Manx Care
483 FOI requests | Full disclosure rate: 49.5%
The Freedom of Information requests to Manx Care reveal an authority grappling with the dual pressures of pandemic-era scrutiny and systemic data limitations. A dominant theme is the reliance on the 'information not held' exemption, particularly regarding mortality data. In over a dozen cases (e.g., 1812503, 1994741, 2210085), Manx Care consistently refused to provide death statistics or cause-of-death breakdowns, stating they do not hold death certificates and directing requesters to the General Registry. This creates a significant blind spot in public understanding of health outcomes, as the authority holds admission and treatment data but claims no access to the final mortality records. Similarly, requests regarding the scientific specifics of the pandemic response (virus isolation, PCR thresholds) were met with clarifications that Manx Care does not perform these advanced procedures, effectively outsourcing the scientific narrative to UK laboratories while refusing to generate new data on adverse events.
Key Cases
Case 1786213 — Highlights a significant transparency gap where Manx Care refused to provide advertising authorizations, invoices, and payments under a 'practical refusal' exemption, despite disclosing the budget. This suggests potential opacity in how public funds are authorized and spent on marketing.
Case 2175541 — Reveals the massive financial reliance on agency and bank workers, providing a clear picture of the cost of staffing shortages. The inability to differentiate between nurses and HCAs due to shared finance codes also exposes weaknesses in the authority's financial tracking systems.
Case 2371715 — Directly addresses patient safety and accountability by disclosing 'Duty of Candour' incidents. The revelation of 20 incidents, including one escalated to a formal complaint, provides concrete evidence of systemic failures and the authority's response to them.
Case 1873690 — A pivotal case in the pandemic narrative where Manx Care explicitly stated they do not perform virus isolation procedures. This clarifies the scope of their laboratory capabilities and counters claims that they are hiding evidence of virus isolation, while simultaneously admitting they do not hold the data requested by skeptics.
Case 2082778 — Clarifies the financial relationship with the UK government regarding vaccines. By confirming the Isle of Man paid nothing for the vaccines themselves (provided free by the UK), it shifts the focus of public spending inquiries to administration and distribution costs rather than procurement.
Related FOI Stories
The 'Not Held' Defense on Mortality and Death Data — #1812503, #1812501, #1941281, #1988313, #1994741
Virology, PCR Protocols, and Vaccine Skepticism — #1845993, #1861725, #1873689, #1873690, #1880753
Financial Transparency and Spending — #1786213, #1799406, #1820933, #1943113, #2007297
Hospital Performance, Waiting Lists, and Staffing — #1782317, #1821533, #1838029, #1931457, #1940485
Data Compilation and System Limitations — #1786213, #1812503, #1820933, #1915369, #1919333
All (483)
All information sent (239) ·
Some information sent but not all held (82) ·
Information not held (71) ·
Some information sent but part exempt (44) ·
No information sent - all held but exempt (22) ·
Not required to fulfill request (9) ·
Upheld - partial (5) ·
Request lapsed - requested information not provided (4) ·
Not upheld (3) ·
Upheld - full (2) ·
Withdrawn (1) ·
Neither confirm or deny information held (1) ·
| Date | Title | Outcome |
|---|---|---|
| 2026-02-13 | Frauds relation to Nursing or Medical qualifications and identity | All information sent |
| The request sought details on fraud investigations regarding staff qualifications and identity at Manx Care over the last five years, along with vetting procedures. The authority disclosed three specific investigations resulting in dismissals or warnings and outlined recruitment vetting standards, though it noted it does not vet agency staff. | ||
| 2026-02-12 | Letters of Estrangement | All information sent |
| A request was made for the number of Letters of Estrangement issued by Manx Care's Children and Families Service over the last 10 years, broken down by year. The authority disclosed that 119 letters were issued between 2016 and 2026, providing a full annual breakdown. | ||
| 2026-02-11 | Agreements with Clatterbridge Cancer Centre and Liverpool Hospitals | All information sent |
| A request was made for all agreements between Manx Care and Clatterbridge Cancer Centre or Liverpool Hospitals from 2018 to present, and the authority responded by sending all requested information, including a specific 2023 commissioning contract. | ||
| 2026-02-09 | Quofora Irrigation Kit NHS Prescription | Some information sent but not all held |
| The requester asked for the number of patients prescribed bowel irrigation kits on the NHS in the Isle of Man, but Manx Care could only provide data on the number of items issued rather than unique patient counts. The authority cited a practical refusal under Section 11(3)(a) as they do not hold patient-level data, though they shared item statistics for 2024/2025 and December 2025. | ||
