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The RCVS has announced the steps it will be taking in response to the Standards Committee's review of 24/7 emergency care.
Whilst the College has stopped short of making home visits entirely discretionary, it has confirmed that with regards to 24/7 emergency care overall:
This follows RCVS Council's agreement in principle on recommendations that flowed from the Standards Committee's comprehensive review of 24/7 emergency care. The review was triggered by a number of issues, including the profession's response to the Chikosi Disciplinary Hearing of June 2013.
The College says the recommendations were developed out of a detailed process of evidence gathering, which included 656 pages of views submitted to the College, 2,801 signatures to a petition on home visits, a three-day select-committee-style hearing where representatives from 15 organisations and a further 10 individuals gave their views, a snapshot of responses from 1,062 vets taking part in the RCVS Survey of the Professions, and an online survey of 1,250 animal owners.
Council praised the work, which had been carried out under the guidance of Standards Committee Chair Clare Tapsfield-Wright, and agreed that draft changes to the supporting guidance to the Code of Professional Conduct should be refined and agreed by the Standards Committee and published over the next couple of months.
Clare said: "This process was not carried out as a typical consultation, with proposals being issued for consideration: we really wanted to be open to the views of the profession and the public from the start.
"We found that the profession did not wish to remove the 24/7 requirement, but there was a lot of frustration and concern, particularly around safety, home visits, who should be seen, outsourcing and contingency planning.
"The Standards Committee looked in detail at all of these issues and I am delighted to have Council's support for the general direction of our proposals. We will now review some changes to the wording of the new guidance, to improve clarity, and publish it as soon as possible."
President Neil Smith said: "I am delighted with the way this process has been carried out. No doubt the outcome will not please everyone, but these changes are based on robust evidence.
"The approach taken by the Standards Committee forms a useful model that could be adapted to address other such issues that we may face in the future."
The presentation given to Council on 5 June can be downloaded from the RCVS website at https://www.rcvs.org.uk/news-and-events/news/council-agrees-new-emphasis-for-24-7-guidance/ .
A bogus vet who pleaded guilty to a number animal cruelty and fraud offences is being sought by Humberside Police after he failed to appear at court for sentencing.
Jayson Paul Wells (pictured right), 30, of Driffield in the East Riding of Yorkshire, is wanted by detectives in Grimsby after he failed to appear at Grimsby Crown Court.
The RCVS assisted Humberside Police with its original investigation and is publicising its appeal to help locate Mr Wells. Police believe that he may be trading as a herdsman in Nottingham or Cornwall and are keen to establish whether he is currently in either location.
Mr Wells was arrested on 2 October 2013 and charged with the following offences:
Mr Wells pleaded guilty to all offences.
Anyone who is aware of his whereabouts is asked to call Humberside Police on 101 or call Crimestoppers anonymously on 0800 555 111.
The RCVS has released the results of a survey it conducted which has found that the vast majority of recent graduates from UK veterinary schools consider extra-mural studies (EMS) to be an essential component of the veterinary degree.
The survey was launched earlier this year in order to help the RCVS build up a picture of how EMS placements are currently working and whether graduates felt that they had gained knowledge and experience from placements that they could not have learnt from their core studies. Some 287 veterinary graduates from 2012 and 2013 participated in the survey, the overwhelming majority of whom (95.6%) agreed that EMS was essential.
Furthermore, the majority of the recent graduates said that they had found EMS placements to be beneficial in terms of the variety of clinical skills, professional skills and working practices they encountered. The only area in which a large number of graduates (42.9%) said that they did not find EMS placements useful was in gaining experience of out-of-hours and weekend work.
Despite the overall positive results, however, a number of concerns about EMS were raised. Issues included variable quality of placements; significant numbers of respondents feeling they were not able to gain as much 'hands-on' experience from placements as they would like; costs of accommodation and travel; and a lack of farm/mixed animal practices for placements.
Other key findings included the fact that the vast majority of veterinary students identified and booked their own placements at EMS practices and that their placements were at the type of practice they were looking for.
Christine Warman, RCVS Head of Education, said: "We launched this survey as an information-gathering exercise to see how EMS placements are currently working, following our last review of EMS in 2009 - and the results have certainly been very interesting.
"What is clear is that the current system is working well and that there is no need for an immediate review or urgent action. Most graduates found the experience gained on placements useful for their studies and find that EMS sets them up well for their first job in practice.
"However, there are a number of issues that we will keep a watching brief over and we plan to repeat the survey every two years in order to monitor these."
The full results of the survey are available to view at www.rcvs.org.uk/emssurvey2014. Detailed guidance on EMS placements for students, university staff and EMS practices is also available at www.rcvs.org.uk/ems.
Any queries about EMS can also be directed to the RCVS Education Department on education@rcvs.org.uk or 020 7202 0704.
Kellie Price, a Kent-based Registered Veterinary Nurse has been suspended from the Register for nine months by the RCVS RVN Disciplinary Committee after she admitted dishonestly creating four prescriptions, one of which was then fraudulently presented to a pharmacy.
The Committee heard that in January 2013, Miss Price, who did not attend the hearing and had no representation, had dishonestly created a prescription for two inhalers while working at a veterinary practice in Kent.
This prescription had been written and signed in the name of a locum veterinary surgeon, Cristiana Tudini MRCVS, without her knowledge or consent. The false prescription was subsequently presented to a pharmacy for dispensing.
In addition, in March 2013, Miss Price dishonestly created a further three prescriptions - one of which was written in the name of her colleague Cormac Higgins MRCVS, and two written in the name of Cristiana Tudini MRCVS without either's knowledge or consent. All four false prescriptions had been made out for Miss Price's Jack Russell terrier.
