The Newsletter All monies of the Friends of collected are the Manx spent on the Isle Diabetic. of Man. The diabetic No monies are support Group sent of the IOM The Diabetic off Island

The Best and most Informative Diabetic Newsletter on the Issue number 29 Date: June 2010  LEADING FROM THE FRONT Caaryjn Lught Vannin yn Chingys Millish A Charity registered in the Isle of Man. Charity number 894. All monies collected from whatever source will only be used on the Isle of Man for the benefit of diabetics and their medical carers. Remember as from 1st April you need travel and repatriation insurance if you go to the The Group that fights on behalf of the without fear or favour The Love Letters The Secretary of State Capitulates to People Power The Secretary of State’s Comments to the Chairman Interview with Mr Robert Fayle, Gynaecologist Nobles Hospital

In this issue Quote of the quarter The Love Letters From the I.O.M. Minister for the Treasury. The Ex Secretary of State capitulated to people “The Future is Uncertain power The Ex Secretary of State’s Comments to the But I am sure it will be Bright Chairman Interview with Mr Robert Fayle Gynaecologist Nobles Hospital The New Secretary of State for Health in the The Love Letters. UK The Diabetic has had sight of the Love The UK Elections and Proportional Letters exchanged between our Minister Representation for Health and the new Secretary of State Manifestos as Manifestos go The new Island Minister for Health for Health in the UK the Rt Hon Andrew Manx Government renews DisabledGo Lansley. Contract Chairman’s report on the Advisory Council for Disabilities Is this reality? News in brief The Fable The Last laugh Those not to vote for at the next election.

The Hon David Anderson Minister for Health In Tynwald on 18th May 2010 the Minister for Health, The Hon David Food to eat in Food to take away Anderson announced that he had written Food for thought to the New Secretary of State for Health the Rt Hon Andrew Lansley Are all available at congratulating him on his appointment. Feegan’s Internet Lounge 8 Victoria Street, Douglas The Minister said, “I was delighted to hear of the appointment of Mr Andrew Lansley MP to the vitally important post Turning specifically to the issue of the of Secretary of State for Health in the UK’s reciprocal healthcare agreement UK. with the Isle of Man, this is something I have sent a letter congratulating him that we clearly need to address ahead of on his appointment, as well as looking the end of September and I look forward forward to working with him to reinforce to working with the Isle of Man the close links between the Manx and UK Government on this matter. Health Services for the benefit of Yours ever residents of both jurisdictions and Andrew Lansley. strengthening our close relationship”. The Diabetic does not want to dissect Mr Anderson also pointed out that he the reply as it would come as too much of also mentioned in his letter, that the a shock to the Minister, and we don’t preparation of a draft new Reciprocal want to rain on his parade. For starters it Health Agreement is well advanced and does not mention the “Advanced new suggested that they could usefully meet in draft Reciprocal Health Agreement” the due course to discuss areas of mutual Minister says he has, and which no one is interest, including the Reciprocal Health aware of its contents on the Island. This Agreement. should be made public so that we all Mr Anderson was delighted to have know what he is up to. now received a reply from Mr Lansley The Letter from the Rt Hon Secretary dated 19th May 2010, and he said in of State is just a Love Letter of thank you Tynwald quote “I am extremely pleased and nothing else. to have received such a prompt and So far it is all pie in the sky, because positive response which bodes well for the Minister of State does not even the future relationship between the UK acknowledge any kind of draft agreement, and the Isle of Man Health Services”. nor is he meeting the Minister, but as The Diabetic is publishing Mr Lansley puts it he has immense number of Lansley’s reply that ‘bodes well’ talented capable people trusted to do the verbatim so that there is no job. misunderstanding: There are words hidden in the Dear David Minister’s rely, that send shivers down Thank you very much for your kind our backs, like; letter of 12th May congratulating me on “Just as Britain needs a strong and Stable my appointment. It is an immense Government” “There is much to do” privilege to be appointed Secretary of “Ambition to achieve the best Health and State for Health and just as Britain needs Social Care Service” “This is something strong and stable Government, so we we clearly need to address” “Look intend to bring to the NHS the consistent, forward to working with the Isle of stable reform, which enable it to deliver Man Government on this matter”. improving quality of care to patients. To name but a few statements. There is There is so much to do. If I have learnt nothing in the letter to suggest they have one thing over the six-and-a-half years as a draft Reciprocal Health agreement for Shadow Health Secretary, it is that in the after the end of September in place like Health services and social care we have our Minister keeps harping on. immense number of talented, committed What we have to do is demand a and capable people, who want to be meeting, and set out our stall, and lets trusted to get on with the job. It will be forget about Love letters that are played my task to enable them to do this, with out for the Gallery and which our our shared ambition to achieve the best Government continue to misread. health and social care services anywhere Lets all wake up to reality and in the world. get on with it, we, the people are sitting in the wings, and want Surely you would not like the Tories to action, not who loves you baby. come in (if they do), for them to resolve Make no mistake Minister, we the this issue when you have it in your power people shall step in if things go belly up. to do so yourself. In the meantime it is no use getting on ones high horse and saying again and The Ex Secretary of State again we have taken the decision and Capitulated to People Power that’s it. Due to the inactivity of the Manx So I would therefore respectfully suggest that we postpone the cut off date Government in renegotiating some form st of a new Reciprocal Health Agreement of the 1 April, and have a moratorium of six months. with the UK Government before the st deadline of April 1st, the Chairman of the This would take us until 1 October Friends of the Manx Diabetic and like next, time enough to sit down and minded friends called a public meeting at dispassionately review the matter after the the Legion Hall in Market Street, Douglas election. on Monday 8th March last, to discuss the If you agree with this last paragraph rescinding of the Reciprocal Health please let me know and I shall inform the Agreement and what actions should be Manx Government accordingly. Needless taken on behalf of the Manx people. to say your decision is now extremely urgent as we are running out of time”. The Public meeting unanimously decided on a resolution to be presented to the Manx Government by Mr Cannan MHK at the March Tynwald on similar lines. This was scheduled for presentation at 2.30 in the afternoon. The Resolution read: - Doreen Smith. Edith Quaggin, Simon “This meeting requests and requires the Richardson, Henry Ramagge and Chief Minister and Government of the Theo Fleurbaay. Isle of Man to defer the closure of the Reciprocal Health Agreement for a maximum of six months to enable negotiations with the next UK Government and in that period the fund Manx residents receiving NHS treatment in the UK and UK residents visiting the Isle of Man. A scene from the meeting And further as a contingency, to The meeting, with the threat of a develop a travel levy scheme for demonstration outside Tynwald, and universal insurance”. pressure by Andrew Mackinlay MP on We also agreed at the meeting to hold a the Secretary of State, galvanised Andy