BriT Posted November 13, 2022 Share Posted November 13, 2022 11 hours ago, Cueey Lewis And The News said: @cueballi has declared Indistinguishable from the actual subtext of the original. 2 Quote Link to comment Share on other sites More sharing options...
Non-Believer Posted November 13, 2022 Share Posted November 13, 2022 13 hours ago, Steady Eddie said: Five or six years there is just clocking time effectively doing nothing. Has the TT scoreboard ever been replaced? Un-necessarily cruel, plenty's been done. Jurby Festival is gone, rallies the same way, sports/footy festivals too, the MGP has been wrecked, commercialisation of the TT has been pushed to stratospheric levels, let alone the scoreboard removed with no contingency to replace it (or at least one that Treasury would see as viable). They've been very industrious in recent years... 2 Quote Link to comment Share on other sites More sharing options...
A fool and his money..... Posted November 13, 2022 Share Posted November 13, 2022 (edited) On 11/10/2022 at 5:06 PM, Stu Peters said: Unnecessary. Even with a smiley face. Fair enough, my apologies. A misjudged attempt at humour. Edited November 13, 2022 by A fool and his money..... Quote Link to comment Share on other sites More sharing options...
Hoops Posted November 13, 2022 Share Posted November 13, 2022 On 11/11/2022 at 4:51 PM, John Wright said: I don’t think any of us know the real reason why he has been pushed, after being invited to jump. What worries me is that some of the speculative posts on here, and posts by RC, and his FB supporters, seem to show a lack of understanding of the responsibility divide between Political head of DHSC, DHSC, & Manx Care. Hes claimed he done lots to get people who contacted him treated, resolving their issues. Well that’s not his role. In fact it’s the antithesis of his role. That sort of thing is what MCALS should be dealing with, perhaps with the patient being supported by their MHK. Not by the political head of its regulator. Second, whilst DHSC has a huge budget it’s no longer the provider of social care or medical services. It’s a commissioner and an inspector/regulator, assessor of delivery of what’s been commissioned. That’s what any minister of DHSC is responsible for. Deciding what to Commission, and from whom. Checking if it’s delivered. Not lobbying for X to get Y treatment. Delivery is by Manx Care, Which itself contracts GP’s and Dentists. And buys in certain services. It’s designed to be at arms length to insulate actual delivery from political interference. We can argue whether the split is pointless, introduces extra management layers and costs. But it’s what we’ve got. Actually it’s a strange concept to grasp. I do wonder if that played a part in his downfall. Not recognising the structure or appreciating the requirement for arms length. It wouldn’t fit in with his assumed and alleged granny farming instincts. Of course it’s proper that he maintained cordial and respectful elations with Manx Care. But if he was playing outside brief … I think you could argue that you need to be able to see all aspects of the service to understand if the strategies put in place are producing the required results, and if not, are the strategies or the delivery failing? Otherwise you are dependant on reports from cs wallahs - "all buses ran during TT". If you are going to sit in a tower, aloof, you could do it from England....which has worked so well for our health service in the past. Quote Link to comment Share on other sites More sharing options...
John Wright Posted November 13, 2022 Share Posted November 13, 2022 2 minutes ago, Hoops said: I think you could argue that you need to be able to see all aspects of the service to understand if the strategies put in place are producing the required results, and if not, are the strategies or the delivery failing? Otherwise you are dependant on reports from cs wallahs - "all buses ran during TT". If you are going to sit in a tower, aloof, you could do it from England....which has worked so well for our health service in the past. Which is why the DHSC contract with providers, including Manx Care, GP’s, dentists, care homes, etc has regulation and an inspection requirement. It’s why DHSC has employed CQC to lead the inspections. We will now get a base line to actually measure successes and failures from. I don’t think any politician can do that assessment. The Minister & Political Members are there to set the policy and check the CS are implementing it. They should decide with cabinet office transformation, treasury and DHSC what to do about backlogs, buying in services, expanding services, prescription charges, paying for treatment in UK ( or let people die here through lack of treatment ). Much of that requires data, data we don’t necessarily appear to have had historically. Who knows what he did, or didn’t do, or whether there was disloyalty? I really don’t care, he’s gone. I care about getting in place a team that works together, delivers the best service we can afford ( subject to staffing and equipment limitations ), identifies the areas failing and addresses the remediation necessary. Problem is we let it get in such a mess, then had a national emergency that made things worse. I still think the steps being taken are promising and we are seeing the green metaphorical shoots. But by analogy with oil tankers it takes time to slow down forward motion, and turn around. 7 1 Quote Link to comment Share on other sites More sharing options...