Upon discovering the false prescriptions, Mr Higgins asked Miss Price for an explanation and subsequently suspended her from her position pending further investigation. However, after being interviewed by Mr Higgins, she resigned before any in-house disciplinary hearing could take place. The allegations were then reported to both the RCVS and the police, the latter giving Miss Price a formal caution in respect of the false prescription made in January 2013.
In considering Miss Price's sanction, the RVN Disciplinary Committee took into account a number of aggravating and mitigating factors. In mitigation, it accepted Miss Price's explanation that, in the early hours of 6 January, she had suffered an asthma attack and that she had created the false prescription at work in a panic after realising her inhaler was empty and fearing a further asthma attack. The Committee also took into account a witness statement from Cormac Higgins MRCVS which described her as a "great nurse" and "good with patients and clients".
However, the Committee also considered aggravating factors including Miss Price's dishonesty and the fact that she then made further false prescriptions in March, although these were not then presented to a pharmacy.
Professor Noreen Burrows, who chaired the RVN Disciplinary Committee and spoke on its behalf, said: "The Committee is... satisfied that the admitted dishonesty amounts to disgraceful conduct in a professional respect [and] is satisfied that the respondent's conduct fell far short of the conduct to be expected of a registered veterinary nurse."
On deciding the sanction she added: "Taking into account all of the circumstances, the Committee has concluded that the suspension of the Respondent's name from the Register for a period of nine months is the proportionate sanction in this case."
The Committee's full findings and decision are available on the RCVS website (www.rcvs.org.uk/disciplinary).
RCVS CEO Nick Stace has published a refreshingly candid acknowledgement of recent concerns voiced by the profession on his blog, www.nickstaceblogs.org.
In his post, he gives a firm commitment to listen to the profession, asking just that in return, MsRCVS get more involved in College matters, such as voting in the elections and getting involved in consultations (starting with this one).
Definitely worth reading the full post: http://nickstaceblogs.org/2014/05/06/receiving-you-loud-and-clear/
The RCVS has announced the results of the RCVS Council and VN Council elections.
Re-elected to three of the six seats available on RCVS Council were current President Neil Smith (1,687 votes), incoming Standards Committee Chairman David Catlow (1,656) and Vice-President Jacqui Molyneux (1,304); and, from RCVS Day on 11 July 2014, they will be joined by new members David Bartram (1,674), Susan Paterson (1,496) and Mandisa Greene (1,296).
The two available places on VN Council were taken by existing member Hilary Orpet (611 votes) and new member Amber Richards (371).
Notably, half of the successful RCVS Council candidates this year were women, two of whom being elected for the first time.
Overall turnouts in both elections fell, with 4,137 (16.1%) veterinary surgeons and 1,157 (10%) veterinary nurses voting. These turnouts and voter numbers compare with 4,661 (18.8%) and 1,329 (12.5%) last year, and ten-year averages of 3,927 (17.4%) and 869 (9.9%), respectively.
RCVS Registrar Gordon Hockey, said: "It was always going to be tough to beat last year's record turnout, even with a record number of candidates standing this year, but it's encouraging that voter numbers are still the third highest in the last ten years.
"I'd like to be amongst the first to publicly congratulate all the successful candidates this year, and to encourage those who weren't successful this time to stand again in the future. I'm very much looking forward to working with our three new RCVS Council members whilst, at the same time, delighted that the profession has returned three existing members to their seats, enabling them to continue their work for the College."
Chair of VN Council, Kathy Kissick, says: "Many congratulations to Hilary, who has been returned to the VN Council for the third time running, and to Amber, who I'm looking forward to welcoming to VN Council in July. Hilary's experience and Amber's fresh input will, I'm sure, combine to provide an excellent contribution to our ongoing work."
The RCVS Operational Board has announced that it will ask Council to review its decision to remove postgraduate postnominals from the Register, following the largely negative response from the profession to the idea, including a petition from Derbyshire surgeon, Victoria Lilley.
The original decision was made by Council in June 2012 as part of a package of measures aimed at developing clarity around postgraduate skills and knowledge.
The College says that the removal of postgraduate postnominals from the Register was intended to help dispel confusion amongst the public and some members of the profession about the level of various qualifications, by introducing the Advanced Practitioner status alongside the existing Specialist list.
Chairman of the Operational Board, CEO Nick Stace, said: "Over the last few days we have listened to the disquiet amongst the profession - which has included direct contact with staff and Operational Board members, a petition and discussion on fora and social media - and feel that we should address some misunderstandings but also give Council the opportunity to review the decision at its 5 June meeting.
"Many good points have been made by members of the profession and I am pleased that the Operational Board has agreed to reflect on them and consider whether there is a better way to achieve the clarity we were seeking for the public and the profession.
"The introduction of Advanced Practitioner status is a positive move for both the profession and the public, and underlines the College's commitment to lifelong learning.
"It is important to have the profession's support for the direction we are taking in advancing standards across the sector."
The College has also provided some Q&A's concerning the original decision made by Council in 2012, as follows.
Derbyshire surgeon Victoria Lilley BVSc CertSAM MRCVS has launched a petition calling on the RCVS to abandon its plans to remove Certificate and Diploma holders' post nominals from the RCVS Register at www.rcvs.org.uk.
Under the current plan, which followed a consultation in 2011 and a submission to Council in 2012, the College will only distinguish the new "Advanced Practitioners" and "RCVS Recognised Specialists" in the Register from some time after the autumn. Vets with old-style RCVS Certificates can apply for "Advanced Practitioner" status but must complete module A of the CertAVP or 100 hours of equivalent CPD and pay £50 to apply, plus £110 per year to maintain the status.
Victoria said: "I want to spread the word that this is happening, as I don't feel the RCVS has publicised it well enough. I did my certificate in practice, it was a lot of hard work and I feel that the RCVS removing my CertSAM post-nominals from the register undermines this. Whilst I acknowledge that I could apply for "Advanced Practitioner" status, I strongly feel that spending a large proportion of my CPD time and budget learning about ethics and public safety is not going to help me improve my small animal medicine knowledge or skills. I also don't feel that I should be penalised by having to pay to be an "Advanced Practitioner" when the Royal College should be supportive of vets who undertake further study. My biggest objection is to post-nominals being removed from the register, which I feel is very unfair."
