Correspondence regarding cuts

Summary

The request sought correspondence between Manx Care and the Department of Health and Social Care regarding service cuts from October 2024 onwards. The response disclosed an email exchange between the Minister and the Chief Officer discussing an urgent statement about 'more cuts' being reported in the public domain.

Key Facts

• The request was made to the Department of Health and Social Care on 2025-01-28.
• The case outcome was 'Not upheld' on 2025-05-20.
• The disclosed document is an email dated 24 January 2025 between Claire Christian and Paul Richardson.
• The email discusses an urgent statement in the House of Keys regarding service cuts.
• The correspondence notes that the issue of 'more cuts' is already in the public domain.

Data Disclosed

• 2025-01-28
• 2025-05-20
• 24 January 2025
• 31st October 2024
• S.25

Exemptions Cited

• S.25 - Personal Data

Original Request

Please provide copies of any correspondence between Manx Care and the DHSC, relating to service cuts or reductions to services, or the cessation of services whether temporary or permanent. I am specifically interested in any correspondence relating to service cuts in the current financial year, and the next financial year. Please provide anything from the 31st October 2024 to date.

Data Tables (11)

Full Response Text

From: Christian, Claire To: Richardson, Paul (DHSC) Cc: Igoea, Nicola (DHSC); McCauley, Sam; August-Phillips, Tanya; Ashford, David; Poole-Wilson, Jane (MHK) Subject: Re: heads up - urgent statement in HOks next week Date: 24 January 2025 18:22:22 Attachments: image001.jpg image004.jpg image005.jpg Thank you,  The question is now in public domain, and being reported on, as “more cuts”. Best Wishes Claire   Claire Christian BA ( Hons) MHK Member of the House of Keys - Douglas South Minister for the Department of Health and Social Care Member of the Standing Orders of Tynwald Committee Member of the Housing and Communities Board Member of the Sub Committee on Justice Member of the Health Learning and Social Policy Board Member of the Commonwealth Parliamentary Association Legislative Buildings Finch Road Douglas Isle of Man IM1 3PW British Isles   Office Tel:  +44 (0)1624 686166 Mobile:  +44 (0)7624 209800 Claire.christian@gov.im Twitter: @Claire4MHK Facebook: https//www.facebook.com/clairechristianmhkdouglassouth Instagram:  Claire_christian_mhk www.tynwald.org.im Please click the below link for privacy statement which can be found on the Tynwald website. https://www.tynwald.org.im/memoff/member/Documents/ChristianCSB-Privacy-Policy.aspx WARNING: This email message and any files transmitted with it are confidential and may be subject to legal privilege. You must not copy or deliver it to any other person or use the contents in any unauthorised manner without the express permission of the sender. If you are not the intended addressee of this e-mail, please delete it and notify the sender as soon as possible.   No employee or agent is authorised to conclude any binding agreement on behalf of any of the Departments or Statutory Boards of the Isle of Man Government with any party by e-mail without express written confirmation by a Manager of the relevant Department or Statutory Board.   RAAUE: S’preevaadjagh yn çhaghteraght post-l shoh chammah’s coadanyn erbee currit marish as ta shoh coadit ec y leigh. Cha nhegin diu coipal ny cur eh da peiagh erbee elley ny ymmydey yn chooid t’ayn er aght erbee dyn kied leayr veih’n choyrtagh. Mannagh nee shiu yn enmyssagh kiarit jeh’n phost-l shoh, doll-shiu magh eh, my sailliu, as cur-shiu fys da’n choyrtagh cha leah as oddys shiu.   Cha nel kied currit da failleydagh ny jantagh erbee conaant y yannoo rish peiagh ny possan erbee lesh post-l er son Rheynn ny Boayrd Slattyssagh erbee jeh Reiltys Ellan Vannin dyn co-niartaghey scruit leayr veih Reireyder y Rheynn ny Boayrd Slattyssagh t’eh bentyn rish.   On 24 Jan 2025, at 18:20, Richardson, Paul (DHSC) < wrote: Cheers   I will try to work the magic on this! The statement will be short but I want you to be ready for all the follow ups.   Have a great weekend. At least that wind has died down now.         