An operational directorate that provides the wide range of services that support adults needing health and/or social care, the diagnostic facilities (radiology and pathology) available in the department and the pharmaceutical service.

• Acute medical and surgical services including, assessment and rehabilitation
• A&E and outpatients services
• Theatre and sterile supplies
• Pharmacy
• Radiology
• Dietetics
• Occupational Therapy
• Psychology
• Speech and Language Therapy
• Social work
• Pathology
• Cancer services
• Prison Healthcare
• King Edward VII Hospital
• Services for adults with a disability (learning, physical and/or sensory)
• Continuing care services in hospitals and the Duchess of Kent House including assessment and rehabilitation for confused older people
• District nursing
• Nurse consultants
• Home care service
• St Julian’s House
• Supported employment services
• Services to Alderney