Manx Care Has Failed

[offshoremanxman]

5 minutes ago, wrighty said:

I’m pretty sure this website is a legitimate effort by these local docs to increase footfall in their individual private practices. Good luck to them if that’s what they want to do. I always recommend patients to get referrals, private or NHS, through their own GP. 

Agree this looks like some sort of referee or lead generation site to drive traffic to those medics. But honestly if you were going to do that you’d do it well. That is a car crash of a site that does t inspire any confidence at all from a professionalism point of view. 

[Gladys]

10 minutes ago, wrighty said:

Some years ago Dirk Hoehmann bought the domain name nobleshospital.com and redirected it to his private website, which purported to be a consortium of private medical providers, many of whom knew nothing about their details being listed on it. He was trying to get a 10% cut for forwarding referrals. I know because I got someone to call them up asking about backache to see what happened, and he blatantly told me his terms for forwarding the referral. 
 

I’m pretty sure this website is a legitimate effort by these local docs to increase footfall in their individual private practices. Good luck to them if that’s what they want to do. I always recommend patients to get referrals, private or NHS, through their own GP. 

That is reassuring Wrighty, the website isn't.  Well, I should say ad, because there is no way I would click on anything in it. 

[Newsdesk]

2 hours ago, Two-lane said:

I may be wrong (and I usually am) but I thought that a company webpage was a company document and therefore had to include a reference to company info. If it is not a company, but is pretending to be one, is that illegal?

 

It does show us that maybe someone has seen a gap in the market though. I can’t get to see my own GP normally for around 3 weeks now which makes any sort of appointment pointless. Many GOs are bizarrely still doing video consultations. Someone has clearly seen that if they pump some Facebook ads out there are a lot of people out there who would probably be prepared to pay to see someone because one small wave of Covid seems to have turned everything to shit again. 

[WTF]

12 hours ago, Newsdesk said:

It does show us that maybe someone has seen a gap in the market though. I can’t get to see my own GP normally for around 3 weeks now which makes any sort of appointment pointless. Many GOs are bizarrely still doing video consultations. Someone has clearly seen that if they pump some Facebook ads out there are a lot of people out there who would probably be prepared to pay to see someone because one small wave of Covid seems to have turned everything to shit again. 

full private health don't care by stealth.

[John Wright]

The consultants seem to be employed in the NHS, so using their non contracted weekly sessions for private practice.

Those dealing with imaging will be using the machines, facilities and staff, at Nobles.

Leaving aside the GP appointment and referral issue, the unfortunate side effect/unintended consequence of this is to further delay NHS investigation and treatment.

perhaps it’s time to make hospital Dr’s and consultants full time, no uncontracted sessions and only allow private work out of hours/weekends.

Dont get me wrong. I’ve got private health insurance. It wasn’t any good when I had major health issues. I got excellent high end care on the NHS. That tends to be the problem. NHS is great at acute. Private offers better hotel facilities. Food and bed at Liverpool Royal were crap ( but the new Clatterbridge Cancer Centre Liverpool is all single en suite rooms - but I’m not sure I could do 11 weeks on my own - at least in a 4 bed ward there are people to chat with ). But chronic, non urgent, the NHS is letting us down, for all sorts of reasons.

[John Wright]

14 hours ago, Gladys said:

TBH, I am not going to click through to either of the websites from that FB page to see what legal stuff they have.  

But there are some red flags-

Gmail address, when they have 2 .com domains.

Two websites.

Unprofessional looking ad for professional services.  You would think they would focus on the medical expertise rather than tempting us with not having Dr Grey.

I have not heard anything locally about them.  You would expect there to be some comment on social media. 

Lack of traditional contact details, only websites, Gmail or DM.

It may be a scam site or just a badly put together ad, but I wouldn't risk it without checking with my GP to see if they are kosher.

ETA they are not claiming to be a company. 

I think you’re missing the point. It’s a joint marketing effort by a group of medical professionals who each offer their services individually, or in specialisms, and have their own private businesses, hence the various e-mails, web sites, etc.

[Gladys]

10 minutes ago, John Wright said:

I think you’re missing the point. It’s a joint marketing effort by a group of medical professionals who each offer their services individually, or in specialisms, and have their own private businesses, hence the various e-mails, web sites, etc.

My point was that it looked like a scam advert and that I wouldn't click on any links from it to discover whether there were genuine medics behind it or not. Given the state of public health services everywhere, it provides scammers with an ideal opportunity to exploit.

