The RCVS has launched a consultation about Schedule 3 of the Veterinary Surgeons Act, which defines what acts of veterinary surgery can be performed by veterinary nurses.

For veterinary nurses, Schedule 3 is arguably one of the most important aspects of the Veterinary Surgeons Act, partly defining what it means to be a nurse, and defining what tasks veterinary surgeons can reasonably delegate. 

Thus far, however, Schedule 3 has only been loosely defined, allowing for veterinary nurses to (under the direction of their veterinary surgeon employer) 'give medical treatment or carry out acts of minor surgery, not involving entry into a body cavity'.

There is evidence from the RCVS/BVNA VN Futures project that uncertainty about what this definition actually means in practice has stopped veterinary surgeons from delegating tasks which could both improve practice efficiency and make the role of the veterinary nurse more interesting, varied and rewarding. 

The consultation - and the broader review of Schedule 3 of which it forms a part - aims to create a 'clarified and bolstered VN role via a reformed Schedule 3'.

Liz Cox, Chair of both the Schedule 3 Working Party and VN Council, said: "The future of veterinary nursing is both challenging and exciting, with the convergence of such factors as Brexit, the development of new technologies, and the increasing specialisation of veterinary surgeons, and we would very much like to know how you think the role of veterinary nurse will evolve.

"In light of this we very much encourage all veterinary nurses and veterinary surgeons to complete this consultation. Evidence gathered during the initial stage of the VN Futures project suggested that there is some uncertainty around the interpretation of Schedule 3 in clinical practice. For example, many veterinary nurses do not undertake Schedule 3 work or are uncertain as to whether they do, while some veterinary surgeons are reluctant to delegate Schedule 3 tasks to veterinary nurses.

"With this survey we hope to get a better steer on how Schedule 3 is used and interpreted in practice on a day-to-day basis and gather views on where both veterinary surgeons and veterinary nurses feel the current legislation could be clarified. Furthermore, we also want to know if there are areas of practice that are currently prohibited to nurses under current Schedule 3 arrangements that the professions believe could be opened up to veterinary nurses as a means of bolstering the profession."

Liz Cox and David Catlow MRCVS, Chair of the Standards Committee, will also be presenting a webinar on Thursday 11 May from 1pm to 2pm titled ‘The Art of Delegation – Schedule 3 Consultation’. It will focus on Schedule 3 and the role of the veterinary nurse, and explore possible areas to consider when responding to the consultation. To subscribe to the webinar, please visit The Webinar Vet’s website: www.thewebinarvet.com/webinar/art-delegation-schedule-3-consultation/

All eligible veterinary nurses and veterinary surgeons have been emailed with a link to survey.

Further information about the VN Futures project can be found at www.vetfutures.org.uk/vnfutures

Warwickshire-based Avonvale Veterinary Centre has created the role of 'nurse dental champions', both to help fight against dental disease and to create a rewarding role for the latest generation of its nurses who have an interest in the subject.

Avonvale’s nurse dental champions are RVNs who have a special interest in dentistry. They receive additional career development and training, both in-house and via webinars. They also attend practical workshops.

They also get training and support materials from specialists at Eastcott Referrals, in Swindon.

They're then tasked with educating colleagues and clients about dental care and disease prevention.

Nurse dental champion, Jasmin Legge (picture right), said: "We increase owners' knowledge of what dental treatments can be performed at Avonvale and highlight the welfare benefits of dentistry to them.

"We give our patients a free consultation and take a look to see if they have any dental issues.

"If we believe they do, they will be referred to a vet for this to be confirmed and for them to assess what work is needed.

"We are also able to carry out scale and polishes on animals and we follow this up with educational post-dental checks, giving advice to owners on how to maintain good dental hygiene.

"Dental disease is a common problem and can cause misery for a lot of pets, which is why we want to do all we can to help alleviate the problem and to educate owners on how they can play their part.

"Here at Avonvale, when you have a particular area of interest, you are given amazing opportunities to help develop it. Nurse dental champions are a prime example of this."

The Privy Council has approved a Recognition Order for the University of Surrey’s veterinary degree and it will be formally accredited by the RCVS from late next month.

The new Order will come into force on the 18th February 2020, from when students who graduate with the University of Surrey’s veterinary degree will automatically be able to join the Register of Veterinary Surgeons and to practise veterinary medicine in the UK.

