The DHSC’s annual plan says government “might not be able to fund Manx Care to run all health and social care services that people want”.
Due to go before Tynwald next month, the report cites rising costs and the need to prioritise core services as it also sets out mitigation plans to save money.
Despite this, Minister Claire Christian and her team says its focus remains on “delivering care that truly puts people first,” with an emphasis on expanding home and community-based support.
Progress and delays
The department highlights achievements over the past year, including the approval of the National Autism Spectrum Condition Strategy and the Carers Strategy.
However, some key initiatives face delays:
- The Wellbeing and Mental Health Strategy, rebranded from its earlier version, is now expected in early 2026 due to extended stakeholder engagement.
- A long-term strategy for residential and nursing care has been postponed to 2026/27, pending further reviews.
- Efforts to reduce elective waiting lists remain on hold until a “clinical validation exercise” assesses patient needs—a process unlikely to conclude before 2026.
Financial pressures
The DHSC’s net expenditure for 2025-26 is set at £298 million, with £361.8 million allocated to Manx Care.
The report notes “financial pressures” and “rising costs,” requiring a focus on efficiency.
Interim Chief Officer Tim O’Neill said the department would work with partners to “maximise the impact of every Manx pound spent” but acknowledged difficult decisions ahead.
Reforms and future plans
Key priorities for the coming year include:
- Legislative changes: The Regulation of Health and Social Care Bill aims to modernise oversight, while the Capacity Act 2023 is due for full implementation by April 2026.
- Prescription eligibility reforms: Public consultations on revised criteria are expected later this year.
- Expanding community care: A prototype “Health & Care Hub” in the north has shown promise, with plans to roll out similar services elsewhere.
Challenges ahead
The report identifies risks, including staff shortages, ageing infrastructure, and the need for better data to inform decisions.
However, it also outlines mitigation strategies, such as:
- Tighter financial oversight and efficiency measures.
- Capital investments, including upgrades to ambulance stations and hospital facilities.
- Collaboration with third-sector organisations to support vulnerable groups.
Despite budgetary constraints, the DHSC says it remains committed to improving care through “partnership, collaboration, and determination.”
Prof O’Neill added that the department would work “at pace” to deliver reforms while managing rising demand and costs.
You can read the full report below:
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