The RCVS Disciplinary Committee has dismissed an application for restoration to the RCVS Register from Dr Janos Nemeth, who was struck off in 2009 for fraudulent registration.
This was Dr Nemeth's second unsuccessful restoration application, and the Committee said it would hear no further application unless the Committee Chairman, advised by the Legal Assessor, considered it to have a reasonable prospect of success.
At the original hearing on the 23rd February 2009, Dr Nemeth, who had practised in the Wokingham area of Berkshire, was found to have dishonestly entered his name in the RCVS Register. Although he held a veterinary science degree from the Szent István University in Budapest, he had included a forged document in his registration application. He lodged an appeal with the Privy Council the following month, but did not pursue it; the appeal was dismissed in September 2009 and his name was removed from the Register. Dr Nemeth was ordered to pay costs of £8,904.59, which remain outstanding.
In September 2010, he applied to the RCVS Disciplinary Committee for restoration of his name to the RCVS Register, denying that he had produced a fraudulent document. In refusing the application, the then-Committee told Dr Nemeth that it had no appellate jurisdiction and that the onus was on him to demonstrate that he was a fit and proper person, before his name could be restored. It advised him generally about a future application for restoration.
At this week's restoration hearing, Dr Nemeth told the Committee that he did accept the original findings of the Committee but, at the same time, told them again that he was not party to the forgery. He also said that he held a licence to practise from the Hungarian Veterinary Chamber, and had been employed since October 2011 as a veterinary surgeon in a small animal hospital in Budapest, where he carried out a wide range of work including surgery. He also said he had attended two CPD courses.
The Committee accepted this. However, it continued to be concerned about the absence of evidence. Dr Nemeth had not produced evidence of CPD undertaken or provided letters of support from employers or colleagues, to give comfort to the assertion that he should be permitted to practise in the UK. The Committee rejected Dr Nemeth's argument that his licence to practise in Hungary meant he did not need to do this.
Committee Chairman Professor Peter Lees said: "The Committee is disappointed by Dr Nemeth's continuing lack of insight and is satisfied that he has paid insufficient attention to the guidance given at the previous restoration hearing. The burden remains on him to satisfy this Committee that he is a fit and proper person, before his name can be restored to the Register."
The application was dismissed.
The Royal College of Veterinary Surgeons is seeking feedback on a new draft Code of Professional Conduct for Veterinary Nurses.
The new draft Code, which would replace the existing RCVS Guide to Professional Conduct for Veterinary Nurses, has been produced by a Working Party set up by the RCVS Advisory Committee to review the Guides for both veterinary surgeons and veterinary nurses.
It is the benchmark for professional conduct against which registered veterinary nurses will be measured in any hearings on serious professional misconduct held by the recently-introduced VN Disciplinary Committee.
The purpose of the review is to ensure that guidance to the profession, and the public, is clear, for example, using consistent language to distinguish between what must be done and what is advised.
The new Code is a short, principles-based document, using the Federation of Veterinarians of Europe's Code of Conduct as the starting point. It will be supported by additional advice on specific areas of veterinary practice or issues, for example, clinical governance.
The consultation follows an earlier one for a new draft Code for veterinary surgeons that closed at the end of June: the new Code for veterinary nurses follows the format and style of that for veterinary surgeons. Comments made during the veterinary surgeon consultation will be taken account of alongside comments made during this new consultation.
For the first time, the draft proposes that veterinary nurses make a declaration on joining the VN Register, which underlines the primary importance of animal health and welfare: "I PROMISE AND SOLEMNLY DECLARE that my constant endeavour will be to ensure the welfare of animals committed to my care and that I will pursue the work of my profession with integrity and accept my responsibilities to my clients, the public, the profession and the Royal College of Veterinary Surgeons."
Comments on the proposed draft are invited from the veterinary nursing profession, the veterinary profession and the public, particularly on the issue of whether the Codes for veterinary nurses and veterinary surgeons ought to be combined.
Andrea Jeffery, the RCVS Veterinary Nurses Council member who led the group tasked with developing the new Code, said: "It is 50 years since the start of the veterinary nursing profession and the changes proposed in the Code reflect the development of our professional role over this time.
"This new Code is a simplified document that focuses on key principles and which will be supported by more detailed guidance. Although it follows the format of the draft Code for veterinary surgeons, it is important that we recognise our unique position as veterinary nurses."
The new Code, together with the consultation paper, can be downloaded at www.rcvs.org.uk/VNcodeconsultation.
Comments should be sent by email to Christopher Murdoch, Secretary to the Guides Review Working Party, at c.murdoch@rcvs.org.uk by Friday, 21 October 2011.
The briefing highlighted to members of both Houses the vital role the veterinary profession plays in order to ensure that the veterinary resource in clinical practice, public health, government services, academia and research is appropriately considered and effectively used during Brexit negotiations.
Lord Gardiner of Kimble, Parliamentary Under Secretary of State for the Department of Environment, Food and Rural Affairs (Defra), environment spokespeople for the Scottish National Party (SNP) and Plaid Cymru, and other parliamentarians from the Conservatives, Labour, Liberal Democrats, Plaid Cymru and the SNP, joined Crossbenchers, senior civil servants and key stakeholders at the event.
BVA President Gudrun Ravetz delivered a speech highlighting the main asks from the association's Brexit and the veterinary profession report, which was developed through consultation with BVA members, devolved branches, BVA specialist divisions and other key stakeholders.
The report sets out 52 recommendations for the short, medium and long term across seven areas of public policy: veterinary workforce, animal health, animal welfare, food hygiene and safety, veterinary medicines, research and development, and trade.
