Nobles hospital

[woolley]

1 hour ago, dilligaf said:

I don't thinkJoe Public is as daft as some on here seem to think.

 

Just assume he is then you won't be disappointed.

[Uhtred]

6 hours ago, Non-Believer said:

Look at who they elect every 4 years...

Or even every 5!

[TheTeapot]

The link to the response no longer works. 

[John Wright]

12 hours 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. 

I think you’ve underestimated the number of medicine consultants, i get it as 20, but may have got it wrong. That includes visiting consultants. Including mental health I think there are 75-80 consultant posts.

all 1 post per speciality unless otherwise stated.

cardiology

diabetes/endocrinology

gerontology

renal

neurology ( 2 visiting )

gastroenterology

dermatology ( 3 visiting )

respiratoty

haematology

rheumatology

Oncology ( 3 visiting )

plastic surgery ( 1 visiting )

Opthalmology (2)

Then there are the dental/orthodontics.

How do you classify the consultant from Wrightington who visits for clinics? Is it Tait?

 

[wrighty]

2 hours ago, John Wright said:

I think you’ve underestimated the number of medicine consultants, i get it as 20, but may have got it wrong. That includes visiting consultants. Including mental health I think there are 75-80 consultant posts.

all 1 post per speciality unless otherwise stated.

cardiology

diabetes/endocrinology

gerontology

renal

neurology ( 2 visiting )

gastroenterology

dermatology ( 3 visiting )

respiratoty

haematology

rheumatology

Oncology ( 3 visiting )

plastic surgery ( 1 visiting )

Opthalmology (2)

Then there are the dental/orthodontics.

How do you classify the consultant from Wrightington who visits for clinics? Is it Tait?

 

I didn't include visiting consultants at all - deliberately.  Of the ones you list there are indeed 8 visiting consultants in medicine.  The ophthalmologists are included in 'surgical specialties', as are oral/max-fax.  I didn't count psychiatrists at all as I don't know how many there are, and they're not part of Noble's hospital which was what the thread's about.  Ian Trail visits from Wrightington, as well as him there are a couple of other orthopaedic specialists we get over occasionally, but since they primarily work elsewhere I didn't count them either.

[WTF]

so in summary,  nearly enough doctors and nurses, far too many managers many of whom are shit at managing,  and not enough money  ???

[Neil Down]

On ‎5‎/‎21‎/‎2018 at 11:32 AM, woolley said:

Shame that Mr Tebala left.

https://www.acpgbi.org.uk/patients/surgeon-directory/giovanni-tebala/

Real cutting edge advanced surgeon and no pun intended.

http://www.bowelsurgery.im/about-me

Mr Tebala operated on my hernia, I thought he was still on the island.

[Neil Down]

20 hours 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. 

What have you been told about bringing facts to MF...

[Neil Down]

34 minutes ago, WTF said:

so in summary,  nearly enough doctors and nurses, far too many managers many of whom are shit at managing,  and not enough money  ???

Seems to sum it up perfectly...

[hissingsid]

Glad Tebala has gone, useless, just useless.

[wrighty]

50 minutes ago, hissingsid said:

Glad Tebala has gone, useless, just useless.

This clearly demonstrates the problem with anecdotal opinions. Mr Tebala was not useless, plenty on here say just the opposite, and I’d have been happy for him to operate on me or my kids. He isn’t however god, or a magician. Some of his patients will have had poor outcomes despite his best efforts, and others will be beyond help. 

Patients say the same about me. 90% perfectly happy, 5% over-the-top think you’re marvellous, 5% think you’re incompetent/useless/uncaring. The opinion of the latter two groups is equally unreliable in my opinion, which is why we now have to do surveys of a minimum of 50 patients. If they all say you’re useless you probably are, but if most are happy enough you’re fine. 

[Andy Onchan]

1 hour ago, hissingsid said:

Glad Tebala has gone, useless, just useless.

I beg to differ, on three counts. Me and the two out-laws. The body ain't a machine/engine that you can strip down and rebuild. Plus, contrary to what we think, there's still loads to learn about how the body works.

[hissingsid]

It is not anecdotal it was personal, thank goodness I ended up going across where I got sorted out he was a very bread and butter consultant with limited knowledge.

[woolley]

1 minute ago, hissingsid said:

It is not anecdotal it was personal, thank goodness I ended up going across where I got sorted out he was a very bread and butter consultant with limited knowledge.

That is just cobblers. Sorry. Every surgeon is going to have some poor outcomes. As has been said some patients are beyond help. We all die eventually after all. But to say that somebody who transformed the on Island surgery in his field from 40% to 75% laparoscopy - way ahead of the UK - and slashed average hospitalisation periods for post-operative patients is "useless" is simply crazy. To my personal knowledge he is extremely eminent in his field and his record here is a fine one.

[WTF]

3 hours ago, wrighty said:

This clearly demonstrates the problem with anecdotal opinions. Mr Tebala was not useless, plenty on here say just the opposite, and I’d have been happy for him to operate on me or my kids. He isn’t however god, or a magician. Some of his patients will have had poor outcomes despite his best efforts, and others will be beyond help. 

Patients say the same about me. 90% perfectly happy, 5% over-the-top think you’re marvellous, 5% think you’re incompetent/useless/uncaring. The opinion of the latter two groups is equally unreliable in my opinion, which is why we now have to do surveys of a minimum of 50 patients. If they all say you’re useless you probably are, but if most are happy enough you’re fine. 

with some of the useless docs about you'd be lucky to find 50 survivors to survey.......