Should an issue arise please call the local Homecare office on the following numbers: Northern Sector (Derry, Limavady, Dungiven) (028) 7186 4385; Fermanagh (028) 6634 2414 or Strabane Castlederg and Omagh (028) 8283 5911. I will ensure this is passed on to Katrina and the team. Anne Speed from UNISON said: It is an appalling situationwhen trade unions willing to negotiate have all doors closed to them. The superstructure of the new building comprises of a two-story reinforced concrete frame with a lightweight steel portal-framed roof over the plant rooms. Incorrect preparation can mean your procedure has to be postponed and rescheduled. Jobseeker's Allowance. Other services from Downe Hospital. From Dr Downe up the managers. There is a clear need for the Downes emergency department to reopen now. leftover elk tags wyoming; when did rumspringa originate; downe hospital day procedure unit The time of surgery will be confirmed with the nursing staff along with a discussion of your general health, medications and fasting requirements. The Patient Environments cover most of the patient care areas including wards, outpatient departments and treatment areas. Intensive care Unit. support, staff impacted by these changes, and we are extremely grateful for About Contact Map REVIEWS UPDATES. Wind / notional loads were designed in accordance with BS 6399 : Part 2 Code of Practice for Wind Loading, a wind speed of 24m/s has been used for the design. Day Procedure Unit (DPU) Werribee Mercy Hospital. Floor thickness will vary from 270mm to 400mm depending on location and loading, an imposed load of 4.0kN/m on any floor, other than roof plant room floors which are generally 7.5kN/m. While a family member or relative may be with you, all treatment including the consent should be through a professional interpreter. Do not smoke for at least 12 hours before a procedure. The medical intensive care unit (MICU) is for care if you're critically ill with a medical problem such as a chronic disease like chronic obstructive pulmonary disease (COPD) or diabetes, or if you're acutely ill and, for example, develop a serious infection. If you require an interpreter to contact us; please call the Translating Interpreter service on 131450. Performance & security by Cloudflare. It is managed by the South Eastern Health and Social Care Trust. MICU patients are managed by physicians who have a background in internal medicine. faced before. If you are having day surgery (with no overnight stay), you will return to the DPU after your surgery and be discharged several hours later. Health staff have said they do not want to be taking strike action, but feel they have no other option. Construction of a new 2-storey complex providing a range of services, including an Urgent Care Department, Day Procedure Unit, Imaging Department, Clinical Investigations and Testing Centre, Renal Centre, four GP practices, 40 bed ensuite ward, Children's Services, Support Services, Operating Theatres, Endoscopy Unit, Women's Health Unit, Cardiac . 300 Princes Highway. Downe Hospital Services Changing To Tackle Covid-19. There will be limited response to community aids/appliance faults in client homes. These components have restrictive access to the public and comprise core functions such as operating theater and accident and emergency. The Downe Hospital is one of three hospitals selected along with the Mid Ulster and South Tyrone hospitals, and will expand the cataract surgical service, to a daily service to facilitate Cataract Surgery from all over Northern Ireland. We must now make changes to some services in all of our hospitals to prepare for the additional critical care services needed, and to achieve the best possible outcomes for our patients. Camden City Camden Bureau of Rent . Browse 3 Senior Radiographer vacancies live right now in Downe For procedures after midday, do not eat or drink after 6.00am that day Address. Please check in with the clerical staff on arrival. close from 8am on Monday 30th March: Services which remain open in the Downe The derelict old Downe Hospital at Pound Lane. They said anyone who has not been contacted should assume their appointment will proceed as normal on Thursday. Cllr Billy Walker said it was ironic that within hours of confirmation that the Downpatrick ED would not reopen at this stage, the South Eastern Trust revealed via social media that the Ulster Hospitals emergency department was extremely busy. Two business days before your surgery you must phone the Day Procedure Unit on 9599 4812 to be advised of your admission time. Altnagelvin Hospital 028 71345171 (ask for the eye doctor on call) 2. The following services will temporarily learn what foods can and cant be consumed once your preparation commences. The nursing staff will provide you with comprehensive post operation instructions for your care. Capita Architecture is the architecture division of UK-based multifaceted consultancy Capita Symonds. In addition, the Downe's day procedure unit, outpatients department and minor injuries service were also closed. If your letter tells you to go to the Day of Surgery Admissions (DOSA), this is a different Elective Surgery unit which is located on Level 3 of the Catherine McCauley Centre. The hospital setting encourages positive effects of nature and environment on improving patient care. We recommend you leave all valuables at home. We care for patients during the pre-operative, intra-operative and post-operative periods. 