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 |
|---|---|---|
| 2025-03-25 | Request for documentation | No information sent - all held but exempt |
| The requester asked for documentation regarding the capping of special duty pay for Manx Care employees, but no information was sent because the authority stated the data is already reasonably accessible to the public. | ||
| 2025-03-20 | Manx Care Improvement Directors | No information sent - all held but exempt |
| A request was made for details on Improvement Directors advising Manx Care, including costs and contract terms, but no information was disclosed as it was deemed exempt under data protection and commercial interest laws. | ||
| 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. | ||
| 2025-03-11 | 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. | ||
| 2025-03-06 | Costing | Information not held |
| A request was made for the cost of gender reassignment surgery for Manx residents over the past 12 months, but the authority responded that no such information is held because no surgeries were performed. | ||
| 2025-02-25 | MHK Statement | No information sent - all held but exempt |
| A request was made for internal and external communications regarding a Manx Care statement accusing MHK Julie Edge of factual errors, as well as the chain of command for publishing statements. Manx Care refused to disclose any information, citing exemptions related to the conduct of public business. | ||
| 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. | ||
| 2025-02-20 | Business Cases | Some information sent but part exempt |
| The requester asked for business cases regarding children's therapy and respite services, and Manx Care disclosed minutes from an October 2024 review meeting discussing a revised business case for short breaks and residential services, as well as a patient engagement platform. | ||
| 2025-02-20 | Children with Complex Needs | Some information sent but part exempt |
| The request sought business cases for children with complex needs and the number of paediatric learning disability nurses; the authority disclosed a revised business case document detailing cost reductions and strategic changes but did not explicitly confirm the nurse count in the provided text. | ||
| 2025-02-19 | FOI Request - Patient Transfers from the Isle of Man | Some information sent but not all held |
| 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. | ||
| 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. | ||
| 2025-02-06 | Bonus Payments | Information not held |
| A request was made for details on Manx Care staff bonus payments, including counts, metrics, and totals since inception. The authority responded that the information is not held because Manx Care does not use a bonus payment framework, though occasional ex gratia payments are made without performance attribution. | ||
| 2025-02-04 | Breast Cancer Patients | Not required to fulfill request |
| A request was made for the criteria, number of grants, and costs of Independent Funding Requests (IFR) for breast cancer patients over the last five years. Manx Care provided the criteria and grant numbers for the period since its inception in 2021 but refused to disclose the costs citing a practical inability to locate the information. | ||
| 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. | ||
| 2025-01-28 | Correspondence regarding cuts | Some information sent but part exempt |
| The requester asked for correspondence between Manx Care and the DHSC regarding service cuts from October 2024 to February 2025. Manx Care released 14 documents 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. | ||
| 2025-01-21 | Charity Funds | Information not held |
| A request was made for a detailed breakdown of charity donation income and expenditure for Manx Care, including specific departmental allocations and current fund balances. The authority responded that the information was not held in the requested format and refused to create or derive it under the Freedom of Information Act 2015. | ||
| 2025-01-14 | On call payments for Anaesthetists | Information not held |
| A request was made for the specific on-call payment costs for two anaesthetists at Noble's Hospital during weekend hours, but Manx Care responded that this information is not held because on-call duties are embedded within overall salary packages and not recorded as separate line items. | ||
| 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. | ||
| 2025-01-03 | 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. | ||
| 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. | ||
| 2024-12-27 | 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. | ||
| 2024-12-10 | 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 |
| 2024-12-05 | Air Ambulance Overnight Costs | Information not held |
| 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. | ||
| 2024-11-26 | 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. | ||
| 2024-11-25 | Cost of top care agency staff | Some information sent but part exempt |
| 2024-11-19 | Learning Disabilities Service Review - TOR | Some information sent but part exempt |
| The requester asked for the Terms of Reference and the name of the appointed organization for the Learning Disabilities Service Review. Manx Care disclosed a confidential outline proposal detailing the review methodology and phases but redacted the specific costs, timeline, and the full name of the appointed organization. | ||
| 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. | ||
| 2024-11-07 | Ambulances | Information not held |
| A request was made for details on the number and manufacturer of emergency ambulances in the IMAS Fleet, but Manx Care responded that the information is not held. | ||
| 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). | ||
| 2024-11-01 | Use of Agency Staff within Learning Disabilities Services | Some information sent but part exempt |
| A request was made for agency staff hours, costs, and qualification details for Learning Disabilities Residential Services in September and October 2024. Manx Care disclosed the hours and qualification status but withheld cost information citing commercial sensitivity. | ||
| 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. | ||
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