public demonstration outside Tynwald. Burnham to agree to what we were asking This was arranged by the ladies, Mrs for, a six months moratorium to enable Edith Quaggin, Mrs Doreen Smith of our Government to discuss the matter Manx Blind Welfare and her staff, with further. the help of other ladies to whom the The Chairman had also written to the Manx people should be eternally grateful. Secretary of State saying: - During the morning session of “Unfortunately this is something that Tynwald the Chief Minister and other will not go away, and in an election year members of Government in answer to it is better to have it resolved, than to let it questions from the floor, for the fester when you go to the country. umpteenth time trumpeted that everything vocal outburst and he would clear the that could be done had been done, but that public Galleries. now everything was lost as the British But those present couldn’t have cared Government would not negotiate any new less, they had achieved their purpose, a Reciprocal Health Agreement and that by six months moratorium something that implication nothing could now be the Manx Government had been unable to achieved. do for two years, judging by their The Manx Government exonerated statements in Tynwald that morning, and themselves by saying it was not their their intransigence since they had been fault, but that of the British Government. informed of the cut off date. The Diabetic wonders why Brown was called at lunchtime by Burnham to tell him of his agreement to the moratorium, prior to the presentation of the people’s motion and the demonstration. We wonder who asked the Secretary of State for Health for a moratorium of six months, and how he knew of this Crowds outside Tynwald request. At 1.45 p.m. a well behaved and Surely if our Government had asked sizable crowd of concerned Manx people for the moratorium, they could have been gathered outside Tynwald with placards told of the agreement at any time and not demanding action by the Manx at the eleventh hour just before the Government. people’s motion at 2.30, and the power of At the appointed time the people the public meeting and demonstration. crowded into the public gallery and they This shows that it was people power had to open the disabled gallery to admit that did it and not the Manx Government more able bodied people, with quite a as they claimed by immediately doing a number left outside the building, and u-turn and jumping on the bandwagon. runners available to tell them what was We, the people, may appear to be silent happening inside. now in the hope that the Manx But before the debate could get under Government will now pull up their socks way and before Mr Cannan could present and negotiate a permanent Reciprocal the People’s Motion, the Chief Minister Health Agreement on a similar basis as stood up and indicated to the President of to the six months extension agreement Tynwald that he wanted to make a that has been negotiated for them by statement. the peoplee, where no one pays each He told the court and all those packing other anything but treats all patients the public galleries that he had received a for free. phone call at lunchtime from Mr This is the basis of the proposal that the Burnham the Secretary of State for Chairman of the Friends of the Manx Health, who had informed him that he Diabetic had put to the Secretary of State had agreed to an extension of six months Mr Andy Burnham on 7th December last so that the matter could be discussed year. The people may appear to be silent, further. but the people have not gone away. Those in the Public Gallery cheered, If the Manx Government, the Minister for in spite of all the negativity of the and the Civil Servants put a foot out of Government in the morning and over the place the people shall be on their necks past two years, it was they, the Manx like a ton of bricks once again. people that had won the day. We have not thrown away our placards, The admonished they are just in storage in case we need them saying that any repetition of their them again. The people promise the Brown called a public meeting to demand they Government and members of departments themselves take action. that they shall be keeping a watch in The Diabetic presumes it was Mr Teare brief. Let them not think the Manx people and Mr Brown that had called a have forgotten the Brown Government’s demonstration to demonstrate outside decision in the October Tynwald and all Tynwald against themselves because of those that voted against them, (see last their inactivity. page) to let the people fend for The Diabetic presumes Mr Teare and themselves after two years of their Mr Brown were in the UK supporting inactivity. Andrew Mackinlay MP in the public Nor the way they had been abandoned, gallery of the House of Commons, at or for one moment that Brown and his every opportunity that the Isle of Man and block vote may think we shall not pursue the Reciprocal Health Agreement had the matter ourselves if they once again been discussed. fail the people. The Diabetic presumes it was Mr Teare The Chairman and his like minded and Mr Brown who on 7th December friends who managed to get the six proposed the present type of deal to the months extension would like to thank Mr Secretary of State where no money SHK, Mr exchanged hands and, MHK, Mr John Houghton MHK, Mr The Diabetic presumes it was Mr Teare MHK, Mr and Mr Brown who had asked the MHK and Mr David Callister MLC for Secretary of State for a six months their help and support in coming to the moratorium like the Chairman and the meeting and helping the people of the Isle Manx people had done. of Man both in, and outside the House Mr Teare who had the misfortune to and Tynwald, in trying to resolve this have the Reciprocal Health Agreement issue. rescinded on his watch, and who should Their help in no uncertain manner have been looking after the interest of the motivated the Secretary of State for Manx People on the rescinding of the Health in his U-turn immediately prior to Reciprocal Health Agreement said in the motion being presented in Tynwald. December 2009. The Chairman would also like to thank Quote “The Isle of Man has to be Mr Simon Richardson for kindly acting as realistic and responsible and accept that Chairman of the public meeting with his the United Kingdom Government’s door patience and understanding and his is firmly locked on this issue. excellent control of the whole event, also For more than a year now the United all the Manx people that attended. Kingdom Government has made it very The Chairman acknowledges Mr John clear that this is a policy decision that is Shimmin MHK, and Mr Bill Malarkey not open to negotiation”. Unquote. MHK who attended the Public Meeting as Until the Chairman and his like minded observers. friends intervened. And last but not least, thanks must go So how can he claim he did everything to all those that sent messages of support with these kind of statements? to be read to the meeting. Yet he went to negotiate and threw in Oh by the way, a comment from the the towel before the first punch was Chairman, quote “The next morning Mr thrown (see the minutes). Teare went on Radio and claimed it was Did Mr Teare and Mr Brown ask for a him and them (whoever them are), that six months moratorium at this meeting? had got the deal through. I nearly threw We have searched the minutes and up into my porridge” unquote. found no mention of Mr Teare or Mr The Diabetic presumes it was Mr Teare Brown asking for a six months with the help of Mr Brown who had moratorium. It was a good job the Chairman and his agreement with no money changing hand like minded friends and the six MHK’s each one paying their own way. didn’t have the same defeatist attitude Mr “This new arrangement” Mr Burnham Teare appeared to have. tells the Chairman “will bring the Isle of No wonder he was sent to education. Man agreement in line with other agreements that the UK has with a number of non-European Economic Area The Chief Minister on the Reciprocal Health Agreement on Radio on Tuesday 11.05.2010 countries”. We fought very much to retain that. What he is reminding us is that we do (Another derisory statement) not belong to the EU, therefore as far as the UK is concerned we are technically not Europeans, we are non EU members, THE EX SECRETARY OF and because we are outside the non- STATE’S COMMENTS TO European Area we are being treated as residents outside the EU and have been THE CHAIRMAN treated, and will be treated as such in the The Diabetic will now deal with the future. This also has other ramifications. contents of a letter from the Ex Secretary The Diabetic feels that we should of State in answer to that of the Chairman threaten them with going independent of the Friends of the Manx Diabetic. and they will sing a different tune, for As usual the Ex Secretary of State’s starters they couldn’t take the 100 comments are in normal case, and those million from us, or any more money of the Chairman will be in italics. when the UK Government puts up VAT. He confirms that, “Immediately necessary treatment will continue to be free of charge to Manx residents visiting the UK and vice versa”. This is what the people of the Isle of Man had been fighting for, and now people power has carried the day. The Ex Secretarty of State for Health Mr Something that the Manx Government Andy Burham has been telling us for two years they Mr Burham told the Chairman, could not do, and had thrown in the “It has been agreed that termination of towel, like Mr Teare claimed in the bilateral health care agreement December 2009. between the UK and the Isle of Man will “Both Governments have agreed to be deferred by six month from 31st March keep the situation under review with the 2010, the date it was due to end”. expectation that this could form the basis This concurs with the suggestion as of a new reciprocal agreement, which made in the Chairman’s letter to Mr Andy would come into place in the autumn if Burnham, see the previous article in this the new arrangement is working for both months diabetic, and the motion as parties”. unanimously agreed by the Manx people Here he is telling us that he hopes “this at the public meeting. could form the basis of a new reciprocal He emphasised, agreement” “No public money will change hands This is something that he has not said between our respective Governments”. before as he is now talking of a new This again is in line with the Reciprocal Health Agreement. Chairman’s basic proposal to the People Power, People Power, not Secretary of State prior to the elections in Government intervention. his letter to him of 7th December last, an As the Chairman said to him, “it is no use getting on one’s high horse and saying again and again we have taken the Otherwise the people of the Isle of decision and that’s it. So I therefore Man will once again have to show them respectfully suggest that we postpone the the way. cut off date of 1st April and have a Not only how to go and negotiate, but moratorium of six months.” also show them the door at the ballot The door is therefore now wide open box. and it is now up to the Manx Government to negotiate, if they know how. However we must once again reiterate, Interview with Mr Robert and again bring to the Government’s Fayle Gynaecologist Noble’s notice, as we have done on many Hospital. occasions before, that what they should Because of the problems with the do is get a permanent extension to the six introduction of new arrangements for the months moratorium, with no money Hospital pensions scheme, The Diabetic changing hands. How difficult can that went to Nobles to talk to Mr Robert be? The Manx people have already put Fayle, who is the lead consultant the Brown Government 99% there. representing the medical profession at If our Government is foolish enough negotiations, or as he put it non to ask for money, they will be shown the negotiations with the Government of the door, and they will get no permanent Isle of Man. agreement whatsoever. He ends up by telling the Chairman, “The Department believes that it has arrived at a position which not only provides the UK taxpayer with an agreement that represents value for money, but also ensures arrangements for travellers on temporary visits remains the Mr Robert Fayle same as they are today”. Gynaecologist Nobles Hospital We must maintain this Status Quo, Mr Fayle is a Manx man, and as we anything else or suggestions of any type knew he was diabetic, we asked him of payments and there is no agreement on when had he been diagnosed? the part of the British Government, not He explained that at the time, he was even the New Government will agree to 13 years old when he was diagnosed as this. having diabetes. He was diagnosed as “I hope this reply clarifies the being Insulin Dependant with Type 1 Government position on this matter”. Diabetes. It is loud and clear. He had been admitted to hospital as an The Diabetic hopes the Manx emergency with diabetic ketoacidosis. Government is also listening, and we He was under the care of Dr Ralph hope this clarifies the situation for our Bourdillon who was at that time a young Government. Consultant! If not, God help us all. Dr Bourdillon is now retired, and a Once again the British Government Trustee of the Friends of the Manx opens the door with its intention to come Diabetic. to the negotiating table and a possible The Diabetic wanted to know if he deal. remembered what diabetes was all about It is now up to the Manx Government in those early days. to grasp the nettle and show us that they In those days, he said there were no can work for the people of the Isle of strips for checking blood sugars, as we Man. know them today, they weren’t The people that elected them. introduced until the 1980’s. He explained the system, as we all well When he started working in very busy remember, you tested urine sugars by Maternity units during training, it was not measuring out drops of urine, drops of uncommon to start work at 9am on a water and having a tablet which made the Saturday morning and finish at 5pm on a solution change colour, which you then Monday, having only had a couple of compared with a chart on the box. hours sleep all weekend! Of course, this gave you a very poor He was thankful that those days were indication of diabetic control. In those now behind them! days there were no tests such as We wanted to know from his point of HbA1c’s. view what had been the changes he had He said he remembered that insulin seen in diabetes since he had been came in 20, 40 and 80 strengths and he diagnosed. thought he was started off on insulin He felt that there had been tremendous called I.Z.S. Lente and soluble insulin developments in diabetes even in the time with two injections a day. that he had been a diabetic. He pointed out he had a glass syringe So on a personal level the introduction and re-usable needles which were stored of blood glucose monitoring had been a in industrial meths. huge step to enable much better control. There wasn’t a dedicated Diabetes He remembers paying £100 in 1981 to Centre at Nobles as there is now, and you get one of the first meters. were seen in the general outpatients, by (He was lucky the Chairman paid £175 consultants who were not diabetologists at John Bell and Croydon in London, We wondered if his diabetes had when he lived there, and it is now on loan affected his career choice. at the Manx Diabetes Centre in its display He pointed out that as a result of his cabinet, and still working. It’s like a admissions to hospital with his diabetes, miniature brick). he became interested in doing medicine Mr Fayle continued, the introduction of and he supposed it is as a result of that the insulin pens which to many people that he became a doctor. wouldn’t seem to be that important but to At the time he wanted to be a doctor, him made a huge change to going out and there was still some concern amongst taking insulin out with him. some people about whether you could be He pointed out that he used to have a a doctor suffering from diabetes, as it was special box containing all of his glass largely seen that people with diabetes at