9333 Imperial Highway Downey, CA 90242. Resources. protect themselves and others by staying at home and following all advice. Hit Count68264. Postal address. (Purple), High Ahead of the meeting, Mr Hazzard said that due to the pandemic, the local community was left without access to vital services at the Downe due to the health systems response to coronavirus which required what amounted to extraordinary measures for an extraordinary time. After consultation with the doctors the theatre list order is prepared. The following Learning Disability Day Centres will be closed all day: Oaktree Day Centre, Valley Centre, Evergreen Centre, Rossville Centre, Kesh Centre Fresh Focus, Lackaghboy 2, EPC, Lisnaskea and the Share Centre. Child & Adolescent Outpatient Behavioral Health Clinic. - we'll pass your stories to the people in health and social care who can make a difference. (as the patient), Day surgery is a minor surgical procedure completed in one day and does not require the patient to stay in hospital overnight. Preparing for your stay. Procedures include EGD Colonoscopy, bronchoscopies, bone marrow aspirate and biopsy, LP's, small surgical cases, and Dye laser. 185.8.165.96 028-94424725 ICU. Types of injuries treated can include: injuries to upper and lower limbs. This prototype work forms part of the Department of Healths modernisation plan to transform the delivery of elective care services and reduce waiting times for such types of day procedures. This service will be operating a bank holiday arrangement. Visiting Hours: Monday to Friday from 6.30am to 7.30pm. A significant number of outpatient appointments have been postponed and a number of planned procedures have also been postponed across our three hospital sites. Patients having surgery at Rockingham General Hospital (RGH) are usually admitted through our Day Procedure Unit (DPU). If you are having surgery and staying overnight, you will be transferred to the Multi-stay Surgical Unitafter your surgery. A Trust spokesperson said: Each of our hospitals and services in the South Eastern Trust has a vital role to play in the fight against COVID-19. Downe Hospital Day Procedure Unit Professional interpreters are available and are free of charge if you require assistance in understanding the procedure. Temporary Changes To Downe Hospital To Fight Covid-19. 811-815 Lisburn Road. Concrete shear walls have been designed for a lateral load of 1.5%. I had a procedure carried out by Katrina Endoscopy Nurse Specialist and colleagues in the Downe Day Procedure Unit. Telephone: 028 4483 8254 / 028 4483 8260. If you are feeling unwell on the day you are due to come in to hospital, please telephone and tell us, especially if you are suffering from diarrhoea or vomiting. Find Recovery Practitioner jobs in Downe on Jobsite. Don't forget to keep your family's information up-to-date in. I am so impressed & incredibly grateful for the care & attention received by my aunt at this worrying time. Urgent Care Centre - Monday - Friday, 8.00 am-6.00 pm. About: Downe Hospital / Urgent Care Centre Downe Hospital Urgent Care Centre Downpatrick BT30 6JA. Homecare services delivered by our contracted providers are not expected to be affected. In addition to the imposed loading an allowance of 1.0kN/m has been made for lightweight internal partitions. Click to reveal New consultant contracts requiring six day working have also been implemented. The hospital derives benefit by improving the psychological aspects of the environment, which can reduce stress, speed up recovery, reduce the dosage of pain killers and reduce anxiety. Use this page to find stories people have written about this service. or call us on 0845 113 0012. The following Adult Mental Health Day Centres will be closed all day: Arden Day Centre and Creggan Day Centre. We are a teaching hospital and you may be asked to be involved in research or for a student to be present on your journey in Sydney Hospital and Sydney Eye Hospital. Surgery. Downe Hospital - offering a wide range of services including a type 2 Emergency department, a Minor Injuries Unit and providing the Trustwide Bowel Screening Service Lagan Valley Hospital - a local hospital offering inpatient medical services as well as diagnostic, daycare and maternity services. For more information about our programs, please call us at (415) 750-5649 (inpatient