Speaking at the RCVS's online Question Time on thewebinarvet.com, RCVS Treasurer and Vice-President-elect Dr Bradley Viner said: "To clarify the situation with the Register: the Register no longer goes out to members routinely as a printed document. It is now primarily online, and in line with other regulators such as the GMC, the only information that is in the official part of Register is whether that person is a Member or a Fellow of the Royal College of Veterinary Surgeons and their registrable qualifications, in other words the primary qualification they achieved which entitled them to become a Member or Fellow of the Royal College.
"But we are certainly not going to be inhibiting people from using their post-nominals freely. They can use any of the post-nominals that they have achieved as long as they are not misleading.
"But I think there is confusion between a qualification and a status. A qualification is something that you obtain and you've got for life, and of course the old style Certificate is one of those, the new RCVS CertAVP is another. A status is something that a qualification within our context might enable you to attain, but it is something that has to be maintained.
"So what is going to be happening, hopefully from autumn this year, is that in line with the recommendations of the Specialisation Working Party, [there will be] an extra tier. So there will be Practitioners, there will be Advanced Practitioners and there will be RCVS Recognised Specialists, and there will be lists of those available via the Royal College. An Advanced Practitioner will be somebody who has a relevant qualification in the area of their advanced practice, and that may well be an old-style Certificate, certainly the CertAVP but there are also other qualifications which can also be relevant and used for that purpose. But they also have to prove that they are working actively in that area of practice, and they have an advanced requirement for CPD.
"Now in the case of old style RCVS Certificate holders, that qualification will be in line with the qualification they require to be listed as an Advanced Practitioner, but within the first three years they will have to show that they have either done the RCVS A module which is part of the new RCVS Certificate, or have done work that is equivalent to that in various areas such as communications, teamworking and personal and professional development, because we think from a Royal College point of view that it is really important that those areas are included within the Advanced Practitioner Status."
To sign the petition, visit: http://www.change.org/en-GB/petitions/royal-college-of-veterinary-surgeons-keep-post-graduate-qualifications-on-the-rcvs-register?recruiter=89624244&utm_campaign=mailto_link&utm_medium=email&utm_source=share_petition
The RCVS has announced that nominations are now open for the Veterinary Nursing Golden Jubilee Award 2014, an an honour which recognises those who have made an outstanding contribution to the veterinary nursing profession.
Nominations can be made until 1 May 2014 and this year the College is looking for nominees who have made an exceptional contribution to the profession, animal welfare or patient care - whether in clinical practice, education, research or politics. Nominees can be registered or listed veterinary nurses, veterinary surgeons or lay people.
Kathy Kissick, Chair of VN Council, said: "With this award we are looking for someone who can be an excellent ambassador for the veterinary nursing profession; who has made a real and substantial difference to the profession; and who can raise its profile and fight its corner.
"I would urge all those who are passionate about the profession and its future to put forward someone who they think is deserving of this honour."
The award was launched in 2011 to celebrate the 50th anniversary of the first RCVS veterinary nursing training scheme. The first recipient of the award was Jean Turner, while Sue Badger received the accolade in 2012.
The nomination form for the award can be downloaded from www.rcvs.org.uk/goldenjubilee which also features a video of Kathy Kissick talking about its importance. Alternatively, you can view the video on www.youtube.com/rcvsvideos
The nominators must be registered/listed veterinary nurses or veterinary surgeons but the two additional proposers can be lay people.
For further information about the award please contact Annette Amato, Deputy Head of Veterinary Nursing, on 020 7202 0713 or a.amato@rcvs.org.uk.
The RCVS is calling on veterinary surgeons and students, and listed or registered veterinary nurses to complete its Survey of the Professions 2014.
The four-yearly, confidential survey provides the College with data that helps it develop policy, plan its activities and respond to questions from stakeholders such as government and the media.
The survey aims to find out more about individuals' employment type and experiences, working patterns and professional development. It also asks about aspirations for the short- and long-term and current views on the veterinary profession.
Questions are also asked about mental health and well-being, using the Warwick-Edinburgh Mental Well-Being Scale. The data will be used to track the mental well-being of the profession at a population level over successive years - a process that started with the 2010 survey - which will feed into other work being carried out across the profession.
Finally, the survey includes a set of questions about 24/7 emergency cover, the answers to which will feed into the RCVS Standards Committee's current evidence-gathering exercise.
This year the survey, which is being carried out by the Institute for Employment Studies, will only be available online. All those for whom the RCVS has a personal email address (ie not 'info@' or similar) have been sent a participation request. Others will be sent a letter, including the survey URL. Those who do not receive this letter by Monday 14 April should contact Lizzie Lockett, on l.lockett@rcvs.org.uk or 020 7202 0725.
The deadline for completion of the survey is 30 April.
The RCVS Disciplinary Committee has restored Joseph Lennox Holmes to the Register of Veterinary Surgeons, two years after he was originally struck off.
Mr Holmes was removed from the Register in February 2012 after the Disciplinary Committee found him guilty of multiple charges of serious professional conduct. Mr Holmes lodged an appeal against the decision, which was heard and dismissed by the Privy Council.
The original charges related to two separate complaints; the first involved numerous charges in respect of Mr Holmes' treatment of a King Charles Spaniel between October 2007 and March 2008; the second, several charges in relation to his treatment of three cats in 2008.
