DHSC Minister Claire Christian has firmly opposed a motion criticising the government’s health and care mandate, arguing it prioritises patient outcomes and long-term sustainability.
The debate, held in Tynwald, centred on the mandate and operating plan under the Manx Care Act 2021, with Ms Christian tabling an amendment to the motion.
Ms Christian rejected claims that the documents were ambiguous, stating: “I strongly object to and will be addressing in my response [the] personal interpretation of the mandate and the operating plan.”
While acknowledging areas for improvement, she insisted the priorities were clear: “To provide safe and appropriate health and social care services as close to home as possible, robustly governed and representing good value for money.”
Challenges
The minister highlighted challenges posed by an ageing population, with rising demand for complex care.
“Two in every three adults over 65 will live with multiple health conditions by 2035,” she warned, emphasising the need for modernisation.
This is not about money. It is about doing what is right for our population at a critical juncture.
Ms Christian outlined reforms already underway, including regional hubs and expanded primary care.
She said: “GPs will support shared care arrangements for long-term conditions like diabetes.”
Citing a gastro consultant’s review that found “80% of referrals did not require specialist input”. Virtual wards and local specialist clinics, such as a recent hand surgery clinic at Noble’s Hospital, aim to reduce off-island travel.
Addressing concerns about privatisation, she stressed: “Private services are never instead of an NHS service—only in addition.”
Ms Christian also confirmed no cuts to screening programmes or long COVID services, adding that Manx Care’s financial governance was robust.
Ms Christian concluded by urging Tynwald to reject the motion, pledging transparency: “I will commit to providing updates of our progress.”
Her amendment, seconded by Mr. Peters, reaffirmed the NHS’s seven principles, including equitable care.
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