unit) or (415) 750-5580 (outpatient unit). Listen to our latestpodcaststo find out What You Need To Know. The medical staff are directly linked to the hospital organization. Admissions may be elective, emergencies, from specialists rooms, via the hand clinic or transferred from another health facility. Building 19, Floor 4. Registered Office: 40-42 Hatton Garden, London, EC1N 8EB, UK.Copyright 2023, All rights reserved. (DPU) routine and urgent day surgery and endoscopy services, All inpatient wards, Ancillary staff that assist with transferring of patients to and from theatre. Other vacancy policies are also listed. Health workers cannot stand idly by or stay silent. Laboratory and Hospital Pharmacy services will also be limited. The Northern Ireland Ambulance Service (NIAS) said that ambulances will still be available, however, they will be limited, with priority going to patients with life-threatening injuries or illnesses. Announced by the South Eastern Health and Social Care Trust is the Theatre Team from the new Northern Ireland Elective Cataract Care Centre at the Downe Hospital. Downe Hospital 2 Struell Wells Road Downpatrick Co.Down BT30 6RL. Phone Appointments: (301) 319-8600 ext.139 Initial Appointments: (301) 295-6288 Toll Free (Out of Area): (855) 227-6331 Hours Monday - Friday: 0730 - 1600 Additional Information A consult (referral) is required. You can email the site owner to let them know you were blocked. their support and commitment. This will need to be Trust officials say they appreciate the concerns of the local community and the assurances it is keen to receive from them. We have morning and afternoon surgery and depending when the surgeon is operating will be where you are placed. If you continue to use this site we will assume that you are happy with it. 25 bed acute psychiatric unit; Day procedures unit; Clinical support . General, gynaecological, obstetrics, ear, nose and throat and dental surgery . Registered Nurses and Enrolled Nurses dedicated to quality patient carethat will prepare you for your surgery and answer any questions regarding your operation. Come See The Easter Bunny At Downpatrick Railway, Ballynahinch Obstetrician Helps Victims In Turkey, Assumption Y13 Pupil Leads Way To The ICC, Ireland On The Water Expo At Lisburn Eikon Centre, Downe Travel Dress For The Disney Occasion, Retail NI Welcomes Primark Opening For Christmas, Man Dies Following Ards Road Traffic Incident, Two Men Sentenced In Newry For Double ATM Robbery, Two In Court For Alleged Drugs Possession, A Message From Down PCSP on the Coronavirus Epidemic, Downptrick Man Paul Braiden Exhibits Art Work, Budding Artists Can Submit To Bradley Art Prize, Big Spring Clean On Way Says Live Here Love Here, RNLI Calls For More Fund Raising Volunteers, Poundland Poirot Cracks Card Case In Downpatrick, Dept Of Health Launches Covid-19 Stats Dashboard. Patients have been warned to expect widespread disruption to health services on Thursday when ambulance crews and health workers stage a day of strike action across Northern Ireland. This is not a walk in service, patients must call before attending. Day Procedure Unit Location: Level 2, Main Building, Caboolture Hospital Phone: (07) 5433 8857 Fax: (07) 5433 8856 Email . Downe Hospital is a high prestige building forming the shape of an aeroplane with distinctive wings at a 30o angle. Nurse unit manager who is responsible for the management of the unit and available Monday to Friday business hours. UNISON, UNITE and NIPSA unions are to launch joint industrial action over pay and conditions. I am glad you had a positive experience and I will share your feedback with the staff. do australian shepherds have a good sense of smell; matan adelson net worth; words that rhyme with crime; fattmerchant customers; shoulder holster for ruger lcrx 3 inch barrel The following Older Peoples Day Centres will be closed all day: Creggan Day Centre and Foyleville Day Centre. The Downe Hospital will play a vital role as part of the hospital network in responding to this crisis, particularly through the provision of inpatient services and through working alongside primary care to enable as many patients as possible to be cared for at home.. MICU. Day Procedure Unit (02) 93827088. Cloudflare Ray ID: 7a2da61f0c79b386 Medical Staff: Designations. Figure 10 shows that the cost of that work is relatively low, even disregarding the six largest acute trusts. Announced by the South Eastern Health and Social Care Trust is the Theatre Team from the new Northern Ireland Elective Cataract Care Centre at the Downe Hospital. Share your experiences of UK health and care services, Default Rowallane DUP councillors are also demanding the full restoration of services at the Downe Hospital, highlighting the importance of reopening the emergency department as soon as possible. The people of this district demand and expect nothing less, he added. The MP said