Department of Health and Social Care

271 FOI requests | Full disclosure rate: 65.7%

The Freedom of Information requests reveal a Department of Health and Social Care (DHSC) under intense scrutiny regarding workforce stability, procurement transparency, and clinical performance. A dominant narrative is the struggle to manage staffing levels, evidenced by repeated requests on bank staff costs, zero-hours contracts, and the 'MARS' redundancy scheme. The authority has been largely transparent about the *existence* of these issues—disclosing relocation packages for nurses and the financial cost of redundancies—but often cites 'excessive compilation effort' or 'data limitations' when asked for granular breakdowns of costs or specific staff categories. This suggests a reactive administrative culture where data is held in silos, making comprehensive analysis difficult for the public.

Key Cases

Case 355345 — This case reveals a significant ethical transparency regarding vaccine ingredients. The authority confirmed that specific vaccines use historical cell lines from legal abortions in the 1960s but explicitly stated this information is not currently provided to patients on consent forms, raising questions about informed consent practices.

Case 355291 — A rare and specific disclosure regarding the Isle of Man TT, revealing the exact amounts recovered from private insurance for race-related medical treatments and confirming that no competitors required Intensive Therapy Unit admission in 2017, providing concrete data on the health impact of major sporting events.

Case 355301 — This case highlights a potential conflict of interest involving the Minister (Hon K Beecroft) and her company, Manx Home Care. While transfer statistics were released, the authority admitted it did not hold the specific contract files, suggesting a fragmentation of records or a deliberate separation of procurement data from the health department.

Case 355253 — The request regarding the 2006 Everall Report (a major child welfare inquiry) was refused on the grounds that the DHSC does not hold the implementation data, which was assigned to the Chief Secretary's Office. This points to a systemic lack of accountability tracking for long-term child protection reforms.

Case 361157 — This case quantifies the cost of the Mutual Agreed Resignation Scheme (MARS), disclosing the total payout and annual savings. It serves as a concrete financial metric for the department's strategy to reduce staffing costs through voluntary redundancies.

Related FOI Stories

Dental Services and UDA Performance#355317, #355117, #355319, #355331, #420033

Workforce Crisis: Recruitment, Retention, and MARS#355311, #355143, #355153, #355357, #355281

Procurement, Contracts, and Ministerial Conflicts of Interest#355217, #355161, #355247, #355301, #358156

Clinical Services: Endoscopy, Waiting Lists, and Procedures#355115, #355219, #355223, #355263, #355387

Public Health, Vaccination, and Substance Abuse#356085, #355133, #355145, #355229, #355333

