Jarndyce Posted January 27 Share Posted January 27 (edited) My understanding of arms length: Manx Care go to DHSC and say “you’re commissioning a range of services from us, on behalf of IOMG and, ultimately, the public. But IOMG are not providing enough funds for all of those services. So you have to tell us which services you’ll pay for and which you’d like us to cut, ie, you’ll no longer commission them”. DHSC: (“thinks - we don’t want the blame from the public for cutting services, even though we’re the commissioning body with the funds and therefore it’s our decision where to spend the money”). So DHSC says: “nothing to do with us, mate - we’re arms length, we don’t interfere in operational issues”. DHSC: (“thinks - Huzzah! Trebles all round!”) Edited January 27 by Jarndyce Punctuation 5 Quote Link to comment Share on other sites More sharing options...
Roger Mexico Posted January 27 Share Posted January 27 1 hour ago, Blade Runner said: If it results in no more long term pension liability's what is wrong with it? Except that all these arms-length bodies are all still part of the civil service pensions scheme etc. The only difference is less restriction on the salaries and terms that the people in these organisations will award themselves. If you want to see what happens, just look at the MEA/MUA and the insanely generous terms that happened there after it was corporatised and Proffitt was in charge (though they do have their own pension scheme at least for the moment). 2 Quote Link to comment Share on other sites More sharing options...
Non-Believer Posted January 27 Share Posted January 27 2 minutes ago, Roger Mexico said: Except that all these arms-length bodies are all still part of the civil service pensions scheme etc. The only difference is less restriction on the salaries and terms that the people in these organisations will award themselves. If you want to see what happens, just look at the MEA/MUA and the insanely generous terms that happened there after it was corporatised and Proffitt was in charge (though they do have their own pension scheme at least for the moment). To be fair, their pension scheme and its liquidity was excellent. Until Treasury and the CS raped its funds (and others), to fund the GUS, the over-riding aim being to ensure that the CS non-contributory ranks/recipients remained thus. It remains an extremely sore point within MUA/MEA. Quote Link to comment Share on other sites More sharing options...
Blade Runner Posted January 27 Share Posted January 27 2 hours ago, Roger Mexico said: Except that all these arms-length bodies are all still part of the civil service pensions scheme etc. The only difference is less restriction on the salaries and terms that the people in these organisations will award themselves. If you want to see what happens, just look at the MEA/MUA and the insanely generous terms that happened there after it was corporatised and Proffitt was in charge (though they do have their own pension scheme at least for the moment). Are you sure Roger? I did not read it as another "Arms Length Jobbie" I thought the idea was they would bring in an outside company to run and staff the place. Something like HC-One, from the UK That would not involve more CS/PS pensions Quote Link to comment Share on other sites More sharing options...
Blade Runner Posted January 27 Share Posted January 27 22 hours ago, Mercenary said: Baumol disease you will never be able to fund it sufficiently for the broad range of services people expect from NHS Stabilise if someone is in an accident on island and then ship to the UK for all ailments that need a bit more than outpatient treatment. Online Teams meeting consultations with UK doctors and bobs your uncle, fannys your aunt, big savings all round. Turn Nobles into a care home and somewhere for geriatric patients to be treated and kept on island for obvious reasons but everyone else should be shipped off, when the boat works. As time goes on and things continually improve in medicine, ill persons in the UK already get shipped around the whole of the UK to get treated at specialist centres of excellence to suit their ailment. You will never have that on the island with a general a hospital, that can never give the best outcomes for people treated there, in comparison to specialist hospitals in the UK. Quote Link to comment Share on other sites More sharing options...
Dirty Buggane Posted January 27 Share Posted January 27 You obviously underestimate the Manx governments ability to fuck things up. 3 Quote Link to comment Share on other sites More sharing options...
Blade Runner Posted January 27 Share Posted January 27 59 minutes ago, Dirty Buggane said: You obviously underestimate the Manx governments ability to fuck things up. Fair point but it would be better for you fraggle rock dwellers 1 Quote Link to comment Share on other sites More sharing options...
