Yellow socks and handstands

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

It is very difficult to challenge a powerful organisation

This week  the Cabinet Secretary for Health, Wellbeing and Sport welcomed a new report into management of frailty and delirium This reminded me, that 6 months on, I do not … Continue reading It is very difficult to challenge a powerful organisation

Promises to listen to the older generation

The “Care Standards for Older people in Hospital”, which replace the previous 13 year old standards, were published this month. As a doctor working in NHS Scotland whose work for twenty … Continue reading Promises to listen to the older generation

“The progressive test”

This commentary has recently been published:   The commentary starts out stating that: But makes equally clear: A helpful definition of human rights is given: The Scottish Human Rights Commission … Continue reading “The progressive test”

The first BMJ reference to patient consent

CONSENT should always be sought before any medical intervention, including for screening/case-finding. I had a look through the British Medical Journal (BMJ) archives. The first titled BMJ reference to “consent” … Continue reading The first BMJ 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)