rcvs.org.uk/coronavirus.
RCVS Chief Executive Lizzie Lockett, pictured right, said: "We have been planning for this eventuality for some time, so whilst Monday’s announcement from UK Government came a little sooner than expected, we are in a strong position to be able to operate as close to normal as possible.
"We have an excellent and highly committed team of staff and Council members at the College, who I know will continue to work hard from kitchen tables, studies and living rooms over the coming days and weeks to serve the veterinary professions and the animal-owning public.
"Whilst we are fortunate that much of our work can be carried out remotely, we fully appreciate that this is not the case for most veterinary professionals who themselves are currently facing many significant challenges in their daily work to care for the nation’s animals whilst also prioritising the health and welfare of their own teams."
The College is urging all veterinary surgeons, nurses and practices to check they have supplied it with their most up-to-date email address via www.rcvs.org.uk/myaccount so it can relay its latest advice as the situation evolves.
The RCVS has been out promoting the profession, the Practice Standards Scheme (PSS) and its new 'Find a Vet' search tool to animal owners at BBC Countryfile at Blenheim Palace last week.
The RCVS stand was designed to look like a veterinary practice, complete with waiting room, consulting room, prep room, operating theatre and RCVS Accredited Practice logos.
The team from the College handed out around 1,500 ‘Find a Vet’ canvas bags containing 'Find a Vet' and Practice Standards Scheme leaflets and merchandise, and persuaded over 200 people to take part in special ‘Find a Vet’ and PSS-themed games and competitions.
These included having to find a veterinary surgeon or nurse around the showground (volunteers from RCVS Council and VN Council, including RCVS President Chris Tufnell and VN Council Chair Liz Cox, along with David Catlow, Neil Smith, his dog, Fire, Lucy Bellwood and Amber Richards).
The College reports that there was also a continual stream of children eager to pretend to be veterinary surgeons and veterinary nurses for the day and have a go at the on-stand ‘animal examination’ and ‘animal surgery’ activities. All this gave rise to plenty of photo opportunities, which parents and competition entrants were encouraged to share on social media, to help spread the word about the College’s activities.
Ian Holloway, RCVS Head of Communications said: "This was the first time the RCVS had been to such a large-scale and high-profile public event, and it provided a superb opportunity to explain to animal owners who we are and how we can help them.
"We had a great deal of interest in our new Find a Vet service, and people also seemed reassured that there was a scheme in place to accredit veterinary practices around the country. Having attended both the London Pet Show and BBC Countryfile Live this year, we now plan to increase the number of animal owner events we attend next year, to further raise public awareness of the RCVS Practice Standards Scheme and our Find a Vet service."
For more pictures of the event, see: https://flic.kr/s/aHskEQkDPc
The plenary speaker was Professor Rory O’Connor, Chair of Health Psychology at the University of Glasgow’s Institute of Health & Wellbeing whose talk: "When it is darkest: understanding suicide risk" opened the day with an outline of his 25 years of work looking into suicide prevention.
Rory discussed his recent investigation into the impact of the Covid-19 pandemic on people’s mental health and wellbeing, and how to reduce the risk of suicidal ideation turning into suicidal action.
He said: “In the last 10 to 15 years there has been an increased focus in particular on psychological and psycho-social interventions for helping people who are suicidal.
"Although suicide is complex, interventions, even brief interventions, can be effective.”
Rory was followed by presentations from a number of teams, including those who'd been awarded the MMI’s Sarah Brown Mental Health Research Grant in 2019 and 2020:
The full report of the day’s talks can be found here https://www.vetmindmatters.org/resources/report-mind-matters-initiative-research-symposium-2021
Under the previous system, complaints made about a veterinary surgeon or veterinary nurse would, at Stage One, be considered by a Case Examiner Group (CEG) which would determine if there was an arguable case of serious professional misconduct.
If the CEG found there was an arguable case, it would then refer it to Stage Two of the process for consideration by the Preliminary Investigation Committee.
