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Following Tynwald's approval of the Treasury Minister's motion on 16 January 2018, the Council of Ministers commissioned Sir Jonathan Michael to chair an independent review of health and social care on the Island.

In April 2019 the review's final report (GD 2019/0021) was completed and submitted to the Council of Ministers. The review's final report included a package of 26 recommendations to be implemented in order to achieve a financially and clinically sustainable, high quality health and care system for the Isle of Man. 

The Council of Ministers was in agreement with the findings of the final report and sought Tynwald approval for the package of recommendations to be accepted and implemented (GD 2019/022). 

On 21 May 2019, Tynwald voted unanimously to accept the package of recommendations and required the Council of Ministers to implement it. 

On 23 May 2019, the Council of Ministers issued a mandate to the DHSC, the Treasury and the Cabinet Office to ensure implementation of the review's final report's package of recommendations, led by the Chief Secretary and aligned to the principle that patients and service users are fully engaged in, and at the centre of, all aspects of planning and delivery of health and social care services.

These three Departments are now responsible to the Council of Ministers for delivering on the Transformation Programme required to deliver this package of recommendations. 

The Transformation Programme is being carried out by a dedicated team under the Chief Secretary within the Cabinet Office, working closely with the Department of Health and Social Care.

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