Operations at Nobles

[John Wright]

34 minutes ago, wrighty said:

That’s assuming the newspaper report is accurate, which on past experience is highly improbable. The ‘nurse’ in the article could be any hospital employee on the clinical side, except perhaps a doctor (they’d say doctor in that case).  Physiotherapists, health care assistants, theatre practitioners etc - all nurses as far as the press are concerned. 

Fully agree about press coverage. I don’t think they’d use nurse as generically as you think. But possibly the journo has shredded his notes.

Anyway, please stop having a go at Apple. I know you both. I’ve asked him to take a breather. I’m doing the same for you.

[Sheldon]

1 hour ago, John Wright said:

Anyway, please stop having a go at Apple. I know you both. I’ve asked him to take a breather. I’m doing the same for you.

 "him"? 😉 

[John Wright]

43 minutes ago, Sheldon said:

 "him"? 😉 

That’s what wrighty seems to think

[snowman]

6 hours ago, John Wright said:

 

 

 

 

 

 

I know Apple irl. I’m not going to say if he is a she, or she is a he, or non binary or mtf or ftm. I know that’ll upset @snowman who wants to know how they got where they are, but hey.

You all, me included, take this place far too seriously. But I’m grateful for the experience, and insight, that Apple and wrighty ( and many others ) bring to matters Noble, medical and pandemic.

Now, I’ve only got to mention Jersey, and how they do, or don’t, do it better, and we’ll have @Banker creaming his, or her, jeans.

@John Wrightwhat did I do ?

[code99]

19 hours ago, Apple said:

http://www.iomtoday.co.im/article.cfm?id=63160&headline=Manx Care waiting list fix criticised&sectionIs=news&searchyear=2021

Questions and criticisms of the waiting lists and the actions taken to address them. No idea who this retired nurse is but I can recognise what they are saying.

Although a necessary and welcome intervention I wonder how can the UK supply these teams and the time to come over given the difficulties that must also be facing.? A breakdown of the sums of money and what it involves might show the true costs of this is more than we think. 

It has to be done, so are we getting value for our money ?

The question arises why our Ophthalmic Surgeons are not doing the same number of cataract operations as their UK counterparts and that has been the situation for many years.

 

Agreed. I also share concerns of IOM Today posters who potentially smell a rat. I.e., vast sums of money could be squandered with no practical benefits for IOM patients; is Manx Care a private company operating at ‘arms’ length of the IOMG? Why are the majority of board and executives located in the UK? Is this part privatisation of the IOM NHS via a back door? Why was ‘Manx Care’ necessary in the first place, etc…

IMHO, there are ample reasons for criticising the IOMG and the IOM Health Service, not the least of which is the unacceptably long patient waiting lists that were going up even before Covid. I am aware of people whose quality of life has been considerably diminished as they are forced to live on painkillers in order to alleviate hip and knee problems, whilst awaiting their procedures. So, yes, something had to be done, but will a UK-based Manx Care administration, who will do a lot of consultations remotely, actually cut waiting lists?

As much as I appreciate that every time IOMG issues a confusing statement, @wrighty quickly deciphers it and posts clarifying comments (e.g. on people hospitalised with Covid as opposed to due to Covid, etc), I would rather that IOMG and/ or Public Health spokespersons were doing better job of communicating with the GMP in a coherent manner, so that @wrighty could spend more time doing his day job - treating patients, some of whom are absolutely desperate. That said, I personally regard your and @wrighty comments as being some of the most insightful and helpful on MF. Thank you both.

Edited August 8, 2021 by code99

[Apple]

19 hours ago, code99 said:

Agreed. I also share concerns of IOM Today posters who potentially smell a rat. I.e., vast sums of money could be squandered with no practical benefits for IOM patients; is Manx Care a private company operating at ‘arms’ length of the IOMG? Why are the majority of board and executives located in the UK? Is this part privatisation of the IOM NHS via a back door? Why was ‘Manx Care’ necessary in the first place, etc…

IMHO, there are ample reasons for criticising the IOMG and the IOM Health Service, not the least of which is the unacceptably long patient waiting lists that were going up even before Covid. I am aware of people whose quality of life has been considerably diminished as they are forced to live on painkillers in order to alleviate hip and knee problems, whilst awaiting their procedures. So, yes, something had to be done, but will a UK-based Manx Care administration, who will do a lot of consultations remotely, actually cut waiting lists?

There are many questions about Manx Care that need to be asked and the issues that follow on from them, especially why Manx Care was necessary in the first place. It isn't just about costs as DA has also commented about the failures of that organisation now for several years. Some would argue, and I am one of them, that the Sir Michaels did not go far enough in the detail of how we came to be where we were, and to some extent still are. E.g. - Their last Board papers highlighted some of those issues say for the over prescribing of painkillers and Diazepam., but what are the reasons for that ? Why were waiting lists as they were even before Covid came around? Where was al that money being spent and was it effective? I think it has taken Manx Care to even start to ask some of the questions.

Modern day clinical practices are now different and the environment for delivering them has to be subject to ongoing scrutiny, investigation, learning from errors, constant educational updating just to name a few conditions. The questions include why have we not had all this in place until now and what can they do to embed and enhance these practices.

