Kit, who has served on Council as an elected member since 2013, is currently the Chair of the RCVS Finances & Resources Committee and has been RCVS Treasurer for the past three years.
He is also a member of a range of committees and project groups across the RCVS including: the Audit and Risk Committee; the PIC/ DC Liaison Committee; the Certification Subcommittee; the Estate Strategy Project Board; the RCVS Knowledge Board of Trustees; and the Advanced Practitioners Panel.
Since 2003 Kit has been working as an internist (he is an RCVS-recognised Specialist in Small Animal Medicine) in private referral practice. In 2006 he became a founding partner in a multidisciplinary referral centre that he saw grow from five to 65 members of staff within five years.
His interests include workforce issues, communicating the diverse clinical and non-clinical skills of veterinary surgeons to the general public and government, and facilitating life-long learning through achievable further professional qualifications and effective CPD.
Kit said: "It was a great honour to be elected as the next Junior Vice President by my fellow council members. I feel that I can make a positive contribution to the work that the RCVS is already undertaking in ensuring the veterinary team remains healthy and respected. In particular I am keen to look at how the RCVS can help find solutions to our workforce issues - improving retention as well as encouraging and facilitating vets and nurses back into the profession."
In addition to Kit being elected as JVP, the current holder of that office, Dr Mandisa Greene, was confirmed as President for 2020-21 and current President, Dr Niall Connell, was confirmed as Senior Vice-President for this period.
Professor Susan Dawson was voted in as RCVS Treasurer, and she will be formally invested in this role at Royal College Day on Friday, 10 July.
Professor David Argyle has been elected as Chair of Advancement of the Professions Committee for a second year, Dr Susan Paterson has been elected as Chair of Education Committee for her second year, and Dr Melissa Donald has been elected Chair of Standards Committee for her second year.
Kit and Melissa's positions are subject to their successful re-election in the 2020 RCVS Council Elections
More information on the RCVS Council and its members can be found on the RCVS website: https://www.rcvs.org.uk/who-we-are/rcvs-council.
The Working Group, which was formed in January, is chaired by Nigel Gibbens (pictured right) and composed of representatives from BVA specialist divisions and affiliate groups, and others with relevant expertise and knowledge.
As the Association says, the RCVS review will potentially have a far-reaching impact on the future of the veterinary profession, animal health and welfare, and the relationships vets have with their clients.
Of particular concern are the impact of remote prescribing on animal welfare and how limited-service providers (ie those offering online consultations only) will affect the commercial viability of full-service providers.
It is therefore hugely important that the BVA's response represents the opinions and evidence of as many people in the profession as possible.
Information about the BVA Working Group, including the minutes of meetings held so far and the 'themes' document which reflects the group's current thoughts, can be found here: https://www.bva.co.uk/about-us/our-structure/working-groups/
Nigel said: "I encourage you to look at this information carefully, and feed in any evidence that you wish the group to consider along with your thoughts on the content of the BVA response to the RCVS. You can do this via BVA’s Head of Policy & Governance Amelia Findon (ameliaf@bva.co.uk) who will ensure that comments are collated and considered by our group.
"The breadth of opinion across the profession means that the BVA response cannot please everyone, nor should it attempt to. However, it will be based on available evidence and a good understanding of the full scope of views. BVA policy will thus reflect the majority view whilst embracing the positive potential of technological innovations that will inevitably change the way we interact with clients. I urge you to take the time to consider the implications and let us have your thoughts."
Last year a cohort of 1,010 veterinary surgeons responded to the CPD audit, which took place in September 2019 and included a random sample of 658 vets sourced from across all UK postcode areas.
The audit found that 820 (or 81%) of respondents met the annual requirement – a 13% increase from the 2018 audit. This followed a decline in compliance rates from 82% in 2014 to just 68% in 2018.
Amongst veterinary nurses, 79% of respondents were compliant, a 7% increase on last year’s compliance rate and the highest compliance rate ever from a veterinary nursing CPD audit.
Dr. Linda Prescott-Clements, RCVS Director of Education (pictured right), said: "It is fantastic to see that this year’s results demonstrate a significant increase in CPD compliance rates after a number of years in decline for vets and a largely static rate for veterinary nurses and I hope that it is part of a long-term trend towards the professions recognising the value of keeping their clinical and non-clinical skills up-to-date.
"This year we have made a number of changes that should make CPD compliance even easier now, including a clearer and simpler annual CPD requirement of 35 hours for vets and 15 hours for vet nurses, and the 1CPD platform and app which can be signed into through the My Account area and provides the professions with the ability to record, plan and reflect on their CPD."
Further information about the changes to the College’s CPD policy and the 1CPD platform can be found at www.rcvs.org.uk/cpd2020.
The 1CPD app can be downloaded through the Apple App Store, Google Play and via the RCVS website at https://onecpd.rcvs.org.uk/accounts/login/
The Committee had found Dr Elefterescu guilty of serious professional misconduct in relation to a number of charges which covered issues such as dishonesty, poor record-keeping, and failure to carry out adequate clinical examinations.
The full charges and findings of the RCVS Disciplinary Committee can be found at: www.rcvs.org.uk/disciplinary.
The Judicial Committee of the Privy Council held the appeal hearing in October last year with three Justices of the Supreme Court - Lord Kerr, Lord Carnwath and Lord Kitchin – comprising the Board.
The basis of the appeal to the Privy Council was that the Committee’s findings on the facts of the case were flawed, with his counsel saying that Dr Elefterescu 'strenuously disputes the findings by the Committee of his dishonesty and lack of professional competence and submits that there is no adequate basis for them in the evidence’.
His counsel also told the Board that the Disciplinary Committee’s sanction failed to take into account mitigating factors and that the decision to remove Dr Elefterescu from the Register was disproportionate.
In relation to the appeal against the Disciplinary Committee’s findings on the facts, the Board was not persuaded by any of the arguments put forward on behalf of Dr Elefterescu. These arguments included that the RCVS had failed to call relevant witnesses and had failed to make Dr Elefterescu aware of the significance of some evidential matters, disclosed to him.
In respect of the sanction, the Board was also unpersuaded by the arguments put forward by Dr Elefterescu’s counsel, namely that it was too harsh in its assessment of aggravating factors, did not give adequate weight to mitigating factors, and that it failed to distinguish lack of competence from misconduct.
In its judgment on the arguments put forward by Dr Elefterescu’s counsel, the Board said: "It is the opinion of the Board that these criticisms are not well founded. The Committee considered with care Dr Elefterescu’s proven and admitted conduct in relation to each of the charges and whether it fell below or far below the standard to be expected. It is to be noted in this regard that a number of the charges which were either admitted or upheld were not the subject of any challenge on this appeal.
"Overall, the Committee found that Dr Elefterescu’s clinical failures were very serious, involved failures in the basics of animal care, resulted in animal suffering and involved widespread breaches of the respondent’s [RCVS] code of professional conduct. It also expressed particular concern about its findings of dishonesty, and rightly so. That conduct was, in its view, ‘at the top end’ of disgraceful conduct in a professional respect. What is more, Dr Elefterescu had a lack of insight into his failings and a wholly unjustified confidence in his abilities which constituted an ongoing risk to animal welfare."
"These were findings which the Committee was clearly entitled to make and, in the light of them, the Board is firmly of the view that the decision of the Committee to direct the removal of Dr Elefterescu’s name from the Register cannot be impeached. The Board rejects the criticisms made of the Committee’s reasoning and the conclusions to which it came. The direction that Dr Elefterescu’s name must be removed from the Register was appropriate and proportionate."
The Judicial Committee’s full findings can be found at www.jcpc.uk/cases/docs/jcpc-2018-0060-judgment.pdf.