S.25 - Personal Data Paul Richardson MA (Oxon) Yn Ard Oikagh | Chief Officer a: Rheynn Slaynt as Kiarail y Theay | Department of Health and Social Care       Belgravia House, Circular Road, Douglas, Isle of Man, IM1 1AE   Claire Christian BA ( Hons) MHK Member of the House of Keys - Douglas South Minister for the Department of Health and Social Care Member of the Standing Orders of Tynwald Committee Member of the Housing and Communities Board Member of the Sub Committee on Justice Member of the Health Learning and Social Policy Board Member of the Commonwealth Parliamentary Association Legislative Buildings Finch Road Douglas Isle of Man IM1 3PW British Isles   Office Tel:  +44 (0)1624 686166 Mobile:  +44 (0)7624 209800 Claire.christian@gov.im Twitter: @Claire4MHK Facebook: https//www.facebook.com/clairechristianmhkdouglassouth Instagram:  Claire_christian_mhk www.tynwald.org.im Please click the below link for privacy statement which can be found on the Tynwald website. https://www.tynwald.org.im/memoff/member/Documents/ChristianCSB-Privacy-Policy.aspx WARNING: This email message and any files transmitted with it are confidential and may be subject to legal privilege. You must not copy or deliver it to any other person or use the contents in any unauthorised manner without the express permission of the sender. If you are not the intended addressee of this e-mail, please delete it and notify the sender as soon as possible.   No employee or agent is authorised to conclude any binding agreement on behalf of any of the Departments or Statutory Boards of the Isle of Man Government with any party by e-mail without express written confirmation by a Manager of the relevant Department or Statutory Board.   RAAUE: S’preevaadjagh yn çhaghteraght post-l shoh chammah’s coadanyn erbee currit marish as ta shoh coadit ec y leigh. Cha nhegin diu coipal ny cur eh da peiagh erbee elley ny ymmydey yn chooid t’ayn er aght erbee dyn kied leayr veih’n choyrtagh. Mannagh nee shiu yn enmyssagh kiarit jeh’n phost-l shoh, doll-shiu magh eh, my sailliu, as cur-shiu fys da’n choyrtagh cha leah as oddys shiu.   Cha nel kied currit da failleydagh ny jantagh erbee conaant y yannoo rish peiagh ny possan erbee lesh post-l er son Rheynn ny Boayrd Slattyssagh erbee jeh Reiltys Ellan Vannin dyn co-niartaghey scruit leayr veih Reireyder y Rheynn ny Boayrd Slattyssagh t’eh bentyn rish.   On 24 Jan 2025, at 14:34, Richardson, Paul (DHSC) < wrote: Thank you   I think it would help to guide us in terms of material we could deploy to help you on supplementary questions what other areas you think MHKs will want to focus on based on your discussions with them outside the Department. We have a pretty good idea of Mr Hooper’s likely questions and to some extent Ms Edge’s.   There may be questions about the Manx Care Board’s oversight of this and to the extent they will have been sighted on impacts and no doubt we could stray into the territory of the relationship between DHSC and Manx Care again which brings us back to the October debate that led to the Motion asking for that to be reviewed.       S.25 - Personal Data https://www.tynwald.org.im/memoff/member/Documents/ChristianCSB-Privacy-Policy.aspx WARNING: This email message and any files transmitted with it are confidential and may be subject to legal privilege. You must not copy or deliver it to any other person or use the contents in any unauthorised manner without the express permission of the sender. If you are not the intended addressee of this e-mail, please delete it and notify the sender as soon as possible.   No employee or agent is authorised to conclude any binding agreement on behalf of any of the Departments or Statutory Boards of the Isle of Man Government with any party by e-mail without express written confirmation by a Manager of the relevant Department or Statutory Board.   RAAUE: S’preevaadjagh yn çhaghteraght post-l shoh chammah’s coadanyn erbee currit marish as ta shoh coadit ec y leigh. Cha nhegin diu coipal ny cur eh da peiagh erbee elley ny ymmydey yn chooid t’ayn er aght erbee dyn kied leayr veih’n choyrtagh. Mannagh nee shiu yn enmyssagh kiarit jeh’n phost-l shoh, doll-shiu magh eh, my sailliu, as cur-shiu fys da’n choyrtagh cha leah as oddys shiu.   Cha nel kied currit da failleydagh ny jantagh erbee conaant y yannoo rish peiagh ny possan erbee lesh post-l er son Rheynn ny Boayrd Slattyssagh erbee jeh Reiltys Ellan Vannin dyn co-niartaghey scruit leayr veih Reireyder y Rheynn ny Boayrd Slattyssagh t’eh bentyn rish.

