IOM DHSC & MANX CARE

[Boris Johnson]

Do we still have the one that got found out doing anaesthetics with a clamp on his privates?

[Apple]

25 minutes ago, Boris Johnson said:

Do we still have the one that got found out doing anaesthetics with a clamp on his privates?

Why would you need to imprison private patients in that way. Not Mr Upsdell surely ?

[John Wright]

5 hours ago, Apple said:

A. Presumably the "open and transparent we need to communicate better with the public" Manx Care Board need to make some sort of statement and that may frighten patients off. Spouting one thing and behaving in the opposite way does not show either clarity or a sound strategy for people engagement and looks more like inconsistency and obfuscation. Trustworthy -hmmmm.

Public confidence is everything, but there should be no doubt that this does / will have an impact that needs to be confronted. 

B. It depends on the circumstances -who, what happened, why etc. I think the reputation of the IOM DHSC may probably be already widely known. But the almost steady trickle of Employment cases and what emanates from hearings doesn't do it any favours - i.e. Ranson's case.

I can imagine some Noble's staff go through the day thinking "who's it going to be next ?" 

 

 

5 hours ago, Gladys said:

Indeed.

Stu Peters has raised a conversation he had with a former UK NHS worker when canvassing.  That person apparently also worked in the health service here and said that if Noble's was in the UK it would be in special measures.  Presumably, that would mean intervention and remediation by some kind of NHS taskforce. Of course, we don't know who said that and if they were qualified and had enough knowledge of Noble's to make that assessment.  

However, as you say the number of employment cases brought by senior staff does make you wonder.  And if they can't manage staff correctly what other lapses in management are going on? 

Assuming there is any truth in it, or working from first principles on the basics if it’s untrue.

A. Why would Manx Care make a statement either during an investigation and pre charge or post charge. It might be seen to prejudice the investigation or any proceedings. 

B. Word gets around in medical circles. I’d imagine the anaesthetists jungle drums would beat, and the message would be loud and clear.

[Apple]

Went to see a friend today. She has a really unpleasant experience in a OP clinic very recently.

Treated by a locum Consultant, opposite gender, no notes so she had to go through everything again ( cancer treatment a couple of years ago). 

The attitude she describes as intimidating, aggressive questioning, insinuating she was being less than honest with him when she couldn't remember the name of all her medications, looked at the wrong part of her body (when she has already marked out by pen what the problem was). He didn't even pass on the right information to the person who was carrying out the next part of the assessment. It was a very unpleasant encounter. She was nervous, scared and anxious about her cancer having returned. Not reassuring or inspiring hope /confidence in any way, but dismissive of her worries. It just beggars belief.

Ashford yesterday said to complain if anything is not right. He emphasised it (now it's no longer his Department I guess). However, he is right. All patients deserve to be treated with dignity and respect but I am hearing more from people who feel that this aspect of treatment is missing, especially when a locum is in play. 

The current Complaint Public Consultation is useless (got sent out on the rounds again this week I see) as it does not set out any standards that the public may expect to receive. We only have a Charter for that, and that is only about what they will TRY to achieve. (DA did not feel we needed a Constitution but he may change his mind now with Manx Care in place)

From the experience I heard about today at the very least Manx Care should ensure;

1. Locum or new medical staff seeing patients have their medical history and current medication on a screen in the same location

2. Female patients should not only be chaperoned when seeing male staff but that person should also be there as a patient's advocate to ensure that where necessary lapses in high standards are challenged and / or reported.

3. I think it is coming to the time when all appointments need to be orally recorded. Certainly it is needed for complaints processing.

Edited October 7, 2021 by Apple

[Gladys]

12 minutes ago, John Wright said:

 

Assuming there is any truth in it, or working from first principles on the basics if it’s untrue.  I did qualify my comment about the credibility of the source

 

A. Why would Manx Care make a statement either during an investigation and pre charge or post charge. It might be seen to prejudice the investigation or any proceedings. There were pretty prompt comments about Abbotswood,  but that is not a DHSC provider although they are subject to their regulation.

B. Word gets around in medical circles. I’d imagine the anaesthetists jungle drums would beat, and the message would be loud and clear.  That is highly likely, but the point is that if a member if their profession is banged to rights through a proper process, that can hardly be viewed as a disincentive to working here as they would be subject to the same standards of professional conduct as they are in the UK.  

 

[wrighty]

1 hour ago, Apple said:

Went to see a friend today. She has a really unpleasant experience in a OP clinic very recently.

Treated by a locum Consultant, opposite gender, no notes so she had to go through everything again ( cancer treatment a couple of years ago). 

The attitude she describes as intimidating, aggressive questioning, insinuating she was being less than honest with him when she couldn't remember the name of all her medications, looked at the wrong part of her body (when she has already marked out by pen what the problem was). He didn't even pass on the right information to the person who was carrying out the next part of the assessment. It was a very unpleasant encounter. She was nervous, scared and anxious about her cancer having returned. Not reassuring or inspiring hope /confidence in any way, but dismissive of her worries. It just beggars belief.

Ashford yesterday said to complain if anything is not right. He emphasised it (now it's no longer his Department I guess). However, he is right. All patients deserve to be treated with dignity and respect but I am hearing more from people who feel that this aspect of treatment is missing, especially when a locum is in play. 

