
Extra government funding would 'protect Manx hospice', boss says
Mr Knight said it was also "incumbent" on the charity to manage the current challenges "in different ways", such as the introduction of a private pain management clinic.Profits from the commercially-run Crowther Clinic, set to offer joint and headache pain relief services for private patients from 12 June, would be reinvested in the hospice's general services, including end of life care.In March, the organisation issued an open letter raising concerns that "increasing financial pressures" were "threatening the long term sustainability" of the service.It called for a review of the existing funding model and "early action to prevent any unnecessary reduction in specialist palliative and end of life care".That was someone that was reflected in the wider debate in the Manx parliament on the Manx Care mandate in April.
Mr Knight said the organisation had made a deficit in five of the last six years, despite "false perceptions we are a wealthy charity", leaving it with reserves of about 12 months of funding.He said the staffing headcount had been reduced by 26 members to a team of 106 in recent years, which meant the charity was "now at the point where there is not much more by way savings in the support functions to be made".Mr Knight said he had also noticed a slow decline in legacy donations, which could be connected to the current economic climate, and a jump in costs "which are out our control" such as pay increases, and the cost of energy, medicines and other clinical supplies.The requested extra funding from government would have meant "we would be at that the tipping point into a very sustainable organisation" although it would still have to secure most of its funding via donations, he said."We have to manage the pressures by fundraising in a different way, such as using skills we have internally to expand our portfolio and drive money back towards charitable activity," he said.That would protect the service for the future because population data suggested "demand is only set to grow", he added.
Read more stories from the Isle of Man on the BBC, watch BBC North West Tonight on BBC iPlayer and follow BBC Isle of Man on Facebook and X.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


BBC News
an hour ago
- BBC News
University of Reading creates research unit in Kuwait
The University of Reading has created a research unit in Kuwait as part of a partnership with a major pharmaceutical agreement, signed in June, brings together the university and the Kuwait Pharmaceutical Association with the goal of "advancing pharmaceutical practices in the country".The initial focus of the new unit will be pharmacy practice as well health services new unit will also see student exchanges between Reading and Kuwait. Dr Mamoon Al Deyab, associate professor in pharmacy and health services research at Reading school of pharmacy and director of the new research unit, said: "Our objective is to make everyday pharmacy care safer and better."We want to build pharmacists skills, we want to strengthen the workforce in Kuwait and in Berkshire, we want to test practical ideas in real healthcare settings and when they work we turn them into routine practise."Teams in Reading and Kuwait will work together to run joint studies, shared expertise, we will apply for joint grants together and offer real world project for students and practitioners."Dr Ahmad Taqi, chair of the Kuwait Pharmaceutical Association, said: "We are confident this exciting partnership will help to increase the number of specialised pharmacists in Kuwait, expand our scientific output and support evidence-based studies." You can follow BBC Berkshire and Facebook, X


Daily Mail
2 hours ago
- Daily Mail
The hidden condition killing your libido: TRACEY COX reveals 8 warning signs that your lack of interest in sex needs medical attention
We expect the occasional dry spell in our sex lives – everyone knows stress, lack of sleep, new babies and not liking the way we look get in the way of a good time. But what if the reason you're avoiding sex isn't psychological, it's physical. There's a whole catalogue of female health issues that silently sabotage sex - and many women don't even know they've got them. Those that do are often too embarrassed to speak up. From mystery pain during penetration to being terrified to have sex thanks to recurring infections, here are eight of the hidden conditions quietly killing your libido. YOU SURE IT'S JUST THRUSH? 'I thought I was imagining it, but my vaginal opening seemed to be getting smaller. I felt 'puffy' and swollen and unbearably dry but still the GP told me it was thrush. I went for a smear test, and the nurse couldn't even insert the smallest speculum without causing intense pain and bleeding. Finally, I got diagnosed but it took years.' Vulval Lichen Sclerosus is often misdiagnosed as thrush so many women suffer for years without proper treatment. It mainly affects post-menopausal women, but it can occur at any age (men and boys can get it as well). It's a long-term skin condition that mainly affects the skin of the genitals and the skin around the anus, causing thinning, inflammation and intense itching. The skin becomes fragile and shiny, and you'll see white patches. Without treatment, the