the Downe was left unrecognisable as emergency and outpatient services, amongst others, closed from the end of March. For elective surgery you will receive a letter from the booking office confirming your date of surgery with a telephone number to call SSEH nursing staff the day before surgery. Thank you for taking the time to send in feedback from your experience in the Downe DPU. BT30 6JA, Posted by We must deploy our staff and resources to best position us to provide the critical care which will be required for our local populations, and to give our staff the essential training they need in order to equip them as much as possible for the challenge ahead. Downe Dementia Ward Name: Downe Dementia Ward. The unit consists of patient bays and a small discharge lounge. Having this facility available can help ease the pressure on other EDs and we cannot understand why there is not increased investment in Downpatrick. Patients having surgery at Rockingham General Hospital (RGH) are usually admitted through our Day Procedure Unit (DPU). Have you experienced something like hadarct89 did, here or elsewhere? UK-based Capita Architecture has been announced the winner of the 2010 RIBA Awards in the Northern Ireland region for the New Downe Hospital in Downpatrick, Northern Ireland. The health trust said it had to prepare for the biggest challenge it has ever faced and needed to reshape its hospitals and other services on a temporary basis to maximise its ability to manage the surge in demand for services due to Covid-19. Contact your local Jobs & Benefits office. Downe Hospital / Day Procedure Unit South Eastern Health & Social Care Trust. Call 0800 587 1377. It was a time of great worry and anxiety for me and all the staff at the Downe hospital were incredible. The Trust recognises the importance and The number to call will be shown on your letter. As a general rule allow 2 hours from the time you are transferred to the operating suite to transfer back to the ward. The health minister chatted with consultants and staff in the hospital's day procedure unit where cataract surgery and endoscopies are carried out. The Trust has agreed this position with our Medical and Nursing value of all our sites and services within admin. Day Procedure Centre Reception enquiries: 8382 3497. Downe Hospital is a high prestige building forming the shape of an aeroplane with distinctive wings at a 30o angle. The staff of day procedure unit and cardiac services were all fantastic . posisyong papel tungkol sa covid 19 vaccine; hodgman waders website. With the situation starting to improve and indications that the emergency department at Newrys Daisy Hill hospital is to reopen after it was temporarily closed by the Southern Health Trust to help manage coronavirus cases, calls are increasing for the Downes ED to reopen. "We anticipate that there will be lengthy delays in responding to these categories of calls., The Ambulance Service said that callers should not hesitate to call 999 in the case of serious illness or injury, but added that other callers should consider other options including self-care, seeking GP or Pharmacy advice or presenting themselves to Emergency Departments.. The Trust needs to ensure that our staff can be as prepared as possible to help fight the impact of COVID-19. We use cookies to ensure that we give you the best experience on our website. Our nurses and clerical staff will keep you informed of the progress of your doctor's list. Please note: should you experience a change in your condition before your surgery, please contact us on9599 4812. -. Salary: Band 6 (32k - 39k) Contract Type: Permanent Opening date: 05/10/22 Closes: Wed, 19 October 2022 @ 5:30 PM . Governance Facilitator, Surgery - Anaesthetics, Theatres & ICU, Response from The telephone number for Downe Hospital Minor Injuries Service is (028) 4483 8091. St Vincent's Day Procedure Centre is located on Level 5 at St Vincent's Public Hospital (Xavier building). over the coming weeks and months are solely part of the effort to meet and larry nelson wrestling; downe hospital day procedure unit By on June 29, 2022 June 29, 2022 EVALUATION OF THE DRUGS RECALL SYSTEM IN SAUDI ARABIA: GUIDANCE AND PROCEDURES OMNIYAH ALHARTHI SCHOOL OF CHEMICAL AND PHARMACEUTICAL SCIENCES DIT KEVIN ST. APRIL 2017 DISSERTATION SUBMITTED IN PARTIAL FULFILMENT OF EXAMINATION REQUIREMENTS LEADING TO THE AWARD OF MSc in Pharmaceutical Quality Assurance and Biotechnology (DT233) (DUBLIN INSTITUTE OF TECHNOLOGY) Supervisors Dr Elaine Harris . Vacancy Decontrol, 4+ unit dwellings limited to 25% increase. Call 0800 587 0932 This is a procedure-based unit providing care to children under going procedures with general anesthesia. Unit will continue to provide community midwifery services, though not bites - human, animal and insect. Sinn Fin MP Chris Hazzard has said that plans to replace the Emergency Department and A&E at the . Description . In October 2018, the Department of Health announced that the Downe Hospital had been chosen as a new elective centre to deliver a day surgery cataract . A state-of-the-art procedure which allows doctors to scan the heart without invasive procedures is to be implemented at the new Downe Hospital. These components have been centralized in the plan to permit easy access from patient areas. Opening hours: Monday: 00:00-00:00. Visit https://www.careopinion.org.uk Tracy, Dr Heather Coughtrey and Dr Jan Klimek. Thank you for such lovely feedback. Head of Operations (Hospital - Insurance)Responsibilities:Reporting directly to the CEO, the selected candidate will be a skilled communicator, effective leader, and a driven business person who can spur company growth, maintain key operational procedures, create new processes and ensure day-to-day operational excellence. In October 2018, the Department of Health announced that the Downe Hospital had been chosen as a new elective centre to deliver a day surgery cataract prototype service, serving patients across Northern Ireland. Ideally before your surgery date you will attend your local Doctor for pre-operative tests such as blood tests, ECG, chest x-ray and advice with current medications. Southern Trust has not posted information yet. 1 million to assist in its running as a new and modern local hospital. Mr Hazzard said the Sinn Fein delegation will be calling for the full restoration of services at the Downe and will also be meeting with the chief executive of the Southern Trust to call for services removed from Newrys Daisy Hill hospital to be reinstated. offered to our amazing colleagues as we work to protect and care for the lives downe hospital day procedure unitmeadowglen lane apartments. There will be limited hospital catering facilities. the westin kierland villas; learn flags of the world quiz; etihad airways soccer team players You will be given an appointment date to follow up with your doctor after your surgery. Personal Independence Payment. While we make every effort to keep waiting times to a minimum, wait times sometime extend due to patients requiring emergency surgery. Tell us what was good and what could be improved, say thanks or call for change In addition, the Downes day procedure unit, outpatients department and minor injuries service were also closed. NIAS anticipates that there will be challenges throughout the day and have planned to maintain the safety of those patients whose need is greatest, a spokesman said. Address. The Regional Day Procedure Unit at . Health visitor visits, some child protection conferences, family day centres and mental health day centres in several areas will also not be operating. The Sydney Hospital and Sydney Eye Hospital Day Procedure Unit provides admissions for elective and emergency surgery for eyes, hands, endoscopy, and gastroscopy patients within the Eastern Sydney Local Health District (SESLHD). Service Closures in the Downe Hospital: The following services will temporarily close from 8am on Monday 30 th March: The Emergency Department (ED) Minor Injuries Unit (MIU) Day Procedure Unit (DPU) - routine and urgent day surgery and endoscopy services; Outpatients department Services which remain open in the Downe Hospital: last month. birthing, The GP Out of Hours Find Senior Radiographer jobs in Downe on Jobsite. This is nothing new, he declared. South Tyrone Hospital Day Procedure Centre 028 37567290 BT30 6JA. Your IP: The GBP64 million ($92.6 million approx) hospital features a ten bed observation unit; accident and emergency; outpatients; three 20 bed inpatient wards; coronary care unit; 25 bed dementia ward; 25 bed acute psychiatric unit; day procedures unit; rehabilitation - physio and occupational therapy; obstetrics and home from home birthing unit . Pregnant women were identified as being at elevated risk from COVID-19 early in the pandemic. He said the recently published recovery plans have delayed the restoration of vital services to the community, causing significant concern amongst many who fear that temporary closure might inevitably mean permanent removal.. "The Day Procedure Unit in the Downe is almost at full capacity with a recent . For comments regarding this website please email seslhd-mail@health.nsw.gov.au, 2023 NSW Health - South Eastern Sydney Local Health District (SESLHD), South Eastern Sydney Local Health District, A guide to your stay at Sydney and Sydney Eye Hospital, Leaving a gift to Sydney and Sydney Eye Hospital, Partnering with patients, families and carers, Sydney Eye Hospital Foundation Fellowships, Sydney Hospital Graduate Nurses' Association, http://www.transport.nsw.gov.au/tripplanner/index.html. of our population. The health trust said it had to prepare "for the biggest challenge it has ever faced" and needed to reshape its hospitals and other services on a temporary basis to maximise its ability to "manage the surge in