‘inappropriate’ to insist that the next chief executive of the DHSC live on the island.

[P.K.]

2 hours ago, offshoremanxman said:

That’s the issue. This should really be a litmus test for how effective having someone who isn’t here is when events escalate so quickly. Even if she was trying to get here there’s been no boat and limited planes. 

Of course, there could be a lot going on behind the scenes that Joe Public are unaware of.

However I think a very hard look at what the lady has actually contributed and achieved over the last two years is worth doing. After all things can always be done much more betterer if you spend the time finding out...

[AcousticallyChallenged]

1 hour ago, Ramseyboi said:

Bullshit.

People get ill here everyday and survive

We are all about 20 minutes max from an ambulance or hospital.  That puts us in the top fe percent of the world population, and we get it for free

Try coming on with a serious chronic condition with significant impacts on daily life, and being told that the best they can do is a 3 year wait for a specialist for diagnosis. The private option would have you seen within a fortnight at most by the same specialist. If you aren’t in a position to go private, then you’re scuppered really. I know people that would be dead if they hadn’t gone private for their diagnosis. 

The UK on the other hand has a 18-week deadline for non urgent NHS referrals. We’re behind by nearly a factor of 10x based on that experience . 

Many things beyond the reach of Immediate care, organisationally, the Island can fall behind on. The staff themselves are often fantastic. But they are constrained by the framework. 

[Gladys]

3 hours ago, Andy Onchan said:

She will have learned as much about it as we did by watching the TV. 

True.  But does she know about the IOM aspects, considerations and the actual position at Noble's? 

[Kopek]

Isn't the argument that it would be better if she were here 9 to 5?

....and if that were so, then it follows that not being here is not better?

[Manx17]

32 minutes ago, AcousticallyChallenged said:

Try coming on with a serious chronic condition with significant impacts on daily life, and being told that the best they can do is a 3 year wait for a specialist for diagnosis. The private option would have you seen within a fortnight at most by the same specialist. If you aren’t in a position to go private, then you’re scuppered really. I know people that would be dead if they hadn’t gone private for their diagnosis. 

The UK on the other hand has a 18-week deadline for non urgent NHS referrals. We’re behind by nearly a factor of 10x based on that experience . 

Many things beyond the reach of Immediate care, organisationally, the Island can fall behind on. The staff themselves are often fantastic. But they are constrained by the framework. 

In Southern Ireland they are good too. If they have waiting lists they tell you to go private and they give you the money back so your seen. Here you have to wait a very long time and it’s not in just one area. A person I know was in agony they took him for X-rays couldn’t see anything wrong , told them they could go home with pain killers and he asked what about this . They didn’t realise he had a twisted hernia and had to be rushed to theatre. If he hadn’t of mentioned it and went home he would of been dead. Our health service is diobolical . It’s mostly because they haven’t the staff and the government should not off let it get to that level. We all pay our dues so there is no excuse.

Edited November 28, 2021 by Manx17

[James Blonde]

2 hours ago, Ramseyboi said:

 

We are all about 20 minutes max from an ambulance or hospital.  That puts us in the top fe percent of the world population, and we get it for free

You might want to check that.

 

Did you not see Manx Care are 50% short of minimum staffing for paramedic cover?

[Kopek]

I have little experience of Nobles but to solve the backlog, if we threw 10mil at the staff, surgeons, would that solve the problem?

Would we be willing to pay for that tax wise?

[Manx17]

11 minutes ago, Kopek said:

I have little experience of Nobles but to solve the backlog, if we threw 10mil at the staff, surgeons, would that solve the problem?

Would we be willing to pay for that tax wise?

I wouldn’t mind paying more tax if it went to what we need, but all the money we put in just gets spent on what ideas and dreams they want themselves. They have wasted money for years and years . When Northern Ireland we’re doing gas’s pipes they said they can put us one in at the same time if we wanted to connect in the fortune they said no then spent a fortune doing it. Same with the iris pipes they went up stream and got told it will cost a future didn’t listen and we pay out on valves all the time . Now they want a new tip . Is that urgent no it’s not but it will come before our health service same Douglas prom millions of pounds for a road to no where . It’s not their money they are wasting and they don’t care. Same way they know if they need treatment they will get the best and sod everyone else .  

Edited November 28, 2021 by Manx17

[Kopek]

Ringfence a fixed 5 year tax hike for the NHS, all our wonderful MHKs would keep an eye on it, the public would go with that, 5 years is more than the backlog, what's to argue about?

Income tax hike, not VAT or NI., I think people have to realise the difficulties that Nobles has faced and accept the need to pay our way out of this?

[Andy Onchan]

5 hours ago, Gladys said:

True.  But does she know about the IOM aspects, considerations and the actual position at Noble's? 

No idea Gladys. Your guess is as good as mine.

[Dr. Grumpy]

By this logic neither the chief secretary nor the chief minister needs to live on the island. We could have the entire comin based in England🤔

[Galen]

From medics I have spoken to over the years the problem stems from the fact that the IOM is not at the cutting edge (no pun intended) of the medical world.

It's routine work as the 'specialist stuff" gets sent off Island - mainly to the North West (Liverpool, Alder Hey, Clatterbridge etc) to medical centres where its their routine daily work. The result generally is any medic looking for career progression does not want to come to the Island. Those that do tend to already be at the level where they are unable to progress further e.g. a consultant. They usually have a youngish family, know the Island, want to settle down and want to 'soft peddle' for the next 20+ years doing the routine stuff.

In more recent times the lack of other professionals (Dentists, vets, pharmacists, teachers etc), expensive housing, higher costs of living, weather dependent travel on/off Island, and lack of decent shops, intrusion into health matters by politicians who know very little about health but think otherwise, any attraction of coming here is considerably diluted.

Yes, we have some good medics, but increasingly they are rare breed. One solution might be for the Island to be a formal offshoot of say the Royal Liverpool Trust, where medics can be formally rotated between working in a big acute hospital (Liverpool) and the provisional one (the IOM). This would get round some of problems of getting locums and mean the 'top notch ' medics would be here for say 4 weeks in every 3months. Perhaps not ideal, and would need some creative thinking given the tax position etc. but is an option. Increasing the use of telehealth with remote diagnostics such as the Island did with fetal medicine (I not sure if it is still being used but was a successful service for those who needed it) might be also worth doing but requires serious investment in IT, staff and training.

With the Island's population, being in health terms, 'small', we are always going to have to send patients to the UK for conditions that fall out of the 'routine medicine' or are specialised such as heart, neonate babies, certain types of cancer etc and that is yet another price we pay for living on an Island. 

This lack of top notch medics and a 'second class' health service  means that those that are attracted to the Island to run the service from a managerial point of view, tend to be those who are unhappy with the UK system, don't want to work abroad, are looking for more money, aren't good enough for the UK system, or are looking to use it to fill in until the next job elsewhere becomes available. Staying in the UK and not living here means they can move and go to job interviews more easily.

[Gladys]

This is the CEO of DHSC not Manx Care. I wonder what the job spec looks like? 

[littlebushy]

On 11/26/2021 at 7:05 PM, littlebushy said:

Let's not forget this is the CEO of DHSC, who presumably sits over the CEO of Manx Care who is reportedly on 160k according to Manx Radio at the time. So how much CEOing is required? 

Exactly Gladys....

[ian rush]

Manx Care does stuff. I can see the need for their ceo to be here more than dhsc...