Manx Care
82 FOI requests | Full disclosure rate: 291.5%
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 (82)
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 |
|---|---|---|
| 2026-02-09 | 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. | ||
| 2026-01-09 | 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. | ||
| 2025-12-08 | 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. | ||
| 2025-11-19 | 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. | ||
| 2025-09-30 | 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. | ||
| 2025-09-23 | 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. | ||
| 2025-09-10 | Clinical Psychology - Integrated Mental Health Service | Some information sent but not all held |
| The requester asked for historic and current data on permanent Doctorate-level Clinical Psychologists in the Manx Care Integrated Mental Health Service. Manx Care disclosed that only one such professional is currently employed in CAMHS, with two posts unfilled, but stated that historic data could not be confidently reported. | ||
| 2025-09-09 | FOI Ambulance Call Outs | Some information sent but not all held |
| A request was made for ambulance attendance data for accidents on North Quay, Douglas, between December 2024 and September 2025. Manx Care disclosed that 8 incidents were recorded for North Quay, but noted that exact location filters for specific streets like Queens Corner could not be applied. | ||
| 2025-08-28 | Policy and procedures around notification of reportable diseases | Some information sent but not all held |
| The applicant requested Manx Care's policies and procedures regarding the notification of reportable diseases, including time limits and lists of diseases. The authority responded by stating the information is publicly available online and provided attached documents, specifically a policy on Meningococcal infections. | ||
| 2025-08-13 | Data breaches | Some information sent but not all held |
| 2025-07-31 | Request for anonymised EMS operational data for academic research | Some information sent but not all held |
| A researcher requested anonymised EMS operational data for 2022-2024 to develop AI forecasting models, but Manx Care could not provide the data in the requested format due to system limitations, instead supplying a partial dataset containing beat, accept time, and response time. | ||
| 2025-07-15 | Unmarked road ambulance vehicles | Some information sent but not all held |
| A request was made regarding the purchase, cost, and allocation of unmarked Volvo cars for the Isle of Man road ambulance service. Manx Care disclosed that two vehicles were purchased in 2024 for management command roles, but stated that specific cost and modification data is held by the Department of Infrastructure (DOI). | ||
| 2025-07-10 | Manx Care's use of immigration pathways for healthcare staffing | Some information sent but not all held |
| A request was made for details on Manx Care's use of immigration pathways for healthcare staffing, including costs, contracts, and workforce data from January 2024. The authority responded with an outcome of 'Some information sent but not all held', though the provided text cuts off before detailing specific disclosures or refusals. | ||
| 2025-07-08 | Sexual abuse of children under 5 yrs old | Some information sent but not all held |
| The requester asked for annual statistics on sexual abuse cases involving children under 5, including prosecutions and staff training numbers, for the years 2020 to 2025. Manx Care provided data on general abuse referrals, specific sexual abuse referrals from June 2023 onwards, and Child Protection Plan figures, but withheld detailed historical data for 2020-2023 due to the excessive cost of manual review and redirected prosecution data to the police. | ||
| 2025-06-25 | CAG minutes May 2024 | Some information sent but not all held |
| The requester sought unredacted Clinical Advisory Group minutes and correspondence regarding COVID-19 vaccine safety discussions from May 2024 to June 2025, along with details on oversight committees. Manx Care responded that some information was provided, but not all requested data was held by the authority. | ||
| 2025-06-24 | Subject: Freedom of Information Request - Referrals to Children's Soci | Some information sent but not all held |
| A request was made for five years of data regarding referrals to Children's Social Services, including breakdowns by contact method and outcomes. Manx Care provided total referral counts and contact method statistics but withheld data on anonymous sources and specific intervention outcomes, citing that such information would require creating new data. | ||
| 2025-03-28 | Approved Business Cases for Consultant Radiologist from 2019 to 2023 | Some information sent but not all held |
| The requester sought details of approved business cases for Consultant Radiologists between 2019 and 2022, and the authority provided a partial response containing a business case document dated February 2020 regarding a Breast Radiologist role. | ||
| 2025-03-26 | Rheumatology Department | Some information sent but not all held |
| A request was made for complaint statistics and UK transfer rates for the Rheumatology Department at Noble's Hospital over five years. Manx Care disclosed the total number of complaints and their proportion relative to other departments but refused to provide transfer data as it is not held in recorded form. | ||
| 2025-03-11 | Qufora system Refused by GP | Some information sent but not all held |
| The requester asked for the number of patients receiving Qufora irrigation systems via NHS prescription, specifically through Hailwood Medical Practice. Manx Care disclosed prescribing data by practice and product type for 2022/2023 and 2023/2024 but refused to provide patient counts, citing that this information is not held. | ||
| 2025-02-19 | FOI Request - Patient Transfers from the Isle of Man | Some information sent but not all held |
| 2025-01-03 | Age ranges of those on dental waiting list | Some information sent but not all held |
| The requester asked for dental waiting list age breakdowns, tooth decay treatment statistics for young children, and the total population of 1-6 year olds on the Isle of Man. Manx Care provided historical waiting list data from 2021 to 2024 but refused requests regarding tooth decay treatments and population counts as the information was not held. | ||
| 2024-12-27 | Student nurses | Some information sent but not all held |