The College says the aim of the programme, which will replace the current Professional Development Phase (PDP), is to ensure that new graduates are fully supported in their new role and able to progress from day one competencies into confident and capable independent practitioners.
The new programme builds on the results of the Graduate Outcomes Consultation, a consultation which reported in 2019 to gather the views of the profession with regards to day one competencies, the PDP, extra-mural studies and clinical education for general practice.
The Graduate Outcomes consultation found that the profession felt that support mechanisms for new graduates needed to be strengthened, and the proposal to develop this new programme of support was approved by RCVS Council in January.
The first of the two working groups is the EPA Working Group, which is tasked with assisting the development of a bank of Entrustable Professional Activities (EPAs). EPAs describe the everyday professional tasks carried out by vets in practice, covering a wide range of areas of clinical and professional practice which graduates and their mentors can access to build into their own e-portfolio.
The second working group is the Mentor Working Group, which will assist in shaping the role of the mentor in the new programme and create a training package for workplace mentors.
Sue Paterson, Chair of RCVS Education Committee said: "It is incredibly important for us to have input from veterinary surgeons who are working in general practice as they are well positioned to comment on how the development programme can effectively support graduates on a day to day basis."
The College is looking for veterinary surgeons working in practice and who have an interest in helping new graduates gain the best possible experience to join as members of these new working groups. It would be beneficial for applicants to have experience with mentoring and/or workplace training.
Successful applicants would be required to visit the RCVS for three half-day meetings over the period of a year and the RCVS would cover travel and subsistence expenses. There would be an additional time commitment to review and feedback on material via email.
Those general practitioners who are interested in applying should email Britta Crawford, RCVS Education Manager, via b.crawford@rcvs.org.uk giving a brief description of their current position and why they feel they would be an asset to the working group. The closing date for applications is 6 March 2020.
Eight veterinary surgeons have put themselves forward to compete for the three available places. They are:
The RCVS has uploaded each of the candidates’ biographies and election statements on to its website, at: www.rcvs.org.uk/vetvote20.
The elections will start from Monday 16th March when the ballot papers and candidates’ manifestos will be posted and emailed to all members of the profession who are eligible to vote.
All votes, whether postal or online, must then be cast by 5pm on Friday 24 April 2020.
As with previous years, the RCVS is also inviting members of the profession to get a better idea of why each candidate is standing by taking part in 'Quiz the candidates' and submitting a question which will then be put directly to the candidates.
Each candidate for both elections will be invited to choose two questions to answer from all those received, and produce a video recording of their answers.
Recordings will be published on the RCVS website and YouTube channel (www.youtube.com/rcvsvideos) on the week the election starts.
The College says only question per person is allowed, and any which it deems offensive, inappropriate, misleading, libellous or otherwise unlawful will not be distributed to the candidates.
Vets should email their question to vetvote20@rcvs.org.uk or send it to the College’s Twitter account @theRCVS using the hashtag #vetvote20 by midday on Friday 28 February 2020.
COMMENT
With the veterinary profession facing two of the biggest regulatory changes seen in most people's lifetimes, namely changes to the rules over remote prescribing without performing a physical examination and a possible change to the standard of proof used in disciplinaries, there has never been a more important time to make sure that practising veterinary surgeons are properly represented on Council. Nor has there been a time I can remember when a protest vote would represent such a shocking waste. Don't forget, you don't need to use all your votes. Use them wisely.
The new Order will come into force on the 18th February 2020, from when students who graduate with the University of Surrey’s veterinary degree will automatically be able to join the Register of Veterinary Surgeons and to practise veterinary medicine in the UK.
The university’s Bachelor of Veterinary Medicine and Science (BVMSci Hons) degree will enter the College’s cyclical accreditation process and be subject to annual monitoring for quality assurance.
Accreditation of the degree was a five-year process during which the RCVS worked with the University of Surrey to ensure that its curriculum and programme met the College’s quality standards, including two interim accreditation visitations in 2017 and 2018 and a final accreditation visit in 2019.
Dr Niall Connell, RCVS President, said: “We are very glad that the University of Surrey’s veterinary degree has now cleared the last hurdle and that, as of next month, it will join the roster as the UK’s eighth recognised veterinary degree. I commend the hard work that the faculty, students and the university’s clinical partners have put in to develop the course over the past five years and we look forward to continue to work with them to ensure that the high standards are maintained."
Professor Chris Proudman, Head of the School of Veterinary Medicine at the University of Surrey, said: "I am delighted that the University of Surrey’s School of Veterinary Medicine has become the UK’s eighth provider of veterinary education. The support and enthusiasm of our partner practice network has been essential in delivering our vision of competent, confident and compassionate veterinary graduates."
The full RCVS accreditation standards for veterinary degrees can be found here: www.rcvs.org.uk/setting-standards/accrediting-primary-qualifications/accrediting-veterinary-degrees/accreditation-standards/
Photo: (from l-r) Susan Paterson, Chair of the RCVS Education Committee, Professor Chris Proudman, Head of the School of Veterinary Medicine at the University of Surrey, and Niall Connell, RCVS President.
The Disciplinary Committee, chaired by Dr Martin Whiting, considered two charges against Mr Shah.
The first charge alleged that in June 2018 Mr Shah allowed a kitten to be anaesthetised for a castration without having first undertaken a clinical examination.
Then, having failed to locate a second testicle during the surgery, it was alleged that Mr Shah failed to contact the owner to inform her of this failure and to discuss the treatment options arising as a result, before ending his attempts at the castration.
The charge then alleged that Mr Shah failed to devise an adequate plan for the completion of the castration, failed to take adequate steps to ensure that the owner was fully informed of the details of the surgery, and failed to make adequate clinical notes in relation to the kitten.
The second charge alleged that, in relation to the conduct in charge one, Mr Shah failed to have adequate regard to previous advice and warnings from the RCVS about his conduct in relation to neutering surgery and related clinical note-keeping and communication with clients.
In particular, this related to a reprimand issued in September 2016 by the Disciplinary Committee following its finding of disgraceful conduct with regards to his discharge of a dog following castration in 2014, and advice issued to Mr Shah by letter of 21 March 2018 by the College’s Preliminary Investigation Committee with regards to circumstances surrounding canine spay surgery performed by him in 2016.
At the outset of the hearing Mr Shah denied all of the charges.
Nevertheless, the Committee found the following charge one sub-charges proved: that Mr Shah allowed the kitten to be anaesthetised without having first undertaken a clinical examination of the kitten and/or ensuring that they had undergone a clinical examination by another veterinary surgeon; that Mr Shah failed to devise an adequate plan for the completion of the castration, that he failed to take adequate steps to ensure that the owner was fully informed post-operatively of the details of the said surgery; and that he failed to make adequate clinical notes in relation to the findings of his examination under anaesthesia, his surgical approach, post-operative communication with the owners and his plan for completion of the castration.
The Committee also found all of charge two proved.
The Committee then went on to consider whether or not, in relation to the proved charges, Mr Shah’s conduct amounted to serious professional misconduct.
In considering the aggravating factors, the Committee took into account the risk of injury to an animal, the contravention of previous advice given by the College, lack of insight, and the previous adverse findings of the Disciplinary Committee and the Preliminary Investigation Committee.
With regards to mitigating factors, the Committee accepted that the conduct was not premeditated, that there was no financial gain and that, notwithstanding the contents of charge two, the first charge was a single and isolated incident.
Considering both the aggravating and mitigating factors, the Committee was satisfied that Mr Shah’s conduct fell far below the standard expected of a registered veterinary surgeon and consequently that it amounted to serious professional misconduct.
