Officers and senior staff of the leading veterinary and nursing bodies have published an open letter to colleagues decrying the use of "derogatory and offensive language" directed against them in online social media and forums.

The letter, which was coordinated by BVA President Daniella Dos Santos, reads as follows:

"We are a mixture of volunteers and paid professionals, who give our time to lead and support the veterinary professions, and we are extremely honoured to be able to do so.

But we are increasingly concerned about the tone of some of the debates that are taking place in the veterinary world, particularly by the disparaging and demeaning language used against us or our colleagues.

As leaders in the professions, representing various different organisations, we absolutely expect to receive criticism and challenge of the work we do. But the right to criticise and challenge does not extend to the right to personally attack us as individuals.

Some of the most useful and informative discussions we have are those where our views and actions are questioned with dignity and respect. But the use of derogatory and offensive language to describe or refer to us as individuals is simply not acceptable.

Personal attacks and vilification could also make tomorrow’s leaders think twice before putting their name forward for such roles and subjecting themselves to such treatment by their peers. We might never know what a loss this could be for the future direction and advancement of our professions.

This behaviour is particularly prevalent in online forums, where closed groups and computer screens seem to embolden members of our professions to use language that is wholly inappropriate and which falls far short of the expectations of professionals. As we have seen in the national political arena, we also note with concern that it is often our female colleagues, and those from minorities, who face the worst of it.

We welcome challenge and debate. But please remember that it is possible to disagree with a person or organisation without resorting to personal attacks. Before posting online, please consider how this may be interpreted by the recipient.

Our professions are rightly focused on mental health and wellbeing, and the work of the Mind Matters Initiative and Vetlife are excellent examples of what is being done in this area.

#BeKind extends to those in leadership positions too."

List of signatories by organisation: Katie Roberts: AVS President, David Charles: AVS Senior Vice President, Izzie Arthur: AVS Junior Vice President, Susan Paterson: BSAVA President, Phil Lhermette: BSAVA Senior Vice President, Ian Ramsey: BSAVA Vice President, Sheldon Middleton: BSAVA Junior Vice President, David Godfrey: BSAVA Hon Treasurer, Carl Gorman: BSAVA Hon Secretary, Amanda Stranack: BSAVA CEO, Daniella Dos Santos: BVA President, Simon Doherty: BVA Senior Vice President, James Russell: BVA Junior Vice President, Kathleen Robertson: BVA Scottish Branch President, Ifan Lloyd: BVA Welsh Branch President, Susan Cunningham: BVA Northern Ireland Branch President, David Calpin: BVA CEO, Jo Hinde: BVNA President, Wendy Nevis: BVNA Senior Vice President, Jo Oakden: BVNA Junior Vice President, Peter Kettlewell: BVZS President, Liz Mullineaux: BVZS Junior Vice President, Niall Connell: RCVS President, Amanda Boag: RCVS Senior Vice President, Mandisa Greene: RCVS Junior Vice President, Kit Sturgess: RCVS Treasurer, Lizzie Lockett: RCVS CEO, Anna Judson: SPVS President, Cat Curtis: SPVS Senior Vice President, Nick Lloyd: SPVS Junior Vice President, Nichola Watson: SPVS CEO, Richard Casey: VMG President, Gillian A Page: VMG Senior Vice President, Georgina Hills: VMG Junior Vice President, Miles Russell: VMG Finance Director

The BVA was not prepared to name and shame specific instances of derogatory language being used, or the specific social media websites that are implicated. However, Daniella said: "Online veterinary forums can be a fantastic place for us to share ideas or concerns and support one another but they can also have a darker side. I’ve become increasingly aware of people using forums and other social media to attack and criticise individuals who I know are working hard for our profession.

"I’ve personally been on the receiving end of it, being described as foul, lacking in integrity, incompetent, unsuitable to lead, rotten, idiot, shameful, corrupt or a token. But I know colleagues who have faced far worse and enough is enough.

"It’s high time we collectively speak up and I’m incredibly grateful to those who have co-signed this open letter to our colleagues. Every single vet or vet nurse who volunteers or works as an officer or committee member within the veterinary sphere and all of our lay colleagues work hard on behalf of our professions.

"Our key message is that the mantra to #BeKind, that is so prevalent in our veterinary community, extends to those in leadership positions too.”

