IOM DHSC & MANX CARE

[PercyPoke]

British Medical Association press release makes shocking reading. Total embarrassment for the DHSC and the IOM government. Who would want to come over here and work for the DHSC after reading that.

[747-400]

12 minutes ago, cissolt said:

A CEO with a degree in music, a former radio presenter, a career civil servant, and a barman conspired to dismiss the medical advice of a team of experts. One of these is still employed in gov, will the axe fall?

It's a common theme, but magson aside, how many are in the lodge?

 

To be fair, Magson does have an MBA. But must have been partying the day leadership was taught

[Mercenary]

Realistic best guess costs of the affair:

 

- Tribunal award (£3.2m)

- Govt legal fees after binning off their own counsel (£700k+)

- Ranson's legal fees - circa ~£1m, Govt responsbile for £700k+

- Greenhow payoff - probably £300-350k

- Malone pay off seems £244k 

- Conie payoff probably £200k

- Ewart payoff probably £300-350k (guessing more as this one dragged out for longer, presumably Ewart resisted being bumped)

 

There will be a number of ancillaries to the above that may not be included (expol and various other misc costs) but it's probably fair to say the whole affair has directly cost taxpayers £6m, and that's before reputational damage and other effects.

 

In terms of where it went wrong and timeline there is really three key areas.

1. The original behaviour to Ranson, it seems most of those involved have been moved on. At at an early stage senior management could probably have resolved the affair for £2-300k with a settlement to Ranson to let her go rather than move her to Manx Care

2. Above did not happen, it seems relationships fully broke down and now the personal and professional issues get intertangled and Covid response also gets caught up in this. Surely for any counsel at this stage alarm bells are ringing, there is no real plan and she is still in the organisation but sidelined. Allegations start to fly around unfair dismissal, and now there is a hint of protected disclosure under whistleblowing. Legal advice and counsel required at this point, but even after the potential of tribunal action had commenced a settlement of £5-700k is probably still on the cards - if the whistleblowing is not upheld then there is the threat of the capped award. 

3. Instead it is fought all the way and then we have all seen publicly how the tribunal has played out and with the reputational impacts to IoM and the IoM NHS.

 

Had 'they' (presumably the decision makers across senior management and counsel are still in post, as this could have been after the clear-outs) resolved at Stage 2 even with clearing house of the original 'rotten bunch' the costs would have been substantially less, say £1.8m. Who made the calls and advice which this was acted upon?

 

Obviously issues will happen within a large organisation such as Goverment and liabilities will result, but effective counsel and processes should still work to limit liability and not proceed full hilt where there is a strong chance of being ruled against and being hit with both sides' legal fees, an award and publicity in UK wide press. Something has seriously gone wrong long after Magson/Malone/et al's involvement for it to get this far. 

[Moddey Dhoo]

13 minutes ago, Mercenary said:

Realistic best guess costs of the affair:

 

- Tribunal award (£3.2m)

- Govt legal fees after binning off their own counsel (£700k+)

- Ranson's legal fees - circa ~£1m, Govt responsbile for £700k+

- Greenhow payoff - probably £300-350k

- Malone pay off seems £244k 

- Conie payoff probably £200k

- Ewart payoff probably £300-350k (guessing more as this one dragged out for longer, presumably Ewart resisted being bumped)

 

There will be a number of ancillaries to the above that may not be included (expol and various other misc costs) but it's probably fair to say the whole affair has directly cost taxpayers £6m, and that's before reputational damage and other effects.

 

In terms of where it went wrong and timeline there is really three key areas.

1. The original behaviour to Ranson, it seems most of those involved have been moved on. At at an early stage senior management could probably have resolved the affair for £2-300k with a settlement to Ranson to let her go rather than move her to Manx Care

2. Above did not happen, it seems relationships fully broke down and now the personal and professional issues get intertangled and Covid response also gets caught up in this. Surely for any counsel at this stage alarm bells are ringing, there is no real plan and she is still in the organisation but sidelined. Allegations start to fly around unfair dismissal, and now there is a hint of protected disclosure under whistleblowing. Legal advice and counsel required at this point, but even after the potential of tribunal action had commenced a settlement of £5-700k is probably still on the cards - if the whistleblowing is not upheld then there is the threat of the capped award. 

3. Instead it is fought all the way and then we have all seen publicly how the tribunal has played out and with the reputational impacts to IoM and the IoM NHS.

 

Had 'they' (presumably the decision makers across senior management and counsel are still in post, as this could have been after the clear-outs) resolved at Stage 2 even with clearing house of the original 'rotten bunch' the costs would have been substantially less, say £1.8m. Who made the calls and advice which this was acted upon?

 

Obviously issues will happen within a large organisation such as Goverment and liabilities will result, but effective counsel and processes should still work to limit liability and not proceed full hilt where there is a strong chance of being ruled against and being hit with both sides' legal fees, an award and publicity in UK wide press. Something has seriously gone wrong long after Magson/Malone/et al's involvement for it to get this far. 

Angela Murray absolutely central to all this. Conie explicitly advised against the planned 'exit strategy' for RR by exec team member and ignored. All completely avoidable.

[hampsterkahn]

The analysis from Gov. will now be  tortious and self-defensive.

No prize  for the first to say “Lessons will be Learnt”

A root cause, I would venture was the lack of something massively  important but also so common, so fundamental and just so commonplace that it is ignored, under- valued and by the minister of the time publicly denounced as unnecessary and  old fashioned to the point of derision. 

It is communication, but more specifically conversation -  face to face discussion.

