IOM DHSC & MANX CARE

[Andy Onchan]

5 hours ago, Jarndyce said:

You should get in touch with Dr Prakash Thiagarajan before his next radio interview - make sure he understands the position vis-a-vis savings…

Do you think I'm wrong?

[Two-lane]

It is not sensible to discuss savings unless the starting point is known relative to other similar situations. So compare the current IoM figures to these - is the IoM in the ballpark, as people say:-

 

https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Healthcare_expenditure_statistics_-_overview&oldid=625409#Healthcare_expenditure

Edited Thursday at 05:44 PM by Two-lane

[cissolt]

25 minutes ago, Two-lane said:

It is not sensible to discuss savings unless the starting point is known relative to other similar situations. So compare the current IoM figures to these - is the IoM in the ballpark, as people say:-

 

https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Healthcare_expenditure_statistics_-_overview&oldid=625409#Healthcare_expenditure

Probably worth adding a column indicating how much tax each country pays. Jersey allocation to health is 484 million or 8.4% of GDP.

Budget aside, manxcare have had years to get the basics right and they can't.  This is nothing to do with money, it's piss poor management and piss poor systems.

Throwing money at an inefficient system won't improve it, as can be seen year on year.

We can't even get appointment letters right, and that's with a 350 million budget.

 

[Gladys]

1 minute ago, cissolt said:

Probably worth adding a column indicating how much tax each country pays. Jersey allocation to health is 484 million or 8.4% of GDP.

Budget aside, manxcare have had years to get the basics right and they can't.  This is nothing to do with money, it's piss poor management and piss poor systems.

Throwing money at an inefficient system won't improve it, as can be seen year on year.

We can't even get appointment letters right, and that's with a 350 million budget.

 

Or the appointment reminder text system.  Such an easy thing to get right and reduce those DNAs. 

[Auntie Depressant]

5 minutes ago, Gladys said:

Or the appointment reminder text system.  Such an easy thing to get right and reduce those DNAs. 

I’ve just had a missed appointment. The appointment letter arrived and a second letter cancelled the first appointment and gave a new date and time. A text reminder came for the new date, I turn up at Nobles only to be told I’d missed my appointment (the one that was cancelled)  

Given the advertisement of the Autumn Covid booster shots and the information that they can be booked online or by telephone, today I tried to book an appointment for an elderly gentleman. The online service showed error and would not complete. I rang the telephone booking service and was told they weren’t ready yet and he’d get a letter with a date when they were ready. So, it’s advertised on the news, we have an online system that is free to administer that doesn’t work, the telephone system is not ready and instead postal letters, at a cost, will be sent out.

On the face of it these are little things but if we can’t even get the little things right, how are we expected to get the big things right. If I ran my own business like this, I’d be out of business pretty damned sharp. 
 

[Gladys]

When the DNA excuse was wheeled out a year or so ago, I rang the appointment number and said I hadn't had a reminder, but had it in my phone.  I asked the person I spoke to, politely,  to raise it with their manager as there was an issue. 

They may have raised it and it was dismissed, or the suggestion was totally dismissed.

I do get some reminders, but not always. It shouldn't be so hard or variable.  Either you rely on it or you don't. 

 

[hampsterkahn]

Mr Hooper, rather using Facebook to  dismiss the medics concerns in one sentence,  he might consider discussing  the situation with them.

However, it is indicative of a poor relationship with medical staff, even revealed in the language used (‘ challenge’ )

This attitude needs to change.

Not only would this provide a better service, this clumsy approach  is very costly: 

Apart from reputational   damage that deters future applicants and  promotes retention problems,  as th focus is on saving money, Mr Hooper and Manx Care might do well consider that this  attitude  has cost us  £3 million ( Dr R ) and  Dr E K diabetes specialist, £36k some years ago.

 

 

 

 

 

 

 

 

 

[cissolt]

18 minutes ago, hampsterkahn said:

Mr Hooper, rather using Facebook to  dismiss the medics concerns in one sentence,  he might consider discussing  the situation with them.

However, it is indicative of a poor relationship with medical staff, even revealed in the language used (‘ challenge’ )

This attitude needs to change.

