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Manx Care


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8 hours ago, VikingRaider said:

A Nurse Practitioner is a more qualified nurse and is able to prescribe things without referring to a doctor. The idea is for them to see cases that need a face to face but aren't serious enough to see a doctor. Providing the booking clerk is good at triage its a good solution ... we have one at Ramsey and he's very well thought of.

There's two problems here.  The first is balance - this isn't a practice with eight doctors and a single nurse-practitioner who is able to help then in certain circumstance.  This is practice which has just lost two of its three doctors and they are being replaced by two additional nurse (there is already one).  Rather than 8 + 1 it's ! +3.  Most of the time in Ramsey you will be able to see a doctor,  at the Snaefell practice there won't be much choice - you probably won't.

And that leads to the second problem here, which is about honesty.  Manx Care are calling these staff "partners" though I bet they're not Practice Partners in the sense we expect when we hear the term.  They're pretending they're the same as GPs when they're actually doing a rather different job - that this is a proper solution to the problems at the practice rather than a stopgap measure.  It's misleading and it's unfair on the staff who are being promised as something they're not.  As so often with Manx government PR is being mistaken for reality.

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2 hours ago, The Voice of Reason said:

Why don’t you just say Manx Radio.?

There will be some who wonder what the hell you are talking about.

It won’t diminish any argument you may have.

Not big or clever

I think most people will know what is meant, even if they don't agree with the wording.

Why don't you just ignore it rather than make a fuss about it every time?

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1 hour ago, Roger Mexico said:

I think most people will know what is meant, even if they don't agree with the wording.

Why don't you just ignore it rather than make a fuss about it every time?

2112 drops the bait. TVoR swims up, bites, and reels himself in every time.  

 

It was amusing the first few hundred times.

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8 hours ago, Roger Mexico said:

There's two problems here.  The first is balance - this isn't a practice with eight doctors and a single nurse-practitioner who is able to help then in certain circumstance.  This is practice which has just lost two of its three doctors and they are being replaced by two additional nurse (there is already one).  Rather than 8 + 1 it's ! +3.  Most of the time in Ramsey you will be able to see a doctor,  at the Snaefell practice there won't be much choice - you probably won't.

And that leads to the second problem here, which is about honesty.  Manx Care are calling these staff "partners" though I bet they're not Practice Partners in the sense we expect when we hear the term.  They're pretending they're the same as GPs when they're actually doing a rather different job - that this is a proper solution to the problems at the practice rather than a stopgap measure.  It's misleading and it's unfair on the staff who are being promised as something they're not.  As so often with Manx government PR is being mistaken for reality.

I noticed this on the manx radio reporting. The thing that made me notice it was the sheer amount of times manx radio said partners. Obviously deliberate. It reminded me of ashie using the person who he is speaking to's name 3 or 4 times more than is needed every interview. Learned, not natural.

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11 hours ago, Roger Mexico said:

And that leads to the second problem here, which is about honesty.  Manx Care are calling these staff "partners" though I bet they're not Practice Partners in the sense we expect when we hear the term.  They're pretending they're the same as GPs when they're actually doing a rather different job - that this is a proper solution to the problems at the practice rather than a stopgap measure.  It's misleading and it's unfair on the staff who are being promised as something they're not.  As so often with Manx government PR is being mistaken for reality.

So very true. And who employs the nurses - if it's the practice then is this a cheaper option, e.g.what are the arrangements for payment per patient etc.

This was a model they tried in the 70's in the UK - nurse led facilities - even an A and E at one point. Didn't last very long as what nurses can or are able to do, whatever their level of training, can be fairly limited and needs a medical opinion anyway. One of the problems is accountability and how that is determined and it is maintained, with the difference between clinical practice and medical practice that Manx Care do not want to make clear, for obvious reasons.

Is this going to be the model for all GP practices in the development of 'integrated care' which is probably next on the agenda. ? No wonder the politicians don't want anything more to do with the operational side of health and social care.

The more I see and hear about the developments and the impacts they are having the less open and transparent Manx care seem to be.

PS - Whoever though it was a good idea for Cope to go on a political programme on election night got that so wrong. It was embarrassing, and that is shared amongst some of the Nobles staff I have spoken with. Some were frustrated she was not around during the day Thursday  Friday working "tirelessly" for the benefit of patients, as she so often tells us she is. 

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8 minutes ago, Apple said:

Some were frustrated she was not around during the day Thursday  Friday working "tirelessly" for the benefit of patients, as she so often tells us she is. 

This sounds very Trumpish.

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8 hours ago, quilp said:

Just another day at Noble’s. 

It was described to me a chaotic in some places. There's a long way to go and lots of changes to get through yet. 

 

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