The CEG stage of the process has now been replaced by Stage One Preliminary Investigation Committees which, rather than using the ‘arguable case’ threshold, will consider from the outset whether there is a realistic prospect that the alleged conduct constitutes serious professional misconduct and that there is sufficient evidence.
The new Stage One Preliminary Investigation Committees will comprise members of the professions and lay people, and will be assisted in their investigations by an RCVS Case Manager who will also be the first point of contact for those raising concerns, witnesses and respondents in the case.
Eleanor Ferguson, RCVS Registrar and Director of Legal Services, said: “By keeping to one consistent threshold for serious professional misconduct throughout the concerns investigation process, we hope that these changes will help to simplify our investigations while still ensuring that the process remains robust and thorough.
"We also hope that, in time and when the changes are fully bedded in, we may also see a swifter resolution to some cases, as concerns that may previously been referred on to Stage Two of the process can now be closed at Stage One.”
If a Stage One Preliminary Investigation Committee cannot close a case it will refer it on to a Stage Two Preliminary Investigation Committee.
This will gather additional information and evidence and then determine if there is a realistic prospect of finding serious professional misconduct and if it is in the public interest for the case to go to Stage Three - a full, public Disciplinary Committee hearing.
Eleanor added: “The introduction of these new stages is the first step in the programme of reform of our concerns investigation and disciplinary processes.
"Next year we will be looking to introduce our Charter Case Protocol which will be a way of resolving some less serious cases of alleged misconduct where it would not necessarily be in the public interest to hold a full Disciplinary Committee hearing.”
www.rcvs.org.uk/concerns
The RCVS awards for which nominations can be made this year are:
RCVS President Dr Melissa Donald MRCVS, said: “It is important that veterinary surgeons and veterinary nurses uplift each other, and recognise those everyday heroes who impact the animal health and welfare in their local community day in, day out.
"So, if you know anyone who fits the bill for one of our award categories, please make sure to take a bit of time to fill in the nomination form and put them forward.”
The deadline date for the 2023 awards is 5pm on Friday, 27 January 2023.
To read the guidance on making a nomination and to download the PDF nomination forms for each of the awards, visit www.rcvs.org.uk/awards
The awards fall into two categories, those which you need to be nominated for by other people and those which are also open to self-nomination:
Requiring nomination by another person:
Self-nominations allowed:
The deadline for the 2025 awards is Friday, 13 December 2024.
https://www.rcvs.org.uk/how-we-work/rcvs-honours-awards
A shift towards a more outcomes-based model of CPD for veterinary surgeons and veterinary nurses has been under discussion for a number of years and one of its main proponents has been the current RCVS Senior Vice-President Professor Stephen May (pictured right), who chaired the CPD Policy Working Party.
Stephen said: "There has been increasing recognition over a range of different professions that CPD records based on ‘inputs’ alone, for example, measuring the number of hours attending a lecture, do not necessarily prove that any significant learning has taken place or that this learning will be used to improve professional practice.
"By contrast, research has demonstrated that CPD activities focused on outcomes encourage professionals to reflect on what they have learned, how they will apply their learning and how it will improve their practice, which has a positive impact on professionalism and patient health outcomes. Numerous other professions, including human medicine and dentistry, have moved to this model and the veterinary world has been somewhat ‘behind the curve’ as a result.
"However, as with any significant shift in policy, there has been a recognition that we needed to take the profession with us and not force through change. This is why, in March 2017, we launched a pilot scheme for the outcomes-based model with veterinary and veterinary nurse volunteers, including people who, during the initial consultation stage, had voiced some skepticism towards the concept.
"The overall feedback from volunteers was very positive and supportive towards the changes and I look forward, over the coming years, to talking to the professions at large about the benefits of the approach and how to best engage with the model."