The university’s Bachelor of Veterinary Medicine and Science (BVMSci Hons) degree will enter the College’s cyclical accreditation process and be subject to annual monitoring for quality assurance.

Accreditation of the degree was a five-year process during which the RCVS worked with the University of Surrey to ensure that its curriculum and programme met the College’s quality standards, including two interim accreditation visitations in 2017 and 2018 and a final accreditation visit in 2019.

Dr Niall Connell, RCVS President, said: “We are very glad that the University of Surrey’s veterinary degree has now cleared the last hurdle and that, as of next month, it will join the roster as the UK’s eighth recognised veterinary degree. I commend the hard work that the faculty, students and the university’s clinical partners have put in to develop the course over the past five years and we look forward to continue to work with them to ensure that the high standards are maintained."

Professor Chris Proudman, Head of the School of Veterinary Medicine at the University of Surrey, said: "I am delighted that the University of Surrey’s School of Veterinary Medicine has become the UK’s eighth provider of veterinary education. The support and enthusiasm of our partner practice network has been essential in delivering our vision of competent, confident and compassionate veterinary graduates."

The full RCVS accreditation standards for veterinary degrees can be found here: www.rcvs.org.uk/setting-standards/accrediting-primary-qualifications/accrediting-veterinary-degrees/accreditation-standards/

Photo: (from l-r) Susan Paterson, Chair of the RCVS Education Committee, Professor Chris Proudman, Head of the School of Veterinary Medicine at the University of Surrey, and Niall Connell, RCVS President.

Video Vets Now, the telemedicine arm of Vets Now, has reported a 54% year on year growth in the use of its service in 2022, and says the redefinition of 'under care' will pave the way for further opportunities.

Vets Now launched the service at the start of the pandemic to provide remote veterinary advice, and it has now expanded from eight to nearly 30 emergency vets. 

In 2022, Video Vets Now had over 13,000 consultations, with 80% of these occurring out-of-hours. Sundays are the busiest day, with almost a third of all consultations taking place.

Of these total consultations, 17% of pets were discharged normally, 7% were immediately referred in-clinic, and 48% were discharged as non-emergency cases, but with a recommendation to get a daytime vet appointment within 48 hours.

Dave Leicester, Vets Now’s head of telehealth says the fact that so few of Video Vets Now calls are referred on to a face-to-face consultation is a real benefit for pet owners and the veterinary profession: “Over two thirds of cases don’t need to be seen urgently by a vet.

"A lot of the cases are pet owners needing some clinical reassurance.

"As cases are triaged remotely, the service therefore frees up clinical staff for genuine emergencies. 

“Additionally, without the service, many clients would have no other option than to attend for a full consultation at an out-of-hours clinic; so, clients save money too, allowing them to save their budget to spend at their daytime practices.

“Following the triage consultation, if the pet does need a non-urgent face-to-face consultation, we always direct clients to their registered vet. The £24 Video Vets Now consultation fee is then refunded.

"We call this our ‘Never Pay Twice’ promise, and it applies regardless of where that follow on consultation takes place.

"We see this as a win-win situation for clients and practices.” 

Dave continued: “Over the past three years, Video Vets Now has seen unparalleled growth, providing essential care and reassurance for pet owners during a time of many challenges to traditional veterinary practice.

“As the pandemic has drawn to a close, we have consolidated our position as one of the UK's foremost providers of teletriage.

"Looking to the future, the changes in veterinary regulation will allow us to grow further and expand the range of services we can provide, bringing telehealth to an even greater number of pet owners.”

The RCVS Disciplinary Committee has suspended Oxfordshire-based practitioner Dr Susan Catherine Mulvey MRCVS for six months, for failing to communicate with clients, professional colleagues and the College.

There were two charges against Dr Mulvey. The first was that, between May and October 2018, she failed to provide the clinical history for an English Cocker Spaniel named Henry to the Tremain Veterinary Group, despite numerous requests. Also, that between August 2018 and October 2018, she failed to respond adequately or at all to Henry’s owner's requests for information, particularly his clinical records and details of insurance claims made for Henry by her practice.

The second charge was that in January/February 2019, she failed to respond to reasonable requests from the RCVS, particularly in relation to her treatment of Henry, her continuing professional development (CPD) and the status of her Professional Indemnity Insurance.

