Manx Care

[buncha wankas]

On 5/7/2021 at 9:16 PM, Annoymouse said:

 

Unfortunately he won’t be the only one, I’ve personally been a pinball between between my GP, hospital and physio for the last year. Communication is absolutely dire, you can’t just speak to one person who can deal with everything, you have to do all the chasing yourself and liaise with each separate department because they don’t/won’t work as a collective.

Covid is blamed but Covid didn’t stop developing the numerous senior manager posts in last 12 months and the expense, why?  The managers busy saving their jobs instead or planning service. Shame on them.

[buncha wankas]

On 5/8/2021 at 11:13 AM, The Dog's Dangly Bits said:

The reality now is that if you want to get an operation in a sensible time frame you have to go private if you can afford it.

The alarming part is that you can't even do that on island anymore.

Everything here seems to have stopped due to covid.

 

Private patients was already shut for over-a year before Covid

[finlo]

7 minutes ago, buncha wankas said:

Private patients was already shut for over-a year before Covid

With a bit of creativity I'm sure we can blame it on that also!

[Apple]

https://www.manxradio.com/news/isle-of-man-news/on-island-training-for-midwives-being-considered/

I hear they are also considering the same for mental health staff. Great ideas that Manx Care is coming up with (not that they haven't been considered before of course)

Maybe we can extend the schemes to train our own medical staff here. Just have the actual learning bit off island and then all the practical experience will be on island.

Some though might think their exposure to a wider range of clinical experience would be beneficial, especially if they ever wanted to practice later anywhere else other than here.

[Apple]

https://www.manxradio.com/news/isle-of-man-news/mental-health-patients-dont-always-get-help-in-time/

And we have more here from a GP telling us what is wrong but not what they are going to do about it.

Surely they have agreed urgent referral pathways and have clinical guidelines already in place to help patients to access the specialist services they need ?. Or will this fall now on to volunteer groups and charities ?

I see the next Tynwald is due to "debate' the Manx Care Mandate some 8 weeks after it was introduced. No doubt Ashford will remind everyone it was "unanimously" agreed. Apparently there is another 10 months before Manx Care  need to report on progress and of course Tynwald to approve an increased budget in this Manx Care's first year.

In my view it will take 3 or 4 years to repair the damage done to the IoM's health and social care systems using the current methodology and approach and because of the rush on now to try and catch up then corners will be cut and risks taken that needn't have been.

And all because they wanted to get Manx Care up and running in this administration. Gongs all round, as they say. 

Let's vote them all back in so they can clean up their own mess. 

[war baby]

21 hours ago, buncha wankas said:

Private patients was already shut for over-a year before Covid

But nobody has ever told me why.  I ask doctors who used to work there and have had to move to other places.  What was wrong with having a private ward for those who have relieved the NHS of some costs by taking out insurance?

[Apple]

It was being refurbished and redecorated so a private company can come in and take it over. DA said at the time it was never going to be used for NHS patients again. 

He was wrong.

Still, once Covid restrictions are removed I am sure Manx Care will reinvigorate the old plans and further reduce NHS beds again. It's not like we need them anymore.

BTW - private care at Nobles does not pay for non medical staff etc or all the overheads. That still come out of the NHS budget (or used to).

People if they wish should be able to avail themselves of private care. But not at a hospital with all the facilities being paid for from the public purse. Let them build and staff their own theatres and out patients etc. Those at Nobles belong  to the Great Manx Public. 

[buncha wankas]

1 hour ago, Apple said:

It was being refurbished and redecorated so a private company can come in and take it over. DA said at the time it was never going to be used for NHS patients again. 

He was wrong.

Still, once Covid restrictions are removed I am sure Manx Care will reinvigorate the old plans and further reduce NHS beds again. It's not like we need them anymore.

BTW - private care at Nobles does not pay for non medical staff etc or all the overheads. That still come out of the NHS budget (or used to).

People if they wish should be able to avail themselves of private care. But not at a hospital with all the facilities being paid for from the public purse. Let them build and staff their own theatres and out patients etc. Those at Nobles belong  to the Great Manx Public. 

Not true, private patient care paid for all services at nobles. 

[Apple]

7 hours ago, buncha wankas said:

Not true, private patient care paid for all services at nobles. 

For medical treatment. The full charges for other aspects of running and maintaining the hospital were not fully covered iirc. 

Eg - I have had conversations with non Consultant medical staff who were not happy to 'cover' the PPU when the responsible Consultant was not in the hospital as it was not what they were being paid to do (ie look after NHS patients). 

[Banker]

10000 missed out patient appointments last year, they are probably the ones complaining about waiting lists!!!

http://www.iomtoday.co.im/article.cfm?id=61837&headline='Unacceptable' wait of nearly 5 years for patients&sectionIs=news&searchyear=2021&cat=Health

[TheTeapot]

19 minutes ago, Banker said:

10000 missed out patient appointments last year, they are probably the ones complaining about waiting lists!!!

http://www.iomtoday.co.im/article.cfm?id=61837&headline='Unacceptable' wait of nearly 5 years for patients&sectionIs=news&searchyear=2021&cat=Health

Well one of those 10000 appointments was me, when they sent the letter to an address I hadn't lived in for 7 years, despite my current address being registered everywhere, including with my GP and indeed the hospital itself.

So I'd take that 10000 figure pretty lightly.

[snowman]

do they still send sms reminders ?

 

https://www.gov.im/news/2016/oct/07/text-message-reminders-now-in-place-at-nobles-hospital/

 

https://www.gov.im/news/2017/mar/31/outpatient-appointment-reminders-go-digital/

 

Patients can opt in to the free text messaging service in the following ways:

• Call the dedicated number 651651 or email NoblesSMSRegistration@gov.im providing their name, date of birth and mobile phone number, and confirming that they wish to sign up to text alerts
• Sign up at the main reception areas in Noble’s Hospital and Ramsey and District Cottage Hospital
• Sign up during their next clinic appointment at either hospital

Edited May 11, 2021 by snowman

[John Wright]

34 minutes ago, snowman said:

do they still send sms reminders ?

 

https://www.gov.im/news/2016/oct/07/text-message-reminders-now-in-place-at-nobles-hospital/

 

https://www.gov.im/news/2017/mar/31/outpatient-appointment-reminders-go-digital/

 

Patients can opt in to the free text messaging service in the following ways:

• Call the dedicated number 651651 or email NoblesSMSRegistration@gov.im providing their name, date of birth and mobile phone number, and confirming that they wish to sign up to text alerts
• Sign up at the main reception areas in Noble’s Hospital and Ramsey and District Cottage Hospital
• Sign up during their next clinic appointment at either hospital

Yes. I get them. GP, Dentist and Nobles

[Apple]

Apparently works out to 46 missed out patients appointments a day ? Sorry but I don't see that. 

We have had several reports of the failures of the Admin to send out appointments in time, late postal appointments after the due time and / or date. They were under tremendous pressure with stop /start workloads and with having to move into other jobs /roles. 

I have said before the answer is to publish the lists monthly like they used to, which of course they didn't want to do as it makes comparisons very much easier.

Of course any improvement on the current waiting list will be seen a victorious outcome, which of course will help Ms Cope and Co to be seen in a brighter light next year.

Would accurate waiting lists be part of the Duty of Candour ? 

Edited May 11, 2021 by Apple

[wrighty]

3 hours ago, Apple said:

Apparently works out to 46 missed out patients appointments a day ? Sorry but I don't see that. 

We have had several reports of the failures of the Admin to send out appointments in time, late postal appointments after the due time and / or date. They were under tremendous pressure with stop /start workloads and with having to move into other jobs /roles. 

I have said before the answer is to publish the lists monthly like they used to, which of course they didn't want to do as it makes comparisons very much easier.

Of course any improvement on the current waiting list will be seen a victorious outcome, which of course will help Ms Cope and Co to be seen in a brighter light next year.

Would accurate waiting lists be part of the Duty of Candour ? 

I was in clinic all day today.  No DNAs. Fracture patients in the morning seen at the right time (days to weeks) according to their condition.  Elective patients in the afternoon referred about 3 months ago, apart from a couple I’d agreed to see urgently who had not had to wait much at all. One disappointing element was that the patients I listed for surgery are not likely to get their operations until 2022.

Some good stuff does happen.  The backlog in the UK is similar.  Duty of Candour applies to medical error and patients thus harmed. Not waiting lists. 
 

46 missed appointments per day across all clinics is plausible.  I usually get 4-5.  Today was unusually efficient.