Credibility

This was the advice given to ‘Mrs Hawkins’ in ‘A Far Cry From Kensington’. It was also the advice I was given by a senior parliamentarian when I began actively … Continue reading Credibility

“Trickles down from the upper echelons”

I read this letter by Dr William Durward, a retired NHS Scotland Consultant with interest. It was published in the Herald, 7 November 2018, and was written in response to … Continue reading “Trickles down from the upper echelons”

Psychiatric medications and potential effects on cardiac rhythm

In the last month we have been having discussions at work about the potential for psychiatric medications to adversely effect cardiac rhythms, and in particular QTc prolongation.  The advice on ECG … Continue reading Psychiatric medications and potential effects on cardiac rhythm

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

‘How to lose your fear of Data’

Through work, this invitation recently came my way: As part of this Health & Social Care Digital Leaders Summit the expert panels and workshops will demonstrate “how to lose your … Continue reading ‘How to lose your fear of Data’

“Our voice”: is it actually ours?

Healthcare Improvement Scotland has completed its consultation on the role of the Scottish Health Council. This followed on from careful scrutiny by the Scottish Parliament. The Scottish Health Council is … Continue reading “Our voice”: is it actually ours?

The habits of an improver

I have recently read this most interesting “thought paper” entitled “The habits of an improver” which was published by the Health Foundation in October 2015. Several months before this was … Continue reading The habits of an improver

We are far more than our labels

“National Improvement” work for older people has focused on Frailty and in NHS Scotland we are reminded by healthcare Improvement Scotland to “THINK frailty” This short film is based on … Continue reading We are far more than our labels

Improvement goggles

What follows are three slides taken from a talk given by Dr Brian Robson, Executive Clinical Director, Healthcare Improvement Scotland and IHI Fellow, given at the Edinburgh International Conference of … Continue reading Improvement goggles

Courage to care

         

Haloperidol prescribing to Scotland’s elders

In a previous post the FOI returns on Haloperidol prescribing in NHS Scotland were shared.  This followed on from my consideration of a BMJ report regarding the scale and potential … Continue reading Haloperidol prescribing to Scotland’s elders

“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”