In all, around 120 volunteers took part in the pilot, of whom 70% were veterinary surgeons and 30% veterinary nurses. When the pilot finished in October 2018, volunteers provided feedback as part of the evaluation process. Of the 57% of volunteers (n=70) who responded to the survey:
77% said they would be willing to use an outcomes-based CPD model in the future;
41% found it ‘easy’ or ‘very easy’ to implement outcomes-based CPD while only 11% thought it was either ‘difficult’ or ‘very difficult’;
61% thought that the outcomes-based model made CPD more meaningful for them and 25% said it encouraged them to undertake a wider range of CPD activities than previously;
Other feedback included the need for a better CPD recording system and more information and guidance ahead of any future changes.
Following the feedback, particularly around the need for a new approach to CPD recording, it was also recommended to Council that a new online CPD recording system should be introduced. This system will integrate the current disparate systems, such as the Student Experience Log (for vet students), Nursing Progress Log (for student VNs) and the Professional Development Phase (for recent vet graduates), making it a ‘one-stop shop’ professional development recording platform.
Richard Burley, RCVS Chief Technology Officer, said: "We will be building a new platform, consolidating all professional development-related capability for all members, into a single, integrated solution, seamlessly accessible via our ‘My Account’ online portal, and forthcoming mobile app. We have assembled a new, dedicated, software development team to drive this work and more details about this system will be published in coming months."
Linda Prescott-Clements, RCVS Director of Education, added:"Following the approval of the CPD proposals by RCVS Council, a phased roll-out of the new model and the accompanying IT system will take place. This includes recruiting a group of volunteers from the profession later this year to get some initial feedback around the guidance resources and online CPD platform, with members of the profession being voluntarily able to sign up to the new model and IT system from January 2020 onwards.
"Implementation of the new CPD requirement for all members is expected to start in January 2022 but, prior to that, we will be working hard to talk to the profession about why an outcomes-based model is a more effective and meaningful way of undertaking CPD and this will include workshops, webinars and roadshows. Look out for more news on our plans over the coming months."
For more information about the College’s current CPD policy requirement and policy, visit: www.rcvs.org.uk/cpd
At the outset of the hearing, Ms Giles admitted that between 1 August 2012 and 21 June 2016 she had failed to respond to reasonable requests from the RCVS to share her CPD records – these requests amounted to 11 letters, two emails and three telephone calls. Of these attempts to contact Ms Giles, she responded to just one email. This was in May 2016 in which she issued an apology (and an explanation that she had moved address) and offered to provide certificates proving that she had undertaken CPD – despite the fact that no such evidence could in fact be produced.
During the proceedings the RCVS asserted that Ms Giles had failed to comply with several crucial aspects of the Code of Professional Conduct for Veterinary Nurses – namely that all members of the profession are expected to undertake at least 45 hours of CPD over a rolling three-year period in order to keep their professional skills and competences up-to-date, that these CPD records should be provided upon request and that members of the profession must comply with reasonable requests from the RCVS.
In her evidence Ms Giles said that she knew she should have responded to these requests but admitted that she did not originally regard the requests as important and thought that the matter would 'go away' if she did not respond. When it became clear that this was not the case she said she found it difficult to face up to her obligations. She also admitted that her failures to respond were unprofessional and that she now has an appreciation of the importance of undertaking CPD in terms of keeping up with changing practices and advances in veterinary and nursing practice.
Having found the charges against her proved and finding her guilty of disgraceful conduct, the Committee then considered its sanction against Ms Giles. The Committee took into account the seriousness of Ms Giles' failings in that she made repeated decisions not to comply with requests from the RCVS over a protracted period of four years.
Professor Alistair Barr, chairing the Committee and speaking on its behalf, said: "Your failures show, inevitably, a disregard for the regulatory responsibilities of the RCVS to police veterinary nurses' obligations to fulfil their CPD requirements."
