IOM DHSC & MANX CARE

[Thorulf]

5 hours 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.

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. 

 

Sorry I didn't mean to offend by bringing religion into it, it's just  seems to be one of the obstacles. He had wonderful people looking after him it's just happened around all the Covid bo*#&%ks and  didn't have a very good end, I could write an essay about it but I won't....don't start me on politicians partying grrrr

[Apple]

Hi @Thorulfno need to apologise and certainly no offence taken. 

The picture you describe is heart breaking and should not be allowed. It sadly is not unique. I have heard similar and worse occasions where people have been 'left to waste away' devoid of any dignity, compassion  and company. 

More is needed to bring these events to the attention of those who develop strategy, policies and make the decisions and make them accept the responsibility and accountability for the failures that create and lead to them.

Sadly as you refer to it there are too many ways now for those who do make decisions to avoid any charges of theory own lack of actions and failure, use the national media to only put their own cases forward, shut down patients and families real life experiences and their complaints, lack transparency despite their election policies and manipulate the 'messages' to cause dismay, anxiety and confusion whilst making their names and their comfortable life styles on the shoulders of the vulnerable.

Political debate of circumstances that patients and families are suffering are not not discussed but I am willing to bet that every MHK is aware of problems within our health and care services that their constituents are experiencing. What is the point of that I ask, and so should we all.

I welcome Dr Allinson's Bill and the debates and issues  that it will bring forward. What I really fear is how it will be interpreted and work in actual practice. We must have close monitoring to ensure ethical and moral behaviour are there at every stage. I don't think any other politician we have will understand the commitments that this Bill will require to ensure it does what it says on the tin.

[2112]

Have things got that bad and hit rock bottom? The NPM reports that the MEDS service between midnight and 8am is closing until further notice, due to sickness and staff shortage. We have a hospital A&E that can’t cope at all, and Manx Care signposting people to Ramsey Cottage Hospital Minor Injuries Unit, which is fine, if you can get there, and the weather is fine. Can things get any worse?

[Zulu]

21 minutes ago, 2112 said:

Have things got that bad and hit rock bottom? The NPM reports that the MEDS service between midnight and 8am is closing until further notice, due to sickness and staff shortage. We have a hospital A&E that can’t cope at all, and Manx Care signposting people to Ramsey Cottage Hospital Minor Injuries Unit, which is fine, if you can get there, and the weather is fine. Can things get any worse?

Manx Care

 

The Manx Emergency Doctors Service (MEDS) will be closing between midnight and 08:00 until further notice.

The decision to close the service between these hours has not been taken lightly, and is due to sickness within the MEDS team. There will be an answerphone message signposting callers, and the MEDS management team continues to work with other services to ensure safe continuity of patient care.

MEDS was also forced to close at short notice last night (11-12 December 2022) for the same reason, but it should be noted that any calls received last night would have been diverted to the hospital Switchboard. Contacts to the service during the night have been assessed, and these did not directly impact other services.

Going forward, during these times, if you believe that the reason you are calling MEDS cannot wait until when your GP opens in the morning, please make your way to the Emergency Department.

If you think that you have a life-threatening emergency, you should always call 999. This service operates 24 hours a day, 7 days a week.

Please consider whether you can get the help you need elsewhere – our signposting information can be found here: https://www.gov.im/cate.../health-and-wellbeing/signposting/

Members of the public are also asked to consider the weather conditions (a Yellow Weather Warning is currently in place), and to follow Isle of Man Government advice regarding travel at this time: https://www.facebook.com/iomgovernment

[cissolt]

21 minutes ago, 2112 said:

Have things got that bad and hit rock bottom? The NPM reports that the MEDS service between midnight and 8am is closing until further notice, due to sickness and staff shortage. We have a hospital A&E that can’t cope at all, and Manx Care signposting people to Ramsey Cottage Hospital Minor Injuries Unit, which is fine, if you can get there, and the weather is fine. Can things get any worse?