The Committee then considered what sanction to impose on Mr Shah. The Committee first considered lesser sanctions, including postponement with undertakings and a reprimand and warning. Neither would be sufficient to protect animals and the wider public interest and uphold proper standards because Mr Shah had already been given a reprimand and warning in 2016, which appeared, to the Committee, to have had no effect.
Speaking on behalf of the Committee, Dr Whiting said: "It is clear to the Committee that in this case, the respondent has failed to demonstrate any insight into the seriousness of his misconduct.
"In this case, the Committee considers that there is evidence of a harmful deep-seated personal attitude problem so far as the respondent is concerned. His pervasive denial of wrongdoing and lack of insight, in spite of the findings of this Committee, is of grave concern.
"The respondent’s persistent abdication of personal responsibility and accountability for anything that went wrong, coupled with his sustained blaming of the nursing staff with whom he worked, displays an attitude which is fundamentally incompatible with being a member of the veterinary profession.
"The Committee cannot be confident that there is no significant risk of repeat behaviour in the event that suspension was found to be the appropriate sanction and that the respondent is fit to practise after any period of suspension.
"This is particularly due to the fact that Mr Shah has failed to have adequate regard to previous advice and warnings from the RCVS, coupled with multiple previous adverse findings of the Disciplinary Committee and the Preliminary Investigation Committee. The Committee has reached this conclusion having regard to the seriousness of its findings in this hearing, and the previous advice and warning given to the respondent, none of which appears to have been recognised or heeded."
The Committee therefore concluded that the only sanction which reflects the seriousness of this case, in the light of the previous findings and advice given to the Mr Shah by the College, is to remove him from the Register.
The Committee’s full facts and findings can be found at www.rcvs.org.uk/disciplinary.
The College says that 1CPD has been designed to facilitate the new outcomes-focused CPD model which was introduced in 2020 and becomes mandatory from 2022.
An important part of this new model is reflection, so 1CPD encourages vets to reflect on the quality, relevance and impact of their CPD activities.
Dr Linda Prescott-Clements, RCVS Director of Education said: "Although the outcomes-focused element of these changes won’t become mandatory until January 2022, we recommend that you incorporate reflection in your cycle of planning, doing and recording CPD as soon as possible, and our new 1CPD app makes this much easier to do than before.
"Research has found that reflection enhances the quality, impact and relevance of CPD as professionals consider what they have learned, how they will apply their learning and how it will improve their practice. To support this CPD model, which research has shown has a positive impact on both professionalism and patient outcomes, the 1CPD platform facilitates reflection by allowing you to record your reflective notes on your recorded CPD activities, through a variety of means including text, audio or uploading a document."
The old PDR was taken offline last Friday and all of the data saved in the PDR has been transferred to 1CPD.
The 1CPD app is now available for both Apple and Android devices, available on and off line, and through a new dedicated website, all of which is now accessible using the same credentials used to access My Account.
Richard Burley, RCVS Chief Technology Officer, said: "1CPD provides a range of enhancements to RCVS’ previous offerings in this space and represents an important step forward in the College’s digital approach. Built on the latest best-practice technologies, it improves on every aspect of our previous approach to CPD support, delivering the first stage of a new, integrated, career-long CPD support capability for members.”
The launch of 1CPD also coincides with a change to the way that the College assesses CPD compliance, moving to an annual CPD requirement of 35 hours a year for veterinary surgeons and 15 hours a year for veterinary nurses.
More information on the CPD changes, along with accompanying resources, can be found on the RCVS website: http://www.rcvs.org.uk/cpd2020.
So that practices can make sure everyone in their team is aware of the changes, the RCVS has also produced a poster which can be downloaded at: https://www.rcvs.org.uk/news-and-views/publications/cpd-poster/.
For more information, contact the Education team on 0203 795 5595. For technical advice about 1CPD, email the RCVS at onecpd@rcvs.org.uk.
The College says the increase is needed to fund a number of ambitious projects and make sure the it is fit for the future.
The approved fee rise will apply to the 2020-21 annual renewal fee, which is due to be paid by 31 March 2020.
Increases will also be applied for those registering on or after 1 April 2020, including the restoration fee for those applying to re-join the Register.
Lizzie Lockett, RCVS CEO, said: "While we appreciate that asking people for more money is never going to be popular, I would like to reassure the profession that the fee rise is both a necessary piece of financial future-proofing and will also help fund current projects and future initiatives stemming from our new Strategic Plan.
"Many of our existing projects such as the RCVS Leadership programme, the ViVet innovation project, the Fellowship and the Mind Matters mental health initiative, have an increasing workload, often due to popular demand, which requires additional resources – including staffing – to meet those needs. There is also increasing demand on some of our core regulatory functions such as our concerns investigation and disciplinary processes, including the Veterinary Client Mediation Service (VCMS), and our Education Department which is responsible for ensuring standards in an increasing number of educational institutions both domestically and internationally.
"Furthermore, there is lots of additional work on the horizon, much of which relates to improving and enhancing aspects of the profession and stems from our newly approved Strategic Plan, which will be published soon. For example, RCVS Council has just agreed an ambitious overhaul of the Professional Development Phase to help graduates better transition to life in practice; we are carrying out an increasing amount of work on understanding the barriers to diversity and inclusion in the veterinary profession: and, we are looking to relocate the College in order to be better able to accommodate the increasing number of staff and functions the work we do requires.
"In terms of future-proofing, we also need to make sure we have sufficient financial security for a potential decrease in the number of veterinary surgeons currently registered with us, as well as the number of veterinary surgeons joining the Register on an annual basis, that may arise when the UK fully leaves the EU at the end of the transition period in December 2020."
The current levels of RCVS fees are able to view at: www.rcvs.org.uk/how-we-work/fees/, which will be updated with the new fees shortly.
The Disciplinary Committee, chaired by Mr Stuart Drummond, considered six charges against Dr Gunn.
The first charge alleged that, early in 2018, Dr Gunn failed to provide appropriate and adequate care to the dog. In particular, having removed a mass from the right thorax, he undertook an excess number of surgical procedures, including under general anaesthetic, within a 13 day period; performed these procedures without offering alternative treatments or discussing referral with the owners; failed to recognise infected wounds; and administered an antibiotic when the dog was infected with MRSA and E-coli.
The second charge alleged that Dr Gunn failed to communicate adequately, openly and honestly with the owners of the terrier on multiple occasions between 16 January and 3 February 2018. This included but was not limited to: failing to provide the owners with an estimation of fees; failing to inform them in advance of the procedures performed; failing to inform them of options for treatment; and failing to inform them that the terrier had an infection when he knew or ought to have known that she did.
The third charge alleged that Dr Gunn failed to obtain informed consent in relation to the further procedures performed on the terrier in charge one.
The fourth charge alleged that Dr Gunn failed to maintain adequate clinical records in relation to the management of the dog, and that he failed to record the prescription and administration of drugs to treat the terrier.
The fifth charge alleged that Dr Gunn indicated to the owners that euthanasia was the most appropriate treatment option and/or that there were no other realistic treatment options, when this was not the case and when he ought to have known this was not the case.
The sixth charge alleged that, during the course of a referral of the terrier to another practice, Dr Gunn failed to provide an adequate history of his management of the dog and that he informed the practice that the owners had no finances when this was not true, amounting to an incomplete account of his dealings with the owners and to a breach of their confidence.
At the outset of the hearing the respondent admitted to a number of the allegations within the main six charges, which were found proved by the Committee.
Of the charges not admitted to, a number were found proved and the Committee then went on to consider whether or not Dr Gunn’s conduct amounted to serious professional misconduct.
In considering the aggravating factors, the Committee took into account that the dog’s suffering was prolonged because of the persistence of Dr Gunn in pursuing a single ineffective treatment approach.