He added: "The RCVS can only seek to ensure compliance with those obligations at one step removed, namely by requesting information from its registrants that they have complied with their CPD obligations. They are in this respect, therefore, heavily dependent on the cooperation of registrants to provide full, honest and prompt responses to their reasonable requests for confirmation of their compliance. It is that which has been sorely absent in this case."
The Committee heard mitigating evidence on behalf of Ms Giles including witness statements and letters from current and former colleagues which complimented her communication skills with work colleagues and animal owners and in which it was accepted that she is a "valued member of the veterinary nursing profession."
The Committee also recognised that she had shown insight into her failings, that she had not attempted to excuse the failures to respond to the RCVS and had been making efforts to keep records of her CPD.
However, the Committee decided that a suspension from the Register would be the most appropriate sanction. Professor Barr said: "The mitigation that has been advanced on your behalf has been considered by the Committee and that has served to reduce the period of suspension that a bare account of the facts pertaining to the charge laid against you might suggest is appropriate.
"In the result that mitigation has persuaded us that we would be acting consistently with our public duty by imposing a period of suspension of two months. In imposing that sanction we have noted the evidence as to your professional competence and your other professional qualities. The Committee trusts, therefore, that once you have served your period of suspension you will return to the practice which you say you love."
The joint submission points to evidence from recent surveys indicating a current workforce shortage of 11% in small animal practice and an overall deterioration in the ability of practices to hire suitably qualified staff.
Following the exit from the EU, existing shortages will likely worsen, whilst changes in trade could increase the demand for veterinary skills, producing a shortfall in the UK’s capacity to ensure animal health and welfare, food safety and public health.
Placing the veterinary profession on the Shortage Occupation List would reduce restrictions on recruiting veterinary surgeons from abroad, something the response says will become a necessity post Brexit.
Currently about half of vets registering each year in the UK are graduates from the EU. If there are no appropriate immigration measures in place when the UK leaves the EU, this EU contribution could decline, leaving a large gap in the veterinary workforce. Research among BVA members has indicated that since the EU referendum, about one fifth are reporting that recruitment has already become harder. Meanwhile, a study commissioned by the RCVS has shown that nearly a third of veterinary surgeons and veterinary nurses whose nationality is non-UK European are considering a move back home.
The BVA / RCVS response highlights that although the veterinary profession is relatively small, it performs a range of roles that are vital to the UK’s economy and maintaining standards in society. Agriculture and food production would suffer from a lack of veterinary input, potentially reducing its livestock outputs worth £12.7bn in 2016, whilst the equine industry and aquaculture would also struggle. The companion animal veterinary market, that has a turnover of £3 billion, could experience significant losses due to workforce shortages.
Veterinary surgeons from the EU make a particularly significant contribution to critical roles in public health with estimates suggesting that 95% of Official Veterinarians working in abattoirs are from overseas and the large majority of these are from the EU. Reducing the veterinary presence in slaughterhouses would increase the risk of food fraud, provide the potential for animal welfare breaches and remove a level of public health reassurance.
While the number of UK veterinary graduates has increased year-on-year from the established veterinary schools, with potentially more schools in the pipeline, it is unlikely that UK universities can meet this increased demand in the short timeframe required. BVA, RCVS and Defra recently launched the Veterinary Capability and Capacity Project (VCCP) to help ensure the veterinary sector can continue to play its role in society.
BVA Senior Vice President Gudrun Ravetz said: "Our members have been reporting problems with recruitment and retention of vets for several years and this situation will only worsen under Brexit unless appropriate measures are in place. Vets are vital to our society. Across the UK vets are needed to certify imports and exports, conduct cutting-edge research, prevent disease outbreaks, ensure food safety in abattoirs and achieve our world leading standards in animal welfare.
"We are setting out a very strong case to add the profession to the Shortage Occupation List now to help us manage the immediate shortfall in critical veterinary roles, while the UK negotiates a longer term immigration policy that must meet the UK’s veterinary workforce needs post-Brexit without creating disproportionate administrative burdens for veterinary businesses."
