Patient centred

6 hours ago, KERED said:

It would require someone who is fluent in Gobbledygook.

It means that nothing will change but someone will be paid a lot. 

The swimming pools changing rooms have been a complete mess up. Who on earth chose the 1980’s prison colour scheme? What’s wrong with shades of blue?? It looks horrid. 

Not to scare but to prepare;

https://slate.com/technology/2020/03/coronavirus-covid19-italy-hospital-deaths-us-warning.html

39 minutes ago, monasqueen said:

The IOM service is the weakest link, so that if anything goes wrong anywhere on their network, Easyjet cancels.

I think this whole episode ( corona virus and weather) is showing just how fragile the connections are between here and the UK. People who require the ability to get on and off the island reliably will be reflecting on whether they should continue to live here or not. 

for how many will this be the last straw?  Unreliable flights means hard to do business

14 minutes ago, thesultanofsheight said:

What I don’t get is now that we own the SPC why part of the contingency planning couldn’t have been giving people free boat tickets to get them to Liverpool for treatment. It could have been a solution deployed in 15 minutes. 

There’s no boat to of from Liverpool in winter. It’s middle of nowhere heysham

16 minutes ago, snowman said:

 

 

What's cancelled?

The 8.30pm flight. Apparently if I can’t get the delayed 6.45pm one then there are no flights from Liverpool until next friday

Easyjet Liverpool delayed 2 hrs and late flight cancelled today. No flights tomorrow. 

And it’s winter so it’s not like the ferry can get you anywhere worthwhile. 
 

Either way, having been there the other day I cannot understand why the small pools aren’t open with just the slides out of use as clearly nothing going on with the slides. 
Also who on earth chose the colour way of the changing rooms? Grey and red feels like a male prison or smelly gym. It’s horrendously oppressive. What was wrong with blues ????

18 hours ago, Bobbie Bobster said:

I initially missed the word "Main" in this headline: https://www.gov.im/news/2019/oct/11/nsc-main-pool-fully-operational/

The boom, which is used to divide the fixed depth floor from the movable floating pool floor, was not able to be lowered since the opening of the main pool in August 2019, due to a fault with the control mechanisms.

The engineers from the installation company who had travelled from Holland on Wednesday, worked through the night on Thursday and for a short period on Friday morning to undertake the repairs and necessary testing, whilst minimising disruption to customers.

but...

The leisure pool and flume rides will remain closed following problems encountered with the flume stairway installation. Discussions continue with the manufacturer and installer in order to resolve this matter.

 

Code for ‘we screwed up giving you wrong data and now you want more money to rectify your mistake which we haven’t budgeted for. We are now considering who to blame/ how to extricate selves without looking like total tits.’

doctors here can’t get section 12 approval as per the U.K.  if you stay here and lose your section 12 approval, you can not recover it because you only work on the IOM with a different mental health act. 

Ie ‘section 12 approval’ does NOT have the same level of training/ scrutiny etc. 

This has been a bit of a shock to several doctors working here. 

Did you know that the doctors determining CESR were being paid to do this work using vouchers form the RCPsych bookshop (I kid you not). In addition, much of the work that has to be put forward for CESR is signed off by other doctors here. You might say that there was a conflict of interest if you want to keep a workforce here in signing off??

CESR is not as rigorous as obtaining a CCST  

most ( not all I accept) doctors who go for CESR couldn’t pass the RCPsych exam if they were trained in the U.K.  

36 minutes ago, hissingsid said:

The bitterness is shining through.

I think you are missing the point?

I’m guessing you haven’t had any friends or family go through the mental health services and that you hail from the ‘nothing to see here’; ‘ get the next boat out in the morning’ brigade. 

4 minutes ago, Rushen Spy said:

Isn't that a problem all over the UK? The main problem with trying to attract smart people to come to work on the island is that they're smart.

Yes but there is no supervision!!!!!!!! Unlike in the U.K.  

2 minutes ago, Roger Mexico said:

I'm not sure that's true, at least in all cases.  For example Dr Karim Abid is mentioned as an Associate Specialist in Psychiatry in the Dickinson Report, but he's only shown as a Pre-Membership Psychiatric Trainee on the Royal College of Psychiatrists site  and the GMC doesn't show him as having any speciality.  Obviously it's probably more difficult to get the extra qualifications if you're working on the Island (and in an under-resourced speciality), but it suggests that there may be some filling the gaps without all the pieces of paper you suggest.

Exactly but It’s not about not being able to access training here. It’s about getting appropriately trained people in the first place or appropriately supervising and not asking them to work outside their area of competence. You can’t get higher specialist training in any medical specialty on the Isle of Man. 

2 minutes ago, Boo Gay'n said:

Don't you (OP) contradict yourself in the first few lines of your post?  The mental health service may be run in practice by pisspoor nurses, but as the doctors are pisspoor too, how can they be called on for leadership?

You are absolutely right. They can’t. But they should. Anywhere else they do. That is the role of the job, the job description, why you pay them so much money. 

The report should have looked at this aspect too. The one cannot be seen in isolation. 

1 hour ago, Kipper99 said:

She won’t allow anyone, associate consultants down, to make any treatment decisions, change medication, etc.

If she isn’t around nothing gets changed, advanced. That’s highly detrimental to Care planning, discharge planning, treatment generally.

There are no ‘associate consultants’ only doctors with limited if any psychiatry training. None have gone through formal psychiatry training. They need proper supervision and support by the Consultant.  The ward ( where the illest patients reside) needs significant Consultant presence. None of these things are happening right now. 

This report;

https://www.gov.im/media/1367006/final-full-report-september-2019-1.pdf

illustrates perfectly the main problem with the psychiatric service on the Isle of Man. It is nurse led and pays no heed to, import or understanding of the role of senior doctors. This is at all levels from the department of health down and is sadly perpetuated by the quality of doctors in key positions within psychiatry at the moment who do not lead, innovate, educate, take responsibility, or work collaboratively across professional boundaries.