Jersey’s returning Health Minister has outlined an ambitious blueprint for Jersey’s healthcare system – including hopes to recruit a strategic director to overhaul services, exploring the creation of a local cancer centre and forging closer ties with UK hospitals that could eventually pave the way for a medical school on the Island.

Setting out his priorities after being nominated for a second term as Health Minister, Senator Binet said the past 18 months had been spent laying the foundations for major reform, but insisted: “…Make no mistake, everything is in its infancy.”

The Senator – who said he hoped to retain his previous “excellent assistant ministers”, sister Deputy Rose Binet and Trinity Constable Andy Howell – argued that the next four years must now focus on improving efficiency, reducing waiting lists and transforming the way health services are delivered.

Watch: States Members are grilling each of Chief Minister Lyndon Farnham’s proposed picks for Ministers in the Assembly this morning – Binet was the first to face questions.

Among the most significant proposals was the creation of a new strategic leadership role aimed specifically at improving the performance of Health and Care Jersey.

With waiting times remaining one of the biggest challenges facing the service, Senator Binet said he would soon consider recruiting “a strategic director”, “whose responsibility it will be to analyse the structure of each department, liaise with the management clinicians and other health professionals in order to recommend structural and personnel changes wherever appropriate, without the distraction of any other day-to-day commitments”.

A “long way” from “acceptable”

He said the appointment would help “improve efficiency, reduce cost, and raise morale in the short, medium, and long term” while supporting efforts to reduce patient waiting times.

However, he cautioned against expecting rapid improvements, adding: “The current position is a long way from being acceptable… But just in case anyone is under the illusion that any quick fixes are available, let me assure them that they’re not.”

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He pointed to global recruitment pressures, Jersey’s ageing population and increasing demand for healthcare as major challenges, adding that the current hospital even “loses operating theatre capacity every time we have a heat wave”.

A health service that encourages people to “live, work and invest” in Jersey

Looking beyond the new acute hospital at Overdale, Senator Binet said attention must now turn to developing Jersey’s wider healthcare estate, including Gloucester Street, Kensington Place and the proposed Health Village at St Saviour.

He suggested those sites could eventually help transform healthcare into an economic asset for the Island.

“In my view, these sites will eventually play a crucial role in helping to make our health service an important part of our economy,” he said.

He argued that a stronger health service would not only encourage people to “live, work and invest here”, but could also support the development of health tourism.

Among the possibilities already being explored is a dedicated cancer centre in Jersey.

“Consideration is already being given to the possibility of establishing a local cancer centre, and if successful, other specialities may follow.”

Medical school hopes

Senator Binet also revealed work is under way to establish strategic partnerships with major hospitals in the UK.

He said those relationships would improve specialist care while creating opportunities for staff training and exchanges.

“We’re also in the process of forging valuable strategic and operational links with a major hospital group in the UK that will allow for, amongst other things, training exchanges, plus more and better coordinated tertiary care.”

He added that the partnership “may contribute to the establishment of a medical school here on the Island.”

Bullying over?

Reflecting on his first term, Senator Binet acknowledged the scale of the challenge he inherited, making specific reference to bullying in the department – highlighted in various independent reports over the years – which he described as “rife”.

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“I knew then that internal relations were poor within the States section of healthcare, but nothing could have prepared me for just how bad it was,” he said.

He said relations between the public, charitable and private sectors had improved, a new senior leadership team was now in place and work had begun on digitising the service, backed by an annual £8 million investment. He also highlighted previous investment of £4m a year into preventative healthcare.

Central to the next phase, he said, would be the new Health Partnership Board, which he described as “the fulcrum of the entire health service”, bringing together government, charities, GPs and other providers to improve every patient journey.

Concluding his speech, he described his vision for the next term as “very simple”.

“…It’s to have a first-class, efficient, properly digitised health service ready to move into a first-class hospital building in four years’ time. I genuinely, genuinely believe that can be done.”

States Members are continuing to grill Senator Farnham’s proposed Ministerial slate this morning – follow Express for updates…

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