IOM DHSC & MANX CARE

[cissoltt]

The cannibalisation of the NHS by private healthcare, sounds awfully familiar.

https://www.theguardian.com/society/2024/mar/08/private-hospitals-cannibalising-nhs-in-england-by-doing-10-of-elective-operations

[John Wright]

1 hour ago, cissoltt said:

The cannibalisation of the NHS by private healthcare, sounds awfully familiar.

https://www.theguardian.com/society/2024/mar/08/private-hospitals-cannibalising-nhs-in-england-by-doing-10-of-elective-operations

The article doesn’t actually say that tho’, does it. It does say that the NHS is being cannibalised, but by long term, chronic underfunding. 

That’s the familiar part.

Yes, the private health care can then cherry pick what it can do effectively and in volume, to get the waiting lists down.

Im not sure it’s the same here. IoM not big enough to be of interest to true private medicine. Plus that extra 2% income tax.

The important thing is that health care is free at the point of delivery, of good quality, and value for money. Who delivers it, an NHS, not for profits, or specialist private providers, isn’t, or shouldn’t, be something to worked up about. After all we’ve lived for nearly 80 years of NHS primary care being delivered by private contractors; GP’s. So it’s hardly alien, or threatening.

[Jarndyce]

29 minutes ago, John Wright said:

After all we’ve lived for nearly 80 years of NHS primary care being delivered by private contractors; GP’s.

No-one remembers that fact: I suspect some patients remain completely unaware.

[Banker]

9 hours ago, Jarndyce said:

No-one remembers that fact: I suspect some patients remain completely unaware.

Patients are completely unaware with lots very demanding for immediate treatment which is totally unrealistic without massive increases in taxes similar to Scandinavian countries. GP appointment is charged for in Channel Islands and Ireland with the latter country charging for many things which are free here.

[wrighty]

18 hours ago, John Wright said:

 

 the operations were mainly weekends when the theatres would not be in use

That is not true in orthopaedics. I would go further and say, almost certainly, that no joint replacements were done at weekends. Synaptik did their joint replacements monday-friday, 9-5. And when their surgeons were on site, in-house elective orthopaedics had to share theatre space with trauma cases, which meant we did fewer cases than we ordinarily would. 

[Two-lane]

52 minutes ago, wrighty said:

And when their surgeons were on site, in-house elective orthopaedics had to share theatre space with trauma cases, which meant we did fewer cases than we ordinarily would. 

Is this a form of queue jumping - getting priority of a limited resource?

[wrighty]

2 hours ago, Two-lane said:

Is this a form of queue jumping - getting priority of a limited resource?

Not really. Patients came from the same pool and were done pretty much in order of how long they'd waited. It's never done exactly, for lots of reasons, but the aim is that the waiting list is a queue and everyone waits the same as everyone else. 
 

The Synaptik surgeons had priority over us though. This was to maximise the overall throughput. They were here for 1 or 2 weeks at a time, and generally did 3 joint replacements each day. I can do that, as can my colleagues, but we sometimes go on leave which reduces the throughput in that week. And there aren't enough of us to cover each other's leave as we have other things to do - clinics, trauma, mandatory CPD etc, something your insourcing team don't have. So it's more efficient to insource, not that it's without issues of course. 
 

[Banker]

The cataracts are being done at weekends as relatives went last year on a Sunday and someone else is going tomorrow.

[TheTeapot]

I know 3 people who've had hips done by synaptic (and one by wrighty) since it started. They are all delighted.

Their happiness and the improvement to their and by extension their families lives cannot be measured on a spreadsheet. 

[Anyone]

The NHS as was no longer exists really. If you get ill now you’ll die , although that’s always true anyway. But don’t expect the NHS to actually help until it’s too late anyway. Good use of limited resource when you think about it. 

[Jarndyce]

6 hours ago, Anyone said:

The NHS as was no longer exists really. If you get ill now you’ll die , (although that’s always true anyway). But don’t expect the NHS to actually help until it’s too late anyway. Good use of limited resource when you think about it.

Bollocks.

[paswt]

22 hours ago, wrighty said:

Not really. Patients came from the same pool and were done pretty much in order of how long they'd waited. It's never done exactly, for lots of reasons, but the aim is that the waiting list is a queue and everyone waits the same as everyone else. 
 

 

I was told 8 years ago that I needed 2 new hips ,still waiting , on the upside I did get a letter a week or so back asking me if I still wanted to remain on the waiting list . My GP has (I'm told ), kept  Nobles aware of my 'situation'. 

I anticipate that I will have to go across , 'private' at £15K a pop , pity that they don't do 'private' on the island and benefit from the income stream and the post operative  convalescent care costs benefitting the Island .

Had a chat with someone @ Nobles who claimed the hospital "had all the gear" ( confirmed by the gastro team @ L'pool who advised me the kit @ Nobles was far superior to the endoscopy gear they had .

Just saying 

[Jarndyce]

10 minutes ago, paswt said:

Had a chat with someone @ Nobles who claimed the hospital "had all the gear" ( confirmed by the gastro team @ L'pool who advised me the kit @ Nobles was far superior to the endoscopy gear they had .

Just saying 

Sorry to hear about your long wait.

I’m not an expert, of course - but I’m not clear what “superior” endoscopy kit has to do with a hip replacement.

Edited March 10 by Jarndyce

[wrighty]

32 minutes ago, paswt said:

I was told 8 years ago that I needed 2 new hips ,still waiting , on the upside I did get a letter a week or so back asking me if I still wanted to remain on the waiting list . My GP has (I'm told ), kept  Nobles aware of my 'situation'. 

If true that’s ridiculous. Who told you 8 years ago that you needed two hips? I’m assuming it wasn’t me or one of my colleagues as if so you’d have had them done ages ago. 
 

Feel free to PM me your details and I’ll look into what’s going on. 

[John Wright]

2 hours ago, wrighty said:

If true that’s ridiculous. Who told you 8 years ago that you needed two hips? I’m assuming it wasn’t me or one of my colleagues as if so you’d have had them done ages ago. 
 

Feel free to PM me your details and I’ll look into what’s going on. 

Someone messaged me about their orthopaedic issues. Twice. Addressing me as “wrighty”. I’ve assumed it wasn’t instructions to sue. I don’t  fix joints. I’ve deleted both.