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Max Power

Hospital Consultants Waiting Lists

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Back in 1994, my mother died because the consultant didn't get to see her early in her bowel cancer journey. She had been complaining since 1998 of symptoms but in my opinion, Noble's Hospital killed her through negligence! She had nursed my father through his throat cancer in 1985/6 until he died, you guessed it, he had to wait while the consultant found the time to have a look, by which time it was too late. In both cases the response after diagnosis was great, but I'm sure they would have been alive maybe even now, had they had an early intervention! 

Things haven't changed, and now they have found an excuse in Covid! 

https://www.manxradio.com/news/isle-of-man-news/almost-2500-patients-waiting-more-than-a-year-for-appointments/

My doctor had to chase three times before they would take my referral seriously just recently, even then I had to chase and chase. I was told that they had a large waiting list, surely a change in working practices would help them get through it? Or do they think that if they bury their heads in the sand, the waiting list will die away naturally?

 

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47 minutes ago, Max Power said:

Back in 1994, my mother died because the consultant didn't get to see her early in her bowel cancer journey. She had been complaining since 1998 of symptoms but in my opinion, Noble's Hospital killed her through negligence! She had nursed my father through his throat cancer in 1985/6 until he died, you guessed it, he had to wait while the consultant found the time to have a look, by which time it was too late. In both cases the response after diagnosis was great, but I'm sure they would have been alive maybe even now, had they had an early intervention! 

Things haven't changed, and now they have found an excuse in Covid! 

https://www.manxradio.com/news/isle-of-man-news/almost-2500-patients-waiting-more-than-a-year-for-appointments/

My doctor had to chase three times before they would take my referral seriously just recently, even then I had to chase and chase. I was told that they had a large waiting list, surely a change in working practices would help them get through it? Or do they think that if they bury their heads in the sand, the waiting list will die away naturally?

 

You have to work hard, and really engage with your doctor and specialist to move things forward. I might have been lucky, but in the three ops I’ve had at Nobles things have been great, although the lead up to the first one took many years and I learned from that. 

Ive recently had to have an urgent MRI which has fortunately come back clear, but the waiting list was six weeks. There is private capacity out of hours for private work, and things will improve shortly with the second machine coming on line. What really needs looking at is us spending money on vanity bridges rather than diverting that money into health to start to reduce waiting times.

Fund the front line and they will deliver. As a society we really do now need to decide what is important.

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what has happened with the private wing now. I thought it was closed for refurbishment?

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7 minutes ago, Derek Flint said:

You have to work hard, and really engage with your doctor and specialist to move things forward. I might have been lucky, but in the three ops I’ve had at Nobles things have been great, although the lead up to the first one took many years and I learned from that. 

Ive recently had to have an urgent MRI which has fortunately come back clear, but the waiting list was six weeks. There is private capacity out of hours for private work, and things will improve shortly with the second machine coming on line. What really needs looking at is us spending money on vanity bridges rather than diverting that money into health to start to reduce waiting times.

Fund the front line and they will deliver. As a society we really do now need to decide what is important.

I told my GP that I was willing to go private, he told me that there really was no need as they should see me straight away. They still deferred me despite his efforts, at first. It's now sorted after several calls. If you are in need of attention, you tend to put your trust in the hospital, sometimes it's misplaced! 

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As with a lot of 'stories' over the last couple of weeks, this derives from the August Tynwald Written Questions session.   Edge had asked (Q 46):

If [the Minister] will publish a breakdown of all waiting lists and performance times prior to 15th March 2020 and up to and including 7th August 2020 for all speciality areas by: a) type of referral; b) number of patients; c) increase in an individual's wait time; and d) cancer wait times?

Which you would think is of general interest and of very strong interest to those affected - and something that the DHSC administration should know already.

It's actually worth looking at the 'reply' that was given because it illustrates the contempt that the DHSC hold politicians in.  All they have produced is the number on the two waiting lists (Inpatient and Outpatient)separately as at those two dates, within  various time spans (0-2 months;  3-5; 6-11; 12-17; 18-23; 24+) broken down by speciality.  Nothing on types of referrals, change in waiting time or cancer wait times.   No way of comparing the numbers between dates given except by setting your own spreadsheet[1].  They can't even be bothered to size and put the tables in landscape, so each is 'printed' over three pages.

And most crucially no apologies or explanations.  Nothing to say that some of the data might be difficult to calculate or that reports have been produced for slightly different dates and is that OK?  Just a few keystrokes to produce some data vaguely related to part of what was asked and that all you're getting.

