“The King of DLB research”

Professor Rob Howard has recently shared on social media a picture of the personalised number plate of Professor Ian McKeith along with these words: “Just given a talk in Newcastle … Continue reading “The King of DLB research”

‘No Holds Barred’

This is the last “No Holds Barred” column by Dr Margaret McCartney: Screening is only for people with no symptoms. If you have symptoms it’s not screening. Screening is often … Continue reading ‘No Holds Barred’

How much is too much medicine?

I do hope that Scotland’s Realistic Medicine campaign will consider all the points raised by Dr Louisa Polak in this letter to the BMJ:

Being told you are in the “mortality relegation zone”

This post is based on an Editorial published in the BMJ on 27 September 2017: Identifying frailty in primary care. The full article can be read here.

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

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

Early detection: “We need critical thinking”

The following analysis: “Surge in publications on early detection” was recently published in the BMJ. The authors concluded that “we need more critical thinking and more studies that specifically target both … Continue reading Early detection: “We need critical thinking”

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’

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

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)