Jump to content
Spam messages. Please stop reporting messages from Orange 15, Ivsa and Pupyh. They’ve been banned. ×

Recommended Posts

8 hours ago, forestboy said:

Well JW I've been here in Walton Neurological Centre for just over three weeks now.  Had a fall in October. Two weeks just under observation. Then they decided to operate on the brain.  Recovery seems to be going well. 

Only problem now is waterworks - with catheter.  Won't let me fly home because of brain op. so it's a tedious return on boat with escort hopefully next week.  Perhaps with a few more days in Nobles. Can't fault the treatment or facilities here.

Goodness knows what this is costing the IOM.

Wishing you well John. (RJ)  

 

 

 

 

Wishing both you and John a speedy recovery. No time of year to be away from home,  especially when seriously ill. 

Link to post
Share on other sites
  • Replies 287
  • Created
  • Last Reply

Top Posters In This Topic

Top Posters In This Topic

Popular Posts

Lets not go off topic, but Anderson is a gravy train rider of little use, a church going nice bloke maybe, but as much good as a chocolate fireguard. Cant even sort his own issues out without having c

Trust me John my wife has been a nurse for 45yrs, used to wear a starched white hat and silver buckle and she will tell you that the upside down triangle is rife throughout the health service !!

This is not just in the DHSC, it's endemic throughout IoM Government.

Posted Images

2 hours ago, Swordfish said:

That would figure. I don’t think anyone really has an issue with this department “overspending” at all. So it’s hard to see why everyone wanted Beecrofts head on a spike. At least she did the honorable thing and tried to se it through when others apparently fled at the first sign of danger and are now happy to pin it all in her. 

I have a problem with that department's overspending, why the hell should they be exempt from good stewardship of public money. If their overspend is down to piss poor management then heads should roll and the department forced to find savings just as any other department. There could well be, and most likely is, massive profligate waste, why should that be allowed to continue, throwing money at a problem doesn't necessarily solve it, it merely extends and condones it.

  • Like 2
Link to post
Share on other sites
4 hours ago, yootalkin2me said:

I have a problem with that department's overspending, why the hell should they be exempt from good stewardship of public money. If their overspend is down to piss poor management then heads should roll and the department forced to find savings just as any other department. There could well be, and most likely is, massive profligate waste, why should that be allowed to continue, throwing money at a problem doesn't necessarily solve it, it merely extends and condones it.

  It's not just this department though but right across government,I suppose it's only human nature to relax and  take your eye of the ball  when there is unlimited free money being given to you by the UK Gov .

 But when times are harder you have to budget smarter and as you say "manage" your resources .

 

  • Like 4
Link to post
Share on other sites
9 hours ago, yootalkin2me said:

I have a problem with that department's overspending, why the hell should they be exempt from good stewardship of public money. If their overspend is down to piss poor management then heads should roll and the department forced to find savings just as any other department. There could well be, and most likely is, massive profligate waste, why should that be allowed to continue, throwing money at a problem doesn't necessarily solve it, it merely extends and condones it.

i get that,  but they can't just shut down for a few weeks a year so they don't spend  ( or cost )   the money.     if someone turns up ill or injured something has to get done.   too  much management that isn't actually 'managing'  anything is the issue.  when we hear over spend we think they have a few extra cases of medicine lying around or too many dressings. rather than pointless staff

  • Like 3
Link to post
Share on other sites

I do have some agreement with YT2me reply. I have said earlier that the whole climate within Government has to change, in fact it had to change a long time ago but the message never hit home. We have a raft of people who are very good at managing when money was almost in limitless supply, but imo it is a different skill set required when it is not ! People at the top who were recruited to develop and spend maybe do not have the skills required to navigate departments in changed times.

We also seem to have a government that is so thick skinned, that when issues are raised where profligate spending is still going on, and the prolls make comparisons to what is happening with front line services, they neither listen nor show any embarrassment whatsoever !

  • Like 3
Link to post
Share on other sites
48 minutes ago, WTF said:

i get that,  but they can't just shut down for a few weeks a year so they don't spend  ( or cost )   the money.     if someone turns up ill or injured something has to get done.   too  much management that isn't actually 'managing'  anything is the issue.  when we hear over spend we think they have a few extra cases of medicine lying around or too many dressings. rather than pointless staff

My biggest concern on the islands health service is that I would expect the departments budget to go up and down depending on the level of demand, which is impossible to forecast at times....

Unfortunately, all we are seeing is an increase year on year, and therefore a full review of all costs needs to be undertaken in order to identify potential savings and alternative delivery methods.... 

  • Haha 1
Link to post
Share on other sites
10 hours ago, yootalkin2me said:

I have a problem with that department's overspending, why the hell should they be exempt from good stewardship of public money. If their overspend is down to piss poor management then heads should roll and the department forced to find savings just as any other department. There could well be, and most likely is, massive profligate waste, why should that be allowed to continue, throwing money at a problem doesn't necessarily solve it, it merely extends and condones it.