syringes, needles and insulin. the time, had a tendency to collapse. He was of the opinion that it has been Strangely enough, even at medical very interesting personally, having been school some of the doctors he worked for diagnosed at the age of 13 on the Isle of were concerned about people with Man and then moving away and coming diabetes going in for surgical specialities back, to see the tremendous strides that and such like. have been taken on the Isle of Man as One of the things he is delighted to see well as nationally. is that this misconception about people A huge milestone for the Isle of Man with diabetes has been overcome, and he was the establishment of the Diabetes had recently read that a person with Centre with specialist nurses, podiatrists, diabetes qualified as an airline pilot. dieticians all under one roof and the He was glad to see that there is now appointment of Dr Khan, a Specialist in understanding that, with good diabetic Diabetes, who has developed and leads a control, diabetic people are exactly the marvellous service. same as everybody else. He was most emphatic that this was On a personal level he had never something which those involved in its found that his diabetes interfered with his development should be very proud of, and job in any way. something that all diabetics want to see We are grateful to Mr Fayle for taking continuing to develop. time off in his otherwise busy schedule to In his own speciality, he has been talk to The Diabetic and we thank him involved in the care of a number of profusely. pregnant women with diabetes, these are We wish him every success in his high risk pregnancies. negotiations with the Manx Government The appointment of Mr Ghosh, the as regards the pension’s situation, as we latest Consultant Obstetrician and wouldn’t want to end up like some Gynaecologist, who has special hospitals the Chairman is very aware of, responsibility for the management of and has personally dealt with in third diabetes in pregnancy, is a new and very world countries. welcome development. There are still exciting developments in The New Secretary of State understanding diabetes with the introduction of new agents and for Health in the UK tremendous progress in the management We now have a new Government in the of diabetes in pregnancy. NICE UK, with a new Government comes a Guidelines have contributed to this new Secretary of State for Health. development. After his lucid exposition on diabetes we wanted to know what he was looking forward to in the future. Of course, like all diabetics, he was following with interest the progress and development of pancreatic transplants and The New Secretary of State for Health the injection of pancreatic cells into tissues. Rt Hon Andrew Lansley He thought that being realistic it was still someway off and probably too late The new UK Government is formed by for him, but still a fascinating area of a coalition of Conservatives and Lib- development. Dems. He was of the opinion that in the past This means that even though they have 30 years or so, he had seen tremendous agreed a full Parliament, with fickle back developments for diabetic services on the benchers there is no guarantee that it will Isle of Man and as we all know, diabetes carry the course, and we could have is becoming more common with a another election in the Autumn. modern lifestyle. We therefore must strike now. He was very keen to see the continued The coalition means that it could development of the excellent services and possibly interfere with the present healthcare that we receive on the Isle of Reciprocal Health Agreement which now Man. ends on 30th September next, if they have On a personal level he said quote, “I to go to another election. have great concerns for the future, like We therefore have to get moving and everybody else in the profession, with fast, The Diabetic suggests the Brown regard to future recruitment of all Government looks up in the dictionary healthcare staff to the island when the Isle the definition for ‘fast’. of Man Government severs the link with Also as regards our Government’s UK pensions. problem with the Rescinding of the This has the potential to have a huge Reciprocal Health Agreement, they shall impact on recruitment of all staff within now have to contend with arguments the diabetic service and worries me on from two parties, and it could be that they both a personal level and a professional each have different ideas, and have to level” unquote. come to a compromise which could be to representation, and this is what happens the detriment of the Isle of Man people. with proportional representation. That is why the Chairman had There is no outright Government suggested to Mr Teare and Mr Brown that because there is no winner with the they had to cultivate both parties when necessary majority to form a these parties had been in opposition. Government, so it should have come as We must keep in mind that they may, no surprise to him. with Vince Cable thinking and their The Lib-Dems would never be able to present money problems, that they may form a Government by themselves, there come once again knocking at the door of will always be no outright winner under the for more money, proportional representation in a country as we have previously pointed out, once like the UK, and what they want is to be they put up the VAT to 20% or twenty King makers at all elections with the two and a half percent. country in one hell of a mess, pushing Don’t for one minute think they are through their policies through the back going to let us keep the difference. door. All of a sudden they would be in The Chairman has already said that the constant power Isle of Man is the herb garden of the The Chairman has had great experience United Kingdom and whenever they want with proportional representation, because anything they will come and pluck us. Gibraltar has proportional representation If this happens again then there is no and whilst in Gibraltar he has been at option but to go Independent and fully every count since he was sixteen. join the EU. And then being the Head of Television Our Government has proved they and Radio, they always covered all couldn’t cope with one Party, so what is elections and counts live. going to happen now when there must be However unless you have a a consensus of two to agree anything, in manageable number of candidates and it particular when Mr Teare is not there to is in a small country area like Gibraltar, do all the negotiations on our behalf and where the whole of the electorate votes take all the glory? for 8 candidates in each polling station, This could be a disaster, as we were so because 8 members command a majority dependant on Mr Teare. in the Government. The ballot paper has the names of all candidates at all polling stations, (there Advice from our Advisor to another Adviser are no constituencies or wards), so unless Never go to bed mad, you are really voting with a choice for Stay up and fight! them all, it does not work. Look at the many Governments in Europe that exist on a wing and a prayer, The UK Elections and without party majorities. Proportional Representation. How many Governments has Italy had The UK Elections were summed up in since the war? one sentence by Lord Paddy Ashdown of What happens, they have to hold the Liberal Democrats when he said: negotiations after each elections. The moment the coalition falls out with “The Country has spoken, one another, or they can’t pass budgets but we don’t know what they etc, they have to bribe other minority parties with concessions to vote with said”. them. Surely he must have known what they We just have to look at the Isle of Man, said, for after all he wants proportional and we have first past the post, but we have to create a block vote to Govern. Our Government without political they have the biggest majority of seats parties cannot maintain power or pass and can get through what they themselves anything with their nine supposed want which the majority of people in “independent Ministers”, so they have to individual