The RCVS Disciplinary Committee has dismissed a charge against Nicholas Robert William Horniman MRCVS, a veterinary surgeon from Cinderford, Gloucestershire, that alleged he was guilty of pet insurance fraud, along with one of his clients, and of dishonestly altering clinical records.

The charge was that, between December 1 2008 and June 30 2014, in relation to Cassy, a Labrador retriever belonging to Jayne Bowkett, Mr Horniman:

• suggested to Mrs Bowkett that she take out an insurance policy for the dog using owner's details that were different from those used for its current insurance policy;
• dishonestly arranged for or allowed practice records for the dog in the name of Bowkett to be discontinued and separate records to be started in the name Griffiths;
• and, dishonestly maintained practice records for the dog as if she were different from the one for which previous practice records had been maintained.

The Committee heard that Cassy, who had previously been diagnosed with hip dysplasia, had been registered with Pets Barn Veterinary Group in Gloucestershire in May 2008 when Mr Horniman was the Principal and owner of the three-practice group. Cassy was treated at the Cinderford branch of the practice where she received regular prescriptions for her condition.

At some point in 2008/2009, Mrs Bowkett had relayed concerns to Mr Horniman that her current pet insurance policy needed to be renewed, that the renewed policy would not cover Cassy's existing hip problems and that she would be unable to pay for any future operations herself. It was alleged that, in response to Mrs Bowkett's concerns, Mr Horniman told her that they could take Cassy off the practice computer and put her back on under a different insurance policy in a different name.

Mrs Bowkett took out a policy with Petplan, beginning on 13 August 2009, using her father's details instead of her own. It was alleged that Mr Horniman then arranged for new practice records to be set up in the name 'Cassy Griffiths'. These new records were first used substantively in May 2010 when Cassy returned to the practice with hip problems, following which two separate records were maintained for the dog under 'Cassy Bowkett' and 'Cassy Griffiths'.

In August 2010 Dariusz Drozdz MRCVS, a vet who had treated Cassy several times, had been told by Mrs Bowkett that the dog had two separate records. He told the Disciplinary Committee that he queried this with Mr Horniman who suggested that it was a mistake and that they 'RIP' the name Cassy Bowkett. Mr Drozdz disagreed on this course of action but was told by Mr Horniman to 'leave it to me' and the records were then changed to say that Cassy Bowkett had died.

Mrs Bowkett alleged that, at some point in 2011, Mr Horniman explained to her that it would no longer be possible to claim for treatment for Cassy's hip dysplasia under the Petplan policy in her father's name. However, the policy remained active, and was transferred into Mrs Bowkett's name upon her father's death.

In July 2011 Cassy Griffiths was seen by Jennifer Jones MRCVS, a part-time locum vet at the Cinderford practice, who told the Committee that she was puzzled about why there were very few clinical records relating to the animal. A receptionist explained to her that there were two sets of records for the same dog and that Mr Horniman had instructed her to mark the original pet as having been euthanased and close its records and create a second new record for the dog. Ms Jones tendered her resignation shortly afterwards citing concerns that a pet had been 'reincarnated to ensure continued income from insurance claims'. In November 2011 Ms Jones submitted a formal complaint to the RCVS.

During the course of the hearing the Committee heard evidence from Mrs Bowkett, Mr Drozdz and Ms Jones, amongst others.

In giving evidence Mrs Bowkett admitted that she had knowingly engaged in fraud but maintained that at all times she had acted with the knowledge and on the advice of Mr Horniman. However, the Committee found that she was unable to remember any relevant material dates and was unclear about the chronology of events. It was suggested on several occasions that she was lying to the Committee, which she denied. However, the Committee believed that she took no responsibility for her own fraudulent actions but merely blamed Mr Horniman and that she had a strong motive to engage in the insurance fraud.

In regards to the evidence given by Mr Drozdz the Committee noted that he did not record his suspicions of possible fraud, that he continued to treat Cassy Griffiths after he raised his concerns, and that he appeared to have accepted Mr Horniman's assurance that he had dealt with the issue.

