IOM DHSC & MANX CARE

[John Wright]

3 minutes ago, 0bserver said:

This is a lot older than I thought.

It also very usefully demonstrates the sort of things the moderating team have to deal, with on a regular basis, that doesn’t even appear on the face of the forums.

[0bserver]

1 hour ago, John Wright said:

It also very usefully demonstrates the sort of things the moderating team have to deal, with on a regular basis, that doesn’t even appear on the face of the forums.

Do you get a lot of requests like that? 

[John Wright]

13 minutes ago, 0bserver said:

Do you get a lot of requests like that? 

I’ve dealt with several over the years, plus correspondence from lawyers representing people upset by what is posted and threatening all sorts, actual proceedings, correspondence from the police trying to close topics down or obtain info.

About one such incident a month. All to give members somewhere to post.

Then we’ve had posters stalking the mod team and threatening to identify them. One poster watched family members of one moderator and threatened to out them.

The sub judice ones are pretty frequent.

Then there are the spammers who sign up and post sex adverts, or fake passports, pills, counterfeit or dubious links. Several of those a day.

Its different to FB or twitter. There’s no body above that aggrieved people can complain to. It’s time intensive.

Then we get trolling, turn of the screw tit for tat posts and personal attacks. 

The current moderating team have been doing it for a number of years. The approach is consistent. However it is true that our attitude to what we might intervene in, and our tolerance levels, are probably more sensitive than they were.

[Jarndyce]

1 hour ago, John Wright said:

Then we’ve had posters stalking the mod team and threatening to identify them. One poster watched family members of one moderator and threatened to out them.

That’s distressing - I don’t know if I would continue under those circumstances.   Above and beyond the call of duty, really.   Clearly, a bigger debt of thanks is due to the Mods than I have realised to date.

[cissolt]

Is £800,000 per year for the current board value for money? Or sustainable long term?

[Banker]

4 hours ago, cissolt said:

Is £800,000 per year for the current board value for money? Or sustainable long term?

Don’t know but Jersey seems to have done something similar & paying their chairman £225k pa + expenses for 3 days per week!!

https://www.bailiwickexpress.com/jsy/news/health-minister-encouraged-critical-report-author-apply-chair-role/#.Y44czOSnyEc

[360 View]

3 hours ago, Banker said:

Don’t know but Jersey seems to have done something similar & paying their chairman £225k pa + expenses for 3 days per week!!

https://www.bailiwickexpress.com/jsy/news/health-minister-encouraged-critical-report-author-apply-chair-role/#.Y44czOSnyEc

£225k - Plus accommodation and travel expenses  - how much has been paid in expenses to the Manx Care Exec Board and exactly which people get paid by Cabinet Office and which by Manx Care?

[littlebushy]

23 hours ago, wrighty said:

You’re referring to Dirk Hoehmann I assume. In this case I don’t think phonecalls would have helped much. He worked in Aintree before here, I believe, and was clinically soind, so off-radar phonecalls wouldn’t have raised any alarm bells. I think CRB checks were done, but didn’t cover his European time, so didn’t pick up the wanted criminal bit. 
 

Re my previous post. I should point out that the serving chips/finance director story relates to a UK hospital, not Noble’s. 

We knew that Wrighty, if it was local they would have been serving chips, cheese and gravy.

[Apple]

On 12/4/2022 at 8:18 PM, 360 View said:

Perhaps I should think about setting up a service to do the checks for Manx Care…. 

I can see a time when that function will be farmed out to the private sector. I would agree with it.

Checks and CVs for DHSC staff were, and I believe even now for Manx Care staff, are under the remit of the centralised Human Resources Department, now the Office of Human Resources (OHR), That body has a Director on the Manx Care Board.

[Viddy well]

On 12/4/2022 at 8:04 PM, wrighty said:

Not that I want to start a turf war, but this is one of the causes of the ‘them and us’ situation that undoubtedly exists between hospital management and clinicians. 
 

When you appoint a nurse/doctor (to a substantive, permanent position) there are people on the panel specifically to ensure that the candidates are qualified for the role, such that you can be pretty sure when a consultant is appointed, he or she will be fully qualified, be on the specialist register, has undertaken higher specialist training etc. When a senior manager is appointed there are no such checks, because there are no such qualifications and no regulatory bodies to check with. This leads to stories, for example, of finance directors who used to serve the chips in the canteen.  And since medical careers are often far longer lasting, there can be current consultants who were in post when said finance director used to serve the chips. You can see why there might not be the mutual respect that there ought to be. 
 

I think the NHS are trying to address this through the leadership academy etc, but we still see managers appointed who have no qualifications besides their self-authored LinkedIn profile. 

