In mid-September, the Association wrote to the RCVS expressing concern about the August extension to the temporary guidance.
In the latest update from the RCVS, the temporary measure has now been extended to 31 October but the flowchart and guidance have been updated to add some additional steps before a POM-V product can be prescribed remotely.
The BVA says that while it supported the original decision in March as a pragmatic solution and direct response to government restrictions surrounding Covid-19, it is now questioning the ongoing need for such a relaxation in the rules.
In the letter to the RCVS, the BVA also asked for a timeframe for the publication of the results of the RCVS survey of practices’ experiences of remote consulting and prescribing. The Association's own under care working group, chaired by Nigel Gibbens, has been developing a position to respond to the RCVS review.
BVA President James Russell (pictured right) said: "We understand that allowing remote prescription of POM-Vs was a necessary measure at the height of the lockdown, as practices struggled to assess patients in person.
"However, the veterinary professions have done a fantastic job in adapting to the restrictions and are now able to work safely and see patients.
"Whilst we recognise the RCVS has provided additional guidance for the remote prescribing of POM-V, we cannot currently see any reason why a new client would be unable to access in-person veterinary care in the first instance and we are asking RCVS Council to reconsider this measure when it meets in Oct.
"It makes sense to continue allowing vets to remotely prescribe for existing patients, for example if an owner is shielding, but we feel it is no longer appropriate to be remotely prescribing to animals that have never been physically examined by the vet.
“The question of whether we should be able to remotely prescribe POM-V products without first seeing an animal is an important and live debate, and we welcome the resumption of the College’s review. But the longer that temporary measures are in place, the greater the expectation from animal owners that they will always be in place, and the harder it will be to have the discussion about the best way forward.
“As a profession, we are rightly concerned about antimicrobial resistance and we pride ourselves on the responsible use of medicines. Continually extending the temporary measures without a full analysis would risk undermining our position.”
The College first became aware that confidential information had been leaked earlier this year after the Veterinary Record made the decision to publish details.
The College says it then provided a number of informal opportunities for the person leaking the information to come forward and discuss the reasons for their actions, but nobody stepped forward.
A Council member then made a formal complaint about the leak, which triggered the complaints policy set out in the College’s Code of Conduct for Council Members and instigated the investigation.
The investigation was run independently of the RCVS by an external specialist consultancy, and coordinated by a legal assessor.
Initially, the investigators were asked to focus on a single leak, but following a number of further leaks over ensuing months, it became necessary to widen the scope and depth of the investigation.
The investigators’ report concluded that there had been several separate and deliberate leaks of confidential information by a current or former Council member over an extended period.
However, they were not able to identify who specifically was responsible for the leaks, and because nobody admitted it, no further action under the complaints policy of the Code of Conduct for Council Members was appropriate.
The investigators concluded that the leaks were not the result of poor understanding of College or Council processes, but a deliberate decision to provide confidential information to third parties.
Council members have therefore agreed to review existing training requirements and mechanisms for handling confidential information and to explore in more detail the potential motivation of the person or people who leaked the information, together with the underlying culture of Council that might have influenced their behaviour.
RCVS President Mandisa Greene, said: “There is no denying this is a sad day for the College, and for RCVS Council in particular. As Council members of our professions’ regulatory body, we must maintain the very highest standards of probity and integrity if we are to maintain the trust and confidence of our professional colleagues. In the same way, we must subject ourselves to the same level of scrutiny and investigation if these values and behaviours are ever called into question.
“That someone chose to breach the trust placed in them by their peers is extremely disappointing, especially when they were given every opportunity to come forward to discuss their concerns, and avoid the College having to launch a formal investigation.
"Our default position during Council meetings is to hold as many discussions as possible in public session to ensure Council’s decisions are as open and transparent as possible – something that we will continue to increase as much as possible. Like any organisation, however, there may be a small number of issues that need to be discussed in closed session – for example, those still at concept stage prior to any decision being made public or put out for consultation, or those containing personal or commercially sensitive data.
"I sincerely hope that all of us on Council can learn from this unfortunate and unnecessary episode. We must rebuild and maintain sufficient confidence in each other, and in our processes, that, even if we disagree on certain matters, it is always best to do so in a direct, upfront and honest manner."
The guidance has been in place since March to help practices continue to provide the public with veterinary services whilst safeguarding the health of their teams and clients.
The RCVS Council Covid-19 Taskforce reviewed the situation on 30th July and decided to extend the guidance after taking into account the pandemic’s progress, the latest government guidance, the headline results from a survey of practice experience of remote consulting, and 'other data from a number of veterinary practices'.
The Taskforce says it also considered the need to continue to provide practices with flexibility in the face of possible local or national lockdowns, the need for inclusivity of those practice teams members and clients who may still be shielding, the likelihood of quarantine of members of the team due to travel and/or Test and Trace and the fact that no major safety issues had been identified as part of the RCVS-commissioned survey into the immediate impact of the temporary guidance.