The Committee found that Ms Jones was correct in her suspicions that there was only one dog. However, it felt she offered no evidence to support her suspicion that this was part of Mr Horniman's 'scheme to maximise income for the practice' as she alleged in her witness statement.

The Committee also heard oral evidence from and on behalf of Mr Horniman who categorically denied suggesting to Mrs Bowkett that she commit insurance fraud and attempting to cover this up through the maintenance of two separate records. He maintained that it was not until Ms Jones voiced her concerns that he realised that Cassy Bowkett and Cassy Griffiths were the same dog.

The Committee voiced a number of concerns about Mr Horniman's actions and behaviour and, at times, found his evidence to be unsatisfactory. For example, the Committee found it difficult to understand why 'alarm bells' did not ring that he was dealing with only one dog when he prescribed medication for two almost identical dogs in May 2010 when only one was presented for examination. It also queried why, when he became aware that the insurance policy for Cassy Griffiths was fraudulent, practice records were not updated and no attempt was made to contact Petplan to inform them of this, as is clearly advised by the RCVS Code of Professional Conduct.

Furthermore, the Committee was concerned that, in his correspondence with the RCVS, he was less than transparent, candid and honest. The Committee considered this to be unacceptable behaviour from a professional in dealings with investigations undertaken by the regulatory body.

In making its judgment, the Committee had to make a decision on whose account it felt to be more reliable in regards to the first element of the charge.

Noreen Burrows, chairing the Committee and speaking on its behalf, said: "In coming to its conclusion ... the Committee is faced with conflicting evidence from Mrs Bowkett, who is an admitted fraudster, admits to acting dishonestly and to lying to Petplan. This is in contrast to the evidence from the Respondent, who is of good character, had an unblemished personal record over 23 years and is supported by impressive character references."

The Committee found the evidence of Mrs Bowkett to be "vague, lacking in clarity and inconsistent with the facts" and therefore rejected her evidence concerning the first element of the charge. In regards to the second element of the charge, the Committee was not satisfied that Mr Horniman had arranged for or allowed the records to be changed as was alleged. In regards to the third element it found that, since it had already rejected the charge that Mr Horniman suggested to Mrs Bowkett that she embark upon insurance fraud, it was unlikely that Mr Horniman would have acted dishonestly in the manner alleged.

Noreen Burrows added: "In the light of the above findings, all charges against the Respondent are dismissed."

The British Equine Veterinary Association (BEVA) has issued guidelines to help vets employ overseas veterinary graduates successfully.

BEVA says that whilst employers should not discriminate based on nationality, language or place of graduation, it believes they have a duty to ensure all employees have the required level of linguistic and clinical skills to enable them to undertake their role safely and effectively.

The advice explains how to interpret English Language Qualification test results, highlights European Veterinary Schools that have not been approved by European Association of Establishments of Veterinary Education (EAEVE) and reminds employers that compulsory Extra Mural Studies (EMS) is unique to veterinary schools in the UK and Ireland.

Each year many foreign veterinary graduates register to work in the UK. By providing this advice BEVA hopes that employers will find it easier to navigate the differences between graduates from various veterinary schools across Europe, to uphold the reputation of the profession.

Mark Bowen, President Elect of BEVA, said: "At a time when politicians are debating language skills amongst medical graduates, it is useful to remind employers of the complex language skills required to provide the public with the service they expect. This guidance should assist employers in identifying the skilled workforce they need, while navigating the complexities of different English Language Qualifications and different veterinary qualifications."

Tim Greet, former BEVA President and a candidate for RCVS Council, said: "Whilst not condoning any discrimination based upon nationality, it seems only common sense to make sure that a new employee, from whatever background, can cope with the necessary level of communication, so fundamental in modern veterinary practice. A certain level of practical skill should also be expected to avoid compromise to patient welfare and to underpin continued professional development."