Hi Wrighty,

in your opinion, how long will it realistically take for the "them and us" culture to change, assuming the management do everything right? How deeply sown are the divisions? How wrecked is the institution and how ardent are its rescuers?

Edited December 6, 2022 by Viddy well

[Anyone]

Surely the availability of good quality chips in any NHS facility outweighs who serves them. I think brain surgeons should serve them and perhaps trick cyclists fry them. All managed by the BMA and whoops because the BMA gets involved no one gets chips except a few select ( BMA ) doctors. And all the rest of us expecting chips just get a recording saying ‘ your call can’t be connected today try again tomorrow if you’re still alive’. 

[CallMeCurious]

A&E struggling again, long waiting lists and ever rising costs. Dr A.A. is introducing an assisted dying bill aka state sanctioned euthenasia. 

https://laws-lois.justice.gc.ca/eng/acts/C-46/page-34.html#docCont

That is an example of legisaltion from Canada. They are currently running at 3.3% average (and as high as 4.7-4.8% in two provinces) euthanised death to all causes#. And it's increasing year on year since introduced in 2016.

2020 IOM all causes 917 registered deaths* so 3% rate would equate to about 27 a year (and as high as 44 @ 4.8% rate).  

(#source - Third annual report on Medical Assistance in Dying in Canada 2021 ~Chart 3.2

https://www.canada.ca/en/health-canada/services/medical-assistance-dying/annual-report-2021.html#chart_3.2

(*source ~ IOMG Mortality Report 2020 published June 2020.)

https://www.gov.im/media/1376766/mortality-report-2020-v2.pdf

Lets hope we never see a headline like this;

Paralympian claims Canada offered to euthanise her when she asked for a stairlift

‘I have a letter saying that if you’re so desperate, madam, we can offer you... medical assistance in dying,’ Christine Gauthier told a Canadian veterans affairs committee

[Thorulf]

1 hour ago, CallMeCurious said:

A&E struggling again, long waiting lists and ever rising costs. Dr A.A. is introducing an assisted dying bill aka state sanctioned euthenasia. 

https://laws-lois.justice.gc.ca/eng/acts/C-46/page-34.html#docCont

That is an example of legisaltion from Canada. They are currently running at 3.3% average (and as high as 4.7-4.8% in two provinces) euthanised death to all causes#. And it's increasing year on year since introduced in 2016.

2020 IOM all causes 917 registered deaths* so 3% rate would equate to about 27 a year (and as high as 44 @ 4.8% rate).  

(#source - Third annual report on Medical Assistance in Dying in Canada 2021 ~Chart 3.2

https://www.canada.ca/en/health-canada/services/medical-assistance-dying/annual-report-2021.html#chart_3.2

(*source ~ IOMG Mortality Report 2020 published June 2020.)

https://www.gov.im/media/1376766/mortality-report-2020-v2.pdf

Lets hope we never see a headline like this;

Paralympian claims Canada offered to euthanise her when she asked for a stairlift

‘I have a letter saying that if you’re so desperate, madam, we can offer you... medical assistance in dying,’ Christine Gauthier told a Canadian veterans affairs committee

Its a pity we don't see head lines that read.

 90yo man with dementia and arthritis of the spine gets violent by knocking over glass had to be restrained with Midazolam & Benzodiazepines to be kept under control. Ultimately ended up starving to death with a touch of pneumonia all alone due to lockdown measures.

The Human race needs to work out assisted dying and we need to keep religion out of the debate.

[Apple]

3 hours ago, Thorulf said:

The Human race needs to work out assisted dying and we need to keep religion out of the debate.

That is the second reference to religion in this debate. 

I am not religious. However I can see patients themselves and families who are would very much be wanting their voices to be heard. And why not. Are there an other voices you want to exclude before the debates start ? Courts maybe ? 

No, of course everyone should have their say.

Assisted dying has been practiced before but never in the transparent way that is required to day, primarily thanks to characters like Dr Shipman. It has, hopefully, been practiced judiciously and with integrity by those involved and people have been allowed to slip away to prevent distress in one form or another. Happened in my own family several years ago.

I think people forget it shouldn't and will not be compulsory and it is far removed from the often quoted "assisted suicide" misconception. It has also to be considered in tandem with Capacity and excellent End of Life Care services. 

 

[WTF]

1 hour ago, Apple said:

That is the second reference to religion in this debate. 

I am not religious. However I can see patients themselves and families who are would very much be wanting their voices to be heard. And why not. Are there an other voices you want to exclude before the debates start ? Courts maybe ? 

No, of course everyone should have their say.

 

 

allowing imaginary friends to influence anything other than being sectioned should not be permitted in an enlightened society.