Onchan MHK Rob Callister says that he believes the Department of Health and Social Care and Manx Care needs restructuring.
After reading the Manx Care Annual Report for 2024/25, Mr Callister says it “comes down to whether you see the glass as half full or half empty”.
He says, “if you read the report properly, you’ll see measurable improvements in care quality, safety, access, and integration – despite operating in a challenging financial environment”.
Mr Callister notes the key achievements in the report that have enhanced patient experiences such as new facilities, reduced mental health waiting times, new services and digital transformation.
Financial Position
However, he adds that “the financial position of Manx Care and the DHSC remains a deep concern for all of us”.
Mr Callister said: “Unfortunately, the public rightly argues that they are not seeing the physical improvements and changes needed, despite the significant financial investment made since April 2021.”
He highlighted the following issues:
- Waiting times have increased for outpatient, day case, and inpatient procedures.
- Dental access remains a concern, with 6,254 patients awaiting allocation.
- Mental health KPIs have exceeded targets, including crisis response and psychosis treatment.
- Diagnostic delays persist, with 58% of patients waiting over six weeks.
- There is a lack of clarity around the purpose and alignment of Board committees with the Mandate and strategic priorities.
- A disconnect exists between the Mandate and the financial settlement, leading to confusion over commissioning intentions versus aspirational goals.
- Duplication of roles between Manx Care and the DHSC is causing inefficiencies.
- Legislative constraints are hindering independence, accountability, and decision-making.
Mr Callister believes the review of board effectiveness and culture is timely and welcome, as there is an over-reliance on a few key individuals, with inconsistent contributions and debate across the Board and its committees.
He added: “The report also highlights operational weaknesses that need to be addressed over the next 12 months.
“Personally, I believe Manx Care and the DHSC need restructuring.
“Upon reflection, I do see a “glass half full,” but there is still much work to be done especially in bringing both the public and political colleagues along on this journey of reform.”