The Committee found that the majority of the charges amounted to serious professional misconduct. In removing Mr Holmes from the Register, the Committee found that "aggravating factors in both... cases included actual injuries to the animals... and a serious breach of the trust which Mr Holmes' clients had placed in him to make the welfare of the animals his primary consideration according to the standards to be expected of the profession". In addition, the Committee cited 10 further aggravating factors including lack of reference to continuing professional development (CPD) in clinical policies and practices; lack of reference to accepted practice; lack of appreciation of the importance of adequate pain relief when performing painful surgical procedures; reluctance to consider referral as an option; and lack of understanding about what information is required by a client to enable fully informed consent to be given.
Following the dismissal of Mr Holmes' appeal by the Privy Council, his first application for restoration was heard by the Disciplinary Committee in February 2013. The Committee was not satisfied that he was fit to be restored to the Register, citing the fact that his application was "premature" and that he had failed to truly appreciate the seriousness of the findings against him. The Committee was also unimpressed with the efforts he had made to keep up-to-date with skills and developments in practice and with his CPD, noting in particular that he had made very limited attempts to observe the function and experience the culture of a modern first opinion practice.
However, in this week's two-day hearing, the Committee was satisfied that Mr Holmes was now fit to be restored to the Register. It heard that Mr Holmes had made a concerted effort to engage in CPD and bring his skills and knowledge up-to-date. During a period of observation at a veterinary practice, he had gained insight into modern practice and the need for veterinary general practitioners to be aware of the advantages in referring patients to specialists.
Professor Noreen Burrows, who chaired and spoke on behalf of the Disciplinary Committee, said: "The Committee has concluded that, in the course of genuine efforts to do what was necessary to address the deficiencies identified during the original Inquiry and at the last restoration hearing, the Applicant has at last understood the seriousness of his previous misconduct and has learned new skills and, most importantly, to recognise his limitations from the extensive course of study, reflection, and other training that he has undertaken."
Furthermore, the Committee was satisfied that Mr Holmes had gained a proper understanding of the importance of securing the informed consent of his clients and building a relationship of trust with them and, in addition, recognising the importance of maintaining close relations with fellow professionals and engaging with CPD opportunities.
Additional factors considered when making the decision included: that he had been off the Register for two years; that, through self-improvement, he had equipped himself to treat animals appropriately; the impact that being removed from the Register had in both personal and financial terms; his conduct since being removed from the Register; and, a number of positive testimonials from previous clients and professional colleagues.
The RCVS has announced that its current Treasurer, Dr Bradley Viner, will be the College's next Vice-President after he was elected to the post at RCVS Council last Thursday.
Dr Viner has been an elected member of Council since 2005 and Treasurer since 2010 and will take up his latest position at RCVS Day - the College's Annual General Meeting - on 11 July. He replaces Professor Stuart Reid, who Council confirmed as President for 2014-15, and will take up his new role in July.
During his time on Council Dr Viner has served on all of the major committees with the exception of the Disciplinary Committee. Outside of Council he runs a group of practices in North West London and is Vice-Chairman of Battersea Dogs and Cats Home.
In his manifesto he set out the nature of his Vice-Presidency, stating: "My personal ethos is very much based upon continual improvement. It is only by having the confidence to discuss openly how things could have been done better that an organisation can learn how to improve.
"I also recognise the vital importance of good communications: with Council; the profession at large; Government; and with other interested organisations. I intend to do my utmost to communicate with them as effectively as possible."
At the same meeting of RCVS Council, Colonel Neil Smith, the current President, was confirmed as Vice-President from July, subject to his re-election in this year's RCVS Council elections.
In addition, Chris Tufnell was re-elected as Chairman of the Education Committee, while David Catlow was elected Chairman of Standards Committee, also subject to his re-election in this year's RCVS Council elections.
The RCVS is reminding veterinary surgeons that their renewal fees to remain on the Register for 2014/15 are now due.
Registration renewal forms have been sent to all vets reminding them that payment to remain on the Register is due by 31 March 2014. If the College does not receive payment before 1 April, £35 will be added to the renewal fee and any vets who have still not paid before 1 June will be removed from the Register.
This year the RCVS has updated its online 'My Account' area (www.rcvs.org.uk/login) to allow vets to manage their details and pay their renewal fees more quickly and easily. Login details have been sent to all vets and the system is now operational. The changes to the area are the first phase of a project to make it more accessible and user-friendly and to allow vets to better manage their details online.
As part of the renewal process, vets are asked to confirm that their details on the Register are correct, including membership category and correspondence details. Those who are in the 'UK Practising' or 'Practising outside the UK' membership categories should also confirm - via the registration renewal form or the online 'My Account' area - that they are compliant with the requirements for continuing professional development (CPD) of 105 hours over three years. Vets with any cautions, convictions or adverse findings against them dating from 1 January 2006 onwards, should also declare them. For further details on these declarations vets should visit www.rcvs.org.uk/convictions.
Fees can be paid by credit card through the 'My Account' area or by cheque, bank draft or credit card via the registration renewal form sent in the post. Details of how to pay by bank transfer are also on the form.
Vets who have any concerns or questions about renewing their registration, logging in to 'My Account' or who need to request a registration renewal form, can contact the Registration Department on 020 7202 0707 or email membership@rcvs.org.uk.
The RCVS has announced that 19 people are standing in this year's RCVS Council elections, including, for the first time, more women than men, and a much lower average candidate age.
Of the 19 candidates - believed to be the highest number since records began - ten are women. Not only is this the most women ever to stand, but it is in direct contrast to last year where all 13 candidates were men. Additionally, whereas the average age of all elected Council members in March 2013 was 56.5 (57 for women and 56 for men), the average age of this year's candidates is 47 (45 for women and 48 for men).
The RCVS Council candidates are:
Last year, the all-male candidate list prompted concern from the profession and calls for the College to investigate the reasons behind the lack of women and to take steps to redress the balance. The then RCVS President Jacqui Molyneux invited feedback from the profession about the barriers to joining Council, and set up a working party, chaired by Council member Amanda Boag, to look at how participation could be widened, not only to women, but also younger members of the profession and those actively engaged in clinical practice.