constituencies didn’t vote for. put their hands in the Government Going with Labour would only have pockets and pay independent members tolled their death knell as at the next elected by the people on totally different election they would then not even have manifestos they had promised to the the number of seats to argue the toss. people, to be able to Govern. So proportional representation could If they don’t vote with the Government really spell the end for the Lib-Dems. in a block vote, they are sacked and loose No wonder Lord Ashdown can’t their money. fathom out whether he is coming or What a way to Govern. going, because they have not thought it Is this democracy? It is no where near through properly. democracy, not when one person wields However The Diabetic can tell him it’s the sword of Damocles over everybody because he does not know the else who each have independent implications of proportional manifestos. representation. However the moment these members decide to look after their constituent’s As one MP put it interests and put them first, the “There is no use complaining about the Government would become a dead duck, Air, if there is no air to breath. unless the Government have 13 Ministers and the rest are in opposition. Then it would be a proper democracy. Manifestos as Manifestos Go. But the 13 Ministers must belonged to The UK election produced a plethora a political party, otherwise they have to of Manifestos from every party that stood ditch their manifesto promises to their for election. constituents. They would have been The Manx Media of course did not elected under false pretences. comment on any of them except to say Mr Malarkey, by this system the Chief that the Official Monster Raving Looney Minister would really be elected by the Party had claimed in it’s manifesto that people like they do in Gibraltar, because one of the points they wanted they have party politics, and the leader of implemented was that they proposed that the elected party with the majority, the Isle of Man be renamed “The Isle of automatically becomes Chief Minister. Man, Woman, Children and some So in the UK, within six months one Animals” as not just men lived there. will stab the other in the back or their As none of the other points in their back benchers won’t vote the way they Manifesto appear to have been mentioned are told, and we shall have to go to in our media, The Diabetic though we elections, because a vote of confidence would give you a sprinkling of the 98 would be lost by the coalition points in their Manifesto. Government. Here with their corresponding numbers This will be the common practice with for your delectation are some of their proportional representation in the UK, an proposals. election after every six, nine months or a 1) To combat global warming and year, with the Lib-Dems in minority climate change all buildings should be power for life, demanding what they want fitted with air conditioning units on the from one party or another, and the outside. country held to ransom and at a standstill. 4) It is proposed that all politicians At present it is in the interest of the be made to swear a “hippocratic oath”, Lib-Dems to go with the Conservatives as preventing them from telling lies. 6) It is proposed that The European THE NEW MINISTER FOR Union end its discrimination by creating a “Court of Human Lefts” because their HEALTH present policy is one sided. 16) All socks to be sold in packs of 3 as a precaution against losing one. 19) Sell shares in Northern Rock, buy shares in Blackpool rock! 28) It is proposed that we change the English Symbol of three lions to 3 Badgers. How often do you see lions Minister for Health Mr David Anderson running round our countryside? The Diabetic would like to congratulate 30) The Isle of White should be the new Minister for Health Mr Anderson changed to “The Isle of Mixed Races, and on his elevation to his new post. Cultures Located off the Coast of Britain” The Chairman wrote to him on the 31st 34) Bright pupils will be provided March so that he could get the letter on 1st with dimmer switches to prevent then April, and expressed the good wishes of distracting the rest of the class. the Friends of the Manx Diabetic, 43) Languages should be banned in offering our help on anything he may schools as most kids (and adults) have require that would benefit the Manx trouble with English. people. 44) It is proposed to declare the Unfortunately the first of four actions Channel Tunnel a no fly zone. to date of the Minister was to threaten to 55) Since Iraq needs to have a proper close down part of Meds. infrastructure before they can run their However his suggestion and that of his own country. We propose we send our advisors or is it advisers backfired, as the traffic wardens out to Iraq to give tickets Doctors were more interested in the to American Jeeps and Tanks illegally patients than their pockets, and decided to parked thereby raising much needed proposes to the Minister they take a ten revenue for the Iraq Government. percent cut in their salaries and the 56) Since we have Guy Fawkes day Minister relented. because Fawkes ATTEMPTED to destroy If the Doctors were prepared to meet Parliament (penny for the Guy mate) and the 10% savings that the department is we burn effigies of Fawkes, should we trying to find across the board, why not have a John Prescott day for hasn’t the Minister cut 10% of his own SUCCEEDING to destroy Parliament, salary and that of all his civil servants, well credibility at least (Penny for the instead of cutting front line services that John mate) and we would throw John on will affect preventative care for the Manx the Bonfire. people, and in the long run cost the 58) We propose dedicated pogo stick Health Department more money, not to lanes on routes to centres of work. mention the pain and suffering to the 71) Chocolate be available as a Manx patients. prescription drug. However he did say in Tynwald that it 79) To get more men to watch was all fiction, contrived by the press, the women’s football all players should have doctors and the people, until one doctor to swap shirts at the end of games. came on Manx Radio and told it as he 93) Supermarket Trolley Formation saw it. Dancing should be made an Olimpick The Doctor said they were called to a event. meeting and presented with a fait Hope you enjoyed this, you can go into accompli, and told to keep it quiet and not their website and get the whole even to tell their wives or office staff. Manifesto. The Brown Democratic Government in Someone told the Chairman that the full flow! Ministers and members of department As the Chief Minister said in House on were like Ostriches putting their heads in 18th May last, “I don’t need lessons in the sand. democracy, I am very Democratic”. However he feels they go one better, The Chairman was in Tynwald that day they carry buckets of sand around with and spoke with MHK’s and told them of them just in case of an emergency. the Doctors decision and their 10% offer We should get together and buy them of cuts before the Minister even got on each a multicoloured bucket as a his feet, but he did not really mention Christmas present. this. Oh and we have problems with bowel How did he put it? It had been cancer screening. We presume that the negotiated by his department. powers that be believe there is no need Another side splitting statement. for this. Next we had the proposed closing of But don’t worry as the saying goes some aspects of the Podiatry facilities. everything will be alright on the night, This is a monumental mistake as until someone dies or have their legs without proper preventative care this will amputated. backfire on the Health Department’s We will then look forward with avid future budgets, not to mention most or all interest to the Government’s next excuse, our elderly patients who are at home and we presume they will say it is the won’t be able to cut their nails as they people’s fault for getting sick and dying. can’t do it themselves or afford private Next Mr Anderson confirms a attention. reduction in