Can we agree that manxcare has been a spectacular failure?  When will our politicians interject?  Surely short term staffing issues can be solved by throwing money at the problem?

[forestboy]

3 minutes ago, cissolt said:

Can we agree that manxcare has been a spectacular failure?  When will our politicians interject?  Surely short term staffing issues can be solved by throwing money at the problem?

I wouldn’t call my experience with several different areas a spectacular failure. 
In fact very pleased with treatment/action received. 

[The Phantom]

1 hour ago, Zulu said:

Manx Care

 

The Manx Emergency Doctors Service (MEDS) will be closing between midnight and 08:00 until further notice.

The decision to close the service between these hours has not been taken lightly, and is due to sickness within the MEDS team. There will be an answerphone message signposting callers, and the MEDS management team continues to work with other services to ensure safe continuity of patient care.

MEDS was also forced to close at short notice last night (11-12 December 2022) for the same reason, but it should be noted that any calls received last night would have been diverted to the hospital Switchboard. Contacts to the service during the night have been assessed, and these did not directly impact other services.

Going forward, during these times, if you believe that the reason you are calling MEDS cannot wait until when your GP opens in the morning, please make your way to the Emergency Department.

If you think that you have a life-threatening emergency, you should always call 999. This service operates 24 hours a day, 7 days a week.

Please consider whether you can get the help you need elsewhere – our signposting information can be found here: https://www.gov.im/cate.../health-and-wellbeing/signposting/

Members of the public are also asked to consider the weather conditions (a Yellow Weather Warning is currently in place), and to follow Isle of Man Government advice regarding travel at this time: https://www.facebook.com/iomgovernment

The out of hours medical service is closed out of hours. 

Call your GP.  I no longer have a GP after being kicked off my old one's books because I moved house.  I have since made 10+ phone calls to other GPs to try and register and never even once had the phone picked up. 

Go to A&E, where you'll wait 4 hours before anything happens and likely be told to go to your GP. 

Go to Ramsey Cottage Hospital. You can't go over the mountain and the TT course/coast road will be like some sort of gridlocked Iditarod.

Good luck people and don't get sick. 

Anyone know of any Witchdoctors operating on Island? 

 

 

Edited December 12, 2022 by The Phantom

[Apple]

2 hours ago, cissolt said:

Can we agree that manxcare has been a spectacular failure?  When will our politicians interject? 

I don't think so. Some of the situations they are trying to cope with are beyond some of their abilities I am sorry to say.  Not all their fault. Poor appointments of some, not enough preparation, difficulties not anticipated, not enough assessment, too short a time to install, history of insufficient funding and effective leadership and wrong targeting of priorities, before we even get to underfunding and Covid.

As for politicians then let's see what they say about it all in Tynwald tomorrow. Given the situation with Meds and the shortages of staff, beds and A and E capacity then surely someone will be asking for an emergency statement.

if they don't then can we assume they have lost control of the islands health and care system and the blame for what goes on from here now lies squarely at their feet. Governments are supposed to safeguard populations  and they all promised to develop the health and care system.

Have we all been misled or dazzled like rabbits in headlights? 

[Cinderella]

2 hours ago, The Phantom said:

The out of hours medical service is closed out of hours. 

Call your GP.  I no longer have a GP after being kicked off my old one's books because I moved house.  I have since made 10+ phone calls to other GPs to try and register and never even once had the phone picked up. 

Go to A&E, where you'll wait 4 hours before anything happens and likely be told to go to your GP. 

Go to Ramsey Cottage Hospital. You can't go over the mountain and the TT course/coast road will be like some sort of gridlocked Iditarod.

Good luck people and don't get sick. 

Anyone know of any Witchdoctors operating on Island? 

 

 

There is a certain sick tautology in the after hours doctor service shitting its after hours service. About sums up everything that is stuffed

[Banker]

2 hours ago, The Phantom said:

The out of hours medical service is closed out of hours. 

