We operate in terms of the possible. If someone wants a one-hour-a-day service in Tofino, the question is not ‘Can we provide it?’ but, ‘Do the means allow for the additional travel cost?’ This would be from the nearest geographical area where we can assemble a team to provide reasonable certainty of stable and continuous service. If it costs an additional eight hours of travel to provide a one-hour service onsite, most people would seek a more efficient approach to care delivery. We are happy to suggest potential alternatives or supplements.
We are willing to take on challenges to provide services that may be delicately staffed, but staffing circumstances can change. When what is possible changes due to employee relocation, injury, absence or other reasons, it is important to have a back-up plan for gaps or replacement of service. When the unforeseen occurs, we often have short notice.
In densely populated areas, it is more viable to maintain continuous service in the face of exceptional circumstances. As services become shorter in duration and further away from population centres, the team continuity is often exceptional — but the ability to provide stable service is more delicate and easily broken.