RCVS Council has approved a trial protocol which will allow the College to launch private prosecutions against unqualified individuals breaching the Veterinary Surgeons Act from April 2023.

Under the protocol trial, the RCVS can launch private prosecutions against unqualified people practising veterinary surgery or using the title 'veterinary surgeon'.

The College says that where breaches of the Veterinary Surgeons Act cross over to other criminal offences, for example, fraud by false representation, they will be more properly dealt with by the relevant police force.

Local authority trading standards agencies will also deal with issues around, for example, misleading courses that purport to lead to registration with the RCVS but do not; concerns about dog grooming businesses and concerns about dog breeding establishments (other than where there is illegal practice of veterinary surgery by unqualified persons).

Eleanor Ferguson, RCVS Registrar and Director of Legal Services, said: “This protocol recognises that there are constraints on the time, resourcing, and budgets of both the police and public prosecutors which means that the pursuit of these breaches of the Veterinary Surgeons Act, both of which carry minor criminal penalties, is not necessarily a priority.

“While we are always willing to work with the police and other agencies to pursue such breaches, the protocol details how we can act independently where appropriate and ensure we are fulfilling our stated ambition to safeguard the interests of the public and animals, as well as the reputation of the professions, by ensuring that only those registered with us can carry out acts of veterinary surgery.

“We would like to manage expectations around this trial period as we will only be launching private prosecutions where they meet the criminal evidential standards of ‘beyond a reasonable doubt’ and it is judged to be in the public interest to do so.

"We will also be relying on members of the professions and the public to report breaches and provide sufficient evidence to us, as we have no statutory investigatory powers.”

The trial period will last for one year and the College has set aside £50,000 to pursue private prosecutions.

The trial will be overseen by the Disciplinary Committee/ Preliminary Investigation Committee Liaison Committee while decisions on whether to pursue private prosecutions will lie with the Registrar/ Director of Legal Services.

Suspected breaches of the Veterinary Surgeons Act can be reported to the RCVS Professional Conduct Department on breachvsa@rcvs.org.uk.

The British Veterinary Association is urging veterinary teams to take extra precautions when handling suspected cases of Brucella canis in all imported dogs and puppies after the first confirmed dog-to-human case of Brucella canis in the UK.

The BVA is also calling on Government to tighten pet import rules.

The advice follows news about a positive Brucella canis test in a rescue dog imported from Belarus in March this year.

The woman fostering the dog was hospitalised after coming into close contact with it, in the UK’s first confirmed dog-to-human transmission.

The foster animal and four pet dogs who were exposed to the disease, three of whom also tested positive, all had to be euthanised.

Data released by the Government shows a steep rise in confirmed Brucella canis cases since the start of 2020, rising from just three before that year to 107 till July this year.

The dogs were all either imported, had returned from holiday overseas, or been bred with an imported dog.

BVA is asking veterinary teams to:

• Use appropriate PPE when handling suspected cases in all imported dogs.
• Submit samples to laboratories for testing.
• Flag risks of Brucella canis and other non-endemic diseases to clients considering importing a dog from or travelling with a dog to another country where the disease is endemic
• Encourage compliance with import best practice in conversations with clients and rescue charities who are planning to bring in a dog from abroad.

British Veterinary Association President Justine Shotton said: “This recent case of Brucella canis in a foster dog is extremely tragic and highlights why vets have long raised concerns over the real and serious risks of importing ‘Trojan’ rescue dogs with unknown health histories into the UK.

“We know there is an added public health risk too, including for veterinary teams who treat and handle these animals, from contact with an infected dog’s contaminated body tissues and fluids.

"BVA continues to call on the Government to take urgent action to introduce stricter pet import measures, including mandatory pre-import testing, so we can minimise the spread of Brucella canis and other emerging diseases.

"We are also calling for the strengthening of enforcement provisions and checks on dogs brought into the country through the commercial route."

The 2021 B. canis risk view and statement by Public Health England (now UK Health Security Agency) contains vital information and recommendations for veterinary professionals: here:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/960013/20210210_Brucella_canis_statement.pdf 

BVA’s recommendations on tightening pet travel legislation: https://www.bva.co.uk/uploadedFiles/Content/News,_campaigns_and_policies/Policies/Companion_animals/BVA%20Position%20on%20Pet%20Travel%20Full.pdf 

Ceva Animal Health has extended its Meloxidyl dogs and cats’ range with the launch of a new 5ml Meloxidyl oral suspension for cats.