Chris Tufnell, RCVS Senior Vice-President and Chair of the College’s Brexit Taskforce, said: "The first of our recently published Brexit Principles is that ‘vital veterinary work continues to get done’. In order to ensure this is met we want the Government to recognise that there are significant current and potential shortages in the profession that can only be mitigated by putting it on the Shortage Occupation List so that animal health and welfare and public health is safeguarded.
"Our ideal outcome is that EU veterinary surgeons currently living and working in the UK are allowed to stay indefinitely and that, in terms of any post-Brexit immigration system, graduates of European schools accredited by the European Association of Establishments for Veterinary Education (EAEVE) are allowed to work here with the minimum of restrictions."
More information is available in BVA/RCVS’s full response to the Migration Advisory Committee’s Call for Evidence:www.bva.co.uk/uploadedFiles/Content/News,_campaigns_and_policies/Get_involved/Consultation_archive/Migration%20Advisory%20Committee%20BVA%20RCVS%20Submission%20FINAL.PDF
The College wants more vets to come and share their ideas and insights into how the role of the veterinary nurse can be strengthened within the team, particularly in the light of data gathered from the RCVS’s 2024 VN Vision workshops which showed that many nurses believe their skills and capabilities, and the scope of tasks that can be performed within the current legal framework, are not fully used.
The first two events, in South Wales and Belfast, were well-attended by veterinary nurses, but only about 10% of attendees were vets who arguably have the most to gain by sharing ways of enabling nurses to perform a more central role and relieve some of their workload.
There are four more events coming up:
RCVS Director of Veterinary Nursing, Julie Dugmore, said: “Last year’s VN Vision events focused specifically on veterinary nurses and resulted in some truly inspiring insights. Now, in this new series of events, we’re taking the next step, and need to get the wider practice team involved in order to understand how strengthening the VN role will feed into team dynamics and the professions as a whole.
“Our latest VN Vision events will play a key role in helping us to define long term goals, identify the practical steps needed to achieve them, and determine how success will be measured and shared with the wider public. To make it happen, we need voices from vets, practice managers, support staff, and VNs alike.”
The VN Vision workshops are free to attend, informal, informative and made up of small groups.
Supper will also be provided for the evening sessions, and lunch for the London day workshops.
https://www.eventbrite.com/cc/vet-nursing-vision-events-3253639
The College is seeking nominations this year for all six of its awards, all of which will be presented to the successful nominees at Royal College Day 2020, which will take place at 1 Great George Street in July 2020. These awards are:
The Queen’s Medal: the highest honour that can be bestowed upon a veterinary surgeon for a highly distinguished career with sustained and outstanding achievements throughout.
The Veterinary Nursing Golden Jubilee Award: for veterinary nurses who have had a sustained and distinguished career, who can demonstrate a leadership role within the profession and who can act as an ambassador for the value of veterinary nurses and their work.
RCVS International Award: for vets, vet nurses or laypeople who work internationally in making an outstanding contribution to, for example, raising veterinary standards, veterinary education and improving animal health and welfare.
RCVS Impact Award: for vets or vet nurses who have undertaken a project or initiative that has a significant impact on the profession at large, animal health or welfare, or public health. Such impact could have been made through any field of veterinary endeavour, including clinical practice, research, education or veterinary politics.
RCVS Inspiration Award: for vets or vet nurses at any stage of their career who have demonstrated the ability to inspire and enthuse others consistently throughout. It is open to those who have inspired and motivated individuals anywhere within the profession and recognises those who have gone ‘above and beyond’ what may normally be expected from a professional colleague.
Honorary Associateship: conferred on a small number of laypeople each year, in recognition of their special contribution to the veterinary sphere. It recognises the full range of individuals who contribute to the veterinary and animal health sector including scientists, lecturers, journalists, charity-workers, farriers, farmers and those involved in the commercial field.