physiotherapy facilities. The Chairman is a case in point having Just a note, those like the Chairman lost a leg because there was no proper who needs physiotherapy are most Diabetic Centre with its attendant grateful to these wonderful people, and podiatry facilities when his problems owe them everything, as without them the started. Chairman would not be walking, and like And then we have in Tynwald the many others they would all end up in progressing of the pensions scheme which their wheelchairs for life. is already affecting recruitment of Or does Mr Anderson want the medical people at Noble’s. disabled people of the Isle of Man The Health Department is crawling about on the floor and down unconsciously changing our hospital Strand Street, for lack of facilities? services, as instead of UK trained But then again Mr Brown’s personnel looking after the Manx people Government we are told,…….he tells us we shall eventually be having eastern himself…….is a caring Government. block trained medical personnel. In reality, a Government which does The Diabetic knows of consultants who not care about preventative care, for the were going to come and have had second sake of saving a few pounds here or a few thoughts because of the pensions and are pounds there at the expense of hospital now not coming. These will probably be facilities, whilst wasting millions here the first of many. there and everywhere is not a We have been told by the health Government of care for the people. department it is not the proposed Well done the Brown Government pension’s scheme why they didn’t come enjoy it whilst your all can. to the Island, it was their wives that didn’t Great, you are showing yourselves the like the Island. door at the next election. Is a Zebra black with white stripes or So all in all Mr Anderson and his white with black stripes? advisors or advisers have had a very What will be the excuses next? excellent start. In excuse he says “He is Remember by the same token the disappointed” so are we all…… with him. people will vote you out. He continues “We have neither the A little word of advice to the Minister money nor the personnel count” We and his advisors, when businesses find might, if you all took a cut in salary they are doing well, and they have an starting with yours. increase in business and too many Wonder where he is going to try to customers, the don’t shut down half of diminish facilities next? their departments or refuse to take on We shall have to wait until the first more customers or turn them away, you deaths and then where are they all going know what they do? they employ more to hide. people to deal with all these customers. The Diabetic says don’t vote for them We have already explained to the at the next election. Director of Health Strategy and The Diabetic and the Chairman have Performance verbally and in no uncertain categorically told the Government, and manner what a hospital was for when an Mr Teare specifically at a meeting on 14th old dear was informed that they could not December last that they had to maintain look after her problem because Noble’s the front line services. was not taking on any more new patients. 1) The Health, and Care Service, Incidentally the New Health Minister 2) Education and was seen at the Prosthetic and Orthotic 3) The Police. Clinics with his advisor or is it adviser, All savings must come from other having had meetings with the staff there. departments, Managers and people doing Maybe he is thinking of closing part of nothing but carrying papers about to the Prosthetic and Orthotics down or meetings after meetings, but not from the extending their visits to once every four front line services. weeks or more to save money at the We have a Chief Executive Officer, a expense of the disabled. Deputy Executive Officer, and we also The Friends of the Manx Diabetic have have a Director of Health Strategy and already given the old DHSS, in fact to Mr Performance, to mention but a few. Killip at a meeting that Mr John The Diabetic has nothing against these Houghton MHK and the Groups Deputy good people however they used to run the Chairman, Mr J Ludford-Brooks DHSS, now with half the staff, and a attended, how to go about this, and the smaller budget they are in fact running New Minister could do well to look it up, half a department. Not to mention all the before he pontificates because our other civil servants down the line. proposal was the sensible way to go. Where are the Chief Ministers savings? Or he could give the Chairman a call What we really need is for all these and they could meet and he would explain appointments running half departments, all over again. the 26 managers at Noble’s and all the On the other hand as he was seen civil servants to take at least a 10% cut in coming out of the Plaster Room in the salary and not cut health services. Clinic, he may have gone for a plaster Where are all these savings that the cast of his bright ideas to keep for Chief Minister proclaimed from the top of posterity. Snaefell, and convinced himself, his Ministers and his members of Department Manx Government renews but nobody else? Mr Anderson, these are the type of DisabledGo Contract. posts that your have to resolve to save At a meeting of the Steering Group of monies, not put at risk the health of the DisabledGo-Isle of Man, those present people of the Isle of Man that voted you were informed that the Manx in. Government after protracted negotiations has renewed the contract of DisabledGo. The Diabetic and in particular the Or 69 hits per day. Chairman welcomes this move as a These are the number of people that sensible way forward for both parties, and consult, DisabledGo Isle of Man which is in particular the disabled people of the fantastic. Isle of Man and disabled visitors to our Isn’t it worth having such a facility? beautiful Island. It just shows you the power of disabled At the meeting The Chairman people in the Isle of Man, wanting to visit congratulated the Manx Government places on the Island, and in particular the representatives who were present, saying power of the disabled pound. that they had done the right thing and that Our shop owners should take note of this was the right way to go forward. and have the necessary facilities in their The meeting was told that, premises for wheelchairs to be able to DisabledGo now has over 80,000 move around and access their products. guides in 75 areas of the UK, and is It is also about time that our working with over 75 local authorities Government introduced the Disability across the water and Ireland. Act, so that the disabled of the Isle of It is working with over 100 Man are properly looked after when Universities and Colleges, and with over going about their legitimate business. 20 NHS Trusts and PCT’s. As from May this year DisabledGo is They have now redesigned their renewing the information available on website and it is more comprehensive DisabledGo-Isle of Man. than ever. In addition to revisiting any venues They have launched the DisabledGo with a physical access change, Community Forum. This is to enable DisabledGo will add another 25 new users the opportunity to discuss topics Detailed Access Guide venues to the relating to disability and accesses or DisabledGo-Isle of Man website. whatever they may want to discuss. After the presentation by Kimberly As of December 2009 DisabledGo Dixon there was a question and answer lauched their first monthly e-bulletin, session which ranged from disabled which is currently being sent out to 2000 parking bays on the Isle of Man to the people. If you want to join the mailing role of the Tynwald Advisory Council for lists please go to the Homepage on the Disabilities. website and fill out your details. Finally Kimberly thanked those present DisabledGo is now also working with for their input and support which OpenBritain. This is set to become the DisdabledGo very much appreciated. UK’s premier information service on If you have any comments please accessible tourism as the two leading contact [email protected] brands for disability information come together, with information on respective venues being supplied by DisabledGo to Chairman’s report on the the www.openbritain.net website. Tynwald Advisory Council As regards the Isle of Man website, for Disabilities. The Diabetic has been informed that the The Tynwald Advisory Council for number of hits on the Isle of Man Disabilities held their annual meeting at Website were over 25,000 during the The Manx Foundation on Monday 17th course of the year. May at 7.30 in the evening. Taking this figure of 25,000 hits we have the following consultations of the DisabledGo Isle of Man website. 