Being told you are in the “mortality relegation zone”

This post is based on an Editorial published in the BMJ on 27 September 2017: Identifying frailty in primary care. The full article can be read here.

We are far more than our labels

“National Improvement” work for older people has focused on Frailty and in NHS Scotland we are reminded by healthcare Improvement Scotland to “THINK frailty” This short film is based on … Continue reading We are far more than our labels

Improvement science and consent: a failure of NHS Governance

I am an employee of NHS Lothian and have been ‘sign posted’ to the “New Capacity and Consent intranet page: important information for all staff.” This is a screenshot taken on Friday … Continue reading Improvement science and consent: a failure of NHS Governance

‘Have you ever noticed that certain days are injury days?’

I was filming in our garden today as the sky was beautiful, the spring bulbs colourful, and the green as fresh as can be. By chance, an NHS Forth Valley … Continue reading ‘Have you ever noticed that certain days are injury days?’

To learn from and cherish

In the Scottish Herald on the 1st October 2016: reminded us all that:   and suggested that we:   Rebecca McQuillan  worried, as I do, that:   Our treasured NHS … Continue reading To learn from and cherish

“It deprives you of your identity, and supplies another, simpler one”

Submitted as a rapid-response to the BMJ, 6 March 2013: http://www.bmj.com/content/341/bmj.c4670/rr/634772 As a psychiatrist for older adults I have noticed not just a scientific but also a cultural change in … Continue reading “It deprives you of your identity, and supplies another, simpler one”

The contributions of those “retired” often prove invaluable

The contributions of those “retired” often prove invaluable BMJ submission by Dr Peter J Gordon. 2nd September 2015 Yesterday I was at a consultation event held by Healthcare Improvement Scotland … Continue reading The contributions of those “retired” often prove invaluable

“As a critical friend”: awareness campaigns

I have just read: It begins: [we] As a doctor who openly asks questions I see great value in being a “critical friend”: The Alzheimer Scotland Strategic Review outlines significant … Continue reading “As a critical friend”: awareness campaigns

“battling” [the] “horrible”

Last Sunday I watched and listened to the Secretary State of Health on BBC One: The Secretary of state began: Politicians often use military metaphors when discussing health and care: … Continue reading “battling” [the] “horrible”

The forgetfulness of others

“To grow old, as Simone de Beauvoir said “is to define oneself” and being defined is privative as well as positive” I have always been interested in the history of … Continue reading The forgetfulness of others

Confusion is everywhere

Published as a BMJ letter January 2013: It seems that there is an awful lot of confusion about. It also seems to be the prevailing impression that it is our … Continue reading Confusion is everywhere