If NHS Scotland has been genetically-modified with QI

It is most welcome to hear from Philippa Whitford about positive outcomes of NHS Scotland’s collaborative approach to quality improvement and the learning that this might provide for the rest … Continue reading If NHS Scotland has been genetically-modified with QI

Professional confusion

Like all those involved in healthcare I take delirium very seriously. I share in the collective determination to improve our approach, understanding and care of those experiencing this serious condition. To … Continue reading Professional confusion

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

A tall, slightly stooping, gaunt figure

  Dr Robert Hutchison died in 1960, seven years before I was born. However, his appearance as depicted in the portrait (above) reminds me of Roald Dahl. One of his closest … Continue reading A tall, slightly stooping, gaunt figure

Yellow socks and handstands

There is a lot of effort in NHS Scotland to raise awareness amongst healthcare staff about delirium, using statements like this: Delirium is a very complex state and it is … Continue reading Yellow socks and handstands

Validation of an OPAC delirium tool

In this post I wish to explore validation of one of the tools recommended by Healthcare Improvement Scotland to identify delirium in acute hospital. The website for the 4AT can … Continue reading Validation of an OPAC delirium tool

“OPAC tools are working”

It is over a year since I last wrote about delirium. Being aware that the new Care Standards for older people in hospital were to be published this month I … Continue reading “OPAC tools are working”

Freedom to speak up

I am very grateful to the Scottish Government for replying to me on behalf of Jamie Hepburn, MSP, Minister for Sport, Health Improvement and Mental Health. Below you will find … Continue reading Freedom to speak up

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?

Care of Older People in Hospital Standards

The Chair of Healthcare Improvement Scotland, Dr Denise Coia, has confirmed that the Care of Older People in Hospital Standards are scheduled to be published at the end of March 2015. … Continue reading Care of Older People in Hospital Standards

The first published reference to patient consent

My view is that consent for any form of examination should always first be sought. Be such examination for physical, psychological or cognitive reasons. I had a look through the … Continue reading The first published reference to patient consent

“At Liberty” (cognitive screening)

A Scottish citizen, over the age of 65 years, recently wrote to a Parliamentarian with concerns about mandatory cognitive screening in Scotland’s acute hospitals. Following this a helpful letter was … Continue reading “At Liberty” (cognitive screening)