• Monday - drop in clinic 12:00hrs - 13:30hrs
• Wednesday - appointment only clinic 18:30hrs - 20:00hrs
• Thursday - appointment only clinic 18:30hrs - 20:00hrs
• Friday - appointment only 12:00hrs - 13:30hrs
• Saturday - drop in nurse led clinic 10:00hrs -11:30hrs

• Monday - drop in clinic 12:00hrs - 13:30hrs
• Wednesday - appointment only clinic 18:30hrs - 20:00hrs
• Thursday - appointment only clinic 18:30hrs - 20:00hrs
• Friday - appointment only 12:00hrs - 13:30hrs
• Saturday - drop in nurse led clinic 10:00hrs -11:30hrs

If you are registered with a GP who does not offer this service they can refer you to the Family Planning Clinic.

• Kensington/Palatine DN team +44 (0) 1624 612332
• Peel DN team +44 (0) 1624 686966
• Ramsey DN team +44 (0) 1624 811834
• Southern DN team including: Ballasalla, Castletown, Port Erin +44 (0) 1624 836284
• Onchan DN team including: Finch Hill, Hailwood, Snaefell, Loch Promenade, Onchan/Laxey +44 (0) 1624 656033

Please click here to view a location map.

• Monday - drop in clinic 12:00hrs - 13:30hrs
• Wednesday - appointment only clinic 18:30hrs - 20:00hrs
• Thursday - appointment only clinic 18:30hrs - 20:00hrs
• Friday - appointment only 12:00hrs -13:30hrs
• Saturday - drop in nurse led clinic 10:00hrs -11:30hrs

This will depend upon the nature of your problem and will be discussed with you during your initial appointment.

Your initial appointment could last between 20 minutes and one hour, as the Physiotherapist will need to make a detailed assessment and collect information from you regarding your condition. If you need a further appointment this could last for 20-30 minutes.

For treatment of a lower limb please bring a pair of shorts. For treatment of an upper limb/shoulder you might prefer to wear a vest.

Part of the management of chronic conditions such as arthritis is to increase understanding of the problem, provide appropriate self-management and exercise based programmes. This has been demonstrated to be one of the most effective methods of managing chronic problems.

Due to the nature of some of the conditions patients attend with, it is possible to be seen by different Physiotherapists. Some conditions improve more rapidly following orthopaedic exercise group sessions.

This can be arranged in some instances, however during most assessments the Physiotherapist needs room to assess how you perform certain functional tasks.

The Isle of Man Department of Health has made arrangements with hospitals in the UK to provide certain specialised treatments that are not available here on the Island. These hospitals are predominantly within the North West of England and have agreed to a contract to treat Manx patients when referred by Noble’s Hospital Consultants. The hospital is charged for these treatments and consultations as they are not part of the reciprocal health agreement between the Isle of Man and England. To access these services, patients need to travel to the UK. The Patient Transfer Team will book air/sea travel and provide advice to patients about their journey. Dependent on the patient’s circumstances the cost of travel may be met by Noble’s Hospital. Further detailed information about what you may be entitled to claim can be found with The National Health Service Act 2001 (Isle of Man) by following this link: The National Health Service (expenses in attending Hospitals) Regulations 2004.

If you have been referred to a hospital in the UK you should contact the Patient Transfer Team, as soon as you are advised of the date and time of your appointment or admission date by the UK hospital. The normal opening hours of the service are from:

Monday to Friday (excluding Bank Holidays) 09:00hrs - 17:00hrs

The Patient Transfer Office is situated at The Lodge, Strang, IM4 4RF. Click here for a location map.

The Isle of Man Department of Health will meet travel costs and make financial assistance available to you as set out in the Patient Transfer advice leaflet.

Noble's Hospital will provide financial assistance to patients who are ordinarily resident in the Isle of Man. No financial assistance will be provided to visitors to the Island or temporary residents unless this is covered under a reciprocal health agreement.

We generally meet the cost of a friend or relative escorting a patient in any of the following circumstances:

• When the patient is under 18 years of age
• When an escort is required as an integral part of the treatment plan e.g. living donor
• When the patient is pregnant and attending for treatment and or confinement
• When the patient requires an escort to ensure their safety e.g. poor vision, learning difficulties, physical disability, mental illness

When a patient’s medical condition as assessed by the referring consultant, requires that a doctor or nurse escort be provided by the hospital, the full costs of this will be met by the hospital.