| 2026-02-06 | NHS Dental Appointment Attendance Data | Information not held |
| The requester asked for NHS dental appointment attendance data and preference fulfillment statistics for patients allocated between May 2025 and January 2026. Manx Care refused the request under Section 11(3)(a) stating the information is not held, as attendance records are maintained by individual dental practices rather than the central authority. | ||
| 2026-01-30 | Official secrets act | Information not held |
| The requester asked for statistics on Manx Care employees and contractors who have signed the Official Secrets Act, broken down by staff category. Manx Care responded that the information is not held because signing the Act is mandatory for all employees, so no specific data is collated, and no data exists for contractors. | ||
| 2026-01-29 | Residential On Call Rates | All information sent |
| The request sought a breakdown of Manx Care staff groups providing residential on-call services at Noble's Hospital and their specific hourly rates. The authority disclosed that while some roles like Operating Department Practitioners have a fixed hourly rate, most clinical staff are paid via annualised contracts or local agreements rather than a standard per-hour standing rate. | ||
| 2026-01-29 | Defibrillators in emergency vehicles | All information sent |
| A request was made to Manx Care regarding the number of emergency vehicles and defibrillators in the Ambulance Service fleet, along with their deployment policy. The authority disclosed that all 24 response vehicles carry defibrillators and confirmed it is standard practice to equip every vehicle. | ||
| 2026-01-26 | Brain Death | Some information sent but part exempt |
| The requester asked Manx Care for detailed protocols on brain death determination, organ donation statistics since 2011, and clinical procedures for organ retrieval. Manx Care responded that specific clinical guidance is already publicly accessible via an NHS link and provided a form regarding patient care, citing Section 20 of the Act to withhold the detailed information requested. | ||
| 2026-01-26 | Loganair Patient Transfers | Information not held |
| The requester asked for the total gross amount paid by Manx Care to Loganair for patient transfers between 2021 and 2024. Manx Care responded that they do not hold this information because no money was paid directly to Loganair during those years, as the contract was held by the Department of Infrastructure. | ||
| 2026-01-12 | NHS Dental Waiting List Allocations & Patient Preferences | All information sent |
| Manx Care responded to a Freedom of Information request regarding NHS dental waiting list statistics and patient preference recording for the period between May 2025 and January 2026. The authority disclosed full data on waiting list size, allocation numbers, and confirmed that patient preferences are recorded and auditable. | ||
| 2026-01-09 | Respiratory Services Inc. Obstructive Sleep Apnoea (OSA) | Some information sent but not all held |
| A request was made for data on Obstructive Sleep Apnoea (OSA) waiting lists and staffing trends at Manx Care's Nobles Hospital. The authority provided current waiting numbers and staffing updates but refused historical trend data for the past five years citing that the information was not held prior to August 2023. | ||
| 2026-01-09 | Gastroenterology Waiting Times and Readmittance Statistics | Some information sent but not all held |
| A request for Gastroenterology waiting times and readmittance statistics at Nobles Hospital was partially fulfilled by Manx Care, which provided outpatient waiting figures and inpatient discharge data but refused requests regarding diagnosis-based waiting lists and treatment plans due to data limitations. | ||
| 2025-12-31 | Actions Taken to Prevent a Recurrence of Data Breach | All information sent |
| The requester asked Manx Care to outline measures taken to prevent a recurrence of a 2022 data breach involving patient health details. Manx Care disclosed that the original fine was stayed and detailed seven specific remediation steps, including technology reviews, staff training updates, and Global Address List restrictions. | ||
| 2025-12-30 | Community Dental Service Remit | All information sent |
| The requester asked for the definition of 'does not fit the remit' and related policies for the Isle of Man Community Dental Service. Manx Care responded by disclosing the service's objective to support vulnerable groups, detailing specific clinical criteria for access, and describing alternative pathways such as telephone advice for low-risk patients. | ||
| 2025-12-23 | Post Covid Synaptik cataract procedures | Some information sent but part exempt |
| The requester asked for statistics and cost data regarding cataract procedures performed by Synaptik for Manx Care post-Covid. Manx Care disclosed the number of procedures and the duration of the contract but withheld cost information citing commercial sensitivity. | ||
| 2025-12-17 | Clarification of Enforcement of Sickness Policy | Some information sent but part exempt |
