several screws are missing

[photographed opposite Balgreen, Edinburgh, Friday 14th June 2019]

‘TOOL Library’

As I entered Stirling Central Library last night, I was invited to become a member of a “TOOL Library” My considerations of the increasingly mechanical approach to healthcare in NHS … Continue reading ‘TOOL Library’

NHS Scotland: from ‘sticking plasters’ to NASA

Last week’s Scotland on Sunday had the above image on its front page. Inside, the paper went on to share and discuss the findings of a recent poll. The Editorial … Continue reading NHS Scotland: from ‘sticking plasters’ to NASA

“Tired”

The Scottish Parliament returned from summer recess this week and the First Minister outlined her Programme for Government during a speech to the Scottish Parliament. The first Minister offered “a … Continue reading “Tired”

How much NHS Scotland money is going to ‘Quality Improvement Partners’?

Unfortunately this question cannot be answered as the information is not publicly available, this despite the fact that public money has been going to the Institute for Healthcare Improvement since … Continue reading How much NHS Scotland money is going to ‘Quality Improvement Partners’?

My reply to Dame Denise Coia

Sunday 8th July 2018, Bridge of Allan. Dear Dame Coia, I received your reply to my open letter yesterday. I wanted to write and thank you for your most helpful … Continue reading My reply to Dame Denise Coia

Healthcare Improvement Scotland and Realistic Medicine

Last week I sent an open letter to the Chair of Healthcare Improvement Scotland on Realistic Medicine in NHS Scotland. I have received this prompt reply: I am sure that … Continue reading Healthcare Improvement Scotland and Realistic Medicine

Open letter to Dame Denise Coia

I have sent this open letter to the Chair of Healthcare Improvement Scotland and copied it to the Chief Medical Officer for Scotland: 2nd July 2018. Dear Dame Coia, Healthcare … Continue reading Open letter to Dame Denise Coia

A costometer in overdrive

In the last 3 years the National Clinical Director for NHS Scotland has been representing NHS Scotland in the following countries (in date order): London, Hong Hong, Florida, Gothenberg, Brisbane, … Continue reading A costometer in overdrive

What matters to me

‘What matters to you?’ day occurs each year at the beginning of the summer and aims to encourage and support more meaningful conversations between people who provide health and social … Continue reading What matters to me

‘A formidable armoury’

The Chief Executive of Healthcare Improvement Scotland describes his organisation as “a formidable armoury”. I have often found myself wondering why healthcare leaders feel a need to use such military … Continue reading ‘A formidable armoury’

Are there now more ‘toolkits’ in healthcare than in B & Q?

As an NHS doctor I was recently sent this “development toolkit”: Healthcare has become ever more reliant on tools, toolkits, dashboards, hubs and traffic lights. All those involved in healthcare … Continue reading Are there now more ‘toolkits’ in healthcare than in B & Q?