The Patient Transfer team is able to book air or sea travel to the UK for you. If you choose to make your own arrangements, reimbursement will be made up to the cost that would have been incurred by the hospital had the booking been made by the Patient Transfer team.

Reimbursement of expenses incurred for taxi and hire cars, up to a maximum of £10 per day, will only be considered when public transport does not provide a suitable alternative.

Patients receiving inpatient treatment at a UK hospital will normally be accommodated free of charge within the UK hospital.

Patients receiving outpatient treatment or attending an outpatient appointment will normally be expected to travel on a day return basis and therefore accommodation will not be necessary. When it is not practical to arrange day return travel, the patient and/or authorised escort may claim the accommodation allowance of £28.00 per person per night (£41.50 if in Central London).

Yes, expense claims must be accompanied by all relevant receipts and the Patient Transfer Team may request further information to support claims. If the receipts and information requested are not provided the payment of expenses will be withheld and you may be charged for any travel or other bookings made on your behalf. Expense claims will be processed as quickly as possible and if you wish, we can settle them using a payment directly into your bank account, if you supply us with your account details. We would need your bank sort code, account number and name.

Which costs will not be reimbursed?

The hospital cannot pay or reimburse any claims for:

• Relatives’ accommodation
• Food and meals
• Childcare
• Private arrangements
• Care of animals
• Maintenance of property and vehicles
• Loss of earnings

Your appointment letter should tell you if you need to do anything before the appointment (e.g. instructions regarding eating or drinking). If you have any queries please telephone the number at the bottom of your appointment letter. It is a good idea to write down any questions you may want to ask during your appointment before you come to the hospital. It can also be helpful to bring a pen and some paper to the appointment so you can write down any notes as it can sometimes be difficult to remember once you leave the clinic.

• When you arrive at the clinic please report to the reception desk.
• The clerical staff will check your details and direct you to the appropriate waiting area.
• The doctor or nurse will ask you some questions.
• You may be examined, given treatment or sent for tests. Any treatment or tests required will be discussed with you.

We strive to offer all patients the time they require. As a result, the time you spend with the doctor or nurse will vary according to your needs. Inevitably, this means some clinics may run late, so please remember you may be with us longer than expected. Delays in clinic may also occur if:

• A doctor is held up on one of the wards with a patient who is ill and requires their attention.
• Other patients may need to be seen urgently.
• The outpatient staff will keep you informed of any delays.

If you arrive earlier than your appointment time this does not necessarily mean you will be seen any earlier. Patients are usually seen in order of their appointments. Please help the clinic staff by arriving for your appointment on time or as close to the time as possible to aid congestion in the clinic.

If you don’t turn up for your appointment or cancel in good time, we have to reschedule the appointment, which results in you and other patients on the waiting list, waiting longer to be seen. We know that sometimes there are good reasons why you are not able to make your appointment, but it’s important that you let us know if you are not able to attend, or no longer want your appointment as soon as possible. If you are no longer able to attend your outpatient appointment at Noble's Hospital, please give us as much notice as possible by contacting Out Patient Appointments Reception.

Please park in the main visitors’ car park. This is sign posted as you enter the main hospital drive.

From walking in the door to walking out, is usually 30-45 mins. The actual time it takes to collect your blood, when the needle is inserted into your arm is usually 5-7mins, with a maximum of 12 mins. We have to stop the donation after 12 mins and if this happens, it is usually due to a technical error in collecting your blood. It does not mean your blood would not have been used, if we had been able to collect it.

You will only feel a needle prick.

Yes, most of the time we will be able to fit you in.

We have to ensure that the correct amount of anticoagulant (this stops your blood cells from sticking together) in the bag is mixed with the correct amount of red cells. We need 450mls +/- 10%. This ensures that the product produced is going to benefit the patient receiving the blood donation.

There are 7-8 pints of blood in a person’s body, depending on their weight. This is part of the reason why there is a low weight restriction on donors.

It takes less than 3 days to replace the plasma fraction of the donated unit of blood, but up to 59 days to replace all the red cells. To protect you, the blood donor from becoming anaemic, the minimum gap between donations is 16 weeks and we only allow a total of three donations in 12 months.

