several screws are missing

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

‘The willingness among some . . .’

The support of the BMJ Editor in Chief to address meaningfully financial conflicts of interest in medicine and science is most welcome. As an NHS doctor of 25 years I … Continue reading ‘The willingness among some . . .’

‘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

“Blew the study leave budget on BAP Masterclasses”

This was a recent statement made by a senior NHS Scotland psychiatrist who is one of the leads on quality improvement in NHS Scotland. It was said in the public … Continue reading “Blew the study leave budget on BAP Masterclasses”

Payments from NHS Scotland to the USA

In a previous post I shared a response from Audit Scotland to a FOI request that sought to clarify how much public money was going to “Quality Improvement Partners” such … Continue reading Payments from NHS Scotland to the USA

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

Revolutionary Road

A few extracts from ‘Revolutionary Road’ by Richard Yates: