IOM DHSC & MANX CARE

[John Wright]

10 minutes ago, Andy Onchan said:

Would be interesting to know how they manage their diary for when you have to call because nothing that is offered online works for the patient.

I wonder whether they open up afternoon slots a week before hand/ at 09.00 every day? It’s not satisfactory, I agree. They’re rationing slots, that’s clear. 

It’s a bit like Tesco slots.

[Zarley]

The only appointment you can book online at the Peel surgery is for the smear clinic. 

It was great pre-covid, always plenty of choices for dates, times and doctors. Much easier and quicker than ringing up. 

[WTF]

1 hour ago, John Wright said:

 

It’s a bit like Tesco slots.

but with longer waits for availability.

[Roger Mexico]

1 hour ago, Andy Onchan said:

I fail to understand how, when [Ranson] was 25+ years(?) as a GP, she managed to find time to be a medical director for a NHS authority at the same time. How's that work when she has no front line experience with the emergency services? I wait to be educated by Wrighty at some point.

Because the job was Medical Director of the whole NHS, not of Nobles.  You can't expect someone in that role to have experience and competence in every aspect of medicine.  Usually a Medical Director whose background is in hospital medicine will have a (part-time) Deputy who works in primary care to give advice. With the now-departed Dr Andole, this was Oliver Ellis, who is a GP in Peel. 

Similarly an MD from a primary care background would have a hospital-based deputy, though in the case of Ranson, Covid arriving just after her may have meant that no formal appointment was made.  In any case, there would have been plenty of hospital doctors (such as wrighty) on various committees there to give her advice on a day-to-day basis.

MDs tend to 'keep their hand in' by continuing their specialisation on a part-time basis.  Partly this is to maintain accreditation (as we've seen with Allinson and Barber) and partly, I suspect, so they are seen by other doctors, who they represent in a sense, as still one of them.  So Andole would have continued working with some stroke patients and presumably Ranson would have been attached to GP practices through her career, maybe doing a morning a week or some locum work.  Again Covid probably prevented this being formalised here.

[John Wright]

4 minutes ago, WTF said:

but with longer waits for availability.

You tend to have to book 3-4 weeks ahead. I can book up until 2nd May as a priority customer. There are a few slots on 17/4 and more on 25/4. That’s it for the next 5 weeks.

[Andy Onchan]

1 hour ago, John Wright said:

You tend to have to book 3-4 weeks ahead. I can book up until 2nd May as a priority customer. There are a few slots on 17/4 and more on 25/4. That’s it for the next 5 weeks.

It would be an interesting statistic to know what proportion of appointments are made online and whether it really is worth trying to make appointments if the choice is so binary.    

[Moghrey Mie]

Just had my appointment with ophthalmology consultant in April cancelled for the second time.

 

'Due to unseen circumstances'

[Roger Mexico]

7 minutes ago, Andy Onchan said:

It would be an interesting statistic to know what proportion of appointments are made online and whether it really is worth trying to make appointments if the choice is so binary.    

I think John was actually referring to Tesco deliveries rather than GP appointments.  At least with the doctors people aren't up waiting for the next batch of slots to be released at midnight.

From my own experience you get the same choice whether you book a GP appointment online or by phone, though by phone they will probably quiz you a bit to see if you need anything sooner and help you get that.  For a lot of people wanting to book, a few weeks in advance may be OK, even preferable and sometimes the problem is more that people would like to schedule a regular one after the currently available slots.

It would be interesting to know  what the split is though, presumably it will change over time as more practices implement it and more people become aware (see above).  It would also be interesting to see if online booking have a higher/lower rate of no shows.

[John Wright]

14 minutes ago, Roger Mexico said:

I think John was actually referring to Tesco deliveries rather than GP appointments.

@Andy Onchan

I had said that Dr’s appointments were as hard to get as Tesco slots. And that was the proof.

[mad_manx]

21 minutes ago, John Wright said:

@Andy Onchan

I had said that Dr’s appointments were as hard to get as Tesco slots. And that was the proof.

Looks like tesco slots are easier than the  doctors these days   😀

[John Wright]

7 minutes ago, mad_manx said:

Looks like tesco slots are easier than the  doctors these days   😀

But only if you’re on the priority list

[littlebushy]

I'm confused now. Should I call Tesco for my piles?

[Andy Onchan]

41 minutes ago, littlebushy said:

I'm confused now. Should I call Tesco for my piles?

No, book it online!

[Boo Gay'n]

https://www.manxradio.com/news/isle-of-man-news/fracture-cinic-at-rdch-moving-back-to-nobles-hospital/

This is another plot by those metropolitan southerners to steal an essential service from the Cottage.  We need another meeting at Scoill Ree Goree, call them to account and then lynch them!

PS satire warning

[Banker]

2 hours ago, Roxanne said:

Parents on social media kicking off about open.access for their children to A+E being removed.

I feel a petition coming on...

What exactly is open access?