The working party suggested a number of initiatives, including a mentoring scheme, providing more practical information about being a Council member (see www.youtube.com/rcvsvideos), and inviting prospective candidates to the RCVS to discuss the role in more detail.
Amanda said: "The College's efforts to broaden participation in its election process seem to have paid dividends. I'm delighted there is so much more diversity amongst the election candidates this year, and that so many women have decided to throw their hat into the ring, especially as women now form over 50% of the profession. I'm very much looking forward to the outcome of the elections, and hope that this dramatic increase in candidates in turn prompts an excellent turnout."
In a slightly later start to the voting period this year, ballot papers and candidate details will be posted on 19 March 2014, and all votes must be cast, either online or by post, by 5pm on Friday, 25 April 2014.
In the meantime, the College is inviting all voters to think about the one question they would like to put to the candidates and submit it in time for this year's 'Quiz the Candidates', to be broadcast by the Webinar Vet on the evening of 20 March. All questions received will be put to the candidates, who will each then answer two questions of their choice, as well as explaining what they consider sets them apart as a potential Council member. The candidates' answers will be pre-recorded (due to the large number of candidates) and made available online at around 8:00pm on 20th March.
Questions (one per person) for RCVS Council should be submitted to the RCVS by 12 March via its dedicated election websites, available soon at www.votebyinternet.com/vetvote14, on twitter using the hashtag #vetvote14, or by email to vetvote14@rcvs.org.uk.
The RCVS has announced that it has accepted the resignation of council member Bob Partridge.
Bob, who had been an elected member of the RCVS Council since July 2006, tendered his resignation for personal reasons.
Peter Robinson will take up the vacated Council position, as he came next in the ballot in the 2013 election.
Surrey vet Matthew Morgan has been struck off by the RCVS Disciplinary Committee after being convicted and imprisoned for four counts of pet insurance fraud.
Mr Morgan was convicted, upon his own confession, of dishonestly making false representations to make gain for himself/another or to cause loss to other/ expose other to risk on 22 July 2013 at the Central Criminal Court and, on 23 August 2013, was sentenced to two years' imprisonment.
The Disciplinary Committee heard that Mr Morgan, who was not present at the hearing but represented by Mr Laurence Imrie, Solicitor Advocate, had, between 13 November 2009 and 21 December 2012, taken out 18 insurance policies for veterinary cover with four separate insurance providers - Direct Line, Pet Plan, Pet Protect and Sainsbury's - in relation to a number of pets. Of these pets, only one, namely his pet cat, actually existed - the rest were fictitious.
During this period, the respondent made 50 claims on the insurance policies, seeking payment to reimburse him for the cost of veterinary treatment for the fictitious animals and also making false claims for treatment for his own pet cat, including for invented injuries 'sustained' during a non-existent car accident. As a result of the claims, the insurance companies made 54 payments to Mr Morgan to which he was not entitled, totalling £198,295.
At the time he began committing the offences Mr Morgan was working as a veterinary surgeon at a practice in Kent and, in order to support his fraudulent claims, used the practice's official stationery and stamps to fabricate invoices, clinical records and insurance claims. He continued to make fraudulent claims after leaving the practice, having taken the practice's headed paper and stamp with him.
Mr Morgan's actions came to light in December 2012 after submitting a claim to Direct Line for an operation on the spine of his own cat. The insurance company became suspicious and contacted the Kent practice which confirmed he had not treated the cat. An investigation by the insurers and, subsequently, the police began.
On 31 December 2012 Mr Morgan voluntarily attended a police station where he admitted fraudulently claiming £5,534.52 from Pet Plan and £7,610.03 from Direct Line, citing financial pressure caused by divorce, but failed to admit to the rest of his fraudulent activities. He was arrested on 25 January 2013 and, upon searching his home, police found the stamp and headed paper along with documents relating to the insurance claims.
The Disciplinary Committee, in considering the conduct of Mr Morgan, took into account a number of serious aggravating factors. This included the very high degree of financial gain from the fraudulent activities, the fact that there were 50 separate premeditated acts of dishonesty over a three-year period, the betrayal of trust of his former employer and the insurance companies, the potential reputational risk for his former employer, the abuse of his position as a veterinary surgeon and the fact that completion of insurance claims is an act of veterinary certification.
The Committee also considered, in mitigation, a letter from Mr Morgan to the Committee, three testimonials and representation from his legal representative. These cited the fact that Mr Morgan, when he committed the fraudulent activities, was heavily in debt, had serious domestic difficulties and was suffering from depression, although no medical evidence was submitted to the Committee.
However, it was the Committee's decision that the sanction of removing Mr Morgan from the Register had to be taken, in order to protect animal welfare and maintain public confidence in the profession.
Chairing and speaking on behalf of the Disciplinary Committee its Vice-Chairman, Ms Judith Webb, said: "The Committee is of the view that the Respondent's conduct in this case was deplorable ... Such conduct can only undermine public confidence in the profession. The Respondent abused his position as a veterinary surgeon to perpetrate a deliberate long-term fraud on insurers for personal gain.
"The Committee is conscious that its role is not to punish but to protect animal welfare and maintain public confidence in the profession. Due to the serious nature of the matters before it...the Committee has no doubt that the only suitable sanction is to direct the Registrar to remove the Respondent's name from the Register."
Nick Stace, CEO of the Royal College of Veterinary Surgeons (RCVS), has issued a swift and robust response to the call by Unite for a shake up for the profession's regulatory system.
"Unite's suggestion that veterinary regulation should be under the scrutiny of the Professional Standards Authority (PSA) is misguided, because the PSA is there to oversee regulation in the human healthcare sector and the RCVS already has Department for Environment, Food and Rural Affairs (Defra) and Privy Council oversight.