RCVS President Mandisa Greene, who chairs the Taskforce, said: “Whilst lockdown measures have been eased and matters have improved, we are far from being back to business as usual and the threat of returning to more severe lockdown measures, whether locally or nationally, is still very much alive."
The updated flowchart, along with all the College’s coronavirus guidance for the professions, is available at: www.rcvs.org.uk/coronavirus.
In her opening address, Mandisa said: "When the College was founded in 1844, it would have been unthinkable that a woman, let alone a black woman, would become President of the institution one day. I am immensely proud of this achievement and, while it clearly demonstrates progress, there is still plenty to do in widening access to our professions.”
She said she hoped to use her position as President to act as a role model to young people from under-represented groups, to encourage them to consider careers in veterinary surgery, and to support those already in the profession.
Mandisa, a graduate of the University of Edinburgh in 2008 and an elected member of RCVS Council since 2014, added: “I also take the Presidential baton from Niall to champion a more diverse and inclusive profession with renewed intention, and look forward to playing my part in our upcoming Diversity & Inclusion Action Plan.
“As recent weeks and the Black Lives Matter movement have highlighted, there is more to be done, and we are committed to doing the work necessary. It is essential that we support all members of the veterinary team to work in an environment that is free from discrimination and racism.”
In another first at the RCVS AGM, Matthew Rendle became the first male veterinary nurse to chair VN Council.
Mr Seymour-Hamilton was originally removed from the Register following an inspection of his Kent practice in 1993 which found that his operating theatre “showed a total disregard of basic hygiene and care for animals and was such as to bring the profession into disrepute”.
Since being removed from the Register, Mr Seymour-Hamilton has made applications for restoration in 1995, 2010, 2015, 2016, 2017, 2018 and 2019. Each was rejected.
In his latest application, Mr Seymour-Hamilton said that he did not want to re-join the Register in order to practise but to facilitate his research in the area of herbal medicine.
The Committee found that while Mr Seymour-Hamilton had accepted some of the findings of the original case, he disagreed with important facts, such as whether or not his surgery was open at the time of the inspection, and showed ‘minimal insight’ into the seriousness of the findings.
The Committee also voiced concerns over public protection and animal welfare should he be restored, saying that he had demonstrated little or no understanding of the purpose of regulation. The Committee also noted that he had, by his own admission, spayed two cats at a practice in Calais in recent years despite his long absence from the Register and unregistered status as a veterinary surgeon in the UK or France.
In considering his conduct since leaving the Register, the Committee found that Mr Seymour-Hamilton had admitted to a number of instances of conduct which it found ‘reprehensible’. This included carrying out spays; not self-isolating after testing positively for coronavirus and, in fact, travelling through France and Spain in breach of the lockdown put in place due to the pandemic; deliberately trying to re-infect himself with coronavirus and then visiting a vulnerable person without maintaining social distancing; treating his own animals with untested herbal remedies; and using his own remedies to treat people, which, in one case, included a nine-year-old boy in Greece.
In summing up Judith Way, who was chairing the Committee and speaking on its behalf, said: “The Committee has concluded that he has not satisfied it that he is fit to be restored to the Register. He has exhibited a disregard for regulation and compliance with the law. He lacks an understanding as to why he has not been restored in the past. He has not set about addressing any of his shortcomings. He relies wholeheartedly on his research, yet he does not support that research with any real peer-reviewed publications and he fails to acknowledge the consequences of being out-of-practice for so long. He has misplaced confidence in his own abilities and does not recognise that his approach and/or actions can represent a danger to animals and to the public. The Committee has therefore reached the conclusion that the applicant is not a fit person to be restored to the Register.”
The full findings of the restoration hearing for Mr Seymour-Hamilton can be found at: www.rcvs.org.uk/disciplinary
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.
Mr Wood pleaded guilty to three charges of making indecent images of children at Portsmouth Magistrate’s Court in December 2017. Following his conviction, Mr Wood was given a community sentence, fined and made subject to a sexual harm prevention order for five years.
Mr Wood’s application for restoration was based on the argument that he was professionally competent to be restored to the Register, that he had strong mitigation for his original conviction (for which he had demonstrated remorse), that he had a low chance of reoffending, had engaged proactively with the Probation Service and rehabilitative courses, and that had completed his community service.
In considering Mr Wood’s application, the Disciplinary Committee took into account a number of factors including Mr Wood’s acceptance of the Committee’s original findings, the seriousness of the original findings, protection of the public, the future welfare of animals in his care should he be restored, the length of time off the Register, his conduct since removal from the Register, efforts by Mr Wood to keep up-to-date with his continuing professional development (CPD), the impact of removal from the Register on Mr Wood and public support for his restoration.
However, on balance, the Committee decided that Mr Wood was not currently fit to be restored to the Register.
