This unedited clip (apart from titles) is from the evidence session on NHS Targets given to the Health and Sport Committee of the Scottish Parliament on 9 January 2018.
I share the view of the Chief Medical Officer, Dr Catherine Calderwood that we need to be balanced in how much we measure. As has been said before, not all that counts is countable, and not all that is countable counts.
In this unedited clip the Director of Health and Social Care Integration, Geoff Huggins (Scottish Government) seamlessly continues on from Dr Calderwood. The narrative that Mr Huggins gives on the Scottish Government’s Dementia Target is misleading. Mr Huggins blames General Practitioners for not supporting the Dementia Diagnosis target. Mr Huggins cites only benefits of the Target and seems to continue to demonstrate “willful blindness” of any harms. It thus worries me very much that Mr Huggins has been tasked in taking forward the next stage of Sir Harry Burns Review on Targets.
Mr Huggins unequivocally states that patients and carers voices were heard. But the truth was that the target was given priority and not patients. The Target was financially incentivised at NHS Board level and robustly managed by the Scottish Government. Mr Huggins stated in a Parliamentary hearing that if senior clinicians or managers did not comply with HEAT Target 4 on Dementia Diagnosis that the [Scottish Government] was not adverse to taking them “behind the bike shed” and that the [Scottish Government] “was quite careful to take out saboteurs”. This is not ethical behaviour and is surely the antithesis of patient-centred medicine.
Mr Huggins evidence is explored in this film: How to improve dementia diagnosis rates in the UK:
It is worth reading my account of Scotland’s Approach to Dementia Diagnosis.
The Scottish Government has a track record of re-writing history on the National Strategies for Dementia.