Change Nobles Hospital's socpe

Some areas of medical specialism really are too small to be sustainable in a small community like ours. It may be better to 'cut our cloth' to suit main needs and those requiring the most urgent immediate aid, and ship patients off-island for other specialisms. This requires a considered review balancing clinical urgency and the issues associated with transport of patients and associated costs, against the costs and risks of maintaining the service here - but leaving pride in having a wide-scope hospital out of the equation.

Why the contribution is important

Maintaining medical scope for things that are low demand can cost a lot in terms of specialist medics and support, while at teh same time risking clinical decline in competence through lack of daily practice.

by Manxcat on April 04, 2017 at 06:25PM

Current Rating

Average rating: 4.1
Based on: 6 votes


  • Posted by captainoftheparish April 04, 2017 at 18:36

    All you'd do is replace the costs to provide with more travel costs. It would never work.
  • Posted by Manxcat April 04, 2017 at 20:12

    With respect, that first response is a rather glib assumption - what I suggested is that it should have a full considered review and not a knee-jerk decision (either way). As I stated, it isn't just money, but medical services get better by being used, and maintaining a capability that is little used risks clinical deterioration, and certainly does not promote clinical improvement.
  • Posted by Grimreaper April 05, 2017 at 17:40

    I don't know whether a good idea or not, but sounds worth a proper assessment
  • Posted by Aadvark April 06, 2017 at 09:55

    Sounds worth exploring - need to ensure pride doesn't rule over cost and effectiveness.
  • Posted by ninjadispenser April 17, 2017 at 11:24

    We have a problem with Specialist retention as we are an Island and Medical staff like to go to meet others of their speciality and also feel isolated hers both geographically and professionally .
    I do agree that less used areas of expertise could be farmed out across, but the cost of doing so does need reviewing as we are always held hostage to the airlines for patient transfer.There has to be an easier,more efficient and patient friendly way of doing this.What do our 'sister' Islands do,or do they have similar issues? We better hope that the reciprocal agreement stands for years to come or we are in deep do-do.
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