vulva may gradually scar and shrink. This makes the entrance to the vagina narrower, with penetration becoming extremely painful or plain impossible. Many women chalk it up to 'just getting older' or are too embarrassed to seek help. How to treat it: See a GP or gynaecologist and insist on a referral, especially if you keep getting fobbed off with a thrust diagnosis. Treatment usually involves high-potency steroid creams that dramatically improve symptoms. THE ULTIMATE MOOD KILLER 'I'm 25 and have a high libido but every time my boyfriend makes a move, my heart sinks. I just know what I'm in for afterwards and it's just not worth it.' Post-Sex Urinary Tract Infections are staggeringly common. Some women suffer every single time they have sex, turning something they used to enjoy into a ticking time bomb. Anticipating the familiar burn, pressure and panic sends the healthiest libido into lockdown. Many women stop having intercourse altogether. How to treat it: There was some dispute over whether peeing before and after intercourse protects against UTI. But recent research points to it being helpful, so do it. A daily low-dose antibiotic is another way to control it, so is taking one just before sex to prevent recurrent infections. Some find D-Mannose supplements useful; using lube also helps. The more friction, the more risk you have of developing a UTI. EVER HAD AN ACCIDENT DURING AN ORGASM? 'It was the first night of sex with a guy I really cared about, soon after my divorce. The sex was great – but I lost control of my bladder during orgasm. I pretended it was female ejaculation, but it so wasn't that. He knew it and I knew it. I could have died from embarrassment.' Incontinence issues – loss of bladder control – is often due to pelvic floor damage from childbirth. Laughing, sneezing and sex can all trigger leaks. Some women feel so mortified after an accident, they vow never to have sex again. Happily, there's good news… How to treat it: Kegel exercises – repetitively and regularly squeezing, holding and releasing your pelvic floor muscles – work. More effective though is pelvic floor physiotherapy. Yes, who knew there are physios for your pelvic floor? But they do exist and treatment is incredibly effective. There are also internal electrical stimulation devices that help. If it's severe, there are also surgical options. Your GP won't be shocked – they hear this daily. Speak up. THE GHOST OF ONE-NIGHT-STANDS PAST 'I got herpes when I was 24. I had horrific attacks for two years, then nothing for 15 years. It didn't occur to me to tell my husband when I met him because I'd forgotten I even had it. Then, out of the blue – Bam! – a breakout. I was shocked. I've dodged advances from my husband since and he's starting to get suspicious.' Genital Herpes is a sexually transmitted infection that stays dormant in the body and can reappear years later during times of stress or illness. Anyone who's ever had herpes, knows it's there forever. But it can appear to have gone away if you haven't suffered for a very long time. An attack can happen, totally out of the blue, up to a decade later. If you didn't confess to your now partner – and most don't unless it's active and attacks are frequent - you now live in terror it will continue to return and they'll find out. The stress of worrying about this happening can be enough to guarantee a recurrence. What to do: Herpes is common – around one in six people have it. A frank, mature conversation is the best route. Most people don't dump their partner once they confess to an STI got before they came along. You can't fix it but you can manage it. You can take an antiviral drug daily to suppress outbreaks if they're regular. But if they're few and far between, you're better off just avoiding sex during that time. The bottom line? If sex hurts or fear, shame or discomfort are replacing pleasure, you need to speak up. Too many women silently suffer when most of these conditions are treatable. Your sex life is worth fighting for. Start with a compassionate GP, ask for referrals to women's health physios or gynaecologists and find online communities for support. You'll find Tracey's products at lovehoney and her books wherever good books are sold. Submit a question for her weekly podcast, SexTok, at FOUR MORE SILENT SEX SABOTEURS The list continues... VAGINISMUS is an involuntary tightening of the vaginal muscles which makes penetration extremely painful or impossible. Your body says no even if your brain says yes. It can be caused by trauma (past sexual or physical abuse, painful sex experiences) or negative beliefs about sex. Other times, there is no apparent reason. Lots of women feel ashamed or 'broken' and think there is no solution. The truth is, it's a medical condition, not your fault, and highly treatable with pelvic floor physiotherapy, counselling and the use of vaginal dilators. UNDIAGNOSED ENDOMETRIOSIS: I have two friends whose lives have been torn apart by this condition. Endometriosis is a condition where tissue similar to the uterine lining grows where it shouldn't. (My friend has it in her lungs.) Painful periods are a common side-effect but so is painful sex – especially if it's deep penetration. Diagnosis typically takes years: doctors are very keen to check off the more likely (and easier to