At the beginning of the hearing, Dr Mulvey admitted the facts and conduct alleged in the charges and also admitted that when her conduct was considered cumulatively, she was guilty of disgraceful conduct in a professional respect.

The Committee, having considered the evidence provided by the College and Dr Mulvey’s admissions found all the facts and conduct to be proved.

The Committee also concluded that Dr Mulvey's failure to respond to Henry's owners and to the College amounted to disgraceful conduct both when considered individually and cumulatively.

In respect of the first charge, the Committee decided that Dr Mulvey had breached the Code of Professional Conduct for Veterinary Surgeons by failing to provide clinical records or details of insurance claims.

This was an administrative part of the function of a veterinary surgeon’s role and that failure to provide clients with such information was unacceptable and fell far short of acceptable professional standards. The Committee noted that Dr Mulvey’s failure to provide details of insurance claims had occurred because she had not made those claims, despite offering to do so. 

With regard to the second charge, the Committee concluded that Dr Mulvey’s failure to respond to five requests from the College for information about Henry was unacceptable.

The Committee also considered that the omissions took place in the context of Dr Mulvey’s previous Disciplinary Committee hearing in April 2018 during which she agreed to a number of undertakings including supervision on her professional practice by an appointed supervisor. It therefore decided that her failure to provide evidence of her CPD and Professional Indemnity Insurance to the College each individually amounted disgraceful conduct in a professional respect.

The Committee then went on to consider the sanction for Dr Mulvey in relation to the both charges that it had found proved and also in respect of the charges it had found proved at its earlier hearing on 26 April 2018 for which sanction had been postponed for a period of 1 year to enable Dr Mulvey to comply with undertakings she gave to the Committee to ensure that her practice met RCVS Core Standards by May 2019.

The Committee heard from Mr Stuart King MRCVS who had been appointed to act as a Workplace Supervisor for Dr Mulvey during the period of her Undertakings. Mr King provided the Committee with a report upon the extent to which Dr Mulvey had complied with the terms of her undertakings including the extent which she had implemented Dr King’s numerous recommendations.

The Committee also heard from Dr Byrne MRCVS an inspector for the RCVS’s voluntary Practice Standards Scheme that Dr Mulvey’s practice, when inspected by him in early April 2019, had not met RCVS PSS Core standards in a number of areas.  

The Committee heard from Dr Mulvey and her Counsel that she accepted that she had not met RCVS Core standards as she had undertaken to do.

In reaching its decision as to sanction for all the matters, the Committee took into account that Dr Mulvey’s misconduct overall was serious because it was repeated.

The Committee also considered aggravating and mitigating factors.

Aggravating factors included the fact that the misconduct was sustained or repeated over a period of time (in relation to charge 1 for a period of approximately 4 months and in relation to charge 2 for approximately 6 weeks).

Other aggravating factors include the fact that Dr Mulvey’s conduct contravened advice issued by the Professional Conduct Department in letters sent to her, and that she had wilfully disregarded the role of the RCVS and the systems that regulate the veterinary profession.    

Mitigating factors included that: there was no harm to any animal; there was no financial gain for Dr Mulvey or any other party; there was no ulterior motive behind Dr Mulvey’s conduct; and that Dr Mulvey had in fact both completed her minimum CPD requirement and secured Professional Indemnity Insurance, demonstrating that she had not attempted to hide such information from the College.

It also took into account that Dr Mulvey, prior to the first Disciplinary Committee’s hearing in 2018, worked without any previous disciplinary findings against her from 1976 to 2018. The Committee also noted that she had made efforts to comply with some of the undertakings. 

Mr Ian Green, Chair of the DC and speaking on behalf of the Disciplinary Committee, said: "The Committee considered that a warning or reprimand was not an appropriate sanction that would meet the public interest. Instead, the Committee decided that a suspension order for a period of six months would allow Dr Mulvey sufficient time to focus on ensuring her practice met the Core Standards set out in the Practice Standards Scheme, without the daily demands of practising as a veterinary surgeon, and was a proportionate and sufficient sanction to meet the public interest.

"The Committee was satisfied that a period of six months met the public interest as it was sanctioning Dr Mulvey for two sets of similar misconduct which we had determined overall as serious. The Committee also believed that during these six months Dr Mulvey could reflect and reorganise her practice, and there would be little risk to animals and the public in her returning to practice."