Addressing attendees, Gudrun said: "We are a relatively small profession, but we are a diverse profession with far-reaching influence and impact in so many areas of political and public life.
"Last week, we were delighted to hear the Defra Secretary of State, speaking to the Today programme, rightly acknowledged the importance of EU vets to the UK economy; from food hygiene and safety, to monitoring disease outbreaks and facilitating trade. This is why BVA is calling on the Government to guarantee the working rights for non-UK EU vets and vet nurses currently working and studying in the UK at the existing level and with no time limit.
"As we progress with the Repeal Bill we are also calling on the Government to ensure we maintain animal health and welfare current standards – and prioritise them in all trade negotiations, so that high standards of animal health, welfare and food hygiene are a unique selling point for the UK. We can only make a success of Brexit if we harness our veterinary resource."
In his speech, RCVS Junior Vice-President Professor Stephen May highlighted the three RCVS Brexit Principles as well as the findings from the College’s recent survey of non-UK EU vets working in the UK. Professor May also made a call for greater certainty from the Government on the status of EU citizens living and working as veterinary surgeons in the UK and for a substantial transition period to prevent potential veterinary workforce shortages, particularly in areas such as public health and food safety.
Professor May said: "Negotiations with our European partners will no doubt be lengthy and complex on all manner of issues that affect the veterinary sector. For everyone concerned, we join other voices in calling for a substantial transition period to any new order created. This will provide us with time to take stock, to understand the implications and to navigate a pathway that safeguards the interests of our sector and the RCVS is determined to work with all its stakeholders, in particular Government and yourselves [parliamentarians], to ensure that vital veterinary work gets done.
"Key to this will be meeting the need for high-quality, capable veterinary surgeons in all sectors. This can only be achieved in the short-term by emphasising the continued welcome and appreciation of all veterinary non-UK nationals working hard for this country, to encourage them to stay, and continued access to graduates of accredited schools from around the world, alongside increased training of UK nationals to meet our ever expanding veterinary needs."
The event was hosted by BVA Honorary Member and RCVS Past-President, Lord Trees MRCVS, who has sat on a number of House of Lords committees and subcommittees that consider and seek to influence the Government’s plans and policy-making during the UK’s exit from the EU.
Lord Trees closed the BVA and RCVS Brexit briefing by encouraging fellow Peers and MPs to capitalise on the evidence-based, science-led perspective that the veterinary profession is able to provide, particularly as Brexit discussions continue to develop.
Lord Gardiner has since publicly recognised the vital role of the veterinary profession, responding to a question in the House of Lords regarding the retention of skilled workers post-Brexit. In his role as Defra Parliamentary Under Secretary of State, Lord Gardiner said:
"I am most grateful to the noble Lord [Teverson] because I was at the BVA and RCVS reception yesterday, where I know a number of noble Lords were also in attendance. This is an important issue and an element of the negotiations that we want to deal with as promptly as possible. Yes, we do rely on and warmly welcome the support we have from EU national vets, who are hugely important to us."
At a hearing in April Dr Johnston had admitted all the charges against him, which related fraudulent claims for the treatment of animals, two of which were fictitious, where he arranged for the insurance claims to be diverted and paid into a personal bank account.
Dr Johnston had admitted all the charges against him as well as admitting that his conduct was dishonest and amounted to serious professional misconduct.
Committee Chair Paul Morris said: “The Committee has no hesitation in concluding that the respondent’s dishonest conduct will have severely undermined the confidence of the public in the veterinary profession and, further, that his conduct fell far short of the standards and conduct properly to be expected of a member of the veterinary profession.
"The Committee is satisfied that this conduct by the respondent brought the profession into disrepute.”
The proceedings were then adjourned to allow a psychiatric report and other mitigation to be prepared.
At its resumed hearing on earlier this month, the Committee considered what sanction to impose.
The Committee found that aggravating features of his misconduct were that it was premeditated, carefully planned and sophisticated in that it involved the creation of numerous and extensive false clinical records to support his fraudulent claims.
It also considered the fact that he implicated an innocent professional colleague who worked alongside him at the practice, that he abused the trust placed in him by clients, that the dishonest conduct was repeated and that it involved significant financial gain in excess of £13,200 to be further aggravating features of his conduct
In terms of mitigation, the Committee accepted that he had made early admissions regarding his conduct to his employer and the College and accepted responsibility.
The Committee also heard that he had made attempts at remediation involving repayments of some of the sums lost by the practice and insurers.
It also considered positive testimonials from family and professional colleagues and the fact that Dr Johnston had taken significant steps to deal with the gambling addiction that was at the root cause of his misconduct.
Having considered all the evidence, the Committee decided to postpone its decision on sanction for a period of 2 years on the condition that Dr Johnston agree to undertakings including refraining from any form of gambling, subjecting himself to a close regime of support and supervision, and repaying some of the sums he had defrauded.
Paul added: “In reaching this conclusion the Committee wishes to make it clear that it has taken an exceptional course in this case.
"Ordinarily conduct of the type covered by the charges which this respondent has accepted will merit the imposition of a sanction of removal from the Register or a period of suspension from the Register.
"In this instance the Committee has found it possible to take the course that it has because it is satisfied that the respondent was, at the time, suffering from a recognisable psychiatric compulsive addiction… and that the fraudulent attempts by the respondent to obtain funds with which to gamble would not have occurred but for this psychiatric condition.
“The Committee further considers that the undertakings offered by the respondent will serve to reduce the risk that he will relapse into gambling again, for his conduct will be closely monitored and he will accept continuing support and guidance from the organisations currently assisting him.
