Nobles hospital

[woolley]

1 minute ago, Non-Believer said:

Any information as to the cause of his departure?

He was one hell of an appointment. Kudos to whoever was responsible. In my opinion we were very lucky to have him work in our little backwater for the time he was here. I only hope that he left purely on ambition to do bigger things and that he wasn't hounded out by frustration at some pea-brained reorganisation or pettiness. That really would be insane.

[Max Power]

13 minutes ago, woolley said:

He was one hell of an appointment. Kudos to whoever was responsible. In my opinion we were very lucky to have him work in our little backwater for the time he was here. I only hope that he left purely on ambition to do bigger things and that he wasn't hounded out by frustration at some pea-brained reorganisation or pettiness. That really would be insane.

Only pub talk but I heard that he left through frustration with management? Maybe someone can give more or better info?

There are some good people at Noble's, I hope attempts are being made to hang on to them and recruit some more good people to replace the likes of Mr Tabala! 

[woolley]

28 minutes ago, Max Power said:

Only pub talk but I heard that he left through frustration with management? Maybe someone can give more or better info?

There are some good people at Noble's, I hope attempts are being made to hang on to them and recruit some more good people to replace the likes of Mr Tabala! 

Some interesting stats in this article about the transformation he brought and how he put us in front of the UK in aspects of treatment. World leading in some respects.

http://www.iomtoday.co.im/article.cfm?id=38903&headline=Forum for cancer patients to meet consultant&sectionIs=news&searchyear=2018#readComments

Some of these were the sort of minimally invasive procedures he introduced to our colorectal surgery in his time here. Is it still being done? Do we have anyone sufficiently qualified to keep the minimally invasive surgery proportion up at 75%?

https://www.ucsfhealth.org/treatments/advanced_endoscopic_procedures/

 

 

[Uhtred]

2 hours ago, Non-Believer said:

Any information as to the cause of his departure? We seem to be losing what notable quality we have what with this and Ms Bello?

I have no idea why he left. However, if, as is seemingly the case based on the MR info, of the 45-ish Consultants employed at Nobles in 2015 only 7 remain today, (with those who departed having been replaced) that means in only a 3 year period 85% of the Consultant body left the hospital. That’s absolutely extraordinary and very troubling. By chance, I spoke at lunchtime to a relative who is HR Director for a major petroleum company with locations throughout Scotland. I asked him “What would your company’s reaction be if 85% of your top echelon of specialists left the company over a 3 year period”. His reply was clear; “I’d be out of a job, so would the CEO, so would the Chairman. It would be evidence of an organisation in crisis”.

Why it has happened, I have no idea. But it seems as though the poster called Galen does. His/her post on page 1 shines a light on the (seemingly continuing) downturn at Nobles/DHSC that occurred following the appointment of Quayle as Minister in early 2014 Galen’s  post sounds well-informed and plausible. It also tallies with what friends of mine who are/have been nurses at Nobles have been saying to me.

 

[John Wright]

2 hours ago, Uhtred said:

I have no idea why he left. However, if, as is seemingly the case based on the MR info, of the 45-ish Consultants employed at Nobles in 2015 only 7 remain today, (with those who departed having been replaced) that means in only a 3 year period 85% of the Consultant body left the hospital. That’s absolutely extraordinary and very troubling. By chance, I spoke at lunchtime to a relative who is HR Director for a major petroleum company with locations throughout Scotland. I asked him “What would your company’s reaction be if 85% of your top echelon of specialists left the company over a 3 year period”. His reply was clear; “I’d be out of a job, so would the CEO, so would the Chairman. It would be evidence of an organisation in crisis”.

Why it has happened, I have no idea. But it seems as though the poster called Galen does. His/her post on page 1 shines a light on the (seemingly continuing) downturn at Nobles/DHSC that occurred following the appointment of Quayle as Minister in early 2015. Galen’s post sounds well-informed and plausible. It also tallies with what friends of mine who are/have been nurses at Nobles have been saying to me.

 

Several will have retired. One at least will have had services dispensed with. Some will have been locums or on fixed contracts. Others will have used IoM as a stepping stone, part of career development. Others, I think, became dissatisfied with new pension arrangements. Yet others were visiting consultants, primarily employed elsewhere. They move on from their main post and move on from Nobles at the same time. Until you know the numbers for each, the actual reasons for moving on, I’m not sure a parallel can be drawn from the petroleum industry.

And, allowing 5 consultant anaesthetists ( they arent separately identified in the list ) and noting that some speciality consultants aren’t listed at all ( the Mental Health Consultants are conspicuous by absence from the list, as an eg, and I think there are 6 ) it looks like 36 out of 70 over 5 years, and 27 out of 70 over 3 years. So it’s not 85% over 3 years. It’s less than 40%. I still don’t know if that’s good or bad.