| A request was made to Manx Care for details on their sickness absence monitoring system, staff score distributions, corrective actions, and financial costs. The authority disclosed specific statistics and budget figures, while noting that general policy information is already publicly accessible on their website. | ||
| 2025-12-08 | Patient waiting times palatine health centre | Some information sent but not all held |
| The requester asked for specific GP waiting times at Palatine Health Centre, challenging a reported island-wide average of 7.4 days. Manx Care responded that specific practice-level data is not held due to data aggregation limitations and announced an upcoming shift to a triage system. | ||
| 2025-11-26 | ENT Incidents and Complaints | Some information sent but part exempt |
| 2025-11-26 | Cost of reviews and reports | Some information sent but part exempt |
| The requester asked for a breakdown of Manx Care's spending on external reviews and reports since April 2021. The authority responded by providing data from previous Tynwald questions and a list of commissioned reviews for 2024/25 and 2025/26, noting that some information was withheld as it was already reasonably accessible. | ||
| 2025-11-19 | drug related A and E and surgical cases | Some information sent but not all held |
| The requester asked for monthly statistics on A&E attendances and surgical cases involving illegal drugs from April 2020 to the present. Manx Care disclosed monthly A&E data and drug classifications but confirmed that no electronic records exist for surgical cases, citing the exemption for creating new information. | ||
| 2025-11-19 | Air Ambulance Charity | Information not held |
| 2025-11-18 | ENT Performance Queries | No information sent - all held but exempt |
| 2025-11-14 | NHS Prescriptions for Bowel Irrigation Kits | All information sent |
| A request was made to Manx Care for the number of patients prescribed bowel irrigation kits on the NHS in the Isle of Man. The authority responded by providing a detailed breakdown of specific items supplied during the 2024/2025 financial year. | ||
| 2025-10-23 | Number of recorded complaints | Some information sent but part exempt |
| 2025-10-23 | Clinical staff by origin | All information sent |
| A request was made for statistics on clinical staff origins outside the Isle of Man and UK, but the authority disclosed only voluntary nationality data split by employment terms rather than full origin details. | ||
| 2025-10-21 | Restriction of GP telephone advice to residents temporarily abroad | All information sent |
| The requester sought documents regarding restrictions on GP telephone advice for Isle of Man residents temporarily abroad, specifically asking for contract clauses, guidance, and insurance policies. Manx Care responded that no such restrictions exist in the GMS contract, but clinical decisions depend on registration status, while prescribing is limited to a three-month supply for those abroad. | ||
| 2025-10-20 | Locum Dr | All information sent |
| The requester asked for the hourly pay rate and total number of locum GPs employed by Manx Care. Manx Care disclosed that they rarely use private locums directly, do not hold cost data for individual practices, and provided an approximate session cost for their salaried practice. | ||
| 2025-10-20 | GP Licence | No information sent - all held but exempt |
| The requester asked for the number of practice hours required for a GP to maintain their license under GMC and Manx Care regulations. Manx Care refused to provide the information directly, citing that it is already reasonably accessible via external websites. | ||
| 2025-10-16 | parsonage turner syndrome | All information sent |
| The requester asked for a 20-year breakdown of Parsonage-Turner syndrome and brachial neuritis diagnoses by age and gender, which Manx Care provided in full along with a caution regarding coding inconsistencies. | ||
| 2025-10-14 | Ear nose and throat's clinic | All information sent |
| The request inquired about the status of the ENT operating theatre, patient waiting times, and NHS guidelines on the Isle of Man. Manx Care disclosed that the theatre is operational, provided specific waiting list statistics, and explained that UK waiting targets do not apply locally. | ||
| 2025-10-09 | Subject: Freedom of Information Request - Reimbursement Data | Not required to fulfill request |
| A request was made for 12 months of aggregated community reimbursement data for medicines and medical devices by dispensing contractor. Manx Care refused the request, stating they are not required to create or derive the specific aggregated information from their existing records. | ||
| 2025-10-03 | Medical surgeries missed/ cancelled | All information sent |
| The request sought data on medical surgeries missed or cancelled by patients and the hospital during the TT and MGP events from 2022 to 2025. Manx Care disclosed specific statistics for 'to check in' elective procedure offers across these years and events. | ||
| 2025-10-03 | Medical appointments missed/ cancelled | All information sent |
| The request sought statistics on medical appointments missed or cancelled during the Isle of Man TT and Manx Grand Prix events from 2022 to 2025. Manx Care disclosed the full data, providing a breakdown of cancellations by hospital, cancellations by patient, and did-not-attend figures for each event year. | ||