The current Complaint Public Consultation is useless (got sent out on the rounds again this week I see) as it does not set out any standards that the public may expect to receive. We only have a Charter for that, and that is only about what they will TRY to achieve. (DA did not feel we needed a Constitution but he may change his mind now with Manx Care in place)

From the experience I heard about today at the very least Manx Care should ensure;

1. Locum or new medical staff seeing patients have their medical history and current medication on a screen in the same location

2. Female patients should not only be chaperoned when seeing male staff but that person should also be there as a patient's advocate to ensure that where necessary lapses in high standards are challenged and / or reported.

3. I think it is coming to the time when all appointments need to be orally recorded. Certainly it is needed for complaints processing.

1. I spend a few minutes reviewing prior notes and investigations before a patient comes in. It sometimes feels like a long time, clicking between different systems (Medway, Mediviewer, PACS), and it is sometimes perceived that we’re keeping patients waiting while we’re doing it.  It’s worse every time the mouse pointer turns into that irritating spinning disk for seemingly ages. In my line I only rarely need to know a patient’s medication list precisely, but unless it’s recorded in the previous letter, or you can access EMIS, the best way to find out is to ask the patient what they’re on. They often bring a list.  The Michaels report talks about a ‘Manx Care Record’, which if it ever comes to fruition might help, but so far every time a new computer system is brought in it slows things down.
 

2. Agree about chaperones, but sometimes, even frequently, the clinic nurse gets called away to do something else - should the consultation be put on hold? Like most things ‘care’ these days there’s simply not enough staff to go around. 
 

3. Bodycams? Police style dual-tape systems? Again, I somewhat agree.  Years ago one of my bosses was advocating videoing the consent appointment prior to surgery, mainly to protect against complaints that ‘he never told me about that possibility’, when patients have failing memory of what’s been said (it happens, understandably).  Huge issues with storage, GDPR, confidentiality. Who gets to decide that the recording is turned off? Patient, doctor, or either?

[Boris Johnson]

3 hours ago, Apple said:

Why would you need to imprison private patients in that way. Not Mr Upsdell surely ?

It was all over the red top UK papers a few years ago, the anaesthetist involved, cant remember their name, was sending pics to his "lover" who turned out to be an escort who thought that what he was doing was not safe and blew the whistle to the press. AFAICR.................

Edited October 7, 2021 by Boris Johnson

[Roger Mexico]

2 hours ago, Boris Johnson said:

It was all over the red top UK papers a few years ago, the anaesthetist involved, cant remember their name, was sending pics to his "lover" who turned out to be an escort who thought that what he was doing was not safe and blew the whistle to the press. AFAICR.................

It was a locum orthopaedic surgeon.  This is why wrighty should never be allowed to go on holiday. 

(Still seems to be practising in Liverpool as far as I can see).

[littlebushy]

practising what?

[Apple]

I have come to realise just how many female patients can sometimes feel very vulnerable in some assessments / diagnostic procedures. 

Recent events in the news seems to have heightened a sense of vulnerability for some and it has made me more aware of the difficulties some medical staff themselves can also face.

For locum staff, especially if English is not the first language, the lack of computer access and verbal misunderstanding / communications difficulties, or any cultural / social misunderstandings, can be misinterpreted and lead to problems not really of anyones making.

Especially when time and number of patients to be seen pressures are with us, appearing less than sensitive can easily be mistaken. I hope Manx Care are aware of what some women may experience and make some effective plans to support everyone involved

[doc.fixit]

Doesn't matter if you can't get an appointment! My usual six month appointment has been put back three times now and is 14 months late so far and still not guaranteed, meanwhile I just try and muddle through wondering how my body is deteriorating and what I should be doing.

[Apple]

https://www.manxradio.com/news/isle-of-man-news/specific-problem-with-availability-of-anaesthetists/

 

All right, common, own up. Which one of us told David Ashford about this. ?

[Apple]

https://www.manxradio.com/news/isle-of-man-news/elective-surgery-temporarily-suspended-at-nobles-hospital/

They must have just arrived as the hospital hence the unscheduled announcement. It is a pity there was not enough planning or management time to tell people this was happening as it presumably had been ordered months and months ago.

I hope no-one was prepped for theatre today and then cancelled, that would just be cruel. 

Maybe we are taking time out due to the lack of theatre staff, which would make sense. For those staff due to 'stand down' during these interruptions I assume they are rescheduled to work elsewhere. 

[2112]

4 minutes ago, Apple said:

https://www.manxradio.com/news/isle-of-man-news/elective-surgery-temporarily-suspended-at-nobles-hospital/

They must have just arrived as the hospital hence the unscheduled announcement. It is a pity there was not enough planning or management time to tell people this was happening as it presumably had been ordered months and months ago.

I hope no-one was prepped for theatre today and then cancelled, that would just be cruel. 

Maybe we are taking time out due to the lack of theatre staff, which would make sense. For those staff due to 'stand down' during these interruptions I assume they are rescheduled to work elsewhere. 

Desperate Times ahead. Shocking really and I don’t think this islands health system has reached the bottom. 

[Apple]

32 minutes ago, 2112 said:

Desperate Times ahead. Shocking really and I don’t think this islands health system has reached the bottom. 

Sadly I agree now. I did have some high hopes initially of the change to Manx Care (apart from the timing in a pandemic). Spinning events into good news stories has lost its shine now, and we seem to have moved beyond the mediocre.        Maybe a new Minister could actually deliver what the flannel and guff delivered in Tynwald said it would but frankly I am yet to be convinced.