COMMENT
What a can of worms. VetSurgeon.org and VetNurse.co.uk have certainly had their fair share of robust discussions over the years, but I don't believe Daniella has ever been on the receiving end, or that women or minorities have ever been discriminated against, or that the language used has stooped as low or personal as 'foul'.

Indeed, I have always encouraged members to treat each other with respect and to be mindful of the fact that the written word, devoid of the nuances of facial expression, can appear far starker than intended.

However, as a moderator, I can tell you it is very, very hard to draw the line between something that is personal and something which is fair criticism but which will be taken personally.

Therein lies the problem, because almost any criticism written online is likely to be taken personally. If you write that I am doing my job poorly, or making bad decisions, believe me, I will take it very personally. 

But is it not entirely right and proper that those in who sit in positions of authority, making decisions which affect the lives or wallets of those who elect them, should expect criticism?

In fact, is there not something a bit worrying about Daniella saying she is aware of people using social media to criticise individuals? Is she arguing that social media should NOT be used to criticise those in authority?

To my mind, there's also something slightly pleading about those in authority asking everyone to "be kind". Why on earth should people be kind when they disagree, sometimes profoundly, with decisions that affect their lives? Wouldn't it be better to entreat everyone to #bepolite?

Either way, it is hard not to feel enormous sympathy for those who enter into public life these days, subject as they are to some pretty vile stuff online.

I think Sir Tim Berners-Lee hit the nail on the head in the Dimbleby lecture last year when he said that greater accountability is needed online. VetSurgeon.org has already started moving in that direction in order to improve the provenance of clinical information and opinions shared online, requiring now that experts share full details of their experience and qualifications alongside their posts. 

Maybe the time has come to demand the same standards of accountability when it comes to criticising those in positions of authority. In other words, if you're going to do it, you must show your real name and display a photograph of yourself alongside your post.

What do you think? Have your say here: https://www.vetsurgeon.org/001/nonclinical/f/life-in-practice-discussions/28912/be-kind-to-veterinary-leaders

The British Small Animal Veterinary Association is inviting its members to submit their views on DEFRA's recently revised and published draft Rabies Control Strategy.

The BSAVA says that while the general control options for dealing with a suspected or confirmed case of classical rabies are determined by law there are a number of issues raised in this document on which its members may wish to comment.

Details are in the Consultations area under the Advice link here at bsava.com.

Please return responses to s.everitt@bsava.com by Friday 9th December 2011 to allow time to collate the comments and produce a response.

Epiphen, Vétoquinol's canine anti-epileptic drug, has been re-launched with new packaging and a useful dosing syringe. 

"Some of our customers reported that they were having difficulty administering the drops accurately," explains Slavica Sobot, Product Manager. "So with this in mind, we have introduced a new plug-on syringe which will make it even easier for pet owners to dose accurately.  The syringe will prevent the risk of inaccurate dosing through ‘flooding' from the dropper."

For more information, please call the Vétoquinol help line on 0800 169 8197 or contact your Vétoquinol representative.

The RCVS has launched a new digital learning platform, with free-to-access interactive CPD-qualifying courses for veterinary professionals.

Called the RCVS Academy, the new platform offers training in the following areas:

• Leadership and coaching
• Working in the UK
• Ownership and consent
• Resolving complaints
• CPD recording and reflecting

The College says the content has been developed in partnership with members of the profession to make sure it meets the needs of the veterinary team, including new graduates and registrants, and those who have been in the profession for many years.

Lizzie Lockett, RCVS Chief Executive, said: “As part of our ambition to be a compassionate regulator, we would like to ensure that all veterinary professionals have access to learning resources that will help them meet the standards set by their peers on RCVS Council.

"We’re aware of the pressures that veterinary professions are facing and the Academy has been built to respond to changing learning needs.

“The learning resources available on the platform have been designed to help vet teams develop their understanding of the RCVS professional guidelines and also how they can apply them in their everyday role. "

https://academy.rcvs.org.uk/

A new study carried out to look at the efficacy of spinosad (Comfortis) in cats has shown that they can acquire a flea infestation even when kept in a controlled laboratory environment. 

The study was conducted on a laboratory colony of 15 cats that had been kept strictly indoors for at least a year, four of which had presented to the dermatology clinics of the Small Animal Hospital of the Toulouse Veterinary School, two with miliary dermatitis lesions and two with symmetrical alopecia.

Further investigation revealed that despite these animals having been confined to quarters for so long, adult Ctenocephalides felis and flea dirt were found on coat brushing. 

