A local GP has launched a blistering attack on the state of the health service here.
The family doctor said the hospital waiting list crisis had become so severe that a growing number of patients she suspects have cancer are only able to get a diagnosis by going to an emergency department.
In one particularly alarming case, she made three 'flag' referrals for a patient throughout the pandemic before their condition deteriorated to the point where they had to be rushed to hospital.
She also said some of her most vulnerable patients had been failed by the rollout of the vaccination programme as people aged between 65 and 69 had been getting their jab ahead of her housebound patients.
The GP revealed she spent Saturday morning vaccinating patients, who were too frail to attend a vaccination clinic, in her own time after her district nurse said she had not been trained to administer the jab.
She explained: "I didn't want to leave my patients waiting any longer. It feels like the whole service is crumbling around us, it doesn't feel safe. I have never seen morale as low in my career.
"We are only getting dribs and drabs of the vaccine, it feels like we have to beg for vaccine, we don't know how much we're going to get and then we find out the trusts are vaccinating people between 65 and 69 while we haven't even vaccinated our housebound patients yet.
"These are people who are most vulnerable to this virus and they have carers coming in and out of their house. I think finding out the 65 to 69 cohort was able to get the vaccine ahead of them was the biggest insult. It's a shambles, I'm embarrassed to be a part of it and I feel so badly let down. The GPs have been let down and the patients have been let down.
"We spend so much time looking after patients who are waiting for hospital appointments. They are angry and I don't blame them, but the problem is they put the blame on us a lot of the time. To be honest, quite often the only way I can get them sorted is by having them admitted to hospital, but none of my patients want to go to hospital because they're scared of the virus. I have had a number of patients I'm quite worried about refusing to go to hospital.
"I haven't had a day off since July, you can't get a locum to come and cover, and there are a lot of practices like mine that are in the same position. It's not sustainable."
The Department of Health said the Health Minister recognised the significant contribution made by GPs during the pandemic and had approved a 2.8% uplift to pay and staff costs. It also said district nurses were trained to administer the vaccine, and added that tackling hospital waiting lists was a priority for Robin Swann.