With regards to mitigating factors, the Committee found that Dr Gunn was remorseful as to his actions, that there was no financial motivation on the part of Dr Gunn in respect of his treatment of the terrier, and that there is a low risk of repetition because Dr Gunn has sought to learn from this experience. A number of relevant and high-quality testimonials were also provided by colleagues and many satisfied owners on behalf of Dr Gunn.
Considering both the aggravating and mitigating factors, the Committee was satisfied that Dr Gunn’s conduct fell far below the standard expected of a registered veterinary surgeon for a number of the charges.
The Committee then considered what sanction to impose on Dr Gunn. The Committee was satisfied that the misconduct found proved was in relation to the treatment of one dog only and therefore it was at the lower end of the spectrum. However, the conduct took place over a prolonged period of two weeks which in the Committee’s view required a sanction. In such circumstances, and with the significant mitigation, the Committee decided that the appropriate and proportionate sanction was to reprimand Dr Gunn and to warn him about his future conduct.
Speaking on behalf of the Committee, Mr Stuart Drummond said: "The Committee concluded that the effect of a reprimand alongside the Committee’s findings on disgraceful conduct in a professional respect was a sufficient and proportionate sanction. The Committee found Dr Gunn to have developed sufficient insight into his failings and it was satisfied that the disciplinary process had been a salutary experience and that he is very unlikely to pose a risk to animals in the future or to contravene professional standards.
"The Committee decided that a warning as to future conduct was necessary to reduce the risk of any repetition of any similar conduct for Dr Gunn in the future. It therefore concluded that the sanction of a reprimand and warning would be a sufficient in the circumstances of this case having taking into consideration all the powerful personal mitigation."
The complete list of charges and the Committee’s full facts and findings can be found at www.rcvs.org.uk/disciplinary
Part of the VN Futures project, the lunchtime webinars will be delivered between February and June 2020 via the Webinar Vet, and the College is encouraging all veterinary surgeons, nurses, practice managers and owners to attend, as it says the webinars will benefit the whole practice team.
All three webinars take place at 12.30pm and last one hour. They are as follows:
Tuesday 4 February 2020 – ‘Maximising the potential of the veterinary nurse’ presented by Louise Northway RVN, BVNA Council member and recipient of the RCVS Inspiration Award. The webinar will give an overview of the role of veterinary nurses under Schedule 3 of the Veterinary Surgeons Act, how VNs can develop their role in practice and take on extra responsibilities and how VNs can approach these conversations in practice through the creation of learning and development plans. This webinar will illustrate how fully utilising the nursing team not only hugely boosts the morale of the work force, but also enhances patient care and increases the efficiency of the business.
Tuesday 10 March 2020 – ‘Veterinary nurses’ time is valuable: How and why to charge for it’ presented by Stephanie Writer-Davies MRCVS, Career Progression Working Group member, and Jane Davidson RVN, VN Council member and regular blogger on veterinary nursing issues. This webinar will provide examples and case studies of how veterinary nurses contribute to practice finances, how practice pricing structures can be developed so that the financial value of veterinary nurses’ time and effort can be better highlighted, and how veterinary nurses can demonstrate their value to clients.
Tuesday 23 June 2020 – ‘Lead or Head RVN: What’s in a name?’ presented by Gillian Page RVN, President of the Veterinary Management Group. This webinar will look at the role of the traditional Head RVN and how development of ‘Lead RVNs’ in different areas of practice can help to allow for growth of other talented team members and provide increased and shared responsibility and progression. This webinar will explore how this enhances practice efficiency alongside development of team members, thus increasing job satisfaction and, ultimately, retention.
Racheal Marshall, Chair of RCVS Veterinary Nurses Council and the VN Futures Board, said: "We hope that veterinary nurses will engage with these webinars in order to gain some inspiration about how they can truly show their value to their team, their clients and the wider public.
"The VN Futures research clearly demonstrated that there was a desire from the veterinary nursing profession to find ways in which VNs could gain greater recognition for the work they do and progress in their careers. These webinars, and our talented presenters, will provide many practical examples and case studies on how this can be done, help build confidence and highlight opportunities for further learning and development."
To sign up to the free webinars, visit: https://www.thewebinarvet.com/sponsors/VN%20Futures.
The proposal seems to have its roots in the First Rate Regulator initiative announced by Nick Stace in November 2012. As part of the initiative, the College commissioned Sally Williams and Associates to conduct research amongst stakeholders and report back with recommendations for being a first rate regulator.
One of those recommendations was to move to the civil standard of proof (page 33/34 here). There is no stated rationale for this recommendation, other than: "The majority of other professional regulators have moved to the civil standard of proof".
Nevertheless, the recommendation then found its way into the RCVS 2017-2019 Strategic Plan.
The proposal was then mentioned in the published summary of the Legislation Working Party's meeting in December 2017:
"In considering reform to the disciplinary process, the Registrar noted that the RCVS is one of the only regulators (and the only healthcare-based regulator) still using the criminal standard of proof (‘beyond all reasonable doubt’) when determining the facts of a case. Most other regulators used the civil standard of proof (‘on the balance of probabilities’) when making their determinations. Consideration of moving to the civil standard has also been carried over from the College’s previous Strategic Plan and the Registrar agreed to review the last six months’ cases to assess what the likely outcome of those cases would have been under the civil standard, and the cost of change. The Working Party also decided to contact other regulators about their disciplinary processes, in order to gather information about their experiences of what does and does not work, both for long-standing issues and new reforms."
The proposal then resurfaced last week in the Veterinary Record, which reported that the College is in 'advanced discussions' about adopting the lower standard (Standard of Proof for disciplinaries could change).
The College has now issued a statement to VetSurgeon.org as follows:
"The Royal College of Veterinary Surgeons (RCVS) is currently very much in the minority of regulators still using the criminal standard of proof ('beyond all reasonable doubt') in its disciplinary proceedings, rather than the civil standard of proof ('on the balance of probabilities').
"By comparison, all nine of the healthcare regulators in the human field (as overseen by the Professional Standards Authority) have moved to the civil standard, as have other regulators such as the Bar Standards Board and the Solicitors Regulation Authority.
"In our last two strategic plans we have committed to considering whether or not the RCVS should change the standard of proof in line with other regulators and these discussions have been taking place as part of the ongoing deliberations around legislative reform.
"A change to the standard of proof would require an amendment of our 2004 Procedure and Evidence Rules via the Privy Council rather than new primary legislation, but we would consult with the profession before any such changes were made and, at present, this matter has not been put before RCVS Council for a decision."
So, as it stands now, no evidence has yet been presented to the profession which supports the need for - or benefits of - a change to the standard of proof required in disciplinaries. The idea that it should be done simply because 'that's what the other regulators are doing' does not hold water. The veterinary profession is unique. According to the College's own research, it enjoys a remarkably high level of trust amongst the public. But at the same time, it also suffers one of the highest suicide rates.
Clearly Council will need to reflect extremely carefully on whether the members of such a widely trusted profession should face an even greater threat of losing their career, particularly when they seem to be at such a risk of vexatious complaints, fear of a disciplinary is already so high, and the consequences of this change on mental health in the profession could be so profound.
It may even be true to say that lives could depend on this decision.
The survey was conducted by Mo Gannon & Associates, which asked 2,000 UK adults about their satisfaction with the service they and their animals received from veterinary surgeons, levels of trust in the profession, and whether the service provided by vets represents value for money.
32% of the respondents felt that veterinary surgeons represented excellent (8%) or good (24%) value for money. 38% thought that veterinary fees are fair. However, 29% thought that veterinary surgeons and their services provided poor (21%) or very poor (8%) value for money. The results were very similar to the last time the survey was conducted, in 2015.
