IOM DHSC & MANX CARE

[Jarndyce]

23 minutes ago, Roger Mexico said:

As for the second Manx Radio piece can anyone make head nor tail of what has been written?  Cope's clip is a bit clearer, but cut off.  Clearly it's been known about for two decades but there's been resistance to doing something sensible for some petty bureaucratic reason.

I think she’s talking about following NICE guidance on medicines and tech/procedures.

The UK government insist that NICE guidance is followed in a set timeframe after implementation.   But funding is made available (not quite that straightforward, but in a nutshell).   So, if an expensive drug gains NICE approval, it must be available to be prescribed and the guidance must be followed.

IOMG DHSC is not strictly part of the UK NHS, and therefore is under no legal obligation to fund NICE approved drugs and tech, while still giving lip service to following the guidance.   The big problem arises if a patient is under, eg a Clatterbridge consultant who wants to use a drug which is approved in England but unfunded in the island - cue some very unhappy patients and consultants OR a very unhappy Treasury.   Guess who wins.

Anyway, it sounds like they’re having a serious look at how to actually fund NICE approved drugs, etc.

My understanding of it - I stand to be corrected, of course.

 

 

Edited September 2, 2022 by Jarndyce
Added a disclaimer!

[Gladys]

22 minutes ago, Mercenary said:

https://www.judgments.im/content/ET 21-20 Dr Rosalind Ranson V DHSC Order.pdf

Some potentially damning stuff at the end of this one for Magson/AGs/Ashford

Thank you.  This is just so sad for the island. Perhaps a wake up call for the electorate?  This really does need a public and fulsome review with resulting action.  That judgement is full of carefully crafted words that hint at the underlying disquiet whilst not obviously stating the bleeding obvious. 

 

Edited September 2, 2022 by Gladys

[cissolt]

Ah so the reason the AG is no longer involved becomes clear. The alleged rot really does run through every vein of government.

[manxfisherman]

Quote

44. The November dates may provide an opportunity for further clarification of the points made by Mr Ashford or indeed an opportunity for him to attend to explain and be questioned.

Hahaha. Not a chance.

[Gladys]

10 minutes ago, cissolt said:

Ah so the reason the AG is no longer involved becomes clear. The alleged rot really does run through every vein of government.

Yes, that is one career halted in its tracks. 

[Roger Mexico]

14 minutes ago, manxfisherman said:

Quote

44. The November dates may provide an opportunity for further clarification of the points made by Mr Ashford or indeed an opportunity for him to attend to explain and be questioned.

Hahaha. Not a chance.

But if he doesn't appear it's going to be even more embarrassing isn't it?  He's going round shouting "I demand you clear my name!"  "You'll want to give evidence to do so then" "Er ...um... well maybe not".

[Gladys]

1 minute ago, Roger Mexico said:

But if he doesn't appear it's going to be even more embarrassing isn't it?  He's going round shouting "I demand you clear my name!"  "You'll want to give evidence to do so then" "Er ...um... well maybe not".

He won't appear because, in his mind, he has done nothing wrong. We can draw many conclusions, but he is not going to put himself under scrutiny. 

[Gladys]

10 minutes ago, Gladys said:

He won't appear because, in his mind, he has done nothing wrong. We can draw many conclusions, but he is not going to put himself under scrutiny. 

And I would add, the AG is going to offer up a sacrifical lamb.  I wonder who guided her?

[wrighty]

1 hour ago, Roger Mexico said:

I don't think any of these things are just being discovered now or that Manx Care and Cope were unaware of them.  Centralised recruitment via the Cabinet Office's HR Department was never going to work when most of those who Manx Care wants are specialists: doctors, nurses, technicians and so on. 
 

 They're trialling the new system in orthopaedics, so if @wrighty suddenly finds no one at all turns up, we'll know they achieved the impossible task of making things worse.

Ever since we lost the medical staffing office at Noble’s (can’t remember exactly when, over 10 years ago I think) we’ve been calling for its return. Centralised HR just doesn’t work very well in healthcare. I’ve long thought that one of the ways of improving recruitment, retention, and more importantly the cultural problems in health would be to have a dedicated Manx Care HR department with proper transparent procedures with regard to recruitment, post creation, discipline, absence management etc

As for the new system in orthopaedics - this is the first I’ve heard of it. From what I can gather it’s going to be something along the lines of not booking appointments far in advance for them to be cancelled and changed repeatedly, leading to DNAs, or the opposite ABSHs (Attended But Shouldn’t Have). Again, we’ve been suggesting this for years, but have been told it wasn’t possible. I hope it comes off. 

[BriT]

1 hour ago, cissolt said:

Ah so the reason the AG is no longer involved becomes clear. The alleged rot really does run through every vein of government.

The closing comments about the perceived impact on her future career are quite brutal. 

[Holte End]

1 minute ago, Gladys said:

He won't appear because, in his mind, he has done nothing wrong. We can draw many conclusions, but he is not going to put himself under scrutiny. 

I think he will use the same excuse as  before. The point by point rebuttal was superfluous after he went in front of the Public Accounts Committee, this time he refer them to his Paul Moulton interview.

[buncha wankas]

39 minutes ago, wrighty said:

Ever since we lost the medical staffing office at Noble’s (can’t remember exactly when, over 10 years ago I think) we’ve been calling for its return. Centralised HR just doesn’t work very well in healthcare. I’ve long thought that one of the ways of improving recruitment, retention, and more importantly the cultural problems in health would be to have a dedicated Manx Care HR department with proper transparent procedures with regard to recruitment, post creation, discipline, absence management etc

As for the new system in orthopaedics - this is the first I’ve heard of it. From what I can gather it’s going to be something along the lines of not booking appointments far in advance for them to be cancelled and changed repeatedly, leading to DNAs, or the opposite ABSHs (Attended But Shouldn’t Have). Again, we’ve been suggesting this for years, but have been told it wasn’t possible. I hope it comes off. 

They have a director of OHR in Manx care 

[Newsdesk]

2 hours ago, cissolt said:

Ah so the reason the AG is no longer involved becomes clear. The alleged rot really does run through every vein of government.

It was obvious that they were conflicted and that’s why the defense team had to change. The summary above is damning in relation to that member of the AGs team though. He even questions whether they would have an indelible stain on their career by continuing not to appear in person. It’s clear that the Deemster has had enough of this embarrassing clown show and the piss poor behaviour of those on the government side of proceedings. 

[WTF]

9 hours ago, Gladys said:

Yes, that is one career halted in its tracks. 

or a big promotion ,  you know how it works here.

[Mercenary]

9 hours ago, Gladys said:

And I would add, the AG is going to offer up a sacrifical lamb.  I wonder who guided her?

First test for new AG?