We need the additional bags to help us process the blood donation.

We test the blood to determine the blood group and for the presence of blood group antibodies. This ensures the blood is given to a person of the same or compatible group. We also routinely test every donation for HIV, Hepatitis, and Syphilis to ensure that no blood borne viruses are passed on to the recipient.

Yes, if we need to discuss anything it will be discussed with you in private.

Yes, if your diabetes is controlled by diet alone. No, if you have to take medication for your diabetes.

Some drugs affect the function of the cells being donated. Also, some drugs can cause unwanted side-effects in a recipient, if they have intolerance to it.

Because there is a risk of getting a mosquito transmitted disease in some areas of these countries such as West Nile virus, Malaria and Chikungunya virus.

You need to see a Doctor annually after the age of 65 years for a general health check, to protect you from donating if you are not well enough.

We need to replace your blood volume with fluids, otherwise you may feel dizzy. After blood donation, your fluid levels can be replaced within a couple of hours.

O Rh (D) Positive blood group is the most common blood group, found in 37% of the UK population.

No. We do occasionally have to boost our stock from the United Kingdom. We now have blood donor sessions within companies on the island to help increase our stock levels.

With the addition of the anticoagulant in the blood bags, we are able to store the blood for 35 days.

Yes. All blood from donors bled on the Island, stays on the Island.

The unit of blood is taken to Noble's Hospital Blood Transfusion Laboratory, to be processed.

No, we buy our plasma from Liverpool as we are unable to produce it on the Island.

Yes, we call more donors and have extra sessions within private companies on the Island. This is part of our planning so as to ensure adequate stocks at a time when the population of the Island increases significantly.

The Jane Crookall Maternity Unit is situated on the 1st floor in the East Wing, Noble’s Hospital, Douglas and it is signposted along the corridor from the main reception area. Click here to link to the ward and department map.

Partners and siblings can visit at anytime they wish. Other visitors are allowed to visit the unit from 14:00hrs to 16:00hrs and 19:00hrs to 20:00hrs only.

The Jane Crookall Maternity Unit has an intercom system, which you will need to press, in order to gain access to the unit. Click here to link to the ward and department map

You can enter the midwifery profession directly by undertaking a degree course leading to a midwifery qualification. Midwifery courses are provided by a number of universities as undergraduate programmes at degree level.

The minimum requirement for degree courses is two A levels. Science subjects are preferred. NVQ/SVQ Level 3, the BTEC National Diploma, or equivalent access to higher education programmes run by colleges of further education, are alternatives. Application to the degree route is through UCAS. You will gain a degree and Registered Midwife qualification.

Please contact us on the following telephone numbers:

• Ward 3 (Children’s Ward): +44 (0) 1624 650023
• Lead Nurse Paediatric Services: +44 (0) 1624 650310
• Paediatric Community Team Leader: +44 (0) 1624 650318

Paediatric Outpatient clinics are held on the ground floor in Suite E, East Wing, Noble’s Hospital, Douglas, signposted along the corridor from the main reception area. During day time hours, an administration clerk is situated at the desk to offer assistance. Click here to link to the ward and department map

The Paediatric Community nurses are based on the ground floor in the Women and Children’s Outpatient area, Suite E, East Wing, Noble’s Hospital, Douglas, signposted along the corridor from the main reception area. Click here to link to the ward and department map

• Your appointment letter
• A list of all tablets and medicines with you and notify the doctor of any changes to your medication
• Any samples requested
• Many people find it helpful to be accompanied to an outpatient’s appointment with a family member or a friend. This is welcomed.

The Nursery is located on the 1st floor, East Wing, of Noble's Hospital, Douglas and is accessed through the Jane Crookall Maternity Unit. Click here to link to the ward and department map

Parents can visit any time they wish. The nursery operates a ‘quiet time’. This is between 13:00hrs and 15:00hrs every day. This is a time when babies can sleep without any interruptions.

The unit is accessed via the Jane Crookall Maternity Unit and has a video entry intercom system , which you will need to use, in order to gain access to. Click here to link to the ward and department map

Visitors are limited to parents and grandparents only. If grandparents are not resident on the Island, parents may nominate 4 friends to support them during this time. Visiting is restricted in order to protect the infants from infection and to reduce the noise in the nursery.

