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 |
|---|---|---|
| 2025-02-11 | Parentcraft Classes | All information sent |
| The requester sought correspondence and cost details regarding Manx Care's transition of parentcraft classes from face-to-face to online models. Manx Care provided the requested correspondence via attachments and disclosed specific staffing costs for both session types, noting that online resources incurred no direct cost. | ||
| 2025-02-11 | Performance | All information sent |
| A request was made to Manx Care for staff numbers in specific teams and data on off-island referrals and external companies used for performance improvement. The authority disclosed staff counts for Performance, Quality, Finance, and Contracts teams, confirmed the use of four off-island companies, and detailed the data held on referrals, though it noted some functions cannot be split strictly by healthcare settings. | ||
| 2025-02-11 | Performance | All information sent |
| The requester asked for details on services provided by Meridian to Manx Care over the last three years. Manx Care disclosed that a contract with Meridian Productivity was active from August 2024 to January 2025 to examine efficiencies in specific healthcare areas. | ||
| 2025-02-04 | Cancer Diagnosis | All information sent |
| The requester asked for monthly cancer diagnosis data in the Isle of Man from January 2015 to the most recent available month. Manx Care disclosed the requested data sourced from the Somerset Cancer Registry, noting it is unvalidated and subject to phased implementation limitations. | ||
| 2025-02-04 | Maternity services provided by Manx Care | All information sent |
| A request was made for details on Manx Care's Infant Feeding Team, including staff numbers, job descriptions, and organizational changes, alongside data on caesarean sections and home birth reinstatement. The authority responded by providing the job description for the Infant Feeding Lead and confirming the outcome as 'All information sent', though the specific statistical data requested was not included in the provided text excerpt. | ||
| 2025-02-03 | Health cuts correspondence with the UK | All information sent |
| The requester asked for correspondence between Manx Care and off-island providers regarding the cancellation of funding for certain procedures. Manx Care released 15 documents totaling 143 pages but redacted personal names and email addresses under data protection exemptions. | ||
| 2025-01-27 | Fertility Request | All information sent |
| A request was made to Manx Care for detailed statistics on fertility clinic treatments, patient demographics, and costs over the past five years. The authority disclosed approximate referral rates and IVF cycle data but withheld specific breakdowns due to appointment scheduling methods and confidentiality risks. | ||
| 2025-01-24 | Number of deaths in nobles hospital in 2024 | All information sent |
| A student nurse requested the total number of deaths at Noble's Hospital in 2024 for a dissertation on end-of-life care. Manx Care responded by disclosing that there were 283 deaths recorded at the hospital during that year. | ||
| 2025-01-23 | Eligibility Criteria for Childrens Mobility equipment | All information sent |
| The requester asked for the eligibility criteria for children requiring mobility equipment on the Isle of Man, and Manx Care responded by providing an attached document outlining clinical decision factors. | ||
| 2025-01-14 | Your reference 4362177, RSV in babies | All information sent |
| The request sought the number of babies under 12 months admitted to Noble's Hospital with severe RSV or bronchiolitis for three flu seasons. Manx Care disclosed the patient counts for the 2022-2023, 2023-2024, and partial 2024-2025 seasons, noting that clinical severity is not coded. | ||
| 2025-01-02 | Adolescent Mental Health Statistics and School-Based Interventions | All information sent |
| The requester sought specific statistics on adolescent mental health referrals and waiting times for ages 11-18 on the Isle of Man, along with details on school-based interventions. The authority responded by sending a 139-page manual outlining the framework for Mental Health Support Teams in education, rather than providing the specific numerical data requested. | ||
| 2024-12-31 | Settlement Agreements | All information sent |
| The requester asked for the number, reasons, and compensation figures of Settlement Agreements issued by Manx Care since September 2021, along with a template. Manx Care provided the total count and cumulative cost but withheld specific compensation figures and reasons due to privacy concerns and the requirement not to create new data, while also stating no standard template exists. | ||
| 2024-12-10 | Ambulance Service Leadership Costs | All information sent |
| A request was made for the salaries and contracted hours of the Isle of Man Ambulance Service leadership team for 2022-2024. The authority disclosed the job titles, pay bands, and hours for seven leadership roles, referencing the MPTC pay scales. | ||
| 2024-12-10 | SOP for the treatment of a person attending A&E presenting with DVT | All information sent |
| 2024-12-09 | DBS checks / Manx Care Staff | All information sent |
| The requester asked for details on DBS check levels and exceptions for Manx Care staff over three years, particularly regarding access to minors. Manx Care disclosed that all checks follow legal eligibility guidance, provided statistics on check volumes by level, and listed roles requiring Standard or Enhanced checks. | ||
| 2024-12-06 | Number of abortions since 2020 | All information sent |