The company says the new bottle size will provide more prescription options for veterinary practices currently stocking 15ml bottles and is a perfect post-surgery size to send patients home with. The bottles are also clear brown in colour; designed to make it easier for cat owners to see how much liquid is left in each bottle.

Meloxidyl oral suspension for cats contains meloxicam for the alleviation of pain and inflammation. It is licensed for the treatment of musculo-skeletal disorders and the alleviation of post-operative pain.

Rob McLintock, business unit manager at Ceva Animal Health said: "The new 5ml Meloxidyl oral suspension for cats’ bottle will provide veterinary practices with more prescription options for the management and alleviation of pain and inflammation in cats."

To support the launch of the new 5ml Meloxidyl presentation, Ceva is running a competition to win one of five BSAVA Manuals of Anaesthesia and Analgesia by answering one question: ‘How many millilitres are in the new Meloxidyl cat bottle’? 

To enter the competition, email analgesics-group@ceva.com. Include ‘Meloxidyl competition’ in the subject line and contact details and the answer to the question in the main body of the email.

For further information on Ceva’s analgesic product range, contact your local Ceva territory manager, email analgesics-group@ceva.com or call 01494 781510.

nutravet has launched nutraren, a new product designed to support healthy renal function in cats and dogs.

The new product contains a combination of Omega-3s, toxin binders and antioxidants which the company claims flush out toxins, aid blood flow to the kidneys and maintain kidney architecture.

Matthew Shaw, Managing Director of nutravet said: "We’re really excited to launch nutraren, it’s a product our team have been working on for some time to make sure we have developed the best renal product for vets to recommend to their clients. 

"Using independent trial data, we’ve been able to develop a unique formulation for nutraren containing 100% natural ingredients to benefit a pet’s long-term kidney health."

Authorised veterinary practices can now order nutraren from nutravet.

For more information, contact nutravet on 0845 604 1688, visit: www.nutravet.co.uk or email: info@nutravet.co.uk.

The RCVS Disciplinary Committee has decided to postpone its decision on the sanction for a Dyfed-based veterinary surgeon convicted of drink-driving for a second time, this time for a further twelve months.

Lynn Jo Ann Davies MRCVS first appeared before the Committee in January 2018 to face a number of charges related to two drink-driving offences, breaching the terms of her undertakings to the College as part of its Health Protocol, and being under the influence of alcohol on three occasions while she was on duty as a veterinary surgeon in December 2016. 

Dr Davies admitted all five charges against her and admitted 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.

At its first hearing the Committee having considered both aggravating and mitigating circumstances decided to postpone the hearing for six months on the basis of Dr Davies’ entering into a new set of undertakings, including one not to practise veterinary surgery and to remain abstinent from alcohol during the period of postponement.

At the second hearing, in July 2018, the Disciplinary Committee resumed its sanction inquiry decision. Dr Davies’ Counsel submitted on her behalf that Dr Davies wished to return to practise and the Committee reviewed her witness statements, documentary proof and medical records that she provided to demonstrate she had complied with the her undertakings given at the last hearing. 

Stuart Drummond, Chairing the Committee and speaking on its behalf, said: "Having had the opportunity to see and hear from the respondent when she gave evidence and when she answered the questions put to her, the view formed of her current state of health was favourable. All members of the Committee considered that the account she gave of herself in the witness box was confident and they were reassured by her evidence as to how she now sets about managing her levels of stress and how she reacted to stressful incidents.

"Such concerns as the Committee had about her return to practice concerned her ability to receive support from a third party who would act as a mentor…the Committee therefore requires the Respondent to identify, within a period of one month of today’s date, a veterinary surgeon who would agree to act as her mentor. That mentor would have to be a veterinary surgeon acceptable to the College as someone suitable to act in that capacity and that mentor would have to be approved before the Respondent could resume practice.

"A further requirement of the Committee would be that the Respondent should make a disclosure to any new employer of the fact of her appearances before this Committee in January 2018 and in July 2018 and of the decisions of the Committee in relation to both such hearings. The final requirement of the Committee in this respect is that the respondent should not accept a 'sole charge position' at any time during her employment during this next period of postponement of sanction."

The Committee directed that the hearing be postponed for a further 12 months.

The British Veterinary Association (BVA) has launched its new ‘Good Practice Guide to Handling Veterinary Waste’ consisting of a poster and web advice. 

Produced in association with the BSAVA and Goat Veterinary Society, and supported by The Environment Agency, the poster, alongside further detailed information on the BVA website, provides practical step-by-step guidance designed to assist veterinary surgeons comply with waste regulations in England and Wales.

