Manx Care delivered a “well-coordinated and resilient response” throughout the TT period, with the hospital maintaining Opal Two status across the fortnight, Tynwald has been told.
Health minister Claire Christian told the court that “comprehensive planning and preparations allowed services to manage increased demand effectively, while maintaining safe and consistent delivery across all departments and agencies”.
A number of operational issues arose, including a “temporary loss of ambulance vehicle traceability due to a mobile network disruption”, which was resolved during practice week.
The emergency department experienced “consistently high demand” but maintained full capability to deliver trauma care throughout the festival, Mrs Christian said.
On Friday June 5, the emergency department reached full capacity, with staff responding “in a coordinated and controlled manner to ensure patients were safely assessed, treated, and appropriately managed through patient flow pathways”.
The Mountain Road was closed that day following a multi-agency decision “involving health together to enable the casualties to be assessed and conveyed to nobles subsequently”.
Ms Christian said Manx Care requested early closure “to reduce risk” following eight significant trauma cases transferred to Aintree on that date.
Aintree had raised capacity concerns “despite coping teams drafting extra trauma teams” and requested “regular check-ins and monitoring”, she said.
There were 564 admissions to Nobles Hospital during the fortnight, with 11 flagged as TT-related.