You’re basically agreeing with me though. I’m saying why single out the DHSC first which is an important frontline service when the DOI pisses money away, the DfE pisses money away and so do most other departments. To me we are starting in the wrong place and we are constructing our budgets wrong as more important services should have a prior call on taxpayer cash. The budgets should be centrally held and Departments should be made to bid for that money with some services having priority over others. Asking for £10M of savings in one financial year was basically impossible and I dont see any other edicts issued to other departments to cut waste by vast amounts overnight. We still don’t even know if this was overspend or not or whether we just have to get used to the fact that the DHSC is this expensive to run. 

Edited by Swordfish
  • Like 1
Link to post
Share on other sites
9 minutes ago, Rob Callister said:

My biggest concern on the islands health service is that I would expect the departments budget to go up and down depending on the level of demand, which is impossible to forecast at times....

Unfortunately, all we are seeing is an increase year on year, and therefore a full review of all costs needs to be undertaken in order to identify potential savings and alternative delivery methods.... 

the savings are made by getting shut of unnecessary management,  doctors, nurses, and all other frontline staff  along with equipment, medicine and dressings etc are what is needed,  not pen pushers  loose some pen pushers.

  • Like 5
Link to post
Share on other sites
4 minutes ago, WTF said:

the savings are made by getting shut of unnecessary management,  doctors, nurses, and all other frontline staff  along with equipment, medicine and dressings etc are what is needed,  not pen pushers  loose some pen pushers.

And therein lies the problem when you hand the task of finding savings to ..... the pen pushers. 

  • Like 5
Link to post
Share on other sites

I’m not too sure there are too many pen pushers. It’s a multi million turn over per year business. It needs managing so that front line staff can deliver their services.

As I pointed out above a health care system in 2017 with modern estate, equipment and treatments, plus a large Staff, is very different in management terms to pre NHS days.

  • Like 1
Link to post
Share on other sites
15 minutes ago, John Wright said:

I’m not too sure there are too many pen pushers. It’s a multi million turn over per year business. It needs managing so that front line staff can deliver their services.

As I pointed out above a health care system in 2017 with modern estate, equipment and treatments, plus a large Staff, is very different in management terms to pre NHS days.

The trouble is when you don't know what the structure of your pen pushers or what the cost of structure is from the CEO down how can we trust the Management with this responsibility to protect frontline services if they dont even know the main strategic management principle of operating a Department.

Edited by Holte End
  • Like 1
  • Thanks 1
Link to post
Share on other sites
1 hour ago, Rob Callister said:

My biggest concern on the islands health service is that I would expect the departments budget to go up and down depending on the level of demand, which is impossible to forecast at times....

Unfortunately, all we are seeing is an increase year on year, and therefore a full review of all costs needs to be undertaken in order to identify potential savings and alternative delivery methods.... 

Why on earth would you expect that when it’s not how the UK NHS budget operates. Their spend has incrementally gone up every year for the last 10 years and more; and that trend is expected to continue. What is so different about the IOM that you would expect to see budgets go up and down contrary to experience in the UK?

https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/nhs-budget

The link confirms that the long term average NHS budget increase has been about 4% per annum since the start of the NHS according to the Office of Budget Responsibility. So the NHS is reigning costs in but they are still going up year on year. 

Edited by thesultanofsheight
Link to post
Share on other sites
1 hour ago, Rob Callister said:

My biggest concern on the islands health service is that I would expect the departments budget to go up and down depending on the level of demand, which is impossible to forecast at times....

Unfortunately, all we are seeing is an increase year on year, and therefore a full review of all costs needs to be undertaken in order to identify potential savings and alternative delivery methods.... 

Unfortunately demand doesn’t go down much and is likely to continue to increase. The problem is that despite having a strategy to strengthen community services and integrate care we have over the last 2 years further increased the proportion of spending on the hospital. It’s hardly surprising the hospital is struggling when there are no other treatment options for folk. The fact that the department's overspend is less than Nobles overspend shows money being moved from other areas to the hospital. If you want a review, then please let us have someone who knows about health services not KPMG etc etc. The obvious one would be the Kings Fund https://www.kingsfund.org.uk/consultancy-support/policy-advisory

  • Like 4
  • Thanks 1
Link to post
Share on other sites

the cost of modern equipment and some of the procedures now available  is nothing to back when surgery was appendix removal and fixing obvious physical damage.  these days it is transplants,  medicines that cost over a grand a week to keep some one alive etc etc.   sticking with transplants as a subject,  if everybody was automatically a donor as was mentioned recently,  where is the cash coming from to pay for all the extra transplant surgeries that would be possible??,    i reckon  the state would end up selling harvested organs  overseas to fund its own growth  rather than actually use the organs locally  ( GB  locally ).

Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
  • Recently Browsing   0 members

    No registered users viewing this page.


×
×
  • Create New...