On Island Elective Surgery Based on information so far, it my understanding that no current appointments will be cancelled, cancer surgery not affected, and if anyone needs an emergency appointment which had been identified by a clinician it will happen.  Please confirm 1.  How many estimated on island elective surgery appointments or operations would have taken place in Feb and March, compared to how many are going to take place with these changes.  Can I have a break down by type?  2.  How long are the waiting lists now, and how long will the waiting list increase after this change. 3.  How many people are on the waiting list now, and how many will be on the waiting list after this change. 4.  What is the plan to reduce those waiting list back to the current waiting and how long will that take. 5.  Those people who would have had appointments made in Feb and March, will they be placed in April, May? Or will it be further? 6.  What is the expected cost saving for this exercise? 7.  This will impact waiting times for some people.  Do we have data on the first reduction of on island electives since that change in October.  Expected vs actual.     Off Island Elective Surgery/Appointments Based on information so far, it my understanding that no current appointments will be cancelled, cancer surgery not affected, and if anyone needs an emergency appointment which had been identified by a clinician it will happen.  Please confirm. 1.  How many estimated on island elective surgery appointments or operations would have taken place in Feb and March, compared to how many are going to take place with these changes.  Can I have a break down by type?  2.  How long are the waiting lists now, and how long will the waiting list increase after 5is change. 3.  How many people are on the waiting list now, and how many will be on the waiting list after this change. 4.  What is the plan to reduce those waiting list back to the current waiting and how long will that take. 5.  Those people who would have had appointments made in Feb and March, will they be placed in April, May? Or will it be further? 6.  How many of these appointments/surgeries are expected to be moved to the Isle of Man?  That might be unknown until the validation is done. 7.  Who is doing the validation?  On island or off island consultants? 8.  What is the expected cost saving for this exercise?  9.  Why is there a cost saving when staff are fixed costs? Decreased Bank/agency workers?   Ultimately I can’t sugar coat this.  I need the data, and we need to be open and transparent about what the public can expect.  There is a part to this, which I understand (specifically off islands) which is accelerating validation work.  (Was this part of the previous mandates please?  but there is clearly a part to reduce costs, and I need to know why this was the best choice under the circumstances, and essentially what is Manx Care’s plan to get back on track.  Do we have a short two, three, four, five months of longer waiting times and we will be back on track after that?  What is the message?      Also, I should be announcing the status of over spend currently.  I can say that I have been informed last week by the Manx Care Board (Wendy’s letter) that it is currently £15million.  If we don’t do these changes then this figure will go up presumably?   My speech should cover this format, but please add any suggestions.   1.  Clarify the cost associated with the doctors pay awards will be supported by the DHSC budget. 2.  That these changes are not because of that increase to doctors pay. 3.  Description of the changes and reasons, including the made event. 4.  How that effects the end user (data from questions above) 5.  The time expected to recover back to current levels 6.  What Manx Care’s plan is 7.  How often will we be updated on the situation   The Speaker has said if it a long statement then it will need to be circulated to members prior to the sitting ie Tuesday morning, possibly the night before.  So I hope all this information is readily available.   Best Wishes         Claire   Claire Christian BA ( Hons) MHK Member of the House of Keys - Douglas South Minister for the Department of Health and Social Care Member of the Standing Orders of Tynwald Committee Member of the Housing and Communities Board Member of the Sub Committee on Justice Member of the Health Learning and Social Policy Board Member of the Commonwealth Parliamentary Association Legislative Buildings Finch Road Douglas Isle of Man IM1 3PW British Isles   Office Tel:  +44 (0)1624 686166 Mobile:  +44 (0)7624 209800 Claire.christian@gov.im Twitter: @Claire4MHK Facebook: https//www.facebook.com/clairechristianmhkdouglassouth Instagram:  Claire_christian_mhk www.tynwald.org.im Please click the below link for privacy statement which can be found on the Tynwald website. https://www.tynwald.org.im/memoff/member/Documents/ChristianCSB-Privacy- Policy.aspx WARNING: This email message and any files transmitted with it are confidential and may be subject to legal privilege. You must not copy or deliver it to any other person or use the contents in any unauthorised manner without the express permission of the sender. If you are not the intended addressee of this e-mail, please delete it and notify the sender as soon as possible.   No employee or agent is authorised to conclude any binding agreement on behalf of any of the Departments or Statutory Boards of the Isle of Man Government with any party by e- mail without express written confirmation by a Manager of the relevant Department or Statutory Board.   RAAUE: S’preevaadjagh yn çhaghteraght post-l shoh chammah’s coadanyn erbee currit marish as ta shoh coadit ec y leigh. Cha nhegin diu coipal ny cur eh da peiagh erbee elley ny ymmydey yn chooid t’ayn er aght erbee dyn kied leayr veih’n choyrtagh. Mannagh nee shiu yn enmyssagh kiarit jeh’n phost-l shoh, doll-shiu magh eh, my sailliu, as cur-shiu fys da’n choyrtagh cha leah as oddys shiu.   Cha nel kied currit da failleydagh ny jantagh erbee conaant y yannoo rish peiagh ny possan erbee lesh post-l er son Rheynn ny Boayrd Slattyssagh erbee jeh Reiltys Ellan Vannin dyn co-niartaghey scruit leayr veih Reireyder y Rheynn ny Boayrd Slattyssagh t’eh bentyn rish.

