SCOTLAND’S Chief Medical Officer, Dr Catherine Calderwood, has published Realising Realistic Medicine, her second annual report.
The document sets out the vision, strategic initiatives, and priorities shaped by responses to Realistic Medicine, which was published last year. Key themes identified in Realistic Medicine were shared decision-making, and reducing harmful and wasteful care. Realising Realistic Medicine outlines her plans for engagement with patients and the wider public during 2017, and also contains an insight into the health of the nation.
Talking specifically about pharmacy, community pharmacies were located in the heart of communities and were accessed daily by 600,000 people in Scotland to obtain medicines, seek health promotion and harm prevention advice, and ensure medicines and other interventions met their healthcare needs.
However, while pharmacy practice had been evolving, for truly shared decision-making there needed to be a shift towards participative care, which meant an acceptance by professionals that people may choose something different from what had been traditionally offered. This would require collaboration across professions to support personalisation of care planning, which would be vital to make it safe, efficient and effective, says the report.
Dr Calderwood’s vision is that by 2025, everyone who provides healthcare in Scotland will demonstrate their professionalism through the approaches, behaviours and attitudes of Realistic Medicine.
Launching the report at Glasgow’s Queen Elizabeth University Hospital, Dr Calderwood said: “I’m delighted to be publishing my second annual report as Scotland’s Chief Medical Officer.
“When I published my first annual report, I couldn’t have anticipated that it would ignite such a broad and enthusiastic discussion around the six key questions I asked about Realistic Medicine.
“These conversations have been of enormous benefit in helping to shape thinking as we embark on translating the Realistic Medicine philosophy into actions that justify that interest and enthusiasm.
“Realistic Medicine has been embraced not only by doctors, to whom it was originally aimed, but by a wider group of health and care professionals and stakeholders. On social media, #realisticmedicine has so far reached nearly 10 million Twitter feeds around the globe and the reception during our engagement around Scotland and beyond in 2016 was universally positive.
“I know the health and care workforce at all levels have been putting into practice Realistic Medicine for many years and I hope the practical examples and shared learning from around Scotland showcase the hard work already underway.
“Realistic Medicine puts the person receiving health and care at the centre of decision-making and creates a personalised approach to their care. Its aim of reducing harm and waste and simplifying care while managing risks and innovating to improve are essential to a well-functioning and sustainable NHS.”
Ian Welsh OBE, Chief Executive of the Health and Social Care Alliance Scotland (the ALLIANCE) said: “We welcome Realising Realistic Medicine’s aspiration that people accessing support and services are at the heart of decision-making and experience a personalised approach to their care.
“The ALLIANCE’s output on our partnership Self Management, Our Voice, House of Care and National Links Worker programmes are helping translate the concept into action. It is more crucial now that people who access health and social care are engaged as equal partners in this process alongside Scotland’s clinical and care professionals.
“We therefore look forward to working with the Chief Medical Officer and the Scottish Health Council to engage with the public to help establish what realistic medicine means to them.”