Ian Arundale, chairing the Committee and speaking on its behalf, said: "In essence, the Committee decided that the facts of the charge justifying removal from the Register and the underlying criminal behaviour were too serious for Mr Wood to be restored at this time. It concluded that because Mr Wood continued to be subject to a sexual harm prevention order, notification requirements for sexual offenders and because he remained on the Barring List by the Disclosure and Barring service until January 2023, he was not fit to be restored to the Register at this time.
"The Committee accepted that Mr Wood had made significant efforts to rehabilitate himself but it was not persuaded that he was fit to be restored to the Register because ancillary orders relating to the underlying criminal offences remained in force. The Committee noted that at the time those orders were made Mr Wood was described as having an addiction and although the Committee accepted that there was a low risk of future reoffending, it decided that because the orders were still in place for public protection reasons, Mr Wood was not fit to be restored to the Register."
The full report of Mr Wood’s restoration hearing can be found at www.rcvs.org.uk/disciplinary
The recommendations were proposed by the Legislation Working Party (LWP), which was set up in 2017 to consider the principles governing any new legislation affecting veterinary regulation and come up with recommendations for what innovations could and should be included in any future replacement for the Veterinary Surgeons Act 1966.
The LWP comprises members of RCVS Council, RCVS staff and representatives from the BVA and the BVNA.
The approved recommendations were grouped into five key headings: embracing the vet-led team; enhancing the veterinary nurse role; assuring practice standards; introducing a modern ‘fitness to practise’ regime; and, modernising RCVS registration processes.
The recommendations include:
Professor Stephen May, RCVS Council member and Chair of the LWP since its inception in 2017, said: “The scale of the changes that are recommended in this report are very significant indeed and, if implemented via new primary legislation, would really change the face of veterinary regulation, bringing it up to date with that of other healthcare professions, and ironing out many of the oddities and closing many of the gaps in our current regulatory regime.
"Changes to the legislative framework for veterinary regulation have been mooted for some time. While the Veterinary Surgeons Act 1966 has served the profession well for over 50 years, and we have been able to make some changes to it – for example, reducing the size of Council, the separation of the Disciplinary Committee from Council and introducing the concept of delegation to veterinary nurses via Schedule 3 of the Act. However, there are limits to how much we can continue to tinker around the edges, and it has become increasingly clear that new legislation is needed if we are to make progress.
"I have been very grateful to my colleagues on the Legislation Working Party for their hard-work over the past three years. There has been a lot of robust debate on how we can move veterinary regulation forward, but ultimately we have a consensus that there are significant deficiencies, imperfections and blind-spots in the current regime and, in order to ensure that the professions are able to best fulfil their mandate to protect animal health and welfare, and that the RCVS is able to meet its mission to set, uphold and advance veterinary standards, significant changes are needed.
"I am delighted that members of RCVS Council have agreed to put our recommendations to a full consultation and I look forward to seeing how this report and its, sometimes quite radical, recommendations will spark important debate of these big ideas.”
A full public consultation process on the recommendations is expected to take place later this year. After this has taken place, and depending on its outcome, and Council’s final decision on how to proceed, a full set of proposals on legislative reform will be put to the Department for the Environment, Food & Rural Affairs in the hope of seeking support for new legislation.
While RCVS Council approved, in principle, the report as a whole, there was a separate debate on some of the report’s recommendations concerning reform to the RCVS disciplinary regime which do not require changes to primary legislation, but could be made through powers granted to the College via its 2015 Royal Charter. Further details on this will be announced separately.
The full Report of the LWP is available to view in the papers for the June 2020 meeting of RCVS Council at: www.rcvs.org.uk/document-library/rcvs-legislation-working-party-report-to-council-2020
The RCVS has also published a blog from Professor Stephen May explaining, in more detail, the workings of the LWP and the rationale behind its recommendations. This is available to view at: www.rcvs.org.uk/news-and-views/blog/a-step-change-in-veterinary-regulation
Professor May’s presentation from the Council meeting is also available to view on the RCVS YouTube channel at www.youtube.com/rcvsvideos
At the meeting, which took place last Thursday, Council members were asked to decide how to proceed with three specific proposals on reforming the disciplinary system:
Acknowledging some of the concerns that have been raised about changing the standard of proof, RCVS Registrar Eleanor Ferguson said: “The RCVS is now one of just a few regulators that still uses the criminal standard of proof in determining the facts of a case. We have sought these changes as part of our ongoing aim to develop a compassionate and forward-looking disciplinary system with the protection of the public absolutely at its heart, whilst also acknowledging the huge toll the process takes on the mental health of veterinary professionals.
"Research that we carried out into the impact of changing the standard of proof indicated that it would not lead to a major increase in cases being referred from the Preliminary Investigation Committee to the Disciplinary Committee. Importantly the number is likely to be very low because the standard of proof only applies to proving the facts of a case; the judgement as to whether proven facts amount to serious professional misconduct will follow the same process as at present.
