We operate in terms of the possible. If someone wants a 1 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 geography where we can assemble a team to provide reasonable certainty of stable and continuous service. If it costs an additional 8 hours of travel to provide a 1 hour service on site most people would have a hard time not seeking a more efficient approach to care delivery. We are happy to suggest potential alternatives or supplements.
We are willing to take on challenging 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 the notice we have can be quite short.
In more densely populated areas it is more viable to maintain continuous service in the face of exceptional circumstances. As services become shorter in duration and more remote from population centers the team continuity is often exceptional due to the limited options available in remote geography but the ability to provide stable service, more delicate and easily broken.