2112 Posted May 9, 2019 Share Posted May 9, 2019 1 hour ago, Neil Down said: Couldn't the same be said about previous administrations? You are 100% spot on but unfortunately with previous administrations we in Tynpotwald still have lingering hangers on who are residing in Legco. ‘Men of the People’ ‘SuperMHKs’ etc etc. Without dwelling too much long service Politicos who have taken the shilling and not fought for either the island or for change. Interested in niche interests and granny farming a speciality. They haven’t helped this island and now as in DHSC and the Hospital they have been found guilty by an off island bureaucrat who specialised in Health. Not a good endorsement of HRH Chief Minister prowess as Health Minister and a damning indictment of his leadership qualities as Chief Minister - he is barely suitable as MHK for Middle - floundering and out of his depth. Sadly all the recommendations of the report will be accepted, but any serious debate you may as well forget, Tynpotwald has too many idiots, yes men and granny farmers, along with those trading on past glories. Add in a couple of grinning meerkats and you have a recipe of self congratulations. Unlike previous administrations, it can be said that the current Manx Government have been found guilty, no wriggle room for excuses and spin. Like with most Government screw ups, us taxpayers will pay the price. Link to comment Share on other sites More sharing options...
mad_manx Posted May 9, 2019 Share Posted May 9, 2019 What is this air bridge business? We are sometimes cut off for days at a time during bad weather.. How will the critical patients be transferred during these periods? Link to comment Share on other sites More sharing options...
BallaDoc Posted May 9, 2019 Share Posted May 9, 2019 I guess it's like when you are on the only cardiac arrest team at the hospital, and there are two simultaneous cardiac arrests at opposite ends of the hospital. You can't save everyone all of the time, you just have to do the best you can with what you've got, and people need to be particularly mindful of this if they choose to live on an island. Link to comment Share on other sites More sharing options...
Non-Believer Posted May 9, 2019 Share Posted May 9, 2019 The failings outlined here didn't become established overnight. They are a product of years of build up, not just in themselves but also in the attitude and outlook that allowed them to prevail. It would be a little unfair to blame (only) those from the past 5-10 years, even if some have now fallen on their swords. Some of those who oversaw are long retired and gone with their handsome rewards but little can be done about that now. What can now be done is to ensure that this attitude, which IMO infests far too much of the whole public service management, gets a good dose of the appropriate stem and root killer. Link to comment Share on other sites More sharing options...
Declan Posted May 9, 2019 Share Posted May 9, 2019 1 hour ago, BallaDoc said: Most people use it sensibly, but in primary care we spend a lot of time dealing with things like anxiety, difficulty sleeping and anger / irritability management which aren't really illnesses Aren't those issue for a GP? I thought the advice was for stress-like issues to be taken to that level. Link to comment Share on other sites More sharing options...
Max Power Posted May 9, 2019 Share Posted May 9, 2019 Like Lord Lisvane's review, excellent, but probably destined to be another dust trap on that top shelf in the government archives! How long can we keep letting our politicians and civil servants ignore reform when it doesn't suit their personal agendas? Link to comment Share on other sites More sharing options...
BallaDoc Posted May 9, 2019 Share Posted May 9, 2019 18 minutes ago, Declan said: Aren't those issue for a GP? I thought the advice was for stress-like issues to be taken to that level. The report says, at page 6, "there are fewer GPs per head of population on the Isle of Man than in England and their workload may be unsustainable" and at page 17, "There are few standards defining what GP practices are expected to provide". It would be really helpful for me if "rules of engagement", so to speak, were set out so that we all know what is an appropriate thing to take to a GP and what is not. For example, let's take work related stress. I frequently get asked to provide sick notes for people who have had a falling out with their co-workers, or they have been suspended from work pending an investigation into something they have allegedly done, because being "off sick with stress leave" is somehow administratively easier for everyone to deal with than being "suspended on full pay" which used to be the traditional way of dealing with it. It's actually nothing at all to do with me or the health service, and employers and employees need to learn to thrash out their disagreements among themselves. There are lots of other examples I could give you, but this is just one example to illustrate the point that a lot of the stuff which GPs see is non-medical and takes up time which could be better spent elsewhere. Link to comment Share on other sites More sharing options...