Hoops Posted November 13, 2022 Share Posted November 13, 2022 2 minutes ago, John Wright said: Which is why the DHSC contract with providers, including Manx Care, GP’s, dentists, care homes, etc has regulation and an inspection requirement. It’s why DHSC has employed CQC to lead the inspections. We will now get a base line to actually measure successes and failures from. I don’t think any politician can do that assessment. The Minister & Political Members are there to set the policy and check the CS are implementing it. They should decide with cabinet office transformation, treasury and DHSC what to do about backlogs, buying in services, expanding services, prescription charges, paying for treatment in UK ( or let people die here through lack of treatment ). Much of that requires data, data we don’t necessarily appear to have had historically. Who knows what he did, or didn’t do, or whether there was disloyalty? I really don’t care, he’s gone. I care about getting in place a team that works together, delivers the best service we can afford ( subject to staffing and equipment limitations ), identifies the areas failing and addresses the remediation necessary. Problem is we let it get in such a mess, then had a national emergency that made things worse. I still think the steps being taken are promising and we are seeing the green metaphorical shoots. But by analogy with oil tankers it takes time to slow down forward motion, and turn around. I truly hope you are right about the green shoots. Quote Link to comment Share on other sites More sharing options...
Apple Posted November 13, 2022 Share Posted November 13, 2022 (edited) 29 minutes ago, John Wright said: I care about getting in place a team that works together, delivers the best service we can afford ( subject to staffing and equipment limitations ), identifies the areas failing and addresses the remediation necessary. Exactly. From that though also we need to have the right checks and balances to ensure the integrity of that team, and other teams accountable for the delivery of services, ensureing those services are delivered right, in accordance with the laws / regulations etc, and for the exclusive benefit of patients, family and public. As we have seen for example the complaints system was completely broken for two years or more and is now only being finally resolved. That was unacceptable. I also have doubts about the way MCals is being used as a some form of local complaints Department - has that now been dissolved ? Who actually is the complaints manager or is there no longer anyone in that role ? 29 minutes ago, John Wright said: Much of that requires data, data we don’t necessarily appear to have had historically. We still don't have the right data or information and it doesn't yet seem a requirement or willingness to obtain or provide it without it having to be dragged out by politicians. That has to change. Having access to the right Information can support choice and realistic expectations, and to promote self care when required. 29 minutes ago, John Wright said: Problem is we let it get in such a mess, We did indeed and we have to move it forward now. Integration is essential for the island as a stand alone service and is the perfect location to put into place. Our relationships with NHS UK and organisations affiliated to that will be revised to suit and again brings in the issue of independence is who we may, or may not, choose to engage with in those respects. Edited November 13, 2022 by Apple Quote Link to comment Share on other sites More sharing options...
offshoremanxman Posted November 13, 2022 Share Posted November 13, 2022 7 hours ago, BriT said: Indistinguishable from the actual subtext of the original. Largely follows the same type of delusion and claims of victimization. I see they’re really in a froth about it all on the Onchan Residents Facebook Group which seems to be the only group that bothers about him now as the few comments on IOM News & Politics are largely either sarcastic or critical. It’s going to be interesting to see how this unravels in the next few weeks. Whatever the case Rob will be the victim though. He plays it so well. Quote Link to comment Share on other sites More sharing options...
Jarndyce Posted November 13, 2022 Share Posted November 13, 2022 3 hours ago, Apple said: Integration is essential for the island as a stand alone service and is the perfect location to put into place Careful now! They’ll be booking more tickets to NZ…or re-engaging Mr Charters… 2 Quote Link to comment Share on other sites More sharing options...
Boo Gay'n Posted November 15, 2022 Share Posted November 15, 2022 Bish, bash, bosh in Tynwald, with some 'how very dare you' from the People's Prince. Broken last week, and now appalled... https://www.manxradio.com/news/isle-of-man-news/chief-minister-hits-out-at-mhk-for-moaning-on-the-back-benches/ https://www.manxradio.com/news/isle-of-man-news/callister-speaks-out-against-chief-minister-after-integrity-comments/ Quote Link to comment Share on other sites More sharing options...
Steady Eddie Posted November 15, 2022 Share Posted November 15, 2022 13 minutes ago, Boo Gay'n said: Bish, bash, bosh in Tynwald, with some 'how very dare you' from the People's Prince. Broken last week, and now appalled... https://www.manxradio.com/news/isle-of-man-news/chief-minister-hits-out-at-mhk-for-moaning-on-the-back-benches/ https://www.manxradio.com/news/isle-of-man-news/callister-speaks-out-against-chief-minister-after-integrity-comments/ Callister is clearly a total cock-womble. You got sacked, take some responsibility for that rather than blubbing like a small child. Quote Link to comment Share on other sites More sharing options...
Holte End Posted November 15, 2022 Share Posted November 15, 2022 Didn't Mr Cannan say there would have to be an enquiry into Mr Callister allegations ? 1 Quote Link to comment Share on other sites More sharing options...
offshoremanxman Posted November 15, 2022 Share Posted November 15, 2022 Just now, Holte End said: Didn't Mr Cannan say there would have to be an enquiry into Mr Callister allegations ? Hopefully. 1 Quote Link to comment Share on other sites More sharing options...
Passing Time Posted November 15, 2022 Share Posted November 15, 2022 Worrying that AC praised Ashford. When you think government can't get any worse - up they step to prove it can 5 Quote Link to comment Share on other sites More sharing options...
Whatnonsence Posted November 15, 2022 Share Posted November 15, 2022 At least in the New World of Manx Politics the Council of Ministers appear to have forsaken their previous stance of closing ranks and preserving the status quo by retaining Ministers who in all other walks of life would have been sacked. Just Saying! 3 Quote Link to comment Share on other sites More sharing options...
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