Manx Care has announced it's scaling back some services to save an additional £5m to its £12m objective.
Saving schemes were signed off in a September board meeting, and include pausing non-mandatory training for staff, closure of the Ramsey Cottage Hospital at weekends, closure of the Mental Health Recovery College and withdrawl of out-of-hours adult social work.
Other services axed are the pilot Kooth and Qwell mental health schemes, non-clinical programmes, non-essential recruitment and elective procedures.
It's part of a wider plan to save £12m across the organisation, reduced from the original £19m outlined in its cost improvement programme.
Manx Care also incurred additional costs of £9m this year, driven by monthly spend rate costs of off-Island care, the impact of high-cost care packages for individuals, and the increase in drug costs.
Repairs on Peel Power Station to get underway
Manx Care doctor survey to be discussed by Tynwald
Weather warning for snow tonight
MHK queries safety at primary school in Ballabeg
Gales put two ferry sailings at risk tonight
Should the Island throw a birthday party for Barry Gibb?
Warning issued over icy roads
High ground could see 4 inches of snow on Saturday night