A film about freedom to speak up in NHS Scotland based on an edit of the evidence session of the Health and Sport Committee, Scottish Parliament, held on 13th June 2017.
This is just an edit. A subjective view. Nothing more and nothing less.
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 2nd June 2017:
The Capacity and Consent intranet page begins by reminding all NHS Lothian staff of the ‘Obtaining Consent’ Policy (2014):
The NHS Lothian ‘Obtaining Consent’ Policy (2014) informs staff that “failure to secure consent may constitute assault under common law in Scotland”.
All NHS Lothian staff are also reminded that “acquiescence when a patient does not know what the intervention entails, or is unaware that he or she can refuse, is not consent”.
Two years ago I wrote about national improvement work undertaken by Healthcare Improvement Scotland for older people in hospital in NHS Scotland and my concern that “compliance” had replaced consent.
Given my experience that the guidance from my employers (NHS Lothian) on consent and the explicit requirements of “compliance” mandated by Healthcare Improvement Scotland seem to go in opposite directions, I wrote seeking further guidance. I have had this reply from Healthcare Improvement Scotland.
In conclusion: I would suggest that a failure of NHS Governance in Scotland has led to a confusion about the rights of older people to give consent.
Filmed at the abandoned farm of Bishopsfaulds, near Comrie.
Words: by me and some ‘borrowed’ from Liz Lochhead
Music credit: ‘The lost Prince’ – Adrian Johnston (2003)
As an NHS Psychiatrist who has worked in Scotland as a Consultant for over 15 years I want to offer my full support for this petition.
Recently at a Cross Party Group meeting held at the Scottish Parliament it was stated that “depression is under-recognised across all age groups” and that “maintenance treatment has a good risk-benefit ratio.” This was said without acknowledging that these statements cannot be made with absolute certainty.
I have found that my profession in Scotland seems to resist evidence of experience and at the same time prioritise the opinions of experts.
Potential for Expert Bias (one):
There is evidence that establishes that senior Scottish psychiatrists, who have provided expert input to Scottish Government strategies, and who have been involved in developing National prescribing guidelines, have had significant financially-based vested interests.
Potential for Expert Bias (two):
It is worth perhaps pointing out that Scottish Psychiatry has been traditionally orientated around biological determinants of mental health. Like myself, many academics have concluded that Scottish psychiatry lacks real-world, pluralistic breadth to the science of the mind and brain. Across the border, in England and Wales, the approach is far less reductionist. This includes the involvement of experts whose interests are not solely focussed on the bio-medical determinants of mental health.
I do prescribe psychiatric medications including antidepressants but I do not agree with the ‘experts’ that prescribing in Scotland is “conservative”. 1 in 7 Scots are now taking antidepressants.
Appropriate and informed prescribing is what we seek where there is open discussion about the potential benefits and potential harms of such treatments. This and an honest consideration that for many medications we cannot be certain of long-term effects.
Dr Peter J Gordon
GMC number 3468861
On the early morning of Sunday 7th May 2017, I set off to visit ‘Stank’.
I was looking for the ruined mausoleum to Lord Esher.
The Stank Mausoleum was built in 1925 at the point in this old Roy map where the four sections just happen to meet:
No place could perhaps appear less like it ‘sounds’:
Lord Esher’s Scottish home was at the Roman camp in Callander. Since his death it became a hotel:
It was at this hotel that my grandfather Rab Scott met The Beatles and had a drink with them:
Today, Esher’s Mausoleum is marked this way:
Lord Esher was thought to be the grandson of Napoleon Bonaparte (his mother was thought to be Napoleon’s illegitimate daughter)
Lord Esher was:
Lord Esher was different:
Lord Esher was married with four children but it is considered that he was probably more attracted to his own sex
Lord Esher was respected for the clarity and beauty in his use of language:
Lord Esher’s ruined Mausoleum is on the route to Ben Ledi. Thousands of walkers and mountaineers pass it by each year without knowing.
It was with considerable difficulty that I found it.
Even Hale Bopp found it a struggle to find!
It may be that Lord Esher’s remains, despite his wishes, are not here at Stank?
If that is so, perhaps this is why this mausoleum is sadder than sad.
This was how the Mausoleum appeared at the time of Lord Esher’s death in 1930:
Lord Esher was clearly a great admirer, as I am, of Robert Louis Stevenson.
These inscriptions, of poems by Robert Louis Stevenson, survive by the collapsed doorway to Esher’s Mausoleum:
I needed to visit Stank.
call it folly, call it my pursuit a sense of loss, the secret of art. [the body of work reflects the disappearance of the artist himself]
Music credits:
(1) Bluebell, cockleshell 1-2-3 by King Creosote (From Scotland with love)
(2) Leave your body behind you – by Richard Hawley
Auchengray House has been a ruined shell since a catastrophic fire in 1937. At the time all was going horribly wrong for the multi-millionaire owner, J M Colville. Not only did he lose in the fire his collection of fine antiques and paintings, but not long before the fire his mother had died and then his sister jumped in front to a train.
It was this darkness that led to the building of Gribloch, the new hoose, one of light, designed by Basil Spence.
Today I got to hear Professor Sir Kenneth C Calman give a talk on ‘Scottish Literature and Medicine’ at the Royal College of Surgeons of Edinburgh.
It was a wonderful talk and I am so glad that I had the opportunity to attend and to meet Sir Kenneth. This has been an ambition of mine.
Sir Kenneth Calman’s book “A Doctor’s Line” is wonderful and I would recommend to all whether medical or lay, scientist or artist:
Some of my “notes” on A Doctor’s Line can be read here
I need ethics because I am on my own.
I can only see with my own eyes.
I try to shift my stance.
I do not always see what others see
I need ethics because I am ordinary and extraordinary.
I can only see with my own eyes
I try to shift my stance
I do not always see what others see
[and then there is feel]