The Veterinary Schools Council is supportive of the guidelines. A spokesperson for the Council said: "It is a valuable document that should be helpful to any employer who is considering recruitment of a veterinarian from the EU."

For further information and to download a copy of the document visit www.beva.org.uk

Wiley has announced the joint online publication of a special issue of 22 ophthalmology papers from Equine Veterinary Journal, Equine Veterinary Education and Veterinary Ophthalmology.

Clinical equine ophthalmology: The current state of the art brings together papers on some of the most significant advances in equine clinical ophthalmology into a single issue to make them more readily available to a wider audience. The issue contains information of direct relevance to all sectors of the veterinary profession from general practitioners and specialists to researchers, surgeons and students, covering common diseases, surgical procedures and outcomes.

The new publication was devised and compiled by a panel of guest editors comprising Mary Lassaline, member of the Veterinary Ophthalmology Editorial board and Veterinary Ophthalmologist in the Department of Surgical and Radiological Sciences at UC-Davis School of Veterinary Medicine, California, David A. Wilkie, Editor of Veterinary Ophthalmology and Professor at Veterinary Clinical Sciences Comparative Ophthalmology Ohio State University, Tim Mair, Editor of Equine Veterinary Education based at Bell Equine Veterinary Clinic, Kent and Celia M Marr, Editor of Equine Veterinary Journal, based at Rossdales, Newmarket.

Mary Lassaline said: "The goal was to provide broad access to the most current information applicable to every stratum of the equine veterinary profession. Subsequently, a salient feature is that many of the papers included are collaborations between veterinary ophthalmologists with a special interest in horses, equine practitioners with a special interest in ophthalmology, private practitioners and those in academia, and academicians from different institutions."

Subjects covered include seven papers on new approaches to the diagnosis and treatment of ulcerative and non-ulcerative keratitis in the horse. There are three articles on novel approaches to corneal surgery and a further three on corneal neoplasia. Six papers provide valuable data regarding long-term outcomes following surgical intervention for Equine Recurrent Uveitis (ERU), glaucoma, and cataracts.  Finally, three articles present new information regarding retinal and orbital disease.

Professor Celia Marr, Editor of the Equine Veterinary Journal said: "The key purpose of the EVJ is to disseminate information to help the enhancement of specialist knowledge at every level of the veterinary profession. By collating the most important and up-to-date ophthalmology research into one easy resource the new special issue does exactly that."

The ophthalmology special issue is available free online at: http://bit.ly/1bi0RG0

The RCVS reports that the Department for Environment, Food and Rural Affairs (Defra) has now finalised the new microchip regulations for England, which include a provision that dog breeders and other individuals who wish to implant microchips and have no previous approved training, must undergo a compulsory training course.

While veterinary surgeons were exempted from this training, Defra initially envisaged that veterinary nurses would be required to undertake it. In a joint letter, that was followed by negotiations with Defra, the Royal College of Veterinary Surgeons (RCVS), the British Veterinary Association (BVA) and the British Veterinary Nursing Association (BVNA), stressed that registered veterinary nurses are already sufficiently trained to be able to safely implant a microchip, and would be doing so under the direction of a veterinary surgeon.

Defra subsequently has agreed that registered veterinary nurses are already sufficiently qualified to implant microchips, and will therefore be exempt from further training requirements when new legislation comes in for England. Wales and Scotland are currently considering the details of implementation.

The Royal College says it is also aware of new Defra microchipping guidelines for England which make it compulsory to report adverse reactions (including migration from the site of implantation) or the failure of a microchip. Gordon Hockey, RCVS Registrar, said: "There is some concern in the profession about this requirement, but Defra have said that they would not enforce this regulation via the courts, or seek to impose fines. The RCVS is likely to amend its supporting guidance later this year to clarify that veterinary surgeons should make appropriate reports, similar to reports for adverse reactions to veterinary medicines.  In each case reports can be made online to the Veterinary Medicines Directorate."