“The Committee is also satisfied of the requirements that neither animals nor the public will be put at risk by this proposed course of action; that the respondent has demonstrated insight into the seriousness of his misconduct and that there is currently no significant risk of repeat behaviour; that his practicing standards are not in need of improvement so long as he continues to fulfil his CPD obligations; that the undertakings offered are capable of being met, are appropriate and are measurable; that there is evidence that his underlying medical problem is being appropriately addressed, will be monitored and reported on; and that he has responded positively to the opportunities for support and counselling which have been offered to him.”
If Dr Johnston fails to comply with his undertakings the Committee will reconvene and consider the charges with the full range of sanctions at its disposal.
www.rcvs.org.uk/disciplinary
The University of Edinburgh and the Royal Veterinary College (RVC) have announced a new initiative to help vet students prepare for their Extra Mural Studies (EMS) placements.
Freda Andrews, RCVS Head of Education said: "This is a free online learning tool which will look familiar to any veterinary student who has recently taken the driving theory test. Any veterinary student can use it as part of their preparation for EMS."
The project was drawn up by Dr Catriona Bell at the University of Edinburgh, and Dr Sarah Baillie at the RVC, two lecturers with experience of practice life who want to make sure that student placements work well for all concerned. The aim is that by helping veterinary students understand what will be expected of them, students can be better prepared and get the most out of their placements.
Sarah Baillie said: "We found that students aren't always aware that doing some simple practical things can make a huge difference to how well their placement goes. There are some common pitfalls, such as not taking a lunch with them so the vet has to find a shop whilst out on call, which can catch out the unwary."
Catriona Bell said that the importance of body language was a consistent theme in the research they undertook for the project: "Students want to do well, however placements are a new environment and can be tiring. Vets are not paid to provide EMS, and say they take on students as they want to support the next generation of vets. Students need to make sure they convey their interest and enthusiasm to all members of the practice team through their body language - they don't always realise, for example, what an impact slouching and looking down at the floor can have."
Other tips for students that came out of the research include making sure that you prepare thoroughly before you go, and offering to help out the veterinary nurses.
Sarah said: "We put in what real students told us they'd wished they'd known. The practising vets who support students also gave us valuable information; for example, by explaining what they expect with regards to confidentiality and professionalism, a working vet's skills."
There is no need for a sign-up for students to use the EMS Driving Licence, and veterinary practices who will be hosting EMS students may also find it useful. To try it out for yourself visit www.vet.ed.ac.uk/ems_driving_licence/
One £20,000 grant will be awarded each year for five years, starting in 2019 (making a £100,000 total by 2023) to fund research that focuses on mental health and wellbeing within the veterinary professions, including areas such as prevention, diagnosis, intervention and treatment.
Applications are welcome from individuals at all stages of their research careers, including those who have not previously been published, with research proposals relating to any aspect of mental health or wellbeing in the veterinary professions. Researchers must be affiliated with a university, and ethical approval must be in place.
RCVS CEO, Lizzie Lockett, said: "Sarah Brown was a talented veterinary surgeon who was passionate about her profession. She was respected and loved by so many people and worked hard to support others. So it is fitting that, with the blessing of Sarah’s family, we are able to launch this grant in her memory. It’s only by improving the veterinary mental health evidence base that we will be able to hone the interventions and support that is available to members of the veterinary team."
Applicants should send their research proposal, along with a CV and short biography for all lead researchers, to Lisa Quigley, Mind Matters Initiative Manager, by 5pm on Friday 31 May 2019.
Each proposal should be a maximum of 3,000 words and should include aims, methods, ethical considerations, proposed timelines, and a bibliography. Any academic literature referred to within the proposal should be accurately referenced. The winner of the grant will be decided in June 2019, with the winner then receiving their award at Royal College Day in London on Friday 12 July 2019.
The recipient of the Sarah Brown Mental Health Research Grant for 2019 will be invited to present their research findings at the biennial Mind Matters Initiative Research Symposium in 2021.
Applications are particularly welcomed from those at an early stage in their research career. Guidance on how to prepare a research proposal is available at: https://esrc.ukri.org/funding/guidance-for-applicants/how-to-write-a-good-research-grant-proposal
The RCVS has removed 563 veterinary surgeons from the Register from 1 June for non-payment of retention fees.
A list of those who remained off the Register as of 31 July 2012 is available here: www.rcvs.org.uk/removals2012.
The College says it is publicising the list to help make sure that those who have been removed, and their employers, are aware; it includes only those not restored prior to 31 July.
Christine Fraser, RCVS Head of Registration said: “If you know anyone who appears on this list and who is still working in the UK, you may wish to advise them they need to contact the RCVS as a matter of urgency to restore their name to the Register."
The RCVS is asking veterinary surgeons who have not yet confirmed their registration details, which is now part of the annual renewal process, to please make sure this is done by 30 September. A form was enclosed with the annual fee-reminder, or this can be done online at www.rcvs.org.uk/registration.
Information about how veterinary surgeons removed after non-payment can restore themselves to the Register is available at www.rcvs.org.uk/registration, or by contacting the RCVS Registration Department (membership@rcvs.org.uk or 0207 202 0707).
The definition agreed by VN Council is as follows:
Veterinary nursing aims to ease the suffering and pain of animals, and to improve their health and welfare.
This includes providing any medical treatment or any minor surgery (not involving entry into a body cavity) to animals under the direction of a veterinary surgeon who has that animal under their care.