"We estimated that during 2019, there could have been just two more cases brought to DC under a altered standard of proof, with an additional three cases that were borderline but probably wouldn’t have proceeded any further. Conversely, we also estimated that three cases that did go to DC during 2019 would probably not have done, had the ‘Charter Case Committee’ option been available.
"Ultimately, the aim of the RCVS in regulating the veterinary professions is to protect the public and animal welfare as well as upholding the reputation of the professions. We believe these changes will better achieve that aim."
The consultation on whether to change the standard of proof as well as to introduce the Charter Case Protocol and ‘mini-PICs’ is now planned for later this year.
Further information about the proposals, including some of the arguments for and against changing the standard of proof, can be found in the papers for RCVS Council at: www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/4-june-2020/ (pages 70-97).
On 9 April, the College published a flowchart to help veterinary professionals to decide whether or not to carry out a particular type of work, whilst ensuring the health of their teams and clients, and working to uphold animal health and welfare.
The flowchart has been updated as follows:
Firstly, the box that previously said:
‘Can you effectively support the case while maintaining social distancing for your team and the public?’
now says:
‘Can you effectively support the case while abiding by the appropriate social/physical distancing guidance for workplaces to protect your team and the public?’
The College says this new wording better reflects the different language and varying guidance in place across devolved nations. It also recognises that the new government guidance is not just about maintaining a 2m distance, for which ‘social distancing’ appears to become a shorthand, but accepts that other biosecurity measures might be appropriate if the 2m rule cannot be followed in the workplace.
Secondly, the box that previously said:
‘Could the planned intervention have animal health and welfare or public health implications if not carried out within two months?’
‘Could the planned intervention have animal health and welfare or public health implications if not carried out?’
This change recognises that this phase of lockdown-exit may carry on for longer than a two-month period; it therefore leaves it to the clinician’s professional judgement in terms of the implications versus the risk, rather than seeing it within a specific time-period.
RCVS President Niall Connell said: "I’m grateful to the members of our Covid-19 Taskforce for continuing to keep under review our key guidance to the profession during the ongoing pandemic. Whilst these latest changes do not represent any significant changes for vets and vet nurses as they continue to care for the nation’s animals, it is important that we continually keep our guidance in line with that of the UK’s governments."
The updated flowchart is available to view and download from www.rcvs.org.uk/coronavirus.
As part of its review, the College had planned a series of focus groups of veterinary surgeons and nurses across the UK. However, these have had to be delayed both because of social distancing rules and because of the pressures that practice teams are currently working under. However, the agency tasked with hosting the focus groups is now exploring alternative options and it is hoped there will be a revised timetable soon.
In the meantime, the College says it now plans to commission an additional independent agency to survey veterinary surgeons about their experience of remote prescribing during lockdown.
In March, RCVS Council agreed to temporarily allow veterinary surgeons to prescribe prescription-only veterinary medicines remotely, without first having physically examined the animal, subject to a number of conditions and safeguards being in place.
This position is due for review by 30th June, and the College will be looking for feedback and data from veterinary surgeons about your experience of remote prescribing, in order to determine whether these arrangements can continue, with or without any extra safeguards.
Because remote prescribing is also one of the most important aspects of the planned under care review, feedback gathered now will help inform future discussions too.
RCVS President Niall Connell said: “We recognise the current conditions that veterinary practices are working under in no way represent normal practice life. Most practices will not have been set up to offer remote services and remote prescribing in a way that they might have chosen, given sufficient time and appropriate detailed guidance, if indeed there are any future guidance changes after the review.
"However, we feel it would be remiss of us not to seize the opportunity arising from this current crisis to ask about the experiences – good or bad – of those on the frontline of clinical veterinary practice in providing remote services to their clients.
"Whilst this will be no substitute for the formal evidence gathered by the research agency in due course, whatever data and feedback we can collate from veterinary practices at this unique time for our professions will, I’m sure, be extremely valuable to our ongoing discussions."
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.”
8,834 of the 33,857 eligible voters cast their votes, a turnout rate of 26.2%. This compares to a 25.5% turnout in the 2019 election and 22.7% in 2018.
The results of the election were as follows:
Dr Kate Richards (pictured right) – 4,399 votes (elected)Dr Richard Stephenson – 3,943 votes (elected)Dr Melissa Donald – 3,807 votes (elected)Professor Stephen May – 3,121 votesDr Kit Sturgess – 2,816 votesPeter Robinson – 2,642 votesJohn Davies – 808 votesDr Tom Lonsdale – 535 votes
Eleanor Ferguson, RCVS Registrar and Returning Officer for both elections, said: “Many congratulations to all those who were elected this year and we look forward to welcoming them to their places on Council at our Annual General Meeting later this year.
“I would like to thank both Professor Stephen May and Dr Kit Sturgess for their many years of combined service, both as members of RCVS Council and for serving on numerous committees, subcommittees and working groups. In Stephen’s case this includes his service as President of the RCVS in 2017-18 and for Kit as Treasurer of the RCVS from 2017 until the present.