To help veterinary surgeons and veterinary nurses, as well as practices, raise awareness of owners' legal obligation to microchip their dogs, the BVA has posters available for all three regions (England, Scotland and Wales) that can be displayed in waiting rooms and surgeries. The posters are available to download from the BVA website: www.bva.co.uk.

BVA President John Blackwell said: "As a founding member of the Microchipping Alliance, which campaigned for compulsory microchipping together with dog welfare organisations, local authorities and others, BVA is delighted with the progress that has been made and it is very good indeed to be less than a year away from mandatory microchipping across the UK.

"But this is where the work begins for veterinary surgeons and nurses. We need to work hard to make owners aware of the new law throughout this year, with animals microchipped as far in advance of the deadline as possible.

"We also need to ensure that microchipping does the job it is intended to do. This process will be helped very much by not compelling veterinary nurses to undertake additional training when they already undertake minor acts of veterinary surgery that are much more complex procedures than implanting a microchip."

Zoetis has launched a new high precision treatment gun for single-handed low volume subcutaneous injections.

The gun handles medications up to 5ml per treatment. The company says it is designed for use with its long acting moxidectin injectable wormer and clostridial vaccines specifically, but is also suitable to other low dose medications administered subcutaneously

Zoetis vet Dave Armstrong said: "One-handed operation enables quicker treatment, better sheep welfare as a result of eliminating needle bending or breakage, and lower risk of self-injection by the operator."

As an indication of operator risk, Zoetis points to a report from one staff nurse working just 30-hours a week at a West Midlands hospital's A&E department, who dealt with three incidents of wormer self-injection in 2014¹.

Single-handed operation is made possible by a serrated needle guard that creates a skin fold into which the needle penetrates. Mr Armstrong says development of the gun is part of Zoetis's commitment - "as much as necessary, as little as possible" - towards helping farmers strengthen their effective and responsible use of animal medicines. He emphasises that for precision medicines to be exploited fully and responsibly, precision instrumentation is essential.

To accompany the gun, two detailed advisory booklets covering treatment techniques and equipment maintenance have also been published, covering a number of different designs including different volume injectors, pour-on applications and drenching guns. Copies are available free of charge to farmers from POM VPS medicine suppliers.

Reference

1. Anon, April 2015. Personal communication. For authentication, source's identity is available off the record from the author.

Zoetis Business Consulting has announced the launch of Profitsolver, a software tool designed to boost practice profits.

The software has already been rolled out in the US, where Zoetis says that it has delivered an average of £103,000 extra profit to veterinary practices within a year.

Profitsolver uses the practice's actual data - not benchmarks or accepted norms - to enable the practice to manage costs, set prices and gain return on investments. By using an activity-based costing model and using a variety of data such as practice costs, which staff perform which part of the procedure, how long the procedure takes and what equipment and materials are used, Profitsolver calculates the correct pricing to both cover costs and deliver a predetermined profit margin.

Zoetis says that Profitsolver helps practices to understand how the overall practice profit is being generated. For instance, for price sensitive procedures such as vaccination, the practice can match their prices with the competition, but maintain their profit margin by increasing the price for other clinical services.

Nick Steele, national consulting manager at Zoetis said: "Veterinary practices have no standard method for pricing their services and they are often unable to determine which services make money and which don't. This hampers the practice's ability to accurately value the business and, as a result, profit levels tend to be low for many practices. Profitsolver can turn this situation around and already has a very successful track record in the US."

Zoetis piloted the UK version of Profitsolver with John Goulding at St Georges Veterinary Group. He said: "By and large the veterinary profession still relies on the mark-up of medicines where profits are concerned. Even practices that have made a concerted effort to move away from this type of pricing structure are still making their money from the sale of medicines rather than from vets' fees. For years I have wanted to know exactly how to price our services and this new Profitsolver software does just that.

