The Island of Gozo was catered for by two hospitals, one for males and one for females, both situated at Victoria. There was also a quarantine hospital on Manoel Island. These hospitals were supplemented by several hospices for the elderly and infirm including the 280 bed hospice for both sexes at Floriana, the 80 bed hospice for both sexes at Saura Hospital at Rabat, and the 15 bed hospice for females at Zebbug. The rural central region of the Island was served by the medieval Santo Spirito Hospital situated at Rabat and which served poor patients of both sexes.
John included the renowned Sacra Infermeria for men and the Casetta for females, both at Valletta serving the southeastern harbour region. At the end of the eighteenth century (1798) the hospitals in use during the time of the Knights of St. John to the Islands in 1530 resulted in the expansion of hospital services in the Islands as part of a state-organized social services system. The arrival of the Hospitallier Order of St. The first hospital recorded in Malta was already functioning in 1372, while in the sister island Gozo a hospital was founded in 1454. Hospitals were secularized after the Reformation of the sixteenth century. The hospital was to be near the church and under the care of a priest. The Council of Aix-la-Chapelle (816 A.D.) required that every bishop should provide a house for the poor and the sick, supporting it out of Church funds. As a natural consequence of the doctrine of the Mystical Body of Christ which sees in the sick person Christ himself, the organised and skilled care of the sick and suffering developed within the framework of the Church. The spreading cult of Christ the Healer resulted in sick-nursing being viewed as a Christian duty.
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