All the cats were then combed meticulously twice at the start of the study using an extra fine comb and fleas counted before being replaced on each cat. In total 60 fleas were counted. On the cats showing no lesions there was an average of 5.2 fleas per cat and on the cats exhibiting flea allergy dermatitis it was less than one. Two of these cats had no fleas on them, probably due to excessive grooming caused by pruritus.

Spinosad was found to be 100% effective, with no adult fleas found on any cat from day 15 of the study through to day 90.

The cats with skin lesions were assessed for pruritus levels using the SCORFAD system, an extent and severity scale for feline hypersensitivity dermatitis. The SCORFAD value rapidly decreased throughout the study and achieved 98% reduction by day 90. The skin lesions in the flea allergic cats completely resolved during this time without the use of any other flea control or the use of anti-inflammatory products on the cats.

Researchers Maria-Christine Cadiergues and Charline Pressanti from Toulouse Veterinary School also noted a greater level of palatability than previously reported in clinical trials and there were no side effects in any of the cats.

Reviewing the study, David Grant MBE BVetMed CertSAD FRCVS said: "This study confirms that indoor cats, even in a tightly controlled laboratory environment, can still acquire an infestation of fleas. These can be brought in on the clothes of owners of cats if they have been in the garden, for example, particularly in the summer. 

"In addition, flea allergic cats may have few fleas on them due to excessive grooming caused by pruritus, and it is often very difficult to persuade owners of the diagnosis, even more so with indoor cats. This study provides precise data to support the above statement.

"This study also demonstrates that spinosad can be used as a stand-alone treatment for mild to moderate flea infestation in an indoor environment without the need for environmental insecticides or anti-inflammatory treatment of the cats. This would be a major consideration for many cat owners." 

Reference

1. Marie-Christine Cadiergues and Charline Pressanti, "Efficacy of Spinosad Tablets Administered to a Colony of 15 Indoor Cats Naturally Infested with Fleas," ISRN Veterinary Science, vol. 2014, Article ID 484308, 4 pages, 2014.doi:10.1155/2014/484308

VetSurgeon.org and VetNurse.co.uk are conducting a survey to find out how many veterinary surgeons and nurses have been bullied in practice over the course of the last year.

The object of the exercise is simply to find out whether a significant number of veterinary professionals feel that they have been bullied, and look at the impact it has had on them.

If a significant number of people say they have, the hope is that the survey will trigger constructive discussion on the subject, both amongst key opinion leaders in the profession and in practice.

One of the biggest challenges in measuring the incidence of bullying in practice is the highly subjective definition of the word. For this reason, the survey asks whether you've been on the receiving end of very specific types of behaviour, ones which most people would agree are at best unconducive to a happy and effective working environment, and at worst, outright bullying.

VetSurgeon.org Editor Arlo Guthrie said: "Early responses to the survey have already shown, if we didn't know it already, that bullying is going on, and how bullies can make life utter hell at work. We just don't yet know the scale of the problem.

"Either way, there are two ways I think this survey could make a difference. Firstly, by discussing the subject openly, so it creates an environment in which bullying behaviour is less likely to happen. Secondly, I suspect that a significant amount of bullying may happen as a consequence of poor communication. For example, if one member of the team thinks another is underperforming but is uncomfortable having a candid but constructive discussion. If there is no other process in place to resolve the issue, they may resort to other types of behaviour which can have a profoundly negative effect on their colleague."

To take part in the survey, please visit: http://www.surveygizmo.com/s3/3783698/Behaviour-In-Practice

Andy Trevan, a veterinary surgeon at the Gayton Veterinary Group in Redhill, has won the VetSurgeon.org prize draw to win an Apple iPad.

The draw was held to raise awareness in the profession of the growing community on VetSurgeon.org, and all UK-based veterinary surgeons that joined the site before 1st November 2010 were entered.

VetSurgeon.org welcomed nearly 600 new members to the site whilst the draw was open, bringing the site to just shy of 6000 members.

Congratulations to Andy - the shiny new toy will be winging its way over in the next few days.

Freelance Surgical Ltd has announced that it is now the sole UK distributor for IMEX Veterinary, Inc. external fixation products.

In fact, Freelance Surgical has been a supplier of IMEX products for over a year, but says that most customers had been buying from Animalcare, which has now ceased selling the products. 