"Its further thoughts around the RCVS disciplinary process are out of date and missing the point. We would be very happy to help put them right and to hear any legitimate concerns they may have.
"Unite is calling for the College to no longer 'set the rules and hand down judgments', when in fact last year we successfully achieved a Legislative Reform Order, backed by the profession, to ensure that our Disciplinary and Preliminary Investigation Committees will become independent from Council.
"Unite also talks about the profession's disquiet about last year's Disciplinary Hearing into Mr Chikosi, something we are well aware of and are currently responding to by looking at the biggest area of concern, the provision of 24/7 emergency cover. Our fact-finding mission is seeking views from the profession and the public.
"More broadly, though, feedback from our First Rate Regulator initiative has shown that the profession does have confidence in our disciplinary procedures and that they are certainly not subject to 'long-standing discontent'.
"The First Rate Regulator initiative is also leading to significant improvements in the way that complaints are handled, including speed to resolution.
"Unite is seeking to recruit members of the veterinary team as members of its union and it may be more successful in that pursuit if it was to start to understand the profession better, perhaps beginning with getting its facts right.
"We would be delighted to meet with Unite to put them right where they are factually wrong, and hear what they have to say."
Unite and the British Veterinary Union (BVU) have written to the government asking for the Professional Standards Authority (PSA), which regulates such governing bodies as the General Medical Council, General Dental Council, and Nursing and Midwifery Council (NMC), to have 'scrutiny' of the RCVS.
In a letter to junior minister at the Department for Environment, Food and Rural Affairs, George Eustice, the BVU chair Dr Shams Mir cited the case of Munhuwepasi Chikosi struck off the register of veterinary surgeons by the RCVS in June 2013.
Dr Mir said that this case was "widely seen by the veterinary profession as blatant miscarriage of justice and many expressions of 'outrage' were published in the veterinary press and online.
"One popular online veterinary forum recorded over a thousand posts criticising and challenging various aspects of the decision."
The current statutory duties of the RCVS, established by Royal Charter in 1844, are determined by the Veterinary Surgeons Act (VSA) of 1966, which Unite says is now 'outdated.
Dr Mir said: "BVU petitions the government to extend the remit of the PSA to incorporate the RCVS to ensure appropriate overview and scrutiny.
"The RCVS proposed new Royal Charter could be exploited by the RCVS to give itself proxy powers to introduce incontestable new regulatory measures."
Unite has asked for an urgent meeting with Mr. Eustice.
Unite professional officer Jane Beach said: "Our initiative is designed to safeguard the interests of both the public, and practicing vets and veterinary nurses in the UK.
"Basically, the way that the RCVS is presently constituted means that it is both judge and jury in disciplinary matters. It sets the rules and hands down the judgements - and we believe that an extra layer of scrutiny needs to be introduced which we would like to be the PSA."
RCVS President Neil Smith has issued a statement in response to the petition by Devon vet Jo Dyer which called for the removal of mandatory house visits from the Code of Professional Conduct and received just shy of 1300 signatures over the past 48 hours.
The statement reads:
"I am delighted to see that so many veterinary surgeons are taking seriously our call for views and evidence on all aspects of the provision of 24-hour emergency cover, including those who have signed up to veterinary surgeon Jo Dyer's petition calling for the removal of 'mandatory house visits' from the Code of Professional Conduct.
"However, I am concerned that the petition is working on a misunderstanding. Veterinary surgeons are not mandated to attend away from the practice just because an owner has requested a visit. It is a professional decision based on a range of factors.
"In fact, paragraph 3.13 of the Supporting Guidance to the Code of Professional Conduct states 'Clients may request attendance on a sick or injured animal away from the practice premises and, in some circumstances, it may be desirable to do so. On rare occasions, it may be necessary on clinical or welfare grounds. The decision to attend away from the practice is for the veterinary surgeon, having carefully balanced the needs of the animal against the safety implications of making the visit; a veterinary surgeon is not expected to risk 'life or limb', or that of anyone else, to provide the service.'
"I appreciate that recent disciplinary hearings, especially that of Mr Chikosi, have increased concerns in the profession that vets will be disciplined for not turning out to every single request for a home visit. This is not the case. In order for someone to be taken to a disciplinary hearing for refusing to attend away from the practice, first there needs to be a complaint, and second, the Preliminary Investigation Committee needs to be convinced that the veterinary surgeon could not justify their decision. Such cases are rare. In fact, last year, only 3% of the complaints we received were about 24-hour cover, and not all of those related to home visits.
"Having said this, the number of signatures received on Jo Dyer's petition, and the comments of the signatories, will be fed into the material reviewed by the Standards Committee, alongside formal responses to our call for evidence, and views gathered from animal-owner research. Clearly if so many veterinary surgeons believe that house visits are mandatory in all circumstances, the wording of our guidance needs to be reviewed, at the very least.
"It is likely that any recommendations for change in our 24/7 policy would go to the June meeting of Council, although this timetable is subject to change, depending on the nature of the report from the Standards Committee."
Devon vet Jo Dyer has launched a petition for the RCVS to remove mandatory house visits from the Code of Professional Conduct, in response to the College's call for evidence on the provision of 24-hour emergency veterinary cover.
Clause 3.13 of the Code currently says: "Clients may request attendance on a sick or injured animal away from the practice premises and, in some circumstances, it may be desirable to do so. On rare occasions, it may be necessary on clinical or welfare grounds. The decision to attend away from the practice is for the veterinary surgeon, having carefully balanced the needs of the animal against the safety implications of making the visit; a veterinary surgeon is not expected to risk 'life or limb', or that of anyone else to provide the service."
In other words, whilst it is not mandatory to accede to every request for a home visit, the Code starts by saying: 'it may be desirable' and 'it may be necessary', thereby implying that the veterinary surgeon will need to explain themselves if they decide against.
