Patient Numbers and Costs

Isle of Man in number 2017 reports 87k patients on the books at our doctor surgeries (86,962). Given that our population is 83k (83,314), we probably have a problem of some sort. Can we have a review, don’t they get paid per patient on their books, not per appointment.

4% off the doctors will be something significant. But maybe the problem is people keeping on the surgery books when not living on the Island, health toursim?? At which case address this in a different way.

Could we have some savings here.


Why the contribution is important

Review needed, could be a few pennies to save.


by studythenumbers on April 14, 2017 at 12:49PM

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  • Posted by castlearcher April 14, 2017 at 13:44

    One way to solve the "ghost patient" issue would be to align continuing entitlement to Manx NHS care with tax residency status. People who move to the UK do not cause an issue as their NHS number follows them and they are deducted from their Manx GP surgery. People who move elsewhere may become "ghosts". It can be argued that "ghosts" subsidise an underfunded system - Manx GP surgeries receive 20-30% less per patient per year (£105), compared to UK GP surgeries (£146). Stripping out ghosts may financially destabilise some surgeries. Apparently a couple of surgeries had to be bailed out in the recent past...
  • Posted by madeleine April 15, 2017 at 09:54

    Be aware that in many cases the 'ghosts' are students away at university or college who have not registered with a new doctor at their university. As students often return during their vacations to work and are a future source of tax revenue we must ensure they are not disenfranchised. More over, it is the free health care to those who 'arrive off the boat' that we should attempt to control.
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