All (271) Information not held (271) · All information sent (178) · Some information sent but not all held (97) · Some information sent but part exempt (44) · No information sent - all held but exempt (17) · Not upheld (12) · Upheld - partial (11) · Request lapsed - requested information not provided (4) · Not required to fulfill request (4) · Upheld - full (3) · Repeated request (1) · Neither confirm or deny information held (1) · Decision Notice - Complaint upheld (1) ·
DateTitleOutcome
2022-04-13RemdesivirInformation not held
The requester asked for the number of patients prescribed Remdesivir and their mortality rates within six weeks of treatment. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2022-04-05PCR testing sequencingInformation not held
A request was made for genomic sequencing data and variant percentages (BA1, BA2, XE) from PCR testing in the Isle of Man. The Department of Health and Social Care refused the request, stating they do not hold the information as it may be held by Manx Care following a 2021 restructuring.
2022-03-30Full term stillbirthsInformation not held
A request for the total number of full-term stillbirths in the Isle of Man over the last 15 years was denied because the Department of Health and Social Care does not hold the data.
2022-03-21CovidInformation not held
The requester asked for the percentage of the Isle of Man population that tested positive for Covid-19 exactly once. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2022-03-17Considerations of provision of PrEP at GUM clinicInformation not held
The requester asked for details on the review of PrEP provision policy for the Manx community following a 2018 document and recent studies in the UK. The Department of Health and Social Care responded that the information is not held by them as it may be held by Manx Care, citing a separation of policy and service delivery.
2022-03-11Administration of Midazolam within health care settingsInformation not held
The requester asked for data on Midazolam administration to deceased COVID-19 patients and any payments received for listing such deaths. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2022-03-09Incidence of Myocarditis, Pericarditis and Cardiac Arrests on islandInformation not held
A request was made for the number of confirmed incidences of myocarditis, pericarditis, and cardiac arrests on the Isle of Man between 2017 and 2021. The Department of Health and Social Care refused to provide the data, stating they do not hold it as it is likely held by Manx Care following a 2021 restructuring.
2022-03-03Covid unvaccinated statsInformation not held
The requester asked for statistics on unvaccinated individuals, hospitalizations, and deaths due to COVID-19 on the Isle of Man. The Department of Health and Social Care refused the request stating they do not hold the information, which may be held by Manx Care.
2022-02-24Manx care policy on shiftsInformation not held
A request was made for Manx Care shift policies regarding A&E nurses and night managers at Nobles Hospital, including notice periods and accommodations for single parents. The Department of Health and Social Care refused the request, stating they do not hold the information as it is managed by Manx Care following a 2021 restructuring.
2022-02-22CQC inspection scheduleInformation not held
The requester asked for minutes of DHSC meetings regarding a CQC inspection schedule for Manx care services, but the Department confirmed it does not hold such minutes. While the specific documents were not disclosed, the response provided a planned timeline for various CQC inspections occurring between April and December 2022.
2022-02-18Definitions of Covid-19 vaccination.Information not held
The requester asked for definitions of first, second, and booster vaccine doses used in Isle of Man government surveillance statistics. The Department of Health and Social Care refused the request, stating the information is not held by them but likely by Public Health within the Cabinet Office.
2022-02-15IOM DentistsInformation not held
The requester asked about actions to replace a dentist and alleviate backlogs in the Health service provided clinic. The Department of Health and Social Care refused the request, stating the information is not held by them and may be held by Manx Care.
2022-02-14Bond of service / insurance indemnityInformation not held
A request was made for details regarding oaths, liability bonds, and payment entities for David John Ashford during his tenure as Health Minister. The Department of Health and Social Care refused the request, stating they do not hold the information and it may be held by the Office of the Clerk of Tynwald.
2022-02-09Sir Jonathan Michael FOI requestInformation not held
The requester asked for details on whether Sir Jonathan Michael continued to provide services to the Isle of Man Government after his report, including costs and duration. The Department of Health and Social Care refused the request, stating they do not hold the information as it likely resides with the Cabinet Office.
2022-02-07Mortality figure 2021Information not held
A request for the Isle of Man mortality figure for 2021 was submitted to the Department of Health and Social Care, but the information was not disclosed because the department does not hold it.
2022-02-07Covid deaths per monthInformation not held
The requester asked for monthly statistics on COVID-19 deaths where the virus was the sole cause from January 2020 to the present. The Department of Health and Social Care refused the request, stating they do not hold this specific data and suggested contacting the General Registry instead.