As Dr Sturgess had been elected to the position of Junior Vice-President of the RCVS for 2020-21 earlier this year, a new election for the position will need to take place amongst RCVS Council members during their June meeting. An election for a new Chair and Vice-Chair of VN Council will take place take place amongst VN Council members at a meeting in June.
The company says it has made the test available in response to customer demand and growing evidence that in rare cases pets living with COVID-19-positive humans can be at risk of infection.
The test will be available to veterinary surgeons in North America this week and will roll out across most of the world in the coming weeks, via the company's worldwide network of laboratories.
Jay Mazelsky, President and Chief Executive Officer of Idexx Laboratories said: "We have continued to monitor the rapidly evolving public health crisis worldwide, paying special attention to the effects on pets.
"While there is currently no evidence that dogs or cats play a role in transmitting the disease to humans, it became clear offering the test was the right thing to do when we saw clinical evidence that pets—especially cats and ferrets—can in rare cases be at risk for infection. And, we heard from our customers around the globe that veterinarians needed a testing option."
Idexx recommends the test is used when three specific criteria are met:
Idexx says leading health authorities agree with the company that transmission of the SARS-CoV-2 virus is primarily person-to-person and advise against testing asymptomatic pets. Since mid-February, the company has tested over 5,000 specimens for the virus, from cats, dogs, and horses with respiratory symptoms in 17 countries. To date, it has found no positive results, suggesting that dogs and cats living with infected people generally remain uninfected, except in rare and isolated cases.
For information about the Idexx SARS-CoV-2 (COVID-19) RealPCR Test for pets, visit idexx.com/covid19-pet-test.
532 veterinary practices responded to the survey, which was sent to 3,096 veterinary practices for which the RCVS had a unique email address, on 3rd April.
The survey found that:
Three-quarters of those who responded to the survey answered a question on how the RCVS could better support veterinary practices through the crisis. The most frequent response (27%) was that the RCVS needed to provide clearer guidance, in particular as to what services it was permissible for veterinary practices to provide [the College published its updated guidance and flowchart on 9 April].
Of those who responded to the question, 15% felt that the RCVS was doing a good job or that there was nothing more it should do, while just 2% of responses expressed negative sentiment towards the RCVS.
Lizzie Lockett, RCVS Chief Executive, said: “I would like to thank all those practices who took the time in what is already a very fraught situation to respond to our survey and provide the evidence we need to gain a holistic picture of coronavirus’ impact on the business and economics of veterinary practices. We plan to continue running these surveys on a regular basis in order to gauge impact over time and the findings will feed into our policy and decision-making.
"This ongoing research will also be a vital tool when we are talking to Government and other bodies about the impact of policy on the veterinary sector. On this note, we are aware of the challenges of a minimum furlough period of three weeks given the need for practices to take steps to offer 24/7 emergency and critical care, and have written to government on this with some case studies around the impact this is having.
"To those on the ground it won’t come as too much of a surprise that the impact of the coronavirus has been profound in areas such as practice turnover and staffing, with many vets, veterinary nurses and other support staff being furloughed with the aim of signing them up to the Government’s Coronavirus Job Retention Scheme.
"There are some bright spots in the data we’ve gathered – very few practices reported that they had made or were planning to make staff redundant, and many practices reported mitigating the challenge of social distancing by carrying out consultations with new and existing clients remotely.
"Since the survey took place we have also taken steps to meet some of the requests for greater clarity and guidance from the RCVS with the publication of our flowchart helping practices to decide what treatments it is appropriate to carry out safely amidst the COVID-19 pandemic."
The survey results can be read in full at www.rcvs.org.uk/publications.
The next practice impact survey is planned for early May.
Earlier this month, the government had exempted veterinary surgeries from the requirement to close their doors during the pandemic. Strictly speaking, the exemption meant that practices could carry on offering the same level of service as before, provided they followed further government guidelines on social distancing.
However, the College then advised that non-essential treatments should not be carried out until further notice, and that animals should only be seen in emergency, or if their health was likely to deteriorate as a result of inaction.
This included vaccination, where RCVS advice stated that whilst routine vaccinations were considered not urgent, there "may be scenarios where, in your professional judgement, vaccines are being given to reduce a real and imminent risk of disease; this includes in the face of an animal disease outbreak, or in a scenario where part of a vaccine course has been given and the animal may be exposed to the disease."
The updated College guidelines, issued last Thursday evening, appeared little changed, except to say that its advice concerning vaccinations is under review. Meanwhile, its new flowchart gives a very clear framework for veterinary professionals to work within, essentially leaving it to your own professional judgement to weigh up the risks.