Roger Mexico Posted January 27 Share Posted January 27 29 minutes ago, Blade Runner said: Are you sure Roger? I did not read it as another "Arms Length Jobbie" I thought the idea was they would bring in an outside company to run and staff the place. Something like HC-One, from the UK That would not involve more CS/PS pensions Sorry. I thought you were referring to 'arms length' more generally, rather than just the new nursing home. But the situation you describe is actually worse. Profits are funnelled off the Island (usually as 'charges' for something nebulous rather than profits explicitly) and charges for residents, paid by the taxpayer in many cases, are high. And our old friend commercial confidentiality will mean that the agreements are kept secret, even from the politicians nominally in charge. Local staff may not get pensions eventually as government employees, though they're not going to be high even if they did because of low wages. But those low wages will mean they also need extra social security payments both while in work and after retirement. And of course a poorly paid workforce also means one that will have a fast turnover, be under-resourced and provide poor care for the residents. Of course there will still be civil servants, expensively paid and pensioned, required to 'manage' the contract and no doubt then move on to a consultancy with the same or similar firms after their retirement. 2 Quote Link to comment Share on other sites More sharing options...
Two-lane Posted January 28 Share Posted January 28 https://www.manxradio.com/news/isle-of-man-news/centralisation-of-gp-appointment-system-being-considered/ Sounds like a good reason to implement a huge software system and an offshore phone centre that will cost a fortune and never work. Quote Link to comment Share on other sites More sharing options...
cissolt Posted January 28 Share Posted January 28 11 minutes ago, Two-lane said: https://www.manxradio.com/news/isle-of-man-news/centralisation-of-gp-appointment-system-being-considered/ Sounds like a good reason to implement a huge software system and an offshore phone centre that will cost a fortune and never work. Fails to address the actual problem which is lack of GPs who are leaving due to dhss terms/favourable private GP conditions 5 Quote Link to comment Share on other sites More sharing options...
Moghrey Mie Posted January 29 Share Posted January 29 16 hours ago, Two-lane said: https://www.manxradio.com/news/isle-of-man-news/centralisation-of-gp-appointment-system-being-considered/ Sounds like a good reason to implement a huge software system and an offshore phone centre that will cost a fortune and never work. I thought GP practices were private businesses. And sometimes the receptionist at your practice can explain things personally. It's about more than just getting a timed slot to see your doctor or nurse. 1 1 Quote Link to comment Share on other sites More sharing options...
cissolt Posted January 29 Share Posted January 29 1 minute ago, Moghrey Mie said: I thought GP practices were private businesses. And sometimes the receptionist at your practice can explain things personally. It's about more than just getting a timed slot to see your doctor or nurse. The reception experience seems to vary greatly depending on the practice. The onchan staff are very good, I've heard others are less than helpful Quote Link to comment Share on other sites More sharing options...
hampsterkahn Posted January 29 Share Posted January 29 This sounds reminiscent of a similar brilliant scheme, which I am told was trialled, very briefly,many years ago, where if the practice phone wasn’t answered after a certain number of rings it was diverted to another phone in the building. Unfortunately, the large number of ( attempted) calls first thing on a Monday morning hadn’t been fully appreciated, resulting in the system quickly becoming saturated and then extending out of the surgery and onto the Gov.phone network where the cascade continued.Allegedly, someone trying to book an appointment in Ramsey found themselves speaking to a sympathetic, but puzzled person who picked up the phone in Nobles laundry. 1 5 Quote Link to comment Share on other sites More sharing options...
forestboy Posted January 29 Share Posted January 29 1 hour ago, cissolt said: The reception experience seems to vary greatly depending on the practice. The onchan staff are very good, I've heard others are less than helpful Castletown Reception always excellent and helpful. No need for a centralized system. 3 Quote Link to comment Share on other sites More sharing options...
Andy Onchan Posted January 29 Share Posted January 29 (edited) 21 hours ago, Two-lane said: https://www.manxradio.com/news/isle-of-man-news/centralisation-of-gp-appointment-system-being-considered/ Sounds like a good reason to implement a huge software system and an offshore phone centre that will cost a fortune and never work. The words "fiddling, Rome, burns" spring to mind. Edited January 29 by Andy Onchan 3 Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.