If NHS Scotland has been genetically-modified with QI

It is most welcome to hear from Philippa Whitford about positive outcomes of NHS Scotland’s collaborative approach to quality improvement and the learning that this might provide for the rest … Continue reading If NHS Scotland has been genetically-modified with QI

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

Professional confusion

Like all those involved in healthcare I take delirium very seriously. I share in the collective determination to improve our approach, understanding and care of those experiencing this serious condition. To … Continue reading Professional confusion

Improvement science and consent: a failure of NHS Governance

I am an employee of NHS Lothian and have been ‘sign posted’ to the “New Capacity and Consent intranet page: important information for all staff.” This is a screenshot taken on Friday … Continue reading Improvement science and consent: a failure of NHS Governance

A tall, slightly stooping, gaunt figure

  Dr Robert Hutchison died in 1960, seven years before I was born. However, his appearance as depicted in the portrait (above) reminds me of Roald Dahl. One of his closest … Continue reading A tall, slightly stooping, gaunt figure

‘Informed consent is a fundamental principle underlying all healthcare’

A recent Independent Review for NHS Scotland stated that: “Informed consent is a fundamental principle underlying all healthcare” The Cabinet Secretary for Health and Sport, Shona Robison stated to the … Continue reading ‘Informed consent is a fundamental principle underlying all healthcare’

Reductionism – truly, madly, deeply

On Friday the 25th of November 2016 I gave a talk for the Scottish Philosophy and Psychiatry Special Interest Group. My subject was “Improvement Science”. The following is based on the slides and … Continue reading Reductionism – truly, madly, deeply

Yellow socks and handstands

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

A letter to Professor Jason Leitch

In this post I reply to Professor Jason Leitch, whose letter of the 2nd June 2015 on Haloperidol prescribing to Scotland’s elderly can be read here:   This is the … Continue reading A letter to Professor Jason Leitch

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

Re-labelling (and a bit)

I read this book recently: This book reminded my of a protocol issued by an NHS Board in Scotland: As a doctor who tries his best to follow evidence-based medicine, … Continue reading Re-labelling (and a bit)

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