Veterinary nursing can be either proactive or reactive, and autonomous or collaborative. It is carried out in a wide variety of settings, for animals at all life stages, and considers the background and needs of the animal’s owner or keeper.
Matthew Rendle RVN, the Chair of VN Council, said: “Although it is just a few short lines, this definition of veterinary nursing has been in the pipeline for some time.
"While we as veterinary nurses have always been able to define ourselves by the type of tasks we carry out, or our relation to veterinary surgeons in terms of delegation, there hasn’t necessarily been a clear statement articulating the art and science of veterinary nursing.
“With the RCVS looking to expand its regulatory remit to include other veterinary paraprofessionals over the long term, we thought it was particularly important that we set out the stall for veterinary nursing and we hope that this clear statement will, in particular, aid the public in understanding the role of a veterinary nurse.
“It should be noted that this definition is VN Council’s own considered interpretation of the art and science of veterinary nursing.
"Other interpretations from other organisations, provided they conform with both Schedule 3 of the Veterinary Surgeons Act and the RCVS Code of Professional Conduct, could sit comfortably alongside ours, and we hope there continues to be healthy discussion about the contribution of the profession to the veterinary team, as our role evolves.”
The RCVS has announced the names of the candidates standing in the Council elections this year and is, once again, inviting veterinary surgeons to put questions to them directly in this year’s 'Quiz the candidates'.
There are eight candidates (well, seven really, if you exclude the 'Donald Trump' candidate) contesting six places in the RCVS Council, including four existing Council members eligible for re-election and four new candidates. They are:
Ballot papers and candidates’ details are due to be posted to all veterinary surgeons eligible to vote during the week commencing 14 March, and all votes must be cast, either online or by post, by 5pm on Friday, 29 April 2016.
To submit a question to the candidates, email it (NB only one per person) to vetvote16@rcvs.org.uk, post it on the College’s Facebook page (www.facebook.com/thercvs) or on twitter using the hashtag #vetvote16, by midday on Monday, 29 February.
Each candidate will then be invited to choose two questions to answer from all those received, and produce a video recording of their answers. All recordings will be published on the RCVS website on Thursday 17 March.
RCVS Chief Executive Nick Stace said: "Last year, all election candidates produced videos for the first time and, with over 3,500 views in total, it seemed a popular way for voters to find out more about the individuals who were standing.
"Providing a way for all vets and vet nurses to put their own questions to the candidates is now an integral part of the elections, and one which we hope will continue to encourage people to get involved and have their say."
The Committee heard a number of charges against Dr Davies.
Two of the charges related to convictions for drink driving in March 2014 and October 2015, for which she received driving bans for 17 months and 45 months respectively.
The third charge related to her breaching a number of undertakings she had entered into as part of the College’s Health Protocol, including her consuming alcohol on four occasions between May 2015 and January 2016 and missing a pre-arranged appointment.
The fourth charge related to being under the influence of alcohol on three occasions while she was on duty as a veterinary surgeon in December 2016 which was also in breach of her undertakings under the Health Protocol.
At the outset of the hearing Dr Davies admitted all five charges against her and that this meant she was unfit to practise veterinary surgery and that she was guilty of disgraceful conduct in a professional respect. The Committee accepted her admissions and found, with the exception of one allegation, that her conduct was disgraceful in a professional respect.
In considering the sanction for Dr Davies, the Committee considered a number of aggravating factors including the risk of injury to animals in her care; the fact that the misconduct was sustained or repeated over a period of time; the fact that her conduct contravened the advice issued to her by the Preliminary Investigation Committee upon entering the Health Protocol; and the fact that Dr Davies was in a position of trust and responsibility during the occasions she was under the influence of alcohol in December 2016 as she was the sole veterinary surgeon on duty.
In its consideration of sanction the Committee heard a submission from counsel for Dr Davies for the decision on sanction to be postponed for six months on the basis of Dr Davies complying with nine separate undertakings, including one not to practise as a vet. In making this application Dr Davies’ counsel told the Committee that her client was remorseful over her conduct and that she had been abstinent from alcohol since August 2017 after referring herself for treatment.
The Committee decided to postpone the hearing for six months on the basis of Dr Davies’ fulfilling her undertakings. These include not to practise veterinary surgery and to remain abstinent from alcohol during the period of postponement.
Alistair Barr, chairing the Committee and speaking on its behalf, said: "The Committee accepted Dr Davies’ evidence and found her to have genuine remorse. Further it recognised that Dr Davies was fully committed to understanding and addressing her alcohol problem. Her efforts to avoid any repetition of misconduct were evident from the detailed undertakings which she had volunteered.
"The Committee took into account that Dr Davies had a hitherto unblemished career prior to her alcohol problem, having qualified in 1996. Further it noted that she had not worked as a veterinary surgeon since December 2016.
"The Committee therefore decided to postpone judgement so that Dr Davies could continue to demonstrate her improved insight and her abstinence from alcohol.”
The courses are:
MMI Manager Lisa Quigley commented: “I am really proud of this new tranche of training.
"Whereas our previous training has focused on the individual experience, for example, mental health awareness and resilience, these new courses recognise that individual instances of poor mental health and wellbeing can often be caused by systemic issues – whether that’s a poor workplace culture where bullying and incivility thrive, or discrimination on account of someone’s protected characteristics.
The full range of courses, including the dates and times and details on how to register, can be found at www.vetmindmatters.org/training
Feedback about any of the courses can be sent to info@vetmindmatters.org
The webinar was hosted by RCVS Senior Vice-President Dr Melissa Donald, with Standards Committee Chair and Junior Vice-President Linda Belton, Registrar Eleanor Ferguson, and Head of Standards Gemma Kingswell.
