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6 minutes ago, Banker said:

If there’s staff shortages for clinics etc why are we sending lots of qualified nurses out every day to do vaccinations when there’s plenty of retired medical people offering to do them plus the GP surgeries?

Presumably insurance issues / not being employed / qualifications and training etc out of date etc etc prevent the retirees from assisting? 

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In orthopaedics we've mainly been doing day case surgery since December.  We've made up for it in part by doing additional trauma work - the situation in the NW has been so bad that there are patients

Good Lord, No, that would never be the case...... The real problem though lies in the inherent structural weaknesses there are now in the system that have been created in the last 5 years. 

I'm sure they must be doing some kind of procedure at B&B. Last time I was in there, the salesman seemed insistent on pulling my pants down.

2 minutes ago, manxst said:

Presumably insurance issues / not being employed / qualifications and training etc out of date etc etc prevent the retirees from assisting? 

Maybe but not stopping them in UK , needs sorting ASAP

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3 minutes ago, Banker said:

Maybe but not stopping them in UK , needs sorting ASAP

Maybe in the UK there is infrastructure in place such as permanently staffed and maintained training centres etc to get people up to speed. I’d guess that over here we’d have to extrapolate staff from duties. I don’t know, but yes, if there are willing and able people available to assist, they should be utilised. 

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23 minutes ago, manxst said:

Presumably insurance issues / not being employed / qualifications and training etc out of date etc etc prevent the retirees from assisting? 

Not here, one day's refresher and they're off. It's only an injection.

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But this is not just about operations at Nobles, is it?

Our health services were struggling even before Covid-19. Now the waiting time to even to see a specialist for just a consultation is getting longer and longer, and the waiting times to have an operation are getting so long that it can feel like the operation may never happen. To me this is further evidence of how badly everything seems to be run.

The Douglas Prom fiasco is one of the worst examples of taxpayers wasted money, ever. This development has been going on for so long now that I have forgotten when it all began. 

The education system is also struggling.

The public sector employee pensions reserve will run out in 2023 and will rely on the government's annual revenues forever after. There are no plans to do anything else. 

The Island could be placed on the EU's blacklist by year end, but nobody in the government seems to be especially concerned about that. If it happened, what impacts would blacklisting have on local businesses?

At present we have a mismatch with employment - too few skilled workers in the medical and construction sectors, while there are too many unemployed people in the hospitality sector. Surely, this government can not be so ineffective that it can not address these key issues...? 

 

Edited by code99
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38 minutes ago, code99 said:

But this is not just about operations at Nobles, is it?

Our health services were struggling even before Covid-19. Now the waiting time to even to see a specialist for just a consultation is getting longer and longer, and the waiting times to have an operation are getting so long that it can feel like the operation may never happen. To me this is further evidence of how badly everything seems to be run.

The Douglas Prom fiasco is one of the worst examples of taxpayers wasted money, ever. This development has been going on for so long now that I have forgotten when it all began. 

The education system is also struggling.

The public sector employee pensions reserve will run out in 2023 and will rely on the government's annual revenues forever after. There are no plans to do anything else. 

The Island could be placed on the EU's blacklist by year end, but nobody in the government seems to be especially concerned about that. If it happened, what impacts would blacklisting have on local businesses?

At present we have a mismatch with employment - too few skilled workers in the medical and construction sectors, while there are too many unemployed people in the hospitality sector. Surely, this government can not be so ineffective that it can not address these key issues...? 

 

A couple of points.

Blacklist- it is simply wrong to state what you have above.  The island has spent a long time being at the forefront of complying with and leading on transparency.  The reality is, to some degree, out of the hands of the IOM.

Your final point about mismatch of employment is utterly bizarre.  There are unemployed people in hospitality due to Covid.    There are challenges around import of labour for other sectors.  You think the government can address this how? By giving the lass working at the Sefton a crash course in bricklaying or surgery?

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1 hour ago, manxst said:

Presumably insurance issues / not being employed / qualifications and training etc out of date etc etc prevent the retirees from assisting? 

People can be invited to be "occupied" on the bank at Nobles and be covered by DHSC indemnity insurance. If clinically experienced then half an hours training can be undergone and a certificate obtained if necessary, so level / grade of practitioner can be limited to reduce costs.

It is not a big deal, if that is what they really wanted to do.

I can't find any request for ex clinical staff to come forward under those or similar terms, so presumably it fits in with what DA says about having enough staff for the vaccination programme.

If they have diverted staff away from important and necessary clinical / administrative duties in Nobles to go out and vaccinate then they have got it very wrong in my view.

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Friend referred to consultant who asked to see them URGENTLY. After several weeks waiting to hear about an appointment, they rang to ask on progress telling them he had said he wanted to see them urgently. Was told that there were now no longer any urgent classifications and they would be in touch but not for some time.

Another had an accident in April last year. Every time he had to see a consultant, while he was and still is awaiting an operation, he is collected from his house within walking distance of Nobles by hospital transport and taken to Ramsey because “no consultations being held at Nobles” - a friend in U.K. had exactly the same injury from similar accident two weeks ago. They had the exact same operation last week and, no, they did not need to go private.  

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1 hour ago, Dunroamin said:

Friend referred to consultant who asked to see them URGENTLY. After several weeks waiting to hear about an appointment, they rang to ask on progress telling them he had said he wanted to see them urgently. Was told that there were now no longer any urgent classifications and they would be in touch but not for some time.

Another had an accident in April last year. Every time he had to see a consultant, while he was and still is awaiting an operation, he is collected from his house within walking distance of Nobles by hospital transport and taken to Ramsey because “no consultations being held at Nobles” - a friend in U.K. had exactly the same injury from similar accident two weeks ago. They had the exact same operation last week and, no, they did not need to go private.  

What type of operation are they waiting for, I know people who’ve had consultations at Nobles  colonoscopy,kidney issues etc 

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19 hours ago, wrighty said:

In orthopaedics we've mainly been doing day case surgery since December.  We've made up for it in part by doing additional trauma work - the situation in the NW has been so bad that there are patients we'd ordinarily have transferred across for specialist care that we've managed here.

It's a very frustrating situation for us.  The blame lies squarely with covid.  I've explained before why getting additional staff is almost impossible right now.  The lack of activity is not down to politicians, managers or clinicians themselves. It's just how it is.  I very much hope it improves soon - I don't like seeing patients in clinic and telling them I can replace their joint although I have little idea when, but I'm not about to make promises I probably can't keep.

Fully understandable, as long as we aren't using COVID as an excuse for cost cutting and not employing agency nurses....

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1 hour ago, Dr. Grumpy said:

Fully understandable, as long as we aren't using COVID as an excuse for cost cutting and not employing agency nurses....

Good Lord, No, that would never be the case......

The real problem though lies in the inherent structural weaknesses there are now in the system that have been created in the last 5 years. 

The organisational dithering, the imperfect management, poor leadership, paying huge salaries for new Managers every couple of years with the expenses connected and the political changes / misdirections are solely where the faults and the reasons for where we are now. 

And then there was Covid....

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3 hours ago, Apple said:

And then there was Covid....

Apologies. Forgot to add : and then there will be Manx Care.

The fun just never stops.😄

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23 hours ago, code99 said:

The Douglas Prom fiasco is one of the worst examples of taxpayers wasted money, ever. This development has been going on for so long now that I have forgotten when it started...

 

524 A.D.

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