25,000 hits per annum That is 2,084 hits per month Or 481 hits per week Phil Braidwood MLC He asked those present to consider the Chairman Tynwald Advisory Council for recommendations within the report and to Disabilities highlight any areas that they might feel The Chairman Mr Phil Braidwood in are not met either with the Department or starting the meeting said that he would the Committee. like to highlight some of the matters the As regards Dialysis Treatment this Committee had dealt with since the last regarded the question of payment whilst meeting, which may be of interest to in the UK for treatment. He pointed out those representing Groups in the that they were waiting for a response to a auditorium. number of questions they had raised with He said that they had originally raised regard to the matter, and they will report concern with the Isle of Man Ambulance further on this in the issue of their service regarding the early collection time summer newsletter. of patients being transferred to Nobles We then came to the committees visits Hospital. undertaken during the past year. At the time the Red Cross was starting The Committee had visited Nobles the morning collection from Ramsey and Hospital, in particular they had working its way down to Douglas, but concentrated on Newlands. was advertising a standard pick up time The Accident and Emergency, the early in the morning for everyone. work of the Nutritional Action Group, the Mr Braidwood was pleased that new patient admission system and they following a customer service survey, a had also discussed the new medway new Patient Transfer Leaflet has been computer system, which is to be the new produced which shows staggered improved system of maintaining hospital collection times for patients. This he records. emphasised would give more accurate They had also visited the Hyperbaric times for pickup within areas. Chamber and Castleview Nursing Home. He then went on to the vexed question Mr Braidwood then paid tribute to Mrs of display boards on the pavements Kath Parkinson who had tendered her outside shops. resignation from the Committee, and he This he said had been an ongoing wished her well for the future. problem for some time, he considered He said that Kath would be sorely these boards to be a hazard for people missed. with disability. With the restructuring of Government He explained that he had been recently Mr Braidwood introduced Mr Tony Lever advised by the newly appointed Minister and Mr Norman McGregor Edwards, to for Infrastructure, MHK, that talk about their new departments. he has discussed this matter with officers We were then showered with platitudes and had agreed a way forward which of self assessments and how wonderful should result in a significant improvement everything would be. shortly after TT week. The Chairman of the Friends of the He did not say what the “significant Manx Diabetic in no uncertain manner improvement” would be. We await with put them both though their paces and the bated breath. least said of their answers the better. The next point he brought up was Surface to say that Mr Lever confirmed Primary care Patient Safety and that no savings had been made with the Governance Committee. split up of the department, but expected to Mr Braidwood said they had requested do so when they bought things a copy of their annual report and had collectively, the Chainman wanted to asked the Department of Health for know if he meant the collective buying of permission to make available the report at paper clips. the meeting. Mr Edwards on the other hand in reply 4) Discharge status: - Alive, but to a question from the Chairman as to without my permission. why they had not cut their salaries instead 5) Health, appearing decrepit 69 of cutting front line services at the year-old male, mentally alert, but Hospital, explained that their salaries had forgetful. been frozen for a year (Whoopee). 6) Whilst in ER, she was examined, However on being pressed he x-rated, and sent home. confirmed that if the Government took a 7) Patient was alert but unresponsive. cut in their own salaries and told the civil 8) Examination of genitalia reveals service to do likewise, they would have to that he is circus sized. accept. 9) The lab test indicated abnormal Over to the Government, how about it lover function. Mr Brown? 10) Patient has two teenage children This would help no end with your but no other abnormality. problems and it would obviate cutting 11) Note from one Doctor to another:- front line services. The British Between you and me we ought to be able Government Ministers have done it so to get this lady pregnant. why not you? 12) By the time he was admitted, his Mr Edwards intimated it was up to the rapid heart had stopped, and he was Government, feeling better. But he again pointed out they had 13) She has no rigors or shaking already taken a cut by not having an chills, but her husband states she was increase in their salaries this year. very hot in bed last night. The British Government has also put a 14) The patient was in the usual state moratorium on the employment of new of good health until his plane run out of civil servants. That is also a good idea. fuel and crashed. The ball is in your court Chief Hope the medical staff can understand Minister. them. Many thanks for the contribution, keep them coming.

Mr McGregor-Edwards, Director of Health Strategy and Performance News in Brief “No service areas are immune from Scientists have now come up with the scrutiny as taxpayers would expect idea that Dolphins could hold the key to there are no sacred cows or no go curing diabetes. areas” Researchers have found that the Does this mean staff salaries as well? Dolphins have a form of adult onset diabetes, but they have the ability to turn it on and off. IS THIS REALITY? The discovery, scientists claim, could This quarter’s quotes are sent to us by open the door to revolutionary treatments Michael and Elaine in Bicester and we are for diabetes in humans and could even told that there is no need to worry about eventually give rise to a cure. the sentences typed by medical secretaries in the NHS Greater as doctors If you sleep badly, it increases the risk know what they mean. of diabetes. 1) The patients has no previous Researchers are now suggesting that if history of suicide. you have a bad night’s sleep, it not only 2) Patient has chest pains if she lies leaves you tired and irritable, but many of on her left side for over a year. them could increase your risk of diabetes. 3) The patient has been depressed They maintain that just one night of since she began seeing me in 1993. tossing and turning and getting only four hours sleep, will affect the body’s ability to use insulin to convert sugar into The Fable energy. The characters in this fable are Disruption of this process can lead to fictitious, any resemblance to any diabetes, the Journal Endocrinology and Government department or personnel are Metabolism reports. purely coincidental. It says “Sleep duration had shortened The ANT considerably in Western Societies in the a fable. past decade, and simultaneously there has Every day a small Ant arrived at work been an increase in the prevalence of very early and started work immediately. insulin resistance and Type 2 Diabetes. She produced a lot and she was very happy. Pine Bark to High Cholesterol Rescue? The Chief, a Lion, was surprised to see Previous research has shown that pine that the Ant was working without bark extract might help reduce blood supervision. pressure and mild hypertension, although He thought, if the Ant can produce so it is not clear why. much without supervision wouldn’t she Now in new trials, patients over 40 are produce even more if she had supervision. also to be prescribed the extract to test its So he recruited a Cockroach, who had benefits on high cholesterol levels. extensive experience as a supervisor, and In the clinical study at Kyoto who was famous for writing excellent University in Japan patients will be given reports. 