The panel gave an overview of the main changes for the guidance, which comes into effect on 1st September, the considerations to take into account when prescribing POM-Vs remotely, the circumstances under which POM-Vs cannot be prescribed remotely, the prescription of antibiotics, antifungals, antiparasitics, and antivirals, and how the guidance will be enforced.
The webinar also dealt with issues raised in a previous webinar, including a query about prescribing under the cascade and an update on the position when prescribing based on cultures and sensitivities.
https://www.youtube.com/watch?v=vSTZKdbVD8g
For further information about the new guidance, including a range of practice-based scenarios and FAQs, visit: https://www.rcvs.org.uk/setting-standards/advice-and-guidance/under-care-new-guidance/
Questions about the under care guidance can be sent to advice@rcvs.org.uk
The 1CPD homepage now displays two progress bars: one to track the number of CPD hours currently achieved and recorded, and another to show how many hours have been reflected on.
Once the number of required CPD hours has been recorded and reflected on, a message appears to tell the user that they're CPD compliant.
This change will not affect existing CPD records, and all previously inputted activities and reflections will remain in the system.
Jenny Soreskog-Turp, RCVS Lead for Postgraduate Education, said: “We hope that the changes to the 1CPD platform will allow people to track their CPD more easily.
"A key element in outcomes-focused CPD includes reflecting on what you have learned as this is known to have a positive impact on both personal professionalism and patient-health outcomes.
“It should be noted that any CPD you have already undertaken for this year but have not yet reflected on will still remain in the system.
"However, in order to be compliant for 2023, you must reflect on every CPD activity completed.
"If you have completed your hours but have not reflected, this will show as non-compliant.
"In order to make those hours count, you simply need to go back and add your reflections.
"This doesn’t have to be a long and onerous task – uploading audio notes, adding an attachment, or writing a few notes stating what you learnt and how you will use this newly acquired knowledge moving forward will all suffice.”
www.rcvs.org.uk/cpd
There will now be significant changes to the RCVS Council, as follows:
A gradual reduction in the number of elected members of RCVS Council from the current 24 to 13 by the year 2021.
A change of composition to include six lay members and two veterinary nurse members. Furthermore, the number of Council members appointed by each university whose veterinary degree is recognised by the RCVS will be reduced from two to one and Privy Council will no longer be required to appoint members. From 1 July 2020 university membership will undergo further changes as, from then on, veterinary schools will collectively appoint three members in total to serve on Council.
Members of Council will no longer be able to serve more than three consecutive four-year terms of office and, after serving three consecutive terms, they will not be eligible to re-stand as a candidate for two years.
Members of Council may be removed from office if they fail to satisfy any conditions about fitness to be a member, as determined by their peers on Council. If removed from office they will not be eligible to re-stand as a candidate for two years.
Introducing the LRO before the House of Lords last Tuesday, Lord Gardiner of Kimble said: "The proposed changes… reduce the size of Council and revise the balance of membership between vets and non-vets, including veterinary nurses and lay persons. They will bring the RCVS in-line with many other modern-day regulatory bodies and allow for greater efficiency, transparency and accountability to both members and the general public. For all the reasons I have outlined today, I commend the use of Legislative Reform Order to make changes that will benefit the veterinary profession."
The full text of the Legislative Reform Order can be found on www.legislation.gov.uk and the full transcript of the debate in the House of Lords can be found in Hansard Online (https://hansard.parliament.uk).
Professor Stephen May, RCVS President, said: "We have been looking at reform of Council as an issue of some urgency since 2013, in recognition of the fact that, with the formula-driven growth of Council, it was becoming unwieldy, which has an impact on the cost of each meeting and the frequency with which it could reasonably meet.
"This reform has been long in gestation and so we are glad that this has now been approved and that we can look forward to a more modern, agile and efficient governance structure, aimed as always at benefitting the professions, animal owners and animal health and welfare."
One immediate impact of the LRO relates to the results of this year’s RCVS Council election as the Ministerial sign-off now confirms that only the first three candidates (in order of number of votes) will take up their four-year terms at RCVS Day on Friday 13 July 2018. These are Susan Paterson, Mandisa Greene and Neil Smith, all of whom are current members who were re-elected.
The RCVS Veterinary Nurses Council agreed reforms to its own governance last year, including shortening the term of office from four years to three years; introducing a consecutive three-term limit for elected members; and, reducing the size and changing the composition of VN Council to six elected veterinary nurses, two appointed veterinary nurse members, two appointed veterinary surgeon members from RCVS Council, and four appointed lay members.
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."
Chair of the Standards Committee, Dr Melissa Donald, said: “We were very aware of the likelihood that both practice staff and clients will increasingly have to isolate over the coming weeks due to direct infection or positive contacts, particularly with the rise in cases amongst school children.
“Added to this, we know there are already workforce pressures across the profession, which will be exacerbated by reduced staffing levels over the Christmas and New Year period.
“We therefore felt it was appropriate to reintroduce these temporary remote prescribing measures at this time to help relieve pressure on practising professionals, and to provide them with the means to continue to look after the health and welfare of their patients in all circumstances.”
As before, the temporary dispensation is subject to the specific guidance found in FAQ4 (www.rcvs.org.uk/covidfaq4), including that veterinary surgeons must be able provide a 24/7 follow-up service involving physical examination, for example where the animal does not improve, or suffers an adverse reaction, or deteriorates, subsequent to the remote prescription of medicines.