"Most costs have an element of staff time, an element of fixed assets or equipment and an element of disposable items. Profitsolver takes all of these into account, adds the predetermined profit margin and produces an accurate pricing structure for each procedure undertaken within the practice.

"It's important to take the time at the start to put accurate data in from the practice's latest set of accounts and the Zoetis business consultant will guide practices through this to make the initial set up as easy as possible. For instance, for major pieces of equipment such as X-ray machines, you have to work out how many times a year you are likely to use them.

"By using Profitsolver, we worked out that if we do exactly the same amount of work as last year we can increase our bottom line by at least £200,000 for our 18 vet practice. Since last November, when we installed Profitsolver, we have completely changed our pricing structure moving away from focusing on medicines and the size of the animal to rethink how we charge our clinical care.

"An unexpected benefit is that Profitsolver has made me much more confident about the prices we charge to clients as it is all broken down, so we can see exactly how the invoice is made up. I would be at a loss without it now."

For more information about Profitsolver, contact your Zoetis account manager.

The RCVS has launched a new online form to allow veterinary surgeons to change their Register title to 'Dr'.

You can make the change by logging into the 'My Account' area of the RCVS website (www.rcvs.org.uk/login) where you can access the form. Usernames and passwords for the My Account area were sent to all veterinary surgeons in February as part of the annual renewal process.

The College says an email confirmation is sent once the form is completed and changes should take effect immediately in the My Account area. However, it may take up to 24 hours before the title appears on an individual's Register entry.

The use of 'Doctor' as a courtesy title was approved by RCVS Council at its March meeting, following a public consultation which garnered more than 11,000 responses.

Use of the title is optional and veterinary surgeons who choose to use 'Doctor' or 'Dr' should use it in conjunction with their name and either the descriptor 'veterinary surgeon' or the postnominal letters 'MRCVS'. This ensures that they do not mislead the public by suggesting or implying that they hold a human medical qualification or a PhD.

The veterinary recruitment company Gardner Llewelyn has announced that it is to hold Thank A Vet Nurse Day on 28th May 2015.

As the name suggests the company is urging everyone to join them and make a point of thanking a veterinary nurse on the day for all their dedication and hard work.

In the run up, the company is also asking everyone to think about nominating a veterinary nurse who has gone the extra mile for an award. Two winners will each be given an iPad mini.

You can nominate a nurse here: http://www.glvets.com/competition-entry.asp

The National Office of Animal Health (NOAH) has launched 'The Happy Healthy Pets Project', designed to encourage owners to prioritise pet healthcare.

At the heart of the campaign is a new online photography gallery at pethealthinfo.org.uk, where owners and veterinary professionals are being invited to upload pictures of happy healthy pets to help build a resource of images and healthcare advice.

To help ensure a high standard of photography, NOAH has partnered with top wildlife and animal photographer Victoria Hillman to create five top tips to help all participants capture the perfect pet photo:

1. Get on their level
   A great portrait always focuses on the subject’s eyes, so get down to eye level with your pet 
2. Patience is a virtue
   Remember, this is a fun activity. Keeping your pet relaxed and in a natural environment can lead to capturing their best (and funniest!) qualities 
3. Turn on the light
   Good lighting is key, but avoid using flash! Your pet’s eyes are more sensitive than ours and you don’t want to startle them 
4. Play to their strengths
   You know your pet better than anyone else: their quirks, likes and dislikes. Use this intel to get a unique shot that shows off your special bond 
5. Get colourful
   Pics in colour can capture bright green eyes or a little pink nose - just make sure that background colours aren't distracting and allow your pet to stand out

Dawn Howard, Chief Executive of the National Office of Animal Health said: “We’re really looking forward to getting the campaign underway, having seen the fantastic levels of participation in photo-based activity for last year’s ‘I Heart My Pet’ campaign. This year, we’re aiming to taking things one step further by creating the biggest ever gallery of pet portraits in the UK with the help not just of Britain’s pet owners, but also of veterinary professionals and their clients. The campaign is designed to use a simple, fun and familiar mechanic - taking photographs of our pets - to create interesting, engaging content but also to raise awareness of more serious healthcare messages.

