Manx Care
239 FOI requests | Full disclosure rate: 100.0%
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 (239)
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. | ||
| 2026-01-29 | 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. | ||
| 2026-01-12 | 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. | ||
| 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. | ||
| 2025-11-14 | 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 | 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. | ||
| 2025-10-16 | 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. | ||
| 2025-10-03 | 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 |
| 2025-09-26 | 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. | ||
| 2025-09-23 | 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. | ||
| 2025-09-18 | 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. | ||
| 2025-09-15 | 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. | ||
| 2025-09-05 | Requests for Great North Air Ambulance Service | All information sent |
| A request was made to Manx Care for a detailed log of Great North Air Ambulance Service helicopter landings on the Isle of Man since March 2022, including disposal outcomes. The authority responded by sending all requested information in an attached document. | ||
| 2025-08-21 | Finances to CAHMS and Isle Listen | All information sent |
| The requester asked for a breakdown of £4 million allocated to CAHMS and Isle Listen, specifically regarding staff, contractors, and service submissions. Manx Care disclosed the full funding allocation for the first three years of the Child & Adolescent Mental Health Services transformation, detailing recurrent and non-recurrent costs. | ||
| 2025-08-21 | FOI Request - Private Practice Oversight | All information sent |
| The requester sought details on Manx Care's governance and authorization processes for radiology consultants engaging in private practice. Manx Care disclosed the relevant committees, the governing 'Heads of Agreement' document, and specific criteria regarding NHS workload and application requirements. | ||
| 2025-08-21 | Policy documents | All information sent |
| The requester asked for Manx Care's current sepsis policy and the specific sepsis and NEWS policies in effect on January 11th and 12th, 2025. Manx Care confirmed that all requested information was provided, attaching the current policies which were also the ones adhered to on the specified dates. | ||
| 2025-08-18 | Complaints and Locum costs | All information sent |
| Manx Care provided a detailed breakdown of patient complaints and orthopaedic locum costs over the last three years, but declined to investigate a generic query regarding MRI referral delays due to insufficient specific details. | ||
| 2025-08-06 | Purchasing hygiene consumables | All information sent |
| The requester asked whether hygiene consumables for Nobles Hospital are supplied exclusively by the NHS supply chain or if local businesses can provide them under a contract. Manx Care confirmed that supplies are generally purchased via the NHS supply chain and stated there is currently no contract with local businesses. | ||
| 2025-08-04 | Policy for the Management of Sepsis in Adults | All information sent |
| The requester asked for the Sepsis Management Policy for Nobles Hospital and an explanation of the National Early Warning Score system. Manx Care provided the requested policies and confirmed the use of NEWS2, but redacted personal data from the documents citing an absolute exemption. | ||
| 2025-08-04 | Upheld complaints | All information sent |
| The requester asked for the total number of complaints and upheld complaints regarding the Women, Children and Families Care Group at Manx Care over the past five years. Manx Care provided a detailed table of complaint outcomes from 2018 to 2025, disclosing that 171 total complaints were recorded with varying numbers upheld, partially upheld, or not upheld. | ||
| 2025-07-23 | Waiting list information for orthopaedics. | All information sent |
| A request for orthopaedic waiting list statistics and prioritisation criteria was made to Manx Care, resulting in the disclosure of patient volumes, clinical definitions, and partial waiting time data as of July 2025. | ||
| 2025-07-15 | Ever-growing dental waiting list | All information sent |
| The requester asked for the longest duration any individual has spent on the dental waiting list in the Isle of Man. Manx Care disclosed that as of 30 June 2025, the maximum wait was 2,099 days for an adult and 1,259 days for a child. | ||
| 2025-06-30 | Job Evaluation Reference Numbers and relevant policies (Manx Care) | All information sent |
| The requester asked for an explanation of the coding structure of Manx Care Job Evaluation Reference Numbers and copies of relevant revaluation policies. Manx Care disclosed the specific meaning of each segment of the reference number and provided a link to the publicly available Job Evaluation Appeal Procedure. | ||
