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 Medicine in September 2016:


I most certainly agree that culture is important. But what kind of culture? Is it healthy just to follow one? In this case the Institute of Healthcare Improvement, Boston.

The “Improvement Goggles”, it would seem, come as part of the “toolkit”?

As a doctor who is passionate about improving care it matters to me that I follow science that does not risk being pre-determined.

It is important that there is philosophical depth to the approaches that we take to healthcare.

I understand the overwhelmingly good intentions of all those involved in “improvement science”, however I would suggest that we should carefully consider the potential benefits and harms of a most determined “one organisation” approach that starts and ends with reductionist and mechanical algorithms.



“A person centred tool”

In a previous post I drew attention to the increasingly mechanical language of Health Improvement.

This current post starts with recent communication by health improvers in Scotland:patient centred tool 01 patient centred tool 02 patient-centred-tool-031One of my favourite writers is Robert Louis Stevenson. In “an apology for idlers”  he considers how humankind tends to approach understanding:RLS 1893rls-quote-001RLS quote 017Midgley002Mary Midgley, now aged 95 years, is one of my favourite moral philosophers. In “Heart and mind” she considers “tests”:mary_midgley_030414_0_450Midgley025Midgley001 Midgley004Midgley005Midgley006 Midgley007Mary Midgley has written a lot about reductionism:Midgley015Healthcare Improvement Scotland outline that they are “one organisation, with all activities aimed at driving improvements in healthcare”:One OrganisationIf you search Healthcare Improvement Scotland for “philosophy” you get three results, none of which actually relate to philosophical study:philosophy HISIf you search Healthcare Improvement Scotland for “ethics” you get zero results:zero mention of ethicsDr Murad Moosa Khan is a psychiatrist for older adults, who like me has an interest in ethics: Dr Murad Moosa Khan. In a recent talk he said:ethics and improvement1 and later concluded:ethics and improvement2