Yellow socks and handstands: Dr Peter J Gordon (reblog)

Hole Ousia

There is a lot of effort in NHS Scotland to raise awareness amongst healthcare staff about delirium, using statements like this:

am1

Delirium is a very complex state and it is a shame that awareness is not always accompanied by understanding of this complexity. This is not surprising as delirium is poorly understood. It remains unclear to what extent delirium is itself a risk factor for mortality, rather than simply reflecting a multi-morbid state where each condition carries its own risks:

yellow socks and handstands

[the above is an excerpt from Inside Health last week]

The following slides come from recent awareness-raising events in NHS Scotland:

Resource into OPACTHINK delirium across scotland

These “busy slides” perhaps do reflect some appreciation of the complexity of delirium. What appears to be lacking is meaningful and informed involvement of patients:

Informed choice

Margaret McCartney stated in this:

Rather than submission

In her book “The Patient Paradox” Margaret McCartney said:

awareness

All awareness campaigns can suffer from the difficulty of communicating…

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Streatham Jobcentre Besieged By Protesters Demanding No Forced Treatment (reblog)

the void

no-forced-treatmentAround 100 people marched on Streatham Jobcentre today in a fantastic start to the fight against forced psychological treatments for unemployed, sick and disabled claimants.

Protesters gathered in Streatham Memorial Gardens with many carrying banners showing the growing anger at the collaboration of mental health workers and charities with the DWP’s workfare and benefit sanctions regime.  At just after 2pm the protest took to the streets, taking over the busy road before fnally arriving outside the Jobcentre which now also contains much of Lambeth’s mental health services.

The ever present G4S security guards blocked campaigners from entering the Jobcentre, with one member of staff informing the amused crowd that there were no jobs available today.  What bungling Jobcentre workers didn’t realise is that several people were already inside the building where they proceeded to disrupt the opening party of the so-called Living Well Network Hub and hung a banner out…

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‘Compulsory well-being: An interview with Will Davies’ @mindhacksblog [reblog]

Mind Hacks

The UK government’s use of psychology has suddenly become controversial. They have promised to put psychologists into job centres “to provide integrated employment and mental health support to claimants with common mental health conditions” but with the potential threat of having assistance removed if people do not attend treatment.

It has been criticised as ‘treating unemployment as a mental problem’ or an attempt to ‘psychologically reprogramme the unemployed’ and has triggered an upcoming march on a London job centre.

Will Davies is a political scientist and the author of the new bookThe Happiness Industry that looks at the history and practice of positive psychology as government and ‘well-being’ as a way of managing people.

We caught up with him to get some background on the recent controversy.

Is this use of psychology in social policy a quick fix or part of a broader trend?

There is a long history…

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Re-labelling (and a bit): Dr Peter J Gordon [reblog]

Hole Ousia

I read this book recently [below].

I am approaching fifty. With age-related sight changes I find that my arms need to be longer!. So if I have misread “and a bit”  please do forgive me:

Now we are sixty and a bit

This book reminded my of a protocol issued by an NHS Board that I once worked for:

4 april 2014 all over 65 MUST

As a doctor who tries his best to follow evidence-based medicine, I argued against this dictat. I found that, neither my NHS Board nor indeed that NHS Scotland shared my concerns:

Brian Robson

With the recent publication of the Care Standards for Older People, the Chair of Healthcare Improvement Scotland confirmed:

Letter4b

It would appear to me that this “screening instrument” has been re-labelled.

The 4AT has been developed and promoted as:

010Tools

Recently the 4AT has recently been re-labelled as:

4AT validated UK Gov

The authors  4AT describe its key features:

(1) “brevity” (takes less than 2 minutes”), and

(2) that…

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Dr Peter J Gordon: Promises to listen to our elders [reblog]

Hole Ousia

The “Care Standards for Older people in Hospital”, which replace the previous 13 year old standards, were published this month.

1345

As a doctor working in NHS Scotland whose work for twenty years has been dedicated to our elders, I submitted feedback on the initial draft. I started out by saying:

002-comment-on-care-standards-2015

With the recent  publication of Standards I wrote to the Chair of Healthcare Improvement Scotland commending the publication of the Standards and asking for clarification on the involvement of “older people” in the development of these NHS Scotland standards.

Letter1

In the Scotsman, the Chair of the the group developing the Standards, Dr Christine McAlpine stated that “we need to involve patients”:

Care Standards 12 June 2015a

In this article, Dr MacAlpine said:

Care Standards by Dr MacAlpine1

The Editor of the Scotsman summarised:

Care Standards in Scotsman - 9 June 2015b

Healthcare Improvement Scotland and Dr MacAlpine have stated the following:

care-standards-by-dr-macalpine2b

[please note: my appreciation is that 1345 may not actually represent 1345 separate individual comments. I say…

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