BVA President Nick Blayney commended the guide to practices, pointing out that “All businesses have a duty of care to ensure that all waste is stored and disposed of responsibly, that it is only handled or dealt with by those authorised to do so and that appropriate records are kept of all waste that is transferred or received. Under the Hazardous Waste Regulations, all veterinary facilities that produce more than 200 kg of hazardous waste per annum need to register and we realised that this was an area where guidance was needed.” 

While the production of the guidance had proved to be “a decidedly complicated and time-consuming exercise, we are” said Mr Blayney “absolutely delighted with the outcome and believe that it will make life considerably easier for the profession.”

With definitions of hazardous, including clinical, waste and non-hazardous waste illustrated simply and clearly, coupled with information on registering of premises, maintaining a waste register and the use of consignment notes the BVA is confident that the guide will prove indispensable.

IVC Evidensia has launched a new tier of its Pet Health Club which includes unlimited preventative consultations and 24/7 online access to a vet.

IVC's existing Pet Health Club includes vaccinations, flea and worm treatments, microchipping, health checks and a variety of discounts.

IVC says the new tier, Pet Health Club Plus, has been introduced to encourage owners to bring their pet in early, meaning problems can be diagnosed more quickly and therefore improve the welfare outcome of the pet.

It is also designed to support owners by spreading the cost of their pet’s healthcare.

25,000 pet owners have already joined Pet Health Club Plus, which costs £27.99 for cats and £29.99 for dogs, and it is now being pushed with a national TV advertising campaign which will run till the end of the year.

VetSurgeon.org member Julian Earl MRCVS has published 'Cows in Trees', a warm and witty memoir of his life as a veterinary surgeon.

Having been told at school that he'd never cut it as a veterinary surgeon, Julian qualified from Liverpool in 1981. He became a partner at Banovallum Vets in Horncastle in 1989 and later the sole owner. Along the way, he also gained AP status in Sheep and Animal Welfare and served as President of the Sheep Veterinary Society and the Lincolnshire Veterinary Association. Oh, and in 1991, he was part of a team that set a world record relay time cycling from Land's End to John O'Groats, raising £8,500 in the process.

Then, in 2012, everything changed. Julian had a cycling accident during a road race in Lincolnshire. He fractured his skull and suffered multiple brain haemorrhages, broken ribs, a fractured shoulder and a punctured lung. Doctors told his wife he'd be unlikely to survive.

But survive he did, and with his injuries precluding a return to practice, he's reinvented himself as an author and approved para-cyclist. 

His book is a collection of light-hearted anecdotes and memories from his life in practice, with practical advice about what to try and avoid when working as a veterinary surgeon. 

And yes, he was once called out to attend a cow stuck in a tree!

You can buy the book on Amazon in hardcover for £12.95, here: http://www.amazon.co.uk/Julian-Earl/e/B01EVCT67K/ref=sr_ntt_srch_lnk_1?qid=1461874827&sr=1-1

A survey commissioned by the RCVS has found that a significant number of pet owners think veterinary surgeons offer poor or very poor value for money, suggesting more work needs to be done to communicate the value of veterinary services.

The survey was conducted by Mo Gannon & Associates, which asked 2,000 UK adults about their satisfaction with the service they and their animals received from veterinary surgeons, levels of trust in the profession, and whether the service provided by vets represents value for money.

32% of the respondents felt that veterinary surgeons represented excellent (8%) or good (24%) value for money. 38% thought that veterinary fees are fair. However, 29% thought that veterinary surgeons and their services provided poor (21%) or very poor (8%) value for money. The results were very similar to the last time the survey was conducted, in 2015.

Nevertheless, veterinary surgeons continue to enjoy very high levels of trust amongst the public. 94% said they either completely trust (34%) or generally trust (60%) vets. This put veterinary surgeons in third place amongst the most trusted professions, below opticians and pharmacists but above GPs and and dentists. 

Satisfaction with the profession was also high. 80% said they were either very satisfied (39%) or satisfied (41%), putting vets in fourth place below opticians, pharmacists and dentists, but above general practitioners and accountants.

RCVS President Dr Niall Connell, pictured right (would you trust this man?) said: "These results clearly demonstrate that there is a great deal of good will towards the veterinary profession and the work they do in treating the nation’s animals and serving their communities. The basis of all good relationships is trust, and it is fantastic to see that our clients continue overwhelmingly to trust our knowledge and expertise and remain very happy with the service we provide them.

"The picture on value for money is clearly a bit more mixed, although clearly 70% of the respondents recognise that we at least charge fair fees in terms of our time and expertise. There is, of course, always more work that we can do in order to help the public understand veterinary costs and fees and promote the value of veterinary care, as demonstrated by last year’s joint Pets Need Vets social media campaign with BVA, in which we highlighted the benefits to pet owners of being registered with a vet."

