IOM DHSC & MANX CARE

[WTF]

2 hours ago, John Wright said:

 

 

So, are they saying that there were some things you could be prescribed and given in England that couldn’t previously be prescribed and given here?

 

perhaps on a financial level rather than a medical one ?  

[Boo Gay'n]

1 hour ago, buncha wankas said:

Not actually true as Manx care put loss incurred buy closing private as 800k lost income.   So it couldn’t have been subsidised by tax payer, sounds like we lost millions.

don’t believe everything they tell you. 

Oh, you naive pup!  Income and expenditure accounts show if you have a profit or loss.

I think that JW said earlier that they had no real idea what was being spent to generate the income.

[buncha wankas]

1 hour ago, John Wright said:

Ashford said closing the private wing would save DHSC £200,000 a year

https://www.iomtoday.co.im/news/health/suspension-of-private-medical-care-at-nobles-223944

And wrighty explained in detail

https://www.manxforums.com/forums/index.php?/topic/63929-private-medical-care-terminated-at-nobles/&do=findComment&comment=1298358
 

I think you’re quoting the loss that Manx Care is notionally losing by not using Ward 19. But it wouldn’t have been able to use it for lots of 2021/22 when it was repurposed due to covid. And I suspect that’s the budgeted figure for income from a successful tender, which hasn’t happened, so it’s not actual.

The Private Patients was making plenty of revenue before it was closed.  You suspect budgeted figure?  There was no tender so the revenue is actual loss from previous revenue earned. 

[John Wright]

6 minutes ago, buncha wankas said:

The Private Patients was making plenty of revenue before it was closed.  You suspect budgeted figure?  There was no tender so the revenue is actual loss from previous revenue earned. 

But expenditure exceeded the revenue. PPU was just a hotel with nursing, plus some consulting rooms they rented out. Most revenue from private care at Nobles went to consultants, surgeons, anaesthetists.

And, as wrighty explained 4 years ago, most things billable,  and therefore revenue,  went to Treasury, not DHSC, but DHSC paid all the costs like staff, heat, light, power, maintenance.

[Roger Mexico]

28 minutes ago, John Wright said:

But expenditure exceeded the revenue. PPU was just a hotel with nursing, plus some consulting rooms they rented out. Most revenue from private care at Nobles went to consultants, surgeons, anaesthetists.

And, as wrighty explained 4 years ago, most things billable,  and therefore revenue,  went to Treasury, not DHSC, but DHSC paid all the costs like staff, heat, light, power, maintenance.

Also (from rumour) a lot of things didn't get charged out, either from administrative incompetence or to keep certain consultants 'sweet'.  So even stuff that was costing the NHS (such as staff overtime) rather than just correct apportioning of overheads, wasn't recovered.

[Apple]

Ward 19 was often used for NHS patients when the hospital was experiencing bed shortages. it was accepted and worked well, with the then Manager keeping a close eye on the bed usage.

When beds started to be closed in other areas then problems occurred.

This morning, whilst Tynwald was on, there were emergency meetings at Nobles due to bed shortages and the usual reasons were used - too many A and E patients, shortages in community facilities etc.

One of the contributing factors though it appears are the beds closed due to lack of staff. 

The paper that was issued to Board members should be published but I suggest it would cause too much public concern.

Todays events in Tynwald do not help.

[Apple]

Hooper only in it for the short term. Can't get paid twice for two jobs. 

https://www.manxradio.com/news/isle-of-man-news/hooper-return-to-dhsc-will-be-short-term/

Ok then, who's next.?

Any offers anyone? 

[Boo Gay'n]

28 minutes ago, Apple said:

Hooper only in it for the short term. Can't get paid twice for two jobs. 

https://www.manxradio.com/news/isle-of-man-news/hooper-return-to-dhsc-will-be-short-term/

Ok then, who's next.?

Any offers anyone? 

What about Clare Barber, the second healthcare professional in the Keys?  She knows Noble's inside out, and was also a member of the department for an extended period.

While I think she suffers a little from the egotism that is inflated after taking the loyal oath, she also appears bright, hard-working and personable.

[cissolt]

30 minutes ago, Apple said:

Hooper only in it for the short term. Can't get paid twice for two jobs. 

https://www.manxradio.com/news/isle-of-man-news/hooper-return-to-dhsc-will-be-short-term/

Ok then, who's next.?

Any offers anyone? 

Ashford, Alf has already laid the groundwork.  Then an embarrassing climb down and forced resignation when his failures during the Ranson debacle are brought to light again

[Apple]

Dr Allinson would be my choice if he is no longer a practising GP or gives it up. 

We need someone who knows the way round the health and care services ( are they going to drop the 'social' word now) and theres no-one better qualified. He knows the game of politics too and I  believe he harbours sights at the big chair.

 

[Banker]

4 hours ago, Apple said:

Hooper only in it for the short term. Can't get paid twice for two jobs. 

https://www.manxradio.com/news/isle-of-man-news/hooper-return-to-dhsc-will-be-short-term/

Ok then, who's next.?

Any offers anyone? 

Why not Jane PW , home affairs is fairly small & could be amalgamated with cabinet office so Kate could do a bit more 

[Andy Onchan]

On 11/14/2022 at 7:12 PM, Roger Mexico said:

Also (from rumour) a lot of things didn't get charged out, either from administrative incompetence or to keep certain consultants 'sweet'.  So even stuff that was costing the NHS (such as staff overtime) rather than just correct apportioning of overheads, wasn't recovered.

Fact. Not a rumour.

[GD4ELI]

3 minutes ago, Andy Onchan said:

Fact. Not a rumour.

Agreed, first-hand experience of this.

[Apple]

19 hours ago, Banker said:

Why not Jane PW , home affairs is fairly small & could be amalgamated with cabinet office so Kate could do a bit more 

I agree about JPW....but please keep it away from Cabinet office!

Lots in the news about the 3 MHK complainants being made out as villains and the tragic events in a Safeguarding review. Also the GP situation in Foxdale.

Will our Government imitate the UK Chancellor this afternoon and pledge more resources to health and care services, as something is not happening as it should. Constructive change is required. 

 

Edited November 17, 2022 by Apple
resources bit

[cissolt]

7 hours ago, Apple said:

I agree about JPW....but please keep it away from Cabinet office!

Lots in the news about the 3 MHK complainants being made out as villains and the tragic events in a Safeguarding review. Also the GP situation in Foxdale.

Will our Government imitate the UK Chancellor this afternoon and pledge more resources to health and care services, as something is not happening as it should. Constructive change is required. 

 

You could argue that the extra £3 million plus per year for the Manx care board could have been used better elsewhere.

We are still waiting for them to publish the money paid to the various directors that are popping up every week