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) ·
DateTitleOutcome
2023-06-06% of staff on temp contracts.Request lapsed - requested information not provided
2023-05-24Number of surgeriesAll information sent
2023-05-17Duty of Candour report 2021-2022No information sent - all held but exempt
2023-05-17Duty of Candour incidents 2022-23All information sent
2023-05-17Adults with Learning DisabilitiesAll information sent
2023-05-17Payments to pharmaciesAll information sent
2023-05-17Prescription dataAll information sent
2023-05-16TT additional medical costsAll information sent
2023-05-16Duty of Candour and healthcare acquired COVID infectionsInformation not held
2023-05-16Short Breaks ReviewUpheld - full
2023-05-16Employment TribunalsInformation not held
2023-05-11Expected Cost of Extra TT ResourcesAll information sent
2023-05-11Introduction of fixed pen notices, Nobles Hospital car parkAll information sent
2023-05-10Brain cancer GlioblastomaNo information sent - all held but exempt
2023-05-09Noble's nursing posts filled by local traineesAll information sent
2023-05-09MPTC Job EvaluationAll information sent
2023-05-02Knee replacement operations waiting list figureAll information sent
2023-04-12MRI Waiting timesAll information sent
2023-04-12On call paymentsAll information sent
2023-04-11misdiagnosed injuriesNot required to fulfill request
2023-04-11Secondment of Medical DirectorNo information sent - all held but exempt
2023-04-11Outpatient flows at the Diabetes Centre 2011-2020All information sent
2023-04-06Patient Transfer Flight & Cost Date Loganair & EasyJetSome information sent but not all held
2023-04-05Adoption & FosteringAll information sent
2023-04-04ENT Waiting lengthAll information sent
2023-03-31Medical AssurancesInformation not held
2023-03-31Inflammatory bowel disease numbers in the communityAll information sent
2023-03-30Isle of Man Air Ambulance Service - Manx Care CostsSome information sent but not all held
2023-03-30Assisted DyingInformation not held
2023-03-29Number of social workers on the Isle of ManAll information sent
2023-03-29Government funded UK rehabilitation placementsSome information sent but not all held
2023-03-29Hip and knee operations - SynaptikSome information sent but part exempt
2023-03-23Diabetes Type 2 StatisticsAll information sent
2023-03-22Dental Complaints - Smile Dental Practice, RamseyAll information sent
2023-03-22Pharmacy inspectionsAll information sent
2023-03-22Pharmacy applicationsSome information sent but not all held
2023-03-21General Dental Contracts - femalesRequest lapsed - requested information not provided
2023-03-21Superintendent pharmacistsInformation not held
2023-03-16Medical assuranceInformation not held
2023-03-09ENT Waiting ListAll information sent
2023-03-08New patients accepted by NHS dentistSome information sent but not all held
2023-03-07Ambulance call outsAll information sent
2023-03-02Sativex also known as Nabiximol and Sativex OromucosalAll information sent
2023-02-17Unplanned Caesarean SectionsSome information sent but not all held
2023-02-16Breast cancer statisticsSome information sent but not all held
2023-02-10Number of Residents Diagnosed with multiple sclerosisAll information sent
2023-02-09Disposal Covid-19 vaccine dosesAll information sent
2023-02-09PaxlovidSome information sent but not all held
2023-02-07Poor data protectionUpheld - partial
2023-02-02Manx Care complaints report 2021-22No information sent - all held but exempt
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