The company says external fixation is an effective method of orthopaedic fracture repair which has gained popularity in recent years. An external skeletal fixator (ESF) can be used as a primary fracture fixation device or to enhance stability provided by another primary fixation product. In some cases and when used correctly, the company says they can have a number of advantages over other fracture repair techniques.

The IMEX Veterinary, Inc. product portfolio includes an array of external skeletal fixation components, intramedullary pins, K-wires, orthopaedic wire and other related veterinary products. The modular ESF system is comprised of linear, hybrid and circular fixation with linear components common to all three and instrumentation interchangeable between the hybrid and circular external fixation systems.

James Towler, Veterinary Director at Freelance Surgical Ltd has received professional training with IMEX Veterinary, Inc. to ensure the UK market has access to up-to-date product and ordering information.

For more information contact Freelance Surgical Ltd on 0845 050 4147.

William McEwan BSc MRes PhD, now working at the MRC-Laboratory of Molecular Biology in Cambridge, has been awarded the ABCD and Merial Young Scientist of the Year Award 2010 for his work on the replication and cross-species transmission of feline immunodeficiency virus infection in domestic cats and lions, and the restriction factors in these species in particular. 

Dr McEwan said: "Understanding the means by which host species are able to prevent viral replication gives us insight to the mechanisms of infection and may allow us to engineer therapy based on similar mechanisms or by enhancing immune responses."

The award was presented by Professor Marian C. Horzinek, Chair of the European Advisory Board on Cat Diseases (ABCD) and of the award jury. He said: "William McEwan presented a very original, high quality paper. His research has indicated the ability of hosts to potently restrict retroviral replication - given sufficient evolutionary time. It has also highlighted felids as a taxon that is potentially highly prone to cross-species transmission of immunodeficiency viruses".

The ABCD and Merial Young Scientist Award, created in 2008 and worth 1000 €, is funded by Merial and is presented to a young scientist in veterinary or biomedical science, who has made an original contribution in the field of feline infectious diseases and/or immunology. Applicants should have published their findings in a journal listed in PubMed or Web of Science or have had them accepted by another recognised assessing body.

Candidates should be based in Europe, have completed a veterinary or biomedical curriculum, and be under 35 years of age at the time of application. Applications for the 2011 award are now being invited (deadline 15 January 2011). For more information, visit: www.abcd-vets.org

The RCVS has announced that it has joined forces with the Doctors’ Support Network (DSN) to launch the ‘&me’ campaign which aims to tackle mental health stigma in the health professions by encouraging prominent members to speak out about their own experiences.

The campaign was officially launched at an event at the Palace of Westminster sponsored by Kevan Jones MP (Labour, North Durham) who has spoken about his own experiences with depression, and featured first-hand testimonials from senior veterinary surgeons and doctors who have experienced mental ill-health.

‘&me’ is a collaboration between the RCVS Mind Matters Initiative, which seeks to address mental health and wellbeing issues within the veterinary profession, and the Doctors’ Support Network, which provides peer support for doctors and medical students with mental health concerns.

Introducing the campaign, Mr Jones said: "The key message I have today in regards to mental health is talking about it and trying to get it out of the dark corners rather than it being something you are ashamed to talk about. That is how we get people to help themselves with their own condition and to seek help. The other key thing is not to write people off if they have a mental illness."

The floor was then opened to personal stories from those who have lived experience of mental ill-health. Dr Louise Freeman is Vice-Chair of the Doctors’ Support Network and was diagnosed with depression in 2009 as a result of the way in which her return to work was handled after having time off work as an emergency medicine consultant following a bereavement.

She said: "This experience made me think that doctors with mental health problems were in a small minority and that it was probably our own fault anyway. Both impressions are completely wrong. The incidence of mental health problems is one in four people in any one year and is actually higher for doctors, who are often slower to seek help than non-medics. The good news is that well supported doctors have excellent treatment outcomes.

"During my own return to work, I was told by my clinical lead that they had 'always thought that I was a mental health problem waiting to happen.' I think this says more about them than it did about me! On reflection, yes that was true, but only inasmuch as this applies to all of us during our lives.

"I hope that the ‘&me’ campaign can start to address this by encouraging senior healthcare professionals, who are currently well, but have experienced mental health problems, to disclose that they have 'been there themselves'. I think that this will help to normalise mental ill health for healthcare professionals and therefore remove some of the barriers to unwell professionals seeking help at an earlier stage. Overall this would be better for healthcare professionals, their colleagues and their patients."