However, the BVA went further, declaring amongst other things, that:
Vaccinations – we are now recommending that primary vaccinations and year 1 boosters in dogs and cats go ahead due to the increased risk of disease outbreak over a longer period of time, and annual leptospirosis vaccination due to the zoonotic risk. If additional component of the core vaccine is due at the same time, it should also be administered. In addition, we’re recommending rabbit vaccinations go ahead due to the seasonal disease risks. Rabies vaccinations should be carried out if required for certification reasons
.... leading to an outcry that the BVA's advice appeared to be being relaxed at precisely the point when the government is imploring the public to stay at home, and that:
To add further fuel to the flames, the British Small Animal Veterinary Association then issued a statement to the effect that it had not been consulted during the preparation of the new BVA guidelines, which BVA past President Robin Hargreaves felt was so economical with the truth that he resigned his BSAVA membership on the spot.
COMMENTAt the end of it all, there is but one simple truth for every veterinary surgeon who is working in these difficult times, and it is this: The government and the RCVS guidance gives you the freedom to exercise your professional judgement concerning whether or not an animal needs to be seen for whatever reason. Provided you can explain why you reasonably concluded that an animal should or should not be seen, that is all that matters. It trumps everything else.
This whole farago has highlighted a number of important issues in the profession, starting with the social media conspiracy theories that the new guidance came after pressure from corporate practices when as far as I can tell, it appears to have been driven by a genuine concern that that failure to vaccinate could cause significant welfare issues in the future.
That seems a reasonable argument, and very much in line with the College advice. But that in turn raises a far bigger question, which is what on earth the BVA (a voluntary membership organisation) was doing issuing what appeared to be instructions ostensibly for all members of the profession. Notwithstanding the fact that BVA recommendations have no legal weight, having all these chefs running around with different recipe books is itself a recipe for muddled communications and confusion over leadership.
In turn, that raises the even bigger question of what the BVA's role should be. Should it be snuggling up in bed with the RCVS, issuing joint edicts? Or should it instead be holding the College to account, challenging its decisions and demanding clarification where clarification is necessary. I would argue the latter. In this situation, the ONLY organisation issuing guidelines about vaccinations for practising vets should be the regulator. And it is the role of the BVA to challenge those guidelines if necessary, or to demand clarification.
Which leads me on to the next thing, which is that increasingly, members of the profession seem to demand explicit rules or guidelines to operate within. There are lots of hypotheses for why this might be true. Perhaps because we live in a more (or seemingly more) litigious world and veterinary professionals like the reassurance rules provide. Perhaps it is because the younger cohort of vets lack the self-confidence needed for decision-making. Perhaps corporatisation has a part to play, in that employees of larger organisations tend to play more by the rules. Or perhaps it is a consequence of the growth in the 'refer everything’ culture which means vets take fewer clinical risks.
Whatever the reason, it seems clear that in some cases, the RCVS tack of "you're a professional, decide for yourself" is perfectly reasonable, whereas on other occasions, such as Schedule 3, more explicit guidelines are demonstrably necessary. Once again, surely the role of the BVA as the "Voice of the profession” is not to issue its own advice, but to press the College for more explicit guidelines as necessary.
Lastly, there is the role of Facebook in all of this. Quite obviously vets are no more immune to conspiracy theories than members of the public who think that coronavirus is spread by 5G telephone masts. Sadly, the truth is usually far less exciting. However, the problem at the moment is that the growth in social media and Facebook groups has left the regulator and the representative associations on the back foot, such that it is often left to individuals from those organisations who 'happen to come across OK online' (rather than having any properly defined role) to firefight.
Photo: https://www.scientificanimations.com/wiki-images/
The measures agreed by RCVS Council will allow UK-practising members to spread the cost of renewal over three instalments: paying 50% of the full cost by 30th April, 25% by 30th September, and the remaining 25% by 31st December.
Kit Sturgess, Treasurer, said: “We recognise that most veterinary businesses will be seeing a downtown during the coronavirus (COVID-19) lockdown, especially as veterinary practices reduce their workloads to emergency-only procedures or those that can be classed as urgent. Furthermore, we understand that many individual veterinary surgeons will no longer be working, and that this will cause financial difficulties for many vets and their families.
"We appreciate that this is a very difficult time for the profession, and as part of our compassionate approach to regulation we wanted to do our bit to help people manage the difficult financial consequences of the coronavirus crisis, and to help them to return to work as soon as Government advice allows. While fees for veterinary nurses are not due until the end of the year, we will keep the impact of the coronavirus pandemic under review on an ongoing basis.”
Any UK-practising member wishing to switch to the payment-by-instalments system should cancel their existing Direct Debits immediately (the College has already temporarily deferred these direct debits for around 10-14 days to allow time for them to be cancelled).
The College says that any member who does not pay the first instalment of 50% of the total fee by the end of April will need to pay the full amount in one instalment by the end of May. Should they then fail to make this payment, the College would then have to remove their name from the Register.