The Committee agreed that the position should be reviewed in February 2022 at its next meeting.
Mandisa qualified from the Royal (Dick) Vet School in Edinburgh in 2008 and has since spent much of her career working in emergency and critical care.
She served as the first black president of the RCVS in 2020/21 and has also worked for Harper Adams University as a lecturer in veterinary sciences.
Mandisa will replace Laura Playforth, who is joining IVC Evidensia as group QI director, on the Vets Now board.
She said: “I’m delighted to be joining the Vets Now family at such an interesting and challenging time for the veterinary professions.
“I look forward to working together through innovative approaches to ensure our teams continue to deliver the highest standards of clinical care and client services.”
The Action Plan presents what the College is doing to tackle the issue and explains how collaboration, culture change, career development and leadership, among other things, could help with workforce shortages by improving retention of current members of the professions, encouraging more people to join, and making it easier for those who have left the professions to return.
The report lists seven main areas to be addressed:
The full list of actions, with context about what has fed into ambitions, can be found in the Action Plan which is downloadable at www.rcvs.org.uk/publications.
Dr Sue Paterson FRCVS, Junior Vice-President and Chair of the RCVS Advancement of the Professions Committee, said: “This is a very complex, broad and multi-faceted area of concern so the Action Plan has been a long time in the making to ensure that we adequately capture what needs doing and how, in order to enable us to work collaboratively with all veterinary organisations going forward.
"This is not a finished list, but gives all within the veterinary sector the ability to look at the key areas of work that need to be done and prioritise the ones that most suit their organisational needs."
The first is the introduction of Specialist training and status for general practitioners in primary care, for which the RCVS project will now develop a new five-year curriculum and an implementation plan.
The RCVS will also be looking closer at the definition of veterinary clinical roles and developing guidance for the profession and wider public on the different clinical career statuses available to veterinary surgeons.
Thirdly, the College will identify different ways in which vets can access the teaching and learning opportunities, clinical experience/cases, supervision and support that is required for them to complete specialist training and obtain RCVS Specialist status.
This will include looking at how access to specialist training can be widened beyond the typical internship/residency model, to include training models more accessible from primary care practice, and for those at different career and life stages.
Kate Richards MRCVS, Chair of the RCVS Education Committee, said: “These exciting and progressive proposals are visionary as far as the career and development structure of the veterinary clinical profession is concerned.
“It means there will be new prospects for those in general practice and those who want to achieve Specialist status by different means, as well as a more defined career structure for the profession that will be clearer to the profession and general public alike.
"With around 75-80% of veterinary professionals working in clinical practice this project will deliver a substantial positive impact.
“These are the early pages of a very exciting new chapter for veterinary clinical careers, and we will be asking for your help to write it, as we will be holding a number of consultations in the coming years, including on the programme for Specialist in Primary Care and the definition of clinical roles.
RCVS President Dr Sue Paterson FRCVS added: “There are two aspects of the project that I particularly welcome.
"First is the impact this could have on both recruitment and retention as vets are offered additional, and more diversified, career options and expanded roles in a variety of clinical settings.
"Second, as a specialist dermatologist myself, I really value the fact that we will be looking at ways to widen participation and increase accessibility to specialist training from primary care practice, as the residency/internship route is very intensive and not necessarily suitable for everyone.
A similar process to develop and enhance clinical career pathways for veterinary nurses is now also being considered, this would include the development of an ‘Advanced Veterinary Nurse’ status and clearer information on the veterinary nursing role and what it entails.
The College has confirmed that it has now received an official complaint about the matter and it is now investigating under its normal 'concerns' investigation process.
Professor Argyle made a private statement about the allegations to RCVS Council at its meeting today, having already answered written questions from a number of Council members in the preceding days.
The Council did not ask Professor Argyle to step aside, but acknowledged that this was his choice, made for personal reasons.
The College said that in line with its normal protocols, and to ensure fairness for all parties, it will not make any further public comment about the investigation for the time being. However, it wanted to stress that it remains firmly committed to following due and proper process in all its regulatory activities.
All veterinary surgeons, nurses and students over the age of 18 were invited to participate by email, which elicited 2,781 complete responses and a further 631 partial responses, 1682 from vets, 328 from vet students, 1,369 from nurses and 553 from student vet nurses.
80% of respondents were female, 16.8% male, 1.4% non-binary, 0.8% genderfluid and 0.9% preferred not to say or to self describe.
93.3% were white, 2% were Asian or Asian British, 0.6% were black, black British, Caribbean or African.
The remainder identified as 'other ethnic group', mixed or multiple ethnic groups, or preferred not to say.
90.4% of participants worked within clinical veterinary practice, three-quarters in small animal practice.
Almost two-thirds worked part time.
Paradoxically, although around 50% of respondents described their physical or mental health as 'good' or 'very good', 75.6% considered themselves to have at least one disability or chronic condition (61% chronic, 48% physical, 39% mental health and 30% neurodivergent).
Female veterinary surgeons were significantly more likely to suffer from a mental health condition (48.3%) than males (19.2%).
Mental health conditions were far more common amongst the young (51% of those aged 18-29), than the old (28% of 50-59 year olds, declining to 9% of 70-79 year olds)
Veterinary nurses were more likely to say they have a mental health condition (47.3%), than veterinary surgeons (27.9%).
As with mental health, the proportion of respondents identifying as neurodivergent decreased with age (42.3% of respondents aged 18-29 vs 6.7% of those in the 70-79 age group).
Whilst overall, 29.8% identify as neurodivergent, the figure was notably higher (83.3%) amongst those who identify as non-binary or genderfluid.