Yes. Research has shown that breast milk is best for all infants especially preterm babies. All staff are trained in assisting new mums to start and maintain lactation and to help establish breastfeeding prior to discharge.

Staff encourage parents to help with their babies care as soon as they feel able. This includes changing nappies and feeding your baby.

As soon as your baby’s condition is stable, staff will ask you if you would like to cuddle your baby.

Yes. The staff will also take two photographs shortly after your baby is admitted to the nursery. These will be printed for you to keep.

Ward 4 is situated on the ground floor in the East Wing, Noble’s Hospital and it is signposted along the corridor from the main reception area. Click here to link to the ward and department map

The visiting times for Ward 4 are between 12:00hrs to 20:00hrs daily.

We try and keep visiting to the specific times to preserve patient privacy and dignity, however under exceptional circumstances and by prior arrangement this could be accommodated.

Ward 4 respects the hospital policy for protected meal times, so patients have time to eat their meals undisturbed. Lunch is 12:00hrs to 12:30hrs and supper is 17:00hrs to 17:30hrs.

Gynaecological Outpatient clinics are held in Suite E on the ground floor of the East Wing of the hospital. It is sign posted from the hospital main reception area and during the day time hours, an administration clerk is situated at the desk to offer assistance. Click here to link to the ward and department map

Parkinson’s UK is a national support and fundraising charity. The website is packed with information about Parkinson’s. You will find out all the latest news, publications and research updates, as well as contact information for support groups in your area.

Join the online discussion forum to share your experiences of living with Parkinson’s and chat to other people in the same situation. Everyone affected by the condition is welcome to join, including families and carers.

Sue Lawley is the Parkinsons Nurse Specialist. Sue works part time (30hrs per week).

Yes, the Parkinson’s Disease Society, Isle of Man holds a drop in day and meeting on the 4th Tuesday of each month at The Palace Hotel, Douglas from 10am to 3pm. More information and further enquiries can be made to:

Beverley Jackson is our local information and support worker, who can provide confidential one–to–one information and signposting, including:

• information about, and links to, local services that can help you

• information about benefits and help with the application process

• a supporting voice if you need to complain or are having problems getting your needs assessed or met

• emotional support for you and your family

Most adults under 55 years of age empty their bladder 4 – 8 times a day, and can hold for up to 8 hours when asleep. This is with a normal fluid intake of 1.5 – 2 litres (2.5 -3.5 pints) You should be able to ‘hold on’ without discomfort for at least 10 minutes without leaking.

By 55 many people begin to need to empty their bladder once at night, and by 70 it may need to empty twice over 8 hours of sleep.

You can to talk to the doctor or nurse at your GP surgery, or contact the Isle of Man Continence Advisor; a nurse specialising in bladder and bowel problems. Her telephone number is 693551.

Continence Advisor clinics are held:

• Every Monday afternoon at Noble's Hospital Women’s and Children Outpatients Department – please ring Continence Advisor on 693551 for an appointment

• 1st Tuesday of the month between 2pm – 4pm at Thie Rosien, Port Erin, drop in or ring in advance

• 2nd and last Fridays of the month 2pm – 4pm at Ramsey and District Cottage Hospital, drop in or ring in advance

This is a weakness in your pelvic floor – you would benefit from doing your pelvic floor exercises.

Normal bowel habit is to pass a soft formed stool between 3 times a day and every 3 days. More or less often is unusual. If the stool is hard, or difficult to pass, or you are emptying your bowels less than twice a week you are constipated.

If you are having problems with your bladder or bowels you will need to have an assessment by a member of the community nursing staff to see how best we can help you.

The Community Equipment store is Unit 5 and 6, Kirby Industrial Estate, Vicarage Road, Braddan, IM4 4LA. The Community Equipment Store is open 2pm - 4pm, Monday to Friday. They are closed on Public Holidays.

Yes, there is a reciprocal health arrangement in place between the Isle of Man and the United Kingdom, for Isle of Man residents to travelling to the United Kingdom and for United Kingdom residents to travelling to the Isle of Man. For further information, please click here to view the Agreement.

Click on the link below to view further information.

For further information, please click here to view the Agreement.