From Hans Bromwich, Cowes:
St Mary’s controversial  Koan is ironically quite symbolic — a pyramid structure that mechanically has never worked properly. 
So where is the problem? In simple terms, the inner workings are disproportionately large.
St Mary’s is a small hospital, and small can be beautiful, but it is hampered by an over-complicated internal gearbox of executives, directors, deputy directors etc etc, all protecting each other’s backs while frantically chasing non-existent efficiencies and savings on the surface.
Medically, the exciting breadth of colours visible to the public needs to be preserved and cherished for Islanders to enjoy for years to come, rather than the current preoccupation with seeking to repair a faulty over-complicated internal mechanism that is never going to be fit for purpose given the diminutive size of the structure.