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IOM DHSC & MANX CARE


Cassie2
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But isn’t thatbetter than turfing elderly/vulnerable people (or any patient tbh) out without any support, medication, care package in place etc at stupid times of the day/night? https://www.bbc.co.uk/news/uk-england-essex-63758111

There is no easy fix to it, but surely patients (especially elderly) don’t suddenly become well enough to go home at 6/7 pm? Decisions made earlier in the day could mean that all support is in place before they get shoved out …

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21 minutes ago, Gladys said:

Frankly, the use of the term 'bed blocking' is emotive and divisive. It sounds like the people who are classed as 'bed blockers' are intentionally there rather than being a symptom of a broken system. 

 

Patients themselves rarely deliberately bed-block, but on occasion their families do so on their behalf, refusing perfectly good community care packages or nursing home placements for a variety of reasons ranging from inconvenience (“we will only accept a nursing home in our own town”) to an unwillingness to sort funding.

Nursing homes themselves are sometimes difficult when it comes to taking their own residents back (“we need to assess his care needs again, and can only come a week on Thursday, you’ll have to keep him until at least then”)

It gets frustrating at times, but you’re right that it’s the broken system generally. However, as far as I can tell this particular system has never worked - ‘broken’ implies it used to. Not in my medical lifetime. 

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On 11/26/2022 at 8:04 PM, Dr. Grumpy said:

BTW what's happening with the ex-pol investigation? Is the report out yet?

"The tribunal has asked all parties to keep three days in November (8-10) available to consider additional evidence to help inform its decision on the damages Dr Ranson will receive."

I didn't see that anything happened on those dates. Expol started on the job in July, so they surely must have produced  report by now.

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On 11/26/2022 at 11:03 PM, wrighty said:

Patients themselves rarely deliberately bed-block, but on occasion their families do so on their behalf, refusing perfectly good community care packages or nursing home placements for a variety of reasons ranging from inconvenience (“we will only accept a nursing home in our own town”) to an unwillingness to sort funding.

Nursing homes themselves are sometimes difficult when it comes to taking their own residents back (“we need to assess his care needs again, and can only come a week on Thursday, you’ll have to keep him until at least then”)

It gets frustrating at times, but you’re right that it’s the broken system generally. However, as far as I can tell this particular system has never worked - ‘broken’ implies it used to. Not in my medical lifetime. 

“Bed Blocker” -a term that would not be acceptable if such casual prejudice and abuse was directed  against any other section of our society.

These are vulnerable people- They  are us, perhaps given a few years.

They are not a different species.

They should not be used as the scapegoat for the inadequacies of a flawed system.

The NHS, born in 1948 was established with the slogan of “Cradle to Grave” care.

But .. There is something very fundamental here - and it comes as a real shock to many - especially their relatives:

The NHS, for all its very laudable virtues, does not, and never has covered “Social Care ”- ie looking after you if you are unable  to do so yourself.

And there is the reason for at last some of the “Delayed discharges”

The ideal would be a system whereby the funding follows the individual to provide the care they require, whatever their needs, and wherever they need to to receive it.

 

 

 

 

Edited by hampsterkahn
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On 11/25/2022 at 11:56 AM, Dr. Grumpy said:

A mate in the know tells me Richard Wild has left Manx Care. Is this correct? If so, what's the back story?

Apparently the style and tone of the email announcing his departure late on a Friday and very much short and to the point speaks to the sentiment to his departure.

He clearly made the right choice and I wish him well.

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With regard to the posts on the Daily Mail thread and the comments about NHS protected disclosures the article on the BBC website today highlights some of the issues and stances some clinicians may take to report failings...and the potential consequences. 

As posted, Nobles were right to pursue the case described and have done so vigorously in other cases iirc. 

https://www.bbc.co.uk/news/uk-england-63827648

 

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2 hours ago, asitis said:

https://www.manxradio.com/news/isle-of-man-news/nobles-hospital-under-extreme-pressure/

Doesn't look like Nobles is faring too well at the moment !

 

What isn’t reported is the impact the lack of staff and beds is having on the £18m programme to clear waiting lists. Operations can’t be done if there is nowhere for patient recovery. People have had pre-ops and are waiting for a date while the medics who have been contracted are treading water because bed availability is an issue?. 

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1 hour ago, Manx Resident said:

What isn’t reported is the impact the lack of staff and beds is having on the £18m programme to clear waiting lists. Operations can’t be done if there is nowhere for patient recovery. People have had pre-ops and are waiting for a date while the medics who have been contracted are treading water because bed availability is an issue?. 

People are getting quoted week commencing for big operations at the moment. 

Is that normal?

I have had a couple, not here thank god,  and was always quoted as a day, not a week commencing.

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Where do they get the locums from?  Is there any check?  Not going to go into detail, but a consultant let my family down  very badly. 

It was a straw that broke the camel's back, apparently. 

What that means more widely, is whether we carry out checks?  Or are we just grateful for any help, whether it is good or bad?

Edited by Gladys
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