The most important point here you would expect the DHSC to be monitoring this stuff and making resource decisions based on the data for the maximum benefit of patients.  So either they don't think the plebs should know the situation or they are failing to run things properly.

 

[1]  Because of the odd way the Tynwald Answers file has been set up, this would mean typing everything in again.  This is probably due to Government Departments being unable to even decide a common format for replies, though at least they seem to have stopped the business of using document images in some Departments.

Edited by Roger Mexico
Add question number.
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39 minutes ago, Roger Mexico said:

As with a lot of 'stories' over the last couple of weeks, this derives from the August Tynwald Written Questions session.   Edge had asked (Q 46):

If [the Minister] will publish a breakdown of all waiting lists and performance times prior to 15th March 2020 and up to and including 7th August 2020 for all speciality areas by: a) type of referral; b) number of patients; c) increase in an individual's wait time; and d) cancer wait times?

Which you would think is of general interest and of very strong interest to those affected - and something that the DHSC administration should know already.

It's actually worth looking at the 'reply' that was given because it illustrates the contempt that the DHSC hold politicians in.  All they have produced is the number on the two waiting lists (Inpatient and Outpatient)separately as at those two dates, within  various time spans (0-2 months;  3-5; 6-11; 12-17; 18-23; 24+) broken down by speciality.  Nothing on types of referrals, change in waiting time or cancer wait times.   No way of comparing the numbers between dates given except by setting your own spreadsheet[1].  They can't even be bothered to size and put the tables in landscape, so each is 'printed' over three pages.

And most crucially no apologies or explanations.  Nothing to say that some of the data might be difficult to calculate or that reports have been produced for slightly different dates and is that OK?  Just a few keystrokes to produce some data vaguely related to part of what was asked and that all you're getting.

The most important point here you would expect the DHSC to be monitoring this stuff and making resource decisions based on the data for the maximum benefit of patients.  So either they don't think the plebs should know the situation or they are failing to run things properly.

 

[1]  Because of the odd way the Tynwald Answers file has been set up, this would mean typing everything in again.  This is probably due to Government Departments being unable to even decide a common format for replies, though at least they seem to have stopped the business of using document images in some Departments.

Well observed. 

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So basically if you get ill here the best course of action would be to jump on the Ben, oh hang on a mo!

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7 minutes ago, finlo said:

So basically if you get ill here the best course of action would be to jump on the Ben, oh hang on a mo!

Or to go private. Both are ridiculous situations. Further funding for our public health service is necessary.

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16 minutes ago, HeliX said:

Or to go private. Both are ridiculous situations. Further funding for our public health service is necessary.

Do they have a facility to see you privately yet?

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6 minutes ago, finlo said:

Do they have a facility to see you privately yet?

I think it depends on the type of procedure/department. I was given the option of private for an MRI.

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25 minutes ago, HeliX said:

Further funding for our public health service is necessary.

Effective management would be lovely too.

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4 hours ago, Roger Mexico said:

The most important point here you would expect the DHSC to be monitoring this stuff and making resource decisions based on the data for the maximum benefit of patients.  So either they don't think the plebs should know the situation or they are failing to run things properly.

Both

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I have been advised by a politician that the problem seems to stem largely from public confidence, which is an essential psychological component in the treatment and recovery from illness.   I don't fully hold with that theory and would advocate a warts and all approach to whatever statistics are available (management information is woeful I believe). Challenge and accountability is fundamental for the NHS if it is going to improve the quality of service. The general ethos prior to the pandemic seemed to be one of arrogance and indifference but there are now signs that people want more information and explanation of this, the publics largest investment.  

I also do not subscribe to the "Manx Care will fix everything" mantra despite the £20 million costs of bringing it in. Money not spent wisely, again. 

Well done though to Henry Bloom Nobles trustees on the scanners though.

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The situation in GP surgeries is hardly any better. Try getting an appointment whether urgent or otherwise at Palatine HC is impossible as you are told you need to ring at 08:30 each morning and they might be able to fit you in for that day. Yes, you read that right. You can't make an appointment for say three weeks time for a non-urgent issue, say medication review. You have to call at 08:30 to see a GP for that day only. It's bonkers.

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12 hours ago, Uhtred said:

Effective management would be lovely too.

I don't think hospital consultants take kindly to being 'managed!' Their attitudes trickle down to their appointments staff and secretaries, giving a terrible impression of callousness. I'm not criticising individual consultants, they do a difficult job and have to be a special kind of person to deal with what they do. The big issue is, I feel, that there are few people who are able to manage the personalities which are hospital staff. They literally hold the power of life and death in their hands, they probably need a different management model where they are able to make timely and proper decisions on how to get patients sat in front of them! 

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