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
| Date | Title | Outcome |
|---|---|---|
| 2023-06-06 | % of staff on temp contracts. | Request lapsed - requested information not provided |
| 2023-05-24 | Number of surgeries | All information sent |
| 2023-05-17 | Duty of Candour report 2021-2022 | No information sent - all held but exempt |
| 2023-05-17 | Duty of Candour incidents 2022-23 | All information sent |
| 2023-05-17 | Adults with Learning Disabilities | All information sent |
| 2023-05-17 | Payments to pharmacies | All information sent |
| 2023-05-17 | Prescription data | All information sent |
| 2023-05-16 | TT additional medical costs | All information sent |
| 2023-05-16 | Duty of Candour and healthcare acquired COVID infections | Information not held |
| 2023-05-16 | Short Breaks Review | Upheld - full |
| 2023-05-16 | Employment Tribunals | Information not held |
| 2023-05-11 | Expected Cost of Extra TT Resources | All information sent |
| 2023-05-11 | Introduction of fixed pen notices, Nobles Hospital car park | All information sent |
| 2023-05-10 | Brain cancer Glioblastoma | No information sent - all held but exempt |
| 2023-05-09 | Noble's nursing posts filled by local trainees | All information sent |
| 2023-05-09 | MPTC Job Evaluation | All information sent |
| 2023-05-02 | Knee replacement operations waiting list figure | All information sent |
| 2023-04-12 | MRI Waiting times | All information sent |
| 2023-04-12 | On call payments | All information sent |
| 2023-04-11 | misdiagnosed injuries | Not required to fulfill request |
| 2023-04-11 | Secondment of Medical Director | No information sent - all held but exempt |
| 2023-04-11 | Outpatient flows at the Diabetes Centre 2011-2020 | All information sent |
| 2023-04-06 | Patient Transfer Flight & Cost Date Loganair & EasyJet | Some information sent but not all held |
| 2023-04-05 | Adoption & Fostering | All information sent |
| 2023-04-04 | ENT Waiting length | All information sent |
| 2023-03-31 | Medical Assurances | Information not held |
| 2023-03-31 | Inflammatory bowel disease numbers in the community | All information sent |
| 2023-03-30 | Isle of Man Air Ambulance Service - Manx Care Costs | Some information sent but not all held |
| 2023-03-30 | Assisted Dying | Information not held |
| 2023-03-29 | Number of social workers on the Isle of Man | All information sent |
| 2023-03-29 | Government funded UK rehabilitation placements | Some information sent but not all held |
| 2023-03-29 | Hip and knee operations - Synaptik | Some information sent but part exempt |
| 2023-03-23 | Diabetes Type 2 Statistics | All information sent |
| 2023-03-22 | Dental Complaints - Smile Dental Practice, Ramsey | All information sent |
| 2023-03-22 | Pharmacy inspections | All information sent |
| 2023-03-22 | Pharmacy applications | Some information sent but not all held |
| 2023-03-21 | General Dental Contracts - females | Request lapsed - requested information not provided |
| 2023-03-21 | Superintendent pharmacists | Information not held |
| 2023-03-16 | Medical assurance | Information not held |
| 2023-03-09 | ENT Waiting List | All information sent |
| 2023-03-08 | New patients accepted by NHS dentist | Some information sent but not all held |
| 2023-03-07 | Ambulance call outs | All information sent |
| 2023-03-02 | Sativex also known as Nabiximol and Sativex Oromucosal | All information sent |
| 2023-02-17 | Unplanned Caesarean Sections | Some information sent but not all held |
| 2023-02-16 | Breast cancer statistics | Some information sent but not all held |
| 2023-02-10 | Number of Residents Diagnosed with multiple sclerosis | All information sent |
| 2023-02-09 | Disposal Covid-19 vaccine doses | All information sent |
| 2023-02-09 | Paxlovid | Some information sent but not all held |
| 2023-02-07 | Poor data protection | Upheld - partial |
| 2023-02-02 | Manx Care complaints report 2021-22 | No information sent - all held but exempt |