Hub · Islands Observatory

Public lensWhat's happening to my services? Every card below is your jurisdiction's health system in plain terms: how many people die from preventable or treatable causes, what inspectors found, and what's still outstanding. Hover any big number for its trend; every figure names its source document.

Politician lensWhat should I ask? This suite tracks review recommendations to their statuses. Open, unknown and rejected items generate ready-to-use question wording and FOI drafts — see the Focus panel below and the Reviews & Actions dashboard.

Management lensHow do I compare? Six comparable small systems facing the same physics: off-island tertiary dependency, weather-exposed transfers, distant-islands cost premiums, thin scrutiny. The benchmark deltas and "practice worth borrowing" notes run through every dashboard.

New here? Three steps: 1Pick your view — Public, Politician or Management (top right) 2Choose your island — tap any tile below 3Hover or tap any number for its source

Jurisdictions — Isle of Man first, then Crown Dependencies and Scottish boards · avoidable mortality per 100,000 under-75s (lower is better) · hover or tap a rate for its trend

Bright spots — what's working, from the same sourced numbers

At a glance — reviews & actions per jurisdiction (details on the Reviews & Actions dashboard)

Focus jurisdiction — opportunities to make a difference

Analytical notes — worth knowing about your selected jurisdiction

Dashboards

Public health

Avoidable mortality 2001–2024 for all six islands + baselines, animated island loop, preventable vs treatable, Western Isles needs profile.

Governance

Reviews, inspections and audits: 216 recommendations tracked to their statuses, cross-island scoreboard, inspection follow-through, audit-recommendation cycle.

Financial

Budgets vs outturn, savings vs delivery, and Sankey money flows — every island's pot is bigger than its budget, each topped up through a different door.

Primary care

What a GP visit costs (£0–£65), ED charging, practice provision, the GP squeeze, and dentistry's crisis-then-turnaround.

Secondary care

The hospital dials — A&E, waiting lists, cancer, diagnostics, theatres, mental health, safety — one card per jurisdiction, IoM first, own-target ✓/✗.

Tertiary & remoteness

Off-island dependency, transfers, air ambulance, corridor reliability — and the remoteness exposure profile (components, honestly no score).

Changelog & roadmap

What changed, what's missing, and what we need from each island — Guernsey heads the list. The observatory being honest about itself.

Methodology & data governance notes

Sources. Every displayed figure carries a source string (document + date) reachable by hover, tap or inline chip. The consolidated data layer (observatory_data.js) is generated by script from extraction CSVs in the observatory library; nothing is hand-typed into pages. Primary sources: government/board annual reports and accounts, Audit Scotland/KPMG annual audits, HIS inspection reports, C&AG/JAO reports, DHSC Assessments of Manx Care, Tynwald Hansard and written answers, ONS/NRS/PHS statistics, CAA punctuality statistics, and FOI responses held in the library.

Comparability. Jurisdictions differ in definitions, targets, reporting windows and population bases. Basis lines are mandatory on comparison rows; 3-year rolling averages (small populations) are marked and never silently mixed with single-year rates; derived figures (per-capita, per-1,000, inversions) are labelled derived; DERIVED Sankey nodes state their derivation.

Gaps. Missing data is displayed, not hidden: red chips = no comparable public figure exists; blue chips = published somewhere we have not yet extracted (each maps to a roadmap item). Gaps are findings.

Views. The Public view uses plain language and does not draft formal requests; Politician and Management views expose question/FOI wording and benchmark framing. The view switch changes emphasis, never the underlying numbers.

Corrections. Errors: observatory@coalfinch.com. Build log and change history: see the Roadmap page.