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 |
|---|---|---|
| 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. | ||
| 2025-09-05 | 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. | ||
| 2025-09-05 | Non Manx Nurses | Information not held |
| A request was made for data on non-Manx nurses who left full-time employment at Noble's Hospital since August 2019, including their dates of departure and nationalities. Manx Care refused the request, stating the information is not held centrally and nationality data is not captured in a reportable format. | ||
| 2025-09-02 | Amount paid out in compensation since Manx Care came into being | Some information sent but part exempt |
| The requester asked for total compensation paid by Manx Care for medical omissions and malpractice since its inception. The authority disclosed that the cumulative amount up to March 2025 remains unchanged at £4,604,072 and provided an additional figure of £578,219 for the period up to August 2025, citing that some data was already publicly accessible. | ||
| 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. | ||
| 2025-08-21 | 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. | ||
| 2025-08-13 | Data breaches | Some information sent but not all held |
| 2025-08-12 | Report | No information sent - all held but exempt |
| A request was made for a Health Needs Analysis report on prisoner mental health conducted by Tamlyn Cairns Partnership for Manx Care, which was refused in full. | ||
| 2025-08-07 | Number of meningitis cases | Some information sent but part exempt |
| The requester asked for monthly and age-grouped meningitis case data for the Isle of Man between July 2021 and July 2022. Manx Care disclosed the total number of cases (4) but withheld the specific breakdown to prevent the identification of individuals due to privacy concerns. | ||
| 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. | ||
| 2025-08-04 | Staff Travel | Information not held |
| A request was made for five years of data regarding non-clinical staff travel on the Isle of Man Air Ambulance and clinical team flight manifests. Manx Care refused the request stating they do not hold the information, suggesting the applicant contact the aviation provider instead. | ||
| 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. | ||
| 2025-07-25 | amount of children being caused harm by British Hospital | Information not held |
| The requester asked for statistics on Manx children referred to UK hospitals and any harm suffered there since 2015. Manx Care responded that the information is not held and cannot be provided. | ||
| 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. | ||
| 2025-07-21 | FOI Request - Litigation History of Manx Care Radiology Department | Information not held |
| A request was made for a complete list of litigation history involving Manx Care's Radiology Department from 2016 to 2025, including case details and supporting documents. The authority responded that the information is not held and cannot be found after taking reasonable steps. | ||
| 2025-07-17 | FOI Request - RPA/RPS Correspondence and Private Practice Oversight | Some information sent but part exempt |
| The request sought correspondence and oversight documents regarding private-practice imaging sessions at Manx Care from 2021 to present, but the authority provided a 2021 annual radiation safety report covering the period 2019-2021 instead, with part of the information exempt. | ||
| 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. | ||
| 2025-07-15 | Measles | Information not held |
| A request was made for year-by-year statistics on measles-related deaths in the Isle of Man over the last 30 years, but Manx Care responded that they do not hold this information. | ||
| 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. | ||
| 2025-07-09 | Alderhey and Great Ormond Street Medical Negligence | Information not held |
| The requester asked for statistics on Manx children referred to Alder Hey and Great Ormond Street hospitals since 2010, including instances of harm or medication overdoses. Manx Care responded that the information is not held due to a lack of reliable data from 2010 and an inability to identify children born to Manx parents. | ||
| 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. | ||
| 2025-06-30 | 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 | Eye Clinic | Some information sent but part exempt |
| The request sought average wait times and cancellation statistics for the Eye Clinic since June 2024. Manx Care disclosed monthly waiting list data and detailed breakdowns of appointment and session cancellations, while noting that current waiting times are already publicly accessible. | ||
| 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. | ||
| 2025-06-25 | 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 | Orthopaedic Operations currently cancelled or delayed | All information sent |
| 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. | ||
| 2025-06-23 | 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. | ||
| 2025-06-05 | Emails re: G/I/P | Some information sent but part exempt |
| A request was made for all emails sent by Manx Care between October 2023 and March 2024 containing the words 'Palestine', 'Gaza', or 'Israel'. The authority released a partial response containing a forwarded email chain regarding the Royal College of Occupational Therapists' decision to change their campaign title due to the conflict, while withholding other information. | ||
| 2025-05-27 | Contracts | Some information sent but part exempt |
| The requester sought employment contracts, compliance definitions, and data on salary overpayments and audits from Manx Care. The authority provided the contract and audit details but withheld specific overpayment statistics due to data sensitivity and directed the requester to a public website for compliance definitions. | ||
| 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. | ||
| 2025-05-19 | FCP PCN | Some information sent but part exempt |
| A request was made for details on the First Contact Practitioner (FCP) service specification, funding, agreements, and staff salaries within Manx Care. The authority provided a pilot overview, job description, and operational model but withheld specific salary breakdowns and certain reimbursement agreements. | ||
| 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 |
| 2025-04-02 | Migrant funding | Information not held |
| A request was made to Manx Care for detailed financial data regarding payments and benefits provided to refugees, asylum seekers, and migrants. The authority responded that the information is not held and cannot be created without exceeding statutory requirements. | ||
| 2025-03-31 | Inflammatory bowel disease numbers in the community | All information sent |
| 2025-03-31 | Presentations or Briefings from Manx Care to the DHSC | Some information sent but part exempt |
| The requester sought presentations and briefing documents shared between Manx Care and the DHSC regarding service reductions in January-February 2025. Manx Care released a public communication detailing urgent financial measures and service suspensions but withheld specific briefing materials citing exemptions for personal 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. | ||
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