several screws are missing

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

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

The Governance of the NHS in Scotland

This report was published yesterday. I commend the Health and Sport Committee for such a comprehensive review and in what follows I will link my writings to some of the … Continue reading The Governance of the NHS in Scotland

‘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?

“Not for Profit”

The Scottish Government has invested considerable amounts of public money in the Institute for Healthcare Improvement. This is an American “Not for profit” organisation. Aye, right!

Quality Improvement and Ethics

In a recent Healthcare Improvement Scotland blog, Karen Ritchie asked: “Do we need perfect evidence when making decisions?” I posted this response on the 26th September 2017: Dear Karen, What … Continue reading Quality Improvement and Ethics

Patrick Geddes: insights into improving health and wellbeing

Sunday, 17th September 2017. To the Chair of Healthcare Improvement Scotland. Dear Dame Coia, I do hope that you may appreciate that I write out of the shared wish to … Continue reading Patrick Geddes: insights into improving health and wellbeing

Improvement science: engineering 42 – ethics 0

In my last post I considered a “thought paper” entitled “The habits of an improver” and welcomed that critical thinking was considered a necessary habit. The word “engineer” or “engineering” … Continue reading Improvement science: engineering 42 – ethics 0