IOM DHSC & MANX CARE

[Jarndyce]

56 minutes ago, Dr. Grumpy said:

At least it'll be a one-off, non-recurring expenditure and well worth it. Redeployment on a mass scale can also be considered

Which set of senior exec/admin, etc would you bin - current DHSC or current MC?   No point in a big reset if we don’t lose one of the “duplicated” sets of expensive staff…and, of course, front line staff were never duplicated in the same way.

[P.K.]

"... we can see opportunities for the organisation to take several million pounds worth of costs out year on year without impacting front line services..."

A bold statement. Especially as the projections indicate a 5% budget rise year on year. Which would mean 5% of savings every year just to draw level.

Now in my experience your biggest costs are your staff. So does "several million pounds worth of costs" equate to a reduced headcount?

Clue: I very much doubt it...

[Moghrey Mie]

13 hours ago, Non-Believer said:

Once upon a time, we sent a delegation, including 2 individuals in particular, all the way to NZ to examine a model for that.

What became of their findings?

Mark Charters disappeared to St Helena where he lasted 6 months in the job

https://www.sainthelena.gov.sh/2016/public-announcements/director-of-safeguarding/

Howard Quayle disappeared from the local political scene. But was alert enough to claim COVID support.

https://www.manxradio.com/news/isle-of-man-news/quayle-my-company-did-apply-for-covid-19-support-for-tourism-business/

[code99]

9 hours ago, Utah 01 said:

In Manx Care we have a massively expensive bureaucracy sitting on top of the already massively expensive government bureaucracy.  On the basis of 'last in, first out' Manx Care has to go and would we, the people, actually notice any material difference?  It was a brainfart vanity experiment that was never needed but it did succeed in putting more well-aid snouts in the trough.

The idea of having a really good highly efficient health system which was run by professionals and experts appealed to some of our politicians, but this was never long-term solution because our politicians never thought through whether or not this was affordable. So, from that point of view, the creation of Manx Care was a vanity project.

Another politically beguiling feature of Manx Care was that it enabled our politicians to dodge their responsibilities for providing their constituents with functioning healthcare. The broad deal our politicians hoped they were signing up to was that if everything went well they would share in the glory, but if Manx Care failed to deliver quality health services that people wanted and needed, that would be solely Manx Care's fault not the IOMG’s. This is indeed the way things have turned out – the incumbent Health Minister never takes any responsibility for anything that goes wrong with our health services. IMHO, this dereliction of responsibility is clearly unacceptable in a small community like the Isle of Man.  

[Moghrey Mie]

3 hours ago, code99 said:

The idea of having a really good highly efficient health system which was run by professionals and experts appealed to some of our politicians, but this was never long-term solution because our politicians never thought through whether or not this was affordable. So, from that point of view, the creation of Manx Care was a vanity project.

Another politically beguiling feature of Manx Care was that it enabled our politicians to dodge their responsibilities for providing their constituents with functioning healthcare. The broad deal our politicians hoped they were signing up to was that if everything went well they would share in the glory, but if Manx Care failed to deliver quality health services that people wanted and needed, that would be solely Manx Care's fault not the IOMG’s. This is indeed the way things have turned out – the incumbent Health Minister never takes any responsibility for anything that goes wrong with our health services. IMHO, this dereliction of responsibility is clearly unacceptable in a small community like the Isle of Man.  

We need to keep politicians out of the day to day operational running of the health service.

Lawrie Hooper is concentrating on policy and strategic thinking for the future and holding Manx Care to account through the mandate given to them.

[Two-lane]

6 minutes ago, Moghrey Mie said:

Lawrie Hooper is concentrating on policy and strategic thinking for the future and holding Manx Care to account

"hold someone to account
idiom
to make someone accept that they are responsible for something and explain their actions or decisions:"

Hooper telling Manx Care that they are responsible does not help people who are on the wrong end of a long waiting list.

Holding someone to account does not, in itself, achieve anything.

[Jarndyce]

15 minutes ago, Moghrey Mie said:

Lawrie Hooper is concentrating on policy and strategic thinking for the future

Is he, though?

[code99]

46 minutes ago, Moghrey Mie said:

We need to keep politicians out of the day to day operational running of the health service.

Lawrie Hooper is concentrating on policy and strategic thinking for the future and holding Manx Care to account through the mandate given to them.

I would dearly like to know what Hooper’s strategy for the future of the IOM health service is, if he is allowed one.

[Two-lane]

The Chief Minster (£99,000 per year), the Ministers (£87,000 per year) and the MHKs (£76,000 per year) are paid to do things for me and the rest of the population.

One of those things is to provide an adequate health service for the population of this island. There are no ifs or buts about that.

If there is not an adequate service being provided , it is the fault of these people.

I am not interested in phrases such as "arm's length", "strategic thought", "policy decisions" and "Manx Care cannot go over-budget".

The buck stops with the politicians. No excuses.

[I wonder if Cannan is still reading this site]

 

Edited yesterday at 01:50 PM by Two-lane

[trench12]

Mark charters left st Helena because his new partner and family could not settle on such a remote location

 

 

[Kopek]

Don't forget that politicians are also tasked with taxing us enough to pay for the services that we desire!!

Maybe there is some correlation taxes/costs?

I find Hooper to be somewhat supercilious but with my amateur psychologist hat on, I wonder if it is a protection against his self-consciousness??? Maybe it's just a natural character fault?

He is just a politician, he cannot be an expert on the NHS/Manxcare, maybe the DHSC need their own experts to be able to judge Manx Cares experts? 

However, calling him names and jumping up and down is not going to fix the problem.

Perhaps a motion in the Keys calling for a 'lack of confidence' in the DHSC and Manx Care to provide the heath service that we require might get some attention?

 

Sensible mode over, they're all a  shower of ???😀

 

[Two-lane]

6 minutes ago, Kopek said:

Don't forget that politicians are also tasked with taxing us enough to pay for the services that we desire!!

Maybe there is some correlation taxes/costs?

If there are other countries which do have an adequate health service, how do they achieve that without the population having to live on crusts of bread?

[WTF]

1 hour ago, Two-lane said:

 

[I wonder if Cannan is still reading this site]

 

he has to get it read to him

[Banker]

14 hours ago, Non-Believer said:

The problem being that those more, well-paid snouts will/would require equally large amounts of redundancy/payoffs to depart said trough.

Well that’s what Jersey are doing plus they’ve scrapped their communications division with 15 staff being either redeployed or made redundant 

https://www.jerseyeveningpost.com/news/2024/10/02/over-500k-expected-to-be-generated-from-cuts-to-government-communications-unit/

the above is on top of 8 senior civil servants being made redundant saving £550k pa

Edited yesterday at 03:41 PM by Banker

[Non-Believer]

30 minutes ago, Banker said:

Well that’s what Jersey are doing plus they’ve scrapped their communications division with 15 staff being either redeployed or made redundant 

https://www.jerseyeveningpost.com/news/2024/10/02/over-500k-expected-to-be-generated-from-cuts-to-government-communications-unit/

the above is on top of 8 senior civil servants being made redundant saving £550k pa

Ah, but do Jersey have an NI Fund that can be siphoned from to keep the trough topped up for a little longer?

If not, therein lies a clue.