[3] A CT scanner was installed in 2007[4] and an existing ward was refurbished, creating new accommodation for up to 16 long-stay patients, in 2008.

[5] In February 2014 the board decided to fund additional consultant physician and anaesthetist posts.

[6] In October 2019 the hospital was deemed "not fit for purpose" following an audit by the board, which found that while the hospital was well-maintained it would cost around £10 million to deal with the maintenance backlog, and that this would still not deal with issues such as the size of departmental areas of the limited opportunity for expansion on the current site.

[7] In 2021 the Shetland Islands Council published proposals to construct a new hospital within five years.

[9] The hospital has approximately 140 births per year[10] and it has had full accreditation as baby friendly since January 2003.