It said, prior to the establishment of Manx Care, the hospital had 314 beds and the current restricted number was “severely limiting” spaces for post-operative recovery and leading to the postponement of planned procedures.
Of the 233 beds reported by Manx Care, only 168 were able to be used by emergency department patients – representing a 46% reduction from the pre-2021 figure, the MSC said.
The committee said there was a “critical need for clinical coordination, adequate staffing, and a more heavily medically-led approach to organisational decision-making”.
Those, it said, were “vital to restoring systems that support safe, timely patient care and repairing the ethical foundation of the hospital”.
In response, Manx Care said while no more bed space could be opened on the Noble’s site, the Day Procedure Suite had been used overnight at times to alleviate bed pressure, and additional beds in places like nursing homes has been bought for those medically fit to leave hospital.
Enabling more care in the community had seen medically fit patients occupying beds reduce from an average of 23 to five, it said.
Steps were also being taken to create a 12-space extended assessment area in the emergency department for those who needed more time for assessment but not to be admitted, it added.
The Health and Social Care Minister is set to face an urgent question about the concerns raised during the March sitting of Tynwald, which begins on Tuesday.