The BSAVA has shared 18 ways veterinary surgeons can manage time more effectively.

The tips, put together by Tessa Plagis (communication advisor at St. Anna Advies), Alan Robinson (director of VetDynamics) and Rebecca Robinson (coach at VetDynamics and senior clinician in veterinary anaesthesia at the AHT), are being shared to set the scene for Congress 2023, where international experts will be exploring how time management at organisational, systems, teams and an individual levels can lead to drastic improvements in performance, job satisfaction and wellbeing.

The Association points to the demands on the profession caused by the fact that veterinary professionals have been saying 'yes' to everything for years: yes to more clients, more patients and more overtime.

This, says BSAVA, is taking its toll: experienced practitioners and recent graduates are leaving the profession, and many more are suffering mental and physical health issues associated with sustained high stress.

Tessa Plagis, communication advisor at St. Anna Advies, said: “We are at a tipping point and can’t keep doing what we’ve always done. If we want sustainable veterinary businesses going forward we need to change the structure of how we work.”

Tessa says the issues are both organisational and individual: “Many veterinary professionals struggle to give boundaries.

"We are people pleasers and tend to say ‘yes’, even if that means compromising other important aspects of lives, such as family.

"This set against a background of too few vets, which means that there’s nobody to help us out when there’s too much to-do.”

To find out more about time management, book your ticket for BSAVA Congress at: https://www.bsavaevents.com/bsavacongress2023/en/page/home, and in the meantime, here are Tessa, Alan and Rebecca's time management tips. 

Tessa's tips

• Measure what’s happening now. Double appointments, vets running over, late closing time; pinpoint the problem and get insight into its scale by analysing the current situation.
• Measure how long it takes to do routine procedures from start to finish. Is everyone sticking to their roles and fulling utilising their expertise?
• Keep to time in consults by prioritising and not always doing those extras. When a client comes in for a vaccine but also wants you clip claws, empty anal glands and look at a lump, assess which is urgent and what needs to be dealt with in a second appointment. This does need to be a team-wide approach, otherwise you tend to hear ‘but the other vet will do it.’
• Cluster appointments.  For example, have a morning of cat spays rather than bouncing from a dental to a castration to a spay.  It’s more efficient and has the advantage of giving you, and the nursing team, comparable outcomes to monitor, making anomalies easier to spot.
• Learn to say ‘no’. Focus on what is possible, rather than what’s not.  Instead of ‘we’re fully booked today, the next appointment is tomorrow,’ try ‘the next available appointment is tomorrow.’ Don’t rearrange your schedule to fit theirs.  It’s doesn’t work in the long term.
• Introduce firebreaks. A good technique that stems from human medicine accounts for emergencies. Another tip, which requires a team-wide approach.
• Make clients aware of the length of appointments. ‘We’ve booked you in for a 15min appointment at 4pm on Thursday,’ for example.  It sets expectations at the start.

Alan's tips

• Simplify the jobs and their outcomes. In consults, outsource non-clinical elements, to other internal teams. Vets are compassionate and will take on the responsibility for the management of emotions when they don’t have too and without due regard for their own needs.  Compliance is another area which doesn’t necessarily need to fall to the vet.  Multi-functional teams can support and assist, offering an ‘ecosystem of care’.  The financial side of consults can be moved outside of the clinical sphere through pet clubs, insurance and full subscription models.
• Develop efficient systems. Draw from other businesses, lean, six sigma and business design reengineering processes are efficient and proven.  Do things you have to do well, delegate, outsource or automate other elements. Simply stop doing those things you don’t need to do.
• Consider reducing the number of active clients per vet.  We’ve found the optimum is between 500-700.  It means more time with fewer people. While it is hard to say no to the ever-increasing demand, there are ways to develop a strong client base. Healthy pet clubs ensures you’ve clients who are engaged in preventative care and are committed to the well-being of their animals, for example.
  “There’s a lot of work happening in the realm of mental health at the moment,” notes Alan. “But we’re treating stress as an individual problem not an organisational or system one.”