David Bartram, Director of Outcomes Research for the international operations of the largest global animal health company and a member of the Royal College of Veterinary Surgeons' governing Council, spoke next. He gave his perspective on coming to terms with a mental health condition in a profession that has some stigma attached to it.

A number of years ago David attempted suicide following the breakup of his marriage and explains what happened from there: "I just thought I was stressed – after all, who wouldn’t be in those circumstances? But in fact I was becoming progressively more unwell. What started as worry, early waking and palpitations – which I recognised – led to patterns of thinking which I did not recognise as being disordered. I felt trapped and worthless – suicide was the only escape. From a medical perspective, my biological, social and psychological risk factors had converged and tipped me into major depression.

"That was the first of multiple suicide attempts and several prolonged stays in hospital. Over a three-year period I spent 12 months as a psychiatric inpatient. I was treated with antidepressants, antipsychotics, mood stabilisers, talking therapies and electroconvulsive therapy.

"But now thankfully I am well – and I have been for 14 years…. To what do I attribute my recovery? A mixture of medical treatment, psychological therapies, supportive friends and family, rest and time – they all contributed, probably in similar measure." 

He added that while his episode of mental ill-health does not define him it has changed him in a positive way and that no one is immune from it.

Dr Jonathan Richardson is Group Medical Director for Community Services at the Northumberland, Tyne and Wear NHS Foundation Trust who had a mental health condition when he was a medical student and spoke about how it is possible to flourish in your career with a mental health diagnosis.

"I was unwell as a teenager with a physical illness and later as a medical student with a mental illness… these two experiences crystallised my drive to become a doctor and my own approach to healthcare. I wanted to be able to deliver the care that I was fortunate to receive. I wanted to be as patient-centred and compassionate with the patients I would serve, in the same way as the teams who delivered my care. I was lucky to have support when I was unwell from very good friends, some from school and some from university; and a very close family. I have been able to recover.

"It is 24 years since my mental illness. I now work in Northumberland, Tyne and Wear NHS Foundation Trust, one of the largest mental and learning disability health trusts in England – and one of only two to be rated outstanding by the Care Quality Commission…. I do not feel that my illnesses have stopped me."

Dr Angelika Luehrs is the chair of the Doctors’ Support Network and a consultant psychiatrist who was diagnosed with bipolar affective disorder while she was a trainee psychiatrist. She said: “When I asked for advice about how to access help one of the answer I got was one of ‘whatever you do, make sure that you don't have any mental illness in your medical records otherwise you will never go anywhere in your medical career. However, getting the diagnosis and help from a Consultant Psychiatrist was the best thing that ever happened.”

She added: "The reality is that my diagnosis has not stopped me – I have been a consultant psychiatrist since 2010 with the Avon and Wiltshire Mental Health Partnership NHS Trust, last year I was appointed as medical lead for West Wiltshire including early intervention, intensive services and primary care liaison services.  I have a special interest in supporting doctors with mental illness and I am delighted to be appointed by the newly launched GP Health Service as a special advisor for complex mental health cases."

The last speaker was veterinary surgeon Neil Smith who chairs the RCVS Mind Matters Initiative and outlined how to participate in the campaign. He said: "This event is just the start… the real challenge is to start to get this message out to the wider professions. Stigma is a difficult thing to tackle, but the good news is that changing our minds is within the power of every individual to do." 

Following the launch the ‘&me’ campaign is now encouraging other senior health professionals to step forward and talk about their own experiences with mental ill-health, especially as both medical doctors and veterinary surgeons have higher suicide rates than the general population but often have more reluctance to seek help because of the impact it may have on their career.

The campaign is interested in hearing from not only doctors and veterinary surgeons but also nurses, veterinary nurses, dentists, pharmacists and other healthcare professionals who want to open up about their experiences of mental ill-health. To participate in the campaign email Dr Louise Freeman on vicechair@dsn.org.uk.

Further information about the ‘&me’ campaign can be found at www.vetmindmatters.org/&me

Success in Veterinary Practice by Dr. Bradley Viner DProf BVetMed MSc(VetGP) MRCVS is now available from Wiley Blackwell at £28.99. Teeside general practitioner Rob Reid BVM&S MRCVS has reviewed the book for members of VetSurgeon.org:

There are many self-help books available in a variety of fields, covering topics which range from stress management and emotional control through to furthering one's career and professional development. Until now, there has been no such publication that has covered these issues in the veterinary context, and it is here that Bradley Viner has identified a niche in the market with his new book Success in Veterinary Practice.

