“When managers rule”

@PeterDLROW: “So “was it worth it?” Despite the experiences I have outlined, I wish to document some personal successes:

  • I advocated a timely approach to the diagnosis of dementia, when virtually nobody else would. It is now considered the best approach across Europe.
  • I have promoted transparency across NHS Scotland (and will continue to do so)
  • I continue to advocate that we routinely consider ethics in every healthcare encounter”

Hole Ousia

The title from this blog-post is not mine. “When managers rule” was the title Professor Brian Jarman gave to his British Medical Journal Editorial published two years ago this Christmas.


At the time that the Editorial was published my family, many of whom have had a career in healthcare, found themselves discussing it. The Editorial also attracted a significant number of written responses to the BMJ.

Two years on from the publication of Professor Jarman’s Editorial, my thoughts have returned to it given the recent short-life review of quality and safety in Aberdeen Royal Infirmary:


I generally find that narrative is the best way of approaching, and perhaps best appreciating, complex matters such as this.

Here I shall set out a narrative of my two years as an NHS consultant since Professor Jarman’s Editorial. I hope that my experience can add, in some small way, to the wider appreciation…

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