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...


Health literacy: let's think again

I don't really like the term ‘health literacy’. Not many people really understand what it means, which is a bit ironic when you think about it. My unofficial definition of health literacy is ‘the c...


Will patient leadership cure chaos at NHS England?

The phone call was in hushed tones. ‘It’s chaos at NHS England’ they said. I wasn’t sure what was meant, but I had a good idea. ‘They’re reconstructing the NPSA systems because people have suddenly...


Please stop trying to involve me in my healthcare

In 1948, the government introduced legislation which put a duty on estate agents to involve people in the purchase or rental of their houses, preventing the agent from entering into legally binding...


Adrian Sieff

Twelve tips for measuring improvement

Understanding what works to improve health care is vital in order to share and spread success and to ensure we learn from our mistakes. These tips will help you embed effective measurement into you...


Making dialysis care more person centred

It’s increasingly recognised that empowering people to take a greater role in managing their health care is beneficial for both patients and health care professionals, especially for those living w...