At a glance
🚨 A&E — Noble's Hospital
59.5%
seen within 4 hours · Target: 95% · England: 75%
Each bar shows the MTS target wait scaled to the 4-hour standard (=full width). Non-urgent patients often wait well beyond this — Noble's meets the 4-hour target for 59.5% of all patients (target: 95%).
*Noble's does not publish triage achievement data
🌿 Life expectancy
81.7
yrs at birth · Isle of Man 2022
Jersey~81.5
Guernsey~82.3
England80.4
💚 Avoidable deaths
194
per 100,000 · IoM 2022
England202
Lower = better · IoM outperforms England on preventable mortality
🎗
62.5%
Diagnosed 28 days
Tgt 75%
England 78.9%
💊
52.1%
Treatment 62 days
Tgt 85%
England 71.4%
✅
85.5%
Treatment 31 days
Tgt 96%
Best of 3
A&E — Noble's Hospital
How long are people waiting in A&E?
% seen, treated and out within 4 hours · Noble's Hospital · NHS target: 95%
Getting worse, year on year. In 2021–22, around 3 in 4 patients were seen within 4 hours. By April 2026 it was fewer than 3 in 5. The main cause isn't people arriving — it's medically fit patients unable to leave hospital because community care can't yet receive them. The Gent Review (May 2026) called this "exit block."
Bed occupancy
90%
Safe threshold is 85%
12-hr waits
4.4%
Up from 2.8% (+57% in a year)
Avg time in A&E
4h 25
Mar 2024
What to expect if you go to Noble's ED
Step 1 · Triage nurse
⏱ Target: within 15 minutes of arrival — 95% of walk-ins
Noble's does not publish its triage speed · no performance data available
Step 2 · Wait to be seen — by your priority level
Immediate
Not breathing · collapse · severe bleeding
🚑 Call 999
Very urgent
Chest pain · suspected stroke · breathing difficulty
🚑 Call 999
Urgent
Head injury · severe pain · high fever · wounds
60 min target
Actual: not published
Standard
Minor fracture · UTI · laceration
2 hr target
Actual: not published
Non-urgent
Rash · sore throat · minor ailment
→ Better: GP or pharmacy
4 hr target
Range: 4–12+ hrs
No per-priority data published. Overall: 59.5% seen, treated and out within 4 hours (target: 95%). Average stay: 4h 25m. Around 4.4% of patients wait over 12 hours.
Not everyone stays. Many patients are assessed and redirected — sent home with self-care advice, referred to their GP, or pointed to a pharmacy. If the triage nurse judges your problem non-urgent, that redirect is the right outcome. With Noble's at 90% bed occupancy, it's also genuinely helpful to the people who do need to be there.
Cancer — Waiting times
From GP referral to starting cancer treatment
Isle of Man vs England, 2024–25 · % of patients meeting each standard
The 62-day pathway is the biggest gap. Only about 1 in 2 IoM patients start cancer treatment within 62 days of GP referral, compared with nearly 3 in 4 in England. Once a treatment decision has been made, the 31-day standard (85.5%) is much stronger.
Living with long-term illness — Incapacity Allowance claims
What are people claiming incapacity allowance for?
Long-Term Incapacity Allowance (LTIA) claims by condition · Isle of Man · December 2025
Mental health is the biggest driver. Depression, anxiety and stress together account for 1,075 named claims — and have risen 44% since 2012. Cancer claims have nearly tripled (75 → 219) as more people survive and claim longer. A further 3,100 claims are unclassified.
How healthy is the Island overall?
Isle of Man
81.7
years life expectancy (2022)
England
80.4
years life expectancy
Islanders live longer — 1.3 years more than the England average. Fewer people per 100,000 also die from conditions where earlier treatment could have saved them: IoM 194 vs England 202 per 100,000. Both are positive signs, but neither replaces data on waiting times, quality of care or patient experience.
Mental health services — what we know (and don't)
5.2%
Of the island's population open to specialist mental health services
Last published figure — 2018–19. That's roughly 1 in 19 people. No comparable data has been published since.
17–20
People placed off-island in mental health facilities each month
2018–19 baseline. Being placed off-island means being hundreds of miles from family during a crisis. The current number is unknown.
Mental health data has not been updated since 2019. We know LTIA claims for depression, anxiety and stress rose 44% between 2012 and 2025. We can't tell you whether services have kept pace, how long you'd wait for an appointment, or what the outcomes are.
What isn't published — and why it matters to you
Stale
Mental health waiting times — not published since 2019. You cannot find out how long you would wait for a first appointment.
Partial
Elective (non-urgent) waiting lists — total backlog is referenced internally but no public breakdown by specialty exists. You can't see how long the queue is for your procedure.
Missing
GP and primary care access — how long to get a GP appointment is not published. In England, 56% of appointments are same-day or next-day. IoM has no equivalent figure.
Missing
Maternity outcomes — no safety, outcome or waiting time data is publicly available for maternity services on the island.
Missing
Stroke care — one data point exists (2024: 36% scanned on time, vs England 52%). Not enough to know whether the service is improving or declining.