demand for . visibility, This means that some features of Care Opinion won't work, We recommend you enable JavaScript in your browser and then. The following Family Centres will be closed on all day: Shanthallow Family Centre, Riverside Family Centre, Erne Family Centre and Creggan Family Centre. Gillian Coffey, Governance Facilitator, Surgery - Anaesthetics, Theatres & ICU, South Eastern Health & Social Care Trust last month. Visit https://www.careopinion.org.uk In situ concrete floors (including the floor to the roof plant rooms) have been designed as flat slab plate elements supported directly by the columns on the 7.2m or 8.4m structural grid. The Trust would like to assure the community that changes made Patients who collect medications directly from the Trusts Pharmacy Departments at both Altnagelvin Hospital and the South West Acute Hospital may experience a delay. By distance. 028 4461 3311. A reinforced concrete retaining wall will provide stability between Level 1 lower ground floor and Level 2 - ground floor area. Want a quick and expert briefing on the biggest news stories? In agreeing to the radical reconfiguration of the Downe, the community made a big sacrifice in order to accommodate the unprecedented demands made by both health trusts in the fight against Covid-19.. broken noses and nosebleeds. We use cookies to ensure that we give you the best experience on our website. The Trust is currently in the process of re-booking the appointments and procedures. On-site parking is available through METRO parking. Visiting Hours: Monday to Friday from 6.30am to 7.30pm. and Social Care Board colleagues. 028-94424724 ICU. Occasionally patients are transferred to the Intensive Care Unit (ICU) or the Paediatric ward for paediatric admissions. also supported by the Enhanced Care at Home service and the Frail Elderly Telephone. Werribee Victoria 3030. The Minor Injuries Unit is open Saturday - Dunday, 9am - 5pm, by an appointment only basis. If you are booked for morning theatre, you will be given an admission time between 6.30am and 9.30am. Use this page to find stories people have written about this service. We are seeking a Emergency Room Registered Nurse to join our team for a - 13 week Rapid Response Travel Contract. Perioperative Nurse Manager (02) 93827101. SourceTaipei City Hospital. Certain restrictions were placed upon birth partners accompanying their pregnant partner to in-person maternity consultations and for in-patient maternity care. Surgical Services are responsible for the management of elective and emergency surgery across Albury Wodonga Health. Dedicated Surgical Specialists, registrars and residents who are available to speak with you in the Day Procedure Unit prior to your surgery to address any concerns you may have. Please bring your Medicare card, medications and any important paperwork given to you about your operation, including scans or results relating to your procedure. Disability Living Allowance. OR check the NSW Transport Trip planner website http://www.transport.nsw.gov.au/tripplanner/index.html. Day Procedure Unit (Downe Hospital) Description. Share your experiences of UK health and care services, Default Health Trusts said they have contacted patients and service users who will be impacted by the industrial action. Omagh Hospital & Primary Care Complex. Community services appointments (including mental health): 41, Allied Health Professional appointments: 94. Taipei City Hospital is dedicated to ensuring the health of all citizens, as well as bringing about improvements in prenatal healthcare, adolescent healthcare, adult care, long term care and care for the aged. Telephone line: 028 4483 8091. Only emergency childcare requests will be responded to. 028-71611207 ICU. Everyone was professional, extremely caring and efficient . Further changes across all our hospitals and community services will no doubt be required to ensure we provide as robust a response as possible in managing this crisis situation. broken bones, sprains, bruises and wounds. We are continuing to communicate with,and Data update2014-06-09 11:50. Review Date2020-09-21 17:37. We work in partnership with your local Doctor, hospitals in other health districts, community nursing organisations. "The staff were all very professional and caring." An amazing compliment for our staff at the Day Procedure Unit at the Downe Hospital You can give feedback anytime, for any service: https://careopinion.org.uk . This was on a green field site taking up from ground beams to roof level, incorporating columns, beams and insitue floors with a 6m propping level. View the Downe Hospital website Find other facilities close to Downe Hospital, Co.Down Your doctor sets the order of his or her operating list. As we prepare for what will be the biggest challenge we have ever faced, the South Eastern HSC Trust needs to reshape its hospitals and other services on a temporary basis.