From: Christian, Claire To: Richardson, Paul (DHSC); McCauley, Sam; Igoea, Nicola (DHSC) Cc: Stacey, Shaun Subject: Fwd: Urgent question request Date: 24 January 2025 14:59:07 Please see below. Best Wishes Claire   Claire Christian BA ( Hons) MHK Member of the House of Keys - Douglas South Minister for the Department of Health and Social Care Member of the Standing Orders of Tynwald Committee Member of the Housing and Communities Board Member of the Sub Committee on Justice Member of the Health Learning and Social Policy Board Member of the Commonwealth Parliamentary Association Legislative Buildings Finch Road Douglas Isle of Man IM1 3PW British Isles   Office Tel:  +44 (0)1624 686166 Mobile:  +44 (0)7624 209800 Claire.christian@gov.im Twitter: @Claire4MHK Facebook: https//www.facebook.com/clairechristianmhkdouglassouth Instagram:  Claire_christian_mhk www.tynwald.org.im Please click the below link for privacy statement which can be found on the Tynwald website. https://www.tynwald.org.im/memoff/member/Documents/ChristianCSB-Privacy- Policy.aspx WARNING: This email message and any files transmitted with it are confidential and may be subject to legal privilege. You must not copy or deliver it to any other person or use the contents S.25 - Personal Data in any unauthorised manner without the express permission

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