littlebushy Posted June 5 Share Posted June 5 666 sounds like the devil's work.... 1 Quote Link to comment Share on other sites More sharing options...
wrighty Posted June 5 Share Posted June 5 4 hours ago, littlebushy said: 666 sounds like the devil's work.... Well according to some commentators on here Manx Care may as well be the antichrist, so it seems quite apt 🤣 5 Quote Link to comment Share on other sites More sharing options...
asitis Posted June 6 Share Posted June 6 6 hours ago, wrighty said: Well according to some commentators on here Manx Care may as well be the antichrist, so it seems quite apt 🤣 Nah, Hooper is the antichrist ! 1 1 Quote Link to comment Share on other sites More sharing options...
Roger Mexico Posted June 6 Share Posted June 6 14 hours ago, wrighty said: @Roger Mexico quoted me without referencing the date. For clarity, the first phase of Synaptik assisted joint replacements were done by me, Crerand, Barker and Hutchinson. For second and subsequent phases Synaptik also brought a surgeon to provide additional capacity. They're Baird, Eslami and Nicol, and they operated at the same time as the 4 locals. There have been others since, but the scottish surgeons haven't all been great at inputting the data to the NJR (they don't use it in Scotland) and we've had to do it retrospectively. From April 2022 Up to the end of 2023 we did 666 Joint replacements at Nobles. Well I did link to your original comment, so people could have contextualised it fairly easily and in any case my real purpose was to point out that the idea that all the ops were done by outside surgeons was untrue. But it does illustrate a problem with all these figures in that it's not clear how the costings are worked out. There is clearly some attempt to include costs directly incurred by Nobles, but it's not obvious whether there has been an attempt to cost local personnel costs. And the attempt to get the total spend to match the total business case almost exactly makes it look as if the whole thing has been made up, especially given how wildly some of the components vary from budget. 2 1 Quote Link to comment Share on other sites More sharing options...
Jarndyce Posted June 6 Share Posted June 6 1 hour ago, Roger Mexico said: the attempt to get the total spend to match the total business case almost exactly makes it look as if the whole thing has been made up, especially given how wildly some of the components vary from budget. QED. 1 Quote Link to comment Share on other sites More sharing options...
Roger Mexico Posted June 6 Share Posted June 6 To emphasise just how much the individual items vary before coming to that magical total here's a table showing actual financials against business case: Finance Business Case Actual Total % Over /Under Ophthalmology Daycase 2,313,925.06 3,403,328.05 47.08% Orthopaedics Inpatient 6,456,858.13 5,862,429.15 -9.21% Orthopaedics Daycase 434,607.61 666,146.39 53.28% General Surgery Inpatient 2,666,829.65 4,138,926.52 55.20% General Surgery Daycase 1,000,338.63 969,094.71 -3.12% Support Services 3,297,950.00 1,567,741.29 -52.46% Project Op Costs 93,800.00 280,000.00 198.51% Contingency 2,033,039.00 1,392,357.62 -31.51% Total 18,297,348.08 18,280,023.73 -0.09% Apologies for an incorrect calculation before. It isn't 0.01% out but instead a massive 0.1% (or less than one part in a thousand). But many of those component figures are figures diverge enormously. Of course the finances are only part of the story - it's probably more important to see what was achieved with the money: Activity Activity by Department Activity Unit Cost Business Case Actual Total % Over /Under Business Case Actual Total % Over /Under Business Case Actual Cost % Over /Under Ophthal Day 2,096 1,794 -14.41% 2,096 1,794 -14.41% 1,103.97 1,897.06 71.84% Orthopaed Inpat 634 582 -8.20% 762 847 11.15% 10,184.32 10,072.90 -1.09% Orthopaed Day 128 265 107.03% 3,395.37 2,513.76 -25.97% Gen Surgery Inpat 488 223 -54.30% 938 515 -45.10% 5,464.81 18,560.21 239.63% Gen Surgery Day 450 292 -35.11% 2,222.97 3,318.82 49.30% Total 3,796 3,156 -16.86% 4,820.17 5,792.15 20.16% Again there's massive variation between departments with Orthopaedics not only delivering more activities than planned, but also at a unit cost below that expected. Ophthalmics were about 15% under in terms of treatment, but turned out to be much more expensive per unit. And General Surgery looks like a disaster. Now there may well be good reasons to do with this and case mix and costs may have been different from expected. But again there are some big discrepancies there. 1 2 Quote Link to comment Share on other sites More sharing options...
TheTeapot Posted June 6 Share Posted June 6 What can't be measured on a spreadsheet is a smile. Quote Link to comment Share on other sites More sharing options...
cissolt Posted June 6 Share Posted June 6 Beautiful work Roger. Now will any MHKs do even 5% of your analysis and see through the PR bullshit? Sadly I already know the answer. 1 1 Quote Link to comment Share on other sites More sharing options...
CallMeCurious Posted June 6 Share Posted June 6 https://www.manxradio.com/news/isle-of-man-news/meds-stops-taking-new-calls-early-on-weekdays/ So here is another example of poor communication causing problems and unnecessary distress. People sick or injured enough to worry about it kept hanging on the phone when they could have been on the road to A&E or an ambulance on the way. I thought the whole idea of the service was to triage, advise and attend if needed. Now you are meant to google your symptoms and decide if you are safe to drive to A&E or call an ambulance instead. Another example: Ramsey A&E has a notice at the door that it won't take anyone in after 7:30pm so all the nearby road signage saying it is open 8am to 8pm is incorrect. Who is Manx Care working for exactly? It seems it's more for the staffs benefit than the public. Or is this Hooperman implimenting stealth cuts to try and balance the budget for Allinsons temporary ringfenced healthcare levy? God forbid they actually announce the changes ahead of time and make sure the public understand the changes. Next thing you'll get is A&E is closed again due to staffing issues. 2 Quote Link to comment Share on other sites More sharing options...
CallMeCurious Posted June 6 Share Posted June 6 20 hours ago, cissolt said: The reduction in the waiting list is obviously a good thing. But the fact they magically spent all the money and the majority of the operations and support being done by nobles does make you wonder just how much this whole thing has cost per operation. I also like how they've decided that it worked so well that they can stop; Those reductions meant the average waiting times for the specialties had reduced by 33 weeks, 16 weeks and 28 weeks respectively. So what are the acceptable waiting times? And what are their plans to prevent this happening again? Quote Link to comment Share on other sites More sharing options...
Jarndyce Posted June 6 Share Posted June 6 2 hours ago, TheTeapot said: What can't be measured on a spreadsheet is a smile. Well, this wins the white carnation for "Non-Sequitur of the Day"... Quote Link to comment Share on other sites More sharing options...
lfc84 Posted June 6 Share Posted June 6 I've been told I have no access to a treatment that's freely available in the UK. Funding issue. Quote Link to comment Share on other sites More sharing options...
cissolt Posted June 19 Share Posted June 19 On 6/6/2024 at 10:12 AM, Roger Mexico said: Well I did link to your original comment, so people could have contextualised it fairly easily and in any case my real purpose was to point out that the idea that all the ops were done by outside surgeons was untrue. But it does illustrate a problem with all these figures in that it's not clear how the costings are worked out. There is clearly some attempt to include costs directly incurred by Nobles, but it's not obvious whether there has been an attempt to cost local personnel costs. And the attempt to get the total spend to match the total business case almost exactly makes it look as if the whole thing has been made up, especially given how wildly some of the components vary from budget. Good to hear Chris Thomas referencing your analysis in Tynwald this morning. 1 Quote Link to comment Share on other sites More sharing options...
Banker Posted June 19 Share Posted June 19 Cuts for healthcare or charging: which one do public prefer? https://www.manxradio.com/news/isle-of-man-news/cannan-healthcare-funding-can-only-match-what-economy-can-afford/ Quote Link to comment Share on other sites More sharing options...
Harry Lamb Posted June 19 Share Posted June 19 On 6/6/2024 at 6:43 AM, asitis said: Nah, Hooper is the antichrist ! He's not the Antichrist, he's a very naughty boy 2 Quote Link to comment Share on other sites More sharing options...
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