Call your GP.  I no longer have a GP after being kicked off my old one's books because I moved house.  I have since made 10+ phone calls to other GPs to try and register and never even once had the phone picked up. 

Go to A&E, where you'll wait 4 hours before anything happens and likely be told to go to your GP. 

Go to Ramsey Cottage Hospital. You can't go over the mountain and the TT course/coast road will be like some sort of gridlocked Iditarod.

Good luck people and don't get sick. 

Anyone know of any Witchdoctors operating on Island? 

 

 

Well certainly it’s not as bad as a lot of hospitals in UK, relative went to one of Birmingham hospitals after being sent urgently by GP with severe chest pain & breathing difficulties . Arrived at 3pm and at 9 am next morning was still in A& E as no beds, no consultant available, eventually admitted at 6pm ie 27 hours later & still in with pneumonia .

Do they have MEDS service in UK?

[snowman]

 

 

Edited December 12, 2022 by snowman

[hampsterkahn]

7 hours ago, Zulu said:

Manx Care

 

The Manx Emergency Doctors Service (MEDS) will be closing between midnight and 08:00 until further notice.

The decision to close the service between these hours has not been taken lightly, and is due to sickness within the MEDS team. There will be an answerphone message signposting callers, and the MEDS management team continues to work with other services to ensure safe continuity of patient care.

MEDS was also forced to close at short notice last night (11-12 December 2022) for the same reason, but it should be noted that any calls received last night would have been diverted to the hospital Switchboard. Contacts to the service during the night have been assessed, and these did not directly impact other services.

Going forward, during these times, if you believe that the reason you are calling MEDS cannot wait until when your GP opens in the morning, please make your way to the Emergency Department.

If you think that you have a life-threatening emergency, you should always call 999. This service operates 24 hours a day, 7 days a week.

Please consider whether you can get the help you need elsewhere – our signposting information can be found here: https://www.gov.im/cate.../health-and-wellbeing/signposting/

Members of the public are also asked to consider the weather conditions (a Yellow Weather Warning is currently in place), and to follow Isle of Man Government advice regarding travel at this time: https://www.facebook.com/iomgovernment

It would appear  then that this is the first time in most people’s living memory  of the NHS (since 1948) that it has been declared impossible to contact a general practitioner at night.

A significant milestone, though In a negative and very saddening  way.

[Newbie]

7 hours ago, hampsterkahn said:

It would appear  then that this is the first time in most people’s living memory  of the NHS (since 1948) that it has been declared impossible to contact a general practitioner at night.

A significant milestone, though In a negative and very saddening  way.

It is obviously a concerning situation, but to say it is the first time in living memory that it hasn't been possible to contact a GP at night isn't true. There are plenty of out of hours services in the UK that rely upon people being seen in A+E departments, urgent care centres etc where they are seen by healthcare professionals other than GPs (often by nurses, nurse specialists or paramedics). 

https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/nhs-out-of-hours-services/#:~:text=For help from a GP,child under 5%2C call 111.

[asitis]

A friend of mine is in the UK at the moment having a procedure. His consultant asked him where he was from and he said IOM. No bullshit, the consultant said "Ahh the worst hospital in the British isles". This is where we are !

[wrighty]

3 minutes ago, Newbie said:

It is obviously a concerning situation, but to say it is the first time in living memory that it hasn't been possible to contact a GP at night isn't true. There are plenty of out of hours services in the UK that rely upon people being seen in A+E departments, urgent care centres etc where they are seen by healthcare professionals other than GPs (often by nurses, nurse specialists or paramedics). 

https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/nhs-out-of-hours-services/#:~:text=For help from a GP,child under 5%2C call 111.

It’s happened here before too, or at least been on the verge of it. I was in discussions with the director of primary care about 5 years ago looking at ways we could manage without the overnight MEDS in its present form.