No decision about me without me: making it happen

In his speech at UCLH on 26 May, the Deputy Prime Minister Nick Clegg laid out his vision for the NHS. Some might argue that he should have waited for the listening exercise to finish before making...

Blog

Stephen Thornton

Ask three questions

Sometimes there will be choices to make about your healthcare. If you are asked to make a choice, make sure you get the answers to these three questions: What are my options? What are the b...

Blog

We need to talk about frail older patients

How do you explain the actions of someone who ignores the plight of an older patient in a soiled bed? Or who fails to respond when a patient cannot reach a glass of water and has not eaten her meal...

Blog

Have I been getting it wrong all along?

One evening last year, I was sitting with James discussing the NHS and our roles within it over a pint of Guinness. He was one of the hospital managers of the trust I was working at and, before lon...

Blog

Can the NHS learn from Mary Queen of Shops?

Mary Portas: ‘queen of shops’, government advisor on the high street and TV presenter. In Channel 4’s Secret Shopper, the no-nonsense retail guru took some of the nation’s biggest retailers to task...

Blog

Adrian Sieff

‘No decision about me, without me?’

I was seeing an older patient with early Alzheimer’s dementia in outpatients and, as is my usual practice, gave the patient feedback on the diagnosis, answered their questions and talked about trea...

Blog

A week is a long time in shared decision making

Last week was a week worthy of reflection. Monday saw the publication of the information strategy – The power of information – which sets a ten-year framework for transforming information for th...

Blog

Adrian Sieff

Shared decision making: a common understanding

There is an emerging consensus amongst professionals, patients and politicians that patients have a central role in the decision making process about their health. But scratch the surface of tha...

Blog

Adrian Sieff

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