[WTF]

and some will have handed their notice in the second there were whispers of a change to the pension scheme so that they kept their current entitlement before moving on.  the government  were cutting back on the police, healthcare,  roads,  in fact absolutely anything except  the countryside care scheme and civil servant salaries and pensions.

[wrighty]

I honestly don’t know where this rubbish comes from. Just seven consultants? Utter nonsense. I’ll give a rough breakdown of who is in the hospital if that’d be helpful.

Medicine - there are 8 consultant posts, with plans for more. Of those 8, 5 have been  in post for more than 5 years, 2 are recentish appointments to cover a retirement, and 1 is a locum. 

Orthopaedics - 4 consultant posts, last of us appointed in 2011 to replace a retirement. 

Anaesthetics - 13 consultant posts, about 7 have been here longer than 5 years. The rest have been appointed to expand the department. When I started in 2005 there were only 6. 

Surgery - 4 posts - 3 substantive, 1 locum. Some changes recently with Mr Tebala leaving (note the spelling there with an ‘e’). Reasons for his leaving are multi-factorial. At one point he was part of the management so if that is being blamed for his leaving it’s a little self-defeating. 

Surgical specialties - 9 posts, 8 currently substantive of which 5 have been here for 5 years or more. 

Paediatrics - 3 posts, all been here for more than a decade

Obs and Gynae - 4 posts, 2 have been here for a decade or more

Pathology - 2 posts, both here for years

Radiology - 5 posts, 3 substantive

ED - 3 posts, 2 substantive, all recent appointments which given workforce conditions in the UK is a triumph in itself  

 

So that’s about it. 56 posts, most filled with substantive consultants, most long term. There are recruitment difficulties in some areas, but this is not a Noble’s problem particularly as it’s the same, in radiology say, across the UK. 

[Andy Onchan]

6 minutes ago, wrighty said:

I honestly don’t know where this rubbish comes from. Just seven consultants? Utter nonsense. I’ll give a rough breakdown of who is in the hospital if that’d be helpful.

Medicine - there are 8 consultant posts, with plans for more. Of those 8, 5 have been  in post for more than 5 years, 2 are recentish appointments to cover a retirement, and 1 is a locum. 

Orthopaedics - 4 consultant posts, last of us appointed in 2011 to replace a retirement. 

Anaesthetics - 13 consultant posts, about 7 have been here longer than 5 years. The rest have been appointed to expand the department. When I started in 2005 there were only 6. 

Surgery - 4 posts - 3 substantive, 1 locum. Some changes recently with Mr Tebala leaving (note the spelling there with an ‘e’). Reasons for his leaving are multi-factorial. At one point he was part of the management so if that is being blamed for his leaving it’s a little self-defeating. 

Surgical specialties - 9 posts, 8 currently substantive of which 5 have been here for 5 years or more. 

Paediatrics - 3 posts, all been here for more than a decade

Obs and Gynae - 4 posts, 2 have been here for a decade or more

Pathology - 2 posts, both here for years

Radiology - 5 posts, 3 substantive

 

So that’s about it. 53 posts, most filled with substantive consultants, most long term. There are recruitment difficulties in some areas, but this is not a Noble’s problem particularly as it’s the same, in radiology say, across the UK. 

So why is DHS spending £14million/pa on patient travel to UK?

[wrighty]

3 minutes ago, Andy Onchan said:

So why is DHS spending £14million/pa on patient travel to UK?

Your question doesn’t really follow from my post, but basically the spend is to get specialist treatment that can’t be done on island. Major trauma, brain surgery, transplants, heart surgery, radiotherapy...

[woolley]

2 hours ago, wrighty said:

 

Surgery - 4 posts - 3 substantive, 1 locum. Some changes recently with Mr Tebala leaving (note the spelling there with an ‘e’). Reasons for his leaving are multi-factorial. At one point he was part of the management so if that is being blamed for his leaving it’s a little self-defeating. 

 

Thanks for the info, Wrighty.

Re Mr Tebala for one last time: I was aware that he was part of the management team for a while - and then he wasn't. I did wonder to myself whether that change had a bearing on his departure. I didn't speculate about it because, as I said before, his stated reason for leaving was ambition to work in a larger and no doubt more demanding hospital environment. We all look for career development with greater rewards. Also, I note that he is now in Ashford, Kent. Quick hop on the Eurostar and he's well on his way to visit his roots in Italy. So I guess the straightforward reasons are totally valid. There isn't necessarily a conspiracy lurking around every corner. Good luck to the man. Still a pity for us though!