Niall Connell, RCVS President for 2019-20, said: "2019 was particularly fruitful in terms of the number of nominations that we received for some of these awards, including the Queen’s Medal and the Impact and Inspiration Awards. In fact, those of us who had to compile the shortlist really struggled because of the sheer quality of the nominations we received and the people who were nominated.
"We hope that this will be repeated this year, and I would ask the profession to give some extra thought to making a nomination for Honorary Associateship, an award which is conferred on laypeople who are going above-and-beyond for animal welfare and the veterinary professions.
"In my veterinary career I have met many of these people: the biochemistry lecturers at vet school who gave me a passion for the science behind clinical veterinary medicine; the receptionists who were experts at talking to clients with empathy and kindness, often during distressing situations; and the volunteers who give up their precious free time to help with the smooth running of our PDSA hospital.
"I would urge everyone to have a think about who might be suitable for any of these awards, to find out more about making a nomination on the RCVS website."
To make a nomination, visit www.rcvs.org.uk/honours and click on the link for the specific award.
Applications can be made either through an online application form or by downloading a PDF application form and emailing or posting it to the RCVS.
The deadline for nominations is Friday 10 January 2020.
For an informal talk about the awards and how to make a nomination you can contact Susie Tomlin, Executive Secretary, on s.tomlin@rcvs.org.uk or 020 7202 0761.
Photo: Dr Abdul-Jalil Mohammadzai, one of the recipients of the 2019 RCVS International Award, with the then RCVS President Amanda Boag
Expanding on the training available in autumn 2022, which was launched based on the results of an extensive training pilot, MMI is offering a total of 14 sessions taking place both online and in person over the next few months. Sessions will be running from January to April 2023. The courses will cover areas that have been identified as priority topics from previous MMI surveys, feedback from the professions, and evaluation of the training pilots.
Mind Matters Initiative Manager, Lisa Quigley, said: “Mental health and wellbeing are impacted by a whole host of structural and societal factors and maintaining a healthy workforce goes far beyond supporting people on an individual level.
"Whilst it is undoubtedly important to provide people with the skills they need to look after themselves, we are aiming to expand on this by providing individuals with the skills and knowledge needed to recognise and address wider collective issues. For example, the importance of creating and maintaining a positive workplace culture.
Session dates and specific topics are as follows:
Mental Health First Aid (£30 in-person)
9am – 5pm
Psychological Safety and Civility (£20 in-person, £15 online)
In-person – 9am – 4pm
Online – 9am – 1pm
Sustaining Your Emotional Health (£15 in-person)
2pm – 5pm
For more information on the training courses, visit: https://vetmindmatters.org/training/
With four sessions having taken place throughout May and June this year, the autumn sessions will focus on:
RCVS Director for the Advancement of the Professions, Angharad Belcher (pictured), said: “We recognise that change cannot happen without collaboration – no one organisation can solve as complicated and multi-factorial an issue as the workforce challenge on their own.
"We hope to welcome you to these sessions to share your insights and contribute to the ongoing conversation around this important topic."
The webinars are free, last an hour and 15 minutes and count as CPD.
https://www.rcvs.org.uk/news-and-views/events/workforce-ambitions-sessions/
Mr Smith was convicted of conspiracy to commit a fraud in which potentially dangerous horses were drugged and then sold to unsuspecting owners, at Maidstone Crown Court in June 2016. He was given 30 months' imprisonment, which formed one of the charges heard by the Disciplinary Committee.
There were also a number of charges related to his treatment of five different animals while in practice at the Lakeview Veterinary Centre in Folkestone, Kent. The charges were:
In relation to a Clydesdale mare named Grace on 14 August 2014 he failed to perform an adequate examination and/or undertake sufficient investigation and/or take a history of her; that after his initial visit to Grace on that day he failed to respond adequately to the owner’s telephone reports that Grace had deteriorated and/or failed to improve; and, that he failed to make adequate clinical records for Grace.