| 2025-06-25 | Hospital admissions-covid | All information sent |
| The requester asked Manx Care for weekly COVID-19 admission data from 2020-2022, total figures for 2023-2024, monthly total hospital admissions, and details on PCR testing brands. Manx Care provided the requested admission statistics and confirmed the total number of hospital episodes, though the response text cuts off before addressing the PCR brand details. | ||
| 2025-06-24 | Orthopaedic Operations currently cancelled or delayed | All information sent |
| 2025-06-23 | Off island medical transportation | All information sent |
| A request was made to Manx Care for statistics on complaints regarding taxi services transporting patients from Liverpool Airport, specifically focusing on sexual misconduct. The authority disclosed that while there were 21 general complaints over the contract period, only one involved allegations of inappropriate touching or assault. | ||
| 2025-05-20 | Air Ambulance Scissor Lift | All information sent |
| A request was made for details regarding scissor lifts used by the Isle of Man Air Ambulance, to which Manx Care responded by disclosing operational numbers, ownership, and servicing schedules while clarifying the equipment's specific usage. | ||
| 2025-05-20 | Clipdeck | All information sent |
| The requester asked Manx Care about the usage, ownership, and safety protocols of Clipdeck units in moving ambulances, specifically regarding manufacturer warnings. Manx Care disclosed a detailed Standard Operating Procedure confirming the use of Clipdecks with specific safety straps to mitigate risks, but withheld ownership and service schedule details citing personal data exemptions. | ||
| 2025-05-20 | Risk registers | All information sent |
| The requester asked for the air ambulance risk register and uniform/footwear policies; Manx Care provided the uniform policy document but stated the risk register is not a separate document and redacted personal data under GDPR exemptions. | ||
| 2025-05-13 | Postage costs versus email and phone calls | All information sent |
| The requester asked for annual postage costs specifically incurred by Manx Care for contacting patients, but the authority could only provide total postage costs as patient-specific data is not recorded separately. | ||
| 2025-05-12 | Cost of translators | All information sent |
| A request was made to Manx Care for annual spending data on patient translation services over the past five financial years. The authority disclosed the specific costs recorded in their accounting ledger from their establishment in 2021 through to the current year-to-date figures. | ||
| 2025-04-30 | Complaints | All information sent |
| A request was made for average monthly complaint statistics for Manx Care between 2022 and 2024, specifically focusing on the Women & Children's Department and Maternity Ward. The authority disclosed that 1,117 total complaints were received, with 78 related to Women's Children's and Families, of which 31 involved Maternity services. | ||
| 2025-04-10 | Peel General practice access / appointments | All information sent |
| 2025-03-31 | Inflammatory bowel disease numbers in the community | All information sent |
| 2025-03-18 | Negligence cases | All information sent |
| The request sought data on clinical negligence cases against Manx Care over the last five years, including outcomes and costs. The authority disclosed that 32 cases were recorded, with 9 settled, 15 ongoing, and 8 effectively won, alongside detailed financial expenditure totaling over £12 million. | ||
| 2025-03-12 | Diabetes support | All information sent |
| A request was made to Manx Care regarding the current status and future plans for diabetic retinal eye screening on the Isle of Man. The authority confirmed that no NHS-funded screening currently exists, there are no immediate plans to implement a programme, and it is not a statutory requirement. | ||
| 2025-02-24 | Prescription Data | All information sent |
| The requester asked for updated prescription figures for 2023/24 and the total cost of medicines dispensed for 2022/23 and 2023/24. Manx Care provided a full breakdown of prescriptions issued by surgeries and dispensed by pharmacies, along with the requested total costs. | ||
| 2025-02-13 | Children's with Disabilities Short Breaks | All information sent |
| The request sought budget allocations, session details, and attendance figures for Children's with Disabilities Short Breaks services at Ramsey Respite Centre and Braddan Hub for 2021-2024. Manx Care disclosed full budgetary data, operational timings, capacity details, and specific statistics on the number of children served across both settings. | ||
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