200mg daily for 12 weeks. The Cockroach’s first decision was to Various benefits, have been claimed set up a clocking in attendance system. for pine bark extract, including helping to He also needed a Secretary to help him reduce blood sugar levels in diabetes, write and type his reports and, though there is little scientific evidence He recruited a Spider who managed the for this. filing systems, and to monitored all phone However it is hoped that the trials may calls, which the Ant, amongst her other shed some light on its potential. duties had been doing, The Lion was delighted with the Should we be going Nuts? Cockroach’s reports and asked him to Published in the Archives of Internal produce graphs to describe production Medicine journal, it looked at studies rates and to analyse trends, so that he using walnuts, pecans, macadamia, could use them for presentations at his almonds, hazelnuts and peanuts. many daily meetings. Researcher Dr Joan Sabate of So the Cockroach had to buy a new California’s Loma Linda University said computer and laser printer and, all types of nuts are good for cutting He recruited a Fly to manage the IT levels, and the more the better. Department. She said that “Nuts are a wholesome The Ant who had once been so food that had been consumed by humans productive and relaxed, hated the new throughout history. plethora of paper work and meetings, Increasing consumption as part of an which used up most of her time and otherwise prudent diet can favourably produced nothing. affect blood lipid levels, at least in the The Lion came to the conclusion that it short term, and lower coronary heart was high time to nominate a person in disease risk”. charge of the Department where the Ant Nearly 600 men and women from had originally been working by herself all seven countries were involved in the along and producing so much. cholesterol review of people on a nut-rich The position was given to the Cicada diet. whose first decision was to buy a carpet and ergonomic chair for his office. The new person in charge, the Cicada The characters in this fable are fiction, also needed a computer and a personal any resemblance to any Government assistant, who he brought from his department or personnel are in the eye of pervious department to help him prepare the beholder and no one else, and are a Work and Budget Control Strategic purely coincidental. Optimisation Plan for the many meetings now rampant in the Department. The Last Laugh The Department where the Ant works is now a sad place, where nobody laughs Department of Health gets anymore, and everybody has become rid of Managers at Noble’s upset, as they cannot cope with the work because of having to attend meetings all and every day. 14th May 2010 It was at this time that the Cicada Health Chiefs insist it’s a Myth that convinced the boss, the Lion, of the there are too many managers employed absolute necessity to start a Clinical in the Island Health Services. Study of the Environment.

Having reviewed the changes for The Minister of Health has risen to the running the Ant’s Department, the Lion challenge and got rid of some managers at found out that the production was much Noble’s following the furore that this lower than before. emotive issue gendered. So he recruited the Owl, a prestigious Ward Managers at Noble’s and and renowned Consultant to carry out an Ramsey District Cottage Hospitals will Audit, and suggest solutions. now change their titles to reflect the role The Owl spent six months in the of nurses. No more Managers Department at huge costs to the The Ward Manager will in future be organisation, and came up with an known as ward sister or charge nurse. enormous report, of several volumes that The changes says the Minister, is to concluded ; reflect a change of emphasis in leadership “THE DEPARTMENT IS rather than management. OVERSTAFFED AND The Minister, Mr Anderson said, “The SAVINGS IN SALARIES term ‘Manager’ might be considered by HAVE TO BE MADE”. some to reflect from the caring aspect of Guess who the Lion fired first? the role”. The Ant of course, because she showed Well done Minister, give yourself two lack of motivation and had a negative medals just in case you lose one. attitude. With one decisive sweep of the pen the The Lion and all the other many Minister has got rid of the many members of staff continued merrily with Managers, just by changing their titles, their many daily meetings, producing wonderful. nothing except massive volumes of hot However no savings, as Mr Brown air, in the convinced and assured predicted and promised. knowledge that they had taken decisive Now he can go to the House or action on the Owl’s expensive and Tynwald and with hand on heart say, he voluminous report. has go rid of the Managers, and they will The report did not say that front line bang their table tops and proclaim him a services had to be reduced to save money, Messiah. the Owl said there had to be cuts in The Man that can perform miracles salaries and overhead expenses, but the with a slight of hand. Lion failed to implemented these Semantics, Semantics dear friends. recommendation

Is this becoming endemic? Now is the time for Mr Teare to vie Cut this out and put it on your fridge with the Health Messiah he is getting rid door and when they come to your door of 27 teachers by the beginning of the tell them you are not voting for them 2010/11. school year. anymore. But this will be by redeployment and Mr Brown MHK Castletown natural wastage. Mr Teare MHK Ayre Also some 12 teachers had already Mr Quirk MHK been given alternative jobs within the Mr Earnshaw MHK Onchan department of Education and Children. Mr Crookall MHK Onchan The Diabetic is sure that the Chief Mr Anderson MHK Glenfaba Minister did not mean to adopt this Mrs Craine MHK Ramsey system as a way to save monies, because Mr Bell MHK Ramsey it saves nothing. Mr Qualye MHK We do not only have the Health front Mr Marlarkey MHK line services being cut but now we have Mr Cretney MHK Douglas South the same thing happening with the Mr Corkish MHK Douglas West Education Department. Mr Shimmin MHK Douglas West Chief Minister, when you start messing Mr Watterson MHK about with Health and Education, which Mr Gawne MHK Rushen is far superior to those of the UK, it does Mr Bill Henderson MHK left the chamber not augur well for the future of our island. so as not to vote for you. He did not vote Let’s see, what we can do next? for you either. Whatever they tell you take it with a Suggestion; The Chief Minister should pinch of salt, this is the vote that the change his title to First Ministerial Chief Minister’s proud of, and keeps Secretary, and we would save the salary on quoting as authority. of Chief Minister. So Remember them at the Suggestion; how about scuttling our fishing protection vessel in the bay to Ballot Box and don’t vote save money on fuel. them in again.

Any other bright ideas let us have them, we shall print then next quarter, we We are the Group that leads from the are experts in semantics and slight of front and gets things done. hand, one minute they are there the next, We are the diabetic support Group of they have a new post, and you save the Isle of Man money. All monies collected are spent on the Isle of Man. No monies are sent off Island. The MHK’s that voted Join the Friends of the Manx Diabetic against you at the October today. Telephone (01624) 613702 or Tynwald. e-mail [email protected] The following MHK’s voted against you and for the Teare proposal for us to go it alone, and they abandoned us all.