Richard Wright, KC IOM TV

[Mann O Mann]

1 hour ago, Stu Peters said:

The committee I was press-ganged onto had one job: select and retain a completely independent and suitably qualified KC, give him the brief and stand back while he did his work and wrote his report.
 

This was made public the same day it was delivered to Tynwald with no amendments or rewrites. It was never part of our job as a committee to discuss his methodology, question or influence him, become involved in the Ranson case or the subsequent actions. He was given free rein to take evidence and report as he saw fit.

Stu, with respect  it is for Tynwald to discuss and take action , as a member of Tynwald you should be duty bound to suggest actions , otherwise what is the point in you and other MHKs . 
 

So the KC produces the report and neither you or other MHKs have bothered to discuss or debate the AG’s department conduct or lack of it with possible solutions.
 

Is that really your answer, it is not my / our job ….!!

It’s no wonder nothing changes when we have complacent elected MHKs .

It is your job ……get on with it or step down as an elected official and hopefully someone with a desire to affect change will stand in your place .

[Fred the shred]

Kate Beecroft was the very worst health Minister in history.    The harm she did was immense.

[ian rush]

7 hours ago, Fred the shred said:

Kate Beecroft was the very worst health Minister in history.    The harm she did was immense.

“You don’t bring me flowers…”🎶

[Will Halsall]

9 hours ago, Ringy Rose said:

The issues with recruitment here have nothing to do with what Magson did to Ranson and everything to do with the same issues we all face: expensive housing and expensive trips off the island.

Magson, having developed amnesia about her time here, is now a very very senior manager at South London and Maudsley NHS Foundation Trust. And they don’t have problems with recruitment.

On the contrary, just on the strength of employing Magson (though in fairness SLAM appear to have been unaware of her DHSC failings) I would argue that SLAM probably do have recruitment problems.

Gladys is absolutely right, the Ranson case (and the Anaesthetists situation) must have some impact on recruitment into our health service surely? You're right too, the cost of living (housing and travel etc.) is an additional issue to throw into the mix. 

[John Wright]

15 minutes ago, Will Halsall said:

On the contrary, just on the strength of employing Magson (though in fairness SLAM appear to have been unaware of her DHSC failings) I would argue that SLAM probably do have recruitment problems.

Gladys is absolutely right, the Ranson case (and the Anaesthetists situation) must have some impact on recruitment into our health service surely? You're right too, the cost of living (housing and travel etc.) is an additional issue to throw into the mix. 

I might agree with you, but the Ransom/Magson and anaesthetists type of things are endemic across the NHS. Every trust has its bullying scandals. Every trust at some stage ends up with over zealous investigation, victimisation of staff, or a group of staff, sometimes with police involvement and prosecution.

Id think it safe to say SLAM has been at the centre of one such storm for several years. I’m pretty sure someone did a Google search.

One of the problems here is that we live in a very small goldfish bowl, and much more stuff comes out into our public domain. So we are super aware. In UK it’s local news, not national. Of course medics live in a ( larger ) goldfish bowl, and have their own in house journals and networks, but there’s so much going on that the IoM is unlikely to stand out against what’s happening elsewhere.

We are always going to have high turnover in many specialities, be used as a stepping stone. Nobles doesn’t offer sufficient breadth of case load in many specialities. Practitioners in those fields who are ambitious will always be looking for the next move upwards, or just to widen and improve expertise

As for cost of living, and travel, there are huge tracts of the UK with higher housing cost, congestion charging, emission zones, huge season ticket prices, long commutes. And that tends to be where the cutting edge regional centres of excellence might be. Plus much higher tax. Iom is also a work life balance thing.

[Gladys]

Take all your points, John, except that medics thinking of coming here have to upsticks and relocate, with family, and if they see it is just as bad as NHS Trusts on the UK, may not do so.  They may as well stay put and move to another NHS Trust nearby without the upheaval of a relocation. 

Wouldn't it be better if we could demonstrate zero tolerance of the bullying behaviour elsewhere? 

[code99]

"Managers who silence whistleblowers ‘will never work in NHS again’, vows Streeting"  - Wes Streeting, the UK Labour Health Minister.

https://www.theguardian.com/politics/article/2024/jun/27/managers-who-silence-whistleblowers-will-never-work-in-nhs-again-vows-streeting

If only we could do the same here!

[John Wright]

17 minutes ago, Gladys said:

Take all your points, John, except that medics thinking of coming here have to upsticks and relocate, with family, and if they see it is just as bad as NHS Trusts on the UK, may not do so.  They may as well stay put and move to another NHS Trust nearby without the upheaval of a relocation. 

Wouldn't it be better if we could demonstrate zero tolerance of the bullying behaviour elsewhere? 

I’m not sure that moving UK to IoM is much different than upping sticks from Truro to Hackney or Hull to Ispwich or anywhere to Scotland.

Ive no evidence, but my suspicion would be that moves aren’t just to the next town, and that you fuck up the work life balance if you stay put domestically and do a 100 mile commute.

I agree. The NHS needs to sort out bullying. Here and across. Need to work out why it happens. My suspicion is that it’s down to the fact it’s an organisation, or series of organisations in ever deepening crisis, mainly down to decades of underfunding and introduction of things like internal markets, and private sector management techniques,to try and make it lean and efficient, replacing the public service ethos.

The private sector isn’t renowned for being soft, cuddly, caring. It’s pretty hard and there’s huge amounts of bullying. Services cut to the point of impacting user experience. I fear that we’ve imported that into all forms of public service.

That being said, sometimes I experience the opposite, and in the most unexpected places.
 