“We’re delighted to have partnered with Victoria Hillman so that we can help make sure all pet owners know how to capture the perfect pic and to encourage as many owners and their vets across the UK as possible to get involved. We can’t wait to see the results.”

The Society of Practising Veterinary Surgeons (SPVS) has launched its 2015 Fee Survey, which enables veterinary practices to review their pricing structure and benchmark it against other practices around the country.

Open to both SPVS members and non-members, SPVS is encouraging all practices to complete a questionnaire to give as accurate a picture as possible of the fees charged by veterinary practices nationwide.

SPVS says the questionnaire does not take long to complete and covers everything from vaccinating, microchipping and neutering small animals to calving and routine on-farm fertility work in livestock practices and performing a five stage vetting and dental work in equine practices.

Peter Brown, author of the survey and SPVS Council member said: "The Fee Survey has become the go to resource for benchmarking pricing in the veterinary profession. The variation in individual fees can be marked and the survey allows practices to see that their fees are calculated in a realistic way to reflect their individual costs and overheads as well as local market conditions."

To take part in the survey, visit: http://www.spvs.org.uk/content/fees-survey-questionnaire-2015 or for a printed questionnaire, ring 01926 410454.

A new company supplying pet chews to the veterinary profession has launched this month.

The Soft Chew Company has been set up by Kevin Ingram, owner of the veterinary supplier J.A.K Marketing and Niall McFerran, who has in the past worked for a number of veterinary healthcare companies including Animalcare, Ceva and Alstoe.

Kevin said: "The healthcare supplement market in the UK is worth over £20 million and rising but most customers are asked to use products which were designed for use on humans. The aim of The Soft Chew Company is to provide those health benefits in the form of treats that the dogs and cats will readily accept."

The new company's product range will be branded: "Chewz" and marketed as palatable healthcare supplements in order that they will not be confused with pharmaceutical products. 

The range will initially consist of:

• Dog joint support chews, (available in tubs of 120 and 60 chews)
• Cat joint support chews (in tubs of 60 chews)
• Dog multi-vitamin heart shaped chews (in tubs of 60 chews) 
• Cat bladder support chews (in tubs of 60 chews) 
• Cat hairball relief chews (in tubs of 60 chews). 

The Chewz range can be obtained from all wholesalers or directly from J.A.K Marketing.

For further information contact; info@thesoftchewcompany.co.uk or 01347 293150

Merial is to launch Frontect (fipronil and permethrin), a spot-on solution for dogs with dual action: treatment and prevention of fleas and ticks, and repellency against ticks, sandflies, biting flies and mosquitoes.

According to the company, Frontect kills fleas within an hour for the first week and within six hours for four weeks¹. The repellent (anti-feeding) effect of Frontect prevents parasites from taking a 'blood meal' and as a result, Merial says vets and pet owners can feel confident that they are helping to protect dogs from the vectors of severe canine diseases - including leishmaniosis, dirofilariosis, babesiosis, anaplasmosis, ehrlichiosis and borreliosis - whether travelling within the UK or abroad.

Lynda Maris, Brand Manager for Frontect said: “We are delighted to expand our Merial V-Line vet exclusive parasiticide portfolio with the addition of Frontect. Frontect both kills and repels parasites to provide visible results and help deliver client satisfaction. Frontect is ideal for active, outdoor dogs and travelling dogs at risk of exposure to ticks and vector borne diseases.” 

Frontect is administered topically, on the neck and between the shoulder blades of the dog. It will be available in five different weight ranges to suit all dogs from the beginning of May 2015.

Reference

1. Beugnet F, Sol M, Bouhshira E, Franc M. Sustained speed of kill and repellency of a novel combination of fipronil and permethrin against  Ctenocephalides canis flea infestations in dogs. Parasites and Vectors (2015), 8:52.