Nevertheless, veterinary surgeons continue to enjoy very high levels of trust amongst the public. 94% said they either completely trust (34%) or generally trust (60%) vets. This put veterinary surgeons in third place amongst the most trusted professions, below opticians and pharmacists but above GPs and and dentists.
Satisfaction with the profession was also high. 80% said they were either very satisfied (39%) or satisfied (41%), putting vets in fourth place below opticians, pharmacists and dentists, but above general practitioners and accountants.
RCVS President Dr Niall Connell, pictured right (would you trust this man?) said: "These results clearly demonstrate that there is a great deal of good will towards the veterinary profession and the work they do in treating the nation’s animals and serving their communities. The basis of all good relationships is trust, and it is fantastic to see that our clients continue overwhelmingly to trust our knowledge and expertise and remain very happy with the service we provide them.
"The picture on value for money is clearly a bit more mixed, although clearly 70% of the respondents recognise that we at least charge fair fees in terms of our time and expertise. There is, of course, always more work that we can do in order to help the public understand veterinary costs and fees and promote the value of veterinary care, as demonstrated by last year’s joint Pets Need Vets social media campaign with BVA, in which we highlighted the benefits to pet owners of being registered with a vet."
Prior to the start of the hearing, the RCVS received correspondence from Mr Kombert confirming that he did not intend to attend the hearing, either in person or via a video-link, nor did he intend to send legal representation in his stead.
The Committee, chaired by Dr Martin Whiting, decided to proceed with the hearing in the absence of Mr Kombert and any legal representation, on the basis that it was in the public interest and the interests of justice to proceed and that Mr Kombert had been given the opportunity to attend or be represented.
The Committee heard that staff at the practice where Mr Kombert was working as a locum had undertaken a check of the medicines kept in the practice’s controlled drugs cabinet and discovered that 5.5ml of ketamine and 1.5ml of methadone was missing. After the code to the controlled drugs cabinet was changed, Mr Kombert was observed taking an additional 3ml of methadone, which he then administered to himself while on duty at the practice.
After Mr Kombert was confronted with the evidence, he was given the details of the Vetlife charity for support and asked not to return to the practice.
The police were contacted and, on 4 January 2019, Mr Kombert was arrested and interviewed. He received a police caution for theft, with conditions that he should attend and complete a drug-use awareness course, and engage in a restorative justice process, which involved attending the practice to discuss his offences. At this meeting, Mr Kombert admitted stealing the drugs and administering them to himself while on duty, which meant he was not in a fit state to see patients. He apologised for his actions and the matter was then also reported to the RCVS.
In relation to the fact that Mr Kombert had accepted the police caution, made the admissions at the restorative justice meeting and had emailed the RCVS apologising for his actions, the facts of the case were found proven.
The Committee then went on to consider if Mr Kombert’s actions amounted to disgraceful conduct in a professional respect (henceforth called ‘serious professional misconduct’), something which Mr Kombert had admitted to in correspondence with the RCVS.
The Committee found that Mr Kombert’s actions did amount to serious professional misconduct. Dr Martin Whiting, chairing the Committee and speaking on its behalf, said: "The respondent’s conduct was dishonest; it constituted both a breach of trust and an abuse of his position with regards to access to veterinary medicines; it risked animal welfare and jeopardised the reputation of colleagues. It fell far short of the conduct expected of a member of the profession and amounts to disgraceful conduct in a professional respect."
The Committee then considered what the appropriate sanction against Mr Kombert should be, taking into account both aggravating and mitigating factors.
In terms of aggravating factors, the Committee took into account the risk of harm to animals, his dishonesty, the premeditated nature of the misconduct, the breach of trust and the fact it was repeated.
It also took into account three previous matters recorded against Mr Kombert in the United States of America.
These were: a letter of admonition from the Colorado State Board of Veterinary Medicine for practising when his licence had expired; a stipulation order from the same body in which he agreed to relinquish his licence in that state following an allegation that he took controlled substances from a veterinary practice and self-administered them; and a criminal conviction in New York State for obtaining an opioid controlled drug by deception, for which he was sentenced to three years’ probation. The Committee was made aware of the New York State criminal conviction after Dianne Norris, a Probation Officer based in that state, had contacted the RCVS after hearing about the inquiry and informed the College that Mr Kombert was in breach of his probation conditions.
Dr Whiting said: “The Committee has considered the witness statement of Ms Dianne Norris, a probation officer employed by Putnam County Probation in New York, who was responsible for supervising the respondent as part of his probation. Ms Norris explained that the respondent breached his probation on numerous occasions, which took place from November 2017 to 2018…. As a result of the breaches, Ms Norris required the respondent to increase his attendance at support groups to an inpatient treatment program for 28 days from 13 July 2018. He failed to attend.
"Ms Norris explained that warrants were issued for the respondent’s arrest…. The Committee noted that the conduct of the respondent in relation to obtaining controlled drugs from his employers for his own use while in the United States of America was similar to his conduct … [described in] the charges."
In mitigation the Committee considered that Mr Kombert had consistently admitted the charges against him as well as accepting and agreeing with the evidence against him.
However, the Committee decided that in light of the seriousness of his misconduct, including dishonesty and risk of serious harm to animals, removal from the Register was the most appropriate and proportionate sanction.
Summing up, Dr Whiting said: "The respondent has failed to uphold the requisite standards to be expected of him on multiple occasions. The Committee considers that the only sanction that is sufficient to protect the welfare of animals, maintain public confidence in the profession and declare and uphold proper standards of conduct is one of erasure."
Mr Kombert has 28 days from being informed of the outcome of the hearing in which to make an appeal to the Privy Council.
The full facts and findings from the case can be found at www.rcvs.org.uk/disciplinary
The Disciplinary Committee considered a number of charges against Javier Salas Navarro MRCVS and Roman Kristin over 35 days.
The charges against Dr Navarro concerned his treatment of a kitten named Marnie. They included:
In August 2016, failing to read the anaesthesia consent form in relation to a surgical spay he performed;
When Marnie was readmitted for surgery, failing to read the anaesthesia consent form, failing to undertake adequate assessment of Marnie’s condition; performing surgery without adequately considering her condition; subjecting Marnie to anaesthesia without recognising the seriousness of her illness; failing to obtain informed consent from the owners; administering medication which was contra-indicated; and failure to make an adequate record of his involvement in Marnie’s care.
The charges against Dr Kristin also related to his treatment of Marnie. They included:
In August 2016, failing to undertake an adequate assessment of her condition; failure to recognise and record the fact that Marnie could not pass urine; failure to refer or offer her for specialist treatment; and failure to ensure Marnie received care and treatment overnight.
When admitting Marnie for surgery, that he made a number of clinical mistakes including failure to gain informed consent; and failure to recognise the seriousness of her illness;
that there were a number of failings in relation to Marnie’s care, including failure to arrange adequate overnight care, failure to monitor and record her condition, and failure to gain informed consent for the overnight care.
that he failed to advise Marnie’s owners that he suspected her uterers had been ligated during the spay, failed to advise Marnie’s owners that she required specialist veterinary treatment; and advised that Marnie undergo further surgery at the practice in spite of this meaning her having to undergo further anaesthesia in a week and with poor chances of survival;
that the above conduct was misleading and dishonest.
The Disciplinary Committee found a number of the facts in the charges against both Dr Navarro and Dr Kristin proven (the full details can be found in the documentation at www.rcvs.org.uk/disciplinary).