| The requester asked for historical data on student nurses trained on the Isle of Man and their subsequent employment status. Manx Care provided statistics for the years 2018 to 2023 but could not supply data for 2024 or the total since inception as it was not yet processed or held. | ||
| 2024-12-10 | Helicopter Requests | Some information sent but not all held |
| The requester asked for a three-year breakdown of helicopter patient transfers to the UK and associated costs, excluding TT week. Manx Care provided aggregated mission counts for Great North Air Ambulance and Search and Rescue but refused to disclose costs or specific annual breakdowns for SAR missions due to data not being held or privacy concerns. | ||
| 2024-11-26 | Learning disabilities access to day services | Some information sent but not all held |
| The requester asked for policies restricting learning disability day services for community home residents, eligibility criteria, and usage data over the last 3-4 years. Manx Care disclosed a 2020 decision to shift residential users to community-based activities rather than building-based services but stated that specific eligibility documents and requested statistical data were not held in an accessible format. | ||
| 2024-10-29 | Cancelled clinics | Some information sent but not all held |
| The requester asked for a breakdown of cancelled clinics, reasons for cancellations, average waiting lists, and average delays from September 2024. Manx Care provided reports on cancellations by reason and average waiting times but refused to provide data on average delays due to system limitations. | ||
| 2024-09-03 | Use of off-Island recruitment agencies | Some information sent but not all held |
| The requester asked for specific data on Manx Care's use of off-island recruitment agencies since April 2021, including frequency, costs, and tender processes. The authority responded by providing a general recruitment guidance framework rather than the specific historical data requested, noting that some information was not held. | ||
| 2024-08-29 | Managers | Some information sent but not all held |
| The requester asked for the total spend on managers, admin staff, nurses, and porters for 2023/2024, but Manx Care stated they do not hold data classified under these specific categories. The authority provided a breakdown of how employment costs are actually categorized by terms and conditions instead. | ||
| 2024-07-22 | PPE Total Spend | Some information sent but not all held |
| The requester asked for total Covid-19 PPE spend from January 2020 to July 2024, but Manx Care could only provide data from its inception in April 2021 to June 2024, noting that earlier records are held by the Department of Health and Social Care. The authority disclosed total PPE spend figures but clarified that these include both Covid-related and business-as-usual items. | ||
| 2024-07-03 | Summerhill View | Some information sent but not all held |
| The requester asked for the contract value, tender applicant numbers, and a copy of the contract for Summerhill View care home. Manx Care disclosed the tender applicant breakdown and explained the contract value calculation method but refused to provide the specific contract value or the contract document itself as they were not yet finalized or held. | ||
| 2024-04-30 | Children in Secure Accommodation. | Some information sent but not all held |
| A request was made to Manx Care for annual statistics on children held in Cronk Sollysh secure accommodation from 2014 to 2024, covering remand, sentencing, police requests, and looked-after status. The authority provided partial data for total children, repeat admissions, and looked-after children, but refused the request regarding police custody for court attendance due to lack of records. | ||
| 2024-04-18 | Cost of medicines | Some information sent but not all held |
| The requester asked for the total cost of medicines, appliances, and medical devices purchased by Manx Care in 2023 and 2018. Manx Care provided the 2023/24 financial year figure but refused the 2018 request because the organization did not exist at that time. | ||
| 2024-04-17 | board minutes and website omissions | Some information sent but not all held |
| The requester asked for a list of Manx Care board and committee meetings and an explanation for missing minutes on the website, specifically citing the 26th July 2022 gap. Manx Care provided a partial list of meetings with attendee details and committee reports but did not address the specific explanation for website omissions or the whistleblower context. | ||
| 2024-02-08 | Vaccine injury codes | Some information sent but not all held |
| 2024-01-04 | MEDS overnight closure | Some information sent but not all held |
| The requester asked for the Policy Impact Assessment and Business Case regarding MEDS overnight closures; Manx Care provided the Business Case but refused the Assessment citing it was not held. | ||
| 2023-10-02 | Yellow card data, who reviewed it | Some information sent but not all held |
| The requester asked for correspondence and governance details regarding Yellow Card data for COVID-19 vaccines in the Isle of Man, but Manx Care disclosed that they do not hold this data as it is submitted directly to the UK's MHRA. | ||
| 2023-09-05 | Carers Assesments | Some information sent but not all held |
| 2023-09-05 | Hospital waiting lists | Some information sent but not all held |
| 2023-08-25 | Hospital meals | Some information sent but not all held |
| 2023-08-24 | Cost of IOM Juvenile Secure Unit. | Some information sent but not all held |
| 2023-08-01 | Cummal Mooar | Some information sent but not all held |
| 2023-07-31 | Children & Families Department | Some information sent but not all held |
| 2023-07-06 | Synaptik | Some information sent but not all held |
| 2023-04-06 | Patient Transfer Flight & Cost Date Loganair & EasyJet | Some information sent but not all held |
| 2023-03-30 | Isle of Man Air Ambulance Service - Manx Care Costs | Some information sent but not all held |
| 2023-03-29 | Government funded UK rehabilitation placements | Some information sent but not all held |
| 2023-03-22 | Pharmacy applications | Some information sent but not all held |
| 2023-03-08 | New patients accepted by NHS dentist | Some information sent but not all held |
| 2023-02-17 | Unplanned Caesarean Sections | Some information sent but not all held |
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