The aim of book is to help veterinary practitioners of all levels to develop and nurture their professional skills, both on a personal and at a practice level. The book will be of interest to vets in all fields and contains a lot of information that will be particularly relevant to vets who are embarking on the Professional Key Skills Module of the RCVS CertAVP. It may also be of interest to other members of the veterinary practice team and is also marketed at individuals who are considering a career in the veterinary field.

The book is organised into nine chapters, with the first eight providing content matter on areas such as personal development, communication techniques, improving clinical performance and developing leadership skills, with the final chapter summarising the information presented. The first eight chapters are structured in such as way that information is presented in a digestible format. The material is detailed enough to provide understanding without being overburdening and the summary and exercise sections presented at the end of each chapter help the reader to review what they have read and pick out the key ideas.

There were many areas of the book I found interesting and I liked the way that the author has looked at the psychological and sociological aspects of one's actions, both in relation to colleagues in the workplace and in relation to dealing with clients. From a personal point of view, I also liked the section on communication skills - an area which probably doesn't receive enough coverage in both undergraduate and postgraduate education.

On the negative side, there are some minor typographical errors and I feel some of the diagrams could have been better produced. The pure academics among us may also be somewhat critical about the author's stance towards the relevance of some aspects of clinical research. And of course some people may be put off by the price, with the truly cynical among us possibly seeing the close relevance of the content to the syllabus of the CertAVP 'A' module as a cunning marketing ploy!

As a general practitioner, however, I found the book to be informative and thought-provoking. I have found it has encouraged me to take a look at certain aspects of my work which I have almost done instinctively in the past, analyse my reasons for doing them and then look at how I can improve on these in the future, for the good of patients, my clients, the rest of the working team and of course for myself. It is certainly an interesting read, and I would recommend it to be of value to any vet who sees the term 'professional development' to mean far more than a simple sharpening of one's clinical skills.

RCVS President, Dr Jerry Davies, has committed to prioritise the establishment of a new Audit and Risk Committee, following publication of the recommendations of a report into two overspends at the College.

Earlier this year, outgoing President Peter Jinman had announced that a review would be carried out into the circumstances that led to higher-than-expected expenditure on the College's new database and building development works in the Lower Ground Floor at Belgravia House.

The RCVS Officer team asked Professor Bill McKelvey - a member of the College's Governance Review Group - and two of the College's Privy Council-appointed Council members to look at all aspects that related to its budgeting and expenditure process of those projects, and propose lessons that should be learned.

Dr Davies said: "That such a review was required is regretted, but I would like to thank Professor McKelvey, Richard Davis and Judith Webb for their diligence in this work. Their recommendations will be a very helpful addition to the work that is currently underway to ensure corporate governance is fit for purpose and, in particular, that the management of capital projects within the College is optimised."

The full Overspend Report (one sentence was redacted on legal advice) was considered by Council at its meeting on 3 November. Council agreed that the recommendations should be made public. The College is currently seeking further legal advice on whether it is proper for the report to be made available under the Freedom of Information Act.

Dr Davies added: "The recommendations of the report are under consideration by a group of five past Presidents, together with Richard Davis and Judith Webb as lay members of Council, under the Chairmanship of Peter Jinman, and their proposals will be considered by Council in due course.

"The recommendation that an Audit and Risk Committee be set up will be prioritised, as this was highlighted as an imperative. Other related activities, such as the development of a protocol for the management of major projects, had already been put in place by Officers prior to the overspend review."

Regarding the two projects at the heart of the report, the College says building work in the Lower Ground Floor at Belgravia House has been complete for some time and the new rooms and their facilities are being used, particularly when Disciplinary Committee hearings render much of the rest of the building out of bounds. The new data management system is also in use and an external consultant is currently looking at the work that has been carried out so far, and will make recommendations for the future.

"Meanwhile, although there are many lessons to be learned from the report, it's business as usual in terms of bringing to a conclusion many of our important ongoing initiatives, such as the introduction of the new Code of Professional Conduct, the consultations on the recommendations of the Specialisation Working Party and a draft Performance Protocol, and, of course, the ongoing work of the Disciplinary and Preliminary Investigation Committees," said Dr Davies.

The recommendations of the report, which were adopted by Council, can be downloaded from www.rcvs.org.uk/McKelvey.