Derek Flint Posted May 9, 2019 Share Posted May 9, 2019 1 hour ago, mad_manx said: What is this air bridge business? We are sometimes cut off for days at a time during bad weather.. How will the critical patients be transferred during these periods? Airbus EC145 Link to comment Share on other sites More sharing options...
Non-Believer Posted May 9, 2019 Share Posted May 9, 2019 6 minutes ago, Derek Flint said: Airbus EC145 Given the number of transfers undertaken, I think an Airbus Beluga would be nearer the mark Link to comment Share on other sites More sharing options...
Roger Mexico Posted May 9, 2019 Share Posted May 9, 2019 3 hours ago, Ham_N_Eggs said: 3 hours ago, BallaDoc said: It would also have been nice if the report had been published by Tynwald instead of Manx Radio! Presuming the Department got all excited and agreed to release it early. Tynwald order papers are usually published on Thursday lunchtime along with all associated reports and documents The Manx Radio version has "Embargoed 6am 9 May 2019" watermarked on every page, but there was a press conference yesterday and the associated press release[1] was made available this morning with a version that is easier to read. Presumably the idea was for journalists to have time to digest and analyse the Report rather than just cut and paste the press release as usual (stop laughing at the back). To be fair to MR they do seem to have made some effort, but it's not possible to know if they were spoonfed that privately or not. Reports to discussed in Tynwald do usually get published in advance of appearing on the Order Paper. It's not like the Commons demanding to see things first and that doesn't usually apply to full reports, just ministerial statements. It also makes sense, given that Tynwald only meets once a month. Actually what usually happens (and has almost certainly happened here) is that the need for it to appear with the Order Paper forces them to publish something that they've been sitting on for weeks. Link to comment Share on other sites More sharing options...
piebaps Posted May 9, 2019 Share Posted May 9, 2019 3 hours ago, BallaDoc said: It would also have been nice if the report had been published by Tynwald instead of Manx Radio! It was published by the Department https://www.gov.im/about-the-government/departments/health-and-social-care/news/?altTemplate=ViewCategorisedNews&id=99312 Link to comment Share on other sites More sharing options...
James Hampton Posted May 9, 2019 Share Posted May 9, 2019 2 hours ago, Max Power said: Like Lord Lisvane's review, excellent, but probably destined to be another dust trap on that top shelf in the government archives! How long can we keep letting our politicians and civil servants ignore reform when it doesn't suit their personal agendas? I think pretty much any review of traditional political history will give you the answer - ‘indefinitely’ The real question is, why is it encouraged to continue this way? Is it that the majority of residents are comfortable enough for it not to really be a primary concern? Still seems odd to me. I know numerous families spending far more on what is effectively primary mental health care (to use an example from another thread) than it would cost to pay increased taxes to improve the public service to the point where it wasn’t necessary for them to do so privately. Just no logic. Link to comment Share on other sites More sharing options...
The Duck of Atholl Posted May 9, 2019 Share Posted May 9, 2019 Change means making decisions that may prove in the short term as unpopular. Unpopular decisions see MHK's ousted at elections. Ergo no change, status quo prevails Link to comment Share on other sites More sharing options...
Manximus Aururaneus Posted May 9, 2019 Share Posted May 9, 2019 To be honest I didn't read anything in the full report that I found particularly wrong or even contentious (though there were some items that were simply comments 'left hanging' and which would have been more useful if explained more fully). I was however stunned to see that neither the Mental Capacity Act or Dols had been adopted on the Island - my managers and staff have been complying with them as a matter of routine since 2005! That is a pretty massive transitional change that he is proposing - even if adopted I'm not sure that the Island has the management capacity to oversee that degree of change over those timescales - especially if fighting negativity from some quarters as well. Link to comment Share on other sites More sharing options...
hissingsid Posted May 9, 2019 Share Posted May 9, 2019 Duck...you have hit the nail on the head, unfortunately this does not just apply to this report but to any other contentious item. I have never ever seen such a bunch of frightened and cowardly MHKs more concerned about re election than reform in case they become unpopular. Why are they so desperate to cling onto their seats, perhaps they do not have the skills to do much else with the same reward ? Link to comment Share on other sites More sharing options...
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