The Committee found that Dr Navarro breached a number of aspects of the Code of Professional Conduct for Veterinary Surgeons including: making animal health and welfare the first consideration when attending to animals; the provision of appropriate and adequate veterinary care; responsible prescription, supply and administration of medicines; communication with professional colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; effective communication with clients; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee found that his initial failure to read Marnie’s anaesthesia consent form on 5 August did not amount to disgraceful conduct in a professional respect, but that the repetition of this failure on 9 August did amount to disgraceful conduct. It also found that Dr Navarro’s failure to undertake adequate assessment and perform surgery without this assessment amounted to serious professional misconduct. Furthermore, the Committee found that subjecting Marnie to anaesthesia in spite of her being unwell, failure to obtain informed consent and failure to keep adequate records also amounted to serious professional misconduct.
For Dr Kristin, in summary, the Committee found not proven the allegation that he had failed to respond on 5 August 2016 to concerns from Marnie’s owners about her condition while she was recovering from a surgical spay and also all the allegations relating to Dr Kristin’s admission of Marnie to the practice on 9 August on the basis that it was not satisfied so as to be sure that Dr Kristin had been the veterinary surgeon who admitted Marnie on that day.
The Committee found proven the remaining charges and found he breached the following parts of the Code of Professional Conduct for Veterinary Surgeons: making animal health and welfare the first consideration when attending to animals; keeping within area of competence and referring responsibly; providing appropriate and adequate veterinary care; responsible prescribing, supply and administration of medicines; communication with colleagues to ensure the health and welfare of the animal; being open and honest with clients and respecting their needs and requirements; communicating effectively with clients and obtaining informed consent; keeping clear and accurate clinical records; and working with the veterinary team to coordinate the care of animals.
Of the proven charges, the Committee determined that his failure to adequately assess Marnie’s health, to obtain a clinical history, to undertake blood tests and recognise that she was seriously ill, amounted to disgraceful conduct in a professional respect and led to “Marnie’s underlying condition going undetected and undoubtedly contributed to her eventual death two days later”.
The Committee also found that Dr Kristin’s decision to hospitalise Marnie without adequate overnight care, place her on IV fluids without monitoring the treatment or her condition, and failure to obtain adequate informed consent – among other things – amounted disgraceful conduct in a professional respect.
Stuart Drummond, chairing the Committee and speaking on its behalf, said: "As a direct result of Dr Kristin’s acts and omissions, Marnie was left alone overnight on fluids when those fluids had nowhere to go. Had he done his job properly he would have known that and Marnie could have avoided the prolonged suffering caused by the chosen course of treatment that did not address the underlying condition. Every element of Dr Kristin’s behaviour was catastrophic for Marnie, and yet he took no personal responsibility for her welfare and just went home.”
Following its findings on disgraceful conduct in a professional respect, the Committee then went on to consider its sanction for both Dr Navarro and Dr Kristin.
In respect of Dr Navarro, the Committee considered the mitigating factors including previous good character, admissions to some of the facts of the case from the outset; genuine insight and remorse into the seriousness of the actions; his youth and inexperience; and relevant and good-quality testimonials from colleagues. The Committee noted that the testimonials were universally positive and demonstrated that Dr Navarro had reflected on his conduct, had become more mature and confident in his practice and made efforts to rectify the areas in which he had fallen below standards.
Stuart Drummond said: “Although the consequences for Marnie and her owners were clearly devastating, the Committee considered that Dr Navarro’s part in her demise has to be seen in the context of all the evidence. In light of the extensive mitigation, including significant evidence of insight and remediation, the Committee was able to conclude that Dr Navarro did not represent a future risk to animals or the public. In such circumstances, the Committee considered that it was not necessary to restrict Dr Navarro’s registration and that a reprimand was the appropriate and proportionate sanction in his case.”
In relation to Dr Kristin, the Committee took into account positive character evidence from Mr Karel Daniel, a semi-retired veterinary surgeon and Vice-President of the Czech Republic Veterinary Chamber, a similar body to the RCVS in that country, as well as other testimonials on his behalf. In mitigation, the Committee considered Dr Kristin’s previously unblemished career, the fact that it was a single case involving a single animal; some development of insight into his conduct; no evidence of repetition; expressions of remorse; the impact of a family bereavement during the course of proceedings; and his financial position.
However, the Committee also took into account aggravating factors including a lack of candour from Dr Kristin when he was giving evidence, demonstrated by a tendency to blame others rather than take responsibility, as well as his recklessness in suggesting a third operation on Marnie that was not in her interests, rather than referring her into specialist care.
The final decision of the Committee on the sanction for Dr Kristin was that, given the seriousness of the misconduct, it was satisfied that this warranted a six-month suspension period. However, given the mitigating factors, the Committee decided that four months was appropriate and proportionate.
Commenting on the sanction Stuart Drummond said: “The Committee determined that it was important a clear message be sent that this sort of behaviour is wholly inappropriate and not to be tolerated. It brings discredit upon the respondent and discredit upon the profession and, most importantly, caused harm to Marnie and great distress to her owners.
"The Committee did consider whether to remove Dr Kristin from the Register. However, in light of the mitigation in this case, the fact that this was a single case in an otherwise unblemished career, together with the unlikelihood he would repeat his disgraceful conduct, the Committee decided that, in all the circumstances, to remove him from the Register would be disproportionate.
"The Committee therefore decided to order that the Registrar suspend Dr Kristin’s registration…. The Committee was satisfied that a period of four months was appropriate and proportionate in all the circumstances."
In next year's election, there are three places on Council for elected veterinary surgeons, with successful candidates serving four-year terms.
The nomination period runs until 5pm on Friday 31 January 2020. In order to stand, candidates need to complete a nomination form, submit a short biography and personal statement and supply a high resolution digital photo.
Each candidate also needs to have two nominators who need to be veterinary surgeons who are on the RCVS Register but are not current RCVS Council members.
Eleanor Ferguson, RCVS Registrar and Returning Officer said: "As always, we would encourage those who are interested in having their say in some of the key debates in the regulatory sphere, such as our under care review, our policies around the impact of Brexit and our vision for new veterinary legislation, to become a candidate.
"RCVS Council is at its best when it encompasses a broad range of perspectives, experiences and knowledge, and so we encourage people from all areas of veterinary life and all levels of experience to put themselves forward and share their expertise and insight."
Nomination forms, guidance notes and frequently asked questions for prospective RCVS Council candidates can be found at www.rcvs.org.uk/rcvscouncil20.
Prospective candidates for RCVS Council are welcome to contact the Registrar, Eleanor Ferguson (e.ferguson@rcvs.org.uk) and the RCVS CEO, Lizzie Lockett (l.lockett@rcvs.org.uk) for more information about the role of the College and/or RCVS Council.
RCVS Council will also be holding its next public meeting on Thursday 23 January 2020, prior to the closure date for Council candidate nominations. Prospective candidates are welcome to attend the Council meeting as an observer. Contact Dawn Wiggins, RCVS Council Secretary, on d.wiggins@rcvs.org.uk if you wish to attend.
Andreea Maria Bacaintan was convicted by the Bucharest Court of Law in October 2017 of bribing a professor during her final year at university in order to pass an examination, a charge to which she had pleaded guilty.
Miss Bacaintan was fined and sentenced to a period of one year and four months' imprisonment, suspended for two years, with requirements for supervision and unpaid community service work. The case against Miss Bacaintan was that this conviction renders her unfit to practise veterinary surgery.
However, the Committee also heard and accepted that Miss Bacaintan had been the victim of a dishonest scheme perpetrated by members of staff at the University to extort money from students before they would let them pass the exam.
At the outset of the hearing the respondent admitted the facts as contained in the charge and that her conviction rendered her unfit to practise veterinary surgery. However, notwithstanding Miss Bacaintan’s acceptance that she was unfit, the issue of whether or not she was fit to practice remained one for the Committee’s judgement.
