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£10M Cost Of Uk Patient Referrals To Be Reviewed


Albert Tatlock
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Emergency treatment agreements are a world apart from reciprocal health agreements. You will agree we only have one of them. Which in my view is one too many.

 

Why so if it costs nothing either way? They treat ours we treat theirs.

I agree, although I suspect it does cost us a lot. I guess we need some figures. But I do agree if it costs nothing leave it.

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Do they use the tele-medical facilities that are available on the island?

 

Yep. In our case they used the tele-medicine facility to show live ultrasound scans to a specialist in the UK and to have a video chat with them in order for them to decide whether or not it was appropriate to send us to the UK hospital for further investigation.

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Makes you wonder if they are looking for cuts here publically, how big is the hole we are in financially, really?

 

a) Big hole?

b) Very big hole?

c) Bottomless pit?

 

Well as usual eiter the Minister or our local newspaper are making a lot out of the situation but not actually giving any comparative figures other than the overall costs. How did the numbers transferred compare with previous years? Were the cases transferred in need of more bed time than in past years i.e. more serious conditions? How does the inflation in costs in the UK compare with any increases in medical costs on the Island? If people had not been transferred what would the likley outcome have been for them?

 

It is a bit like that attempt at hysteria on the increase in welfare costs whih were in line with inflation whilst unemployment had doubled and the population aged.

 

I'm not surprised - ony a handful of our politicians seem to be interested in the facts behind headlines - when you are in the financial mess Bellonomics has created better not to provide the sort of rational, comparative information you would need to have at your finger tips if you were financially literate.

 

Hysteria over health and welfare costs diverts attention away from the massive cost of our public sector overall and of our political structures.

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Hysteria over health and welfare costs diverts attention away from the massive cost of our public sector overall and of our political structures.

Indeed it does, and many unnecessary government employed bums remaining on many unnecessary government employed seats...but there is a point in the fact that health/welfare and education are the two biggest departmental spenders.
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Hysteria over health and welfare costs diverts attention away from the massive cost of our public sector overall and of our political structures.

Indeed it does, and many unnecessary government employed bums remaining on many unnecessary government employed seats...but there is a point in the fact that health/welfare and education are the two biggest departmental spenders.

AT I do not disagree and I am sure that if the facts were available on a comparative basis there could be a very constructive discussion. What I see though is hysterical headlines that costs have gone up without the supporting facts. When unemployment doubles and the population gets older it is quite likley that costs will go up - and welfare has only gone up by inflation over the past 5 years. I am absolutely NOT saying things cannot be done better. They should be done more effectively but to me there is a lot of diversionary comment being made at the moment but not fundamental reform.

Edited by manshimajin
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I have had experience of medical travel to a few hospitals accross and been an inpatient in a few, the machines that are used for radiotherapy had to be serviced in Clatterbridge frequently, by you can imagine very experienced engineers, it would not be an option for us to have this service in the Isle of Man, and Clatterbridge also services North Wales as well as the north west so there has to be a lot of patients to make these units work. At Whiston the specialists try to keep on hand for emergencies. Yes the service is expensive but worth every penny when you need it. However there has been a great missuse of the escort service over the years, pehaps they have tightened the proceedure up now, I do hope so. We really need all the money we have for the Ramsey Pier etc. etc.

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However there has been a great missuse of the escort service over the years, pehaps they have tightened the proceedure up now, I do hope so. We really need all the money we have for the Ramsey Pier etc. etc.

Fortunately I have not had to make use of the medical facilities in the UK so am not au fait with the escort service. I assume that a person who is going for treatment may well find it comforting to have a member of the family travel with them and to be in atendance. Given that we pay £35+ subsidy for every return flight commercial passenger using Ronaldsway I wonder if that might be a good place to start looking at managing transport costs?

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Mans, I've used the "escort servioe" and travelled with Mrs Baps. She was having a leg reconstruction following an accident and there are only 4 specialist centres in the UK for that kind of treatment. Fortunately 1 was at Liverpool.

 

We travelled every other Friday for 6 months with me acting as wheelchair pusher etc. We would get dropped off at the hospital and picked up from there too. Some patients and escorts were however heading onto the city centre for shopping/and or beers and the taxi service picked up from a city centre pub as well as the hossy.

 

If your condition permits and you have sufficient time, why not do a spot of shopping etc? We didn't but that was only because her condition didn't allow it.

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the taxi service picked up from a city centre pub as well as the hossy.

Round the side of the Adelphi hotel next to the old car park that reeks of piss isn't exactly what I'd class as a "city centre pub". Unless you count the homeless people that drink cider and meths in there.

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Mans, I've used the "escort servioe" and travelled with Mrs Baps. She was having a leg reconstruction following an accident and there are only 4 specialist centres in the UK for that kind of treatment. Fortunately 1 was at Liverpool.

 

We travelled every other Friday for 6 months with me acting as wheelchair pusher etc. We would get dropped off at the hospital and picked up from there too. Some patients and escorts were however heading onto the city centre for shopping/and or beers and the taxi service picked up from a city centre pub as well as the hossy.

 

If your condition permits and you have sufficient time, why not do a spot of shopping etc? We didn't but that was only because her condition didn't allow it.

 

I don't see the issue with someone who has to be with a person doing a bit of shopping in a case like you've mentioned above - Mrs Baps was unable to push a chair and therefore you came along (and saved the cost of paying for an Escort). However some people get off the plane with their friend, get the taxi to the city centre, then disappear leaving their perfectly mobile friend on their own at the hospital, then reappear at 17:00 ready for pickup having spent little or no time in the company of their friend. So it begs the question did their friend really need them there at all, or was it just a freebie trip on the NHS for the friend?....

 

Likewise I don't see the issue with a patient going to the city centre before or after their appointment. But I do see an issue with someone coming along as an 'escort' but spending hardly any time with the patient beyond the time they spent travelling to the city centre.....

Edited by StuartT
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However some people get off the plane with their friend, get the taxi to the city centre, then disappear leaving their perfectly mobile friend on their own at the hospital, then reappear at 17:00 ready for pickup having spent little or no time in the company of their friend. So it begs the question did their friend really need them there at all, or was it just a freebie trip on the NHS for the friend?....

I've been over to Liverpool more times than I care to remember over the last 2 years and to be honest I've yet to see this happen. I don't doubt some of them probably don't really need to be there, but never seen anyone just ditch their patient at the airport or hospital and re-emerge for the flight.

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I've been over to Liverpool more times than I care to remember over the last 2 years and to be honest I've yet to see this happen. I don't doubt some of them probably don't really need to be there, but never seen anyone just ditch their patient at the airport or hospital and re-emerge for the flight.

 

I've been going over more than ten years and have seen it happen on a few occasions. It may be that they've clamped down now on escorts - as they should. Most patients don't need an escort unless they're struggling to mobilise, have cognitive issues or facing a piece of bad news.

Edited by StuartT
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However there has been a great missuse of the escort service over the years, pehaps they have tightened the proceedure up now, I do hope so. We really need all the money we have for the Ramsey Pier etc. etc.

Fortunately I have not had to make use of the medical facilities in the UK so am not au fait with the escort service. I assume that a person who is going for treatment may well find it comforting to have a member of the family travel with them and to be in atendance. Given that we pay £35+ subsidy for every return flight commercial passenger using Ronaldsway I wonder if that might be a good place to start looking at managing transport costs?

Do we? & if so why & in what form?

Edited by Monkey boy
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