A committee representing patients says Manx Care should properly discuss service cuts with the Department of Health and Social Care in future.
The annual report of the Health Services Consultative Committee has been published this week, covering the last year.
It says a Manx Care committee meeting in January caused unnecessary stress and inconvenience for patients as it considered cutting services.
In its report, the HSCC says Manx Care should talk to the government before drawing up plans in future - and keep the department informed of budget problems throughout the year.
You can view the report here.
Peel ready for bonfire and fireworks later
Government: "UK never told us about child murderer"
Farm shop's newest worker needs your name suggestions
Bus Vannin gives update on staffing problems and routes affected today
Toilets vandalised for fourth time in a month
Poppy gets fur-ever home after sparking rescue operation in Douglas
Council gets eight complaints about James Brown in six months
More bus staffing problems this weekend