Dr Mulvey has 28 days from being informed of the Committee’s decision to lodge an appeal with the Privy Council.

Paragon Veterinary Referrals has announced that two more specialists have joined its fledgling team.

Liz Leece, an RCVS and EBVS specialist in veterinary anaesthesia and analgesia (pictured right) and Massimo Mariscoli, an EBVS and RCVS specialist in veterinary neurology joined Paragon at the start of this month. 

Liz is a past president of the Association of Veterinary Anaesthetists, is on the British Small Animal Veterinary Association’s congress organising committee and lectures to vets, nurses and occasionally human anaesthetists, all over the world.

She said: "I’m a keen supporter of the anaesthetist’s role in the referral hospital setting, safeguarding welfare and optimising the hospital experience for all our patients.

"One of my first tasks will be to establish a chronic pain management clinic at Paragon to aid any patients in need of such support.

"I also love teaching both inside and outside clinics and I’m currently involved in clinical research into brachycephalics, neuroanaesthesia and chronic pain."

Massimo grew up in Italy and graduated from the University of Bologna in 1990. He worked as head of small animal surgery and neurology at the Veterinary Teaching Hospital of the University of Teramo, before spells as lecturer and associate professor at the same centre.

The past president of the Italian Society of Veterinary Neurology (SINVet) moved to the UK in May 2017 to work as a neurology specialist and then head of neurology at a small animal hospital.

His main clinical interests are epilepsy, inflammatory disorders of the central nervous system and neurosurgery.

He said: "I was looking for a new challenge and was very pleased when I learned there was the possibility of setting up the neurology service at Paragon. I first visited the site in February and got a very good impression.

"Neurology has been split between internal medicine and surgery to date, so I will be looking to establish the service in its own right.

"Setting up a new service and new systems can be complex, so I will be taking my time and letting the service take shape naturally."

Paragon managing director Ian Monteith said: "Both Liz and Massimo are tremendous additions to our team and we’re delighted to be adding yet more high-calibre specialists to our ranks."

For more information, visit www.paragonreferrals.co.uk.  

The Chief Operating Officer at XLVets, Kerrie Hedley, is asking female vets to take part in focus groups to share their experiences around leadership, in order to develop some new strategies to encourage women in the profession into leadership positions.

The focus groups are part of a study which will form part of Kerrie's MBA dissertation.

Kerrie says her research topic was triggered by an analysis of leadership statistics in the veterinary profession: "There is a dearth of information about the number of leadership roles occupied by women in the veterinary profession.

"We knew that in the XLVets community, our joint efforts to run leadership programmes and help aspiring owners have meant that one in five of our practice owners are women but we don't know how that compares with other veterinary sectors and business models.

"We'd like to see many, many more women in strategic positions within our community and in the wider profession. This research will look at the barriers to leadership that women might experience and will help us develop enabling and support strategies."

Kerrie says there is some interesting data coming from her own company: "When we look at the numbers, our entry level leadership programmes are almost completely female in terms of uptake and our recent aspiring owner meeting had an equal male-female split, which was great to see. So, our feeling is that we are starting to see the impact of more female graduates coming through. Whether that's happening as quickly as it should do throughout the profession is another matter and we hope the research will throw some light on this."

Female veterinary surgeons both within and outside the XLVet community, in leadership positions, aspiring to leadership, or leadership-averse and from any sphere of veterinary practice are invited to contact Kerrie to take part and contribute. She hopes to share the results of her work with the profession towards the end of the year.

Anyone wanting to take part should email Kerrie at kerrie.hedley@xlvets.co.uk.

The World Small Animal Veterinary Association Oncology Working Group has published a glossary of common veterinary oncology terms to help owners better understand cancer terminology,

The Oncology Working Group, winningly styled as 'WOW', says it hopes that the glossary will give owners a clearer understanding of the diagnosis and management choices they have, and help them discuss care with their veterinary surgeon from a more informed perspective.

The glossary is the first output from the WOW Group which was formed in 2021 to raise awareness of the latest thinking in cancer therapy and promote best practice globally.

