Read the manifesto of Health and Social Care minister Anne Pryke who wants to be re-elected and you will only see words and no evidence based content.http://www.annepryke.co.uk/manifesto
These are the questions, if I would be allowed to, I would like to ask at the next hustings the deputy on the 1st October:
As you have been responsible for the annual budget of around £200 million for a population of 100.000 for the last 6 years then
...... why does private care supersede the public care and why do the doctors who use the hospital theatres etc don't pay for the use of hospital premises for their private work considering that the budget is taxpayer's money whom most of them can't afford private care hence have to live with unacceptable waiting times and substandard care?
Does the high number of civil servants with private care insurance have anything to do with it?
......why have you not been able to produce and publish into the public domain performance data of the hospital such as waiting times, infection rates and cleanliness, consultant treatment outcomes like the UK NHS ( http://www.nhs.uk/choiceintheNHS/Yourchoices/consultant-choice/Pages/consultant-data.aspx
), users ratings etc?
......why is there poor communication with the GPs and the community care service and why has that not been addressed in the Health White Paper? Why do the people have to pay £ 40 per 10 minute GP visit, in particular the vulnerable people such as children, disabled people, elderly and people with mental health issues who suffer because they don't access the service to deal or prevent further deterioration of their health, if they can't financially afford it? How can that be fair and caring ?
Could it be that the Health Minister has no regulatory function over GPs' and why hasn't that been addressed in the States?
.......why do the Jersey people have to become scared to get a stroke or a debilitating illness requiring rehabilitation in the Samares Unit at Overdale Hospital, if you are poor or and have no relatives to look after you?
Could it be that the Samares Unit don't have enough staff and equipment? I just visited a dear elderly previously completely independent friend with a severe stroke at Samares who was lying in his bed, not able to pull himself up because the bed didn't even have a bed support pull up bar, the nurses forgot several times to empty his urine bottle, had no weekly multidisciplinary meetings with the responsible consultant and therapists as a minimum requirement by the Royal College of Physicians, ....... oh no I forgot they did have a meeting without the patient and the family and yes the consultant did come in to his room for 10 minutes to talk to him when he was drugged up and drowsy. The only doctors available throughout the week was the junior doctor who just has one year postgraduate clinical experience and no rehabilitation expertise at all. On top of that the family felt they were more treated as an annoyance when they dared to ask questions regarding their loved one's care.
Is that world class care Mrs Pryke? Is that the standard of care what you as an ex- hospice care sister would expect for your loved ones and for the people you expect to vote for you?
.....why does the hospital need an above average annual budget of £200 million despite considering that the hospital is isolated due to its location? Why aren't the figures of the budget broken down in salaries, equipment, transports etc and not in public domain like in the UK? Is the upcoming freedom of information law going to cover this and if not why not?
.....why has there been no progress to improve the whole information services which should integrate primary (GP) and secondary care ( hospital) which are also essential for the checks and balances and to monitor the changes of the health services which you have promoted in the States? You have acknowledged a lack of historical data and committed to improve the information services in 2012 but the scrutiny panel was disappointed that so far just little progress has been made considering this issue was identified as back as in the 1990s.
Why haven't you not addressed that vital IT issue since you have been elected as Health and Social Care minister in 2008?
Apparently 10% for the revenue budget of the hospital ( £12 million) is for the theatre and anaesthesia division for 2014, a lot of money for just one year I think, but why are waiting times so long then, where does the money go? Also 10% of the hospital budget of £200 million is £ 20 million for me where does the discrepancy of £8 million come from?
......where is the evidence that you acted on the advice of Karen McConnell, Jersey’s Comptroller and Auditor General, who says that improvements to data collection should be made a priority in order to ensure that the theatres are used effectively and with efficiency?
With long waiting lists, staff shortages and subsequent low morale, gross overspends, serious case reviews of vulnerable children failing, do you think you are the right person to seek re-election for the post of health minister?
Further interesting reading:
Hospital under fire on operating levelhttp://jerseyeveningpost.com/news/2014/07/20/hospital-under-fire-on-operating-level
Health, Social Security and Housing Scrutiny Panel, The Redesign of Health and Social Services, presented to the States on 5th September 2014http://www.statesassembly.gov.je/ScrutinyReports/2014/Report%20-%20Redesign%20of%20Health%20and%20Social%20Services%20-%205%20September%202014.pdf
Use of Management Information in the Health and Social Services Department - Operating Theatres 10 July 2014http://www.jerseyauditoffice.je/Publications/JAO%20REPORT%20-%20Management%20Information%20in%20HSSD%20-%20Operating%20Theatres%20-%2010.07.2014.pdf
To be continued ........