[Andy Onchan]

7 minutes ago, wrighty said:

Your question doesn’t really follow from my post, but basically the spend is to get specialist treatment that can’t be done on island. Major trauma, brain surgery, transplants, heart surgery, radiotherapy...

But that does include travel which I think is not insignificant.

[Uhtred]

14 minutes ago, wrighty said:

I honestly don’t know where this rubbish comes from. Just seven consultants? Utter nonsense. I’ll give a rough breakdown of who is in the hospital if that’d be helpful.

Medicine - there are 8 consultant posts, with plans for more. Of those 8, 5 have been  in post for more than 5 years, 2 are recentish appointments to cover a retirement, and 1 is a locum. 

Orthopaedics - 4 consultant posts, last of us appointed in 2011 to replace a retirement. 

Anaesthetics - 13 consultant posts, about 7 have been here longer than 5 years. The rest have been appointed to expand the department. When I started in 2005 there were only 6. 

Surgery - 4 posts - 3 substantive, 1 locum. Some changes recently with Mr Tebala leaving (note the spelling there with an ‘e’). Reasons for his leaving are multi-factorial. At one point he was part of the management so if that is being blamed for his leaving it’s a little self-defeating. 

Surgical specialties - 9 posts, 8 currently substantive of which 5 have been here for 5 years or more. 

Paediatrics - 3 posts, all been here for more than a decade

Obs and Gynae - 4 posts, 2 have been here for a decade or more

Pathology - 2 posts, both here for years

Radiology - 5 posts, 3 substantive

ED - 3 posts, 2 substantive, all recent appointments which given workforce conditions in the UK is a triumph in itself  

 

So that’s about it. 56 posts, most filled with substantive consultants, most long term. There are recruitment difficulties in some areas, but this is not a Noble’s problem particularly as it’s the same, in radiology say, across the UK. 

Your information, which clearly is from direct personal knowledge and no doubt correct, therefore makes a nonsense of the MR report. So either they’ve written quite the most dreadfully inaccurate story (perfectly possible) or DHSC have provided info. in response to the MR FoI request that is utter rubbish (no doubt also perfectly possible).

[wrighty]

14 minutes ago, Uhtred said:

Your information, which clearly is from direct personal knowledge and no doubt correct, therefore makes a nonsense of the MR report. So either they’ve written quite the most dreadfully inaccurate story (perfectly possible) or DHSC have provided info. in response to the MR FoI request that is utter rubbish (no doubt also perfectly possible).

I suspect it was a poorly worded question, answered accurately and then misinterpreted. 

I was asked to answer a FOI question once - it was meaningless and my response would have been ‘this is a stupid question’ but instead I had to try to guess what the questioner really wanted to know and answer that!

 

[Uhtred]

23 minutes ago, wrighty said:

I suspect it was a poorly worded question, answered accurately and then misinterpreted. 

I was asked to answer a FOI question once - it was meaningless and my response would have been ‘this is a stupid question’ but instead I had to try to guess what the questioner really wanted to know and answer that!

 

Why do I find none of that a surprise?!!

[Boo Gay'n]

1 hour ago, wrighty said:

I honestly don’t know where this rubbish comes from. Just seven consultants? Utter nonsense. I’ll give a rough breakdown of who is in the hospital if that’d be helpful.

Medicine - there are 8 consultant posts, with plans for more. Of those 8, 5 have been  in post for more than 5 years, 2 are recentish appointments to cover a retirement, and 1 is a locum. 

Orthopaedics - 4 consultant posts, last of us appointed in 2011 to replace a retirement. 

Anaesthetics - 13 consultant posts, about 7 have been here longer than 5 years. The rest have been appointed to expand the department. When I started in 2005 there were only 6. 

Surgery - 4 posts - 3 substantive, 1 locum. Some changes recently with Mr Tebala leaving (note the spelling there with an ‘e’). Reasons for his leaving are multi-factorial. At one point he was part of the management so if that is being blamed for his leaving it’s a little self-defeating. 

Surgical specialties - 9 posts, 8 currently substantive of which 5 have been here for 5 years or more. 

Paediatrics - 3 posts, all been here for more than a decade

Obs and Gynae - 4 posts, 2 have been here for a decade or more

Pathology - 2 posts, both here for years

Radiology - 5 posts, 3 substantive

ED - 3 posts, 2 substantive, all recent appointments which given workforce conditions in the UK is a triumph in itself  

 

So that’s about it. 56 posts, most filled with substantive consultants, most long term. There are recruitment difficulties in some areas, but this is not a Noble’s problem particularly as it’s the same, in radiology say, across the UK. 

Read Wrighty's post, and then read the FOI response here 

It looks to me like Manx Radio folk are morons (and they claimed on t'radio that they made the FOI request)