Jo argues that this ambiguity, coupled with outcome of recent disciplinary cases and the risk, however small, of losing one's livelihood, means that there are many practitioners, particularly younger and less experienced graduates, who are now fearful of refusing home visits, rendering them to all intents and purposes mandatory. It's a situation compounded by the perception that if push comes to shove, a practitioner's actions will be judged by a Disciplinary Committee whose members may be out of touch with the sometimes harsher realities of life in practice.
Jo also points to the increased risk of assault that practitioners face when making home visits, rather than treating the patient from the relative security of the practice premises. She also makes the point that leaving a practice unattended (as can happen if the only vet on the premises has to go on a home visit), may compromise the welfare of any other animals that need emergency treatment in the meantime.
The petition calls for the complete removal of clause 3.13 from the Code, and for clause 3.2 to be amended to read: 'The responsibility for the welfare of an animal rests primarily with the owner, keeper or carer of the animal. Veterinary surgeons are unable to make a definitive decision regarding diagnosis and treatment until they have undertaken a physical examination of an animal. This examination may take place at the surgery or other address entirely at the discretion of the veterinary surgeon on duty. It is expected that farm animals and equines will mainly be examined away from the surgery and pets at the surgery."
Jo said: "It is important to stress that I am not calling for the abolition of home visits, and nor do I think this would be the effect of my proposed change to the CoPC. The profession is almost entirely made up of people who care desperately about the quality of the service they offer, and who want to offer the best to their patients and their clients. Of course we'll continue to make home visits. But I do feel passionately that the decision in each case must rest unambiguously with the veterinary surgeon concerned and not be subject afterwards to the judgement of others."
To sign the petition, visit: http://www.change.org/en-GB/petitions/royal-college-of-veterinary-surgeons-remove-mandatory-house-visits-from-the-code-of-professional-conduct
The RCVS has launched a survey asking recent graduates from UK veterinary schools to share their experiences of the role played by extra-mural studies (EMS) while studying for their degree.
The aim of the online survey, which has been emailed to all of the 2012 and 2013 UK veterinary graduates for whom the College holds email addresses, is to take a snapshot of how EMS placements - whether pre-clinical or clinical - are working in practice and their value in educational terms.
Christine Warman, RCVS Head of Education, said: "In 2009 we carried out a review into EMS arrangements and, in light of this, we want to gather evidence on current practice in order to build up a picture of how EMS is now working and the role that it plays in the learning process for veterinary students. This evidence will inform any future discussions about EMS.
"So, for example, we would like to find out what students gained from EMS that they could not have learnt from their core studies alone and gather further information on the process of identifying and arranging EMS placements."
Recent graduates taking part in the survey, which takes around 10 to 15 minutes to complete, can supply their name and email address or, alternatively, there is the option of responding anonymously. The survey should be completed by Friday 14 February. Those 2012 and 2013 graduates who have not received an email with the link to the survey, and who wish to take part, should email: education@rcvs.org.uk
For more information on EMS, or the survey, contact the RCVS Education Department on 020 7202 0791 or education@rcvs.org.uk. Further guidance about EMS for both students and placement providers can be found at www.rcvs.org.uk/ems which includes a link to the RCVS Find a Vet service where students can search for practices providing EMS.
The RCVS has extended the deadline for nominations for the RCVS Queen's Medal to 31 January, to allow time for the nominations paperwork to be completed on return from the Christmas and New Year break.
RCVS CEO Nick Stace said: "We received more enquiries about the Queen's Medal over the Christmas period but appreciated that people might welcome a little extra time in the new year to complete and submit their nominations. We're certainly keen to allow anyone who wishes to make a nomination for this very special award the chance to do so."
The Queen's Medal, launched at the House of Lords last November, is a new Honour that will be awarded to a veterinary surgeon for a lifetime of outstanding contributions to the profession and who has dedicated their career to working above and beyond the call of duty in the fields of veterinary medicine or science, or related areas.
It is the most prestigious Honour that the RCVS can bestow, and will be awarded at RCVS Day in London in July.
Full details about the nominations process are available on the RCVS website (www.rcvs.org.uk/Queensmedal). Nominations should be received by the RCVS no later than 5pm on Friday, 31 January 2014.
The RCVS is inviting responses from veterinary surgeons, veterinary nurses and animal owners to a call for evidence on the provision of 24-hour emergency veterinary care, in order to understand how best to meet the expectations of all those involved.
In an open letter to the profession and the public published on the RCVS website, the Chairman of the RCVS Standards Committee, Clare Tapsfield-Wright, said:
"Over the past two years, lay people working with the RCVS have raised questions about the veterinary profession's ability to provide 24/7 to the extent required by the RCVS Code of Professional Conduct, and said there is a disconnect between the public's expectations and the profession's capacity to meet those expectations."
Clare also refers to an RCVS Disciplinary Committee Inquiry in June 2013, which raised a number of issues on home visits by veterinary surgeons, including: speed of response; travelling time and distance; daytime versus out-of-hours obligations; individual versus corporate responsibility; and, staffing levels and contingency plans.
The letter is accompanied by a range of background information, including the reports of Lay Observers to the RCVS Preliminary Investigation Committee; Working Party reports from the College's 2009 consultation on 24-hour emergency cover; and, further details about the June 2013 DC Inquiry.
The College says additional feedback will be sought through next year's RCVS Survey of the Professions, and via focus group research for animal owners. Once all responses have been collated, a number of individuals and organisations will be invited to a Standards Committee meeting to present and discuss their views.
Responses in writing are invited by 5pm on Monday, 17 February 2014, and should be emailed to 24-7@rcvs.org.uk or posted to the Professional Conduct Department, Royal College of Veterinary Surgeons, Belgravia House, 62-64 Horseferry Road, London SW1P 2AF.
The RCVS is seeking the views of veterinary surgeons, veterinary nurses and members of the public about proposals for a new Royal Charter which would clarify and underpin the role of the College and give it formal recognition as regulator of the veterinary nursing profession.