It seems my fears are ungrounded, but it does look like a bit of a rag tag publicity initiative and, as I said, I won't click on it to see what is really behind it.  Therefore, I can make no judgement about how this impacts on or is caused by Manx Care,  because I don't know what is being offered. 

As a joint marketing effort, therefore, it has singularly failed.

I do understand the deeper philosophical/ethical/economic points about local Dr's providing their services privately while using public health facilities to the detriment of wider public health provision. 

 

 

[wrighty]

36 minutes ago, John Wright said:

perhaps it’s time to make hospital Dr’s and consultants full time, no uncontracted sessions and only allow private work out of hours/weekends.

Good luck with that.  

Most doctors are contracted to be on-call and/or work evenings/nights/weekends.  A notional full time job is 10 Programmed Activities.  If some of those are in evenings/nights/weekends it is inevitable there is free time during the week, unless you're going to insist that doctors have to work more than the 10 PAs that their contract generally states (unless different figures are agreed by both the doctor and the employing organisation).

I think you're wrong in saying that private practice leads to NHS delays.  My view is that it adds additional capacity into the health system, which means that the insured/those who can afford it free up space in the NHS for those who can't.  It should however be 'policed' to avoid queue-jumping.

[I no longer carry out private practice of any sort, so hopefully my views are not being seen as somehow designed to justify my own lifestyle/working practice]

[wrighty]

47 minutes ago, John Wright said:

Those dealing with imaging will be using the machines, facilities and staff, at Nobles.

And, my understanding is that things such as private MRI scans are done in separate sessions (evenings/weekends) with staff paid separately to cover, and Noble's/Manx Care earning some money from the use of the machinery.  Having private lists at weekends was also how we solved the problem of occasionally needing an urgent NHS MRI scan at weekends - the NHS patients can, with appropriate high-level clinician discussion, break into a private list to get done in a timely fashion.  Several years ago such patients (usually cancer patients with suspected spinal cord compression) had to be sent away or perhaps inappropriately delayed until after the weekend.

[manxfisherman]

This website is preparing the groundwork for local doctors to be able to issue private prescriptions for cannabis now that there is a chemist to fulfill them. 

[John Wright]

15 minutes ago, wrighty said:

Good luck with that.  

Most doctors are contracted to be on-call and/or work evenings/nights/weekends.  A notional full time job is 10 Programmed Activities.  If some of those are in evenings/nights/weekends it is inevitable there is free time during the week, unless you're going to insist that doctors have to work more than the 10 PAs that their contract generally states (unless different figures are agreed by both the doctor and the employing organisation).

I think you're wrong in saying that private practice leads to NHS delays.  My view is that it adds additional capacity into the health system, which means that the insured/those who can afford it free up space in the NHS for those who can't.  It should however be 'policed' to avoid queue-jumping.

[I no longer carry out private practice of any sort, so hopefully my views are not being seen as somehow designed to justify my own lifestyle/working practice]

As long as the private activities are scheduled for times that don’t take staff and resources away from NHS activities, I agree. Also as long as it’s recorded properly and charged for appropriately. That was the weakness with the old Nobles PP unit/services.

[Gladys]

https://www.facebook.com/104093695665267/posts/pfbid0xuyHZvBtj6WB2PHeux83WFcx4e4s2ChNDbD4sEEqSY1uXpJtys7hQhYZDadchni7l/

This is a much more credible ad on  FB which has a similar presentation to the one posted above.  

He has an address in Victoria Street.  So does his private work require any Manx Care facilities? 

 

Edited July 9, 2022 by Gladys

[0bserver]

Manx Care failing in front of us. I feel sorry for all the hardworking front line staff who hold the whole thing together

 

https://www.manxradio.com/news/isle-of-man-news/people-urged-to-avoid-emergency-department-due-to-staffing-challenges/

[wrighty]

1 hour ago, 0bserver said:

Manx Care failing in front of us. I feel sorry for all the hardworking front line staff who hold the whole thing together

 

https://www.manxradio.com/news/isle-of-man-news/people-urged-to-avoid-emergency-department-due-to-staffing-challenges/

I think this is more a sign of publicly funded healthcare in the British Isles failing than Manx Care. All they’ve done is put out a press release reminding people that they don’t have to go to Noble’s when there’s another facility available. 

[Bill1977]

We can’t run a basic healthcare or education system at the moment. What a mess. In the meantime other government departments are trying to get people to move here! We are trying run before we can walk.