The Committee considered whether or not Miss Bacaintan’s conduct amounted to serious professional misconduct. In coming to its decision, the Committee took into account the submissions it had heard from Nicole Curtis, acting for the College, and from Miss Bacaintan, who represented herself.
Ms Curtis submitted that the nature and circumstances of the offence, which involved an element of dishonesty and which led to the conviction, were such as to render Miss Bacaintan unfit to practise as a veterinary surgeon in the UK. Miss Bacaintan’s conduct was also liable to have a seriously detrimental effect on the reputation of the profession, as it undermined the examination system.
The Committee also considered the mitigating factors associated with the conviction, namely that this was a single, isolated incident and that Miss Bacaintan was clearly the victim of a dishonest scheme perpetrated by staff at the University.
Considering both the aggravating and mitigating factors, the Committee was satisfied that Miss Bacaintan’s conduct fell far below the standard expected of a Registered Veterinary Surgeon.
The Committee then considered what sanction to impose on Miss Bacaintan. In doing so it took into account some of the written testimonials submitted on her behalf. The Committee was satisfied that Miss Bacaintan understood the magnitude of what she had done and was highly unlikely to repeat her dishonest behaviour.
Speaking on behalf of the Committee, Ian Green said: "This was a truly exceptional case where, whilst she had been dishonest, which the Committee in no way condoned, she had felt compelled to act in this way. The Committee was persuaded that Miss Bacaintan had herself been the victim of a corrupt system and had acted out of desperation in the final stages of her degree and with the genuine fear that if she did not “play the game” she would not graduate, thereby throwing away six years of hard work.
"It was notable that she did not succumb to the corrupt scheme until the third time of trying to pass this exam. It was clear from the evidence that she was not alone in paying up to try and pass this exam and that at least 30 and possibly many more students had done the same thing."
In such circumstances and with the significant mitigation, the Committee decided that the appropriate and proportionate sanction was to reprimand Miss Bacaintan and to warn her about her future conduct.
Based on the reported facts, what I'd like to know is why the DC even reprimanded a veterinary surgeon who was clearly being extorted herself, and what action was taken against the University staff?
Discuss here.
The Committee’s full facts and findings can be found at www.rcvs.org.uk/disciplinary
Sarah is a Professor of Veterinary Surgery at the University of Nottingham’s School of Veterinary Medicine & Science, and leads the Nottingham Equine Colic Project, which works with organisations such as the British Horse Society to raise awareness of the condition.
Sarah's talk, 'Generating an evidence-based educational campaign on colic', will discuss new evidence from the project, and how it led to the REACT colic campaign. She will also be sharing experiences of how the campaign has worked and asking whether we can change people's attitudes and behaviours.
The evening starts at 6.15pm with food and refreshments with Sarah's talk starting at 7pm, after which there will be an update on the College’s latest projects and initiatives. That'll be followed by a question and answer session with senior officers and staff from the RCVS - including RCVS President Dr Niall Connell, and Chair of RCVS Veterinary Nurses (VN) Council Racheal Marshall.
Dr Connell said: "Thank you to Professor Freeman for agreeing to speak about the colic project which, through its Colic Awareness Week, is helping to raise knowledge of the early signs of colic amongst horse owners, allowing them to get their horses treated in good time and saving their lives.
"I also look forward to talking to members of the profession about some of the issues currently on their minds – the evening is very much led by what those who attend want to discuss – from mental health, to our under care review, to the Practice Standards Scheme. Attending the event can also count to up to three hours towards your continuing professional development (CPD) requirement."
The event is open to all members of the practice team including veterinary surgeons, veterinary nurses, practice managers and others. The event is free and places can be booked via the RCVS website at www.rcvs.org.uk/nottingham.
In the afternoon before the event, between 12 noon and 5pm, the College will also be holding a series of free 45-minute Practice Standards Scheme (PSS) surgeries with PSS Lead Assessor Pam Mosedale.
The surgeries are open to both RCVS-accredited practices and those considering joining the Scheme and allows delegates to discuss the assessment process, how to apply for awards, how to meet particular requirements and any other questions they may have about the PSS.
Places at the surgeries are limited and will be allocated on a first-come, first-served basis. They can be booked at: www.rcvs.org.uk/PSSsurgeries
Ian Arundale (pictured right) was appointed as the new Chair of the DC following an application process from within existing Disciplinary Committee members, with the final interview panel consisting of Amanda Boag (President at the time), Ian Green (current DC Chair) and Miran Uddin (an independent barrister who works in regulatory law). Ian begins his role as chair in late October.
Ian is Deputy Chief Constable of Cleveland Police in the north east of England and was a police officer for 32 years serving in South Wales, West Mercia and Dyfed-Powys Police Forces. He currently provides expert witness services to inquests, courts and public inquiries. Ian has worked internationally and has assisted police forces and organisations in the USA, India, the Far East and New Zealand. In addition to his work with the RCVS, Ian is also the Chairperson of the Audit Committee for the City of Cardiff Council and is a board member of the International Law Enforcement Forum (ILEF).
Ian said: "I am pleased to have been selected as DC Chair and am looking forward to chairing the committee. The role of the DC is crucial to ensuring the RCVS protects and upholds the high standards of the UK veterinary professions, and I am humbled to be in a position to support this important function."
Dr Martin Whiting has been appointed as the new Vice Chair for the DC. Dr Whiting qualified as a veterinary surgeon from the Royal Veterinary College (RVC) in 2006. Following a few years in practice, he returned to academia to complete a Masters in Medical Law and Ethics and a PhD in the public interest in veterinary professional regulation. Martin was appointed as Lecturer in Veterinary Ethics and Law at the RVC in 2013 and became an RCVS and European Specialist in Animal Welfare, Ethics and Law. In 2017, Martin moved to the Home Office to work with the Animals in Science Committee and is currently the Head of Operations for the Animals in Science Regulation Unit.
Dr Bradley Viner has been appointed as the new Chair of the RCVS PIC and began his role on 1 July 2019.
Bradley was appointed through an independent selection process led by an external HR consultancy, with RCVS Council ratifying the final appointments. Bradley replaces Andrew Ash, who chaired the PIC from July 2015 up until Bradley’s appointment.
Bradley established his own small animal practice in Pinner, Middlesex, which then grew to a group of five practices in north-west London. In 2017 he sold his practices to the Linnaeus Group and now works for them as Group Clinical Quality Lead across all their sites. He was made a Fellow of the Royal College of Veterinary Surgeons in 2017 for Meritorious Contributions to Clinical Practice. Bradley was an elected member of RCVS Council between 2005 and 2017, including four years as RCVS Treasurer and one year as RCVS President in 2015-16.
Bradley said: "I was delighted to have been selected as Chair of this Statutory Committee as I feel it is one of the most important interfaces between the College, the profession and the public. It has a vital role to play in protecting animal welfare and the reputation of the profession, but I am well aware that fear of disciplinary proceedings can be very stressful to those involved. I undertake to continually strive to work to find a balance that ensures the Committee maintains a well-regulated profession acting in the public interest but also makes every effort to avoid causing unnecessary stress on members that are subject to its proceedings."
More information about the RCVS concerns investigation and disciplinary processes can be found at www.rcvs.org.uk/concerns.
At his first Disciplinary Committee hearing in January 2018, the Committee directed that Dr Gerhard Schulze Allen’s name be removed from the Register after finding him guilty of serious professional misconduct in respect of four charges against him. These related to an incident of petty theft in California in the United States, and his subsequent dishonesty in not disclosing this to the College.
Following the Disciplinary Committee hearing, Dr Schulze Allen submitted an appeal to the Privy Council. In July 2019, the Privy Council partially upheld his appeal, determining that the RCVS had not proven beyond all reasonable doubt that Dr Schulze Allen’s infraction for petty theft was a conviction under Californian law and therefore Dr Schulze Allen had not made false representations to the College when he said he did not have any criminal convictions or a criminal record.