2022-02-07Deaths from heartInformation not held
The requester asked for monthly death statistics from cardiac arrest and stroke between January 2017 and January 2022. The Department of Health and Social Care refused the request, stating they do not hold the information and suggesting it may be held by the General Registry.
2022-02-03Covid deathsInformation not held
A request was made for the number of Isle of Man deaths caused solely by Covid-19 without underlying conditions, but the Department of Health and Social Care refused to provide the data as they do not hold it.
2022-02-03Benefits claimsInformation not held
A request was made for statistics on the number of benefit recipients and total monetary amounts paid on the Isle of Man between 2019 and 2021, including specific data on benefit reductions during COVID-19 lockdowns. The Department of Health and Social Care refused the request, stating the information is not held by them and is likely held by the Treasury.
2022-02-01Renumeration for Isle of Man Vaccine ScheduleInformation not held
A request was made to the Department of Health and Social Care regarding per-vaccine remuneration for medical staff under the Isle of Man vaccination schedule. The authority responded that the information is not held by them and may be held by Manx Care.
2022-02-01Renumeration for RemdesivirInformation not held
A request was made regarding financial payments for prescribing Remdesivir and patient mortality statistics, but the Department of Health and Social Care refused to provide the information.
2022-01-11NHS DentistsInformation not held
The requester asked for the number of people on the NHS Dentist waiting list and average wait times as of January 11, 2022. The Department of Health and Social Care refused the request stating they do not hold the data, which is held by Manx Care, but provided a statistic for November 2021.
2022-01-05Childhood DiabetesInformation not held
A request was made for annual statistics on childhood type 1 and type 2 diabetes diagnoses over the last five years on the Isle of Man. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2021-12-23Omicron virusInformation not held
A request was made for genomic data, isolation procedures, and evidence of Omicron contagion, but the Department of Health and Social Care refused to provide the information.
2021-12-23Delta virusInformation not held
A request was made for genomic data, isolation procedures, and evidence regarding the SARS-CoV-2 Delta variant. The Department of Health and Social Care refused to provide the information, stating it is not held by them and may be held by Manx Care.
2021-12-23Kent virusInformation not held
A request was made for genomic data, isolation methods, and evidence regarding the 'Kent strain' of SARS-CoV-2. The Department of Health and Social Care refused the request, stating they do not hold the information as it may be held by Manx Care following a 2021 restructuring.
2021-12-15Community deaths and abbotswoodInformation not held
A request for monthly statistics on community deaths, paramedic callouts, and Abbotswood nursing home data from 2017 to 2021 was made to the Department of Health and Social Care. The authority refused to provide the information, stating it is not held by them and suggesting the requester contact the General Registry or Manx Care instead.
2021-12-09Studies and papers to support Isle of Man policies.Information not held
The requester asked for studies, papers, and benefit vs harm analyses supporting Isle of Man COVID policies, specifically regarding masks and child vaccinations. The Department of Health and Social Care refused the request stating they do not hold the information, which may be held by Public Health, though they provided external links to JCVI advice and MHRA approvals.
2021-12-06Proof of an actual HIV virus said to cause symptoms called 'AIDS'Information not held
A request was made for proof of an isolated HIV virus sample free from cellular debris and contaminants. The Department of Health and Social Care responded that they do not hold this information, suggesting it may be held by Manx Care.
2021-12-06Proof of the 'HPV' human papilloma virus said to cause cervical cancerInformation not held
A request was made for proof of a fully purified and isolated HPV virus sample free from cellular debris, but the Department of Health and Social Care stated they do not hold this information.
2021-12-03Manx care employee travel costsInformation not held
A request was made for the number of Manx Care staff with unlimited travel and total travel costs since inception, but the Department of Health and Social Care refused to provide the information.
2021-11-29Covid variant and vaccinesInformation not held
A request was made to the Department of Health and Social Care regarding COVID-19 variant testing methods and infection rates among double-vaccinated individuals. The authority refused to provide the information, stating it is not held by them and may be held by Public Health.
2021-11-25Vaccines and vaccinations for/ of pneumonia and shinglesInformation not held
A request was made for data on the purchase, usage, and destruction of pneumonia and shingles vaccines for the 2020-2021 period. The Department of Health and Social Care responded that the information is not held by them and is likely held by Manx Care.
2021-11-25Request for information on local incidence of stress and anxietyInformation not held
