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Health and Social Care Review

Independent Health And Social Care Review logo

Fundamental review of the Island's health and social care system

The objective of the Review is to determine change options to provide a modern, fit for purpose health and social care system for the Island.

The Review is an opportunity to:

  • look at the bigger picture
  • take stock of what is and isn't currently working for the Isle of Man
  • advise on options for structures and funding arrangements to best meet the needs of the Island in the years to come

As the outcome of the review will ultimately affect all Island residents it is important that everyone has the opportunity to have their say.

Tell us

Through our online ideas hub, we are asking you to tell us:

  • What is working in the current health and social care system and should be continued?

  • What is not working in the current health and social care system and what improvements would you like to see?

Button - Submit A Suggestion

The online ideas hub closes 7 August 2018.

Background to the review

In March 2018 the Government announced that a fundamental review of the Island’s health and social care system was going to take place led by Sir Jonathan Michael.

Sir Jonathan Michael has extensive board, managerial and clinical experience in healthcare across both the public and private sectors. He has significant experience of supporting hospitals and other healthcare providers and advising governments, health departments and regulators both in the UK and internationally. He was knighted in 2005 for services to the NHS.

The terms of reference for the review were established by the Council of Ministers and Sir Jonathan is tasked with setting out recommendations to address the current and long-term health and social care challenges facing the Isle of Man.

The particular areas under review are set out within the terms of reference and cover a broad range of issues including the:

  • scope and delivery of services
  • quality and safety
  • funding
  • staffing
  • technology
  • sustainability of services

This work will build on the Department’s Five-Year Health and Social Care Strategy as well as a number of other reports, including the work of the West Midlands Quality Review Service.

The Department is currently working to its Service Delivery Plan, which aims to address a number of your comments and ideas from public engagement sessions in January 2016, including the following that are already being progressed:

  • Communication: publishing more on the DHSC website, facilitating workshops on the future of residential and nursing care, working alongside Southern Community Initiatives around a Community Partnership pilot and working with residents and stakeholders through engagement events in the West

  • Care in the Community: plans to introduce far more locally delivered care from teams based in the community

  • Minimise waste: undertaking restructuring to reduce duplication and layers of management, including the formation of the Community Care Directorate, which combined four previous Divisions

  • Technology: roll-out of Patient Access (for GP appointments, prescriptions and test results), text message reminders for GP appointments instead of letters and instant update of patients' electronic records following out of hours GP consultations

This ongoing work is due in part to your comments, which will also be considered as part of the Review, but we want to hear more about the areas that the Review will specifically cover.

Areas of health and social care

We will categorise your suggestions by the area(s) of health or care to which it relates:

  • Hospital care – including Noble’s Hospital, Ramsey and District Cottage Hospital and the ambulance and the air ambulance services

  • General Practitioners – including all GP practices and the Manx Emergency Doctor Service

  • Dentists – including those run by the Government (Central Community Health Centre) and those run privately

  • Mental Health – including acute community and mental health services for children, adolescents, adults and older people, Drug and Alcohol Team, Crisis Response and Home Treatment Team, the Memory Clinic, Next Step and Brunswick Gardens

  • Social services for adults and for children and families – including older people’s, vulnerable adults and disabilities social work teams, children and families social work team, adoption and fostering services

  • Therapies – including physiotherapy, occupational therapy, speech and language therapy, and dietitics

  • Community care – covers a vast array of services including:
    • Community nursing (health visiting, district nursing and school nursing)
    • Family planning
    • Podiatry services
    • Prison healthcare
    • Day services (for older people and people with a learning disability)
    • Reablement services
    • Home care
    • Learning disability residential and respite services 

  • Care homes – including residential and nursing care
    • the Department runs 3 care homes for older people and 3 care homes for people with dementia (the rest are provided privately)

  • Public Health – aims to protect and improve the health and wellbeing of the island’s whole population rather than treating the individual, including by improving lifestyles and our environment, and by championing approaches that support people taking responsibility for their own health and wellbeing

  • Off-Island care – including referrals to UK specialist hospitals and patient transfers

  • Other

Submit your suggestions

Join the challenge

We look forward to hearing from you to help ensure we make the most of this opportunity.

Button -give Us Your Suggestions

You can also submit your suggestions by:

  • email to,
  • post to Healthcare Review Secretariat, Cronk Coar, Noble’s Hospital, Strang, Braddan, IM4 4RJ
  • leaving them in the dedicated drop boxes located in DHSC buildings around the Island, including GP surgeries, dentist surgeries and Noble’s hospital 
  • coming to meet Sir Jonathan Michael in the Manx Tent on Tynwald Day

All suggestions received will be uploaded onto the ideas hub for others to comment on and rate.

What we will do with your suggestions

The feedback gained from the public will be combined with other suggestions received as part of our wider engagement process. The findings will be transformed into evidence for consideration as part of the Review in order to inform the final Report to Tynwald in 2019.

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