FedEx have been chasing Paul for a small bill. Written ( there’s no phone number or e-mail ) asking for clarification. They say go online, but it’s one of those circuitous sites that goes nowhere. Ignored. Yesterday got a debt collection letter. Phoned. Went through. Native English speaker and not reading off a screen script. Within 5 minutes sent copy invoice. Pointed out he wasn’t on island when the alleged delivery arrived ( away between mid December to end May ), no invoice received. 5 minutes later amount written off.

RAC I had cause to complain about emergency call out response when they refused to deal with call out, as my Manx registered car didn’t have an MoT or valid car tax on Swansea computers.  Fulsome apology received yesterday, accepted they had let me down, agreed they needed to train their operators better about IoM. Small amount of compensation offered.

[Gladys]

A move to the IOM involves crossing a big lump of sea to get to and from it, not a trip down the road, however long that may be, that you can do when you want to. 

[Will Halsall]

Fair comments all round John, and yes, SLAM along with many other trusts have previous as you point out, but Nobles does seem to continually drift from one higher management issue to another, arguably going as far back as 2012 when Anderson told his porky in Tynwald.  I know you know all this but forgive me, I am just reiterating: Howard Quayle bought Charters spin and went off to New Zealand with him for a jolly fact finding mission. Magson managed Nobles mainly remotely during her destructive tenure when we had the most infectious period in recent history, and she appeared to be given carte blanche by her minister Ashford and his predecessor HQ to do whatever she wished. No idea who is running the gaff now, but hopefully lessons have been learned.

Absolutely agree, we are in a small goldfish bowl, but surely that's a good thing because by continually reminding voters of the failings of MHK's such as Ashford, people will think again at the next election.

With regards to taking a position on a wee island in the middle of the Irish Sea as opposed to London, I would argue that for many London and the other big cities are potentially more favourable, even with congestion charges etc. I may be wrong, but wouldn't consultants for example, prefer to be busier honing their butchery skills with higher numbers of patients in a major city, than stabilising a biker on the rock and putting him on a chopper to Aintree?

It's fair to say too that if it's blowing a hoolie or if Manannans's cloak is hiding the isle, travel, toilet roll, fresh bread and news papers become a bit of an issue, however, you can jump on a train in England or Scotland - subject to wrong type of leaves on the tracks.

[Gladys]

On 7/9/2024 at 9:34 PM, Ringy Rose said:

The issues with recruitment here have nothing to do with what Magson did to Ranson and everything to do with the same issues we all face: expensive housing and expensive trips off the island.

Magson, having developed amnesia about her time here, is now a very very senior manager at South London and Maudsley NHS Foundation Trust. And they don’t have problems with recruitment.

Can you confirm the position she holds/held at  SLAM?  I can only find  she had charge of a building project there.

 

[Ghost Ship]

1 hour ago, Gladys said:

Can you confirm the position she holds/held at  SLAM?  I can only find  she had charge of a building project there.

 

I'd be interested to know as well.

She's not on the Board (which I would say disqualifies her from the description of "a very very senior manager") and she hasn't attended any Board meetings or given apologies that I can find.  

I can see that she seems to be responsible for a project to increase winter bed capacity, but that could be a Band 7 role.

Edited July 10 by Ghost Ship

[Will Halsall]

The Telegraph 16/5/24:

https://www.telegraph.co.uk/news/2024/05/16/nhs-managers-criticised-targeting-whistleblowers-protected/

NHS trusts do not appear to be put off hiring executives who have mishandled whistleblowers, even when the outcomes have cost the taxpayer millions of pounds.

Kathryn Magson’s treatment of Dr Rosalind Ranson was condemned by an employment tribunal judge in 2022 as “vindictive” and “self-serving”, and led Dr Ranson to be awarded almost £3.2 million in damages.

Ms Magson targeted Dr Ranson, then medical director on the Isle of Man, after the doctor raised patient safety concerns and challenged government policy.

Despite winning an employment tribunal, Dr Ranson has been unable to secure further work in the NHS. In contrast, Ms Magson is currently employed by the South London and Maudsley NHS Foundation Trust (SLAM) on a hospital building project.

At the tribunal, the judge increased the damages owed to Dr Ranson partly owing to the stress caused by Ms Magson’s treatment, which made her unwell.

SLAM, a mental-health trust, described Ms Magson’s appointment as “temporary” and said that they “value the highest standards of professionalism, integrity, and ethical behaviour from all our employees, regardless of their roles or backgrounds”.

“Our commitment to these values is unwavering, and we hold all members of our organisation accountable for adhering to them,” they said.

[Gladys]

You have to wonder if part of the problem in health services is to do with it being led by non-medics? 

Perhaps the lack of first hand experience of medical practice impacts on the ability to understand an issue raised, possibly creates a bit of professional jealousy? 

[Ringy Rose]

45 minutes ago, Gladys said:

You have to wonder if part of the problem in health services is to do with it being led by non-medics? 

Medics are just as capable of bullying people as non-medics are. Many of the whistleblower cases mentioned in the article @Will Halsall linked to involved medical directors and not non-medical management.

If anything, I think the problem is often that being a good medic doesn’t mean you’re a good manager. Different skills are required. That and medics who get to the top are often not particularly well-disposed to people telling them they’ve got it wrong.

23 hours ago, Will Halsall said:

may be wrong, but wouldn't consultants for example, prefer to be busier honing their butchery skills with higher numbers of patients in a major city, than stabilising a biker on the rock and putting him on a chopper to Aintree?

For specialist positions yes, absolutely. But for lower positions, not so much.

Edited July 11 by Ringy Rose