The glossary is available to download free from the WSAVA website at: https://wsava.org/wp-content/uploads/2021/11/Glossary-WOW-13.11.2021.pdf 

WOW Group Member Professor Nick Bacon, a RCVS-Recognized Specialist in Small Animal Surgery (Oncology) and a European Specialist in Small Animal Surgery, said: “Cancer has a language all of its own and, during our early WOW Group discussions, it became obvious that, in order to improve communication between veterinary professionals and owners, there was an urgent need for a globally accessible resource to help owners better understand cancer terminology.

“Our Oncology Glossary is the result.

"We hope it will enable owners to feel on a more equal footing when they are discussing their pet’s condition with veterinary professionals.

"We hope it will also increase the consistency and effectiveness of communication about veterinary oncology globally.”

He added: “We will update the Oncology Glossary regularly and are now working on the development of further practical and easy-to-use tools to support veterinarians working in this rapidly evolving area of veterinary medicine.

"In the meantime, more resources are available on our web page at https://wsava.org/committees/oncology-working-group/”

The Department of Environment, Food and Rural Affairs has confirmed that bird flu has been detected in 17 wild birds in Dorset, with more expected over the coming days.

This is the first confirmed finding of the virus in the UK this winter and tests have shown it is closely related to the H5N6 strain that has been circulating in wild birds across Europe in recent months. This is different to the strains which affected people in China last year and Public Health England have advised the risk to public health is very low. The Food Standards Agency have said that bird flu does not pose a food safety risk for UK consumers.

UK Chief Veterinary Officer, Nigel Gibbens, said: "This is the first time avian flu has been identified in the UK this winter and while the disease does not represent a threat to the public, it is highly infectious and deadly to birds. 

"As the virus has been circulating across Europe, this finding has not come as a surprise. But it is vital that anyone who keeps birds - whether a few in a back garden or thousands on a farm - is vigilant for any signs of disease, reports suspect disease to APHA and maintains good biosecurity to reduce the risk of their birds becoming infected."

Local measures will be put in place to manage the potential threat. These include a local Avian Influenza Prevention Zone (AIPZ) in Dorset as a precautionary measure to prevent disease spread to other birds. This means all captive bird keepers in the area will have to implement enhanced biosecurity measures such as feeding and watering birds undercover so that wild birds do not co-mingle with kept birds; minimising movement in and out of bird enclosures; cleaning and disinfecting footwear; and keeping areas where birds live clean and tidy.

There are no plans for culling or movement restrictions.

BVA President John Fishwick said: "I’d encourage vets to reassure their clients that this strain of Avian Influenza poses a very low risk to public health and the food chain. Defra have acted swiftly to try and contain further spread of the disease, which has likely come from migratory birds, yet vets and poultry owners should remain vigilant for signs of the disease."

British Veterinary Poultry Association (BVPA) President Phil Hammond added: "It’s really important that all bird keepers heed biosecurity advice issued by Defra, and maintain the highest biosecurity standards. Any suspicion of Avian Influenza should be reported to the APHA as soon as possible."

Up-to-date advice and guidance on Avian Influenza is available on the Gov.UK website, including how to spot it, what to do if you suspect it, and measures to prevent it: https://www.gov.uk/guidance/avian-influenza-bird-flu#about-avian-influenza

For further advice on Avian Influenza contact the Defra Helpline on 03459 33 55 77.  

Trade should not be affected following the findings in wild birds, according to the rules of the World Animal Health Organisation (OIE).

Photo: Wild Birds, Shutterstock / aDam Wildlife

Following the outcry from the profession over the disciplinary hearing into Mr M Chikosi, the RCVS' new Operational Board has clarified the the College's position on the use of blankets to move animals.

The hearing found Munhuwepasi Chikosi guilty of unreasonably delaying attending a dog that had been run over at a farm, and of unnecessarily causing her to remain in pain and suffering for at least an hour.

As a result, the Disciplinary Committee directed that Mr Chikosi's name be removed from the Register for serious professional misconduct. The College says that since the appeal window has closed without an appeal being made, Mr Chikosi has now been struck off.

However, the Committee also said: "... his [Mr Chikosi's] advice that Mitzi should be moved on a blanket was wrong, as she may have had an injured back."

This was widely criticised as being out of touch with the practicalities of real life and unsupported by any evidence.

Speaking on behalf of the Board, President Neil Smith said: "We fully support the decision taken by the independent Disciplinary Committee with regard to the Chikosi hearing, with one comment requiring clarification: the issue of whether a blanket can be used to move an injured dog. We consider that it is acceptable, in most cases, to transport an injured dog with the aid of a blanket.