The number of people with a physical condition varied less with age and gender, although of course, broadly speaking, age brings with it an increase in physical problems.
60% of participants said they are affected by their disability/chronic condition every day, and 68% agreed or strongly agreed that they had to make significant changes to their life to continue working.
The most frequently reported symptoms of disability/chronic condition were mental health (45.2%), pain (36.4%), learning, understanding or concentrating (33.8%), and stamina or energy limitations (32.3%).
When asked if they were treated different at work because of their disability or chronic condition, 49.5% said they had not and 34.7% said they had.
Of those who felt they had been treated differently, 45% thought that disclosing their condition had contributed to this.
18% of those in education and 36% of those in work said they had experienced discrimination, bullying or harassment because of their disability/chronic condition.
Discrimination, bullying or harassment was more likely to be reported by those with a mental health condition or who identify as neurodivergent (47% and 46%), than those with a physical or chronic condition (38% and 37%)
Perceived discrimination, bullying or harassment was most likely to have come from managers (76%) and colleagues (64%) compared to clients and 'other' (15%).
63% of respondents believed there was a strong or moderate understanding of the Equality Act at their workplace but 12% thought their employer had no knowledge or understanding.
45% thought their employer had strong or moderate understanding of the Access to Work scheme, while 27% reported no understanding at their workplace.
Examples of good practice were given by some respondents about their existing or previous workplaces. These included reasonable adjustments such as adjusted working hours, environment and task adaptations, alongside good communication, support (from colleagues, managers and external sources), and additional resources.
Gurpreet Gill, Leadership and Inclusion Manager at the RCVS, said: “While there are some sobering elements in this report, and some clear and unfortunate examples of poor practice and discrimination, the overwhelming feeling is that there is goodwill and a desire to help people out there in the professions, but sometimes a lack of understanding and knowledge on how best to do this.
"Of course, there are also some excellent examples of good practice in terms of putting in place adjustments and accommodations for employees and staff with disabilities, as well as for students on placements.
“Overall, this should be taken as a call for more members of the professions to familiarise themselves with the Equality Act 2010 (https://www.equalityhumanrights.com/equality/equality-act-2010) and its provisions.
Under this legislation, it is unlawful to discriminate against people with protected characteristics, including disability.
"The act sets out the legal requirement for workplaces and educational institutions, among others, to make reasonable adjustments to avoid disabled people being placed at a disadvantage.
“We will now be considering how we, as the regulator and Royal College, can best support members of the professions in understanding their rights and responsibilities under the Equality Act 2010, and what further training and education can be provided, looking at the RCVS Academy as a potential vehicle for doing so.”
Olivia Anderson-Nathan, a Director of BVCIS added: “Overall, the report demonstrates that although there are systemic issues that require a shift in workplace culture, there may be some relatively ‘easy wins’.
"For example, improving line manager knowledge of the Equality Act and providing reasonable adjustments that are typically inexpensive and simple to implement, such as providing seating and ergonomic equipment, and rota or shift changes.
"Many changes, like flexible working, will actually benefit everyone.
"Most importantly, employers and educators need to make sure that those with disabilities, neurodivergence, and chronic illnesses understand their rights and are given positive support to identify their needs.
"This means co-designing individualised adjustments and avoiding a one size fits all approach.
“BVCIS will continue our work to educate the profession, offering support and guidance for anyone not sure where to start.
"We also offer community support through our Veterinary Spoonholders Facebook page for disabled, chronically ill and/or neurodivergent people in the veterinary world so – please do come and join us if any of the experiences detailed in the report resonate with you.”
www.rcvs.org.uk/publications
The case against Jose Ignacio Messa MRCVS related to two heads of charge against him.
The first charge was that, on 13th September 2015, Mr Messa failed to provide adequate and appropriate care to Barney, a border collie. The second charge was that on 14th September 2015 Mr Messa failed to ensure adequate and appropriate on-going care for Barney after his examination of him, including failing to take sufficient steps to ensure that Barney was referred urgently to the care of a referral practice and failing to ensure there were adequate arrangements in place for his ongoing care.
Barney was presented to the Basingstoke practice where Mr Messa was employed having suffered a severe 'stick injury' to his jaw on 12th September.
The Committee heard that, on 13th September, Mr Messa re-examined Barney, administered medication and then discharged him to be cared for at home by his owners. During the examination the owners alerted Mr Messa to the condition of the skin on Barney’s neck, but the Committee heard Mr Messa had felt the area and reassured them it was not something to be concerned about.
The Committee heard that at some point on 13th September, after he was discharged, Barney developed a foetid smell from his mouth caused by an infection and the next day his owners went back to the practice because Barney’s condition had deteriorated – he was unable to walk and had laboured breathing.
On 14th September Mr Messa admitted and sedated Barney and examined him again, noting a hole in the side of his throat that was infected. He recommended referring Barney to a referral practice for further treatment, which was agreed by his owners.
The Committee heard that the referral practice was contacted by a veterinary nurse at the practice and that an appointment for 9am on 15th September 2015 was booked directly with the owner. It also heard that, during his time at Mr Messa’s practice, Barney did not receive intravenous fluids or any further antibiotics.
Barney’s owners said they met with Mr Messa again at around 5pm on 14th September when they came to collect Barney, this was disputed by Mr Messa, and the Committee were not satisfied so as to be sure that it had been Mr Messa who had met the owners and discharged Barney although the Committee found that all the witnesses had been honest and reliable.