A request for statistics on stress and anxiety incidence, diagnoses, prescriptions, and economic impact on the Isle of Man between 2017 and 2021 was refused because the Department of Health and Social Care does not hold the information.
2021-11-25Covid swab DNA useInformation not held
A request was made to the Department of Health and Social Care regarding the disposal, sale, and privacy policies of COVID-19 swab samples containing DNA. The department refused to provide the information, stating it is not held by them and may be held by Manx Care or the Cabinet Office.
2021-11-24STATE PENSIONInformation not held
The requester asked for dates and sample letters regarding the notification of women about the progressive increase in state pension age from 60 to 66. The Department of Health and Social Care refused the request, stating they do not hold the information and it may be held by the Treasury.
2021-11-11IOM GOV funding of Manx MediaInformation not held
A request was made to the Department of Health and Social Care for data on government funding of Manx media institutions between 2010 and 2021. The department refused the request, stating they do not hold the information and suggesting it may be held by the Cabinet Office.
2021-11-08Foreign sports people vax status 2021Information not held
The requester asked for the COVID-19 vaccination status of foreign sports personnel visiting the Isle of Man between January and November 2021. The Department of Health and Social Care refused the request, stating they do not hold the information and suggesting it may be held by the Cabinet Office.
2021-11-01Accuracy of LFD testing regimeInformation not held
The requester asked for records showing the specificity and sensitivity of COVID-19 testing procedures used on the Isle of Man in October 2021. The Department of Health and Social Care responded that the information is not held by them and may be held by Manx Care.
2021-10-25TribunalsInformation not held
The requester asked for the number of employment tribunals lost and associated payout costs by the Department of Health and Social Care since January 2019. The authority responded that the information is not held by them as it may be held by Manx Care following a 2021 restructuring, and directed the requester to the Isle of Man Courts Judgements Online.
2021-10-05Vaccine releated death/adverse reactions/hospitalisations/yellow cardInformation not held
The Department of Health and Social Care refused to provide specific figures for vaccine-related deaths, injuries, adverse reactions, and hospitalisations, stating the information is not held by the Department. For Yellow Card reports, the Department cited an exemption because the data is already reasonably accessible via a UK MHRA Freedom of Information response.
2021-09-28Pregnant womenInformation not held
A request was made for scientific studies on COVID-19 vaccines for pregnant women and specific statistics on hospitalizations and premature births among pregnant women with SARS-CoV-2 in the Isle of Man. The Department of Health and Social Care stated it does not hold the requested statistical data or specific studies, citing a practical refusal, though it provided general vaccination guidance from the JCVI.
2021-09-08Clinical studies used as supporting evidence for mask requirementsInformation not held
The requester asked for clinical studies and related data supporting mask requirements in healthcare settings, but the Department of Health and Social Care stated it does not hold this information.
2021-09-06Deaths from Covid versus deaths with CovidInformation not held
The requester asked for detailed statistics on Covid-19 deaths in the Isle of Man, including causes and demographics. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2021-08-30SARS COV2 Variant identificationInformation not held
The requester asked for the method used to differentiate SARS-CoV-2 variants from standard positive tests. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2021-08-305G safety DataInformation not held
A request was made for all safety data, research, and due diligence regarding 5G usage conducted by Isle of Man government departments. The Department of Health and Social Care responded that the information is not held and therefore could not be disclosed.
2021-08-30Remdesivir usage and hospital admissionsInformation not held
The requester asked for Remdesivir usage statistics and hospital admission data from 2010 to 2021, but the Department of Health and Social Care refused the request stating they do not hold the information.
2021-08-26Naseem's Manx Brain Tumour Charity - 1046Information not held
A request was made for 10-year statistics on primary brain tumour diagnoses and demographics for Isle of Man residents. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 restructuring.
2021-08-16Midazolam and MorphineInformation not held
The requester asked for prescription and usage statistics for Midazolam and Morphine from 2010 to 2021, as well as COVID-19 treatment protocols. The Department of Health and Social Care refused the request stating they do not hold the information, which is likely held by Manx Care following a 2021 restructuring.
2021-08-10Procurement of Supplies for PCR TestsInformation not held
The requester asked for the names of companies procuring PCR test supplies for on-island testing, but the Department of Health and Social Care refused the request stating they do not hold the information.
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