Manx Care’s ambition is to become the best small Island health and social care system in the world and Manx Care’s Chief Executive certainly has the passion and commitment to try to deliver that very worthy aspiration. So why have we not seen  that ambition being delivered so far? What obstacles lie in the way of Manx Care delivering health and social services to help us all live long and healthy lives. Find out when Teresa Cope joins Phil Gawne on Perspective. If strategies, reports and plans cured illnesses we’d all be a lot healthier - so when will we start to see the real change and improvement that significant budget increases appear to promise?