Barney was admitted to the referral practice on 15th September but, as a result of sepsis, he suffered a cardiac arrest and died at 10.30pm.
In respect of the first charge the Committee concluded that, on 13th September, Mr Messa made only a rudimentary examination of Barney, and the absence of such basic clinical examination of the temperature, the respiration rate and the pulse of Barney was a failure on the part of Mr Messa and that, furthermore, he did not choose the best course of antibiotic treatment for the wound and infection.
In respect of the second charge Mr Messa admitted that he did not provide fluid therapy to Barney on 14th September before he was discharged.
With reference to the remaining aspects of the charge the Committee took into account the Code of Professional Conduct, particularly in respect of the need for veterinary surgeons to refer cases responsibly and the Code’s supporting guidance on referrals.
The Committee determined that, having delegated the arrangements of the referral to a veterinary nurse, Mr Messa made no attempts to follow up and ensure it was a same-day appointment when this would have better suited the severity of Barney’s condition. The Committee found that he was unaware of Barney’s location or of the time of the appointment and did not make provision for antibiotic or fluid therapy.
Having found the majority of the charges against Mr Messa proven, the Committee then considered whether this amounted to serious professional misconduct.
Disciplinary Committee member Stuart Drummond, who was chairing the Committee and speaking on its behalf, said: "In the light of the facts found proved and considering that disgraceful conduct in a professional respect is that which is conduct falling far below that expected of a veterinary surgeon, the Committee had concluded that the heads of charge, when taken individually, or collectively, do fall below the standard expected.
"However, as a matter of judgement, the Committee did not conclude that Mr Messa’s conduct fell far below the requisite standard and therefore did not amount of disgraceful conduct in a professional respect.
"Whilst the Committee did not find Mr Messa’s actions fell far below the requisite standard, there were concerns expressed about several aspects of this case. There were a number of missed opportunities which occurred; in particular the Committee notes the failure of the care plan and to take adequate steps to ensure that the referral process has been timeously effected."
The VetGDP, which replaced the Professional Development Phase (PDP), provides a period of structured support to aid the transition of newly-registered veterinary surgeons from veterinary studies to life in the workplace.
VetGDP is being rolled out during 2021 and this year’s veterinary graduates will need to enrol on it.
One of the main features of VetGDP is the requirement for a trained VetGDP Adviser to be available in the practice to provide their new graduate with one-to-one, meaningful support and guidance, to help develop their confidence and capabilities.
In order for veterinary surgeons to become VetGDP Advisers they must complete an online training package being developed by the RCVS and formally commit to supporting new graduates.
Practices that have trained VetGDP Advisers and make this commitment will receive the status of an RCVS-Approved Graduate Development Practice.
The original plan was that practices who wish to employ this year’s cohort of graduates should have obtained RCVS-Approved Graduate Development Practice status by June 2021.
This has now been amended in recognition of the additional pressures that veterinary practice teams are under as a result of the pandemic.
Practices who employ graduates this year will now have until December 2021 to achieve this status, provided they have started to work towards RCVS-Approved Graduate Development Practice status and commit to supporting their new graduate while they do so.
Dr Linda Prescott-Clements, RCVS Director of Education, said: “The ongoing pandemic restrictions, specifically changes made by the government to veterinary professionals’ key worker status on 13 January, means that there are now significant additional pressures on practice teams, particularly in terms of staffing, as many members of the profession will be balancing their work with caring responsibilities. We recognise this and, as such, we have updated the timeframe for the completion of our training for VetGDP Advisers.
“I would also like to personally thank the 850 vets who have already registered their interest in becoming VetGDP Advisers. It is very reassuring to see so many members of the profession committed to supporting new members of the profession, and wanting to engage with the training and with VetGDP to help nurture and develop our future vets through their first few years in practice.”
The College will be holding three VetGDP workshops in February. Each workshop will feature the same content, so there’s no need to attend more than one.
They take place on:
The workshops are open to anyone in the veterinary team including veterinary surgeons who may be considering becoming a VetGDP Adviser, practice managers and others involved in graduate recruitment and anyone else who would like to find out more about VetGDP.
The sessions will be interactive and there will be a significant portion of time given over to Q&As. The RCVS Chair of Education Committee, Dr Sue Paterson FRCVS, and Dr Linda Prescott-Clements, will be available to answer any questions which can be submitted live during the event. You can also submit questions as you register for the workshop at: www.rcvs.org.uk/vetgdpworkshops.
For more information, visit: www.rcvs.org.uk/vetgdp
The College says the online library, which is free to access, aims to encourage people to develop their leadership skills, regardless of what stage of their career they are at.
The Library has a range of materials that learners can work through at their own pace, including presentations, interviews, videos, blogs, articles and webinars on key leadership topics such as Delegation Skills, Difficult Conversations and Inclusive Leadership.
The RCVS Leadership Team will be adding more content to the library, and the profession will have opportunities to suggest topics that they would like to learn more about.
Gurpreet Gill, RCVS Leadership and Inclusion Manager, said: “In terms of veterinary CPD, importance often tends to be placed more on clinical and technical capabilities, but leadership skills are a critical aspect of every veterinary practice and organisation.
“It is also assumed that leadership is a condition of status or position, but this is not necessarily the case.
"Leadership is an everyday practice that is applicable to everyone, regardless of their role.
"The Leadership Library provides learning opportunities for anyone looking to develop and reflect on their leadership skills, which will also count towards the annual CPD requirement.”
The Leadership Library can be accessed now from https://www.rcvs.org.uk/lifelong-learning/rcvs-leadership-initiative/rcvs-leadership-library/