Between 29 September 2014 and 31 January 2015, in relation to a Labradoodle named Holly, he failed to keep adequate clinical records.
In relation to a cat named Maisey the allegations were that he failed to examine and investigate the cat adequately, he made a diagnosis of diabetes mellitus and gave insulin to administer to the cat without first undertaking the minimum investigation required, failed to keep adequate clinical records and sent an incorrect, misleading and dishonest statement to the RCVS regarding his treatment of Maisey. All charges date between 30 October and 19 December 2014.
In relation to a cat called Comet the allegation was that between 1 April and 17 April 2015 he failed to keep adequate clinical records and failed to respond adequately and appropriately to concerns raised by the owner.
Regarding a Yorkshire Terrier with diabetes named Poppy the allegation was that in two emergency out-of-hours calls made by Poppy’s owner to Mr Smith in April 2015 regarding the dog’s condition, he failed to recommend veterinary treatment or keep adequate clinical records. Furthermore, when the owner attended the practice following the two calls and the death of Poppy, he attributed the care to another member of the practice and failed to communicate effectively with the owner.
Having heard from a number of witnesses, including Mr Smith, and having received representations from Mr Smith in relation to the above charges, the Committee found almost all of the charges proven, with the exception of those relating to Mr Smith’s alleged conversation with Poppy’s owner at the practice following her death.
The Committee then went on to consider whether the various proven charges amounted to disgraceful conduct in a professional respect and whether the conviction rendered Mr Smith unfit to practise veterinary surgery.
In relation to the clinical charges the Committee found that, both individually and cumulatively, they amounted to disgraceful conduct in a professional respect.
The Committee also determined that the conviction rendered Mr Smith unfit to practise veterinary surgery and noted that it involved prolonged dishonesty, breach of trust, disregard for animal health and welfare and a "total abrogation of Mr Smith’s professional responsibilities."
Cerys Jones, chairing the Committee and speaking on its behalf, said: "The Committee was particularly concerned because the dishonesty went to the heart of Mr Smith’s responsibilities as a veterinary surgeon. His registration as a veterinary surgeon enabled him to take part in the conspiracy, and that role involved him conducting certified examinations on animals and supplying drugs for administration to animals. Reliable and honest certification is a vital element of the veterinary surgeon’s public role."
In considering the sanction against Mr Smith the Committee looked at the clinical charges and the conviction separately.
In relation to the clinical charges the Committee found that his treatment of the animals in these cases was fundamentally incompatible with being a veterinary surgeon. The Committee therefore directed that Mr Smith’s name should be removed from the Register of Veterinary Surgeons.
The Committee said that the case demonstrated that Mr Smith’s lack of treatment or his inappropriate treatment of these animals caused harm and that in some regards, for example the writing of accurate and contemporaneous clinical notes, Mr Smith demonstrated a total disrespect for the Code of Professional Conduct.
The Committee went on to say: "Further, he deliberately lied to his regulator. He demonstrated deep-seated attitudinal issues including a misplaced belief in his own abilities and had no insight or commitment to do anything different in the future. In those circumstances the likelihood of repetition was significant in the Committee’s view."
In considering the sanction for his conviction of conspiracy to commit fraud the Committee took into account a number of aggravating factors including the premeditated nature of the conduct, the fact it was repeated over four years and the fact that harm was caused to both animals and people as a result of his actions.
Cerys Jones said: "As the decision notes, some of the riders were novices or children and as a result of their experience they lost confidence in riding a horse. As the independent veterinary surgeon Mr Smith was in a position of responsibility because he was certifying the horses as to their suitability. A particularly aggravating feature in this case is that Mr Smith had previously been removed from the Register for falsely certifying horses for export."
In relation to the conviction the Committee also directed that the Registrar remove Mr Smith from the Register.
Mr Smith has 28 days from being informed of the Committee’s decision to make an appeal against it.
The full findings can be found here.