| 2025-10-03 | Elective surgeries missed/ cancelled | All information sent |
| A request was made to Manx Care for data on elective surgeries missed or cancelled due to the TT and MGP events between 2022 and 2025. The authority disclosed specific statistics for patient cancellations and hospital cancellations for each year and event type. | ||
| 2025-10-03 | Medical appointments/ surgery during TT and MGP + rest of the year | All information sent |
| 2025-09-30 | Complaints from members of the public and costs investigating | Some information sent but not all held |
| The request sought the number of public complaints against Manx Care since 2021 and the investigation costs since August 2023. Manx Care provided the complaint statistics but refused the cost data, stating they do not routinely record such figures. | ||
| 2025-09-30 | Fire Incidents at Isle of Man Hospitals | Some information sent but not all held |
| The requester asked for details of fire incidents at Nobles and Ramsey Cottage Hospitals over the last four years, including IOMFRS attendance and activation causes. Manx Care provided a statistical table of incidents from 2018 to 2025 but refused to provide specific details on IOMFRS attendance or activation causes, citing that the information was not held. | ||
| 2025-09-26 | Obtain blood results | All information sent |
| The requester asked for Manx Care's written policy regarding individual access to their own test results. The authority responded by releasing the full 'Data Protection Policy' (Version 1.8) and confirmed all information was sent. | ||
| 2025-09-24 | Nigerian recruitment and relocation packages | Information not held |
| A request was made to Manx Care for detailed information regarding the recruitment of Nigerian nationals and associated relocation packages between 2020 and 2025. The authority responded that the requested information is not held. | ||
| 2025-09-24 | Ghanaian recruitment and relocation packages | Some information sent but part exempt |
| A request was made to Manx Care for details on the recruitment of Ghanaian nationals and associated relocation packages from 2020 to 2025. The authority responded that some information was sent but part of the request was exempt, though the provided text cuts off before listing specific data or exemptions. | ||
| 2025-09-23 | Request for Data on Employee Complaints and Protected Disclosures | All information sent |
| A request was made to Manx Care for data on employee complaints and protected disclosures from April 2020 to 2025, which was fully disclosed in the response. The authority provided detailed statistics on the volume, categorization, outcomes, and remedies of formal grievances and whistleblowing cases. | ||
| 2025-09-23 | Data related to asbestos exposure | Some information sent but not all held |
| The requester sought 20 years of data on residents diagnosed with or treated for asbestos-related illnesses, but Manx Care stated they do not hold comprehensive historical records for the full period. However, the authority disclosed current statistics showing 164 total recorded cases, including 84 deceased individuals and 60 currently registered patients. | ||
| 2025-09-18 | Privatisation of Social Services | Some information sent but part exempt |
| A request was made for documents regarding the privatisation or outsourcing of Social Services functions since October 2021, to which Manx Care responded by releasing 64 pages of information while redacting parts under commercial interest exemptions. | ||
| 2025-09-18 | Cost of UK Maritime and Coastguard Agency Helicopter Airlifts | All information sent |
| 2025-09-16 | Numbers currently on waiting lists | All information sent |
| A request was made to Manx Care for the number of people on waiting lists for cataract, hip, and knee replacement procedures. The authority responded by providing detailed breakdowns of routine and urgent cases for all three categories, confirming all information was sent. | ||
| 2025-09-16 | Current weekly achievments | All information sent |
| A request was made to Manx Care for the weekly number of cataract, hip, and knee replacement procedures being actioned. The authority responded by providing total procedure counts for specific date ranges in mid-to-late 2025 rather than a weekly breakdown. | ||
| 2025-09-16 | FOI Request - Dr [Redacted] Protected Disclosure Documentation | No information sent - all held but exempt |
| 2025-09-15 | FOI Request - Manx Care Top 20 Paid Doctors by Department | All information sent |
| The requester asked for anonymized remuneration data for the top 20 highest-paid doctors at Manx Care for 2024/25 and comparative years, but specific job titles were withheld due to GDPR exemptions while earnings data was provided. | ||
| 2025-09-10 | Mental Heath off Island In patient Care for under 18 | Some information sent but part exempt |
| A request was made for detailed statistics and costs regarding under-18s sent off-island for mental health care over five years. Manx Care disclosed the total cost but withheld individual case details and breakdowns due to data protection exemptions. | ||
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