However, the Privy Council partially upheld the College’s charge that Dr Schulze Allen was dishonest and made false representations when he had, in a written application for restoration to the Register, represented that he did not have any adverse findings and that he should have declared his infraction for petty theft. The Privy Council also set aside the Disciplinary Committee’s original sanction and remitted the task of sanction back to the Disciplinary Committee.
As a result of the Privy Council’s decision, the Disciplinary Committee held a further hearing in relation to Dr Schulze Allen to decide the sanction in relation to the upheld charge against him.
The Committee noted that the aggravating factors were the fact that Dr Schulze Allen was dishonest to his regulator and in making a false declaration, demonstrated a wilful disregard for the regulatory role of the RCVS. In mitigation the Committee considered that there was no harm to animals, that it was a single and isolated incident in an otherwise unblemished career, and that he had accepted his wrongdoing, albeit at a late stage, and was developing some insight.
The Committee considered whether a reprimand or warning would be the most appropriate sanction but determined that this would not reflect the seriousness of the dishonesty in this case, nor maintain public confidence in the profession or uphold proper professional standards of conduct and behaviour.
Ian Green, chairing the Committee and speaking on its behalf, said: "The Committee concluded that the appropriate and proportionate sanction is suspension from the Register for a period of three months. A period of three months reflects the seriousness of the charge. Such a sanction sends a clear message to Dr Schulze Allen, the profession and the public that behaving dishonestly towards the regulator is a serious matter. The Committee considered that removal from the Register would be disproportionate given that this is a single incident and Dr Schulze Allen now accepts his wrongdoing."
The first is that the College will allow veterinary surgeons and nurses to carry over some of the CPD hours they have accrued in 2019 into 2020, to smoothen the transition to an annual hourly requirement.
Vets will be allowed to carry over 25 hours and VNs 10 hours of accumulated CPD from 2019 through to 2020.
This will apply once, in 2020 only, and is only applicable to vets and VNs who have been CPD-compliant from 2017 to 2019 and have a surplus number of hours to carry over.
Secondly, the College is going to allow vets and VNs to take a six-month 'CPD pause' for planned periods away from work, such as parental leave, and exceptional circumstances, such as serious ill health or unforeseen changes to family responsibilities, without the need to make up the hours when they return to work. This will reduce the burden on vets and VNs returning to work after a break.
RCVS Director of Education, Dr Linda Prescott-Clements said: "We hope that these changes to the CPD policy will support vets and VNs to make the transition to an annual hourly requirement.
"We received a sample of feedback from some members of the veterinary professions regarding the move to annual hourly CPD requirements and these additions have been introduced support members during this transition and to mitigate some of the concerns raised."
For more information about the CPD requirement for both vets and vet nurses, what activities might count as CPD, how to record your CPD and a series of frequently asked questions about CPD please visit our dedicated page: www.rcvs.org.uk/cpd.
The first cohort of students started the course in September 2014 and graduated in July 2019 this year. During that time, the College worked with the University to make sure its programme was developed to meet RCVS standards. That included interim visitations by a team of accreditation reviewers and a final accreditation visitation by representatives of the RCVS, the Australasian Veterinary Boards Council (AVBC) and the South African Veterinary Council (SAVC).
After the final visitation, a report was submitted to the RCVS Primary Qualifications Subcommittee (PQSC), which then recommended to the Education Committee that the RCVS recognises the University of Surrey’s veterinary degree (subject to satisfactory external examiner reports, which were subsequently received). In turn, the RCVS Council then approved the degree last week.
Dr Sue Paterson, the Chair of the Education Committee, said: "We are very glad to have reached the stage where we can formally welcome the University of Surrey on board as the eighth UK veterinary school to offer an approved degree, and that we will, from now on and pending Privy Council’s approval, be able to welcome its graduates onto the Register as proud members of the RCVS.
"We appreciate the immense hard work of both the faculty and the student body over the past five years in working to meet the College’s stringent accreditation standards and the effort that they have made to address our feedback and advice in a constructive and engaged way.
"When I observed at the final accreditation visit earlier this year I, along with the other visitors, was particularly impressed with the enthusiasm and commitment of the staff, the network of partner veterinary practices and the student body to the school’s ethos and success. We also recognised that, with its unique ‘distributive model’ meaning that students can get direct clinical experience across 49 veterinary practice partners, the students have access to a large and diverse medical and surgical caseload.
"The final report contained a number of further recommendations and we look forward to continuing to work with the school over the next two years to help them meet our recommendations and suggestions."
Professor Chris Proudman, Head of School of Veterinary Medicine at the University of Surrey, added: "I am delighted that our new degree programme in veterinary medicine and science has been approved by RCVS Council for recognition by the Privy Council.
"This decision recognises the huge investment in veterinary education made by the university and the quality of the education that we offer. It is also validation of our innovative model of delivering clinical teaching through working in partnership with clinical practices and other organisations involved in animal health, which has proven very popular with our students."
“The commitment and enthusiasm of our partners has been truly inspiring and energising. I look forward to Surrey veterinary graduates making valuable contributions to the profession in a variety of ways over the coming years.”
A Recognition Order to recognise the University of Surrey’s Bachelor of Veterinary Medicine and Science (BVMSci Hons) will now be put before the Privy Council and, if it approves the Order, this will then be laid before Parliament. If the Order is approved by both the Privy Council and Parliament, the University of Surrey will then enter the cyclical RCVS accreditation process and be subject to annual monitoring.
The executive summary of the final visitation report can be found in the papers for the October 2019 meeting of RCVS Council: https://www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/3-october-2019/. The full report will be published in due course.
Picture shows:(from left to right) Dr Susan Paterson, Chair of the RCVS Education Committee; Professor Chris Proudman, Head of School of Veterinary Medicine at the University of Surrey; and Dr Niall Connell, RCVS President.
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
The review, announced earlier this year, was recommended to RCVS Council by its Standards Committee following its exploration of the implications of new technologies for both animal health and welfare and veterinary regulation.
The main areas under consideration include the provision of 24-hour emergency cover and the interpretation and application of an animal being under the care of a veterinary surgeon.
The initial stages of this review had been drafted for Standards Committee to consider at its meeting on 9 September, where the outline timetable was also discussed.
Standards Committee Chair Melissa Donald, said: "This is set to become one of our most fundamental reviews of RCVS guidance in recent years.
"Considering the complexity of the issues in question, and their importance to animal owners and the professions alike, it is vital that we allow ourselves enough time to ensure this review is as thorough and comprehensive as possible.
"We have a clear responsibility to seek, understand and, where we can, accommodate the opinions and experiences of as many different people from within and around the professions and the public as possible. I would urge my fellow vets and vet nurses to please find some time to consider these issues very carefully over the coming weeks and months, and to send us their views."
The review will comprise several stages and is expected to take around 12 months to complete. The outline timetable, which may be subject to change, is as follows:
October 2019 – January 2020: six-week Call for Evidence, followed by independent qualitative analysis of all evidence received
February – March: Select Committee-style meetings and independent qualitative analysis of additional evidence gathered [NB this stage is subject to Standards Committee requirements, depending on the evidence gathered.]
April – June: Consider all evidence and draft any new policy
July – August: six-week public consultation on draft policy
September – October: independent review of consultation responses, and production of any proposals for change
November 2020: Finalise any proposals for change and publish any new guidance
To support and promote the various stages of the review the College is also planning a programme of stakeholder engagement, and will also provide regular updates on progress to both Council and the wider profession.
Members of the professions and the public will be able to follow the progress of the review via the RCVS website at: www.rcvs.org.uk/undercare