| A request was made to Manx Care for abortion statistics since 2020, including repeat procedures and cases involving minors. The authority disclosed a total of 928 abortions and provided specific breakdowns for repeat procedures and under-18 cases for the period from July 2021 to January 2025, while noting that earlier data is held by the Cabinet Office. | ||
| 2024-12-05 | Fetal anomaly screening | All information sent |
| 2024-12-04 | Miscellaneous pathology results | All information sent |
| The requester asked for monthly test counts and results for Cryptosporidium, RSV, and Streptococcus pneumoniae from Manx Care sites in 2024. Manx Care responded by providing the complete dataset for all three pathogens, including breakdowns by month and testing method. | ||
| 2024-11-26 | Speech & Language Therapy | All information sent |
| The requester asked for policies, equality impact assessments, and staffing details regarding Speech and Language Therapy for mainstream and SPC-educated children. Manx Care responded by providing care pathway documents for various conditions and confirmed the release of all requested information. | ||
| 2024-11-19 | Access to day services | All information sent |
| The requester asked for policies regarding access restrictions to day services for individuals in learning disability community homes and the criteria/charges for various adult social care services. Manx Care responded by providing the full text of the Adult Social Care Services (Charges) (Amendment) Regulations 2024 and a brief eligibility note for Autism Initiatives. | ||
| 2024-11-11 | CCTV on Ambulances | All information sent |
| The requester asked about the operation, retention, and policy of CCTV on Manx Care ambulances. The authority confirmed that external cameras record when the ignition is on, internal cameras activate via panic alarm, and footage is retained for up to 320 hours unless required for investigations. | ||
| 2024-11-07 | Summerhill View | All information sent |
| The requester asked for the contract between Manx Care and LV Care Group for the Summerhill View care home in Douglas. Manx Care responded by providing the finalized services contract with LV Summerhill View Limited. | ||
| 2024-11-04 | Enhertu for secondary breast cancer patients in the Island? | All information sent |
| The request sought data on secondary breast cancer patients eligible for Enhertu and details on non-NICE guideline funding applications. Manx Care disclosed the total number of stage 4 breast cancer patients and historical counts of HER2-low cases, but referred cost-benefit analysis and specific funding application details to the Independent Funding Review (IFR). | ||
| 2024-10-28 | The top 100 earners | All information sent |
| A request was made for the top 100 earners at Manx Care for the 2023-2024 financial year, specifying roles and pay amounts without names. The authority fully complied, providing a table of gross pay figures and job types for all 100 individuals. | ||
| 2024-10-09 | Cataract operations | All information sent |
| A request was made to Manx Care for statistics on cataract waiting lists, operation averages, and protocols for second-eye surgery. The authority confirmed the request was received and stated that all information was sent, though the specific data values are not included in the provided text. | ||
| 2024-09-19 | Learning Disability Services Staffing | All information sent |
| The requester sought staffing, capacity, occupancy, and waiting list data for Manx Care's learning disability residential and day services for 2021-2023. Manx Care responded by providing full-time equivalent (FTE) staff numbers and capacity figures for various residential homes, noting the closure of one facility in 2023. | ||
| 2024-09-18 | Learning Disability Residential Care | All information sent |
| The requester sought policies on non-essential activities and staffing directives for learning disability residential care, receiving minutes and reports detailing severe staffing shortages, a recruitment freeze, and operational risks instead of specific policy documents. | ||
| 2024-09-17 | Children's Services Short Breaks (Respite) Review | All information sent |
| A request was made for the independent children's short breaks (respite) review, its recommendations, and terms of reference commissioned by Manx Care. The authority responded by releasing all requested information, including the review by Disability Awareness and the specific terms of reference. | ||
| 2024-09-02 | Amount of referrals to CAMHS over the past five years | All information sent |
| 2024-07-23 | Care and respite for families of children with complex needs | All information sent |
| The request sought data on respite and care services for school-age children with complex needs, to which Manx Care provided waitlist figures and capacity details for specific centers but refused to disclose data on home-based services as it is not held by the authority. | ||
| 2024-07-16 | Children's & Families Disabilities | All information sent |
| The requester asked for statistics on children's disability services and the criteria for case closure, to which Manx Care responded by providing a detailed decision-support tool and referral form rather than the specific numerical data requested. | ||
| 2024-07-10 | DHSC and Manx Care's powers in 2020 in respects of private dentists | All information sent |
| The requester asked for the legislation under which Manx Care officials visited a private dental surgery on 3 September 2020. Manx Care disclosed that the visit was conducted under two specific sets of Emergency Powers (Coronavirus) Regulations from 2020. | ||
| 2024-06-26 | IOM National Cancer treatment waiting times | All information sent |