Those who pay the initial 50% instalment but fail to pay one or both of the subsequent 25% instalments will be moved to the non-practising Register for up to one year. This would mean that they could transfer back to the UK-practising Register without incurring a restoration fee. However, they would no longer legally be entitled to practise as a veterinary surgeon while on the non-practising Register until they had paid the retention fee in full and been transferred back to the UK-practising Register.
RCVS Council also agreed that the higher fee that usually applies for late payments, ie those made between 1 May and 30 May, will not be applied to any category of membership this year.
Members can opt to move to the new arrangements or continue with full payment. Details of how to pay under the new arrangements will be sent to members shortly. Any member who has already paid their fee in full and would like to switch to the payment-by-instalments mechanism should contact the College on refunds@rcvs.org.uk.
Further details about the scheme are available in a detailed Frequently Asked Questions guide via www.rcvs.org.uk/coronavirus.
COMMENTIt has been argued that at a time when many veterinary surgeons have lost a significant part of their livelihood, the College should have gone further and reduced the renewal fees, at least for the period of time that vets' earning ability is compromised. I'm not qualified to judge whether the College could have afforded that, and a spokesman would only say: "...we have to work within the framework of the legislation and the statutory instrument and, given this, the measures that RCVS Council has put in place is a reasonable outcome and will assist veterinary surgeons who may be struggling during these very tough times."
The annual minimum requirement for vets will be reduced from 35 to 26 hours of CPD, while that of veterinary nurses will be reduced from 15 to 11 hours. The reduction comes into force immediately.
A similar 25% reduction will also be introduced for veterinary surgeons holding Advanced Practitioner or RCVS Specialist status.
The decision to reduce the hours was made by the new RCVS Council COVID-19 Taskforce, chaired by RCVS President Dr Niall Connell, which was set up in order to make temporary policy decisions related to the pandemic in a quicker and more agile way. The proposal had previously been considered and supported by the RCVS Education Committee, VN Council and CPD Policy Working Group.
Niall said: “A number of veterinary surgeons and veterinary nurses expressed concern that it may be difficult to undertake CPD at present and so, in order to give the professions some breathing space, we decided we would reduce the minimum hours required for 2020. We also recognise that some practices are having to make the difficult decision to reduce their CPD budgets this year in response to falling footfall.
"However, it is worth reiterating that CPD need not be expensive or require physical attendance at lectures, congresses or other events. There are many online providers of CPD and other resources such as articles and webinars, some of which may be free. The key is that the CPD is relevant to you and enhances your professional practice and so we would still encourage all our members to undertake CPD as and when they can."
The policy will be under regular review and may be extended further if the circumstances demand. Those with any questions on the policy change should contact the RCVS Education Department on cpd@rcvs.org.uk
A full range of FAQs on the COVID-19 pandemic and the impact on the veterinary profession are available to view at www.rcvs.org.uk/coronavirus
On 23rd March, the Government demanded that the majority of public-facing businesses close their doors. Veterinary surgeries, however, have been exempted and are allowed to remain open.
However, the number of clients seen face-to-face should be kept to an absolute minimum and veterinary teams must insist on strict social distancing measures at all times.
In addition, the RCVS/BVA say that:
The College has updated its FAQs for veterinary professionals, which can be found here: https://www.rcvs.org.uk/setting-standards/advice-and-guidance/coronavirus-covid-19/
The BVA is now developing some further guidance to provide examples of what constitutes routine, urgent and emergency care.
There are eight veterinary surgeons standing in this year’s RCVS Council election, including three existing Council members eligible for re-election and five candidates not currently on Council. They are:
John DaviesDr Melissa DonaldDr Tom LonsdaleProfessor Stephen MayDr Kate RichardsPeter RobinsonDr Richard StephensonDr Kit Sturgess
Ballot papers and candidates’ details for both elections have been posted to all veterinary surgeons who are eligible to vote. Voters have also been emailed unique links the secure voting websites.
All votes must be cast, either online or by post, by 5pm on Friday 24 April 2020.
All candidates were invited to produce a video in which they answered up to two questions submitted to the RCVS by members of the electorate. The videos received so far have been published on the RCVS website at www.rcvs.org.uk/vetvote20 and on the College's YouTube channel (www.youtube.com/rcvsvideos). The candidate statements and biogs, and the questions submitted by members of the profession have also been published on the vetvote20 page.
Eleanor Ferguson, RCVS Registrar and Returning Officer, said: “With all that is happening currently, we are glad to say that we have been able to continue with business as usual as far as the RCVS and VN Councils elections are concerned, albeit with some minor delays on publishing the candidate videos.
Those who are eligible to vote in the RCVS Council election but have not received either an email or ballot paper should contact Luke Bishop, RCVS Media Manager, on l.bishop@rcvs.org.uk
The relevant section of the Government advice states: "This [key worker status] includes those involved in food production, processing, distribution, sale and delivery, as well as those essential to the provision of other key goods (for example hygienic and veterinary medicines)."