Rebecca's tips

• Set long-term goals for you and your business. One important aspect of effective time management is knowing that you’re achieving the right things.
• Invest in your team. By building a team and using it in a constructive way, I’ve found it’s helped my own time management.  I’ve gone from trying to organise me and my time to realising that by helping others, I can improve my own work life.
• Prioritise your own tasks. By prioritising what I need to do, I can help my team feel more valued and motivated to prioritise what they need to do.  It means we end up with a more productive team.
• Try not to get embroiled into the other’s to-dos. While they might be both important and urgent, it doesn’t necessarily mean that you have to action them. Helping them to do it themselves has made a massive difference to them and me.
• Set SMART goals and boundaries for achieving them. Make sure everybody knows the outcome that you are working towards.  It prevents people from going off in a completely different direction to the one you’re expecting.
• Don’t rely on your head to remember everything. It’s too busy, so write it down. Likewise, draft your case notes at the time of the consultation.
• If it takes less than 2 minutes, just do it. Don’t try and remember the to-do all day, it requires a lot of energy and means you’ll be actioning it when you’re already feeling exhausted.  
• Take time for a little self-care. Rather than trying to keep going until you grind to a halt, make a little time for yourself.  You’ll be more productive overall.

Abbott Animal Health is launching GLUture Topical Tissue Adhesive this month.

Abbott says GLUture is an Octyl/Butyl cyanoacrylate blend that creates a strong and flexible bond that contours to the wound site. GLUture applies purple for visibility and dries clear for a neat cosmetic appearance. Offered in an economical multi-use package with 10 applicators, GLUture's viscosity and applicator design enable flow-controlled application. GLUture topical tissue adhesive offers a flexible seal, quick application and a strong bond.

For more information, ring Abbott on 01628 644354, or visit: www.abbottanimalhealth.com  

Merial Animal Health has launched Allevinix, a flunixin-based non-steroidal anti-inflammatory (NSAID) pain killer for cattle, pigs and horses.

Victoria Hudson, Product Manager for Merial Animal Health said: "We have positioned Allevinix as the flexible flunixin that meets your needs, because it offers flexibility in every area.

"It is the only flunixin licensed for both intramuscular and intravenous administration in cattle and we know that this will be very welcome for many vets and farmers. It can be used across cattle, pigs and horses, and it is the first injectable NSAID to come in a durable, non-breakable bottle."

Merial says Allevinix is fast-acting against inflammation, pain and fever, reaching peak plasma levels approximately 30 minutes after injection. It is available in 100ml and 250ml PET bottles and joins Ketofen as part of a range of NSAIDs available from Merial. It can also be used in conjunction with Merial's antimicrobial treatment for calf pneumonia - Zactran.

Victoria added: "We believe that vets will find this is a useful and innovative addition to the range of options that they have in terms of NSAIDs. Allevinix has a number of advantages over other flunixin products currently on the market."

Xperior Farm Health, one of the bidders for the government contracts to provide TB testing, has announced that it mounted a legal challenge to the procurement process, but has now withdrawn that challenge in the face of the 'aggressive' timeframe in which Defra demanded that it submit its case.

Xperior says it was made aware last month that all five Delivery Partner contracts would be awarded to members of the same veterinary group (XL Vets), which it felt would both compromise competition and make Defra overly reliant on one service provider.

In addition, Xperior said it believed the successful bids were unfeasibly low, which presents a potentially devastating threat to the viability of many rural vet practices and a seriously reduced quality of TB testing service to farmers.

Xperior says it initially notified a formal query to the Animal and Plant Health Agency (APHA - the executive agency of Defra responsible for awarding the contracts) during the pre-announcement consultation period, and believes other bidders may have done likewise. The query was dismissed, as a result of which the company issued legal proceedings.

Xperior's Veterinary Director, Phil Elkins said: "We are concerned that proposed payment rates for TB testing are considerably lower than those proposed by other bidders, and at a level which questions the viability of practices continuing to provide TB testing services to their clients.

"The consequence would be either unfairly low payment rates for official veterinarians (OVs) who conduct TB testing, or an influx of inexperienced vets, potentially from other countries, into low paid positions. The loss of TB testing income would also challenge the viability of some rural veterinary businesses and the relationships held with their clients.

"Either way, this is contrary to a key tenet in the pre-tender documentation that Delivery Partners are expected to maintain a flow of TB testing work and revenue to contribute to the capability of the veterinary profession in rural areas to support food security and the rural economy."

Meanwhile, an APHA spokesperson said they were limited in how much they could say before the formal announcement of the award, except that: “APHA is confident in the robustness of the procurement process and that the selected bidders are the best candidates to deliver this vital service in the most effective way.”

VetSurgeon.org understands that now the legal challenge has been dropped, an official announcement of the winner will likely be made within days. However, it also seems likely that the payment rates for OVs will remain confidential even after the announcement of the award, so it may be some time before the prospects for OVs become clear.