Not only would this provide a better service, this clumsy approach  is very costly: 

Apart from reputational   damage that deters future applicants and  promotes retention problems,  as th focus is on saving money, Mr Hooper and Manx Care might do well consider that this  attitude  has cost us  £3 million ( Dr R ) and  Dr E K diabetes specialist, £36k some years ago.

 

 

 

 

 

 

 

 

 

Familiar behavior when you look back at the cases of Dr Ranson or Dr Glover. Public dismissal of any dissenting voices and then bullying those who raise the concerns.

[Beyond Belief]

I understand that Senior Management within Manx Care continue to strongly discourage whistleblowing within.

As we are all aware, whistleblowing can be a courageous act that exposes wrongdoing, corruption, or unethical practices within organisations, but it also carries significant risks and dangers for the whistle-blower, such as:

1. Retaliation

2. Isolation

3. Legal Consequences

4. Employment Consequences

5. Emotional and Psychological Toll

6. Financial Strain

7. Loss of Reputation

8. Exposure to Legal Harassment

9. Compromised Relationships.

10. Limited Protection

Given these risks, whistle-blowers should carefully weigh their options and seek legal counsel or support from whistle-blower advocacy originations (of which there are none on the IoM) to better understand their rights and obligations. 

There is no point in whistleblowing within Manx Care as the senior managers within Manx Care all socialise together and it is unlikely that they would investigate one another, and anyone they do appoint to investigate complaints or concerns also has close connections to the senior management team, so how is anyone going to have their complaint or concerns investigated thoroughly.

As a suggestion, and I know that it is not possible, at this time to allow whistle-blowers to inform the UK Parliamentary and Health Service Ombudsman to independently investigate complaints about Manx Care.

 

[Alanbellend]

Just now, Beyond Belief said:

As a suggestion, and I know that it is not possible, at this time to allow whistle-blowers to inform the UK Parliamentary and Health Service Ombudsman to independently investigate complaints about Manx Care.

Whistle blowing across the board is largely a risky affair even in the private sector. The whistle blowing bodies or boards generally have more legal protection than the whistle blowers themselves. 

[Non-Believer]

"Unpalatable decisions ahead" sayeth Teresa. But not as unpalatable as thinning out your management and admin numbers?

[Thefella]

5 hours ago, Non-Believer said:

"Unpalatable decisions ahead" sayeth Teresa. But not as unpalatable as thinning out your management and admin numbers?

They all just make Alf Cannan look like a complete tit. Now there’s a man pretending he’s actually in charge of anything. 

[Babydoc]

On 10/3/2024 at 12:42 PM, Andy Onchan said:

https://www.gov.im/media/1385016/202205_manxcare_structurechart_0824_mini-august-final-version-uploaded-050824_compressed.pdf

It would appear two out of three are being covered by Interims, Nursing & People (although the medical director position is confusing, on one slide it says interim and on others not). From the charts it doesn't show a vacant position anywhere for Quality & Safety, which is a bit worrying. Plenty of people on various quality committees but no executive director. 

Will the interims be paid as if they were permanent positions? If so, then the costs for those are already included. So no saving there. If they're not being paid the full whack but are offered the positions then it's just the difference between what they're being paid now and the pay for the actual position. But it's hard to tell where those people would fit into the charts if they weren't interims.

And there are so many associates/deputies who could act up into these positions with a modest acting up allowance if needed

[Babydoc]

On 10/3/2024 at 7:18 PM, cissolt said:

Probably worth adding a column indicating how much tax each country pays. Jersey allocation to health is 484 million or 8.4% of GDP.

 

 

Where is that (484 million) from? This is the official Government document: https://www.gov.je/SiteCollectionDocuments/Government and administration/Table 12 Revenue Heads of Expenditure.pdf

[Fred the shred]

So if the Minister of Health is leaving Manx Care in charge of policies that are instrumental in the overall running of our health care system not just the day to day stuff what is he actually doing ?   What responsibility has he now got having effectively lost his influence on important decisions?    He seems just to be watching Manx Care’s antics from a distance and he doesn’t seem to think his input is required.    There is talk of having a political member shadowing Manx Care surely that is part of his remit.    The whole situation is unbelievable argueably the most important department in Government as it affects all of us from birth to death and it just gets left to trundle along with no clear leadership.  No words…..