The new Charter, approved at a meeting of RCVS Council in November, would replace the 1967 Supplemental Charter, with the most far reaching change being a proposal to make veterinary nursing a formally regulated profession on a similar footing to veterinary surgeons. Veterinary nurses would become associates of the College and have the post-nominal letters RVN. The List and the Register of Veterinary Nurses would also be effectively combined, meaning that the 1,100 listed veterinary nurses would join the 10,500 already on the Register.
Under the proposals registered veterinary nurses would continue to need to fulfil certain responsibilities, including abiding by the Code of Professional Conduct and completing an average of 15 hours a year of continuing professional development, and would be subject to RCVS disciplinary procedures.
What's new is that individuals struck off from the Register for serious professional misconduct would no longer be able to give medical treatment or carry out minor surgery under veterinary direction.
As well as changes to the regulation of veterinary nursing, the proposed Charter would also more clearly state the role and remit of the RCVS, for example, in advancing standards through the promotion of continuing professional development and the Practice Standards Scheme.
Professor Stephen May, a member of RCVS Council who led the Legislation Working Party that developed the new Charter proposals, said: "The proposed new Charter represents an historic opportunity to affirm the role of the RCVS, and to provide a modern framework for the future regulation of the professions. I call on veterinary surgeons and nurses, together with other interested stakeholders, to read the consultation documents and support our proposals."
Speaking about the need for change, RCVS President Neil Smith added: "The consultation paper explains why it is time to replace the 1967 Charter with a new version which sets out the role of the College. The present Charter doesn't explain what objects the RCVS should set out to achieve, and it is silent about veterinary nurses. The remit of the College should include being the regulator for the veterinary nursing profession, and we want a new Charter to recognise registered veterinary nurses.
"We hope that the new Charter will provide a solid basis for the work of the College for years to come. We would urge members of the professions and the public to let us know what they think and help us to make sure that we have got it right."
The consultation paper, which contains further details about the proposed Charter, is available to download at www.rcvs.org.uk/consultations. Those who wish to have their say must respond to b.myring@rcvs.org.uk with their comments by Friday 7 February 2014.
The RCVS will also be organising a meeting and a webinar during the consultation period for those who wish to ask questions about the proposals. Those interested in attending a meeting should email b.myring@rcvs.org.uk. The webinar will be held early in 2014 - further details will be on www.rcvs.org.uk in due course.
The RCVS Disciplinary Committee has dismissed a case against a Southampton veterinary surgeon after finding him not guilty of serious professional misconduct, saying at all times that he acted in the best interests of a dog under his care.
At the start of the five-day hearing, the charges against Edward Gillams MRCVS were that, whilst in practice at Vets Now in Southampton in 2011, he discharged a dog that he knew or ought to have known was in no fit state to be discharged, and, at the same time, failed to provide adequate advice and information to the dog's owners, particularly with regard to an alternative plan to discharge and treatment options.
The dog, an Italian Spinone called Zola, had first been taken to the Vets4Pets veterinary clinic in Southampton at 4.30pm on 2 November 2011, where gastric torsion was diagnosed. During a subsequent gastrotomy, 3kg of sausages and plastic wrappings were removed. Zola was discharged three days later, with a guarded prognosis from the operating veterinary surgeon. Zola's condition deteriorated that same evening, so his owners called the Vets4Pets practice and were referred to their out-of-hours provider, Vets Now, where Mr Gillams was on duty. On admitting Zola, the only information available to Mr Gillams was what the dog's owners were able to tell him.
The Committee heard differing witness accounts from the dog's owners and from Mr Gillams regarding what tests and examinations were to be performed, and what advice and options were suggested. Ultimately, Zola was hospitalised overnight (despite some reluctance for this from one of his owners), given pain relief and antibiotics and placed on a drip; he was then to be collected by his owners first thing for transfer back to Vets4Pets. The next morning, Zola was described as 'sternally recumbent but responsive', holding his head up but not moving and not making any attempt to get up. Mr Gillams carried Zola to his owner's car for transport back to the Vets4Pets practice. He considered that he had discharged his duty to provide advice, as this was given the night before and in the circumstances prevailing in the morning there was no obligation to repeat this. Zola died on the journey between the two practices.
Before reaching a decision, the Committee considered, in detail, the expert evidence of witnesses for both the College and Mr Gillams, which provided some conflicting views on Mr Gillams' actions. It also referred to the RCVS guidance available to Mr Gillams at the time through the RCVS Guide to Professional Conduct 2010.
The Committee noted that both experts agreed that Mr Gillams could not have known Zola was about to die when he discharged him and that it was a difficult decision for Mr Gillams to make, but expressed differing views about the fitness of the dog to be discharged and whether it was in its best interests to be discharged. The Committee rejected the contention that Mr Gillams ought to have known that Zola was not fit to be discharged, and instead considered appropriate his decision to discharge him into the care of his original veterinary surgeon. It felt that continuity of care would actually be better maintained in this manner, rather than a third veterinary surgeon taking over the case.
Regarding provision of adequate advice, the Committee accepted Mr Gillams' evidence that he was frustrated that the owners refused him permission to undertake the diagnostic work necessary to treat Zola effectively, and that he had no other clinical information to work with.
Chairing and speaking on behalf of the Disciplinary Committee, its Vice-Chairman, Ms Judith Webb, said: "The Committee expresses its sincere condolences to [the owners] for the loss of their much loved family pet Zola and recognises that this loss caused the family great distress."
Ms Webb added: "The Committee accepts that [Mr Gillams] discharged his obligations to Zola and to [his owners] in a manner wholly consistent with the standards of a competent veterinary surgeon in difficult circumstances. He leaves with no stain on his character or professional ability."
The full detail of the Committee's decision is available on the RCVS website (www.rcvs.org.uk/disciplinary).