What is “realistic” in terms of public expectation?

Hole Ousia

On the 12th August 2017 I sent the following letter to Shona Robison, the Dear Cabinet Secretary for Health and Sport for the Scottish Government:


Dear Cabinet Secretary for Health and Sport,
PE01493 on a Sunshine Act for Scotland. Are the Scottish public being listened to?

PE1493, A Sunshine Act for Scotland was closed by the Scottish Parliament in March 2016.

The Scottish Health Council published its public engagement exercise the same month.

The Scottish Government’s last public statement about this matter was in your letter dated 22 March 2016. In this letter you confirmed that “a majority of participants felt that publication of financial payments to healthcare professionals should be mandatory. In terms of next steps, the Scottish Government will discuss the contents of this report with the appropriate regulators and scope out options of how mandatory publication of payments to healthcare professionals from industry could be delivered.”

As…

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Improvement science: engineering 42 – ethics 0

Hole Ousia

In my last post I considered a “thought paper” entitled “The habits of an improver” and welcomed that critical thinking was considered a necessary habit.

The word “engineer” or “engineering” is to be found on 42 separate occasions in this Health Foundation thought paper.

The word “ethics” does not appear at all. Despite the fact that the introduction begins with this quote:

That ethics do not seem to be considered amongst the “habits” necessary for “improvement science” is concerning.

The last time I looked, I found this result using the Healthcare Improvement Scotland search facility:

The former Chief Executive for the Mental Welfare Commission for Scotland used to introduce me as “Bayesian Peter”. Bayesian is the name given to interpretations of probability and returns to Reverend Thomas Bayes original considerations of complexity.

Healthcare, like life, is complex. We are human and live in an ever changing world.

This is not…

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The habits of an improver

Hole Ousia

I have recently read this most interesting “thought paper” entitled “The habits of an improver” which was published by the Health Foundation in October 2015.

Several months before this was published, the Executive Clinical Director for Healthcare Improvement Scotland wrote to my employers  stating that “[this individual] clearly does not understand the improvement science approach”. This defamatory letter almost ended my unblemished career as an NHS doctor. I subsequently felt that I had no option but to resign from NHS Forth Valley after 13 years as a Consultant working in Clackmannanshire. The glowing and unsolicited feedback that I received on my resignation can be read here.

‘The habits of an improver’ would seem to confirm that it was in fact the Executive Clinical Director for Healthcare Improvement Scotland who lacked understanding of the “improvement science approach”.

I have asked for an apology from Healthcare Improvement Scotland but it has…

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