As I have said before, there are those who have walked away prior to Manx Care came into being without any need for accountability which was probably a wise decision to prevent more washing of dirty linen. The Dr Tinwell case was not the only blot on that particular landscape. Thank goodness some would say that is was stopped in time. 

[Banker]

Anyone know when the private patients wing is supposed to reopen, it was refurbished at taxpayers expense with a view to getting a third party operator in to run. 

[code99]

1 hour ago, Apple said:

There are many questions about Manx Care that need to be asked and the issues that follow on from them, especially why Manx Care was necessary in the first place. It isn't just about costs as DA has also commented about the failures of that organisation now for several years. Some would argue, and I am one of them, that the Sir Michaels did not go far enough in the detail of how we came to be where we were, and to some extent still are. E.g. - Their last Board papers highlighted some of those issues say for the over prescribing of painkillers and Diazepam., but what are the reasons for that ? Why were waiting lists as they were even before Covid came around? Where was al that money being spent and was it effective? I think it has taken Manx Care to even start to ask some of the questions.

Modern day clinical practices are now different and the environment for delivering them has to be subject to ongoing scrutiny, investigation, learning from errors, constant educational updating just to name a few conditions. The questions include why have we not had all this in place until now and what can they do to embed and enhance these practices.

As I have said before, there are those who have walked away prior to Manx Care came into being without any need for accountability which was probably a wise decision to prevent more washing of dirty linen. The Dr Tinwell case was not the only blot on that particular landscape. Thank goodness some would say that is was stopped in time. 

Thanks Apple. 

I am concerned that there is no clear distinction between what Manx Care and the Management of the Department of Health and Social Care are responsible for i.e. when things go wrong the responsibility will fall through the cracks. E.g. the vaccine letters which were produced under the Manx Care logo are not always internationally accepted. Who was responsible for this fiasco?

I am also concerned that Manx Care will turn into a private company that is funded by IOM taxpayer money and this will be a very profitable enterprise for Manx Care, but will offer few benefits for Manx patients.

Finally, my other gripe is that the Manx Care Board members are predominantly based in the UK. I think this is a strategic mistake. My view is that part of the reason for our current problems is that Kathryn Magson lives in the UK and is hardly ever here. How can that possibly be an efficient and effective arrangement?

Edited August 9, 2021 by code99
typo

[Apple]

I share a lot of the concerns expressed above. We as tax payers have invested an awful lot of our resources into Manx Care and they really needed to hit the ground running but they were not really prepared enough. The off island members of the Board does not sit well with me either.

Anyhow, some of the answers may be obtained hopefully using mcals :-

https://www.gov.im/media/1373779/mcals-brochure.pdf

A good first step but again is this the wisest use of scarce resources in that a very experienced, qualified and from what I hear skilful practitioner has been assigned to answering the phone calls. 

I think other issues such as the private wing may need a DHSC response but of course this is one of the first hurdles of knowing where to go for the right information. I anticipate similar problems with the complaints procedures when the new one are finally constructed. 

At the end to the day the DHSC has given Manx Care a mandate to be measured by and that is set for Tynwald to scrutinise next year.

By the way, can I just say thanks for all the messages received and finally No, I am not the person who has been in touch with Manx Radio to complaint about the services. Mistaken identity I am afraid.

 

[Roger Mexico]

1 minute ago, Apple said:

I think other issues such as the private wing may need a DHSC response but of course this is one of the first hurdles of knowing where to go for the right information. I anticipate similar problems with the complaints procedures when the new one are finally constructed. 

You can see this already in the FoI responses where anything asked of the DHSC is responded to with "Piss off and ask Manx Care"  (almost literally), even if it relates to data when DHSC was in charge.

[Uhtred]

8 hours ago, Roger Mexico said:

You can see this already in the FoI responses where anything asked of the DHSC is responded to with "Piss off and ask Manx Care"  (almost literally), even if it relates to data when DHSC was in charge.

Whereas, henceforth, it’s likely to be fairly difficult for Manx Care to hide behind DHSC, in terms of the reverse I predict it will fast become the default. Politically and functionally.

[Apple]

It's all going to be about forming new and effective relationships.

As we wait until the Manx Care team establishes both itself and the areas it has the authorities to determine for itself and those who will be managed by all these new people (some will not like that) there will be uncertainty on all sides. Power struggles will probably ensue and attempts to rebuild new "empires" and achieve some level of organisational authority or even superiority will no doubt also be part of the games. Will new silo's emerge.?

It may all look and behave very differently by next April. One can only hope.

 

[Banker]

The reason operations are being canceled is because Manx  Care are refusing admission to nursing homes meaning elderly have to take up a bed in hospital where they are probably more likely to get COVID.

Manx Care need to reverse this ridiculous decision now

https://www.manxradio.com/news/isle-of-man-news/care-home-closures-lead-to-surgery-cancellations-at-nobles/

 

[Apple]

6 minutes ago, Banker said:

Manx Care need to reverse this ridiculous decision now

This was predicted, but what would the options be. To open up would expose others to risks? Sounds familiar. Let's not go back there again.