| The requester asked Manx Care for data on whether specific cancer treatment waiting time targets were being met and for details on the risks associated with missing these targets. The authority confirmed that all requested information was sent, though the provided text only contains the closing administrative letter and not the actual data. | ||
| 2024-06-25 | Air ambulance donations | All information sent |
| The requester asked for policies, oversight details, and five years of financial data regarding Isle of Man air ambulance donations. Manx Care disclosed that the service is taxpayer-funded and charities handle donations, providing a list of donation expenditures from the last two years instead of the requested five-year financial breakdown or policies. | ||
| 2024-06-24 | Information regarding IT hacks/cyber attacks at Hillside Dental | All information sent |
| The requester asked for details on cyber attacks and data breaches at Hillside Dental before and after Manx Care took over, specifically regarding an IT issue in February 2024. Manx Care responded that no cyber attacks have occurred since they managed the practice and they are unaware of any prior attacks. | ||
| 2024-06-18 | Deaths in Hospital | All information sent |
| A request was made to Manx Care for statistics on hospital deaths in 2022, 2023, and 2024, including breakdowns by day of the week and hospital location. The authority disclosed all requested information, providing total counts, daily splits, and specific data for Nobles and Ramsey hospitals. | ||
| 2024-06-17 | Top 10 most prescribed drugs 23/24 | All information sent |
| A request was made to Manx Care for the top 10 most prescribed drugs and their costs for the 2023/24 financial year. The authority fully disclosed the data, listing the specific medications, item counts, and total actual costs for each. | ||
| 2024-06-04 | Dental Waiting List Crisis | All information sent |
| A request was made to Manx Care regarding the current size of the dental waiting list and the longest wait time for an individual. The authority disclosed that as of May 2024, over 5,000 people were on the list, with the longest wait exceeding four years. | ||
| 2024-05-27 | Gender bias in healthcare staff towards female patients and relatives | All information sent |
| The requester asked Manx Care for surveys, reports, training materials, and policies regarding gender bias in healthcare. The authority responded by providing training materials focused on unconscious bias, including definitions, types, effects, and strategies for reduction, rather than specific gender bias surveys or reports. | ||
| 2024-05-02 | External Review into Day Services undertaken by Jan Lawry | All information sent |
| The requester asked for the 2023 external review of day services for adults with learning disabilities and the resulting actions, which Manx Care fully disclosed by providing the report and a summary table of findings and progress. | ||
| 2024-04-16 | Antibiotic Resistance within the Isle of Man | All information sent |
| A researcher requested data on antibiotic resistance rates within the Isle of Man general public for a dissertation. Manx Care responded by sending all requested information, noting that patient counts across different years may overlap. | ||
| 2024-04-15 | Cardiac issues | All information sent |
| A request was made to Manx Care for statistics on cardiac arrests and atrial fibrillation admissions between 2015 and 2024, including causes and age breakdowns. The authority disclosed that all requested information was provided, detailing specific admission counts and referring to an annex for granular data on causes and demographics. | ||
| 2024-04-15 | Covid stats | All information sent |
| The requester asked Manx Care for details on COVID-19 statistical criteria, symptomatic patient counts, and pathogen category downgrades. Manx Care confirmed statistics were based on PCR/TMA tests only, stated they do not hold data on symptomatic classifications or untested hospital cases, and clarified that SARS-CoV-2 was never downgraded to Category 2. | ||
| 2024-04-15 | Air Ambulance | All information sent |
| 2024-04-15 | Staff who live off Island | All information sent |
| A request was made to Manx Care for detailed statistics and cost breakdowns regarding civil servants and direct employees living off the Isle of Man. The authority refused to disclose any information, stating they do not hold the requested data. | ||
| 2024-04-15 | Cancer diagnosis | All information sent |
| A request was made to Manx Care for statistics on hospital admissions involving malignant cancer, history of cancer, and COVID-19 infections between 2015 and 2024, including age breakdowns. The authority disclosed that all requested information was sent, providing specific counts of patient spells and referencing supporting documentation for detailed yearly and age group data. | ||
| 2024-04-15 | Dvt | All information sent |
| A request was made to Manx Care for annual statistics on DVT and thrombocytopenia cases, including age demographics, between 2015 and 2025. The authority responded by stating that all requested information had been sent and closed the case. | ||
| 2024-04-04 | Average time to complete NARRATES | All information sent |
| 2024-04-01 | Clinical Advisory Group minutes | All information sent |
| The requester asked for Clinical Advisory Group (CAG) minutes, membership details, and specific information regarding discussions on COVID vaccine injuries. The authority, Manx Care, disclosed all requested information, providing 96 documents totaling 402 pages, including agendas and a detailed NHS plan on Long COVID. | ||
| 2024-03-28 | Unpublished FOI requests | All information sent |
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