The RCVS/BVA statement, which is intended to help veterinary surgeons decide whether or not they can claim ‘key worker’ status and ask for their children to continue to be taken into schools, reminds veterinary surgeons to consider the wider societal picture and ensure that they only claim ‘key worker’ status if absolutely necessary.
The statement also stresses that the RCVS Code of Professional Conduct responsibility of the veterinary surgeon to take steps to provide 24-hour emergency first aid and pain relief to animals according to their skills and the specific situation continues, and veterinary practices will need to continue to carry out this work. It is important that animal owners are able to focus on their own health, and not need to worry about their pets. Both the RCVS and BVA believe that veterinary surgeons who are providing this essential work can be considered key workers.
The statement in full is as follows:
Veterinary surgeons as key workers in relation to school closures
RCVS and BVA appreciate that veterinary surgeons will feel a great deal of uncertainty at the present time, and that many will be facing considerable difficulties due to the closure of schools for most pupils.
The official government advice can be found here: https://www.gov.uk/government/publications/coronavirus-covid-19-maintaining-educational-provision/guidance-for-schools-colleges-and-local-authorities-on-maintaining-educational-provision.
The guidance emphasises that if children can be at home then they should be, in order to help to prevent the virus from spreading.
The government has granted key worker status by sector rather than profession. Some veterinary work will definitely fall into the ‘key worker’ category. RCVS and BVA are therefore providing some additional advice below, following consultation with the UK Chief Veterinary Officer:
SummaryAt this time the provision of public health and the maintenance of food production need to take priority, and veterinary surgeons working in these areas should be considered key workers.
Veterinary surgeons working in emergency care can also be considered key workers. This will not apply to every veterinary surgeon in clinical practice, and practices may need to consider rationalising their services to achieve this.
The guidance has been welcomed by both the BSAVA and BEVA. David Mountford, Chief Executive of BEVA said: "As veterinary professionals we are duty-bound to provide essential care, relieve suffering and protect the health of the public. Recognition as key workers in such circumstances is welcomed but we would encourage vets to only add to the burden faced by schools where animal welfare is at risk and all other avenues have been explored."
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.
Pam Mosedale, Lead Practice Standards Scheme Assessor, said: “We are very sorry for any inconvenience this may cause, but based on the UK Government’s advice and our duty of care to our team of Assessors, as well as team members and clients at veterinary practices, our only option was to postpone and reschedule all visits in the short-term.
"Although we have cancelled all assessments until the end of April, we will be constantly monitoring the situation over the coming weeks, and it is likely that there may be some further postponement of assessments planned for May and beyond."
The Veterinary Medicines Directorate, which carries out assessment inspections of veterinary premises that are not within the ambit of the Practice Standards Scheme, has also confirmed that it has postponed its forthcoming inspections. Further information can be found here: https://www.gov.uk/government/news/the-vmd-remains-open-for-business.
The RCVS Practice Standards Team can be contacted on pss@rcvs.org.uk or 020 7202 0767 for further advice.
Normally, students would be required to complete a minimum of 38 weeks of EMS throughout their degree programme in order to gain real-life work experience to enhance their university-based studies.
Under the circumstances, however, Council has decided to allow a temporary flexibility around completion of EMS:
RCVS President Niall Connell said: “Extra-Mural Studies (EMS) are an important and valued part of the veterinary programme, and all students are required to complete a total of 38 weeks across the full programme.
“However, the health and safety of students and staff are paramount, and we are aware that a number of restrictions are being put in place at this time to ensure their safety and minimise the risk of Covid-19 transmission.”
These measures will be subject to further review/extension depending upon the prevailing situation with the COVID-19 pandemic. The RCVS will monitor the impact of this through EMS completion data provided by UK veterinary schools.
Regarding final exams and assessment, the College says it may be necessary for UK veterinary schools to consider alternative methods to assess students in certain areas, but that UK veterinary schools should continue to ensure that any alternative assessment methods continue to be robust, valid and reliable, and ensure students have met the RCVS Day One Competences.
The review, which had been due to start in late 2019, will now start in April 2020.
Melissa Donald, Chair of the RCVS Standards Committee (pictured right), said: "Regretfully, as the scope and complexity of the review became clearer following Council’s approval of the project, it was also apparent that the original methodology, and the timetable set for it, was not going to be suitable to the task.
"Therefore, over the past few months, the Standards Committee and College staff have been working hard with the external research agency to revise the methodology and we have now reached the stage where we are confident we have got it right, and can now proceed with the review.
“While we regret the delay, as this review relates to fundamental principles about the provision of veterinary care, it is vital we get it right and that the process is as comprehensive as possible. It is better that it is right than rushed.”
Under the new methodology the review has been split into the following stages:
Melissa added: “Invitations to our regional focus group discussions, which will be selected randomly from amongst the professions by our research agency, will be going out soon and I would urge anyone who receives an invitation to come along and share their views and ideas.”
For further information, see: www.rcvs.org.uk/undercare