"The profession should be reassured that our Standards Committee [the new name for Advisory Committee] will consider the general issues raised by the Chikosi hearing at its next meeting. This will not be a review of the decision, but form part of the routine consideration of DC hearings made by the Committee to see if they raise issues that require additional guidance and advice."

The National Office of Animal Health (NOAH) has issued a briefing document for veterinary surgeons to help clarify which antibiotic classes should be considered as critically important antibiotics – those classified as such by scientific assessment by the European Medicines Agency.

The responsible use of antibiotics termed critically important is an important strand in the UK policy to fight antibiotic resistance development.

However, NOAH says there is much confusion about which antibiotics should be considered within this group, with different organisations referring to different classes.

Donal Murphy, Head of Technical and Regulatory Affairs at NOAH said: "NOAH believes the classification and use of antibiotics in veterinary medicine should be driven and guided by the regulators, who are independent and make science based decisions and recommendations.

"Of course, all classes of antibiotics, whether critically important or not, should be used responsibly and guided by the principle outlined by the Responsible Use of Medicines in Agriculture Alliance (RUMA) who state they should be used  'as little as possible but as much as necessary'. The use of these important products in this manner can ensure that the availability and efficacy of antibiotics can be maintained to ensure animal health and welfare in the future."

You can download the briefing document here.

The RCVS's new Royal Charter has come into effect today, meaning that the whole of the veterinary nursing profession in the UK is now regulated.

The new Charter received the Great Seal of the Realm and was collected from the House of Lords by RCVS Registrar Gordon Hockey and Policy Consultant Jeff Gill (pictured right). It had previously been approved at a meeting of the Privy Council on 5 November 2014.

Under the changes instituted in the new Charter, there are no longer listed veterinary nurses and all those formerly on the List have effectively been moved to the Register and become RVNs.

As a result they will now be expected to undertake the minimum requirement for continuing professional development (CPD) of 45 hours over a three-year period, will need to follow the RCVS Code of Professional Conduct for Veterinary Nurses,and will be subject to the College’s disciplinary system in cases of serious professional misconduct. Any veterinary nurse removed or suspended from the Register will not be entitled to give medical treatment or carry out minor surgery.

Gordon said: “This is a proud day for us and an important day for the profession as a whole. We worked very hard to get to this point and I would like to thank all those who helped us along the way including RCVS and VN Council members, College staff and the members of the profession and representative organisations, in particular the BVA and BVNA, that responded to our consultation on the proposed Charter last year.

“This Charter clarifies the role of the College and its aims and objectives while also modernising many of our regulatory functions. This represents another significant step towards the College becoming a first rate regulator.

“Critically, this Charter fulfils one of our long-term ambitions to create a coherent regulatory system for veterinary nurses and to recognise them as true professionals, dedicated to their vocation, their development and proper conduct.”

During this year’s renewal period for veterinary nurses (in the autumn), those formerly on the List will be expected to confirm that they are undertaking CPD and will also need to disclose any criminal convictions, cautions or adverse findings when they renew their registration. The annual renewal fee for veterinary nurses remains unchanged.

A detailed set of frequently asked questions for former listed veterinary nurses can be found at www.rcvs.org.uk/rvn.

Zoetis has announced the launch of a free 1.5hr canine vaccination CPD course on its Vetsupport+ website.

Divided into four modules, the course explores vaccines and the immune system; current and emerging strains of Leptospirosis; a practical insight into infectious disease and vaccination and the importance of getting early socialisation right.

Professor Sarah Gilbert from the Jenner Institute in Oxford presents the first CPD module. She is followed by Dr Paul Burr from Biobest Laboratories, Alan Radford from the University of Liverpool and Jon Bowen of the RVC.

John Toole, Zoetis Product Manager said: "We were extremely privileged to be able to work with such an eminent group of key opinion leaders for this CPD course. We hope participants find the interview video style of this course dynamic and insightful. Users can also find an additional module on our dog vaccine Versican Plus and how it helps meet today’s infectious disease challenges as discussed by our industry experts."

To take part in this new CPD, vets simply need to register at www.vetsupportplus.co.uk where they will be able to access all the free Zoetis learning content and receive a certificate once the CPD course is completed.