Transforming an Island Health Economy

The Isle of Man’s population of 83,000 is served by a unique health and care system.
A 2-hour minimum journey time to “off-island” services requires many to be provided on-island, where the population size would normally make this difficult to achieve. Equally, the island government had recognised that many on-island services which could be provided for local people in community settings were still being delivered at the single acute hospital site.

Reviews in 2005 and 2011 had recommended greater integration of health and care service delivery.
However, in common with many other areas, progress remained limited and challenging.

PPL and our partners Gemserv were engaged by the Isle of Man government to support Sir Jonathan Michael in developing a new plan for the island, bringing together required expertise in health analytics, clinical transformation, the creation of new models of care and in the design and implementation of integrated care pathways.

Our work included developing:

  • a “whole-system” income, cost and activity model using existing data sources and/or extrapolated data from populations with similar demographics
  • a comprehensive review of health and care, building on a decade of other wide ranging reviews (over 40 in total)
  • detailed recommendations including which on-island services could be delivered more effectively working with NHS providers in England
  • an overarching Operating Model and Model of Care

Through a mix of analysis, research and engagement with key stakeholders across the island, including senior politicians, service users, clinicians and senior managers, we supported Sir Jonathan develop a comprehensive review with 20 key recommendations, covering the procurement and provision and mental health, primary care, community services, secondary care services, specialist services, social care, learning disabilities, diagnostics and voluntary sector organisations; all supported by a detailed, 5-year implementation plan.

Our review was unanimously accepted by the Isle of Man Tynwald - with patient representatives and voluntary sector leaders feeding back that it addressed their concerns and provided a clear and credible “roadmap” for the way forward.

You can read more about our work on the Isle of Man as reported in the BBC News here.

For more details on the project, please contact PPL associate director Folarin Majekodunmi who led our Analysis and Insight on the island.