freedom to speak

Hole Ousia

The Director General for NHS Scotland:

  Peter's experience of the Director General for NHS Scotland

The Clinical Director of Healthcare Improvement Scotland:

     Peter's experience of the Clinical Director of HIS

The Director of Health and Social Care Integration:

Peter's experience of Director of Health & Social Care Integration

In my determination to put patients first I have been treated poorly.

These highly paid officials seem to be beyond accountability:

[I have always openly acknowledged that my view is no more important than any other. In all that I create I express what I cannot say with any certainty. I am fully aware of my weaknesses.  I absolutely refute any charge that I am “vexatious”. I do not hold grievances. What matters to me is truth and fairness. I have found that the same cannot always be said of those in genuine positions of power]:

It can take courage to care. To resist the threats to…

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Psychiatry without borders

Hole Ousia

This week the International Congress for the Royal College of Psychiatrists is taking place in Edinburgh. It is titled “Psychiatry without Borders”.

Given my concerns about the harms associated with over-medicalisation I decided to make a peaceful protest outside.

I was born in Edinburgh in 1967.

This was a home-made protest.

I have no associations with Critical Psychiatry, Anti-Psychiatry, Scientologists, the Citizens Commission on Human Rights.

I am simply a doctor who is interested in ethics.

I am of the view that critical thinking is an essential part of science.

I understand that biases come in all forms. However there is longstanding evidence that exposure to industry promotional activity can lead to doctors recommending worse treatments for patients.

Thank you to all who came to talk to me on the day. Particular thanks to Chrys Muirhead and her son Daniel for all their support

I waited the full day as I wanted…

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Transparency at the Top

Hole Ousia

I wrote “Transparency at the Top: British Psychiatry” in April 2015 but did not share it publically as I wanted to give the Royal College of Psychiatrists time to improve the governance of financial conflicts of interest. Over the last 2 years improvements have been made by the Royal College of Psychiatrists however the system in place is unsearchable, costly, and bureaucratic. It also does not help determine how much of the £340 million that the pharmaceutical industry pays each year for “promotional activities” goes to the “top” educators (key opinion leaders) in UK psychiatry.

Sir Professor Simon Wessely has been an outstanding President and has carefully listened to the concerns that I have kept raising on this issue. This week he hands over the Presidency of the Royal College of Psychiatrists to Wendy Burn.

Tomorrow, the International Congress: Psychiatry without Borders begins in Edinburgh. I will be protesting outside because I remain concerned about the…

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Your Parliament, Your Voice

Hole Ousia

The Commission on Parliamentary Reform published its Report on the Scottish Parliament this week. It is a most welcome review and one that has my full support.

The Editor of the Scotsman gave his view (21 June 2017):

Johann Lamont, MSP is quoted in the Scotsman of 21 June 2017:

My petition to the Scottish Parliament, PE1493, “A Sunshine Act for Scotland” was closed in early Spring of 2016. I was impressed by the organisation and the effort put into the wider consideration of my petition by all involved with the Public Petitions Committee.

A Public Consultation was carried out on my petition by the Scottish Health Council and this was published in March 2016. The public, in majority, agreed with the petition.

More than 15 months on since my petition was closed and the public have had no update from the Scottish Government. I wrote to the Scottish Parliament to…

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Would you like to join me?

Hole Ousia

INVITATION:

This is an invitation to join me on a peaceful protest to be held on Monday 21st August 2017 at the Martyrs Monument, Calton Hill Burial Ground, Edinburgh.

WHAT THE PROTEST IS ABOUT:

It is a protest for anybody who has had difficulty communicating with high public office in Scotland. For some this may have been with the Scottish Government – but it need not relate to any particular institution.

This protest is for anybody who has felt that those in a genuine position of power may have acted unfairly.

Professor Walter Humes, writing in Scottish Review, 21st September 2015:

“For some time I have been copied into email exchanges concerning how complaints against public bodies are dealt with. I have no personal stake in any of the specific sources of concern (which include patient care in the NHS and responses by Police Scotland, the Scottish Government and the Crown Office and Procurator…

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Discontinuation of two different depot antipsychotics

Hole Ousia

This week, UK medical professionals were alerted of the permanent discontinuation of the supply of MODECATE (fluphenazine decanoate) injection by the end of 2018:

In October 2014, UK medical professionals were informed of permanent discontinuation of PIPORTIL Depot (pipothiazine palmitate):

Advice is given with these notifications of alternative depot medications. In changing patients from one depot to another I have found that there can be severe deterioration in mental health and that this can endure far beyond the transition phase.

My concern is that patients may be started on long-term medication without realising (being informed) that the medication they are taking may not be available at a future time and that this may have consequences for them. We must also consider that depot antipsychotics can be given without consent if certain criteria of mental health legislation are met.

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Trying out Trialogue in Scotland

Although reblogging this post it isn’t an endorsement as my survivor voice isn’t involved in this project so I don’t know what’s really happening within, culture wise.  I’ve learnt from experience that the only way to really know what something is like is to taste it and see for yourself.  I’m fussy.  That’s been useful in helping me survive.

Up to this point anyway!

EMPOWER Study

The team behind EMPOWER at the University of Glasgow are developing an exciting new project aimed at supporting better communication and trust in relation to experiences of psychosis. We have opportunities for mental health professionals to get involved.

‘Trialogues’ are an approach originally developed in Germany. They involve groups of people coming together to discuss issues related to the experience of psychosis. Groups include people with personal experience of psychosis, unpaid carers/family members and people who provide mental health services. They aim to offer a safe space in which people can share experiences and learn from each other.

The Trialogue approach has not been tested in Scotland in this way before so the broad aim of this research is to consider whether Trialogue could be useful here. We want to learn more about whether this approach makes sense to people taking part in groups and if it feels safe and…

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