The seeds of this failure were sown by thinking that a CEO can be appointed and be effective if they who live somewhere else.It was further compounded by the minister ( echoed by his successor) supporting this as a good thing - indeed something  modern to be embraced.

Zoom sessions followed with moon- faced images and poor sound added  to the lack of communication skills  of the CEO at the time,Ms Magson the minister Mr Ashford and the medical officer Dr E. 

This was made worse by the imposition of a restricted channel of communication to the minister only via the the CEO who was  physically absent.

Effective human conversation - that is normal ie the MkI, eyeball to eyeball, is  complex and only  part of that is verbal.

Would, In the earliest stages, “My office, now everyone.We talk about this and sort it out” have averted much of this?

This fundamental compounded the other weaknesses   - lack of insight, forethought and imagination.

We should expect that those with power and responsibility should have those qualities.  The sort of thing that makes someone reflect: 

” Hang on, where is this all going? How is this going to end?”

- and have enough practical  common sense, even if lacking the humility, to change their course of action.
 

 

 

[asitis]

3 minutes ago, hampsterkahn said:

- and have enough practical  common sense,

Dear god do we need some of this in Government now !

A clear out of those remaining in the totality of this shambles is now vital to a reputational reset ! I won't hold my breath.

[The Phantom]

2 hours ago, 2112 said:

The NPM this morning features the statement issued by RR through her union the BMA. The NPM also featured a news article regarding heritage bridges, with IOMG conceding there is no money. Hardly a surprise and it was another wish list and case of vested interests, civil servants and other bods deciding what’s more important. I’m afraid that with the RR settlement, IOMG needs to be looking at its budget, and making important decisions, sadly it’s not something that any of the current lot of politicos are prepared to make. 

I think the initial quote for the bridges was about £1.5m.  Realistically double that due to twatting about, incompetence and backhanders and you get £3m - RR's payout.  

Maybe we just have to accept that we either have infrastructure or tribunal pay-offs. 

[GreyWolf]

I wish DR Ranson well and thank her for her courage and determination under extreme pressures to take on the establishment thus highlighting to many what absolute abhorrent toxic people we continue to employ with zero accountability, they has to be a full clear out and full checks for any criminality that may have occurred.
Maybe Paul Moulton could revisit and ask questions about what Defa  did to another whistleblower Kevin kennington who to many of us looked stitched up.

Edited May 4, 2023 by GreyWolf

[Zarley]

On top of the financial and reputational losses this fiasco represents, there is one very great loss I have yet to see anyone specifically mention - and that is the loss of Dr Ranson herself. We need people like her in our health service. 

Edited May 4, 2023 by Zarley
Extra bit

[Two-lane]

2 hours ago, 747-400 said:

The statement Paul. M read out was 6 mins long. 

Some of the really good bits were omitted from the Manx Radio quote:

people in position of high office many
of whom remain in positions of power or
would be moved to other organizations
some of which are in the UK have not
been held to account for their
wrongdoing
I raised numerous concerns with the most
senior and Powerful individuals
many opportunities to act on my concerns
were lost because those in power chose
not to act
and individuals chose either to become
active participants in wrongdoing or
passive bystanders
those failures act had devastating
consequences not just for me but for
others
numerous individuals left their City
positions in haste explanations of
retirement or resignation were given
along with public thanks and effusive
praise
none of those individuals who
investigated or held to account for what
they did
others remain in post or have moved on
to new positions

 

 

[La Colombe]

It's a poem. 

[2112]

7 minutes ago, Zarley said:

On top of the financial and reputational losses this fiasco represents, there is one very great loss I have yet to see anyone specifically mention - and that is the loss of Dr Ranson herself. We need people like her in our health service. 

On the whole I fully support your post, however, Dr Ranson was prior to appointment to DHSC was an experienced Medical Administrator. What is more needed as opposed to more civil servants and pen pushers, are frontline nurses, doctors and medical consultants. Sadly there are too many issues and petty politics involved. The saga regarding the anaesthetic staff who were hauled before the courts, hasn’t helped to bring medical staff to the island. You can understand if the BMA advise their members to give the IOMG a wide berth.

[747-400]

9 minutes ago, Two-lane said:

Some of the really good bits were omitted from the Manx Radio quote:

people in position of high office many
of whom remain in positions of power or
would be moved to other organizations
some of which are in the UK have not
been held to account for their
wrongdoing
I raised numerous concerns with the most
senior and Powerful individuals
many opportunities to act on my concerns
were lost because those in power chose
not to act
and individuals chose either to become
active participants in wrongdoing or
passive bystanders
those failures act had devastating
consequences not just for me but for
others
numerous individuals left their City
positions in haste explanations of
retirement or resignation were given
along with public thanks and effusive
praise
none of those individuals who
investigated or held to account for what
they did
others remain in post or have moved on
to new positions

 

 

In other words statement was diluted by MR. 

It is a sobering read; can’t think of another word.

[2112]

56 minutes ago, The Phantom said:

I think the initial quote for the bridges was about £1.5m.  Realistically double that due to twatting about, incompetence and backhanders and you get £3m - RR's payout.  

Maybe we just have to accept that we either have infrastructure or tribunal pay-offs. 

Perhaps if there was a cull of civil servants, a budget review of needless capital projects (eg Peggy) and other reviews, there may be money for some upgraded infrastructure. This tribunal payout is a massive own goal of IOMG making.

[2112]

2 minutes ago, 747-400 said:

In other words statement was diluted by MR. 

It is a sobering read; can’t think of another word.

Well NPM is the IOMG propaganda mouthpiece, so the BMA statement is in all likelihood to be ‘edited’ to suit the agenda.