Key opinion leaders and Industry: Snakes, ladders and Monopoly

Dr Margaret McCartney in her recent ‘No Holds Barred” perspective set this challenge: “Here’s a game: try and find a doctor’s conflicts of interest. Set a timer, and give yourself … Continue reading Key opinion leaders and Industry: Snakes, ladders and Monopoly

The ‘Edinburgh Consensus’

I was born in Edinburgh:   It was by accident that I learned that this “consensus” has been “operationalised” across the NHS.   This  small group consensus needs to explain how … Continue reading The ‘Edinburgh Consensus’

NHS Targets: learning from experience

The following Report was published in November 2017: The Foreword began [highlights are mine]: The Report author Sir Harry Burns states: “experience with existing targets and indicators has been positive in … Continue reading NHS Targets: learning from experience

“Costometer”

I recently noted this request: Anybody who has read my writings on Hole Ousia will be aware that I have a dislike of the current mechanical language that would seem … Continue reading “Costometer”

“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

“two-thirds of diagnoses would be given to healthy people”

This Scottish report “Adding Life to Years” is now rather old. It once asked about ageism: This week the UK National Screening Committee has expressed significant concerns about screening tests for … Continue reading “two-thirds of diagnoses would be given to healthy people”

Dementia: Global Progress: Local impact “Exhibitor, sponsorship and promotion options”

Tickets are now on sale for this Alzheimer Scotland Conference:   In terms of “dementia awareness” I have recently offered my personal view on the current Alzheimer Scotland “campaign” which encourages … Continue reading Dementia: Global Progress: Local impact “Exhibitor, sponsorship and promotion options”

Do we care enough about consent?

This leaflet is widely available to patients in NHS Scotland including in the waiting room outside my consulting room:   Its first page defines consent as follows:   This is … Continue reading Do we care enough about consent?

Alzheimer Scotland: in a “muddle”?

My previous post was about the latest Alzheimer Scotland “campaign”: Let’s talk about dementia which was launched this month:   I sent my post to Alzheimer Scotland and to a … Continue reading Alzheimer Scotland: in a “muddle”?

When forgetfulness becomes pathological

A few years back I was a member of the Policy Group for Alzheimer Scotland. I resigned as I was concerned about some of the approaches being taken at a … Continue reading When forgetfulness becomes pathological

Scotland’s approach to Dementia Diagnosis

On the 30th October I received this most helpful reply from Alex Neil, MSP, Cabinet Minister for Health and Wellbeing for the Scottish Government. The full letter is as follows … Continue reading Scotland’s approach to Dementia Diagnosis

Why I resigned from NHS Forth Valley

I resigned from work on the 6th June 2014. Some folk have been wondering why. Below I offer briefly the background to my decision to resign and why it was … Continue reading Why I resigned from NHS Forth Valley