treat) culprits of painful sex (like thrush, dryness, inadequate arousal). But keep pushing for scans, laparoscopy and hormonal treatments. All can help. Painful sex is NEVER normal. Demand answers. CHRONIC THRUSH OR BV: The unwanted guests that never leave, recurrent thrush or bacterial vaginosis can lead to constant itching, burning and unpleasant discharge. It kills your sex life because you're constantly uncomfortable, anxious about odour or embarrassed. If this is happening, don't DIY with over-the-counter meds. Instead see a specialist. Often, it's about restoring the vaginal microbiome – using probiotics and making dietary changes, as well as medical treatment. UNHEALED EPISIOTOMIES: If you tore when your baby was born, there's a chance it never fully healed or left scar tissue behind. The result is pain during sex, tightness and fear of re-tearing. Which means – yup! – women dreading intercourse. A specialist women's health physio can help massage scar tissue and guide healing. There are also topical treatments


BBC News
2 hours ago
- BBC News
Bristol NHS merger could create major health organisation
A potential merger between Bristol's hospital trusts could create one of the biggest healthcare organisations in the UK, says its chief Kane, head of both North Bristol NHS Trust and the University Hospitals Bristol and Weston (UHBW) NHS Foundation Trust, says operating as a single organisation will result in "better outcomes" for the 1.5million patients the two trusts merger would reduce the duplication of services and possibly lead to an expansion of services at Southmead Kane said: "I have seen huge appetite from our clinicians to want to come together around what's best for patients." The North Bristol NHS Trust runs sites including Southmead Hospital, while UHBW runs the Bristol Royal Infirmary (BRI), St Michael's, Bristol Children's Hospital, Weston General Hospital and potential partnership between the two trusts would strengthen collaboration across Bristol, North Somerset and South Kane explained she has discovered a wide variation in outcomes for some of the 44 services that are duplicated on both sites, including cardiac care."One of our clinicians talked about the unfairness of getting in an ambulance and being very worried about whether it would turn left or right, because they knew the outcome could be very different," she added. Ms Kane said she hoped the possible merger will create one of the biggest hospital trusts in the UK, second to Manchester which employs more than 28,000 health professionals, and may result in an expansion of services in Southmead."We are setting up a community participation group because whatever we do has to align to need and be acceptable to local people, which we have to do with a finite budget," she Kane said the trusts would be assessing how demand for inpatient services should dictate how different buildings are used, but said she acknowledged people would still like to access services in the city centre. Different waiting lists The trusts are already working closely in specialties including cardiac services - where waiting lists for some minimally-invasive heart procedures are nine months at Southmead, compared with just six weeks at the trusts are using a private company to send mini stick-on heart monitors to patients at home, which they can post back to get a result within just two weeks. University of Bristol student Katherine Barnes has benefitted from the closer working relationship between both hospital trusts. She was diagnosed with an irregular heartbeat earlier this year, and is one of the patients who has used a patch monitor. The 21-year-old competitive cyclist said: "I had been having arrhythmias off and on for about 10 years, but it came on really suddenly during one of the biggest races of the season and so I had to pull out. "I received the patch in a recent appointment and I just sent it back to them and they analysed the data for me." The merger is also improving collaborations in research, including a potential cure for the rare kidney disease, IgA of paediatric nephrology at the University Hospitals Bristol, Moin Saleem, is teaming up with clinicians from Southmead to start a world-first study using gene therapy, which uses a virus to introduce genetic material into the IgA cell to cure them of the disease."The significance we hope will be pretty huge because at the moment there is no curative therapy for this disease," said Prof Saleem."If this switches off the disease then those patients will be able to avoid dialyses completely."Richard Betteridge has IgA nephropathy and hopes to go on the trial. The 32-year-old said: "It really does give you that sense of hope that there's something you can do, and you are also contributing to advancing the science around the management of this condition." Following the Government's 10-year plan, announced in July, a network of local health hubs will be created and Ms Kane added this move will allow them to transfer services to community health hubs, creating opportunities for staff to build new relationships and broaden and UHBW is already seeing an extra 70,000 patients a year through two community diagnostic centres in Cribbs Causeway and Weston-super-Mare and the long-term plan is for more patients to be seen and treated closer to home.